Clinical Nurse Specialist – GUIDE 52128-20

Role Profile Role Title Clinical Nurse Specialist in GUIDE Purpose of the Role The purpose of this role is to deliver specialist nursing care in line with the five core concepts set out in the Framework for the Establishment of Clinical Nurse Specialist posts (4th edition), National Council for the Professional Development of Nursing and Midwifery (NCNM), 2008. The successful candidate will work as a member of the multidisciplinary team providing a patient centered quality and seamless service. Details of the service/Background to the post The role of the ID /OPAT CNS is it to provide clinical support and education for patients with serious and complex infections. They will also provide specialist nursing expertise, education and management for patients who require home IV antibiotics and their families. The nurse will work in collaboration with the Infectious disease specialists and professional teams both within the hospital and the community. Department/Directorate Department of GUIDE / Medical Directorate, Ambulatory Care Key Reports: Operationally: Ambulatory Care Directorate Nurse Manager + CNM III GUIDE Clinic Professionally: Director of Nursing Clinically: Consultants in Genitourinary Medicine and Infectious Diseases Key Direct Reports Staff Nurses, Support Staff, Student Nurses as appropriate On clinical matters only. Grade CNM II Salary Scale €49,914 – €59,010 Job Reference Number: 52128/20 Enquiries To: Ms. Clara O’Neill, ACNM III GUIDE Clinic; Phone: 01 416 2363; Email: Closing Date: Sunday 9th August 2020 Key Duties and Responsibilities The CNS in Infectious diseases and OPAT is responsible for providing clinical support, expertise and education to patients and their families. From an ID perspective the ID CNS attends OPD clinics, wards rounds and MDT meetings, providing clinical expertise and nurse led clinics to ensure that patients are correctly managed and followed up. The OPAT Programme is a National Clinical Programme that will provide intravenous (IV) antimicrobial medications in the community i.e. the patients home. The in – patient service, acute medical assessment unit and an emergency department will refer patients to the OPAT Programme. The OPAT /ID CNS will have extensive experience and clinical practice in the area of Infectious diseases. The role will comprise a major clinical focus comprising of assessment, planning, and delivery of patient care that is done in collaboration with medical and other healthcare professionals. The management of patients who require OPAT requires a broad range of professional skills and knowledge as well as skills in communication, leadership, teaching, education, research and counselling. The CNS will have the expertise and specialist knowledge to incorporate these skills into practice and so develop standards of care that benefit the patient. The post holder’s practice is based on the five core concepts of the CNS role as defined by the NCNM 4th edition (2008) in order to fulfil the role. The concepts are: Clinical Focus Patient/Client Advocate Education and Training Audit and Research Consultant Clinical Focus The CNS will have a strong patient focus whereby the specialty defines itself as nursing/midwifery and subscribes to the overall purpose, functions and ethical standards of nursing/midwifery. The clinical practice role may be divided into direct and indirect care. Direct care comprises the assessment, planning, delivery and evaluation of care to the patient, family and/or carer. Indirect care relates to activities that influence and support the provision of direct care. Direct Care The CNS will: • Provide specialist knowledge, information, advice, support and counselling to patients requiring OPAT. This will be at a higher level of autonomy and decision- making in patient management as defined by protocols. • Provide specialist clinical support, education and counselling to patients with complex serious infections. This will be at a higher level of autonomy and decision-making in patient management as defined by protocols. • Effectively manage referrals to the OPAT team that require ID/OPAT follow up. • Liaise closely with the AMAU to ensure early link to care. • In collaboration with ward staff assess, plan, deliver and evaluate care to ID / OPAT patients and their families, in the inpatient and outpatient setting. • Monitor all patients on an on-going basis to evaluate outcomes and adjust nursing care practice to ensure optimum co-ordination and delivery of care. Indirect Care • Attend weekly ID /OPAT clinics, multidisciplinary team meetings and ward rounds and particularly team discussions regarding treatment needs as appropriate. • Formulate discharge plans, which ensure continuity of patient care by liaising with other professionals in the hospital and community. • Develop and implement policies, protocols and guidelines that comply with best practice. • This list is not exhaustive and can be reviewed / amended as necessary. • Patient/Client Advocate • Ensure that regard is taken to the dignity, choices, self–esteem and well-being of patients and their relatives. • In collaboration with patients, take available opportunities to represent views of and negotiate on behalf of individual patients/patient groups at a multidisciplinary level and with other personnel or agencies as appropriate. • Play a central role in directing patients to specialist advocacy services as appropriate. Education & Training: • To provide a high level of professional and clinical leadership and to demonstrate innovative practice in the provision of care in line with the Scope of Professional Practice and service needs. • Develop and facilitate education and support programmes, for patients and their families and professional staff. • To participate in undergraduate and postgraduate nursing programmes as requested. • Ensure patients and staff have access to relevant education material, and develop new material as required. • Assist in training members of the multidisciplinary team in changes in practice in the delivery of care including the provision of ward based teaching. • Use relevant educational opportunities to maintain the highest standard of care to ID and OPAT patients. • Raise awareness regarding the benefits of treatment through health promotion. • Organisation and training of incoming staff both medical, nursing and clerical. Audit & Research: • Maintain awareness within the speciality of current developments in Infectious Diseases and OPAT. • Initiate and audit clinical effectiveness of service in conjunction with nursing and medical teams • Utilise the OPAT web-based interface to maintain all patient data. • Clinical audit of the ID and OPAT program. • Maintenance of the ID and OPAT database (Need to have good IT background or willing to do courses on same) • Participate in clinical research • Provide quarterly reports on the ID and OPAT service • Initiate and participate in nursing research as appropriate • Use outcomes of research findings to influence care within the speciality • Demonstrate commitment to evidence based practice • Ensure that accurate documentation and record keeping is maintained • Develop a system for recording activity. • Establish, implement and evaluate audit programmes of the service, the quality of care of the current practice to include monitoring and evaluation of educational and health promotion programmes as appropriate. • Continually monitor the service to ensure that it reflects current needs and implement agreed change where required. • Produce updates of service to Nurse Manages and Consultants and produce an annual report for the hospital. Consultant: • Provide specialist knowledge, expertise and care in liaison with the multi-disciplinary team. • Actively participate in the education and development of nurses and healthcare professionals in ID and OPAT on a hospital and community basis. • To establish and standardise clear communication channels for referrals and consultations, inter and interdisciplinary. • Attend appropriate meeting in relation to both service both in the hospital (Micro rounds, Friday lunchtime meetings) and national and international meetings. The above Role Profile is not intended to be a comprehensive list of all duties involved and consequently the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office. This Role Profile will be subject to review in the light of changing circumstances. Academic/Professional Qualifications and/or relevant Experience Required: • Registered General Nurse with The Nursing & Midwifery Board of Ireland (NMBI), or eligible to register with NMBI. • 5 years post-registration experience in the acute hospital setting within the last 7 years. • A minimum of two years’ experience in the specialist area of Infectious Diseases. • Formal recognised post-registration education relevant to the area of specialist practice at level 8 (higher Diploma) according to the Quality and Qualifications Ireland (QQI), National Framework • Candidates without the relevant post-graduate level 8 specialist courses will be appointed as Clinical Nurse Manager II initially, but must agree to complete within an agreed timeframe. • In circumstances where a candidate does not have the relevant qualification or no qualification is available in the relevant area then please -see Appendix 1. • Have the ability to practice safely and effectively fulfilling his/her professional responsibility within his/her scope of practice. • Have evidence of continuing professional development. Desirable: • Management experience. • Experience in Fibro Scanning. • Nurse Prescribing Registration- or agree to undertake within an agreed timeframe, the nurse prescribing of Medicinal Products Certificate. Technical/Clinical Competencies Required: • IT skills • Experience in teaching and assessing junior staff/nursing students Desirable: • N/A SJH Behavioural Competencies Competency Required Level Required Appropriate Descriptors Problem Solving and Decision Making • Able to act quickly to address urgent matters • Is able to make decisions with the information that is available at the time when a decision is needed quickly • Consults with others to improve decision- making • Is able to recognise early warning signs of potential problems and takes pre-emptive action • Accurately anticipates likely consequences of actions/decisions (both short- and long-term) • Grasps how all decisions (both big and small) might affect other colleagues, Patients, departments or the hospital Communication • Keeps key people informed, sharing information in a timely and open manner. • Patiently explains things to others when asked • Clearly and confidently articulates ideas and opinions and their underlying rationale • Draws on a variety of communication methods to fit situation/ circumstances • Communicates with others in a way that builds consensus • Respects others’ views, in particular those of Staff of different grades and those who hold different posts • Documents important/relevant communications Planning and Organising 2 • Prioritises team workload and delegates tasks effectively • Ensures most effective allocation and use of resources • Anticipates problems and issues and takes preventative action to address these • Manages competing and changing priorities • Consistently plans ahead to meet important deadlines • Prepares for implementation by ensuring adequate resources are in place • Communicates with others in relation to the plan, and their expectations of them • Plans in a realistic way vis a vis resources and time available Leadership 2 • Embraces organisational change initiatives, filling structure/roles to support it • Contributes to the development of an environment where people can develop and flourish • Shows strong initiative; can work outside of standard protocol when necessary • Able to follow through on commitments and bring new ideas/initiatives to fruition (at local level) • Understands importance of getting input and commitment from others when seeking involvement • Motivate others to act. Quality and Safety Service Up to Level • Designs metrics and measurements to capture current standards met/unmet. Takes corrective action and communicates same to all involved. • Is a self-starter who shows initiative, assumes responsibility for results • Has patience and perseverance to see things through • Designs metrics and measurements to capture current standards met/unmet. Takes corrective action and communicates same to all involved. Continuous Development- Personal and Professional Up to Level • Demonstrates a track record of effective teaching/mentoring junior staff and is known as a valued resource. • Holds self and others accountable for high standards. • Responds appropriately to unsafe and/or unprofessional practices • Presents at seminars / conferences. • Uses professional bodies to improve knowledge and resources • Stays abreast of new technologies/research relevant to chosen field • Looks to achieve personal and professional fulfilment Proficiency in the English language A level of proficiency in the English language, written and spoken, is a requirement of all roles within St. James’s Hospital. You will be required to self-assess your proficiency level in the Standard Application Form. In addition, your proficiency in spoken English will be assessed during the interview process appropriate to the role available. Particulars of Office 1. The appointment to this post will be Permanent, Full-Time & Pensionable. 2. Annual Leave allowance is 25 – 28 days per annum. 3. The person appointed must not give less than one month’s notice, in writing, of intention to resign. 4. Normal working hours will be 39 hours per week. 5. You will be required to work the agreed roster / on call arrangements advised to you by your line manager. Your contracted hours of work will be liable to change based on the 24 hour / 7 day week roster system in place across the hospital. You may be required to work overtime on an exceptional basis depending on work requirements. General Conditions 1. The Hospital Board will not be responsible for the loss or theft of personal belongings. 2. Fire orders must be observed and staff must complete fire training every 2 years 3. All accidents within the department must be reported immediately. 4. In accordance with the “Safety, Health and Welfare at Work Act 2005”, all staff must comply with all safety regulations. 5. St James’s Hospital is a Tobacco Free Campus. The use of Tobacco or Electronic Cigarettes is not permitted within the Hospital Buildings or on the grounds. Confidentiality In the course of your employment you may have access to or hear information concerning the medical or personal affairs of patients and/or staff, or other health services business. Such records and information are strictly confidential and unless acting on the instructions of an authorised officer, on no account must information concerning staff, patients or other health service business be divulged or discussed except in the performance of normal duty. In addition records must never be left in such a manner that unauthorised persons can obtain access to them and must be kept in safe custody when no longer required. Health A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service. Infection Control & Hygiene It is the responsibility of all staff across the hospital to ensure that infection control and hygiene standards are adhered to and maintained at all times. Recruitment Process • Approval to Hire (VAF process) • Hiring Manager – Role Profile • Advertising • Application Process (Standard Application Form) • Shortlisting of Candidates will be based on information provided in Standard Application Form • Interview Process • All applicants who move to the 2nd stage of the Selection process (i.e. post interview) will be subject to Reference Checking X 2, Self-Declaration, Garda Clearance and Occupational Health Screening (Questionnaire) • All successful external candidates who take up appointment will be required to attend Mandatory Induction Programme For External Applicants: The Application Form is available under CNM & Specialists Posts section of Careers webpage. Alternatively, please contact the Human Resources Directorate for an application form, Phone: (01) 416 2559 or Email: Please note closing date Sunday 9th August 2020 for receipt of completed application forms, C.V.s will not be accepted. A Panel will be formed for which future vacancies will be filled St. James’ Hospital is an Equal Opportunities Employer Appendix 1 Where applicants are in the process of completing a relevant Master’s Degree or Post Graduate Diploma/Higher Diploma level (QQI) major award, relevant to the area of specialist clinical practice at level 8 or above, he/she will be required to furnish HEI formal transcripts detailing the modules they have successfully completed. The applicant must demonstrate that they have successfully completed the required number of relevant modules that equates to a formal recognised post-registration qualification at Post Graduate Diploma/Higher Diploma level (QQI), or ECTS Credits equivalent to Post Graduate Diploma level as deemed by the HEI, relevant to the area of specialist clinical practice at level 8 or above. Refer to your local Director NMPD for guidance in relation to assessing individual cases. In exceptional circumstances where such a course of study relevant to the specialist area has not been developed and is not available, the following guidance should apply: Where the applicant has achieved a formal recognised post-registration major award in nursing/midwifery practice at level 8 or above, not in the area of specialist practice, the applicant must additionally demonstrate the following: The applicant must have successfully undertaken formal recognised post-registration clinical education and have acquired a QQI award e.g. certificate, module at level 8 or above relevant to the area of specialist practice – name the area prior to application. Or In very exceptional circumstances where a QQI award relevant to the area of specialist practice is not available, the applicant must demonstrate that he/she has successfully undertaken a substantial course/programme relevant to the specialist practice prior to application, which should be either academically accredited or endorsed by a relevant professional association. And The applicant must demonstrate relevant and ongoing continuous professional development (CPD).



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