Clinical Nurse Manager 3
Job Specification and Terms and Conditions
Job Title and Grade / Clinical Nurse Manager 3(Grade Code 233X)
Campaign Reference / NRS0959
Closing Date / Friday, 15th November 2013, 12 noon
Proposed Interview Date(s) / Week commencing 9th December 2013
Taking up Appointment / To be indicated at job offer stage.
Details of Vacancies: / There are a number of vacancies at CNM3 level in different HSE sites.
Panels will be created for each listed.
CNM3 in Emergency and Acute Medicine for the West/ North West Hospital Group (a recruitment panel will formed for all West/ North West Hospital Group).
The West/North-West Group includes;
University Hospital Galway and Merlin Park University Hospital;
Sligo Regional Hospital,
Letterkenny General Hospital;
Mayo General Hospital;
Portiuncula Hospital;
Roscommon County Hospital.
Our Academic Partner is the National University of Ireland, Galway.
Vision
The formation of the hospitals groups, which will transition to independent hospital trusts, will change how hospitals relate to each other and integrate with the academic sector. Over time, the groups will deliver:
· Higher quality service
· More consistent standards of care
· More consistent access to care
· Stronger leadership
· Greater integration between the healthcare agenda and the teaching, training, research and innovation agenda
The current Emergency and Acute Medicine vacancies in the West/ North West Hospital Group are:
1 WTE CNM3 in Emergency and Acute Medicine, Portiuncula Hospital
· Portiuncula Hospital is a teaching hospital affiliated with the National University of Ireland Galway has 203 beds and provides a range of services to a population of approx. 400,000 patients residing in the East Galway, Roscommon, Midlands and Midwestern areas.
· Portiuncula has a directorate management structure established under the Office for Health Management Clinicians in Management Initiative.
Informal enquiries for this post: Mary Barrett, Assistant Director of Nursing, Portiuncula Hospital, Ballinasloe Email: Phone 09096 48200
1 WTE CNM3 in Emergency and Acute Medicine in Galway University Hospitals
Informal Enquiries for this post to: Helena Hanrahan, ADoN, Medical Directorate. Email: : Phone 091 542624 Blp 113.
CNM3 in Emergency Department
Louth Meath Hospital Group- Our Lady of Lourdes, Drogheda (a panel will formed for all Louth Meath Hospital Group).
The postholder will hold management responsibility in the Emergency Department and across the acute medical floor.
Informal enquiries for this post: Angela T. Boyle, Assistant Director of Nursing,
Emergency Medicine and Infection Prevention and Control, Our Lady of Lourdes Hospital, Louth Meath Hospital Group, T. 0877411313,
CNM3 Bed Management
1 X WTE in Cavan General Hospital (a panel will be created for all Cavan Monaghan Hospital Group).
Cavan and Monaghan Hospital comprises of two hospital sites, Cavan General Hospital and Monaghan Hospital with services operationalised as one hospital on two sites. Both hospitals deliver a wide range of services to the Cavan Monaghan population (approx 133,369 Census 2010) which includes assessment, diagnosis, treatment and rehabilitation of both acute and complex conditions as well as non-urgent/ non-acute conditions. The inter-dependency in the roles of the hospitals strives to provide a seamless patient service providing timely and appropriate care in the most appropriate setting. In 2012 there were approximately 14,787 discharges and over 40,000 attendances.
Both hospitals have a key role in providing both acute and non-acute hospital services to the Cavan and Monaghan population which include a range of services. For example (not an exhaustive list):
Cavan General Hospital:
· General medicine (including an Acute Medical Assessment Unit)
· General Surgery
· Emergency Medicine
· Paediatrics
· Obstetrics
· Gynaecology
· Renal Dialysis
· Intensive care Unit
· Coronary Care Unit
· Oncology
· Endoscopy and Day Ward
· Child and adult psychiatry (funded by Mental Health Services)
· Outpatient services
· Clinical Nurse specialist services
· Physiotherapy, Occupational Therapy, Dietetics & Nutrition, Podiatry
Monaghan Hospital provides:
· Rehabilitation and step-down services
· Minor Injury Unit
· Day Medical, Surgical, Gynae services unit.
· Outpatient services including orthopaedics, respiratory, cardiac rehabilitation, heart failure and palliative care.
· Day Surgery/Theatre
· Radiology
· Physiotherapy
· Urology
· GUM services
· ENT services
Informal enquires on this post in Cavan General Hospital –Evelyn Hall, Clinical Business Manager, Cavan General Hospital, Tel: 049 437 6586,
CNM3 Patient Flow Cancer Services
Galway University Hospitals
1 X Whole Time Equivalent. A panel will be created for Galway University Hospitals.
The successful applicant will:
· Co –ordinate the flow of patients from the Emergency Department (ED), the Acute Medicine Unit (as per policy), Cancer Day service areas and OPD to appropriate cancer service inpatient wards or as agreed with the Bed Flow Team.
· Develop close linkages with specialist units (hospice inpatient ward), homecare teams and community services
· Communicate with patients and family in relation to current bed status; liaise with Bed Flow Team and Bed Management as appropriate to expedite the situation. Controlling the utilisation of patient accommodation in adherence with the Admission Policy and Integrated Discharge Planning Process.
· Maintain close communication links with Bed Flow Team, Bed Management, the Clinical Directors, the Medical Consultant teams, the Chief Operation Officer, the Waiting List office, DON/M, ADON’ s, CNM’s, liaison public health nurses and relevant specialist services (AHP’s, Transport services).
· Maintain a close working relationship with all identified above and all other relevant specialty clinicians and nursing staff in relation to senior decision making around the allocation of patients to beds, incorporating the elective cancer activity cases for admission.
· Link with the discharge co-ordinator to plan for patients that have been identified requiring longer term care/ respite.
· Where bed occupancy has reached a predefined level, it will be the responsibility of the Patient Flow Coordinator in collaboration with the management team to implement the Galway University Hospitals escalation plan to meet demand.
· The Patient Flow Coordinator will also direct patient flow from this hospital to other hospitals within and outside the group as clinically appropriate for sub-acute care or step-down care, when the acute episode of patient care has been completed.
· Develop and implement an agreed strategy to co-ordinate direct access for patients to the CAU from GPs after phone triage.
· Participate in the roll out of the Electronic patient record and scheduling tools on Lantis or upgraded version. Integration with other IT data base systems as pertain to cancer services, MDM software, Dendrite, NCCP KPI’s
KPI’s
· The identification and development of Key Performance Indicators (KPIs) which are congruent with the Hospital’s service plan targets.
· The development of Action Plans to address KPI targets.
· Driving and promoting a Performance Management culture.
· In conjunction with line manager assist in the development of a Performance Management system for your profession.
· The management and delivery of KPIs as a routine and core business objective.
The post holder will ensure the clinical and operational effectiveness of cancer services within Galway University Hospitals, develop close linkages with territory cancer service units across the group and play a role in the implementation of the Acute Medicine Programme, emergency medicine programme and Cancer control plan.
Informal enquiries for this post to: Julie Nohilly, Assistant Director Nursing, Tel. 091 544039,
Organisational Area / Health Service Executive West
Health Service Executive Dublin North East
Reporting Relationship / The post holder is:
· Is professionally accountable to the Director of Nursing
· Will have line management reporting arrangements to the Assistant Director of Nursing responsible for the service area.
For West/ North West Hospitals Group:
The post holder is:
· Professionally accountable to Chief Director of Nursing & Midwifery, West/ North West Hospitals Group via the Director of Nursing.
· Will have line management reporting arrangements to the Assistant Director of Nursing responsible for the service area.
Reporting relationships may vary from hospital to hospital and candidates will be advised of any deviation from the reporting relationships outlined above at appointment stage.
Purpose of the Post / To provide professional / clinical leadership in the designated area(s) of responsibility. To oversee the management of resources including staffing and staff development. To facilitate communication across the healthcare teams.
The post of CNM 3 has a pivotal role in service planning and development, co-ordinating and managing activity and resources within the clinical area. The CNM 3’s responsibilities include: overseeing the quality of nursing care, the development and implementation of policy and procedures, the monitoring of activity and the delivery of agreed levels of service for the designated area(s). The CNM3 plays a key role in providing clinical and professional leadership and promoting the values of the organisation.
Principal Duties and Responsibilities / Professional /Clinical
The CNM3 will:
· Provide a high level of professional and clinical leadership
· Provide safe, comprehensive nursing care to service users within the guidelines laid out by An Bord Altranais
· The Manager will practice nursing according to
Professional Clinical Guidelines
National and Area Health Service Executive (HSE guidelines).
Local policies, protocols and guidelines
Current legislation
· Manage, monitor and evaluate professional and clinical standards ensuring an evidence based, care planning approach
· Manage own caseload in accordance with the needs of the post
· Participate in teams as appropriate, communicating and working in co-operation with other team members
· Facilitate co-ordination, co-operation and liaison across healthcare teams and programmes
· Collaborate with service users, family, carers and other staff in treatment / care planning and in the provision of support and advice
· Communicate results of assessments, treatment / care programmes and recommendations to the team and relevant others in accordance with service policy / as required
· Formulate, manage and implement best practice policies and procedures
· Ensure that service users and others are treated with dignity and respect
· Ensure the maintenance of nursing records in accordance with local service and professional standards
· Adhere to and contribute to the development and maintenance of nursing standards, protocols and guidelines consistent with the highest standards of patient care
· Evaluate and manage the implementation of best practice policy and procedures e.g. admission and discharge procedures, control and usage of stocks and equipment, grievance and disciplinary procedures
· Maintain professional standards in relation to confidentiality, ethics and legislation
· In consultation with other disciplines, implement and assess quality management programmes as appropriate
· Participate in clinical audit as required and ensure that clinical audits are performed in his/her area(s) of responsibility
· Initiate and participate in research studies as appropriate
· Devise and implement Health Promotion Programmes for service users as relevant to the post
· Operate within the Scope of Practice - seek advice and assistance from his / her manager with any cases or issues that prove to be beyond the scope of his / her professional competence in line with principles of best practice and clinical governance
· Ensure staff work in compliance with the Scope of Practice
Health & Safety
The CNM 3 will:
· Ensure that effective safety procedures are developed and managed to comply with statutory obligations, in conjunction with relevant staff e.g. health and safety procedures, emergency procedures
· Take appropriate action on any matter identified as being detrimental to staff and/or service user care or well being / may be inhibiting the efficient provision of care
· Ensure adherence to established policies and procedures e.g. health and safety, infection control, storage and use of controlled drugs etc.
· Ensure completion of incident / near miss forms
· Maintain a feedback mechanism with the clinical risk manager and report to senior management team where appropriate
· Ensure adherence to department policies in relation to the care and safety of any equipment supplied for the fulfilment of duty. Ensure advice of relevant stakeholders is sought prior to procurement e.g. CNS infection control, Occupational Therapist
Education and Training
The CNM 3 will:
· Contribute to service development through appropriate continuous education, research initiatives, keeping up to date with nursing literature, recent nursing research and new developments in nursing management, education and practice and attend staff study days as considered appropriate
· Provide support advice to those engaging in continuous professional development in his / her area of responsibility
· Be familiar with the curriculum training programme for student nurses and be aware of the clinical experience required to meet the needs of the programme
· Participate in the identification, development and delivery of induction, education, training and development programmes for nursing and non-nursing staff
· Provide support supervision and professional development of appropriate staff
· Engage in performance review processes including personal development planning e.g. by setting own and staff objectives and providing and receiving feedback
Management
The CNM3 will:
· Exercise authority and co-ordinate the functions of the assigned area(s)
· Provide support, advice and direction to staff as required
· Engage with the wider healthcare team and facilitate team building
· Facilitate communication at ward and departmental level and within the senior nurse/midwife team
· Provide staff leadership and motivation which is conducive to good working relations and work performance
· Promote a culture that values diversity and respect in the workplace
· Manage and promote liaisons with internal / external bodies as appropriate e.g. intra-hospital service, the community, voluntary organisations
· Contribute to the strategic management and planning process
· Formulate service plans and budgets in co-operation with the wider healthcare team
· Lead on practice development within the clinical area.
· Manage resources, including staff, efficiently and effectively to ensure the highest standards of service
· Manage and evaluate the implementation of the service plan and budget
· Provide reports on activity and services as required
· Develop and manage departmental and nursing policy with a particular emphasis on change management. Monitor as appropriate and lead on proactive improvement