endobj 462 0 obj 118 119 ] 68 0 obj /Pg 716 0 R << endobj /Pg 693 0 R endobj /K 127 >> 579 0 R endobj ] We work to address the mental health needs of people receiving physical health treatment across the lifespan (from 16-years and upwards) and common presentations include deliberate self-harm, depression, dementia and psychosis. << endobj /K [ NHS RightCare Publication type: Guidance Example job description to support getting the right person in the role to ensure the infrastructure for a clinical commissioning group (CCG) to implement a high intensity user service. /Type /StructElem << /Pg 687 0 R 292 0 R /S /P << /Pg 693 0 R << /Pg 716 0 R endobj x\[o~7A,/{+)6 p ;m^?,.KEUy/|Wg' #%/jV^n#5mU|kZm -J-Ru#9_r8=)Ku^o'rbuzNOI0SWo.e0t,nUdXo+8G[buwX0n;#H]K8M4I9dK1ROU3k2E.o[RJ%r}HA*:K2HVsj.n *f1[P" )IM-/5d[. 226 0 obj /Pg 693 0 R /Pg 687 0 R /Pg 690 0 R /Pg 676 0 R 492 0 R /K 171 >> /Pg 676 0 R /Pg 716 0 R endobj /K 4 >> endobj The concepts of innovation and interdependency are core concepts that can be used to inform clinical leadership development, education, and practice. endobj 74 0 R 620 0 obj /K [ /Pg 690 0 R 336 0 R 585 0 R 97 0 obj 55 0 R /Pg 687 0 R /Type /StructElem /K 179 >> /S /P This ensures that everyone is treated with the best possible care, and that the clinic can provide quality clinical services. /P 116 0 R 93 0 R 486 0 R >> 148 0 R << 278 0 R /S /P /Type /StructElem /Pg 635 0 R 439 0 R Leadership is defined by its relationship to management. For further information please see They are also in charge of liaison between the nurses and hospital administration. 442 0 obj 451 0 R << /K 109 >> /P 611 0 R >> /S /P 189 0 R << 13 0 obj /P 2 0 R /S /Figure /Type /StructElem /P 519 0 R They give diagnostic tests, observe vitals, and provide a prognosis from treatment progress. 299 0 R /Pg 716 0 R >> endobj /K 18 >> This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. 492 0 R /K [ /S /LBody /K [ 185 0 R endobj /S /TD /Type /StructElem 389 0 obj /Type /StructElem 67 0 R /Type /StructElem /K [ 182 0 R 295 0 R /Pg 635 0 R /Pg 716 0 R /S /LI /Pg 716 0 R /Type /StructElem /S /P Significant post registration nursing experience within the clinical speciality, Evidence of understanding and developing nursing policy and practice, education and research within the context of a multi-disciplinary setting, Current knowledge of relevant professional and NHS policy initiatives within the clinical speciality, experience of working within liaison psychiatry, Significant management and or leadership training, Experience of effective redesign or implementation of change. 422 0 R The Clinical Service Lead will report into the General Manager for inpatient services where they can escalate any issues pertaining to service delivery. /K 377 0 R endobj << /K [ 312 0 R << endobj /S /Span 463 0 obj This is an exciting and diverse role for an individual who is passionate about providing excellent quality nurse leadership. 483 0 R /Pg 716 0 R /Type /StructElem 462 0 R 393 0 obj 360 0 obj /S /P /S /P /P 212 0 R 227 0 obj /Type /StructElem /K [ 402 0 R << The team is composed of highly qualified professionals who are passionate about their work. /Pg 716 0 R /Type /StructElem 241 0 R 227 0 R /K 20 >> /S /Span /P 211 0 R << 147 0 R << /S /P 308 0 obj /Type /StructElem 38 0 obj 542 0 obj 228 0 R 85 0 obj 486 0 R /P 519 0 R /S /LI endobj /Pg 693 0 R /K 22 >> 231 0 R 120 121 122 ] endobj << /Type /StructElem /Pg 693 0 R 321 0 R << /Type /StructElem 611 0 R /Pg 693 0 R /P 520 0 R 513 0 R /P 551 0 R /Type /StructElem /Type /StructElem << /S /Span /P 106 0 R /K 103 >> /Type /StructElem /P 566 0 R << /Pg 693 0 R /S /P endobj 321 0 R /K [ /P 203 0 R Job Description - Cardiac Network ( Primary Care ) Clinical Lead . /Type /StructElem /Type /StructElem << >> endobj 144 0 R /Pg 716 0 R << >> 423 0 obj 304 0 R /Type /StructElem /Type /StructElem << /P 516 0 R << endobj endobj /Pg 676 0 R /K 13 >> /K [ /K [ /Pg 635 0 R /Type /StructElem >> endobj << /P 532 0 R 47 0 R endobj endobj /Type /StructElem endobj /K 23 >> 604 0 obj 435 0 R /Type /StructElem /K [ ] 84 0 R 293 0 R /S /TR 473 0 obj /S /TD /P 2 0 R 149 0 obj 371 0 R 276 0 R >> It can be delivered in out-patient settings, or within an in-patient setting. /Pg 693 0 R 601 0 R /P 2 0 R >> /S /LBody Adult dependants (over 18 years old) are also subject to this requirement. << 296 0 obj >> >> endobj 291 0 R /Pg 716 0 R /Pg 635 0 R /Type /StructElem 434 0 obj << 192 0 R 111 0 R 435 0 R /S /Span endobj 260 0 R 495 0 R 22 0 R endobj /Type /StructElem /Type /StructElem endobj /Pg 693 0 R 237 0 R << 627 0 obj Clinical Directors are responsible for managing and coordinating the work of medical professionals in an hospital or clinic setting. /S /P Applicants must have current UK professional registration. endobj /Pg 716 0 R The usefulness of the competency framework is being debated. /S /LI 224 0 R /S /Figure 2 0 obj << << 392 0 obj /Type /StructElem /K [ /Type /StructElem 515 0 R /K [ 564 0 R JOB PURPOSE/SUMMARY . /P 219 0 R /P 106 0 R /S /Span << 452 0 R /K 349 0 R >> /Type /StructElem 477 0 R /P 526 0 R ] 360 0 R /Pg 716 0 R endobj /Type /StructElem /P 119 0 R /P 200 0 R /P 505 0 R /Type /StructElem 263 0 obj /P 605 0 R 569 0 obj /MediaBox [0 0 595.2 841.9] 330 0 obj >> 26 0 R 2 0 obj hUn0>n:Y.PHfE>svGJIiQEF%Q' SR5i hi^dGY6bFZ~c/GW]!'b DmfNN@ Cu!wB_'}bu:;8{"r_8RQ/: 3 9J'!UUy /K [ /P 19 0 R /P 208 0 R Knowledge and skills required for clinical governance leads The NHS Knowledge and Skills Framework has been designed to determine the pay progression for all employees within the NHS.7 It is made up of dimensions, six core and 16 specific to particular jobs. /S /P << /P 522 0 R /S /P << /S /Figure /Pg 673 0 R << /P 629 0 R /K 184 /Alt (GOSH FT_COL.jpg) << /S /Span /Pg 662 0 R << << endobj /Pg 662 0 R 394 0 R /K 10 >> /Pg 716 0 R endobj << /Pg 716 0 R 485 0 obj /S /P 348 0 R /P 212 0 R >> /K 114 >> /K 126 >> 67 0 R >> << 397 0 R endobj 174 0 obj 433 0 R /Pg 693 0 R /S /P /Type /StructElem >> 495 0 R endobj /K 34 >> 121 0 R endobj /K [ endobj /S /P 442 0 R /Type /StructElem 267 0 R >> 118 0 obj /S /TD 281 0 R /Type /StructElem /Type /StructElem /Type /StructElem There is an extensive range of excellent benefits for you and your family. "I am a clinic manager and have had a lot of experience with equipment malfunctioning and staff training sessions. 447 0 R >> 241 0 R endobj /Type /StructElem /S /LI /K 53 >> /Pg 716 0 R This difference can be beneficial, as CNSs may have better insights into how best to care for patients in a particular setting or situation. /P 19 0 R /Type /StructElem << /K 8 >> /K [ 124 125 ] /Pg 716 0 R 123 0 obj 518 0 R /P 2 0 R 487 0 obj endobj /K 11 >> << /S /TR /P 576 0 R 431 0 obj 231 232 ] << /S /P 498 0 R /Pg 690 0 R 601 0 obj 225 0 R >> << 344 0 obj 260 0 obj 264 0 obj << >> /K [ >> /P 516 0 R /S /Figure /Pg 635 0 R /Pg 716 0 R endobj 451 0 R /S /Span /K 95 >> /Pg 662 0 R /Pg 676 0 R /P 523 0 R /S /TD endstream endobj startxref endobj 81 82 83 ] << 346 0 R /Type /StructElem /P 205 0 R 384 0 obj /S /P 474 0 obj endobj /Type /StructElem /Pg 690 0 R per annum, pro rata. /K 84 >> /K 15 >> << /K [ 556 0 obj /K [ 207 0 R People considering a career as a clinical nurse leader should be problem-solvers with strong critical thinking abilities. /Type /StructElem /Type /StructElem >> endobj /S /P /S /Span /P 2 0 R 433 0 obj 434 0 R << >> 92 0 obj /P 567 0 R /Pg 716 0 R /Pg 716 0 R 476 0 R /K 21 >> /Type /StructElem 551 0 obj endobj 237 0 R /P 2 0 R /Pg 673 0 R /S /TR We are a team of compassionate, inclusive and committed people working together to provide excellent care to support our community. << endobj 343 0 R /S /P << ] /P 215 0 R /S /P /S /P >> /S /LBody << 402 0 R /S /TR 433 0 R /P 218 0 R << endobj << 582 0 R 362 0 obj /Pg 716 0 R 571 0 R /Pg 676 0 R 419 0 R /K 163 >> /K 370 0 R /K 2 >> Common CNL employers include: Individuals who are considering a career as a clinical nurse leader should be problem-solvers with strong critical thinking abilities. /Type /StructElem A successful clinical manager has good listening skills, communication abilities, and organizational skills. /Type /StructElem << Clinicians document the patient's medical history and use and maintain medical equipment. << /Type /StructElem << /P 606 0 R endobj 444 0 R << 473 0 R 395 0 R endobj >> << /K 9 >> << << /K 180 >> << << /MarkInfo <> /Pg 693 0 R A registered nurse who may be referred to as a clinical nurse consultant, nurse educator or nurse manager is responsible for the quality of clinical nursing care provided in a ward or clinical unit or to a specified group of patients/clients. /K [ 236 0 obj << /Type /StructElem /P 2 0 R /P 2 0 R ] /Pg 690 0 R 453 0 R >> /Type /StructElem /S /P /S /P /Type /StructElem Our 4000 clinical and support staff help us to improve mental health wellbeing and meet the needs of the 70,000 people we serve each year. << 66 67 68 ] /Type /StructElem 425 0 R /Pg 716 0 R 525 0 R endobj /Type /StructElem /S /TD 590 0 R << /K 358 0 R << /K [ /Pg 716 0 R << << endobj /S /LBody /Pg 716 0 R They are dedicated to providing quality care and ensuring that all patients have the opportunity to receive the best possible care. /P 2 0 R /K 1 >> /K 40 >> /S /P 396 0 R 382 0 obj >> /K 37 >> ] 79 0 obj /P 196 0 R /Pg 693 0 R << The CNL exam is a rigorous test that can determine a person?s writing and communication skills. 96 0 R 552 0 R endobj /P 199 0 R 419 0 R /P 204 0 R << 85 0 R /S /TD << /Pg 635 0 R The interplay of evidence-based practice with ingenuity is essential to address and solve clinical practice problems in multi-disciplinary teams. /Type /StructElem >> 300 0 obj According to PayScale, the median annual salary of a CNL is approximately $76,000, but this figure ranges between $52,000 and $107,000. << - dedication to excellence - Nurses must have a passionate about their work, and want to help others achieve success. >> /S /P 615 0 obj 459 0 R 478 0 R endobj 120 0 obj 103 0 R 429 0 R 554 0 R /S /TD 131 132 133 134 ] 316 0 R /P 223 0 R /S /P /Pg 635 0 R /Type /StructElem /K 75 >> /Type /StructElem ] /S /Span 145 0 R >> 412 0 obj endobj << endobj 10 0 R 73 0 obj /Pg 716 0 R 255 0 R endobj /S /P 89 0 obj 416 0 obj /P 568 0 R ] 157 0 obj 32 0 obj 624 0 obj /Type /StructElem 263 0 R /Pg 693 0 R endobj 315 0 R 129 0 R 127 0 R endobj 622 0 R 243 0 R 78 0 obj /S /Span /K 134 >> /P 517 0 R endobj 218 0 obj /Pg 676 0 R 635 0 obj /P 548 0 R The Clinical Lead role is envisaged to have more clinical . endobj << 284 0 R /S /TD endobj 94 0 R /K 80 >> /P 2 0 R >> /Type /StructElem 521 0 obj 130 0 R /P 530 0 R << 486 0 R 301 0 obj /Pg 693 0 R << 602 0 obj 505 0 R 307 0 R >> /K 0 >> endobj 350 0 obj 283 0 R endobj 252 0 R 6 0 R /K [ << % /Type /StructElem endobj 593 0 obj /Type /StructElem << /Type /StructElem << 19 0 obj /K 20 >> Detailed column on Zone Leader career description. /Pg 693 0 R /Pg 693 0 R 241 0 obj /K 381 0 R /Type /StructElem List jobs with Midlands Partnership NHS Foundation Trust - Inclusion Services in Nursing and Midwifery or all sectors, Job Description and Person Specification (. /Type /StructElem 11 0 R /P 508 0 R 520 0 obj /Type /StructElem /Type /StructElem 102 103 104 105 106 ] /Pg 693 0 R /S /TD /P 174 0 R << 196 0 obj ] endobj /K [ /K 343 0 R /Pg 716 0 R H/V? /P 213 0 R << 367 0 obj 718 0 obj <>/Filter/FlateDecode/ID[<80BE97A77C85C045990CD07ED87931D3>]/Index[692 43]/Info 691 0 R/Length 120/Prev 202295/Root 693 0 R/Size 735/Type/XRef/W[1 3 1]>>stream /Pg 693 0 R 69 0 obj /Type /StructElem /K 10 >> >> /P 572 0 R /P 2 0 R /K 83 >> 150 0 R /P 514 0 R >> /Pg 676 0 R 328 0 obj /P 620 0 R << /K [ %%EOF ] /S /LI 116 117 118 ] /Pg 676 0 R 258 0 obj 389 0 R Albert is an expert in internet marketing, has unquestionable leadership skills, and is currently the editor of this website's contributors and writer. They are experts in their field and use their experience and knowledge to develop complex strategies to build buy-in and support from key stakeholders. 260 0 R 114 0 obj endobj 352 0 R << /Type /StructElem /Type /StructElem /P 206 0 R 473 0 R /Pg 676 0 R 261 0 obj /Type /StructElem /S /LI 282 0 R 290 0 obj 529 0 obj /K [ 476 0 R >> << 419 0 R /S /P endobj The NHS Long Term Plan'. 419 0 R 254 0 obj >> /Type /StructElem 457 0 R endobj endobj 102 0 obj They also work hand in hand with other departments within the hospital to ensure that all patients have access to the best possible care. /Type /StructElem << 348 0 R endobj /S /TD << 561 0 obj The service now runs in all Birmingham and Solihull acute hospitals. >> 227 0 R /K 206 >> 408 0 R 406 0 R << /Type /StructElem /S /Figure 302 0 R 27 0 R /K [ 128 0 R /P 2 0 R ] 488 0 R /K 18 >> /S /P 208 0 obj /P 619 0 R /Pg 716 0 R << 430 0 R /Pg 716 0 R ] 266 0 obj 222 0 obj /K 118 >> The post holder will lead the provision of an efficient, effective and high quality professional and well co-ordinated procurement and contract management service /S /LI /Type /StructElem ] /K [ 95 0 R /P 164 0 R 57 0 R /Type /StructElem /S /P /S /P 348 0 R "As a leader of a Clinical Commissioning Group (CCG), I have a lot of influence and engagement across a broad range of stakeholders. endobj >> << /Type /StructElem /Type /StructElem >> endobj /Pg 673 0 R /Type /StructElem 350 0 R endobj 510 0 obj /S /P /Type /StructElem /P 2 0 R /Pg 673 0 R 460 0 obj 526 0 R /StructTreeRoot 1 0 R /Type /StructElem /Pg 693 0 R /P 2 0 R /P 172 0 R /K 357 0 R >> 580 0 R endobj /Pg 693 0 R 265 0 R /K [ 358 0 obj 190 0 obj /Type /StructElem /S /Span /K 51 >> 253 0 R /K [ >> /Pg 693 0 R /Type /StructElem /Pg 716 0 R /K [ << /K 392 0 R /K [ /Type /StructElem /K [ /Type /StructElem endobj /K 266 0 R /Pg 662 0 R 143R?y1}rFwW` : /S /P endobj endobj /P 2 0 R /Type /StructElem << ] endobj /K [ 597 0 obj >> endobj endobj /P 2 0 R 494 0 R 235 0 obj /Type /StructElem /K [ /K 1 >> 182 0 obj << /Type /StructElem The tension between clinical and administrative discourse is evident in the findings from the evaluation of clinical directorate structures in Australian hospitals, with close to two thirds of medical and nursing staff surveyed reporting the primary outcome of such structures was increased organizational politics. endobj /P 631 0 R ] /S /TD /S /Span /P 510 0 R Job Description Job title: Walton GP Clinical Lead Reporting to: Suffolk GP Federation Medical Director/Chair . endobj 0 /Pg 690 0 R 417 0 R endobj /S /TD /Pg 693 0 R /S /TD Evidence of continuing professional developmement, Senior Management Experience in running large multidisciplinary teams with significant clinical and business delivery targets, Experience of leading and managing change to deliver organisational & borough specific goals, Experience of individual and team Performance Management and Appraisals, Understanding of public sector management and NHS Mental Health services, Social and Primary Care services, Specialist clinical knowledge relevant to the service, including evidence based practice, Leadership skills especially the ability to lead and manage change through influence without direct management, Ability to work with minimum supervision and ability to set priorities in line with local and national priorities, Able to analyse complex issues/problems, gather relevant information and exercise sound judgement in reaching the most appropriate conclusions, Ability to support, manage and advise the team through difficult and challenging situations. << /Type /StructElem 102 0 R /Type /StructElem /P 2 0 R /K [ '%awk mvFnIg0z7 +X7 LF3,#|F\A85N:H&{GVQ3h-mx(}k(Ew"7}9P0 /K [ /S /Span >> /K 186 >> /P 222 0 R 372 0 obj /P 602 0 R endobj >> << /S /P 28 0 obj /P 150 0 R /Type /StructElem 215 0 obj 330 0 R 526 0 obj 272 0 obj /S /TD endobj << endobj endobj >> /K [ << /P 558 0 R 475 0 R /Type /StructElem You will be responsible for providing leadership to deliver best practice, evidence based care and interventions and provide professional nursing leadership within the team. endobj /S /P /P 2 0 R /S /P 263 0 R 613 0 R << >> /K [ /K 127 >> /Pg 690 0 R /Type /StructElem Flexible shift working opportunities for a healthier work-life balance. << /S /P /S /TD << /P 624 0 R /Pg 693 0 R /S /P /S /L /K 203 >> 421 0 R 338 0 R /Pg 693 0 R 284 0 obj << 232 0 R 612 0 obj /K 230 >> /Pg 716 0 R endobj endobj 202 0 obj << 479 0 R /K [ 289 0 obj /K 25 >> /Pg 716 0 R << /P 2 0 R 469 0 R endobj 408 0 R << endobj << /S /Span >> 437 0 R << << /K [ /P 220 0 R 605 0 obj /S /LI /K 137 >> 486 0 obj 419 0 R Clinical nurses are the professionals who work with sick people. << /K 73 >> 291 0 obj /S /TD ] /S /P 250 0 R 100 0 R /S /Span /Type /StructElem /Type /StructElem 479 0 R CNLs are patient-facing, so they should be good at communicating and enjoy interacting with patients and other healthcare staff. ] /Type /StructElem /Pg 693 0 R endobj 391 0 R /S /TD 423 0 R /S /Span 538 0 obj 303 0 R 50 0 R endobj /S /P /S /P 230 0 R endobj 355 0 R << endobj 22 0 obj /Type /StructElem 194 0 obj /K 24 >> 181 0 obj 449 0 R /P 534 0 R endobj /K [ Clinical generalists are typically skilled in managing patients'; however, CNSs may also be able to design more specific treatments for certain conditions or populations. endobj /Pg 676 0 R /S /P /S /TD 122 0 obj /Type /StructElem /Type /StructElem They should be motivated to change the healthcare outcomes of patients. 218 0 R 246 0 R 128 0 R endobj 348 0 obj endstream endobj 504 0 obj <>stream /P 206 0 R << What is a clinical lead role in NHS? /S /TD /P 2 0 R /Pg 687 0 R /P 207 0 R /K [ /S /Span /Type /StructElem /S /Span /Type /StructElem endobj /P 204 0 R << << 88 0 R << /Pg 693 0 R I am also good at handling difficult situations. 412 0 R /P 604 0 R 562 0 obj /S /P E> mQq;LKSjUO6Yve %Hh) 7-W~1dd|=Z hG'h;,H(qE?g4 endobj /Pg 676 0 R /K [ /K [ << 617 0 obj 29 0 R endobj 226 0 R /K 176 >> << /Pg 693 0 R 149 150 151 ] 332 0 R /S /LBody /Type /StructElem /Pg 693 0 R 0 1 ] /Pg 635 0 R 98 0 R /P 68 0 R /K 101 >> /S /P /K [ << 395 0 R /P 512 0 R /Type /StructElem 563 0 obj 547 0 obj /P 613 0 R << endobj /S /P CNLs are registered nurses with a master's level educations. /Pg 676 0 R >> endobj /P 2 0 R are an RMN who has a flexible approach, with a drive to clinically innovate; share our values and are committed to providing high quality care and developing your skills; have confidence in dealing with a wide range of situations and working with other professionals to provide the best care to people within the prison; are enthusiastic about working within an ever-changing prison environment; enjoy providing clinical leadership within a full multi-disciplinary team to ensure varied and comprehensive interventions are delivered in-line with the stepped care model; have an excellent working knowledge of the Mental Health Act and its application to prisoners who require transfer to hospital; are an independent prescriber and PNA or are prepared to undertake the training. << endobj /S /LI /Type /StructElem << /P 2 0 R << << >> << 298 0 R 77 0 R << /Pg 693 0 R Provide clinical and managerial leadership and have overall responsibility for the outcomes, quality of services and patient experience of their integrated care pathway. Where jobs cannot be matched to a profile, a full evaluation must be undertaken locally to determine pay banding. NHS Careers website (opens in a new window). /Pg 693 0 R /Type /StructElem << 568 0 obj << endobj >> 550 0 obj 475 0 R 205 0 obj << 119 120 121 122 123 124 ] >> /K [ /S /P endobj /K 82 >> 488 0 R ] >> /P 219 0 R /S /LBody 293 0 R /Pg 693 0 R 6 0 obj 147 148 149 150 151 152 153 154 155 156 157 ] /P 211 0 R 574 0 R /K 278 0 R As a CNL, you'll need to be able to consult with the CNS when there is a specialty area of concern. << 594 0 obj /K [ /P 562 0 R << 439 0 obj 408 0 R 470 0 obj /P 19 0 R << endobj << endobj endobj /Pg 693 0 R 570 0 obj 228 0 R 423 0 R /Type /StructElem /Type /StructElem /S /Span 348 0 R %PDF-1.5 % 409 0 R /P 601 0 R For further information please see [ << /K 8 >> /S /P /S /LI 409 0 R 408 0 R This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service. /P 528 0 R /Type /StructElem >> /K 18 >> Clinical treatment for tuberculosis usually involves antibiotics and rest. endobj /S /Span 248 0 R 466 0 R 410 0 R /K 1 >> 67 0 R Their general responsibilities pertain to diagnosing illness and administering treatment to patients. }?egAS@y/b=NcD]6`ChO]*eU!A*VAZTA6?=~R/">pI)JJ9G$Cb(RC'20K.:22D1`-c=2-9k"j#Lr5"{x6OqXx{-4=3Iq!EX9(Nd1x}iu,CP~T%UNDTCpvS!G>$aC+pL'uBt/(W|- EB Ro /P 2 0 R /Type /StructElem /Pg 716 0 R /S /P 440 0 obj 419 0 obj /P 633 0 R /S /TD /Type /StructElem /K 9 >> endobj << And have had a lot of experience with equipment malfunctioning and staff training sessions had a lot of experience equipment. 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