Position Description - Auckland Health Jobssuccessful performance is measured by meeting relevant...

Document ID: HISTp033 Version: 01

Title: JD - Histopathology SMO Current Issue Date: 05/07/2017

Document Owner: Charge Scientist - Histology Number of hard copy: of

Approved by: Clinical Head of Department - Histology Page number: of 1

Counties Manukau Health - Laboratory Services

POSITION DESCRIPTION

SMO - Histopathology

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Date Produced/Reviewed: 05/07/2017

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Date: .....................................................

Position description: Counties Manukau Health 2


PURPOSE OF THE POSITION This position is responsible for providing a rapid and accurate examination and reporting service, within protocols and service guidelines, of histopathology laboratory specimens. Further interpretation of these specimens may then be required in order to provide a clinical opinion for use by clinicians in diagnosis and case management. This may take the form of presentation of case material at multidisciplinary clinical meetings in conjunction with clinicians.


PLACE IN THE ORGANISATION

Technical Specialist

Non-Gynae Cytology

Clinical Head, Histology

Histopathologists,

Registrars

Second in Charge

Technical Specialist Routine and Special stains

Registered staff: Senior Scientist; Scientists, Technicians;

Designated QA, Documentation, Health & Safety Non-Registered Staff:

Trainee Technician; Lab Assistant

Chief Medical Officer

Charge Scientist Histology

Supervisor, Cutup

Relationship key: Reporting ---------------------- Functional - - - - - - - - - - - - Management & Support within the Lab Department structure Management outside the Lab

Technical Specialist Immunohistochemistry

Clinical Director, Laboratory

Service Manager,

IT

Éclair Database

Administrator IT

Coordinator

Service Manager,

Laboratory

General Manager, Central Clinical Services

Operations Manager

Quality

Manager Point of

Care Coordinator

Admin Coordinator


NATURE AND SCOPE OF RESPONSIBILITIES

Key Accountabilities

Standards / Achievements

Routine Activities

1. Laboratory sessions - routine surgical "cut-up": Activities included/associated with these

sessions: undertaking reading and research on

specific cases consulting with clinicians reviewing case notes cytopathology referring specific cases to colleagues for

opinions correspondence in respect of referrals supervision of trainees, and teaching in

benchwork snomed coding planning, organising consumables,

preparation associated administration,

correspondence, etc release of human tissue to relatives in a

manner appropriate to the culture of the family.

During a tissue specimen management and

preparation session, the primary responsibility will be to describe, take representative samples from, and examine the resultant sections of tissue specimens coming to the laboratory, in order to provide a clinical opinion for use by clinicians in diagnosis and case management.

When undertaking these sessions, the

Histopathologist is accountable for providing a rapid and accurate examination and reporting service, within protocols and service guidelines. This includes; registration of specimens/biopsies from

hospital dictating a physical description

(macroscopic), and reviewing typed report

taking representative samples for "slide" preparation

examining resulting slides, reviewing previous

histology and history, and reporting current histology

Successful performance is measured by meeting relevant key performance indicators from the Pathology Service business plan, and including;

turnaround times (current targets of 90% reported within 4 working days, and 100% within 5 working days (except where delayed by special techniques), assuming equipment and systems/support staff functionality and availability)

accuracy of reporting (as assessed from time to time by audit or peer review)

satisfaction of users of service




requesting additional special techniques for further examination where necessary

taking representative samples for "slide" preparation, photography, enzyme histochemistry, immuno-histochemistry, electromicroscopy, specimens X-rays, etc.

The consultant will also be accountable for

the Laboratory results produced in the department, and for their interpretation within the department, or for effective supervision of same by other staff.

2. Laboratory sessions - urgent and non-routine

tissue specimens Timing of preparation, examination and

reporting on urgent and non-routine tissue specimens is dependent upon the particular circumstances, and other activities being undertaken at the time. Generally such work will be undertaken in the afternoon, if it can be deferred for a short time, or alternatively routine "cut-ups" will be deferred to allow for urgent specimens.

Activities included/associated with these

sessions: undertaking reading and research on specific cases consulting with clinicians reviewing case notes referring specific cases to colleagues for opinions correspondence in respect of referrals supervision of trainees, and teaching in benchwork snomed coding planning, organising consumables, preparation associated administration, correspondence, etc release of human tissue to relatives in a

manner appropriate to the culture of the family.

During a tissue specimen management and

preparation session, the primary responsibility will be to describe, take representative samples from, and examine the resultant sections of tissue specimens

successful performance is measured by meeting relevant key performance indicators from the medical service business plan, and including;

turnaround times (as specified above for the provision of at least an interim report)

accuracy of reporting (as assessed from time to time by audit or peer review)





coming to the laboratory, in order to provide a clinical opinion for use by clinicians in diagnosis and case management.


Histopathologist is accountable for providing a rapid and accurate examination and

reporting service, within protocols and service guidelines. This includes; registration of specimens/biopsies on

arrival dictating a physical description

(macroscopic), and reviewing typed report


examining resulting slides and report formats, reviewing previous histology and history, and reporting current histology


The consultant will also be accountable for

the Laboratory results produced in the department, and for their interpretation within the department, or for effective supervision of same by other staff.

3. Autopsies (the time component with these is

allowed for in the Routine sessions 1 & 2 above)

Autopsies are conducted on request, and fitted around other routine activities as time allows. Generally autopsies will be undertaken in the morning by arrangement with the referring clinician, depending upon other priorities. For reasons of cultural protocols, timing of autopsies and follow-up procedures can on occasions be outside of these or normal hours/time-frames.

Activities included/associated with these

sessions includes: release of human tissue to relatives in a manner appropriate to the culture of the family. undertaking reading and research on

successful performance is measured by meeting relevant key performance indicators from the medical service business plan, and including; turnaround times (interim reports of the

macroscopic findings within the day, but full reports may take up to 30 days)





specific cases consulting with clinicians reviewing case notes referring specific cases to colleagues for opinions correspondence in respect of referrals supervision of trainees, and teaching in benchwork snomed coding planning, organising consumables, preparation associated administration, correspondence, etc

During these sessions, the primary

responsibility will be to describe, take representative samples from, and examine the resultant sections of tissue specimens coming to the laboratory, in order to provide a clinical opinion of disease process present in the body, for reasons of providing quality assurance feedback.


Histopathologist is accountable for providing a timely and accurate examination and reporting service, within protocols and service guidelines. This includes; registration of body on arrival dictating a physical description

macroscopic), and reviewing typed report


examining resulting slides and report formats, reviewing previous histology and history, and reporting current histology


maintaining and providing health statistics to the appropriate statutory authority.

4. Other Duties (including meetings, co-ordination

and liaison activities)

During the following liaison and co-ordination




activities, the consultant is primarily responsible for facilitating these activities through effective participation.

The consultant is accountable for regular and

timely attendance at all such scheduled activities, full participation in these, and effective use of the time available. This may be subject to increasing numbers and types of specimens for testing.

Activities included within this section include:

attendance at various clinical and clinico-path meetings as listed in current time-table. Eg Division of Laboratory Services business meeting (monthly) and other ad hoc business meetings as required; the following monthly meetings – o Colorectal Oncology, weekly; o Gastrointestinal, weekly; o Breast, weekly; o Breast Screen Counties Manukau, weekly; o Endocrine Surgical, monthly; o Colposcopy, monthly; o Perinatal Mortality /Morbidity, monthly o Gynae Oncology Regional meeting via

videoconference, weekly; o Upper GI Surgical via videoconference,

weekly; o Musculoskeletal Tumour Unit, fortnightly; o Bone and Soft Tissue Sarcoma Radiology

Review, weekly; o Plastic Surgery Skin Cancer, fortnightly; o Dermatopathology, fortnightly o ORL/ENT, monthly o Auckland Regional Head and Neck, at APH

weekly; o Neuroendocrine Tumour Review, weekly.

personal literature review participation in international, national and

local organisations dedicated to education and maintenance of standards within pathology

administrative tasks not directly associated with laboratory sessions, including provision of Cancer Registry data.

participation in peer review and clinical audit programs (Note the provision of two weeks

paid time per annum for quality assurance activities)

attendance at New Zealand / Australian CME




meetings at least once per annum, and at regional / international CME meetings at least once every three years. (Note the provision of CME leave and financial support for CME activities)

Call Back Activities

Autopsies Roster The consultant is required to participate in a

Saturday morning and Public Holiday roster for autopsies, on an on-call basis. The person on-call phones to establish any requests for the service. If required, they arrange to perform the autopsy that morning.

Where autopsies are required, this generally involves work from 9.30 to 12.00 midday. The frequency of autopsies as required is sporadic, averaging less than one per month.

General Provisions

Support Services Laboratory equipment will be supplied by the

company to standards agreed by the Clinical Board, and will be maintained to that standard. Laboratory facilities will be equipped to at least the standards determined by the Clinical Board. Information support systems will be supplied by the company to the standards agreed with users as appropriate, within the framework of the Information Technology Strategic Plan.

Support Staff Staffing levels for support staff will be planned

and determined by the Business Manager - Pathology Services in consultation with the Clinical Head and Group Clinical Director, and in accordance with standards and safety levels agreed by the Clinical Board. (It is acknowledged that South Auckland Health intends undertaking an accreditation programme to provide a framework for determining appropriate standards and safety levels.) This is with particular reference to: technical staff to facilitate processing of all

procedures junior medical staff coverage of evenings and




weekends, and nights to ensure safe practices appropriate administrative and secretarial

support

Locums The histopathologists agree to provide

internal cover for colleagues absent during periods of annual leave and study leave that do not exceed in any one year the aggregated annual entitlements under the Core Conditions Agreement.

For other extended periods of leave, including parental leave, sick leave and sabbatical leave the employer will take all reasonable steps to provide locum cover from outside the service. Histopathologists will actively assist in finding such cover.

If the services of external locum(s) cannot be secured, reasonable additional payments shall be negotiated and paid to affected employees in recognition of their additional workload, stress and responsibilities.

Cultural Safety & Diversity

Commitment to the principles of Treaty of Waitangi

Honouring Diversity

Respect, sensitivity, cultural awareness is evident in interpersonal relationships.

Our differences are acknowledged by respecting spiritual beliefs, cultural practices and lifestyle choices.

Utilise Information Technology

Demonstrate ability to access and use available clinical information systems.

Is conversant with applications required for specific discipline/role. For example, i.PM, Concerto, Outlook, etc.

Maintains own professional development by attending relevant IT educational programmes.


COMMUNICATION AND INTERPERSONAL SKILLS

Will be required to interact on a regular basis with a range of Counties Manukau Health staff members including:

General Manager, Central Clinical Services

Clinical Head Histopathology

Service Manager, Laboratory

Operations Manager, Laboratory

Charge Scientist, Histopathology

Histopathology Registrars

Senior and Junior Medical Officers

Laboratory staff

Secretarial staff

Various other advisory and support staff

Externally there will be contact with:

Medical Council

Other statutory authorities

Clinical Training Agency

Colleges

HDC, ACC, MoH

ARRMOS Situations may often call for tact, diplomacy and will require information to be handled in a discreet and sensitive manner. In conflict situations will be required to exercise sound judgement, negotiation and persuasiveness skills, toward facilitating a workable outcome.

PROBLEM COMPLEXITY

Will be regularly challenged by a wide range of issues while working as a histopathologist. There will be a requirement to be able to prioritise issues and negotiate time frames, while still providing a quality customer service. The range of problems will be diverse and require solutions customised to meet the circumstances of the client. Therefore opportunities will arise to provide innovative options to the client based on proven outcomes. There will be demands to meet deadlines, maintain accuracy and quality of information. Failure to do so could impact on the organisation in terms of the quality of the Histopathology Service. Will refer to histopathologist colleagues for advice or second opinion.

SCOPE OF PRACTICE Histopathology


DIMENSION OF THE POSITION

Will be responsible to the Clinical Head, Histopathology Laboratory for the achievement of agreed objectives and operates within the confines of CM Health.

PERSON SPECIFICATIONS (requirements for the role)

Minimum Preferred

Qualifications

FRCPA or an equivalent specialist qualification

Vocational registration with the New Zealand Medical Council

A current Annual Practicing Certificate with NZMC

Experience (including years)

5 years training as a histopathology registrar

Skills/Knowledge/ Behaviour

Ability to work well within a team

Sound knowledge within the Histopathology discipline

Ability to prioritise work

Ability to manage work load

Operational knowledge of medical Histology laboratory including the application of ISO 15189 standards and good Laboratory Practice

The ability to champion quality processes and outcomes

Personal Qualities

Sets high standards and strives to achieve goals

Displays drive and energy

Is receptive and capable of leading change

Can perform under pressure and achieves targets

Thinks creatively to deliver solutions

Professional maturity, good interpersonal skills especially positive communication/ negotiation skills


Constantly strives to build knowledge and skills

Demonstrated leadership ability including: Motivational ability, Team building and Objective & goal setting

Achievement oriented

Ability to work collaboratively within a multidisciplinary team

Acts with integrity

Remains focused and professional in difficult circumstances


HEALTH AND SAFETY ACCOUNTABILITIES (non-management roles) Health and Safety (H&S) is a key accountability of all Counties Manukau Health (CM Health) staff. All CM Health Employees are responsible to:

Zero Harm Engage in safe workplace practices and take care of the health and safety of themselves, other employees and people in the workplace

Risk Management Identify, evaluate and report all hazards and incidents they are aware of in the workplace

Adhere to apply risk controls, identified in risk assessments, such as ‘Safe Operating Procedures’

Follow safety instructions

Stop work when there is an immediate risk of serious harm and notify the appropriate manager

Ensure nothing they do or don’t do will cause harm to themselves or others

Safety Management System Requirements

Understand and follow CM Health’s Occupational Health and Safety policies, Health and Safety regulations, and personal responsibilities as outlined by these policies

Follow all Occupational Health and Safety policies and procedures

Work Safely Report for duty in a fit state, free from the influence of alcohol or other drugs

Participate in consultation activities regarding matters affecting your health, safety and wellbeing

Wear the required Personal Protective Equipment when undertaking specific activities, or when in nominated areas

Operate clinical or plant equipment safely

Participate in relevant safety training, and maintain safety related competencies

If relevant to your position, be in possession of required and current Certificates of Competency

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