Clinical Nurse Manager 2 - Early Supported Discharge Stroke (ESD)
- Beaumont Hospital, Beaumont Rd, Beaumont, Dublin 9, Ireland
- Fluent English
- 4 to 6 Years Experience
Post Title: Clinical Nurse Manager 2 - Early Supported Discharge Stroke (ESD)
Post Status: Temporary Specified Purpose – Winter Initiative
Department: NeuroCent Directorate
Location: Beaumont Hospital, Dublin 9
Reports to: Directorate Nurse Manager
Salary: Appointment will be made on CNM 2 Payscale (€48,570- €57,421) at a point in line with Government pay policy.
Hours of work: Part time (19.5 hours per week)
Closing Date: 12 Noon on Wednesday, 21st February 2018
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.
• Comply with all existing Hospital policies.
1. Clinical Role
The CNM 2 in Early Supported Discharge will:
Primary Role – Early Supported Discharge - Stroke
• Liaise with stroke CNS and CNM 2 on potential ESD candidates.
• Develop stroke services in line with the Stroke Care National Clinical Programme Model of Care and associated guidelines with reference to the ESD 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:
- Multidisciplinary meeting involvement
- Support in patient’s home to reduce length of stay and avoid readmission to hospital where possible through nursing and social care at home in keeping with the Lone Workers Policy and Guidelines 2012 www.hse.ie/safetyandwellbeing
- Nursing assessment of patient care e.g. Function- Barthel Index, neurological status-NIHSS / GCS, Pre-morbid status-mRS, etc.
- Planning patient care - the CNM 2 (ESD) 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 disciplines.
• Actively promote the liaison and co-ordination of care for patients between stroke services, the hospital and community services.
• 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
May require to assist CNS Stroke and CNMII in Stroke/Thrombectomy where appropriate.
• 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
The CNM 2 ESD – Stroke will:
• 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
• Educate and provide supportive care to the patient and their family through all stages of stroke disease trajectory.
The CNM2 ESD Stroke will:
• 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
The CNM2 ESD Stroke will:
• 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
The CNM2 ESD Stroke will:
• 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.
The CNM2 ESD Stroke will:
• 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
• The CNM2 for Early Supported Discharge will be professionally accountable to the Director of Nursing and works in partnership with the multidisciplinary team.
• Will report to the NeuroCent Directorate Nurse Manager as required on operational matters.
The extent and speed of change in the delivery of health care is such that adaptability is essential at this level of appointment. The above Job Specification is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him / her from time to time and to contribute to the development of the post while in office.
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.
· A minimum of 5 years post registration experience, with a minimum of 2 years’ experience in neurosciences nursing or nursing care of acute stroke patients.
· Demonstrate evidence of continuing professional development at the appropriate level.
· Have the clinical, managerial and administrative capacity to properly discharge the functions of the role
· A post graduate qualification in Stroke / Neuroscience/ Gerontology Nursing or relevant speciality or willingness to commit to same.
· A management qualification.
· Applicants must be registered on the General Register of Nurses by the Nursing Board of Ireland.
Further Information for Candidates:
The Hospital www.beaumont.ie
Management Unit: www.beaumont.ie/hr
Informal Enquiries ONLY to:
Name: Sharon Trehy
Title: Directorate Nurse Manager
Email address: firstname.lastname@example.org
Telephone: 01 8528337