Clinical Nurse Specialist Haematology (Grade Code 2632)

November 7, 2019
Job Type Full Time
Function Nursing and Midwifery
Location Cavan Hospital, Cavan Monaghan Hospital, Monaghan


Job Title and Grade
Clinical Nurse Specialist Haematology
(Grade Code 2632)

Campaign Reference
Please quote Campaign Reference when applying 

Closing Date
Friday 22nd November, 2019 @17:00hrs

Proposed Interview date(s)
December 2019

Taking up Appointment
To be indicated at job offer stage

Organisational Area
RCSI Hospital Group

Informal Enquiries
Lynda McGrory

Director of Nursing
Cavan Monaghan Hospital
049 4376105

Location of Post

Cavan & Monaghan Hospital Haematology Service.

There is currently one full time position available, on a fixed term 2 year basis
Initial assignment will be to Cavan Monaghan Hospital

The successful candidate may be required to work in any service area within the vicinity as the need arises.

A panel may be formed for Cavan Monaghan Hospital from which current and future vacancies of full time or part time duration may be filled.

Details of Service for current vacancy

The Clinical Nurse Specialist Haematology role is a whole time, fixed term post.

The Clinical Nurse Specialist will oversee the pathway of care of haematology patients referred to & attend the Day Ward Service at Cavan & Monaghan Hospital, attend outpatient clinics when necessary and also the haematology inpatients, working as a link between the patients, the Nursing staff, the primary Consultants, visiting Haematology Consultant and the wider Multidisciplinary Team.

Reporting Relationship

The post holder:

  • Is clinically accountable to the Director of Nursing.
  • Will report to the Assistant Director of Nursing or designated officer

Principal Duties and Responsibilities

The post holder’s practice is based on the five core concepts of Clinical Nurse Specialist (Haematology) role as defined by the NCNM 4th edition (2008) in order to fulfil the role. The concepts are:

  • Clinical Focus
  • Patient/Client Advocate
  • Education and Training
  • Audit and Research
  • Consultant

Clinical Focus

The Clinical Nurse Specialist in Haematology will:

  • Manage a caseload of patients with haematology conditions
  • Articulate and demonstrate the concept of nursing specialist practice within the framework of Nursing legislation and the regulatory body of An Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland)
  • Provide safe, comprehensive care for patients and their families within the scope of practice guidelines set out by Nursing and Midwifery Board of Ireland
  • Plan and initiate care and treatment modalities within agreed interdisciplinary protocols to achieve patient/client centred outcomes and evaluate their effectiveness
  • Utilise evidence based assessment and treatment skills and techniques to determine and manage each patient/family needs.
  • Develop, document and update care, discharge and teaching plans as necessary.
  • Complete and maintain relevant documentation in a thorough and accurate manner.
  • Plan all care in collaboration with the patient
  • Liaise as appropriate with other members of the multidisciplinary team (MDT) regarding any aspect of patient care
  • Implement changes in health care service in response to patient/client need and service demand
  • Identify and implement health promotion priorities in the area of haematology specialist practice
  • Maintain effective and appropriate communication and collaboration with other departments, members of the multidisciplinary team, other agencies, colleagues, personnel, patients and their relatives/carers

Patient/client advocate

The Clinical Nurse Specialist in Haematology will:

  • Enable patients and their families/guardians to participate in decision making about their health needs
  • Articulate and represent patient interests in collaboration with the multidisciplinary team
  • Implement changes in healthcare in response to patient need and service demand
  • Influence practice and promote improved/new standards of care in relation to patients with a haematological condition
  • Respect the dignity and confidentiality of patients, serving as their advocate when necessary.

Education and Training:

The Clinical Nurse Specialist in Haematology will:

  • Provide specialist information and education to Patients and their families with regard to improving their understanding, coping and effective management of their condition
  • Provide both formal and informal teaching to a number of people; patients/clients, families, health care providers, including student and trained nurses, and healthcare assistants. Take part in in-house multidisciplinary presentations and teaching to staff in the various acute hospitals
  • Be self-directed in his/her learning to ensure continued professional credibility. Identify own Continuing Professional Development (CPD) needs and engage accordingly
  • Identify areas where scope of practice can be advanced
  • Provide mentorship, preceptor ship, teaching, facilitation and professional supervisory skills for nurses and other health care workers
  • Act as preceptor to undergraduate and post-graduate student nurses on placement
  • Plan and deliver staff teaching in relation to individual setting.

Audit and Research

The Clinical Nurse Specialist in Haematology will:

  • Identify, critically analyse, disseminate and integrate nursing and other evidence into the management of patients with haematological diseases.
  • Establish, implement and evaluate audit programmes of the service, the quality of care and the Clinical Nurse Specialist current practice, in line with local and regional developments, to include monitoring and health promotion programmes as relevant.
  • Use the outcomes of audit to improve service provision
  • Contribute to service planning and budgetary processes through use of audit data and specialist knowledge
  • Review policies, procedures, guidelines and protocols in relation to the haematology service to ensure they are continually updated in line with best practice evidence
  • Monitor, access, utilise and disseminate current relevant research to advise and ensure the provision of informed evidence based practice in the management of patients with haematological diseases
  • Understand the need for nursing research and be able to implement this process to contribute to the development of services provided
  • Develop and promote research awareness among all staff in relation to haematological diseases


The Clinical Nurse Specialist in Haematology will:

  • Provide leadership in clinical practice relating to the management of haematological diseases and act as a role model to staff nurses who work in the acute services or in the community
  • Network with other Clinical Nurse Specialists in Haematology and other associations
  • Generate and contribute to the development of clinical standards and guidelines
  • Uses specialist knowledge to support and enhance generalist nursing practice
  • Liaise with multi-disciplinary team within the acute Hospitals and Community based to create a seamless service
  • Contribute to nursing quality assurance by assisting in identification of recurring nursing problems and data collection.

Health and Safety

The Clinical Nurse Specialist in Haematology will:

  • Contribute to the development of policies, procedures, guidelines and safe professional practice and adhere to relevant legislation, regulations and standards.
  • Have a working knowledge of HIQA Standards as they apply to the role, for example Standards for Healthcare, Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards, and comply with associated HSE protocols for implementing and maintaining these standards

Quality, Risk and Safety Responsibilities

It is the responsibility of all staff to:

  • Participate and cooperate with legislative and regulatory requirements with regard to quality, risk and safety.
  • Participate and cooperate with local quality, risk and safety initiatives as required.
  • Participate and cooperate with internal and external evaluations of the organisation’s structures, services and processes as required, including but not limited to, The National Hygiene Audit, National Decontamination Audit, Health and Safety Audits and other audits specified by the HSE or other regulatory authorities.
  • Initiate, support and implement quality improvement initiatives in their area which are in keeping with local organisational quality, risk and safety requirements.
  • Contribute to the development of PPPGs and safe professional practice and adhere to relevant legislation, regulations and standards.
  • Comply with Health Service Executive (HSE) Complaints Policy.
  • Ensure completion of incident/near miss forms and clinical risk reporting.
  • Adhere to department policies in relation to the care and safety of any equipment supplied and used to carry out the responsibilities of the role of Clinical Nurse Specialist (Haematology) in haematology

Specific Responsibility for Best Practice in Hygiene

Hygiene is defined as: “The practice that serves to keep people and environments clean and prevent infection. It involves the study of preserving ones health, preventing the spread of disease, and recognising, evaluating and controlling health hazards. In the healthcare setting it incorporates the following key areas: environment and facilities, hand hygiene, catering, management of laundry, waste and sharps, and equipment” (HIQA, 2008; P2). It is the responsibility of all staff to ensure compliance with local organisational hygiene standards, guidelines and practices.


Clinical Nurse Specialist (Haematology) will:

  • Provide an efficient, effective and high quality service, respecting the needs of each patient, family and/or carer.
  • Effectively manage time and caseload in order to meet changing and developing service needs.
  • Continually monitor the service to ensure it reflects current needs.
  • Implement and manage identified changes.
  • Ensure that confidentiality in relation to patient records is maintained.
  • Represent the specialist service at local, national and international fora as required.
  • Maintain accurate and contemporaneous records and data on all matters pertaining to the planning, management, delivery and evaluation of care and ensure that this service is in line with HSE requirements.
  • Contribute to the service planning process as appropriate and as directed by the
  • 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.
  • To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

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.

Eligibility Criteria - Qualifications and/ or experience

Professional Qualifications, Experience, etc

Candidates for appointment must

  1. Statutory Registration, Professional Qualifications, Experience, etc


 (i) Be a registered nurse/midwife on the active Register of Nurses or Midwives held by An Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) or be eligible to be so registered.


 (ii) Be registered in a Division of the register of Nurses and Midwives in which the application is being made.


In exceptional circumstances, which will be assessed on a case by case basis be registered in another Division of the register of Nurses and Midwives

(iii) Have successfully completed a post registration programme of study, as certified by the education provider, which verifies that the applicant has achieved a Quality and Qualifications Ireland (QQI), National Framework of Qualifications (NFQ) major academic Level 8 or higher award 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, relevant to the specialist area of care – Haematology prior to application.
(iv) Have a minimum of 5 years post registration full time experience or an aggregate of 5 years full time experience in the division of the register in which the application is being made (taking into account (a) (ii) if relevant)
(v) Have a minimum of 2 years’ experience or an aggregate of 2 years full time experience in specialist area of Haematology Care.
(vi) Demonstrate evidence of continuing professional development


(b)  Have the ability to practice safely and effectively fulfilling his/her professional responsibility within his/her scope of practice

  1. Annual registration

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



(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, additional qualifications and/or experience required

Demonstrate depth and breadth of experience in Haematology services (or related clinical area).

Demonstrate interest in and/or experience of developing Haematology nurse services.

Other requirements specific to the post


Skills, competencies and/or knowledge


  • Organisation & Management Skills
  • Building & Maintaining Relationships (including Team Skills & Leadership Skills)
  • Commitment to Providing a Quality Service
  • Knowledge & Experience Relevant to The Role
  • Communication & Interpersonal Skills

Candidates must demonstrate:

  • practitioner competence and professional credibility – demonstrates a high level of clinical knowledge to effectively carry out the duties and responsibilities of the role
  • the ability to lead on clinical practice and service quality
  • promotion of evidence-based decision making; evidence-based clinical knowledge in making decisions regarding patient / client care
  • the ability to plan and manage resources effectively
  • effective analytical, problem solving and decision making skills
  • strong interpersonal skills including the ability to build and maintain relationships
  • effective communication and influencing skills
  • initiative and innovation in the delivery of service
  • resilience and composure
  • openness to change
  • integrity and an ethical stance
  • a commitment to continuing professional development
  • the ability to relate nursing research to nursing practice
  • knowledge of quality assurance practices and their application to nursing procedures
  • awareness of relevant legislation and policy e.g. legislation relevant to the service area, health and safety, infection control etc.
  • awareness of current and emerging nursing strategies and policies in relation to haematology
  • a willingness to develop information technology (IT) skills relevant to the role

Competition Specific Selection Process - Shortlisting / Interview

Short listing may be carried out on the basis of information supplied in your Curriculum Vitae.  The criteria for short listing are based on the requirements of the post as outlined in the eligibility criteria and skills, competencies and/or knowledge section of this job specification. Therefore it is very important that you think about your experience in light of those requirements.

Failure to include information regarding these requirements may result in you not being called forward to the next stage of the selection process.

Those successful at the shortlisting stage of this process (where applied) will be called forward to interview.

Code of Practice

The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commission for Public Service Appointments (CPSA). The Code of Practice sets out how the core principles of probity, merit, equity and fairness might be applied on a principle basis. The Code also specifies the responsibilities placed on candidates, feedback facilities for candidates on matters relating to their application, when requested, and outlines procedures in relation to requests for a review of the recruitment and selection process, and review in relation to allegations of a breach of the Code of Practice.  Additional information on the HSE’s review process is available in the document posted with each vacancy entitled “Code Of Practice, Information For Candidates”.

Codes of Practice are published by the CPSA and are available on in the document posted with each vacancy entitled “Code of Practice, Information For Candidates” or on

The reform programme outlined for the Health Services may impact on this role and as structures change the job description may be reviewed.

This job description is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned.

Clinical Nurse Specialist (Haematology) Fixed term 2 years - Terms and Conditions of Employment


The initial vacancy for this post is fixed time 2 years and whole time. This post is pensionable.  A panel will be formed from this recruitment campaign and future temporary vacancies of whole time or part time duration will be filled from this panel. The tenure of these posts will be indicated at “expression of interest” stage.

Appointment as an employee of the Health Service Executive is governed by the Health Act 2004 and the Public Service Management (Recruitment and Appointment) Act 2004.


The Salary Scale (as at 01/09/19) for the post is:

€49,914 €50,741 €51,439 €52,582 €53,843 €55,081 €56,320 €57,714 €59,010

Working Week

The standard working week applying to the post is: will be confirmed at Job Offer stage.

HSE Circular 003-2009 “Matching Working Patterns to Service Needs (Extended Working Day / Week Arrangements); Framework for Implementation of Clause 30.4 of Towards 2016” applies. Under the terms of this circular, all new entrants and staff appointed to promotional posts from Dec 16th 2008 will be required to work agreed roster / on call arrangements as advised by their line manager. Contracted hours of work are liable to change between the hours of 8am-8pm over seven days to meet the requirements for extended day services in accordance with the terms of the Framework Agreement (Implementation of Clause 30.4 of Towards 2016).

Annual Leave

The annual leave associated with the post will be confirmed at Job Offer Stage.


This is a pensionable position with the HSE. The successful candidate will upon appointment become a member of the appropriate pension scheme.  Pension scheme membership will be notified within the contract of employment.  Members of pre-existing pension schemes who transferred to the HSE on the 01st January 2005 pursuant to Section 60 of the Health Act 2004 are entitled to superannuation benefit terms under the HSE Scheme which are no less favourable to those which they were entitled to at 31st December 2004.


Every appointment of a person who is not already a permanent officer of the Health Service Executive or of a Local Authority shall be subject to a probationary period of 12 months.

Protection of Persons Reporting Child Abuse Act 1998

This post is one of those designated in accordance with Section 2 of the Protection of Persons Reporting Child Abuse Act, 1998. You will remain a designated officer for the duration of your appointment in this post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. Such officers will, on receiving a report of child abuse, formally notify the Senior Social Worker in the community care area in which the child is living.

Infection Control

Have a working knowledge of 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.