Senior Specialist Anatomical Pathology Technologist

Senior Specialist Anatomical Pathology Technologist NHS AfC: Band 7 Main area Pathology Grade NHS AfC: Band 7 Contract Permanent: Mon-Fri, 8am-4pm. Hours Full time - 37.5 hours per week (Rotational on-call responsibility) Job ref 196-LIS9362

Employer Guy's and St Thomas' NHS Foundation Trust Employer type NHS Site St Thomas' Hospital Town London Salary £54,320 - £60,981 p.a inc HCA Salary period Yearly Closing 23/03/:59

Job overview The Mortuary and Bereavement Service consists of APTs, both qualified and trainees, Bereavement Officers, a Mortuary Assistant and administrative staff, working closely with Consultant and Junior Histopathologists from Cellular Pathology.

This department sits within the Directorate of Haematology, Cellular Pathology and Supporting Services. The Cellular Pathology laboratories and its scientific staff are managed independently by GSTS Pathology (Viapath). There are two mortuaries, one at Guy's and another at St Thomas' Hospital. St Thomas' acts as the main mortuary and is the site for all post-mortem examinations and related activity.

Main duties of the job This is a senior post for an experienced Specialist Anatomical Pathology Technologist (APT) who holds both the Certificate & Diploma of Anatomical Pathology Technology or the Level 3 Diploma in Anatomical Pathology technology with relevant, extensive and demonstrable experience. As a Specialist Senior APT in the Mortuary and Bereavement Service (MBS) the post holder is expected to support both junior and senior staff, work as part of a team on a rotational basis within all specialities of Mortuary and Bereavement work and rotate between Guy's and St Thomas', and be able to assist in specialist post mortems, including paediatrics and high risk cases.

Detailed job description and main responsibilities Scientific and Technical

PM Room

To assist the Pathologist with post-mortem examinations:

• Specialist practical mortuary skills - Paediatric/perinatal, forensic, neuropathological, high risk, CBRNe, PEACE cases
  • Be careful to carry out specialist PM examinations and techniques
    • Specialist evisceration techniques (middle ear, spinal cord, eyes)
    • Specialist reconstruction techniques (significant trauma, decomposition, paediatric/perinatal)
• To ensure the post-mortem room and equipment is prepared for all types of post-mortem examinations.
• To take, process and store digital images (photographic and radiology) as part of the post-mortem examination.
• To assist the pathologist during histological cut up sessions following fixation of tissue samples after the post-mortem examination.
• To assist in the basic and advanced training of junior staff, both practical and theoretical:
  • To oversee and assist both internal and external Junior Pathologists on a day-to-day basis as part of their training programme
  • To oversee and assist Junior APTs on a day-to-day basis
  • To prepare and deliver training programmes for Trainee APTs according to the Level 3 Diploma in APT standards and requirements.
  • To deliver high quality PM demonstrations to medical students and non-medical relevant parties (police, emergency services first responders, armed forces etc)
• To assist and ensure thorough cleaning and disinfection of all tools and surfaces in the PM rooms after the day's examinations are complete.
• To maintain equipment on a day-to-day basis in accordance with department policies/procedures and in accordance with manufacturer's guidelines.
• To receive and book in external histology.

Leadership

• To support the mortuary manager in leading the service, in training staff, attending and representing the service at Trust meetings, auditing mortuary practice and promoting the quality agenda in the service.

Clinical and Clerical

• To ensure patients are accurately received into the mortuary, with correct identifying information, registered, weighed, measured.
• To be responsible for the release and transfer of patients from the unit to the authorised person for collection.
• To book viewings and, when necessary, accompany and assist the bereaved in the mortuary visitors room.
• To prepare and layout patients for viewing, including high-risk cases.
• To carry out cleaning and dressing of patients as required.
• To accompany visitors and facilitate official identifications on behalf of HM Coroner.
• To ensure that the bereaved are supported and treated with courtesy and consideration at all times.
• To ensure accurate records of patients' property are maintained.
• To assist the Mortuary and Bereavement Service Manager/Chief APT plan work schedules and staff allocation to tasks.
• To give both basic and specialist lectures to groups who attend the Mortuary and Bereavement Service and throughout the hospital.
• To co-ordinate the provision of hospital funerals for Non-Viable foetuses and POCs, ensuring documentation is complete and that funerals can take place in a timely manner.
• To facilitate the release of NVFs/POCs/HTA relevant material directly to next-of-kin when required.
• To oversee the monitoring of patient condition and mortuary capacity.
• To monitor and escalate long-term patients to the appropriate department (bereavement centre staff, local council authority, referring establishment or funeral director as appropriate).
• Monitor the referral system for external post-mortem examinations (hospital consented paediatric/perinatal cases, coronial/forensic paediatrics, coronial adults and PEACE patients) and managing bookings for x-ray examinations when appropriate.
• Maintain in-depth, up-to-date working knowledge of The HT Act and its relation to mortuary practice
  • Understanding consent forms for hospital PMs, with particular attention to SANDS forms
  • Understanding consent for retention/disposal of relevant material received from coroner's offices after PM examination
• Carry out disposal of retained material as per the Nok wishes, following laboratory tracking protocol.
• Deliver consent training to clinicians.
• Take consent for adult hospital PM examinations.

Informatics

• To ensure that records are kept up to date and stored safely to ensure compliance with good work practices for the standards of the HTA Codes of Practice and ISO standards.
• To comply with local and national policies for the safe, secure and confidential processing and storage of patient and other mortuary information.
• To use the departments information databases according to the authorised protocols.
• To maintain the integrity and accuracy of IT systems, written MBS records and databases.

Procurement

• To ensure staff maintain adequate stocks of consumables and chemicals for MBS.
• To maintain adequate stocks of consumables for MBS Major Incident store.
• Monitor and purchase equipment and consumables for routine and specialist post-mortem work.
• Maintain adequate consumables for use with the cremation and burial of babies/POCs.
• Ensure timely payment of invoices for maintenance/contact work.

Training and Development

• To be responsible for his/her continuing professional development.
• To comply with departmental training support policies.
• To keep up-to-date with current Mortuary and Bereavement practices and guidance from the Health and Safety Executive and any other professional bodies e.g. Human Tissue Authority and DoH.
• To ensure lessons are learned from post-event analysis, proactive risk assessments and timely dissemination.
• To provide specialist advice and support on a range of human tissue, Mortuary and Bereavement issues.
• To complete all annual mandatory training sessions as set out by the Trust.
• Assist with training of departmental and portering staff.
• Deputise for Chief APT and/or mortuary manager as required if instructed.
• Deliver education and training relating to mortuary practice to Trust staff.
• Deputise for the Chief APT at Trust committee meetings if required.

Out of Hours Service

• There is a paid on-call service in operation, which offers advice and assistance to the bereaved and hospital and outside staff 24 hrs a day, 365 days a year.
• The post holder must attend the mortuary on request of the Mortuary and Bereavement Service manager in the event of a major incident being declared. On request/necessity all staff must attend the mortuary in the quickest time possible and must be prepared to stay until the hospital has been "stood down" from major incident status.
• The portering staff will not prepare a high-risk patient for viewing; the Deputy APT must attend the mortuary, prepare the patient and following a viewing return the patient to storage.
• If required, arrange for staff to attend the mortuary out of hours.
• The post holder may be required to attend the mortuary to facilitate a forensic/Home Office post-mortem examination. The APT may be called to assist with limited notice and must be prepared to attend the mortuary until the post-mortem examination is finished. The Duty APT will be responsible for calling another APT to assist.

Health and Safety

• To adhere to all departmental and Mortuary health and safety regulations and policies.
• To oversee and assist in regular review and change of protocols and policies.
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