RCSI Hospital Group HQ

Clinical Nurse Manager II- Vascular Access Coordinator (Renal Dialysis Unit)

Job Locations Cavan & Monaghan Hospitals
Posted Date 1 week ago(19/11/2021 11:49)
Job ID
# of Openings
Nursing & Midwifery
Closing Date


Location of post:

Cavan & Monaghan Hospital,  (RCSI) Hospital Group

There is currently 1 x permanent whole-time vacancy available in Renal Unit, Cavan General Hospital.

A panel may be formed as a result of this campaign for Cavan Monaghan Hospital from which current and future, permanent and specified purpose vacancies of full or part-time duration may be filled.


Vascular Access coordinator has a pivotal role:

  • Service planning, co-ordinating, and managing activity and resources In the coordination of vascular access
  • Management and treatment of patient’s, to ensure that the optimum standard of care is provided.

Details of service:

The Renal Dialysis Unit (RDU) facilitates Maintenance Haemodialysis for End Stage Renal failure patients

The Unit has 17 stations & one isolation room

The provision of a Vascular Access Coordinator at Cavan General Hospital will Facilitate an increase in the desired vascular access of choice – the Arteriovenous fistula, with the added associated advantages of:


  • Establishing a pre-operative and surveillance vein mapping service for haemodialysis patients within their local renal services
  • Establishing a virtual clinic together with the renal consultant and the vascular surgeons in Beaumont Hospital.
  • Reducing notable access failures consequent in hospitalisation and CVC insertion through surveillance
  • Enhanced quality of life.

The service will include:

  • Assessment at point of entry to service.
  • Patient education and informed consent
  • Pre-operative ultrasound vein mapping.
  • Continued liaison with the vascular access nurse and surgeons in Beaumont, organising arteriovenous fistula formation.
  • Post-operative scan at six weeks to assess maturation and detect early complications.
  • Three monthly surveillance
  • Ongoing renal staff education and training.

Implementation of ultrasound guided cannulation for all new arteriovenous fistula’s and AVFs difficult to cannulate.


Reporting to: 

Reports to the Assistant Director of Nursing

Accountable to the Director of Nursing.

Organisational Context

The RCSI Hospital Group includes the following hospitals;


  • Beaumont Hospital
  • Cavan General Hospital
  • Connolly Hospital
  • Louth County Hospital
  • Monaghan General Hospital
  • Our Lady of Lourdes Hospital
  • Rotunda Hospital


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.

Key Responsibilities

Cavan & Monaghan Hospital’s Catchment Population of over 120,000 covering Counties Cavan & Monaghan, and parts of Counties Longford, Leitrim, and Meath. Cavan Monaghan Hospital is part of the RCSI Hospitals Group which covers a population in excess of 800,000. Cavan & Monaghan Hospital provides a range of acute medical, surgical, obstetric, and gynaecological, paediatric services, day care, outpatient, diagnostic and support services.  Emergency services are provided on a 365-day, 24 hour basis.  Multi-disciplinary teams representative of medical, nursing/midwifery, health and social care professionals, management administration and general support staff play a pivotal role in the development, delivery, monitoring and evaluation of these services.  Cavan General Hospital has a total in-patient bed complement of 255 and 102 day beds.  Monaghan Hospital has a total of 54 in-patient beds inclusive of step-down and rehabilitation and 17 day beds. The total staff HSE complement is approximately 1279 in Cavan General Hospital and 159 in Monaghan Hospital.  The hospital is affiliated to the Royal College of Surgeons in Ireland (RCSI) for medical education, to Dundalk Institute of Technology for nursing education and to University College Dublin (UCD), Trinity College Dublin (TCD) and the Institute of Technology for health and social care professional education. 


Professional /Clinical


The CNM 2, Vascular Access Coordinator, Renal Dialysis Unit will:

  • Provide a high level of professional and clinical leadership, demonstrating the values of compassion, care and commitment.
  • Provide safe, comprehensive nursing care to patients according to the Code of Professional Conduct as laid down by the Bord Altranais agus Cnáimhseachais na hÉireann (Nursing Midwifery Board Ireland) and Professional Clinical Guidelines
  • Practice nursing according to:
    • Professional Clinical Guidelines
    • National and Area Health Service Executive (HSE) guidelines.
    • Local policies, protocols and guidelines
    • Current legislation
  • Be responsible for the assessment of standards of nursing practice, with a particular focus on renal vascular access.
  • Collaborate with service users, family, carers and other staff in treatment / care planning and in the provision of support and advice.
  • Be responsible for the co-ordination of a regular schedule education, professional development and clinical audit.
  • Participate in teams / meetings / committees as appropriate, communicating and working in co-operation with other team members.
  • Develop on annual work plan to meet the changing service needs.
  • Maintain records in accordance with local service and professional standards.
  • Manage resources efficiently and effectively to ensure continuous quality improvement in service.
  • Attend and participate on departmental governance teams as required.
  • Adhere to and contribute to the development and maintenance of nursing standards, protocols and guidelines consistent with the highest standards of patient care.
  • Evaluate and manage the implementation of best practice policy and procedures.
  • Maintain professional standards in relation to confidentiality, ethics and legislation
  • Operate within the scope of practice - seek advice and assistance from his / her manager with any cases or issues that prove to be beyond the scope of his / her professional competence in line with principles of best practice and clinical governance.
  • Participate in the development, formulation and evaluation of guidelines, policies and procedures to enhance a quality service.
  • Promote the guidelines for safety and best practice laid down by the hospital policies, Nursing and Midwifery Board of Ireland guidelines and relevant Acts such as Data Protection Act 1988, and The Health, Safety & Welfare at Work Act 1999.
  • Manage own caseload in accordance with the needs of the post.


Liaison and Communication:


The CNM 2, Vascular Access Coordinator, Renal Dialysis Unit will:

  • Liaise closely with Clinical Nurse Managers in the renal unit in relation to policy proposals, staff training and development.
  • Ensure appropriate liaison and communication within the Department of Nursing and with all members of the multidisciplinary team as necessary.
  • Attend relevant meetings as required for role, liaison with appropriate staff.
  • Attend ward meetings and staff suggestions for improvement in the system of work.
  • Maintain open communication with all relevant staff.
  • Develop good working relationships with wards and departments to promote quality patient centred care.
  • Consult inter and intra-disciplinary both internally and externally as part of the contribution to promote staff education and patient management.
  • Promote effective nurse documentation in the department and maintain appropriate records.


Education and Training


The CNM 2, Vascular Access Coordinator, Renal Dialysis Unit will

  • Develop and deliver education for patient’s in relation to the vascular access options available to them.
  • Develop and deliver an education and training programme for renal nurse in relation to best practice techniques for cannulation, ultrasound guided cannulation and guidelines for AVF and CVC.
  • Support orientation and competency development for nursing staff commencing a post in the renal unit in the area of vascular access.
  • Support the development of quality improvement initiatives to support evidence-based nursing practice in the renal unit for patients in relation to arteriovenous fistula and central venous catheters.
  • Work with the multidisciplinary team in establishing and maintaining a quality clinical learning environment.
  • Keep up to date with current research, ensure evidence-based practice and research is utilised and must contribute to nursing research that is relevant to his/her area of practice.
  • Participate in training and in-service education programmes
  • Plan, organise, supervise, assess, evaluate and monitor quality nursing standards and foster advance evidence based clinical practice and the clinical learning environment.
  • Assist in the implementation of personal development planning in nursing services
  • Engage in continuing professional development by keeping up to date with nursing literature, recent nursing research and new developments in nursing management, education and practice and to attend staff study days and engage in clinical practice to maintain clinical competency as considered appropriate.
  • Engage in performance review processes including personal development planning as appropriate.
  • Provide support and supportive supervision to front-line staff where appropriate.
  • Supervise and assess student nurses and foster a clinical learning environment.



The CNM 2 , Vascular Access coordinator, Renal Dialysis Unit will:

  • Provide the necessary supervision, co-ordination and deployment of nursing and support staff to ensure the optimum delivery of care for patients with a vascular access.
  • To assess, plan, implement and evaluate programmes of care, providing specialist advice and actively seeking evidence-based practice which will improve the quality of care and meet the needs of the patients.
  • Provide professional and clinical leadership and vision and facilitate team building to provide planned care and develop educational strategies and service goals.
  • Maintain a quality standard of service. Lead on pro-active quality improvement and support accreditation.
  • Initiate relevant audits related to practice and participate in quality improvements initiatives.
  • Provide leadership and motivation which is conducive to good working relations and work performance.
  • Promote a culture that values diversity and respect in the workplace.
  • Lead and support the implementation of change.
  • Promote, facilitate and participate in the development of nursing policies and procedures relevant to the area of vascular access. Monitor as appropriate and lead on proactive improvement.
  • Manage and promote liaisons with internal / external bodies as appropriate e.g. intra-hospital service and the community.
  • Maintain all necessary clinical and administrative records and reporting arrangements.
  • Engage in IT developments as they apply to service user and service administration.
  • Manage all resources efficiently and effectively within agreed budget.
  • Manage the patient load and build successful links between key professionals to support and promote effective multi-disciplinary team working.


Health & Safety

The CNM 2, Vascular Access Coordinator, Renal Dialysis Unit will:

  • 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, Decontamination of the ultrasound machine and record keeping.
  • Assist Clinical Nurse Managers / nursing staff in their development in observing and ensuring implementation and adherence to established policies and procedures e.g. health and safety, infection control, storage and use of controlled drugs etc.
  • Adhere to department policies in relation to the care and safety of any equipment supplied for the fulfilment of duty.
  • Support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

Essential Criteria

Eligible applicants will be those who on the closing date for the competition:


 1. Professional Qualifications, Experience, etc


(i) Are registered in the General division of the Register of Nurses & Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) or entitled to be so registered.



(ii) Have at least 5 years post registration experience of which 2 must be in the speciality of Renal Dialysis.




(iii) Have the clinical, managerial and administrative capacity to properly discharge the function of the role.



(iv) Candidates must demonstrate evidence of continuous professional development.




b) Candidates must possess the requisite knowledge and ability including a high standard of suitability and clinical, managerial and administrative capacity to properly discharge the functions of the role.



  1. Annual registration

(i) On appointment, practitioners must maintain live annual registration on the relevant division of the Register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann).



(ii) Confirm annual registration with NMBI to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC).


  1. Health

Candidates 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.

  1. Character

Candidates for and any person holding the office must be of good character.


Post Specific Requirements

  • Demonstrate depth and breadth of experience in Renal nursing and vascular access as relevant to the role.

Holds a recognised post registration qualification in Renal Dialysis or related clinical area.

Skills & Competencies

Candidates must:


Technical & Professional Knowledge

Has a command over the technical/ professional skills and knowledge required within the job holder’s role and continues to upskill to maintain high professional standards and continuous professional development requirements


Leadership and Management

Manages performance to deliver team goals; demonstrates accountability for leading, directing, monitoring and evaluating RCSI Hospital Group services. Creates a climate in which people want to do their best. Promotes confidence and positive attitude; influences others to follow a common goal.


Building & Maintaining Relationships

Builds and maintains relationships with a network of people. Recognises the two way nature of relationships and works to develop mutually beneficial partnerships. Interacts with others in a manner that builds respect and fosters trust.


Commitment to Quality & Risk Management

The ability to focus on understanding stakeholder’s needs and expectations and to respond effectively and efficiently to them. Has a good knowledge of and is committed to offer a quality service through the achievement of goals, accreditation standards, other organisation/department standards and risk management frameworks and guidelines.


Problem Solving & Decision Making

Identifies and solves problems by understanding the situation, seeking additional information, developing and weighing alternatives, and choosing the most appropriate course of action given the circumstances.


Communication & Interpersonal Skills

Speaks and writes clearly, fluently and effectively to both individuals and groups; communicates in a manner that will persuade, convince and influence others, in order to motivate, inspire or encourage them to follow a particular course of action.


This Job Description is intended as a basic guide to the scope and responsibilities of the position and is subject to regular review and amendment. The role holder will be required to be flexible in this position and is expected to facilitate working additional hours on occasion, when requested.

The RCSI Hospital Group is an Equal Opportunities Employer.


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