Temporary Full-time

Not disclosed

CNM III– Clinical Support Nurse Manager (Night) - Specified Purpose Contract

 

Reference No.  02.007 (2018)

 

QUALIFICATIONS

1. Essential criteria

Each candidate must:

Be registered in the General Division of the live Register of Nurses maintained by the Nursing and Midwifery Board of Ireland.

  • Have a minimum of 5 years post registration experience in an acute general hospital with 3 years recent experience in the critical care/anesthetics/emergency nursing specialist area.
  • Successful completion of postgraduate education in critical care/anaesthetics/ /emergency nursing to Post-graduate Diploma is essential, completion to Masters Level is desirable.
  • Demonstrate evidence of critical care nursing knowledge and skills in relation to advanced airway, breathing and circulation concerns i.e. competence in clinical assessment skills, arterial blood gas analysis and interpretation, invasive and non-invasive mechanical ventilation, tracheostomy care, management of arterial lines and central venous access devices, venepuncture and peripheral cannulation, invasive haemodynamic monitoring, ECG interpretation, advanced haemodynamic support e.g. inotropes, temporary pace maker.
  • Have experience in intra-hospital and inter-hospital transfer of critically ill patients.
  • Demonstrate excellent interpersonal and negotiation skills and the ability to effectively communicate with other healthcare staff.
  • Demonstrate evidence of the ability to work collaboratively as part of a team.
  • Demonstrate evidence of planning, organisational and co-ordination skills.
  • Have experience of teaching clinical skills in a formal education setting.
  • Demonstrate evidence of ICT skills.
  • Certified Advanced Cardiac Life Support Provider.
  • Have undertaken or be willing to undertake a Professional Certificate in Advanced Health Assessment or equivalent within the first six months in post.

Age Restrictions In Relation To Applications

Age restriction shall only apply to a candidate where he/she is not classified as a new entrant (within the meaning of the Public Service Superannuation (Miscellaneous Provisions) Act, 2004). A candidate who is not classified as a new entrant must be under 65 years of age n the first day of the month in which the latest date for receiving completed applications for the office occurs.

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 as would indicate a reasonable prospect of ability to render regular and efficient service.

Be of good character.

Garda Vetting

Garda Vetting is sought for all employees and prospective employees of Tallaght Hospital.  Given the specialised nature of the services provided, your appointment will be subject to satisfactory Garda Vetting and re-vetting in circumstances where the Hospital deems it appropriate. The Hospital will then process the necessary documentation to endeavour to obtain satisfactory Garda clearance for you.  You are obliged to disclose previous and any criminal convictions acquired during the course of your employment.  Should the Hospital obtain information from the Garda Vetting Unit to indicate that your Garda clearance report is not satisfactory and / or if you have supplied the hospital with false or misleading information in relation to your Garda clearance status, the Hospital reserves the right to withdraw or terminate this contract in accordance with Tallaght Hospital Garda Vetting policy.

Particulars of Office

The appointment is a fulltime - Specified purpose contract.

Remuneration:

Remuneration is in accordance with the salary scale approved by the Department of Health and Children. Current remuneration with effect from 1st January 2018.

€55,889 by 9 increments to €63,116 per annum

 

Pension arrangements and retirement age

Age restriction shall only apply to a candidate where he/she is not classified as a new entrant. The retirement age for staff who are not deemed to be new entrants under the Public Service Superannuation (Miscellaneous Provisions) Act 2004 is 65 years. A candidate who is not classified as a new entrant must be under 65 years of age on the first day of the month in which the latest date for receiving completed applications for the office occurs. New entrants no longer have a compulsory retirement age whereby their continued employment is conditional upon capacity and conduct.

Superannuation:

There are three superannuation schemes currently in operation for staff in Tallaght Hospital:

 

(a)       Voluntary Hospital Superannuation Scheme (Non-New Entrant) 

(b)      Voluntary Hospital Superannuation Scheme (New Entrant)

(c)       Single Public Service Pension Scheme

Please read carefully the summary of the criteria for the three superannuation schemes below. This will assist you in identifying which scheme membership is applicable to your employment circumstances.

(a)       If you have been continually employed in the public service prior to the 1st April 2004 and you have not had a break in      service of more than 26 weeks, you will be included in the Voluntary Hospital Superannuation Scheme (Non-New Entrant) with a Minimum Retirement Age of 60 and a Maximum Retirement Age of 65.

(b)      If you have been continually employed in the public service post the 1st April 2004 and you have not had a break in service of more than 26 weeks, you will be included in the Voluntary Hospital Superannuation Scheme (New Entrant) with a Minimum Retirement Age of 65. There is no Maximum Retirement Age.

(c)       If you have commenced employment in the public service as a new entrant or you are a former public servant, returning to the public service after a break of more than 26 weeks, you will be included in the Single Public Service Pension Scheme effective from the 1st January 2013 with a minimum retirement age of 66 (rising to 67 and 68 in line with state pension changes).  The maximum retirement age under this scheme will be age 70.

Duties:

The CNM III will perform such duties as are outlined in this job description.

Hours of work:

The Clinical Support Nurse Manager at Night Service will be provided on a Monday-Sunday basis. Normal working hours are 78 hours night duty, worked over 14 nights. However you will be required to work the agreed roster/on call arrangements advised to you by your line manager.  Your contracted hours of work are liable to change to meet the requirements for extended day services in accordance with the terms of the Framework Agreement.

Probation:

The successful candidate will be appointed initially for a probationary period of six months.  During the probationary period progress or otherwise will be monitored and at the end of the probationary period the service will (a) be certified as satisfactory and confirmed in writing or (b) if not satisfactory, the probationary period may be extended by 3 months.

Annual Leave:

Annual leave entitlement is 187.50 – 210 hours pro rata (25 - 28 working days), depending on length of service, plus 9 Bank Holidays per annum as they occur. The annual leave year runs from 1st of April to 31st March each year.

Sick Leave:

Payment of salary during illness will be in accordance with arrangements as approved from time to time by the Department of Health and Children.

Termination of Office:

The employment may be terminated at any time by two months’ notice on either side except where circumstances are dictated by the Minimum Notice and Terms of Employment Act 1973/2001. The Management’s right under this paragraph shall not be exercised save in circumstances where the Management is of the opinion that the holder of the office has failed to perform satisfactorily the duties of the post or has misconducted himself/herself in relation to the post or is otherwise unfit to hold the appointment.

General Accountability

The Clinical Support Nurse Manager (Night) will:

  • Demonstrate behaviours consistent with the mission, vision, values and strategic plan of the hospital.
  • Adhere to and uphold the Code of Professional Conduct and Ethics for nurses
  • Maintain the primacy of patient care in all activities undertaken
  • Report directly to the lead ADON Peri-operative Directorate
  • Be professionally accountable to the Director of Nursing.
  • Liaise closely with the Night ADON/Site Manager, on call senior Non-Consultant Hospital Doctors in medicine, surgery and anaesthesia, Nurse in Charge of the Emergency Department, Intensive Care Unit, Post-Anaesthetic Care Unit and Coronary Care Unit/High Dependency Unit.

SPECIFIC ACCOUNTABILITY

Generic Leadership Responsibilities

  • To provide leadership and professional development in the Clinical Support Nurse Manager (Night) Service to ensure safe and effective patient care.
  • To work closely with the Directorate Nurse Manager (Surgical Directorate) and the Nurse Practice Development Co-ordinator in leading the strategic direction of the service.
  • To consult with and advise nursing, medical and HSCP staff.
  • Actively participate in the training and education of nursing staff in clinical ward areas with regard to the nursing care and management of acutely ill and deteriorating patients.
  • Undertake competence assessment of nursing staff in clinical ward areas with regard to nursing skills as required e.g. Venepuncture and Cannulation, Non Invasive Ventilation, Chest Drain Management.
  • Collaborate with the Centre for Learning and Development and the Nurse Practice Development Co-ordinator in the development and delivery of education programmes relevant to the role.
  • To undertake ongoing audit in order to monitor and evaluate the effectiveness of the Clinical Support Nurse Manager (Night) Service in the organisation.
  • To actively participate in the development and review of PPPGs in order to develop and improve the Clinical Support Nurse Manager (Night) Service performance, patient outcomes and quality of care.
  • To represent the organisation within the hospital groups and nationally in relation to the Clinical Support Nurse Manager (Night) Service.
  • To participate in Emergency Response Team calls at night and feedback on issues to the ERS Steering Group.
  • To liaise with Night ADON/Site Manager, Anaesthetic/Cardiology/Stroke Services Registrars/Consultants on duty covering ICU, PACU, CCU, HDU and ASU to identify patients potentially suitable for transfer both within critical care areas and for transfer to the wards taking Infection Prevention and Control requirements for those patients into consideration.
  • To contribute to the high performance of the Clinical Support Nurse Manager (Night) Service and develop and maintain an organisational, national and international profile.

 

Role and Responsibilities

The Clinical Support Nurse Manager (Night) will

  • Provide a critical care consultative, educational and direct clinical intervention approach to support Junior Non Consultant Hospital Doctors (NCHDs) and nursing staff caring for deteriorating patients in ward areas.
  • Liaise with Anaesthetic Consultant on duty for ICU and Intensive Care Unit /PACU and HDU Nursing personnel to identify patients recently discharged from critical care areas.
  • Liaise with Emergency Department Nursing Personnel to identify patients recently admitted via the Emergency Department.
  • Liaise with Night ADON/Site Manager, Critical Care Outreach Nurse, primary teams and nursing teams on ward areas to identify patients at risk of deterioration in ward areas.
  • Participate in the clinical handover of patients with relevant nursing personnel e.g. Night ADON/Site Manager and Critical Care Outreach Nurse at change of shift.
  • Provide targeted assessment of “at-risk” patients e.g. new admissions from the Emergency Department, new post-operative patients, patients with sepsis, patients with elevated Early Warning Scores and those recently transferred to clinical ward areas from ICU/PACU/HDU.  Liaise with primary teams, nursing staff and other HSCPs on assessment findings.
  • Provide advice and support to primary teams, nursing staff and other HSCPs which addresses patient’s immediate health care needs, is patient focused, appropriately prioritized and incorporates the multi-disciplinary team.
  • Complete ward rounds on each night shift and as required of patients who have been identified as at risk of deterioration in ward areas. 
  • Respond to ERT calls at night time as the nursing component of the Emergency Response Team. De-brief ward staff following an ERT call.
  • Follow up and review patients following ERT calls.
  • Liaise with the Emergency Response System Coordinator and Emergency Response System Steering Group regarding ERT activity at night time.
  • Provide critical care nursing expertise to deteriorated patients awaiting transfer to ICU or other high dependency area both within and external to the hospital.
  • Accompany critically ill patients who require transfer from clinical ward areas to critical care areas both within the hospital and externally during the night shift.
  • Liaise closely with Primary Teams and other members of the ERT as required.
  • Provide a critical care consultative, educational and direct clinical intervention approach to support Junior Non Consultant Hospital Doctors (NCHDs) and nursing staff caring for patients with Tracheostomies.
  • Complete ward rounds nightly and as required of patients with Tracheostomies.
  • Advise and support ward staff to deliver safe, quality nursing care to patients who have Tracheostomies.
  • Work collaboratively with the Critical Care Outreach Nurse to deliver quality Tracheostomy care in the organisation at night time.
  • Provide formal and informal education to hospital staff at ward level, induction and other programmes.
  • Promote patient understanding and knowledge during an acute illness.
  • Participate in the development and review of appropriate policies, procedures, protocols and guidelines to support the Clinical Support Nurse Manager (Night) Service in the organisation.
  • Develop and review appropriate documentation in consultation with relevant stakeholders.
  • Provide reports to the Directorate Nurse Manager in the Surgical Directorate and the Nurse Practice Development Co-ordinator.
  • Participate in reportable event investigations.
  • Participate in other activities as required as the role of the Clinical Support Nurse Manager (Night) evolves.

Staff Development

  • The Clinical Support Nurse Manager (Night) will:
  • Provide formal and informal education to nursing, medical, health and social care professional staff through bedside teaching and assessing, induction and orientation programmes and other programmes as required.
  • Evaluate education and training requirements on an ongoing basis.
  • Evaluate education and training provided on an ongoing basis.

Communication Role

  • The Clinical Support Nurse Manager (Night) will:
  • Work collaboratively with Intensive Care, High Dependency and Emergency Department Medical and Nursing personnel, Night ADON/Site Manager, nursing teams on ward areas and on-call teams.
  • Participate in clinical handover as required by the organisation.
  • Liaise closely with the Nursing Service in the ED, ICU, PACU and HDU, the ERS co-ordinator; Nurse Practice Development Co-ordinator and the lead ADON in the Peri-operative Directorate.
  • Liaise with the Senior Nursing management, nursing staff, medical staff, and HSCP staff.
  • Act as an effective role model in promoting healthy professional relationships
  • Create and promote open communications, healthy working relations, and stimulate innovation in practice.
  • Disseminate innovative practice.

Evaluator Role

The Clinical Support Nurse Manager (Night) will:

  • Conduct audits on the activities of the Clinical Support Nurse Manager (Night) Service.
  • Produce monthly and annual reports of all Clinical Support Nurse Manager (Night) activity.
  • Evaluate all initiatives undertaken according to predetermined criteria as agreed with the Directorate Nurse Manager in the Peri-operative Directorate and the Nurse Practice Development Co-ordinator.
  • Provide feedback to the ERS Steering group, Senior Nursing management and hospital staff as required.
  • Participate in the nursing sensitive outcome measurement process (NIQA) and implement necessary actions for practice improvement in regard to the Clinical Support Nurse Manager (Night) Service in collaboration with nursing management.

Continuing Professional Development

The Clinical Support Nurse Manager (Night) will:

  • Use national and international networks to inform practice
  • Identify learning needs and negotiate appropriate resources
  • Actively participate in personal and professional development planning
  • Demonstrate evidence of study and currency of knowledge
  • Complete mandatory education as determined by organisational policy

Hygiene/Infection Control

  • Ensure that all staff are advised of their responsibility for Hygiene awareness. Hygiene is defined as “The practice that serves to keep people and environments clean and prevent infection.”
  • Act as a role model and actively promote infection prevention and control practices in accordance with organisational policy, procedures, protocols and guidelines.

Information Technology

  • Maintain appropriate ICT based records relating to the work in progress
  • Collect, interpret and present data and information on the Clinical Support Nurse Manager (Night) as required.
  • Liaise with ICT Department and Informatics Nursing resource in relation to streamlining process of capture of Clinical Support Nurse Manager (Night) data.

 

Confidentiality

You will be aware of the confidential nature of Hospital work and in particular, the right of patients to confidentiality.  To this end, you will not discuss workings of the Hospital or its patients or disclose any information of a confidential nature except as required doing so in the course of your work. No records, documents or property of the Hospital may be removed from the premises of the Hospital without prior authorisation. You must return to the Hospital upon request and, in any event, upon the termination of your employment, all documents or other property of the Hospital which are in your possession or under your control.

 

NOTE: The Hospital Structure is currently under review and therefore, reporting relationships may change.

The extent and speed of change in the delivery of health care is such that adaptability is essential at this level of appointment.  The incumbent will be required to maintain, enhance and develop their knowledge, skills and aptitudes necessary to respond to a changing situation. The Job Description must be regarded as an outline of the major areas of accountability at the present time, which will be reviewed and assessed on an on-going basis.

GENERAL

Informal enquiries to Ms Patricia Morrison telephone (01) 414 2638 or email patricia.morrison@amnch.ie 

Applications can be submitted ‘on-line’ at www.tallaghthospital.ie/careers by completing the application form and attaching your CV.

Candidates should be aware that, when applying for a post through the 'On-Line' Application System (Candidate Manager) they will receive an automated replying acknowledging receipt of their application.  Should you for any reason, not receive this automated acknowledgement, you should notify the Human Resources Department, before the closing date, otherwise your application will not be considered.

Closing Date: Before: Close of Business on  18th July 2018

All candidates should note that, in order to maintain a timely process, the closing date and time for receipt of applications will be strictly adhered to