Ireland Job Openings

Beaumont Hospital

Clinical Nurse Specialist Haematology

Dublin

CONTRACT

September 3, 2024

Overview:
Post Title:

Clinical Nurse Specialist – Haematology

Post Status:

Specified Purpose

Department:

Medical 1 Directorate

Location:

Beaumont Hospital, Dublin 9, Ireland

Reports to:

Directorate Nurse Manager

Salary:

Appointment will be made on CNM 2 Pay scale (€59,070 - €69,834) at a point in line with Government pay policy.

Hours of work:

37.5 Hours Per Week

Closing Date:

Tuesday 17th September 2024 @ 12noon

Position Summary:

The purpose of this Clinical Nurse role is to provide increased access to specialised Haematology nursing care for patients receiving Systemic Anti-Cancer Therapies (SACT) and Oral Anti-Cancer Medicines (OAM) in the haematology setting. The appointee will work within the acute haematology service as a member of the team.
Responsibilities:
Principal Duties and Responsibilities:

The post holder’s practice is based on the five core concepts of Clinical Nurse Specialist 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

Clinical Nurse Special will have a strong patient focus whereby the specialty defines itself as Nursing and subscribes to the overall purpose, functions and ethical standards of nursing. 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

Clinical Nurse Specialist will
  • Provide Information and education to patient newly diagnosed with haematological disorders. Provide support to the family/ significant other, through listening, problem solving and education.
  • Provide outreach support for the patient at home.
  • Assess patients regarding their need for referral to specialist cancer services.
  • Report such patients promptly to the consultant/ clinical leader and discuss referral.
  • Co-ordinate relevant services in preparation for treatment.
  • Attend multidisciplinary team meetings.
  • Participate in ongoing patient education in relation to management of disease and treatment related side effects.
  • Foster good working relationships with all members of the clinical team, which are both professional and supportive.
  • Maintain accurate clinical records complying with legislation and best practice.
  • Demonstrate specialist knowledge of and clinical expertise in the delivery of patient care.
  • Be aware of all hospital policies and procedures and collaborate with other health care professionals to ensure that these are observed.
  • Be actively involved in the preparation and implementation of policies and nursing guidelines in relation to the management of care to oncology patients.
  • Demonstrate leadership ability and good communication skills.

Indirect Care

Clinical Nurse Specialist will:
  • Identify and agree appropriate referral pathways for Haematology patients who are experiencing a disease or treatment related complication.
  • Participate in case review with MDT colleagues.
  • Use a case management approach to patients with complex needs in collaboration with MDT in both Primary and Secondary Care as appropriate.
  • Take a proactive role in the formulation and provision of evidence based PPPGs relating to care.
  • Take a lead role in ensuring the service for haematology patients experiencing disease or treatment related complications is in line with best practice guidelines and the Safer Better Healthcare Standards (HIQA, 2012).

Patient/Client Advocate

Clinical Nurse Specialist will:
  • Provide an efficient, effective and high quality service, respecting the needs of each patient.
  • Act as a resource/ contact person for Haematology/Oncology patients attending other departments within the hospital or outside the hospital for treatment.
  • Provide patients and family/ significant others with contact details for acute oncology nurse specialist and advise for out of hours contact.
  • Be aware of existing resources/ services, which help patients and their family/ significant others, e.g. social services, support groups, entitlements.
  • Participate in team discussions regarding treatments for oncology/haematology patients.
  • Facilitate development of information leaflets for patients and families.

Education & Training:

Clinical Nurse Specialist will:
  • Assist in the development and delivery of training programmes for nursing staff.
  • Play an active role in teaching all grades of nursing staff and other disciplines as required.
  • Use relevant educational opportunities to maintain the highest standards and up to date care offered to the patients.

Audit & Research:

Clinical Nurse Specialist will:
  • Ensure that his/her own practice is compliant and up to date with “best practice”, which is reflected in research and development.
  • Participates in the regular audit of his/her own clinical practice.
  • Collect and maintain data in relation to this service improvement initiative and the impact of the role within the haematology service as determined and developed nationally
  • Ensure the development and maintenance of a quality assurance programme which is patient centred utilising up to date research findings.
  • Use such research findings to influence care within the specialty.
  • Set objectives and develop policies, procedures and standards for the cancer nursing services based on current nursing research and relevant research from other disciplines.
  • Identify areas within the specialty relevant to nursing practice, which would benefit from research.
  • Promote an awareness of research-based practice amongst staff.
  • Participate in departmental research related to the specialty.

Audit expected outcomes including:

  • Evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and MDT colleagues
  • Maintain and report outcome measures locally

Consultancy:

  • Provide leadership in clinical practice and act as a resource and role model for cancer services
  • Generate and contribute to the development of clinical standards and guidelines, having regard to national and international advancements in cancer nursing.
  • Establish collegial partnerships and in the context of cancer, contribute to the professional development of students, peers, colleagues and others through consultation, education, leadership, mentorship and coaching.
  • Work with, support, advise and help build up knowledge of expertise of the primary care team in providing an appropriate system of care to meet the needs of the patient and their family/carers.
  • Develop and maintain good collaborative working relationships and communication with all members of the speciality’s MDT and other health care professionals within and outside the service.
  • Participate in the implementation of the national clinical care programmes and their agreed models of care for patients and their families as they relate to the role.
  • Use specialist knowledge to support and enhance the care and management of unscheduled care patients ensuring the prompt, correct management of these patients and consequently reduced bed days

Health & Safety:

These duties must be performed in accordance with local organisational and the HSE health and safety polices. In carrying out these duties the employee must ensure that effective safety procedures are in place to comply with the Health, Safety and Welfare at Work Act (2005). Staff must carry out their duties in a safe and responsible manner in line with the local policy documents and as set out in the local safety statement, which must be read and understood.

Quality, Risk and Safety Responsibilities

It is the responsibility of all staff to:
  • Participate and cooperate with legislative and regulatory requirements with regard to quality, risk and safety.
  • Participate and cooperate with local quality, risk and safety initiatives as required.
  • Participate and cooperate with internal and external evaluations of the organisation’s structures, services and processes as required, including but not limited to, The National Hygiene Audit, National Decontamination Audit, Health and Safety Audits and other audits specified by the NCCP/HSE or other regulatory authorities.
  • Initiate, support and implement quality improvement initiatives in their area which are in keeping with local organisational quality, risk and safety requirements.
  • Contribute to the development of PPPGs and safe professional practice and adhere to relevant legislation, regulations and standards.
  • Comply with Health Service Executive (HSE) Complaints Policy.
  • Ensure completion of incident/near miss forms and clinical risk reporting.
  • Adhere to department policies in relation to the care and safety of any equipment supplied and used to carry out the responsibilities of the role

Specific Responsibility for Best Practice in Hygiene
Hygiene is defined as: “The practice that serves to keep people and environments clean and prevent infection. It involves the study of preserving one’s health, preventing the spread of disease, and recognising, evaluating and controlling health hazards. In the healthcare setting it incorporates the following key areas: environment and facilities, hand hygiene, catering, management of laundry, waste and sharps, and equipment” (HIQA, 2008; P2). It is the responsibility of all staff to ensure compliance with local organisational hygiene standards, guidelines and practices.

Management/Administration:

Clinical Nurse Specialist will:
  • Provide an efficient, effective and high quality service, respecting the needs of each patient, family and/or carer.
  • Effectively manage time and caseload in order to meet changing and developing service needs.
  • Continually monitor the service to ensure it reflects current needs.
  • Implement and manage identified changes.
  • Ensure that confidentiality in relation to patient records is maintained.
  • Represent the specialist service at local, national and international fora as required.
  • Maintain accurate and contemporaneous records and data on all matters pertaining to the planning, management, delivery and evaluation of care and ensure that this service is in line with NCCP/HSE requirements.
  • Contribute to the service planning process as appropriate and as directed by the DNM.
  • Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.
  • To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

The job description indicates the main functions and responsibilities of the post and is subject to review and amendment. Other specific work not covered in this job description may also be assigned by the Director of Nursing from time to time.
Qualifications:
Selection Criteria
Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate would need to demonstrate for successful discharge of the responsibilities of the post.
Applications will be assessed on the basis of how well candidates satisfy these criteria.

Mandatory

Candidates must have at the latest date of application:

1. Statutory Registration, Professional Qualifications, Experience, etc

(a) Eligible applicants will be those who on the closing date for the competition:
(i) Be a registered nurse/midwife on the active Register of Nurses and Midwives
held by An Bord Altranais and Cnáimhseachais na hÉireann (Nursing and
Midwifery Board of Ireland) or be eligible to be so registered.

(ii) Be registered in the division(s) of the Nursing and Midwifery Board of Ireland
(Bord Altranais agus Cnáimhseachais na hÉireann) Register for which the
application is being made or be entitled to be so registered.

(iii) In exceptional circumstances, which will be assessed on a case by case basis
be registered in another Division of the register of Nurses and Midwives.

(iv) Have a minimum of 1 years’ post registration full time experience or an
aggregate of 1 years’ full time experience in the division of the register in which
the application is being made (taking into account (ii) (iii) if relevant)

(v) Have a minimum of 1 years’ experience or an aggregate of 1 years’ full time
experience in specialist area of Haematology Care.

(vi) Have successfully completed a post registration programme of study, as
certified by the education provider which verifies that the applicant has achieved
a Quality and Qualifications Ireland (QQI), National Framework of Qualifications
(NFQ) major academic Level 9 or higher award that is relevant to the specialist
area of care (equivalent to 60 ECTS or above), and in line with the requirements
for specialist practice as set out by the National Council for Nursing and
Midwifery 4th ed (2008).

Alternatively provide written evidence from the Higher Education Institute that
they have achieved the number of ECTS credits equivalent to a Level 9 or higher
standard, relevant to the specialist area of care (equivalent to 60 ECTS or
above), and in line with the requirements for specialist practice as set out by the
National Council for Nursing and Midwifery 4th ed (2008). Haematology of
care prior to application* (See **Note 1 below).

(vii) Be required to demonstrate that they have continuing professional development
(CPD) relevant to the specialist area.

(viii) Have the ability to practice safely and effectively fulfilling his/her professional
responsibility within his/her scope of practice

**Note 1:
For Nurses/Midwives who express an interest in CNS/CMS roles and who
currently hold a level 8 educational qualification in the specialist area
(equivalent to 60 ECTS or above), this qualification will be recognised up to
September 2026.

(b) Candidates must possess the requisite knowledge and ability, including a high standard of
suitability and clinical, leadership, managerial and administrative capacity for the proper
discharge of the duties of the office.

2. Annual registration

(i) Practitioners must maintain live annual registration on the appropriate/relevant Division
of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board
of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role.

(ii) Practitioners must confirm annual registration with NMBI to the HSE by way of the
annual Service user Safety Assurance Certificate (PSAC).

3. Health
Candidates 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.

4. Character

Candidates for and any person holding the office must be of good character.

Other Requirements Specific to the Post

Demonstrate depth and breadth of nursing experience in the specialist area of Haematology

Professional Knowledge

Clinical Nurse Specialist will:
  • Practice in accordance with relevant legislation and with regard to The Scope of Nursing & Midwifery Practice Framework (Nursing and Midwifery Board of Ireland, 2015) and the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (Nursing and Midwifery Board of Ireland, 2014).
  • Maintain a high standard of professional behaviour and be professionally accountable for actions/omissions. Take measures to develop and maintain the competences required for professional practice.
  • Adhere to the Nursing & Midwifery values of Care, Compassion and Commitment (Do H, 2016).
  • Adhere to national, regional and local HSE PPPGs.
  • Adhere to relevant legislation and regulation.
  • Adhere to appropriate lines of authority within the midwife management structure.

Clinical Nurse Specialist will demonstrate:

  • In-depth knowledge of the role of Clinical Nurse Specialist
  • In-depth knowledge of the pathophysiology of Oncology/Haematology malignancies
  • The ability to undertake a comprehensive assessment of the patient experiencing complications of Systemic Anti-Cancer Therapies, including taking an accurate history of their condition and presenting problem.
  • The ability to employ appropriate diagnostic interventions including use of the UKONS Telephone Triage toolkit to support clinical decision making and the patients’ self- management planning.
  • The ability to formulate a plan of care based on findings and evidence based standards of care and practice guidelines.
  • The ability to follow up and evaluate a plan of care.
  • Knowledge of health promotion principles/coaching/self-management strategies that will enable people to take greater control over decisions and actions that affect their health and wellbeing.
  • An understanding of the principles of clinical governance and risk management as they apply directly to Clinical Nurse Specialist/Clinical Nurse Cancer role and the wider health service.
  • Evidence of teaching in the clinical area.
  • A working knowledge of audit and research processes.
  • Evidence of computer skills including use of Microsoft Word, Excel, E-mail, Power Point.

Communication and Interpersonal Skills

  • Effective communication skills.
  • Ability to build and maintain relationships particularly in the context of MDT working.
  • Ability to present information in a clear and concise manner.
  • Ability to manage groups through the learning process.
  • Ability to provide constructive feedback to encourage future learning.
  • Effective presentation skills.

Organisation and Management Skills

  • Evidence of effective organisational skills including awareness of appropriate resource management.
  • Ability to attain designated targets, manage deadlines and multiple tasks.
  • Ability to be self-directed, work on own initiative.
  • A willingness to be flexible in response to changing local/organisational requirements.

Building & Maintaining Relationships including Team and Leadership skills

  • Leadership, change management and team management skills including the ability to work with MDT colleagues.

Commitment to providing a quality service

  • Awareness and respect for the patient’s views in relation to their care.
  • Evidence of providing quality improvement programmes.
  • Evidence of conducting audit.
  • Evidence of motivation by ongoing professional development.

Analysing and Decision Making

Effective analytical, problem solving and decision making skills.


Further Information for Candidates


Supplementary information:

The Hospital
www.beaumont.ie

Management Unit:


www.beaumont.ie/hr


Informal Enquiries ONLY to:

Name:


Yvonne Whelan


Title:


Directorate Nurse Manager Medical 1


Email address:


yvonnewhelan@beaumont.ie


Telephone:


01 8528197


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