OverviewPost Title:Registered Advanced Nurse Practitioner (RANP) EpilepsyPost Status:PermanentDepartmentNeuroCent Directorate Location:Beaumont HospitalReports to:Directorate Nurse Manager, ConsultantSalary:RANP Pay scale €70, 408 - €88,123 pro rataHours of work:19.5 hours/week or 0.5 whole time equivalents (spread across 3 days a week)Closing Date:Monday 18/08/2025 @ 12 noonOverview of PostThe Nursing and Midwifery Board of Ireland (NMBI) sets out the criteria for registration as an Advanced Nurse Practitioner as set out in Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017).Registered Advanced Nurse Practitioners (RANPs) provide expert nursing skills and interventions which transcend traditional nursing roles and responsibilities. RANPs have significant experience, knowledge, and have received training to be able to competently deliver care and skills which serve as an adjunct to, instead of a replacement of, the work of medical colleagues. The overall purpose of the post is to provide safe, timely, evidenced based nurse-led care to patients at an advanced nursing level .This involves undertaking and documenting a complete episode of patient care (assess, diagnose, plan, treat and discharge patients) according to collaboratively agreed protocols, working within a scope of practice and demonstrating advanced clinical and theoretical knowledge. Critical thinking, clinical leadership, and decision making skills are added skills within this role.The role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at a local, regional and national level. The role will contribute to nursing research to shape and advance nursing practice, education and health care policy at local, national and international levels.Epilepsy is a chronic disease characterized by unpredictable, sometimes lifelong, often dangerous seizures which result in involuntary alterations in behaviour and consciousness. The condition affects about one in every 100 people and is second only to stroke as the commonest chronic neurological disorder in Europe. Of the 40,000 people with epilepsy (PWE) in Ireland (10,000 of whom are under 16 years), approximately 70% are well controlled on medicationwhilst it is estimated that 12-15,000 people who have uncontrolled seizures and are in regular contact with secondary and tertiary hospital services.The Core Objectives of the National Epilepsy Clinical Care programme in the Republic of Ireland are (2014):1. Improving Access to expert care and Information2. Improving the Quality of Care across the Healthcare spectrum from prevention thorough managed primary care to complex surgical care for difficult epilepsy3. Improving value conscious care by shifting care where possible from expensive hospital based care to the CommunityThe RANP Epilepsy will be responsible for local delivery of quality epilepsy care at Beaumont Hospital, and the RANP will be clinically accountable to Consultant Neurologists.Responsibilitiesannual report, participating in local and national committees to ensure best practice as per the relevant national clinical and integrated care programme)Acting as a clinical leader and initiating and implementing changes in health services in response to the needs of patientsArticulating and communicating a vision for nursing practice in the area of epilepsy disease care and management that can be developed beyond the current scope of practiceContributing to strategic and innovative development of the epilepsy management services to ensure the constant provision of effective, high quality nursing care to patients with neurological conditions.Providing leadership in clinical practice and acting as a resource and role model for advanced nursing practice, sharing knowledge and expertise with colleaguesAdvocating for advanced nursing practice in the area of epilepsy by undertaking teaching in the clinical area, classroom, and the wider multidisciplinary/patient communityWill ensure that recommendations for travel with use of own vehicle are consistent with recommendations with national HSE policy for travel and subsistence (available online)Domain 2: Clinical-Decision Making CompetencesThe RANP will enhance his/her advanced knowledge, skills, and abilities to engage in senior clinical decision-making by increasing his/her capability to:Conduct a comprehensive holistic health assessment using evidenced based frameworks, policies, procedures, protocols and guidelines to determine diagnoses and inform autonomous, advanced nursing careSynthesise and interpret assessment information (particularly history) including prior treatment outcomes, physical findings and diagnostic data to identify normal, at risk and subnormal states of healthDemonstrate timely use of diagnostic investigations / additional evidence-based advanced assessments to inform clinical-decision makingExhibit comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions, supported by evidence-based policies, procedures, protocols, and guidelines, relevant legislation, and relevant professional regulatory standards and requirementsInitiate and implement health promotion activities and self-management plans in accordance with the wider public health agendaDischarge patients from the service as per an agreed supporting policy, procedure, protocols, guidelines and referral pathwaysManage a caseload - the RANP has the authority to manage an independent and autonomous caseload of patients that falls within a collaboratively agreed scope of practiceAssess referrals for Psychiatry or Psychology as required and expedite relevant referrals to supportive servicesDomain 3: Knowledge and Cognitive CompetencesThe RANP will actively contribute to the professional body of knowledge related to his/her area of advanced practice by enhancing his/her capability to:Provide leadership in the translation of new knowledge to clinical practice (for example teaching sessions; journal clubs; case reviews; facilitating clinical supervision to other members of the team)Educate others using an advanced expert knowledge base derived from clinical experience, on-going reflection, clinical supervision, and engagement in continuous professional developmentDemonstrate a vision for advanced practice nursing based on service need and a competent expert knowledge base that is developed through research, critical thinking, and experiential learningDemonstrate accountability in considering access, cost, and clinical effectiveness when planning, delivering and evaluating care (for example key performance areas, key performance indicators, metrics)Participate in development and continuous evaluation of Integrated Care Pathways, Standard Operating Procedures (SOPs), and Key Performance Indicators (KPIs)Articulate and demonstrate the concept of advanced nursing practice within the framework of relevant legislation, the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI, 2025) and the Scope of Nursing and Midwifery Practice Framework (NMBI, 2015)Develop advanced knowledge of the pharmacodynamics of medications for epilepsy, drug interactions for specific groups, and maintain awareness of teratogenicity issues for womenContribute to the professional body of nursing knowledge both nationally and internationally by presenting at conferences, seminars, and workshopsMaintain expertise in clinical practice supported through ongoing clinical encounter, case discussions, clinics, journal clubs, and other mediumsDomain 4: Communication and Interpersonal CompetencesThe RANP will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the person are respected by gaining increased competence and capability to:Communicate effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements as per established referral pathwaysDemonstrate leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is developed in collaboration with the patient and shared with the other members of the inter-professional team as per the organisation’s policies, procedures, protocols and guidelinesFacilitate clinical supervision and mentorship through utilising one’s expert knowledge and clinical competencesUtilise information technology, in accordance with legislation and organisational policies, procedures, protocols, and guidelines to record all aspects of advanced nursing careFunction as an expert, educator, advocate, researcher, and leader in the area of their specialty management to patients, families and the MDTImplement health promotion strategies for the patient group in accordance with the public health quality and safety agendaDemonstrate appropriate use of electronic records and other forms of medical records in clinical settings with respect for data protection and collectionLiaise and develop strong links with charities and external agenciesCollaborate and coordinate the patient’s journey with MDT partnership. Acknowledge the input and role of MDT team both in Beaumont Hospital and community servicesImprove and enhance community links with primary care services, GPs, other referring hospitals, local pharmacies and organisationsManage and promote liaisons with internal and external bodies as appropriate, for example; intra-hospital service, community services, or voluntary organisations.Maintain and create audits which support the surveillance of service delivery effectiveness and lead on initiatives to manage key performance indicatorsDomain 5: Management and Team CompetencesThe RANP will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:Promoting a culture of quality careProactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvementImplementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving careEngaging in forums which evaluate quality and standards in clinical practice and lead the promotion of effective clinical standardsPromoting an understanding of the role of the RANP and increase awareness of other healthcare colleagues and service users of the scope of practice of the RANPProviding a visible, accessible advanced nurse service as well as delivery of formal and informal teaching and knowledge sharing initiatives.Responding to untoward events or incidents, determine the root cause of these through investigation, reporting on these events, and instigating remedial action to prevent these from happening againContributing to professional and healthcare policy at local, regional and national levelSupport leadership and management functions of more junior colleagues in their teamFacilitating communication and enhancing networks with healthcare teams and supportive services both internally and externallyPromoting a culture that values diversity and respect in the workplaceContributing to the strategic management and planning processFormulating service plans and budgets in co-operation with the wider healthcare teamDomain 6: Leadership and Professional Scholarship CompetencesThe RANP will lead in multidisciplinary team planning for transitions across the continuum of care by enhancing his/her competence and capability to:Demonstrate clinical leadership in the design and evaluation of services (for example findings from research, audit, metrics, new evidence)Engage in health policy development, implementation, and evaluation (for example key performance indicators from national, clinical, and integrated care programmes/HSE national service plan/ local service need to influence and shape the future development and direction of advanced practice in epilepsy management)Identify gaps in the provision of care and services pertaining to his/her area of advanced practice and expand the service to enhance the quality, effectiveness and safety of the service in response to emerging healthcare needsLead in managing and implementing changeResearchThe RANP has a professional responsibility to deliver the highest standard of evidenced based care to patients with neurological conditions. Therefore, the RANP will participate in the research process to develop and contribute to the existing body of knowledge in this area by:Identifying research priorities pertaining to the best practice relating to their specialtyLeading, conducting, disseminating, and publishing nursing research which shapes and advances nursing practice, education, the wider health policy and patient safety agendaIdentifying, critically analysing, disseminating and integrating nursing research and other evidence into this specialist area of clinical practiceContributing to service planning and budgetary processes through the use of audit data and specialist knowledgeInitiating, participating, evaluating, and coordinating clinical audits and research, reviewing process, interventions and outcomes in the area of epilepsy management.Recording pertinent data relating patient care in data base format where the outcomes of this data can be extrapolatedContinuously reviewing clinical practice guidelines/protocols in collaboration with the MDT and ConsultantsProactively forge links with academic institutions in order to participate and collaborate in research studies/forums in the area of epilepsy in line with the RCSI hospital groupClinical GovernanceClinical Governance is an integral part of the RANP role whereby healthcare professionals and teams demonstrate accountability for the quality, safety, and satisfaction of the delivery of care to patients withepilepsy. Clinical Governance supports the provision of the right care, at the right time, from the right person in a safe, caring environment (Health Service Executive, HSE 2012). In conjunction with reporting relationships discussed above, the RANP has an operational responsibility to the Clinical Lead for their service.The RANP will demonstrate adherence to the Clinical Governance agenda by:Participating in the organisation’s clinical governance programme as defined by the Directorate Nurse Manager, the Directorate Business Manager, and the Clinical DirectorInitiating and contributing to the development of KPIs and outcome measures relevant to epilepsy managementAssisting in the monitoring of KPIs and responding to performance improvement initiatives as requiredTaking appropriate action on clinical matters identified as being detrimental to the care and wellbeing of patients, families and staff which may be inhibiting the safe and efficient provision of careEnsuring adherence to the organisation’s policies, procedures and protocols on patient safety, infection control, medication prescribing and the provision, storage and use of medicinal productsEnsuring compliance with the quality and risk safety framework programmeEstablishing a feedback mechanism with the organisation risk advisors and reporting any risk issues to the Directorate Nurse Manager as appropriate.Participating in accreditation programmes external and internal to the Health Service ExecutiveEnsuring adherence to hospital policies in relation to the care and safety of equipment utilised in the fulfilment of clinical dutyClinical Supervision and Practice PortfolioThe RANP will develop 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 RANP engages in on-going clinical supervision as per a Service Level Agreement. The structure, process and outcome of clinical supervision must be explicit. The RANP maintains a record of clinical supervision in his/her professional practice portfolio.Legislation, Regulation, Policy, and GuidelinesThe RANP practises nursing according to:The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2025)Scope of Nursing and Midwifery Practice Framework (NMBI 2015)Values for Nurses and Midwives in Ireland – Care, Compassion and Commitment (Department of Health 2016)Advanced Practice Nursing Standards and Requirements (NMBI 2017)National Health Policies and ProceduresLocal policies, procedures, protocols and guidelinesCurrent legislationThe job description represents the main functions of the role and is subject to review and amendment to reflect changing practice in the service.Selection Criteria:Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate requires for successful discharge of the responsibilities of the postQualificationsMandatory Criteria (Registered Advanced Nurse Practitioners):1. Statutory Registration, Professional Qualifications, Experience, etc(a) Eligible applicants will be those who on the closing date for the competition:(i) Are registered in the Advanced Nurse Practitioner division of the Nursingand Midwifery Board of Ireland Register maintained by the Nursing &Midwifery Board of Ireland (NMBI) (Bord Altranais agusCnáimhseachais na hÉireann).Or(ii) Be eligible to register in the Advanced Nurse Practitioner division of theNursing and Midwifery Board of Ireland Register maintained by theNursing & Midwifery Board of Ireland (NMBI) (Bord Altranais agusCnáimhseachais na hÉireann) by meeting the criteria for registration asan Advanced Nurse Practitioner as specified www.nmbi.ie(iii) Have a broad base of clinical experience relevant to the advanced field ofpractice(iv) Demonstrates the competences relevant to the specialist area of advancedpractice(b) Candidates must possess the requisite knowledge and ability including a highstandard of suitability and clinical, professional and administrative capacity toproperly discharge the functions of the role.2. Annual registration(i) On appointment, practitioners must maintain live annual registration onthe Advanced Nurse Practitioner Division of the register of Nurses andMidwives maintained by the Nursing and Midwifery Board of Ireland(Bord Altranais agus Cnáimhseachais na hÉireann) for the role(ii) Practitioners must confirm annual registration with NMBI to the HSEby way of the annual Patient Safety Assurance Certificate (PSAC).3. HealthCandidates for and any person holding the office must be fully competent and capable ofundertaking the duties attached to the office and be in a state of health such as wouldindicate a reasonable prospect of ability to render regular and efficient service.4. CharacterCandidates for and any person holding the office must be of good character.Desirable Skills:• Level 8 (or above) or equivalent Post Graduate Qualification in the Specialty• A recognised management qualificationInformal Enquiries ONLY to:Name:Cam SalcedoTitle:Directorate Nurse ManagerEmail address:camilosalcedo@beaumont.ieTelephone:Internal Extension 8337 or mobile 087 385 9439Further Information for Candidates:Supplementary information:The Hospitalwww.beaumont.ieManagement Unit:www.beaumont.ie/hrApplication Procedure:Candidates should submit a full curriculum vitae to include the names and contact details of 2 referees (email addresses if possible) when submitting applications through the online applications portal of the hospital careers website.A short listing exercise may be carried out on the basis of information supplied in your application. The criteria for ranking and or short listing 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.
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