********PLEASE COMPLETE THE APPLICATION FORM FULLY, CV'S ARE NOT ACCEPTED********** Principal Duties & Responsibilities The Clinical Nurse Manager 2 (Pre Operative Assessment Service) will:
Professional /Clinical Manage patient care to ensure the highest professional standards using an evidence based, care planning approach. Provide a high level of professional and clinical leadership. Be responsible for the co-ordination, assessment, planning, delivery and review of service user care by all staff in Pre Assessment. Provide safe, comprehensive nursing care to service users 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
Participate in team huddles/meetings / committees 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 verbally and / or in writing results of assessments, treatment / care programmes and recommendations to the team and relevant others in accordance with service policy. Plan discharge or transition of the service user between services as appropriate. Ensure that service users and others are treated with dignity and respect. Assist with development of assessment and referral protocols and guidelines with the anaesthetic, Surgical, Medical and nursing staff. Perform and document nursing pre-operative assessment in the relevant pre-assessment proforma.
This includes patient history, health screening and carrying out a nursing assessment.
The NCM2 will give pre-operative advice and support and initiate appropriate referral to other members of the multi-disciplinary team, as part of the patient's surgical pathway. Organise relevant pre-operative investigations as per protocol e.g.
blood tests, ECG, x-rays and pulmonary function tests and communicate abnormalities to the relevant clinicians. Exercise clinical judgement and decision making about patients' needs in terms of suitability for surgery, consulting clinicians as necessary. Liaise and/refer to GP's and clinicians to ensure pre-operative health is optimised. Promote lifestyle changes to patients, as indicated, e.g.
weight loss, smoking cessation. 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 CNM3 and other disciplines, implement and assess quality management programmes. Participate in clinical audit as required. Initiate and participate in research studies as appropriate. Devise and implement Health Promotion Programmes for service users as relevant to the post. Work within a multidisciplinary team in the provision of a safe, effective, high quality service. Act as a reference source of clinical expertise for the MDT. Lead, facilitate and participate in audit of clinical practice and be responsible for the implementation of actions required by audit. Be aware of the advances in nursing practice and be supportive of the development of the profession. Participate in the identification, development, delivery and evaluation of education, training programmes for staff in pre assessment Actively participate in educational programmes specifically designed for the development of Nursing Staff in pre assessment setting Maintain a high level of professional and clinical leadership and conduct all duties in accordance with national and local policies and support the implementation of any new developments in the unit. Ensure adherence to all standards and guidelines relating to professional nursing practice according to hospital policies and the Nursing and Midwifery Board of Ireland (NMBI). Be familiar with relevant report recommendations and be involved in the implementation of recommendations at local level. Ensure nursing care is provided to the highest professional standards using an evidence-based approach. Maintain nursing records ensuring that all documentation is according to the standards set by the Nursing and Midwifery Board of Ireland (NMBI). Manage own caseload in accordance with the needs of 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. 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. 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 as appropriate to the role. 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 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 as considered appropriate 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 Supervise and assess student nurses and foster a clinical learning environment Engage in performance review processes including personal development planning as appropriate Facilitate the development of clinical skills of Nurses and Student Nurses in the practice area. Educate and support all nursing and allied staff, including the introduction and orientation of new staff to Pre Assessment and maintain an effective learning environment. Support nursing staff undergoing formal education/post-graduate education Assist in organising staff to attend study days (both mandatory and optional). Work with the multidisciplinary team in the unit in establishing and maintaining a quality clinical learning environment. Maintain own continuing professional development including mandatory training. Supervise and contribute to competency attainment for qualified staff in their development or expansion of roles. Participate in and act as a resource for teaching, mentorship, and preceptorship of staff including newly recruited nursing staff to the unit. Maintenance of own clinical competence by active participation in clinical practice Promote reflective practice for self and staff. Maintain a mechanism of recording and co-ordinating ongoing education Management Exercise authority in the running of the assigned area(s) as deputised by the CNM3. Provide the necessary supervision, co-ordination and deployment of nursing and support staff to ensure the optimum delivery of care in Pre Assessment Provide staff leadership and motivation, which is conducive to good working relations and work performance between staff of all disciplines in pre assessment. Promote a culture that values diversity and respect in the workplace. Formulate, implement and evaluate service plans and budgets in co-operation with the wider healthcare team. Manage all resources efficiently and effectively within agreed budget. Lead on practice development within the clinical area. 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. 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.