Location:
On site / Sandyford, Dublin, Co.
Dublin, D18 AK68, Ireland
Job type:
Permanent / Full-time
Sector and subsector:
Medical & Healthcare | Nursing & Midwifery
Salary:
Competitive salary
Job Title ; Acute Oncology RANP / CANP/CNS
Department ; Cancer Services
Reports to ; Head of Cancer Services
Start Date ; ****
Overall Purpose of Job
The advanced practice service is provided by nurses who practice at a higher level of capability as independent, autonomous and expert advanced practitioners.
The overall purpose of the service is to provide safe, timely, evidence-based nurse-led care to patients at an advanced nursing level.
This involves undertaking and documenting complete episodes of patient care, which include comprehensively assessing, diagnosing, planning, treating and discharging patients in accordance with collaboratively agreed local policies, procedures, protocols and guidelines and/or service level agreements/memoranda of understanding.
The ANP demonstrates advanced clinical and theoretical knowledge, critical thinking, clinical leadership and complex decision-making abilities.
Service provision by the ANP is described in
ANP / CNS Role in Acute Oncology Serve (Reviewed yearly)
Cancer Service Plan for Provision of Care (Reviewed 2 yearly)
The ANP / CNS practices in accordance with the following documents;
Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI ****)
Scope of Nursing and Midwifery Practice Framework (NMBI ****)
Advanced Practice (Nursing) Standards and Requirements (NMBI ****)
Values for Nurses and Midwives in Ireland (Department of Health ****)
Joint Commission International (JCI) Accreditation Standards for Hospitals
Local policies, procedures, protocols and guidelines.
Key Working Relationships
Fiona Kirwan Director of Nursing
Martina Farley Head of Cancer Services
Assistant Directors of Nursing
Medical Oncologists
Palliative Care team
Urology Consultants
Clinical Nurse Managers
ANPs and other nursing grades
Interprofessional colleagues
Patients/service users/families and/or carers
Nursing and Midwifery Board of Ireland
Other relevant statutory and non-statutory organisations
Professional Practice Portfolio and Clinical Supervision (RANP Only)
The ANP must maintain a professional practice portfolio, incorporating evidence of learning from continuing professional development, clinical supervision, reflective practice and review of his/her own scope of practice in accordance with regulatory requirements and service need.
The ANP will engage in the following clinical supervision;
Conduct a clinical supervision meeting with the Head of cancer services Martin Farley monthly.
The agenda for these meetings will include collaborative reflective practice, review of scope of practice and review of the ANP's portfolio.
Meet with other ANPs and candidate ANPs in the organisation via the Beacon Hospital Advanced Practice Forum.
Engage with and/or maintain membership of relevant national expert groups for the practice area.
Conduct audits of nurse prescribing as specified in the ANP's Collaborative Practice Agreement / Beacon Hospital Nurse Prescribing Policy.
Engage in continuous professional development activities relevant to the role e.g. attendance at scientific meetings, review of scientific literature, reflective practice, mentorship, workshops, e-learning, self-directed learning.
Study days must be requested and approved by the ANP's line manager.
Key Responsibilities and Deliverables
The post holder's practice is based on the six domains of competence as defined by the Nursing and Midwifery Board of Ireland *****) Advanced Practice (Nursing) Standards and Requirements.
The domains of competence are:
Professional Values and Conduct
Clinical Decision-Making
Knowledge and Cognitive Competencies
Communication and Interpersonal Competencies
Management and Team Competencies
Leadership and Professional Scholarship Competencies
Main Clinical Goals
Rapid Assessment and Management
Provide immediate and expert assessment of patients with cancer-related emergencies.
Implement timely and appropriate interventions to manage acute oncological conditions.
Management of Oncological Emergencies within 24 hours (or on first review)
Address complications such as neutropenic sepsis, spinal cord compression, hypercalcemia, and tumour lysis syndrome.
Ensure prompt treatment to prevent morbidity and mortality.
Compliance and adherence to the UKONS Acute Oncology Management Guidelines.
Coordination of Care
Facilitate coordination between oncology specialists, primary care providers, and other healthcare professionals.
Ensure seamless transitions between different levels of care, including inpatient, outpatient and community services.
Patient and Family Support
Provide psychological and emotional support to patients and their families.
Offer counselling and support services to help patients and families cope with the diagnosis and treatment.
Education and Training
Educate healthcare professionals about the recognition and management of oncological emergencies.
Provide training to staff to enhance their skills in managing acute oncology patients.
ANP CNS to be trained to advanced-expert level within UKONs Training programme (Acute Oncology Management Guidelines).
Competency for ANP / CNS to be signed off by clinical lead for Acute Oncology, however one of the privileged Medical Oncology Consultants may sign off in clinical lead's absence.
Prevention of Unplanned Admissions
Implement strategies to reduce unplanned hospital admissions through early intervention and proactive management.
Provide oversight of KPIs within Beacon UKONs Dashboard, monitoring compliance and performance through compliance of UKONS Triage forms.
Develop and follow pathways and protocols to manage common oncological emergencies in the outpatient setting when appropriate.
Clinical Governance and Quality Improvement
Monitor and evaluate the quality of care provided to ensure adherence to clinical guidelines and best practices.
Engage in continuous quality improvement initiatives to enhance patient outcomes and service efficiency.
Domain 1: Professional Values and Conduct
The ANP / CNS will apply ethically sound solutions to complex issues related to individuals and populations by;
Demonstrating accountability and responsibility for professional practice as a lead healthcare professional.
Articulating safe boundaries and engaging in timely referral and collaboration for areas outside their scope.
Demonstrating compassion to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of persons affected by altered health or life-limiting conditions.
Promoting the ANP role in clinical, political and professional contexts and contributing to departmental reports and quality improvement projects.
Domain 2: Clinical Decision-Making
Conduct comprehensive, holistic health assessments using evidence-based frameworks to determine diagnoses and inform advanced nursing care.
Synthesise and interpret assessment information to identify normal, at-risk and sub-normal states of health.
Use diagnostic investigations and advanced assessments to inform clinical decision-making.
Apply knowledge of therapeutic interventions, supported by evidence-based policies and legislation.
Initiate health-promotion activities and self-management plans.
Discharge patients according to agreed policies and referral pathways.
Domain 3: Knowledge and Cognitive Competencies
Lead translation of new knowledge to clinical practice through education, mentorship, audit and quality management.
Educate others using an advanced expert knowledge base derived from clinical experience and continuing professional development.
Demonstrate a vision for advanced practice nursing based on research, critical thinking and experiential learning.
Complete UKONs Training Programme for Acute Oncology Guidelines.
Domain 4: Communication and Interpersonal Competencies
Advocate with other health professionals to respect patient beliefs, rights and wishes.
Communicate effectively with the healthcare team and provide professional language in care plans.
Facilitate clinical supervision and mentorship using expert knowledge.
Utilise information technology to record all aspects of advanced nursing care.
Domain 5: Management and Team Competencies
Support person-centred care, planning, organisation and delivery of the ANP nursing service.
Participate in the development and monitoring of the overall service plan.
Provide leadership, support and advice to nursing and allied staff.
Engage in projects and service developments and represent nursing on relevant committees.
Participate in the JCI accreditation process and related committees.
Promote a culture of quality care and seek feedback to improve service.
Implement practice changes through negotiation and consensus with the multidisciplinary team.
Domain 6: Leadership and Professional Scholarship Competencies
Lead multidisciplinary team planning for transitions across the continuum of care.
Engage in policy development, implementation and evaluation.
Identify gaps in care provision and expand the service to enhance quality and safety.
Lead and manage change.
Person Specification
Qualifications
Be registered in the Advanced Nurse Practitioner division of the Nursing and Midwifery Board of Ireland Register or be a CNS willing to progress to ANP.
Be registered in the Nurse Prescribers division of the Nursing and Midwifery Board of Ireland Register.
Hold a Master of Science Degree (National Framework of Qualifications Level 9 major academic award or equivalent) relevant to the clinical speciality at CNS Grade.
Possess the requisite knowledge and ability, including a high standard of suitability and clinical, professional and administrative capacity.
Experience
Have extensive experience and clinical expertise, i.e. a minimum of 5 years' (full-time or an aggregate of 5 years' full time) post-registration experience.
Have a minimum of 2 years' experience in the specialist area.
Have the ability to practice safely and effectively within scope of practice.
Have evidence of continuing professional development.
Job Specific Competencies and Knowledge
Teamwork
Demonstrate ability to work as part of a multi-disciplinary team.
Show motivation and an innovative approach to job.
Communication & Interpersonal Skills
Build and maintain relationships, particularly in an MDT context.
Present information in a clear and concise manner.
Manage groups through the learning process.
Provide constructive feedback to encourage learning.
Planning & Organising
Demonstrate effective organisational skills and resource management.
Able to attain designated targets, manage deadlines and multiple tasks.
Be self-directed and work on own initiative.
Show willingness to be flexible in response to changing local or organisational requirements.
Building & Maintaining Relationships including Team and Leadership skills
Leadership, change management and team management skills, including ability to work with MDT colleagues.
Commitment to Providing a Quality Service
Show awareness and respect for patient views in relation to their care.
Provide evidence of quality improvement programmes, audit and ongoing professional development.
Analysing and Decision-Making
Demonstrate effective analytical, problem-solving and decision-making skills.
All posts in Beacon Hospital require a high level of flexibility to ensure the delivery of an effective and efficient service.
Therefore, the post holder will be required to demonstrate flexibility as and when required by the manager or hospital management.
This job description is intended to be an outline of the areas of responsibility and deliverables at the time of its writing.
As the Hospital and the post holder develop, this job description may be subject to review in light of the changing needs of the Hospital.
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