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Job description

The Royal Brompton Hospital aims to provide specialist expertise and clinical care for our patients and as such provides a complete range of cardiac services to neonatal, infant, GUCH and adult patients. As well as providing standard and advanced cardiopulmonary bypass techniques, the perfusion department is also responsible for intra-aortic balloon counter pulsation, intra-operative cell salvage, and a variety of coagulation monitoring in our point of care testing room.

In addition, the Royal Brompton Hospital is one of only five centres in England commissioned to provide veno-venous Extra Corporeal Membrane Oxygenation (ECMO) for severe acute respiratory failure in adults. We also provide veno-arterial ECMO for severe cardiac failure both in children and adults, and implant ventricular assist devices. We have an active retrieval team with patients being referred from all over the South West of England and Wales

Job summary:

• As an accredited clinical perfusionist you will be part of a dynamic team providing extra corporeal circulation to all patients having cardiac surgery.
• The post holder is expected to carry out adult cardiopulmonary bypass without direct supervision.
• Provide teaching, training and supervision to unqualified trainee perfusionists whilst maintaining a safe working environment.
• To be flexible in the approach to the clinical area and provide perfusion services for any area specified. (Catheter Laboratory, AICU, PICU etc)
• Primarily based at the RBH but may be required to work cross-site.

On 1st February 2021 the Royal Brompton and Harefield Hospitals became part of Guy’s and St Thomas’ NHS Foundation Trust – a truly once-in a generation development. Together, we are taking our first steps towards our vision of creating a brand-new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease in patients from pre-birth to old age. We are developing some exciting plans and we want you to join us – so come and help to change the shape of healthcare for our heart and lung patients world-wide.

• Select and prepare under sterile conditions the appropriated cardiopulmonary bypass equipment according to the needs of the patient and the surgical procedure. This may involve manual handling of heavy equipment.
• Implement a perfusion strategy for an individual patient based on the pre assessment of the patient records and discussion with the relevant medical groups. This will involve close working relationships with staff in a stressful working environment.
• Participate in a 24hr on-call service.
• Perform paediatric cardiopulmonary bypass with or without supervision depending upon experience. Training and supervision will be given where necessary.
• Competently perform Intra Aortic Balloon Counter Pulsation therapy in all areas of the hospital.
• Ensure that stock levels are maintained at all times.
• Ensure all equipment is maintained and decontaminated to the department standard.
• Be proactive in the blood conservation programme following the better transfusion policy, by providing cell salvage to all patients.
• Administer blood transfusions following the better blood transfusion policy.
• Offer a blood management service to all specialties including sealants and gels.
• Assist with the provision of a specialist ECMO service to patients and other multi-disciplinary teams including initial assembly and technical support throughout the ECMO period.
• To be responsible for patient parameters whilst on cardiopulmonary bypass with the administration of drugs within set guidelines.
• Familiar with all emergency procedures for equipment failure and act according to the department procedures, ensuring patient safety.
• Maintain accurate real time patient records with hard copies correctly stored.
• To perform quality assurance procedures and checks. Taking the appropriate action in the event of failure.
• Accurately complete the data set requirements for the Trust.