Establish effective communications and working relationships with; Directors of Nursing in our local Nursing Homes, Community Health organisation support and intervention teams, Older Persons Services within our Hospitals and Hospital management.
Ensure the Senior management team within our Hospital and RCSI Hospital Group are appraised of assessments in a timely manner and that issues of concern involving potential risks to the safety of Nursing Home residents are escalated in an appropriate and timely manner. The focus of the role is both to assist with proactive planning towards closer integration involving Hospital services and also to ensure an appropriate and timely response to the defined Healthcare needs of Nursing Home Residents.
Utilising the RCSI Hospitals Nursing Home Check Framework to Proactively assess and monitor the capacity of individual Nursing Homes to manage current or potential threats to the safety of residents, in a manner that may; assist with both early warning and action planning with partners, and inform a capacity building plan to support the Nursing Home Director of Nursing and her team. This may include but is not limited to; Training and Education, access to Expert clinical support (Infection Control, Older persons consultant, RANP etc) that may not be available within the Community Health Organisation support /intervention team or primary care or within the Nursing Homes own resources.
Identify issues of access to acute care services for residents in Private sector Nursing Homes and work with key stakeholders in Community Health Organisation and RCSI Hospitals to enable access to Health services on the principle of Right person, Right place, Right time.
Similarly, identify situations were a Nursing Home resident(s) may present to an acute care services e.g. An Emergency Department due to issues that may reasonably be deemed avoidable, and work with key stakeholders to proactively put in place more appropriate services, or measures, recognising the principle of Right Person Right Place Right time. This may involve individual care planning solutions with key stakeholders or if required a system redesign solution with key stakeholders
Identify any situation, after consultation with the Community Health Organisation support/intervention team where Nursing homes may require; possible supply of equipment or stock or personnel, and provide an assessment of the resource need (Medical Nursing HSCP Clerical or General Support/vital signs monitors, medical gases, personal protective equipment, iv fluids and administration sets etc) to hospital management.
Identify current opportunities for Hospital management to ensure appropriate and timely access to specialist medical opinion from geriatricians, consultants in palliative medicine, psychiatry of old age and others for Nursing Home residents. Consistent with policy and strategy this should be achieved on the principle that Care is delivered as close to home as possible e.g. domiciliary care (Hospital Outreach) , or remote expert guidance to Nursing Home Staff or residents via remote/virtual clinic via a suitable ITC platform (e.g. Attend Anywhere, Salasco), or an alternative community facility (such as day hospitals for older people – Louth County Hospital, Cottage Hospital).
Work with key partners and Hospital and Group management to develop a ‘Future Access and Integration Plan’ with partners to ensure residents in Private Sector Nursing Homes have timely access to;
Frailty assessment and rehabilitation services such as occupational therapy, physiotherapy, speech and language therapy; and other services such as clinical nutrition/dietetics, tissue viability advice, infection prevention and control (IPC), IV antibiotic administration, diabetes management.
Work with Emergency Care, Older Persons Multidisciplinary teams and community support and intervention teams to support and facilitate to the optimum the person’s ability to remain in their own home via Hospital admission avoidance in line with Right Person, Right Place , Right time.
Ensure a robust procedure is established to ensure a pre- transfer of patients to Nursing Homes fulfils all the required criteria, including; Testing requirements in line with national guidelines. A programme of audit to monitor and verify compliance against this standard should be developed and implemented.
Initially act as primary Hospitals ‘point of contact’ for Nursing Home Directors and GP’s of Nursing Home residents to enable appropriate communication, access to diagnostic services in line with agreed hospital policy. Thereafter work with Hospital management to ensure systems and processes are in place for same, once issues of access, capacity, and governance etc are addressed.
Advise the Director of Nursing of any opportunities to support leadership or clinical competence capacity building in Nursing homes in the locality e.g. supporting the training of Nurses in Tissue viability, infection control etc.
The Assistant Director of Nursing role Nursing Home Liaison and Support is a key Nursing leadership role and as such the post holder is central to the delivery of the Hospital and RCSI Hospital Group Strategy. The nature and requirements of this role may adapt to reflect this as new strategy emerges.
The RCSI Hospital Group includes the following hospitals
The Academic Partner for the Group is the RCSI.
RCSI Hospital Group provides a national service and a regional service to Dublin and the North East and is committed to the provision of world-class care, exceptional clinical services with respect and compassion.
Professional /Clinical Responsibilities
Education and Training
Quality/ Health & Safety/Risk Management
Candidates must on the latest date for receiving completed application forms for the office:
(i) Are registered, or are eligible for registration, in the General Nurse
Division, and other divisions as relevant to the specific service, of the
Register of Nurses and Midwives, as appropriate, maintained by the
Nursing & Midwifery Board of Ireland [NMBI] (Bord Altranais agus
Cnáimhseachais na hÉireann).
(ii) Have 7 years post registration nursing experience and 3 years Nursing
Management experience at a minimum of Clinical Nurse Manager 2
(CNM 2) or equivalent in an acute or older persons setting.
(iii) Have successfully completed a post registration programme of study, as
certified by the education provider, which verifies that the applicant has
achieved a National Framework of Qualifications (NFQ) major academic
Level 8 or higher award maintained by Quality & Qualifications of
Ireland (QQI) or can provide written evidence from the Higher Education
Institute that they have achieved the number of ECTS credits equivalent
to a Level 8 or higher standard in a health care or management related area.
(b) Candidates must possess the requisite clinical, leadership, managerial and
Administrative knowledge and ability for the proper discharge of the duties of the office.
Practitioners must maintain live annual registration on the General Nursing Division of the Nurses & Midwifery Register maintained by the Nursing & Midwifery Registration Board (Bord Altranais agus Cnáimhseachais na hÉireann)
Please note that appointment to and continuation in posts that require statutory registration is dependent upon the post holder maintaining annual registration in the relevant division of the register maintained by Bord Altranais agus Cnáimhseachais na hÉireann (Nursing & Midwifery Board of Ireland)
A candidate 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.
Each candidate for and any person holding the office must be of good character
The Public Service Superannuation (Age of Retirement) Act, 2018* set 70 years as the compulsory retirement age for public servants.
* Public Servants not affected by this legislation:
Public servants recruited between 1 April 2004 and 31 December 2012 (new entrants) have no compulsory retirement age.
Public servants recruited since 1 January 2013 are members of the Single Pension Scheme and have a compulsory retirement age of 70.
Post Specific Requirements:
Recent Clinical Nursing experience /management experience in the Acute or Older Persons Nursing settings