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Clinical Nurse Manager 2 – Children’s Diabetes
Job Specification and Terms and Conditions
Job Title and Grade /Clinical Nurse Manager 2 – Children’s Diabetes
Grade Code; 2119
Campaign Reference / NRS0807Closing Date / Thursday 20th December 201212 Noon
Proposed Interview Date(s) / Week commencing 28th January 2013
Taking up Appointment / To be indicated at Job Offer stage
Organisational Area / All HSE Areas.
Important Details regarding the post / The HSE National Recruitment Service is running 2 recruitment campaigns concurrently at Clinical Nurse Specialist (CNS) level and Clinical Nurse Manager 2 (CNM2) level for Children’s Diabetes
- This post is graded at a CNM2 level as an interim measure.
- The service believes that there is a limited applicant pool of Registered Children’s Nurses with a Children’s Diabetes Level 8 qualification and that posts may remain unfilled following completion of the CNS campaign. Therefore in order to address this concern the National Recruitment Service is running CNS and CNM2 campaigns concurrently.
- Any posts not filled by CNS appointees may be filled by the CNM2 panelcreated on foot of this campaign.
- A candidate appointed at CNM2 level must pursue and obtain a CNS Level 8 NationalQualifications Authority of Ireland (NQAI) major academic award/qualification relevant to Children’s Diabetes within a 3 year period of appointment. Non-obtainment of the specialist qualification may lead to redeployment within the organisation (or termination of contract).
- The Academic Fees for this programme will be supported by the Office of the Nursing and Midwifery Services Director, as per the conditions outlined in the HSE Circular 020/2009 will also apply in this instance.
Location of Post / A national panel will be formed arising out of this competition for which CNM2 positions for Childrens’ Diabetes will be filled.
There are current vacancies at:
- Mid-Western Regional Hospital Limerick 1 full time post and one part-time (.5) post.
- Cork University Hospital 1 whole time post
Informal enquires to Ms. Maura Fitzgerald, Assistant Director of Nursing
Contact number 00353 61 482420
CorkUniversityHospital
Informal enquiries to Ms Helen Cahalane, Assistant Director of Nursing
Contact Number 00353 86 .
The post holder will be based in the respective regional acute hospital hub for paediatrics.
In Limerick, the Paediatric Diabetes centre will also provide specialist services for children referred from Galway for Continuous Subcutaneous Insulin Infusion (CSII).
Details of Service / This intended CNS post has been developed following a recommendation from the National Clinical Programme. In 2011 the National Paediatric and National Diabetes Clinical Programmes established a subgroup to examine the delivery of diabetes care in Ireland to all children under 16 years of age. Phase 1 of their work was to focus on the Provision of Continuous Subcutaneous Insulin Infusion (CSII) for the treatment of suitable children under 5 years with Type 1 Diabetes. CSII therapy has been selected as the preferred method of treating type 1 diabetes in children under 5 years as it can reduce acute and chronic complications of the disease and improve the quality of life of children and families living with diabetes.
A Model of Care (HSE 2012 – also see Applicant Information Pack) has been developed in order to provide this CSII Pump Therapy service to children with type 1 diabetes under five years old.
The key objectives in this model of care are to:
- Provide CSII therapy to children under five, where appropriate.
- Ensure that diabetes services and staffing levels are equitable in the five centres nationwide
- Reduce acute and chronic complications of type 1 diabetes
- Improve the quality of life of children and their families living with diabetes. h
This post will become part of a multidisciplinary team to develop a CSII/insulin pump training programme for children less than 5 years of age.
The post holderwill be a resource for colleagues, allied professionals and an advocate for the patient. The post holder will be responsible for the provision of a nursing, education and management consultation service in all areas of diabetes care. They must provide a service, which optimises quality and continuity of care for children with Diabetes
Reporting Relationship / The post holder:
- Is professionally accountable to the Director of Nursing (DON) or designated officer
- Will report to the Assistant Director of Nursing or designated officer on operational matters
- Is clinically accountable to the Lead Consultant responsible for the service and patient
Purpose of the
Post / Role Summary / The main purpose of the CNM2 (Children’s Diabetes) is to develop and expand the role to that of the Clinical Nurse Specialist (Children’s Diabetes). The role of the Clinical Nurse Specialist (Children’s Diabetes) is aligned to the National Children’s Diabetes Programme with an initial focus on Continuous Subcutaneous Insulin Infusion (Children’s Under 5’s) Clinical Programme.
- A candidate appointed at CNM2 level must pursue and obtain a CNS Level 8 National Qualifications Authority of Ireland (NQAI) major academic award/qualification relevant to Children’s Diabetes within a 3 year period of appointment. Non-obtainment of the specialist qualification may lead to redeployment within the organisation (or termination of contract).
- work as part of the diabetes multidisciplinary team providing all aspects of diabetes care to the caseload of children with diabetes.
- co-ordinate and provide a children’s nursing service that provides continuity of care for children with Type 1 Diabetes and their families and which optimises quality and continuity of care for children with Diabetes.
- be responsible for the provision of a nursing, education and management, and consultation service in all areas of children under 5’s diabetes care. She/he will develop an insulin pump training programme in conjunction with other members from the multidisciplinary team for children less than 5 years of age.
- be a resource for colleagues, allied professionals and an advocate for the patient and ensure competence in area of practice. Specifically:
- Co-ordinate a service that provides continuity of care for children with Type 1 Diabetes and their families
- Plan, implement, deliver, and evaluate all Diabetes care given to the child and family.
- Act as an informed resource for health and social care professionals involved in the care of children with Type 1 Diabetes on CSII therapy.
- Facilitate education and training for health and social care professionals in collaboration with relevant stakeholders.
- Support collection of data in relation to children with Type 1 Diabetes on insulin pump therapy.
Principal Duties
and
Responsibilities / Clinical Responsibilities
- In collaboration with other members of the multidisciplinary team and local healthcare professionals and/or carers, assess, plan, implement, and evaluate Diabetes care for a caseload of patients i.e. Children under 5s on CSII therapy.
- Assess the child’s/family/carers’ knowledge of diabetes management, which includes insulin adjustment, recognition, prevention and treatment of hypoglycaemia, mild, moderate and severe, testing for ketones, prevention of ketosis and DKA.
- Co-ordinate care and support to the child and family with the multidisciplinary team. Referral to psychology and social work as required.
- Make variations,within agreed protocols and guidelines, in prescribed clinical optionsas perthe HSE (2012) CSII Therapy National Clinical Programme model of care.
- Participate as a member of the multidisciplinary team and care for all children and their families with Diabetes.
- Plan, organise and deliver group education sessions for children and their families on CSII therapy.
- Collaborate with health and social care team to develop a plan of care within the regional paediatric unit and the community.
- Establish and maintain good working relationships with nursing staff and medical staff involved in the provision of quality care to children with Diabetes.
- Act as a resource to colleagues, members of the multidisciplinary team in the regional paediatric unit, outpatients and community, including GPs, PHNs, School Teachers.
- Articulate and demonstrate the concept of nursing specialist practice within the framework of relevant legislation, the Scope of Nursing Practice Framework (ABA 2000), The Code of Professional Conduct (ABA 2000).
- Perform nursing assessments and plan and initiate care and treatment modalities with agreed interdisciplinary protocols to achieve patient/client centred outcomes; evaluates their effectiveness.
- Identify health promotion priorities in the area of specialist practice.
- Implement health promotion strategies for patient and client groups in accordance with the public health agenda.
- Act as the child’s advocate within the multidisciplinary team.
- Collaborate with health and social care team to address ethical issues.
- Ensure that the dignity of the child is maintained and respected at all times.
- Collaborate with statutory and voluntary agencies to support the provision of optimum care as required.
- Enable patients/clients, families and communities to participate in decisions about their health needs.
- Articulate and represent patient/client interests in collaboration with the multidisciplinary team.
- Implement changes in healthcare service in response to patient/client need and service demand.
- Take every reasonable opportunity to sustain and improve knowledge and professional competence of oneself with reference to An Bord Altranais Scope of Nursing Practice Framework and code of professional conduct.
- Identify the education and training needs of staff and initiate strategies to meet these needs.
- Support training and education of families, local hospitals, community health care professionals about the needs of children with Type 1 Diabetes on CSII therapy.
- Liaise with the relevant education providers and participate in teaching on various aspects of pre and post registration nursing and Allied Healthcare Professional programmes.
- Attend study days and conferences in order to update knowledge in the field of children’s nursing/ Children’s Diabetes and Insulin pump therapy.
- Assist in developing education material e.g. information leaflets and booklets for parents and children relating to CSII/Insulin pump therapy.
- Undertake the Nurse Prescribing of Medicinal Products Certificate, and achieve the requirements to become a Registered Nurse Prescriber (RNP) in Ireland within an agreed timeframe (to be agreed locally).
- Provide mentorship, preceptorship, teaching, facilitation and professional supervisory skills in the area of children’s diabetes for nurses and other healthcare workers.
- Identify own continuing professional development needs and engage accordingly.
- Audit the activities of the service with a view to assessing the effectiveness and efficiency of the service.
- Monitor and evaluate the service provided by the Interim CNM2 (Childrens Diabetes) and then later of the Clinical Nurse Specialist in Children’s Diabetes.
- Participate in data collection to support CNS role and service provision to children with diabetes on CSII therapy.
- Demonstrate an interest in learning new techniques and skills and apply these to practice.
- Identify clinical issues of interest and ensure they are incorporated into clinical practice through teaching and example.
- Publish work related research and personal projects.
- Identify and implement operational processes to the standards of best practice in order to optimise use of resources and to ensure compliance with statutory requirements.
- Establish clinical standards of care and ensure they are appropriately audited.
- Maintain statistical data of patient/service activity and supply annual reports to line manager.
- Co-ordinate and develop nursing/clinical policies and protocols in area.
- Monitor, access, utilise and disseminate current relevant research findings in order to advise and ensure the provision of informed evidence based practice in the care of children with Diabetes.
- Be responsible for identifying opportunities for nursing research which would contribute to the development of services.
- Report accidents/incidents, complaints immediately to the consultant in charge of the child and follow the Hospital’s Complaints policy.
- Identify, critically analyse, disseminate and integrate nursing and other evidence into the area of specialist practice.
- Initiate and participate in evaluations and audits.
- Use the outcomes of audit to improve service provision.
- Contribute to service planning and budgetary processes through use of audit data and specialist knowledge.
- Act as and be available as a clinical resource and consultant, providing professional advice inter and intra disciplinary, in the area of Children on CSII to those within and outside the service in order to promote improved patient management and continuity of care.
- Accept referrals and to refer in line with local and regional guidelines.
- Establish, standardise and monitor clear communication channels for such consultations, inter and intra disciplinary.
- Provide leadership in clinical practice and act as a resource and role model for specialist practice.
- Generate and contribute to the development of clinical standards of practice and guidelines.
- Use specialist knowledge to support and enhance generalist nursing practice.
- Comply with the policies, procedures and safe professional practice of the Irish Healthcare System by adhering to relevant legislation, regulations and standards.
- Document appropriately and report any near misses, hazards and accidents and bring them to the attention of relevant / designated individual(s) in line with best practice.
- Work in a safe manner with due care and attention to the safety of self and others.
- Be aware of risk management issues, identify risks and take appropriate action.
- Comply with department procedures with regard to assessment, recommendation and / or manufacturing of all assistive devices.
- Promote a culture that values diversity and respect.
- Attend mandatory Health and Safety training.
- Have a working knowledge of 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.
- Contribute to the development of policies, procedures, guidelines and safe professional practice and adhere to relevant legislation, regulations and standards.
- Ensure the efficient action of complaints in accordance with HSE Policy.
- Contribute to policy development and formulation, performance monitoring, business planning and budgetary control.
- Ensure that records are safeguarded and managed as per HSE / local policy and in accordance with relevant legislation.
- Requisition with due economy. Ensure that equipment is maintained according to Hospital Policy.
- Assist in the implementation of Information Technology developments.
- Provide and efficient, effective, and high quality service, respecting the needs of each patient/client.
- Effectively manage time and caseload in order to meet the needs of a changing and developing service.
- Continually monitor the service to ensure it reflects current needs.
- Implement and manage identified changes.
- Ensure that confidentiality in relation to patient/client records is maintained.
- Maintain accurate and up to date statistics of the service provided, including audit of patient/client contacts.
- Represent the specialist service at local, national and international meetings as required.
- Maintain accurate and contemporaneous records/data on all matters pertaining to the planning, management, delivery and evaluation of this Service in line with HSE requirements.
- Undertake other duties as required by the Director of Nursing or his / her designate.
Eligibility Criteria
Qualifications and/ or experience
Divide into Desired and Essential / Candidates at the latest date for receipt of completed applications for the post must:
a)Be currently registered in the Children’s Nursing Division (RCN) of the Register of Nurses & Midwives maintained by Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) or be entitled to be so registered.
And
b)Have at least 5 years post-registration experience in Childrens’ Nursing of which 2 years must include care of the patient with diabetes*
And
c)Have the clinical, managerial and administrative capacity to properly discharge the functions of the role
And
d)Must demonstrate evidence of continuing professional development at the appropriate level
*Examples of experience would include working in Paediatric Unit, Emergency Departments, Endocrinology ward
Post Specific Requirements /
- A candidate appointed at CNM2 level must pursue and obtain a CNS Level 8 National Qualifications Authority of Ireland (NQAI) major academic award/qualification relevant to Children’s Diabetes within a 3 year period of appointment. Non-obtainment of the specialist qualification may lead to redeployment within the organisation or termination of contract.
- Once appointed as the CNS the appointee must agree to undertake the Nurse Prescribing of Medicinal Products Certificate, and achieve the requirements to become a Registered Nurse Prescriber (RNP) in Ireland within an agreed timeframe (to be agreed locally).
Essential skills, competencies and/or knowledge / Candidates must:
- Practitioner competence and professionalism in order to carry out the duties and responsibilities of the role.
- Expert knowledge of caring for children with Diabetes
- Overview of Children’s Healthcare Services
- Knowledge of relevant strategies and documents – to include:
- International Society for Paediatric and Adolescent Diabetes (ISPAD) Guidelines
- National Clinical Programme (Childers Diabetes) Model of Care on CSII Pump Therapy (HSE 2012).
- All clinical and theoretical knowledge appropriate to care of children with Diabetes on CSII therapy.
- Knowledge of Clinical Developments in the Speciality
- Evidence based practice in dealing with Children with Diabetes
- Demonstrate a high level of clinical knowledge relevant to the role to include:
- International Society for Paediatric and Adolescent Diabetes (ISPAD) Guidelines
- National Clinical Programme (Childers Diabetes) Model of Care on CSII Pump Therapy (HSE 2012).
- Demonstrate the ability to lead on clinical practice and service quality.
- Demonstrate the ability to relate nursing research to nursing practice.
- Demonstrate knowledge of quality assurance practices and their application to nursing procedures.
- Demonstrate an awareness of relevant legislation and policy e.g. legislation relevant to the service area, health and safety, infection control etc .
- Demonstrate practitioner competence and professionalism.
- Demonstrate promotion of evidence-based decision making.
- Demonstrate the evaluate information and solve problems in a timely manner .
- Demonstrate the ability to plan and organise effectively.
- Demonstrate the ability to build and maintain relationships including team and leadership skills.
- Demonstrate strong interpersonal, communication and influencing skills
- Demonstrate Initiative and innovation in the delivery of service and a commitment to providing a quality service.
- Demonstrate resilience and composure.
- Demonstrate openness to change.
- Demonstrate a commitment to continuing professional development including the ability to complete the Level 8 (NQAI) major academic award/qualification academic award/qualification relevant to children’s diabetes nursing .
- Demonstrate a willingness to develop IT skills relevant to the role
Other requirements specific to the post / Access to own transport as the role may involve travel
Campaign Specific Selection Process
Ranking / Shortlisting / Interview / A ranking and / or shortlisting exercise may be carried out on the basis of information supplied in your application form. The criteria for ranking and / or shortlisting are based on the requirements of the post as outlined in the eligibility criteria and skills, competencies and / or knowledge section of this job specification. Therefore it is very important that you think about your experience in light of those requirements.
Failure to include information regarding these requirements may result in you not being called forward to the next stage of the selection process.
Those successful at the ranking stage of this process (where applied) will be placed on an order of merit and will be called to interview in ‘bands’ depending on the service needs of the organisation.
Code of Practice / The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commissioners for Public Service Appointments (CPSA). The Code of Practice sets out how the core principles of probity, merit, equity and fairness might be applied on a principle basis. The Code also specifies the responsibilities placed on candidates, feedback facilitates for applicants on matters relating to their application when requested, and outlines procedures in relation to requests for a review of the recruitment and selection process and review in relation to allegations of a breach of the Code of Practice. Additional information on the HSE’s review process is available in the document posted with each vacancy entitled “Code of Practice, Information for Candidates. ”
Codes of practice are published by the CPSA and are available on in the document posted with each vacancy entitled “Code of Practice, Information for Candidates or on
Child Protection / This post is one of those designated in accordance with Section 2 of the Protection of Persons Reporting Child Abuse Act, 1998. You will remain a designated officer for the duration of your appointment in this post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. Such officer will on receiving a report of child abuse formally notify the Senior Social Worker in the Community Care Area in which the child is living.
The reform programme outlined for the Health Services may impact on this role and as structures change the job specification may be reviewed.
This job specification is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned.