Temporary Full-Time


CNS/ CNM2 Bone Health - Temporary Full Time
Reference No: 11.034 (2022)

The Department of Rheumatology are seeking an exceptional, committed, caring and compassionate candidate for the position of Bone Health CNM2/ CNS within the Fracture Liaison Service.

The Fracture Liaison Service within the Rheumatology Department coordinates a secondary prevention service for patients who sustain a fragility fracture.  This service currently identifies persons age 50 and over attending outpatient clinics and under the admission of Trauma Orthopaedics at Tallaght University Hospital.  Through our CELLMA Electronic Patient Record assessments, investigations and person centred treatments are coordinated. This service integrates with Primary Care to ensure ongoing management.  This service is involved in the national Fracture Liaison Service Database directing key performance indicators for the service.  The service provides many nurse led services which improve patient care and ensure higher patient satisfaction. The successful candidate will require a strong desire to enhance their assessment skills, create and facilitate more efficient workflows to enhance the patient journey through the Fracture Liaison Service. They will require drive and motivation to develop their career as a Bone Health CNS. There is a strong emphasis on patient-centered research within the Rheumatology Department and the candidate will be expected to work seamlessly within an academic teaching and research clinical environment to facilitate these goals and ensure that service delivery is comparable to the highest standards of academic rigor.  The Department will ensure the candidate is supported to become a highly skilled and valued Bone Health CNS. 


1.     Each candidate must:
  • Be registered in the General Nursing Division of the active Register held by The Nursing and Midwifery Board of Ireland or be entitled to be so registered.
  • Have 5 years post registration experience and have a minimum of 2 years in the speciality or related area of Orthopaedics.
  • Have a recognised postgraduate course in Orthopaedic Nursing of not less than a level 8 on the NFQ framework. Candidates without the relevant post graduate course will be appointed at CNM2.
  • Have the clinical, managerial, and administrative capacity to properly discharge the functions of the role.
  • Demonstrate evidence of continuing learning and professional development
  • Have excellent communication and interpersonal skills

2.            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 on the first day of the month in which the latest date for receiving completed applications for the office occurs.
 3.          Health
A 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.

4.            Be of good character.

5.            Garda Vetting
Garda vetting is sought for all employees and prospective employees of Tallaght University 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 University Hospital Garda Vetting policy.

6.            Mandated and Designated Persons under Children First Act 2015
Schedule 2 of the Children First Act 2015 specifies the classes of persons defined as Mandated Persons for the purposes of the Act. This includes a range of disciplines that are employed by the hospital including all medical practitioners, registered nurses, physiotherapists, psychologists, social workers and others.  This includes staff working in adult services. All mandated persons have two main legal obligations under the Children First Act 2015.  Mandated persons, under the legislation are required to report any knowledge, belief or reasonable suspicion that a child has been harmed, is being harmed, or is at risk of being harmed. The Act defines harm as assault, ill-treatment, neglect or sexual abuse, and covers single and multiple instances. Mandated persons are also required to assist Tusla, if requested, in assessing a concern which has been the subject of a mandated report. Designated Officer are required to receive reports of suspected child abuse or neglect from any person who is of the opinion that (a) a child has been or is being assaulted, ill-treated, neglected or sexually abused, or (b) a child’s health, development or welfare has been or is being avoidably impaired or neglected. Full detailed list of mandated and designated staff together with details of their roles and responsibilities can be found on https://www.tusla.ie/children-first.  It is the responsibility of all staff employed by TUH to be aware of their roles and responsibilities under the legislation and to complete mandatory Children First Training.

Particulars of Office

The appointment is full time temporary and pensionable on a specified purpose contract.

2.            Remuneration:
Remuneration is in accordance with the salary scale approved by the Department of Health. Children. Current remuneration with effect from 1st October 2021 is:
€51,422 by 9 increments to €60,792

Salary scales will be updated in line with nationally agreed pay agreements and will be updated accordingly and retrospective payments applied as applicable.

3.            Pension arrangements and retirement age
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.

4.            Duties:
The CNS/CNMII will perform such duties as are outlined in this job description.

5.            Hours of work:
Normal working hours are 37.5 worked over 7 days. Your contracted hours of work are liable to change between the hours of 8 am to 8 pm over 7 days to meet the requirements for extended day services in accordance with the terms of the Framework Agreement. 

6.            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.

7.            Annual Leave:
The annual leave entitlement is 25 – 28 working days per year pro rata. The leave year runs from 1st April to the 31st of March each year.

8.            Sick Leave:
Payment of salary during illness will be in accordance with arrangements as approved from time to time by the Department of Health.

9.            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 1973/91. 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
  • Maintain throughout the Hospital an awareness of the primacy of the patient in relation to all Hospital activities.
  • Ensure the provision of a high standard of care to the patient and families is consistent with the mission, vision, values and strategic plan of the Hospital.
  • Must have a sense of responsibility with regard to the development, supervision and teaching of postgraduate and student nurses, junior staff nurses and care attendants.
  • Implementation of Hospital Policy in all matters.
  • Identify and implement operation of Hospital Policy in all matters.
  • Demonstrate behaviour consistent with the Values of the Hospital.
  • Play an active role in patient and family education and be actively involved in Health Education and promotion.
  • Be responsible to the Assistant Director of Nursing.
  • Be professionally accountable to the Director of Nursing.

Specific Accountability

Clinical Responsibilities
  • Ensure a high standard of care delivered safely in accordance with the Hospital policies and procedures.
  • Encourage recognition of the patient as an individual, ensuring patients’ needs and comfort are given priority.
  • Assess, plan and deliver patient care, together with the Multidisciplinary Team.
  • Communicate with relevant team regarding patients’ condition.
  • Facilitate the arrangements necessary and participate where appropriate, in education and training of other Hospital staff as the need arises.  This includes students at both undergraduate and post-graduate level and junior staff.
  • Promote evidence based practice.

 Roles of the post will include,
  • Coordinate a case finding strategy that identifies low trauma fractures at Tallaght University Hospital
  • Patient education (disease information and  drugs management) for patients diagnosed with low bone mass, Osteoporosis, raised fracture risk.  Require lifestyle modification, exercise and falls prevention advice.
  • Pre-treatment work up
  • Patient Training of self-administered subcutaneous drugs
  • Blood monitoring of patients on anabolic therapy
  • Management of the Patient Telephone Helpline
  • Liaison with members of the multi-disciplinary and Rheumatology team at Tallaght Hospital
  • Attendance and participation in the weekly education meetings and monthly Business meetings.
  • Attendance and active participation at Fracture Liaison Service National and International Meetings and workshops.
Management Responsibilities
  • Assist with the orientation of all new staff to the Unit.
  • Endeavour to keep abreast of recent trends in healthcare development by reading widely
  • Follow hospital policy with regards to accidents, incidents and complaints.
  • Liaise with other hospital staff and departments in order to promote and maintain good working relationships and high standards of care and service for patients.
  • Be willing, in an emergency, to be redeployed to another area, when requested.
  • Be knowledgeable in the safe and careful handling of all equipment used on the unit and attend mandatory in services.
  • Be aware of the need to detect and report faulty equipment to ensure repairs are carried out.
  • Be neat in appearance and wear Hospital uniform at all times.
  • Ensure a safe environment for staff and patients.
  • Ensure adherence to infection control policies.
  • Promote self-training with regard to Cardiac Resuscitation, Minimal Lifting and be aware of the policies regarding fire procedures and Disaster Plan.
  • Supervise duties of all non-nursing personnel.
  • Take part in and contribute to, audit programmes as required.
  • Lead, by example, a professional, punctual and dedicated team.
  • Create and promote open communications, healthy working relationships, and stimulate initiative among Multidisciplinary Team.
  • Participate in regular staff meetings to ensure information is disseminated and issues discussed.

Information Technology
  • Ensure that the team makes the most effective and efficient use of developments in information technology for both patient care and administrative support in a manner, which integrates well with systems throughout the organisation.
  • Collect, interpret and present data and information on the Department’s activities, staffing and expenditure, as required.
  • Ensure that all staff are trained in the use of computer systems, which are used in the management of patient episodes in the Hospital, e.g.: Pims, Order comms, Symphony, SAP and CORE and Cellma.

Health & Safety
  • All employees must comply with the Safety, Health and Welfare at Work Act, 2005.
  • Comply with relevant Health and Safety responsibilities as outlined in Hospital Polices, Protocols and Procedures relevant to your area.
  • Take reasonable care to protect your own safety, health and welfare and that of any other person who may be affected by your acts or omissions at work.

Hygiene / Infection prevention and control 
  • All employees have responsibility for Hygiene awareness.  Hygiene is defined as “The practice that serves to keep people and environments clean and prevent infection.”
  • All employees also have a responsibility under their terms of employment to prevent transmission of infection and to follow the hospital infection control policies and guidelines as outlined in the Infection Control Manual.
  • All employees must be aware that they work in an area where there is potential for transmission of infection.
  • All employees have a responsibility to follow hand hygiene guidelines as this is the single most important intervention to prevent the transmission of infection

Quality, safety and risk management
  • Support the delivery of the Quality, Safety and Risk Management Programme, including the appropriate identification and management of risks and incidents throughout the hospital.

  • 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 to do 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.

Data Management
  • Ensure compliance with the obligations required by the Data Protection Act 2018.

Development of Hospital Groups
  • The Hospital Structure is currently under review and therefore, reporting relationships may change. The development of Hospital Groups may require the post-holder to adopt a different reporting relationship and additional accountabilities.  Full consultation will take place in advance of any such change.

NOTE: The extent and speed of change in the delivery of health care is such that adaptability is essential at this level of appointment.  The appointee will be required to maintain, enhance and develop their knowledge, skills and aptitudes necessary to respond to this changing environment.  He/she will also be required to participate in and support the Hospital’s Digital transformation strategy which may impact work processes and role profiles in the future. The Job Description must therefore 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 as advancements and developments evolve.


Applications must be submitted ‘on-line’ at www.tuh.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.

Informal enquiries to:  Ms Margaurita O’Brien, Assistant Director of Nursing, telephone
01 414 2000 bleep 2164 or email Margaurita.obrien@tuh.ie 

Closing Date: Before close of business on:  6th December 2022
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