Overview
Post Title:
Clinical Nurse Specialist - Acute Stroke and Endovascular Thrombectomy Service
Post Status:
Permanent
Department:
Medical Directorate
Location:
Beaumont Hospital, Dublin 9
Reports to:
The post holder is accountable to the Directorate Nurse Manager, Medical Directorate and will also report to Stoke Consultant Group
Salary:
Appointment will be made on CNM 2 Pay scale (€61,463 - €77,666) at a point in line with Government pay policy.
Hours of work:
Full time, 37.5 Hours Per Week
Closing Date:
Monday 9th February **** @ 12Noon
Please note the hospital reserves the right to close the competition early should a substantial number of applications be received.
Principal duties and Responsibilities
Practice nursing according to the Code of Professional Conduct and the Scope of Practice Framework as stated by the Nursing Board of Ireland and the National Clinical Guidelines for Stroke.
Work within their scope of practice and take measures to develop and maintain the competence necessary for professional practice.
Maintain a high standard of professional behaviour and be accountable for their practice.
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.
Be aware of ethical policies and procedures which pertain to their area of practice.
Follow appropriate lines of authority within the Nurse Management structure.
It is essential that the applicant for this role hold a recognised Irish Driving Licence.
Comply with all existing Hospital policies.
Responsibilities
1. Clinical Role
Primary Role - Thrombectomy Service
Develop stroke services in line with the Stroke Care National Clinical Programme Model of Care and associated guidelines with reference to the thrombectomy service.
Work in collaboration with other members of the multidisciplinary team in assessing, planning, implementing and evaluating plan of care for patients with stroke and stroke related illnesses which meets each patient's needs.
This will encompass:
Nursing assessment of patient care e.g. Function- Barthel Index, Cognition-MMSE, neurological status-NIHSS / GCS, Pre-morbid status-mRS, etc.
Planning patient care - the CNM 2 (Stroke Care) will work closely alongside the multidisciplinary team (MDT) and within agreed protocol driven guidelines to develop individualised a plan of care.
Evaluation of patient care - through audit and research to evaluate quality of patient care.
Outcomes of audit / research should also contribute to the service plan of care to the stroke patients / clients and families in the hospital community and outpatient settings.
Make variations in prescribed clinical options, within agreed protocols.
Develop close working links with other stroke services and actively participate in stroke networks.
Actively promote the liaison and co-ordination of care for patients between stroke services, the hospital and other hospitals.
Contribute to the development and implementation of information sharing protocols, audit systems, referral pathways, individual care plans and shared care arrangements through regular meetings and liaison with stroke nurse specialists nationally alongside IHF and the HSE.
Identify and utilise professional and voluntary resources and facilities at local and national level by direct or indirect referral.
Participate in the Departmental Clinical Governance processes, working in partnership with the Head of Department, Assistant Director of Nursing / CNM3, Clinical Governance lead and local and national stroke governance group.
Ensure that effective clinical governance procedures are maintained and evolve according to defined needs and demands in stroke service.
Secondary Role - wider stroke service
Contribute to the provision of an efficient, effective, and high quality service, respecting the needs of each patient e.g. same day assessment of stroke patients including rapid tPA assessment establishing a history from the family and patient, management of acute complications and providing information and education to both patient, staff and family.
Effectively manage time and caseload e.g. same day referral assessment and education of stroke patient, weekly inpatient education, OPD stroke secondary prevention and MDT meetings and staff / other education.
Accept appropriate referrals from members of the multidisciplinary team and other allied health professionals.
In collaboration with Consultant staff, with other members of the multidisciplinary team refer stroke patients for diagnostic tests and investigations which have been agreed within set protocols e.g. U/S Carotids, CT Brain, Holter, Echo, Fasting bloods for risk factors, BP Monitor, Smoking Cessation and referral to other members of the MDT as agreed.
2. Patient Advocate Role
Act as patient advocate, involving communication, negotiation and representation of stroke patients values and decisions in collaboration with other members of the MDT.
Liaise with other health service providers in the development and ongoing delivery of this service by co-ordinating weekly MDT meetings.
Develop and support the concept of advocacy particularly in relation to patients' participation in decision making thereby enabling informed choice of treatment options through education and information.
Establish, maintain and improve procedures for collaboration and co-operation between acute hospital services.
Take appropriate action on any matter identified as being detrimental to staff and / or service user care or well being which may be inhibiting the efficient provision of care.
3. Educational role
Maintain clinical, nursing and managerial competence, in current developments, in the field of stroke care to include keeping up to date with relevant research to ensure evidence-based practice and research utilisation.
Keep abreast of current trends in nursing through reading, attending seminars and having thorough knowledge of nursing policy and standards.
Identify the educational needs of patients, their carers, other professionals and students and participate in training programmes as required.
Work with and supervise the care given by student nurses and provide for their personal and professional development.
Co-operate with colleagues in providing learning opportunities for all staff and students.
Assist in the educational programme of all staff who may care for patients affected by stroke, including student nurses.
Use every opportunity for discussion, demonstrations and teaching for both patients and staff.
Liaise and foster good communications with the Nurse Education Centre.
Participate in the orientation programmes of all new staff within the department and in-service programmes.
Educate and provide supportive care to the patient and their family through all stages of stroke disease trajectory.
4. Consultant
Act as resource in providing specialist knowledge, expertise and care in liaison with the multidisciplinary team.
Promote the role of the Stroke Care Nursing Services among health care staff.
Work with, support, advise and help build up the knowledge and expertise of the other healthcare professionals involved in providing care for stroke patients, through regular formal and informal education.
Act as a resource to hospitals who have received care of patients post thrombectomy procedure with regard to education and advice.
Ensure Guidelines are developed, agreed and circulated with regards to the National Emergency Thrombectomy Service (in collaboration with the MDT Stroke Team).
5. Audit and Research
Manage the information required for the Stroke Register, keeping an up-to date monthly account of stroke service statistics that will include data on referrals, total number of stroke patients, tPA figures, age LOS, discharge destinations, mortality and OPD numbers to audit and plan services.
National Thrombectomy Data collection for ongoing detailed service audit and thrombectomy component of HIPE portal / stroke Register – inclusive to include phonecall follow up to record outcome measures at agreed intervals.
Promote individual best practice interventions in accordance with the identified needs of patients.
Undertake and lead in clinical and organisational audit to continually evaluate the effectiveness of the service provided against established research / evidence.
Participate and promote nursing research and associated research in this specialist area, identifying nursing topics and issues, involving the MDT through presentations.
Ensure the views of all consumers are effectively sought, channelled and acted upon.
Implement and manage changes identified by audit and research and required within stroke services.
Contribute to the development of key performance indicators and monitoring of same within stroke services.
6. Health & Safety – Managers
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.
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.
7. Administration
Ensure the efficient action of complaints in accordance with Beaumont hospital Policy.
Contribute to policy development and formulation, performance monitoring, business planning and budgetary control.
Ensure that records are safeguarded and managed as per local policy and in accordance with relevant legislation.
Maintain accurate and contemporaneous records / data on all matters pertaining to the planning, management, delivery and evaluation of this service in line with Health Service Executive / Beaumont Hospital requirements.
Participate in the implementation of Information Technology developments.
Undertake other duties as required by the Director of Nursing or his / her designate.
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:
Statutory Registration, Professional Qualifications, Experience, etc
(a) Eligible applicants will be those who on the closing date for the competition:
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.
Be registered in the division(s) of the Nursing and Midwifery Board of Ireland Register for which the application is being made or be entitled to be so registered.
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.
Have a minimum of 1 year's post registration full time experience or an aggregate of 1 year's full time experience in the division of the register in which the application is being made (taking into account
(ii)
(iii) if relevant).
Have a minimum of 1 year's experience or an aggregate of 1 year's full time experience in specialist area of Stroke care.
Have successfully completed a post registration programme of study, ascertified 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 *****).
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 *****).
Endocrine of care prior to application* (See Note 1 below).
Be required to demonstrate that they have continuing professional development (CPD) relevant to the specialist area.
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 ****.
(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.
Annual registration
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 for the role.
Practitioners must confirm annual registration with NMBI to the HSE by way of the annual Service user Safety Assurance Certificate (PSAC).
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.
Character
Candidates for and any person holding the office must be of good character.
Previously employed in the Civil or Public Service and entitled to receive a pension, that pension will be subject to abatement in accordance with Section 52 of the Public Service Pensions (Single Scheme and other Provisions) Act ****.
In applying for this position you are acknowledging that you understand that the abatement provisions, where relevant, will apply.
It is not envisaged that the employing Department/ Office/ Body will support an application for an abatement waiver in respect of appointments to this position.
Further Information for Candidates: Supplementary information.
The Hospital
Management Unit:
Informal Enquiries ONLY to:
(No applications will be accepted through this email address)
Name:
Yvonne Whelan
Title:
Directorate Nurse Manager Medical 1 Directorate
Email address:
******
Telephone:
***********
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