Overview of role
The candidate Clinical Nurse Specialist (cCNS) in Haematology will be supported to develop a clinical practice role, which will balance patient facing and non-patient facing work practices and care giving.
Patient facing care comprises the assessment, planning, delivery and evaluation of care to the service user, family and/or carer.
Non- patient facing care relates to activities that influence and support the provision of direct care.
The cCNS Haematology will act as a key liaison between patients, families, and multidisciplinary teams, ensuring continuity of care, symptom management, and psychosocial support throughout the cancer journey.
Primary Duties and Responsibilities
The cCNS Haematology will work closely with the patient, patient's medical team, nursing team, multidisciplinary team members to ensure evidence – based practice in delivering high standards of care in all areas of patient care.
This will include, but is not limited to:
Patient and family education pre and post treatment
Serve as a clinical resource in relation to care of the patient undergoing haematological treatment
Maintain a clinical database of patients and their treatment and outcomes (survivorship)
Document all procedures, evaluations, treatments, outcomes, education and referrals consistent with Hospital policy and national / international standards
Participate in follow up clinics / phone calls as required
The cCNS Haematology's roles and responsibilities are developed around five core concepts which include:
Clinical focus
Service user / client advocacy
Education and Training
Audit and Research
Consultancy – including leadership in clinical practice
The cCNS Haematology will be dynamic, enthusiastic, conscientious and passionate with strong clinical leadership and the ability to develop the role to meet the evolving needs of the Haematology patient, in UPMC Whitfield Hospital.
The cCNS Haematology will be responsible for acting as a point of contact for patients in the out-patient setting, providing a telephone triage hotline service using a validated assessment tool (AOS), undertaking detailed patient assessments and actively participate in planning and performing unscheduled review of patients presenting unwell to the oncology/haematology day units with disease/treatment related side effects.
The cCNS Haematology will provide increased access to specialised haematological nursing care for patients on active treatment to enhance patient safety and minimise risks.
The cCNS Haematology will work within the acute haematology and oncology services in UPMC Whitfield Hospital, as part of the MDT.
The cCNS Haematology will work with the CNS Medical Oncology and medical oncology day ward staff, providing support and shared learning, in line with evidence based practice and NCCP guidelines
Professional /Clinical
The post holder's practice isbased on the five core concepts of Clinical Nurse Specialist role as defined bythe NCNM 4th edition *****) in order to fulfil the role.
The concepts are:
Clinical Focus
Patient Advocate
Education and Training
Audit and Research
Consultant Clinical Focus.
Clinical Focus:
The Clinical Nurse Specialist CNS will have a strong patient focus wherebythe specialty defines itself as nursing and subscribes to the overall purpose,functions and ethical standards of nursing.
The clinical practice role may bedivided into direct and indirect care.
Direct care comprises theassessment, planning, delivery and evaluation of care to the patient, familyand/or carer.
Indirect care relates to activities that influence and supportthe provision of direct care.
Patient Facing Care:
Throughout the agreed pathway, thecCNS will be enabled to develop the specific knowledge, skills and competenciesto:
Provide a specialist nursing service for haematology service users with a diagnosis of haematological condition who require support and treatment through the continuum of care
Undertake comprehensive service user assessment to include physical, psychological, social and spiritual elements of care using best evidence based practice in haematology care
Use the outcomes of nursing assessment to develop and implement plans of care/service user group management to contribute to the plans of service users, their families/carers
Monitor and evaluate the service user's response to treatment and amend the plan of care accordingly in collaboration with the consultants, MDT and service user, family and/or carer as appropriate.
Make alterations in the management of service user condition in collaboration with the consultants andMDT and the service user in line with the agreed pathways and policies, procedures, protocols and guidelines (PPPG's).
Accept appropriate referrals from MDT colleagues
Co-ordinate investigations, treatment therapies and service user follow-up
Communicate with service users, family and/or carer as appropriate, to assess service user needs and provide relevant support, information, education, advice and counselling as required
Where appropriate, work collaboratively with MDT colleagues across different hospital group sites to provide a seamless service delivery to the service user, family and/or carer as appropriate
Participate in medication reconciliation taking cognisance of poly-pharmacy and support medical and pharmacy staff with medication reviews and medication management
Identify and promote specific symptom management strategies as well as the identification of triggers which may cause exacerbation of symptoms.
Provide service user with appropriate self-management strategies and escalation pathways
Develop and implement nurse led haematology clinics in collaboration with the MDT
Identify health promotion priorities for the service user, family and/or carer and support service user self-care in line with best evidence.
This will include the provision of educational and health promotion material which is comprehensive, easy to understand and meets service user' needs.
Non- patient facing Care:
Throughout the agreed pathway, thecCNS Haematology will be enabled to develop the specific knowledge, skills andcompetencies to:
Identify and agree appropriate referral pathways for service user with haematological conditions
Participate in service user case reviews with the consultants andMDT colleagues
Use a case management approach to service user complex needs in collaboration with the consultants and MDT, across multiple healthcare group sites, as appropriate
Take a proactive role in the formulation and provision of evidence based PPPGs relating to haematology care
Take a lead role in ensuring the nursing service for service user with haematological condition is in line with best practice guidelines, NCCP recommendations and the Safer Better Healthcare Standards (HIQA, ****)
Patient Advocate:
Throughout the agreed pathway, thecCNS Haematology will be enabled to develop the specific knowledge, skills andcompetencies to:
Communicate, negotiate and represent service user, family and/or carer values and decisions in relation to their condition to consultant and MDT colleagues, across multiple healthcare group sites,as appropriate
Develop and support the concept of advocacy, particularly in relation to service user participation in decision making, thereby enabling informed choice of treatment options
Respect and maintain the privacy, dignity and confidentiality of the service user, family and/or carers
Establish, maintain and improve procedures for nursing collaboration and cooperation between Acute Services in UPMC Whitfield Hospital and other healthcare group sites,as appropriate
Proactively challenge any interaction, which fails to deliver a good quality service to service user.
Managerial Responsibilities:
Throughoutthe agreed pathway, the cCNS (Haematology) will be enabled to develop thespecific knowledge, skills and competencies to:
Provide an efficient, effective and high quality nursing service, respecting the needs of each service user, family and/or carer
Effectively manage time and caseload in order to meet changing and developing service needs
Continually monitor the nursing service to ensure it reflects current needs
Implement and manage identified changes, in conjunction with the nursing leadership team in the Medical Services and UPMC Whitfield Hospital, as a whole
Ensure that confidentiality in relation to service user records is maintained, in line with GDPR practices
Understand the need to represent the specialist nursing service at local, national and international forum, as required
Maintain accurate and contemporaneous records and data on all matters pertaining to the planning, management, delivery and evaluation of nursing and ensure that this service is in line with UPMC Ireland, HIQA, NCCP, CHKS and JCI requirements.
Contribute to the service planning process as appropriate and as directed by the Director of Nursing/Line Manager
To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.
KPI's
The identification and development of KeyPerformance Indicators (KPIs) which are congruent with the UPMC WhitfieldHospital's service plan.
Establishmentand development of Action Plans to address KPI targets.
Driving and promoting a Performance Management culture.
Inconjunction with line manager assist in the development of a PerformanceManagement system for Haematology service.
Themanagement and delivery of KPIs as a routine and core business objective.
Education & Training
Throughout the agreed pathway, thecCNS Haematology will be enabled to develop the specific knowledge, skills andcompetencies to:
Develop clinical competence in service user management within haematology nursing, keeping up-to-date with relevant research to ensure the implementation of evidence based practice.
Provide the service user, family and/or carer with appropriate information, education and other supportive interventions to increase their knowledge, skill and confidence and autonomy in managing their haematological condition.
Contribute to the design, development and implementation of education programmes and resources for the service user, family and/or carer in relation to their condition to enable them to manage their own condition.
Participate in training programmes for nursing, MDT colleagues and key stakeholders, as appropriate
Create exchange of learning opportunities within the MDT in relation to evidence based haematology nursing, delivered via journal clubs, conferences, education days etc.
Develop and maintain links with Regional Centres for Nursing and Midwifery Education (RCNMEs), the Nursing and Midwifery Planning and Development Units (NMPDUs) and relevant third level Higher Education Institutes (HEIs) in the design, development and delivery of nursing educational programmes in haematology care
In tandem with the line management structure, be responsible for addressing own continuing professional development (CPD) needs to achieve competencies required for the role
Use agreed protected time for research, education and professional development
With the line manager, use the Engagement and Competency plans to roadmap and self-assess competency achievement and additional CPD needs
Audit & Research
Throughout the agreed pathway, thecCNS Haematology will be enabled to develop the specific knowledge, skills andcompetencies to:
Establish and maintain a register of service user with haematology within the cCNS Haematology caseload.
Maintain a record of clinically relevant data aligned to National Key Performance Indicators (KPI's) as directed and advised by the DON and NCCP guidelines.
Identify, initiate and conduct nursing audit and research relevant to Haematology and take part in MDT audit and research.
Identify, critically analyse, disseminate and integrate into practice, best evidence relating to care in haematology
Contribute to nursing research on haematology care.
Use the outcomes of audit to improve nursing service provision and advocate, when appropriate, for improvement of non-nursing services
Contribute to service planning and budgetary processes through use of audit data and specialist knowledge
Monitor, access, utilise and disseminate current relevant research to advise and ensure the provision of informed evidence based nursing practice.
Audit expected outcomes including:
Collate data (agreed KPIs/clinical targets as per the National CancerControl Programmes Guidelines), which will provide evidence of theeffectiveness of CNS interventions undertaken 3 or 4 - Refer to the NationalCouncil for the Professional Development of Nursing and Midwifery final report- Evaluation of Clinical Nurse and Midwife Specialist and Advanced Nurse andMidwife Practitioner roles in Ireland (SCAPE Report, ****) and refer to theNational KPIs associated with the speciality.
They should have a clinicalnursing focus as well as a breakdown of activity - patients seen and treated.
Evaluate audit results andresearch findings to identify areas for quality improvement in collaborationwith nursing management and MDT colleagues.
Consultant
The CNS will:
Provideleadership in clinical practice and act as a resource and role modelforHaematology practice.
Generate and contribute to the development of clinical standardsand guidelines and support implementation.
Use specialist knowledge to support and enhance general nursingpractice.
Developcollaborative working relationships with local OncologyClinicalNurse Specialist's/Registered Advanced Nurse/Midwife Practitioner/MDTcolleagues as appropriate, developing person centred care pathways topromote the integrated model of care delivery.
With the support of the Director of Nursing, attend integrated careplanning meetings as required.
Where appropriate develop and maintain relationships withspecialist services in voluntary organisations which support patients inthe community.
Liaise with other health service providers in the development andon-going delivery of the National Clinical Programme model of care.
Network with other Clinical Nurse Specialist inOncologyandin related professional associations.
Quality, Risk and Safety Responsibilities
It is the responsibility of allUPMC Whitfield staff to:
Participate and cooperate with legislative and regulatory requirements withregard to quality, risk and safety
Participate and cooperate with local quality, risk and safety initiatives asrequired
Participate and cooperate with internal and external evaluations of theorganisation's structures, services and processes as required, including butnot limited to, The National Hygiene Audit, National Decontamination Audit,Health and Safety Audits, HIQA, CHKS, DGSA, ISO and other audits specified byregulatory authorities
Initiate,support and implement quality improvement initiatives in their area which arein keeping with local organisational quality, risk and safety requirements
Contributeto the development of PPPGs and safe professional practice and adhere torelevant legislation, regulations and standards
Complywith UPMC Ireland Complaints Policy
Ensurecompletion of incident/near miss forms and clinical risk reporting
Adhere todepartment policies in relation to the care and safety of any equipmentsupplied and used to carry out the responsibilities of the role of CNS.
It is the responsibility of allstaff to ensure compliance with local organisational hygiene standards,guidelines and practices.
Professional Knowledge
The cCNS Haematology will:
Practice in accordance withrelevant legislation and with regard to The Code of Professional Conduct andEthics for Registered Nurses and Registered Midwives (Nursing and MidwiferyBoard of Ireland) Incorporating, The Scope of Nursing & Midwifery Practiceand Professional Guidance ****)
Maintain a high standard ofprofessional behaviour and be professionally accountable for actions/omissions.Take measures to develop and maintain the competences required for professionalpractice
Adhere to the Nursing &Midwifery values of Care, Compassion and Commitment (DoH, ****)
Adhere to national, regional andlocal UPMC Whitfield Hospital PPPGs
Adhere to relevant legislationand regulation (HIQA, NCCP etc.)
Adhere to appropriate lines ofauthority within the nurse/midwife management structure.
Qualifications & Experience:
1. Professional Qualifications,experience etc.
(a) I) Be a registered nurse on theactive Register of Nurses and Midwives held by An Bord Altranais agusCnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) or beeligible to be so registered
And
II) Be willing to undertake andcomplete a post registration programme of study, ascertified by the education provider,which verifies that the applicant has
achieved a Quality and QualificationsIreland (QQI), National Framework of
Qualifications (NFQ) major academicLevel 8 or higher relevant in Cancer
Nursing, within one year ofcommencing in post
Or
Can provide written evidence fromhigher education institute that they have
achieved the number of ECTS creditsequivalent to a Level 8 or higher
standard, relevant to the specialistarea prior application
And
III) Have a minimum of 3 years postregistration full time experience or an
aggregate of 3 years full time inCancer Nursing.
And
IV) Evidence of career developmentand personal development plan
And
V) Demonstrate evidence of continuingprofessional development and
competence in delivering aprofessional service in Cancer Nursing
(b) Have the ability to practicesafely and effectively fulfilling his/her professional responsibility withinhis/her scope of practice
2 Annual registration
(i) Practitioners must maintain liveannual registration on the appropriate/relevant
Division of the register of Nursesand Midwives maintained by the Nursing and
Midwifery Board of Ireland (BordAltranais agus Cnáimhseachais na hÉireann) for the role
And
(ii) Confirm annual registration with NMBI to UPMC Ireland.
Equal Opportunity Statement and Benefits
UPMC is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environmentfor all employees.
At UPMC we provide a total rewards programthat is not only market competitive, but fair and provides growth opportunitiesfor all our colleagues.
Compensation
– Competitive pay for the work employees do – base pay, performance related payand premium pay where applicable.
Benefits
–Fully paid maternity and paternity leave for new parents.
Competitive PensionPlan, company funded Death in Service Benefit x 3 times.
Critical Illness coverfor all employees up to the age of 66.
Performance and Recognition
– Rewards for performance that supports the goals and mission ofUPMC through our annual ACES programme.
Work-Life Balance
– Enhanced annual leave up to a maximum of 27 days.
Flexibleworking opportunities to support you to work around external familycommitments.
Developmentand Career Opportunities
– Opportunities for each employee to reachtheir career goals through continued learning and/or advancement.
AboutUPMC
UPMC is a renowned multinational academic medicalcentre committed to delivering people-focused care that's close to home.Headquartered in Pittsburgh and affiliated with the University of PittsburghSchools of the Health Sciences, UPMC shapes the future of health throughclinical and technological innovation, research and education.UPMCexpands its expertise globally, bringing world-class care acrosscontinents through its UPMC Internationaldivision — an owned and operatednetwork of hospitals and ambulatory care centres in Italy, IrelandandCroatia.
UPMC International brings new access to the signature specialtyservices of UPMC Hillman Cancer Centre, UPMC Sports Medicineand others tomore people in more places around the world.
In Ireland UPMC has provided high-quality healthcare in the South East since****.
UPMC's operations in Ireland now include UPMC Whitfield Hospital inWaterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital inClane, and UPMC Aut Even Hospital in Kilkenny.
Outpatient care is available atthe UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapylocations in Waterford and Cork, UPMC The 4th Practice in Mallow, and acrossUPMC Sports Medicine Clinics in Dublin, Waterford, Limerick, Tipperary, Cork, andMayo.
UPMC has also established a nationwide Concussion Network.
UPMC'sGlobal Technology Operation Centre is based in Kilkenny.
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