Permanent

JOB DESCRIPTION

Clinical Nurse Specialist / CNM 2 Respiratory Nursing
0.5 WTE Permanent Post

Reference Number: 11.033 (2022)


QUALIFICATIONS

Each candidate must:
  • Be a member of the General Division of the active register of the Nursing & Midwifery Board of Ireland or be entitled to be so registered.
  • Have 5 years relevant post registration experience, 2 of which must be in Respiratory Medicine.
  • Have a recognised post-graduate course in Respiratory 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.
  • Have excellent communication and interpersonal skills.
  • Demonstrate evidence of continuing learning and professional development.

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

1.     The appointment is permanent, part time and pensionable.

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 CNM2 / CNS will perform such duties as are outlined in this job description.

5.       Hours of work:
Normal working hours are 19.5 worked over 5 days but the appointee will attend at such other times as are required for the proper discharge of the duties of the office. This may require attendance outside normal working hours.

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
  • Provide family centred care for all patients with respiratory disorders.
  • Encourage recognition of the patients as individuals, ensuring patients’ needs and comforts are given priority.
  • Implement operational processes to the standards of best practice in order to optimise use of resources and to ensure compliance with statutory requirements.
  • Ensure 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.
  • Refer to and comply with the Scope of practice Framework as stated by the Nursing and Midwifery Board of Ireland in relation to all components of the position: clinical role, patient advocate role, educational role, consultative role and audit role.
  • Maintain throughout the hospital an awareness of the primacy of the patient in relation to all hospital activities.
  • Work within his/her Scope of Practice.
  • Demonstrate knowledge of the hospital/Departmental emergency plans.
  • Demonstrate behaviour consistent with Values of the Hospital.
  • Comply with all existing Hospital policies.
  • Be actively involved in Health Education and promotion.
  • Be actively involved in teamwork and liaise with the Consultant.
  • Reporting relationship will be to the Assistant Director of Nursing.
  • Be professionally accountable to the Director of Nursing.

SPECIFIC ACCOUNTABILITY

Clinical Role
  • To work with multi-disciplinary team to ensure those patients receiving treatment have access to specialist care, knowledge and expertise
  • Provide clinical leadership to ward staff when caring for respiratory patients
  • Provide a PPPG led specialist nursing service for in-patients and out-patients with Respiratory disease such as but not limited to Asthma, COPD, Allergy, Bronchiectasis, Pulmonary Tuberculosis, Alpha One Antitrypsin deficiency, Interstitial Lung Disease
  • Have up to date knowledge of best practice guidelines for diagnosis, management and prevention of chronic respiratory diseases in particular Obstructive Lung diseases COPD and Asthma as well as allergy. Including:
    • Understanding the role played by pulmonary function testing
    • Interpreting allergy testing
    • Be familiar with indications for domiciliary therapies for chronic respiratory diseases such as long term oxygen therapy and non-invasive ventilation
    • Co-ordinate the installation and follow-up of domiciliary respiratory therapies.
    • Provide education to patients in the management of chronic respiratory disease and allergy.
    • Be flexible in addressing acute and chronic needs of respiratory patients.
  • Fast tracking of respiratory patients from the Emergency Department and treat where necessary.
  • Provide an integrated approach to patient care through building and maintaining relations with GPs, Public Health Nurses and in the future the Ambulatory Care Hub in the community.
  • Co-ordinate patient treatment schedules and interventions. Liaise with medical team, pharmacy, PCRS, Community pharmacy, pulmonary function testing lab and ICC Hub as appropriate.
  • Plan and run nurse-led clinics (Sub-lingual Immunotherapy, Biologic therapy assessment and administration, Asthma assessment and education, Oxygen assessment clinics).
  • Be available to give skilled emotional and psychological support to patients throughout their patient journey in TUH.
  • Facilitate effective communications between the multidisciplinary team, the patients and their families.
  • Refer patients/relatives to other members of the multi-disciplinary team when appropriate.
  • Review if and when necessary, update written information for patients and families.
  • Administer Non-Invasive Ventilation and AIRVO as required to respiratory patients.
  • Have knowledge of TOSCA monitoring and review or results
  • Provide brief intervention smoking cessation for respiratory patients at every contact throughout their journey.
  • Facilitate Pulmonary Rehab education sessions.
Patient Advocate Role
  • Communicate with patients and families, assess needs and provide relevant support, information, education and advice as necessary.
  • Act as the patients advocate when necessary, especially in informed discussion to promote the patients’ participation in decision making thereby enabling informed choice of treatment options.
  • Be expected to promote within the Respiratory Service and 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.
  • Actively promote Respiratory health issues within the Hospital and within the community using various forums, clinics, committees and patient information leaflets.
Educational role
  • Act as a resource and support to nursing staff caring for Respiratory patients.
  • Facilitate the arrangements necessary and participate in the Education and Training of other hospital staff in the principles of caring for the patient receiving respiratory treatment. This includes students at both undergraduate and postgraduate level.
  • Formulate a training package for nurses in respiratory administration and provide mentorship and appraisal for participants.
  • Work at all times to raise the awareness of the respiratory treatment within the organisation.
  • Be expected to deliver structured and opportunistic educational sessions (Non-Invasive Ventilation, Chest Drain care, managing exacerbations of Asthma/COPD, Managing the Acutely ill Patient).
  • Undertake continuing professional development through formal and informal educational opportunities thus ensuring continuing credibility amongst nursing, medical and allied health professionals (NCNM, 2001)
  • Manage workload effectively, ensuring appropriate use of available time.
  • Development of PPPG’s.
  • Make effective use of developments in information technology for both patient care and administrative support in a manner which integrates well with systems throughout the organisation.
Research
  • Co-operate with data collection on respiratory patients for database purpose.
Managerial Responsibilities
  • Responsible for ensuring confidentiality and safe keeping of records.
  • Create and promote open communications and healthy working relationships, between respiratory and other areas of the Hospital.
  • Identify and plan, with support from the Director of Nursing and Integrated Care, the Director of Organisational Development and co-ordinator of Education and Research, the development requirements for the Respiratory Service.
  • Provide leadership on the respiratory ward and on in-patient areas caring for respiratory patients.
  • Assist in the production of the departmental annual report.
  • Ensure that all procedures are in accordance with established Hospital procedures.
  • Handle complaints by patient, members of the public and staff in accordance with the Hospital complaints procedures.
Personal/Professional Development
  • Continue to update and develop own clinical theoretical knowledge undertaking appropriate study days/courses and by utilising research based practice.
  • Endeavour to keep abreast of recent trends in development by reading widely.
  • Develop a flexible and innovative approach, forming links with other specialists.
  • Manage workload effectively, ensuring appropriate use of available time.
  • Identify an appropriate tool to audit own practice and monitor workload.
Consultative Role
  • Be expected to facilitate and promote effective communications between the medical staff, nursing staff, Allied Health Professionals, Hospital staff, the patients and their families.
  • Actively participate in change management and developments within the area.
  • Identify and plan, with support from the Nurse Practice Development Department, ADON and Director of Nursing and Integrated Care, requirements for the service at a strategic level.
  • Develop a flexible and innovative approach, forming links with other specialists.
  • Liaise with the NMBI and the NMPDU Leinster as necessary.
  • Establish and maintain effective links with staff in other hospitals providing medical respiratory service.
  • Participate in relevant committees at an organisational level and also at a National level where possible.
  • Demonstrate leadership qualities as defined by The Office of Health Management (TOHM 2002)
Audit Role
  • Be expected to audit current nursing practice and evaluate improvements in the quality of patient care within the service.
  • Produce monthly figures on service activity and an annual report on the Respiratory nursing service within TUH.
  • Conduct nursing research relevant to the Respiratory nursing service with support from the Nurse Practice Development Department.
  • Maintain as required an asset register of appropriate equipment.
  • Ensure that expenditure within the department is controllable within agreed budgets/cash limits and in compliance with Hospital financial plan.
  • Co-ordinate and maintain equipment and monitor the use of resources to ensure that unnecessary expenditure by misuse does not occur.
  • Participate in cost awareness and cost control policies in the department.
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.
  • 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.: ICE, Synergy, Pims, Order coms.
Health and Safety
  • Ensure the compliance of all staff with the safety, Health and Welfare at work Act, 2005.
  • Comply and enact Health and Safety responsibilities as outlined in Hospital policies, protocols and procedures relevant to your area.
  • Prepare risk assessments and departmental safety statements as required

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.

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 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.


GENERAL

Applications can 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 Anna Smyth, Acting Assistant Director of Nursing at or telephone 414 2134


Closing Date: Before close of business on: 2nd 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.