RCSI Hospital Group HQ

Clinical Nurse Manager II – End of Life Care Coordinator (0.5WTE)

Job Locations Connolly Hospital
Posted Date 5 days ago(22/11/2021 10:02)
Job ID
2021-1466
# of Openings
1
Category
Nursing & Midwifery
Closing Date
06/12/2021

Overview

The post of Clinical Nurse Manager 2 (CNM 2) End of Life Care Coordinator will have pivotal role in service planning and development, co-ordinating and managing activity and resources within the clinical areas. The CNM 2’s responsibilities will include: overseeing the quality of nursing care, the development and implementation of policy and procedures, the monitoring of activity and the delivery of agreed levels of service for the designated area(s) in relation to end of life care. The CNM 2 will promote the values of the organisation.

The post of CNM 2 End of Life Care Coordinator’s role will be to lead on, support and coordinate all activities associated with the hospital End-of-Life Care Quality Improvement Plan designed to implement the Hospice Friendly Hospitals Quality Standards for End-of-Life Care in Connolly Hospital.

 

The CNM 2 will:

  • Provide professional / clinical leadership in the designated area(s) of responsibility.
  • Oversee the management of resources as appropriate to End of Life Care in Connolly Hospital including staffing and staff development.
  • Facilitate communication across the healthcare teams. 

The Hospice Friendly Hospitals Programme is a multidimensional and is focussed on enhancing all aspects of end-of-life care in our hospitals. The following model was developed to best describe the five core elements of the Hospice Friendly Hospitals Programme in hospitals participating in this programme: The CNM2 EOLC will encompass all these roles as outlined below:

  • Audit and Research
  • Education and Training
  • Advocacy
  • Improving the Hospital Environment
  • Practical Resources and Support for Relatives

Organisational Context

The RCSI Hospital Group includes the following hospitals 

  • Beaumont Hospital, Dublin 9
  • Cavan General Hospital, Cavan
  • Connolly Hospital, Blanchardstown, Dublin 15
  • Louth County Hospital, Dundalk
  • Monaghan General Hospital, Monaghan
  • Our Lady of Lourdes Hospital, Drogheda
  • Rotunda Hospital, Dublin 15 

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

Professional /Clinical

 

  • Provide a high level of professional and clinical leadership
  • Provide safe, comprehensive nursing care to service users within the guidelines laid out by the Nursing & Midwifery Board of Ireland particularly as they relate to end of life care.
  • The CNM2 will practice nursing according to:
    • Professional Clinical Guidelines
    • National and Area Health Service Executive (HSE) guidelines.
    • Local policies, protocols and guidelines
    • Current legislation
  • Manage, monitor and evaluate professional and clinical standards ensuring an evidence based, care planning approach.
  • Participate in teams as appropriate, communicating and working in co-operation with other team members.
  • Facilitate co-ordination, co-operation and liaison across healthcare teams and programmes.
  • Collaborate with service users, family, carers and other staff in treatment / care planning and in the provision of support and advice.
  • Communicate results of assessments, treatment / care programmes and recommendations to the team and relevant others in accordance with service policy / as required.
  • Formulate, manage and implement best practice policies and procedures.
  • Ensure that service users and others are treated with dignity and respect.
  • Ensure the maintenance of nursing records in accordance with local service and professional standards.
  • 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 e.g. admission and discharge procedures, control and usage of stocks and equipment, grievance and disciplinary procedures.
  • Maintain professional standards in relation to confidentiality, ethics and legislation
  • In consultation with other disciplines, implement and assess quality management programmes as appropriate.
  • Participate in clinical audit as required and ensure that clinical audits are performed in his/her area(s) of responsibility.
  • Initiate and participate in research studies as appropriate.
  • Devise and implement Health Promotion Programmes for service users as relevant to the post.
  • 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.
  • Ensure staff work in compliance with the Scope of Practice.
  • Ensure the End of Life Care Committee in the Connolly Hospital are representative of all key hospital disciplines and perspectives and stakeholders interests, including independent representatives of the public interest.
  • Support Connolly Hospital; in developing its capacity to meet and sustain the Quality Standards of End-of Life Care in Hospitals in accordance with individual and collective End-of Life Care Development Plans.
  • Work closely with the chair of the End of Life Care Committee and designated member of the senior management team responsible for the End-of-Life Care Programme.
  • Ensure the effective functioning of the End of Life Care Committee by supporting the related work groups tasked with coordinating aspects of the End-of-life Care Development Plan.
  • Coordinate and facilitate the ‘Final Journeys’ and ‘Dealing with Bad News’ staff development programme in Connolly Hospital. In doing so support facilitator development as necessary and liaise with the Hospice Friendly Hospitals office to avail of any relevant training.
  • Work across the hospital to enable staff to recognise their personal and collective responsibility for the quality of care for people at end of life and continually improve this quality through collaboration and team effort.
  • Ensure the implementation of measures to enhance the quality of the physical and sensory environment in so far as it impacts on patient dignity and safety and the needs of patients, families and care staff for privacy and confidentiality.
  • Support the development of systems to identify and facilitate to the greatest extent possible, the preferred place of care for patients at end-of-life.
  • Ensure participation in ongoing auditing, evaluation and review of the quality and organisation of end-of-life care in all areas of the hospital.
  • Promote an ethical approach to end-of-life care informed by hospice philosophy and principles that seek to maximise the quality of life, at end of life, in accordance with the wishes and preferences of patients and their relatives. 

Health & Safety 

 

  • Ensure that effective safety procedures are developed and managed to comply with statutory obligations, in conjunction with relevant staff e.g. health and safety procedures, emergency procedures.
  • Observe, report and take appropriate action on any matter which may be detrimental to staff and/or service user care or well being / may be inhibiting the efficient provision of care.
  • Assist 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.
  • Ensure completion of incident / near miss forms / clinical risk reporting.
  • Adhere to department policies in relation to the care and safety of any equipment supplied for the fulfilment of duty.
  • Liaise with other relevant staff e.g. CNS infection control Occupational Therapist re appropriateness for procurement.
  • Have a working knowledge of the Health Information and Quality Authority (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 and comply with associated HSE protocols for implementing and maintaining these standards.
  • Support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

 Education and Training

 

  • Support the development and delivery of induction and in-service awareness, education and training on end-of-life care issues.
  • Contribute to service development through appropriate continuous education, research initiatives, keeping up to date with nursing literature, recent nursing research and new developments in nursing management, education and practice and attend staff study days as considered appropriate.
  • Provide support advice to those engaging in continuous professional development in his / her area of responsibility.
  • Be familiar with the curriculum training programme for student nurses and be aware of the clinical experience required to meet the needs of the programme.
  • Participate in the identification, development and delivery of induction, education, training and development programmes for nursing and non-nursing staff.
  • Provide support supervision and professional development of appropriate staff.
  • Engage in performance review processes including personal development planning e.g. by setting own and staff objectives and providing and receiving feedback.

Management

 

  • Exercise authority and co-ordinate the functions of the assigned area(s).
  • Provide support, advice and direction to staff as required.
  • Engage with the wider healthcare team and facilitate team building.
  • Facilitate communication at ward and departmental level and within the senior nursing team.
  • Provide staff leadership and motivation which is conducive to good working relations and work performance.
  • Promote a culture that values diversity and respect in the workplace.
  • Contribute to the strategic management and planning process.
  • Formulate service plans and budgets in co-operation with the wider healthcare team.
  • Lead on practice development within the clinical area.
  • Manage resources, including staff, efficiently and effectively to ensure the highest standards of service.
  • Manage and evaluate the implementation of the service plan and budget.
  • Provide reports on activity and services as required.
  • Develop and manage departmental and nursing policy with a particular emphasis on change management. Monitor as appropriate and lead on proactive improvement.
  • Ensure compliance with legal requirements, policies and procedures affecting service users, staff and other hospital matters.
  • Actively participate in the Nursing Management structure by ‘acting up’ when required.
  • Engage in IT developments as they apply to service user and service administration.
  • Work with the End of Life Care Committee in preparing progress reports for review, identifying appropriate key performance indicators and reporting quarterly on same to the Executive Management Team.
  • Assist hospitals in competing for any awards relevant to this HFH process.
  • Participate in team and network meetings organised through the HFH Programme.
  • Collaborate with staff of the Irish Hospice Foundation in mapping, monitoring and engaging with other hospice and palliative care or end-of-life initiatives in the wider catchment area across primary and secondary sectors.
  • Lead and implement change.
  • Promote, facilitate and participate in the development of nursing policies and procedures. Monitor as appropriate and lead on proactive improvement.
  • Contribute to the formulation, development and implementation of policies and procedures at area and hospital level.
  • Ensure compliance with legal requirements, policies and procedures affecting service users, staff and other hospital matters.
  • 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.

Essential Criteria

  • Be registered in the General Division of the Register of Nurses kept by Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) or be entitled to be so registered

And

  • Have at least 5 years post registration experience of which 2 must be in the speciality or related area of end of life care (i.e. Medical, Surgical, Critical Care and Cancer /  Palliative Care)

And

  • Candidates must demonstrate evidence of continuous professional development.

And

  • 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.

Annual registration

(i) 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).

And

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

 

Health

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. 

Character

Each candidate for and any person holding the office must be of good character 

Age

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:

  • Demonstrate depth and breadth of experience of understanding end of life issues including communication, integration, patient autonomy and problems of the physical environment as relevant to the role.
  • Demonstrate depth and breadth experience of collating and managing data as relevant to the role.
  • Demonstrate depth and breadth experience of working in a changing environment as relevant to the role.
  • Demonstrate depth and breadth of experience in the development of quality improvement initiatives in healthcare, as relevant to the role.
  • A flexible approach to working hours is required in order to ensure deadlines are met.
  • Evidence or a willingness to undertake training and education applicable to the role is essential.
  • Evidence of Project management.
  • Hospital representative at Hospice Friendly Hospitals Acute Network.
  • A flexible approach to working hours is required in order to ensure deadlines are met.
  • Evidence or a willingness to undertake training and education applicable to the role is essential.
  • Evidence of Project management
  • Hospital representative at Hospice Friendly Hospitals Acute Network

Skills & Competencies

Technical & Professional Expertise

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.

 

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.

 

Driving Innovation

Possesses the ability and desire to improve organisation performance by developing or creating innovative solutions.

 

Professionalism

Thinks carefully about the likely effects on others of one's words, actions, appearance, and mode of behaviour. Takes responsibility for delivering one’s role to the highest professional standards consistently.

 

Flexibility & Adaptability

Works effectively within a variety of situations with individuals or groups. Adapts one's approach as the requirements of a situation changes; adjusts tasks and priorities when necessary. Accepts that changes in one’s role may be required from time to time.

 

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.

 

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.

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