APPENDIX 1 POSITION DESCRIPTION

Position Details:

Title: Perfusionist (Trainee) Department: Clinical Perfusion - CTSU

Reports to: Chief Perfusionist Location: Auckland City Hospital

Date: September 2005

Purpose of Position:The trainee clinical perfusionist is a graduate member of the Green Lane Hospital clinical cardiothoracic surgical team. The trainee clinical perfusionist under direct supervision trains in the provision of cardiopulmonary bypass and related cardiac support for both elective and emergency cardiovascular and thoracic procedures such that the requirements of Cardiac services are appropriately met.

Key Accountabilities:

Accountability 1 (clinical A)

Trains in and conducts adult cardiopulmonary bypass and related life support procedures under supervision with safety and expertise

Performance Objectives - generic1 To train in and conduct cardiopulmonary bypass (CPB) under supervision for any scheduled or emergency adult procedure.2 To train in and conduct cardiopulmonary bypass (CPB) under supervision for cardiac, lung and liver transplantation as and where required.3 To train in and conduct extracorporeal life support (ECMO VAD Intra aortic balloon pump) under supervision 4 To safely administer prescribed intravenous drugs and blood products during adult CPBplus annual individual objectives

Accountability 2: (Clinical B)

Trains in and conducts paediatric / neonatal cardiopulmonary bypass and related life support procedures under supervision with safety and expertise

Performance Objectives - generic1. To train in and conduct conduct cardiopulmonary bypass (CPB) under supervision

for any scheduled or emergency paediatric / neonatal procedure.2. To train in and conduct extracorporeal life support (ECMO VAD) under

supervision as and where required3. To safely administer prescribed intravenous drugs and blood products during

paediatric / neonatal CPB4. To provide clinical advice to medical colleaguesplus annual individual objectives

Accountability 3:

Achieves Quality Perfusion Practice

Performance Objectives - generic1. Performs preoperative patient assessment 2. Provides patients with clear explanation of CPB and answers relevant questions

as part of pre-operative patient assessment under supervision3. Maintains / acquires knowledge and training in accordance with ASCVP

certification and re-certification requirements.4. Contributes to the objectives of the CTSU Quality Plan 5. Performs CPB and perfusion related procedures to ASCVP Standards of Practice6. Conducts perfusion in accordance with the ASCVP Standards of Practice and

Code of Ethics.plus annual individual objectives

Accountability 4

Develops Personal and Departmental Skills and Standards

Performance Objectives1. Prepare for and obtain the Australasian Board of Cardiovascular Perfusionists

CCP (Certified Clinical Perfusionist) qualification within 3 years.2. Achieve competency in all practical assessments made throughout the training

period.3. Demonstrate advancing clinical skills and knowledge as necessary for a

perfusionist role during procedures.4. Obtains a knowledge and complies with the health and safety policies of the

company5. Maintains all work areas and equipment to the standard appropriate for clinical

procedures.6. Successfully complete ASCT course and examinationplus annual individual objectives

Relationships:External Internal Committees/Groups

Medical industry Companies

Medical staff (Cardiac Services, Dept of anaesthesia, Respiriatory medicine, Dept of General Surgery, Dept of Vascular Surgery )Nursing Staff (GLH/APH Theatres, CTSU,cardiology.Technical Staff Ancillary StaffMPCE

Perfusion team.Blood tranfusion committeeORAPCTSU QualityHealth & Safety

PERSON SPECIFICATION

Essential Desired

Education & QualificationsBaccalaureate Science degree

Experience/Knowledge Relevant work and life experience that demonstrates ability to work effectively in a team and evidence of maturity and judgement required to function effectively in a high stress environment

Work experience in the health sector which related to cardiac procedures

Critical Competencies Competency Description

Interrelationships Contributes to and supports the team, communicates expectations and works to agreed goals, provides on-going feedback and coaching and objectively evaluates performance. Actively recognises and values achievements of others.

Leadership Communicates a vision for the future, inspiring a commitment to the goals and direction of, service, organisation and nursing profession. Is able to manage diversity and change.

Patient/Customer Orientation Develops positive working relationships with patients/ customers, identifies and seeks to meet their needs. Treats them as first priority and improves service.

Bicultural Approach Understands the significance of the Treaty of Waitangi. Displays cultural sensitivity and a willingness to work positively with organisational strategies to improve opportunities for Maori.

Innovation Actively questions old methods, thinks outside the square and develops creative, effective solutions to improve outcomes.

Communication/Interpersonal Skills

Actively listens, drawing out information and checking understanding. Expresses information effectively, both orally and in writing, adjusts language and style to the recipients and considers their frame of reference. Empathises with others and considers their needs and feelings.

Quality Orientation Pays attention to detail and initiates self -checking procedures; ensures high levels of accuracy and consistent quality. Monitors quality and devises systems to support continuous improvement utilising an evidential approach.

Perfusionist Trainee Scope of Clinical Practice

Clinical perfusion is defined as the functions necessary for the support, treatment, measurement, or the supplementation of the cardiopulmonary and circulatory systems of the patient. A Perfusionist is a highly skilled health professional, qualified by academic and clinical education and by experience, who under supervision sets up and independently controls and operates equipment (typically the heart lung machine) to conduct blood outside the body of the patient. In most cases this is performed to allow the patient to undergo heart surgery. The patient’s physiology is maintained in a stable condition whilst their heart and lungs are stopped for the purpose of the operative repair. All heart operations require the services of a perfusionist to operate a heart-lung machine and other extra-corporeal circulation equipment during cardio-pulmonary bypass. A perfusionist additionally may operate such equipment during any medical situation where it is necessary to support, or temporarily replace, the patients’ cardiopulmonary or circulatory function and ensure the safe management of physiological functions by monitoring all necessary variables.

Such procedures include: Cardiopulmonary bypass (perfusion)Cardiac Operations (CABG, Valves)Vascular Operations (Aneurysms, Dissections)Heart TransplantationHaemodilutionHaemofiltration / plasmaphaeresis. Lung TransplantationLiver TransplantationAdministration of prescribed medications, blood components, and anaesthetic agents via the extra-corporeal circuit. Blood gas / biochemistry monitoring. Physiological monitoring.Administration of cardioplegiaFull clinical documentation of duties carried out. Intra-Aortic Balloon counterpulsationVentricular Assist DeviceAutotransfusionECMO (Extracorporeal Membrane Oxygenation)Extracorporeal Life SupportPatient consultationTeaching Research & developmentEquipment The above duties describe a spectrum of services potentially carried out by Perfusionists