Registered Health Care Professional – Immunisations - Bank (Queen Mary's)
About the job
This role forms an integral part of mass vaccination delivery within South West London. The programme will deliver Covid Vaccinations at the Queen Mary's site in Roehampton.
As a Registered Health Care Professional working in immunisations, the post holder will work as part of a dynamic team in delivering a safe and effective service for the mass delivery of vaccinations for both influenza and the COVID-19 vaccine(s). The post holder will undertake activities such as: clinical assessment, dilution and drawing up of the vaccine from multi-dose vials and post vaccine observations support.
In particular, the post holder will be responsible for:
• The configuration of the vaccination pod and vaccination station.
• Conducting clinical assessments.
• The review of complex medical histories and potential adverse reactions.
• Preparation of the vaccine prior to administration by the immunisers using aseptic technique.
Ensuring the best possible clinical outcomes by using up-to-date skills and adhering to evidence-based policies and procedures.
Responsibilities for direct/indirect patient care
• Responsible for providing specialist advice and technical services in relation to the care of patients
• Required to work independently, under supervision
• Plan, advise and recommend treatment when necessary
• Handle difficult conversations (sensitive, language barriers, hostile atmosphere) and convert complex technical information into easily to understand communication
Responsibilities for policy and service development implementation
• Observe infection control procedures
• Adheres to Professional Code of conduct, and maintains own professional development ensuring fit for practice
• Ensures that all NHS statutory & mandatory training is kept up to date. Attends all mandatory training as needed. This includes BLS, Anaphylaxis and Immunisation training.
• Follow local and national policy making comments on proposals for change
• Respond to queries or escalate to the clinical supervisor
• Support more junior staff in the provision of care including training in the use of protocols as needed.
Responsibilities for financial and physical resources
• Responsible for the safe and effective use of equipment and other resources, ensuring equipment is maintained in good working order
• Ensure vaccine, stationery and health promotion resources are available in immediate work area and monitored appropriately
Responsibilities for human resources (including training)
• Improve and maintain personal and professional development by participating in continuing professional development activities.
• Attend statutory and mandatory training in compliance with PHT requirements
• Have an awareness of Trust policies and procedures that affect the management of staff
Involved in the induction and supervision of new and existing staff.
Responsibilities for information resources (including systems access)
• Effectively use IT support systems to enhance direct and indirect care delivery
• Use of an electronic patient record system
• Submit accurate and timely activity data as required
Freedom to act
• To make judgements and decisions within the confines of own professional code of conduct boundaries and within national and trust guidelines/policies for self and report to the Vaccination Supervisor and Vaccination Site Lead
• Work independently with some supervision
• Manual handling of equipment (e.g. records, vaccination equipment)
• Frequent requirement to exert moderate physical effort (walking, standing up)
• Sit moderate periods in the office when using visual Display Units / writing records / correspondence
• Lift and carry patient records and equipment daily
• Frequent requirement for intense concentration (drawing-up, patient assessment and observation)
• Work pattern altering to meet service need and prioritising work issues accordingly with changes faced
• Occasional need to cope with difficult emotional situations
• Occasional exposure to aggressive patients and/family members
Role specific accountabilities
• Deliver vaccinations to all eligible patients and assist with the overall coordination of the site activity and day to day delivery of the vaccination programme
• Ensure clinic rooms and equipment are available at the start of each session.
• Conduct pre-vaccination clinical assessments to confirm the correct vaccination, obtain consent agreement and provide advice on any contra indications and ensure that the patient receives post vaccination advice.
• Address any concerns that may arise regarding the vaccine and contra-indications with patients.
• Review medical histories and address any potential adverse reaction risks; provide patients with information on what to do in the event of adverse reactions
• Assist with the configuration of the vaccination pod:
a) Confirmation and recording of pod setup (in terms of layout and equipment)
b) Confirmation and recording of required vaccine stocks, PPE and vaccine consumables
c) Confirmation of availability for sanitisation materials and waste/clinical waste receptacles
• Assist with the configuration of vaccine station (as per the Green Book): vaccine, vaccine batch, staff member administrating vaccination, date and site confirmation
• Ensure vaccine preparation (drawing-up, ensuring correct storage and providing pre-prepared syringes to the vaccination station)
• Assist and support the vaccination delivery (ensure national guidelines are respected regarding PPE, clinical and non-clinical waste, sanitisation)
• Ensure that the latest PPE guidance is followed.
• Work in partnership with patients and carers, gaining consent, and treating all with reassurance, empathy, professionalism and handling difficult conversations
• Coordinate the infection control and waste disposal, ensuring that all activities are adhered to the highest health & safety standards
• Ensure the correct observation of the patient’s post-vaccination and offer any support they may need in case of adverse reactions
Behaviour / Ways of working / Work approach
• Manage and prioritise own workload
• Work as an effective team member, demonstrate good personal communication skills and actively promote excellent team and interdisciplinary relationships
• Demonstrate appropriate assertiveness and ability to challenge others when the rights of patients may be affected.
• Display good analytical ability and sound decision making in changing clinical situations.
• Demonstrate concise, accurate, timely record keeping and ensure that all work carried out is recorded accurately
• Provide skilled, evidence-based care which adheres to agreed policies and procedures
Patient Safety and Clinical Governance
• Use clinical judgement and risk assessments to keep the patients as safe as possible
• Follow the centre and national policies including Patient Group Directions (PGD’s) and national protocols or standard operating procedures (SOPs) are followed. These include SOPs on the safe storage, administration and disposal of the vaccine.
• Assist in the monitoring and maintenance of the health, safety and security of self and others in work area. Assist in the identification and assessment risks in work activities.
• Practise in accordance with the professional, ethical and legal codes of the site and its protocols and guidelines
• Work with team to maintain high standards of infection control in the clinical area and a well-maintained department environment
• Actively promote diversity and sustain relationships that promote dignity, rights and responsibilities. Identify and take action to address discrimination and oppression
• Ensure that the practice complies with Data Protection/ Confidentiality/ Caldicott principles in addition to Statutory and Regulatory guidelines of the Professional Bodies (NMC, GPhC, HCPC and others)
• Safeguard people by recognising and responding when an adult or child might be at risk from abuse but also recognising their own limits and asking for help and escalate concerns when necessary
• Reflect on everyday practice to identify areas where improvements in safety or quality can be made
Maintain compliance with staff mandatory training requirements
Educated to degree level (level 5) in relevant subject or equivalent level of experience of working at a similar level in specialist area
Registered Health Care Professional e.g. NMC for nurses, GPhC for pharmacists and equivalent for other healthcare professionals.
Current immunisation training / update or willingness to undertake
Knowledge and experience
Specialist knowledge in a relevant subject to post graduate level
Previous experience in similar clinical role
Knowledge of immunisation schedules in accordance with national recommendations
Experience of working as part of a multi-disciplinary team
Practical skills and knowledge of cold chain procedures and medicines management
Working knowledge and literate with computer skills to use of word document, internet access and email correspondence and electronic record keeping.
Evidence of continuous personal and professional development and willingness to commit to ongoing CPD
Skills Capabilities and Attributes
Clear communicator with excellent oral, writing, and presentation skills.
Effective skills in communicating complex and sensitive information and in difficult situations, requiring empathy, reassurance, persuasion and influence
Skills for nurturing key relationships and maintaining networks
Problem solving skills and ability to respond to sudden unexpected demands
Independent thinker with demonstrated good judgement, problem-solving and analytical skills
Able to work on own initiative, organising and prioritising own workloads to changing and often tight deadlines
An ability to maintain confidentiality and trust
Values and Behaviours
Commitment to and focused on quality, promotes high standards in all they do
Flexible approach to work and ability to cope with uncertainty and change
Values diversity and difference, operates with integrity and openness
Works well with others, is positive and helpful, listens, involves, respects and learns from the contribution of others
Actively develops themselves and supports others to do the same
Ability to work in a variety of settings
Understanding of and commitment to equality of opportunity and good working relationships