Clinical Nurse Manager II, Patient Flow

May 18, 2020
Job Type Full Time
Function Nursing and Midwifery
Location Cavan Hospital, Cavan Monaghan Hospital, Monaghan

Description

Job Title and Grade
Clinical Nurse Manager II, Patient Flow
(Grade Code: 2119)

Campaign Reference
CavMon1149
Please quote the Campaign Reference when applying

Closing Date
Tuesday, 02 June 2020 at 12:00 hrs

Proposed Interview Date(s)
As soon as possible following interview

Taking up Appointment
A start date will be indicated at job offer stage

Location of Post
Cavan & Monaghan Hospital, RCSI Hospitals Group

There is currently one permanent full-time position available in Cavan & Monaghan Hospital.

A panel may be created from this campaign for Cavan & Monaghan Hospital from which current and future specific purpose vacancies of full time or part time duration may be filled.

Informal Enquiries
Laura Waters, Head of Bed Management

Email: laura.waters@hse.ie Tel: 049 437 6194

Reporting Relationship

  • Report to the Head of Bed Management & Operations Manager as appropriate.
  • Professionally accountable to the Director of Nursing

Purpose of the Post

The post of the Clinical Nurse Manager II has a pivotal role in the planning, co-ordination and management of patient flow including inpatient and day bed utilisation at Cavan & Monaghan Hospital. 

Discharge planning is also a key component of this post linking into the National Integrated Discharge Planning Policy.

Principal Duties and Responsibilities

Professional /Clinical

The Clinical Nurse Manager II will:

  • Be responsible for the day to day management of In Patient and Day Bed resources, liaising with relevant personnel in relation to bed occupancy and bed availability.
  • Co-ordinate all emergency and elective admissions ensuring adherence to the admission and discharge policies of the hospital.
  • Ensure appropriate bed designation in co-operation with the multidisciplinary team and in accordance with best practice.
  • Check planned admissions on a daily basis and depending on the availability of beds, agree action plan, giving high priority based on clinical need.
  • Maintain a real time hospital wide bed state.
  • At all times liaise with Consultants and other relevant personnel to ensure that there is a sufficient amount of beds for emergency admissions.
  • Be familiar with the “Escalation Policy”, liaising closely with management re implementing the policy.
  • Liaise with Bed Managers in other centres re the transfer of patients to and from other hospitals following consultant staff approval.
  • Maintain records of patients granted Winter Bed initiative funding and ensure this information is available to the relevant staff.
  • Be available to meet with and advise patients and relatives about the Hospital Discharge Planning process.
  • Be responsible for co-ordinating admission of patients for elective medical procedures in consultation with medical consultants and other departments e.g. Radiology.
  • Identify processes leading to delays in in-patient investigation or treatment, which lead to inefficiencies in the system.
  • Initiate and participate in the implementation of hospital initiatives, which promote the maximum use of acute hospital beds.
  • Produce statistical data regarding Performance Indicators.
  • Participate in clinical audits as required and ensure that clinical audits are performed in his/her area(s) of responsibility.
  • Play a major role in co-ordinating the admission, discharge and movement of patients during implementation of the Major Accident Plan.
  • 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 and Midwifery Board of Ireland.
  • 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 that an evidence based care planning approach is taken.
  • Manage own caseload in accordance with the needs of the post.
  • 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.
  • Formulate, manage and implement best practice policies and procedures.
  • Ensure that service users and others are treated with dignity and respect.
  • Ensure nursing records are maintained 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 policies 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.
  • 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.

Health & Safety

The Clinical Nurse Manager II will:

  • 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.
  • Take appropriate action on any matter identified as being detrimental to staff and/or service user care or wellbeing / may be inhibiting the efficient provision of care.
  • Ensure 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.
  • Maintain a feedback mechanism with the Clinical Risk Manager and report to Senior Management Team where appropriate.
  • Ensure adherence to department policies in relation to the care and safety of any equipment. 
  • Ensure advice is sought from relevant stakeholders prior to procurement e.g. CNS Infection Control, Occupational Therapist.
  • 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.

 

  • 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

The Clinical Nurse Manager II will:

  • 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 staff as appropriate. 
  • Engage in performance review processes including personal development planning e.g. by setting own and staff objectives and providing and receiving feedback.

 

Management

The Clinical Nurse Manager II will:

  • 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 Nurse/Midwife Team.
  • Provide staff leadership and motivation which is conducive to good working relationships and work related 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 policies 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.
  • Engage in IT developments as they apply to service user and service administration

The above Job Description 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

Candidates must at the latest date of application:

 

  1. Professional Qualifications, Experience, etc

a)

 

 

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.

And

ii) Have at least 5 years post registration experience of which 1 year must be in the speciality or related area.

And

iii) Candidates must demonstrate evidence of continuous professional development.

And

 

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) 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)

  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 Discharge Planning / Bed Management / Admission environment / Emergency Department environment or related areas as relevant to the role.

Other Requirements Specific to the Post

  • Access to transport is a requirement for this post as post will involve travel.
  • A flexible approach to working hours is required as this post will involve weekend / shift work.

Skills, Competencies and/or Knowledge

Competencies

 

  • Organisation & Management Skills
  • Building & Maintaining Relationships (including Team Skills & Leadership Skills)

 

 

    • Commitment to Providing a Quality Service
  • Communication Skills
  • Knowledge & Experience Relevant To The Role

 

 

 

Professional /Clinical

Candidates must demonstrate: 

  • Be responsible for the day to day management of In Patient and Day Bed resources, liaising with relevant personnel in relation to bed occupancy and bed availability.
  • The ability to lead on clinical practice and service quality.
  • Promotion of evidence-based decision making.
  • Practitioner competence and professionalism.
  • The ability to relate nursing research to nursing practice.
  • Knowledge of quality assurance practices and their application to nursing procedures.
  • An awareness of HR policies and procedures including disciplinary procedures.
  • An awareness of relevant legislation and policy e.g. legislation relevant to the service area, health and safety, infection control etc.
  • An awareness of current and emerging strategies and policies in relation to the clinical / designated area.
  • A willingness to develop IT skills relevant to the role. 

Organisation & Management Skills

Candidates must demonstrate:

  • The ability to co-ordinate all emergency and elective admissions ensuring adherence to admission and discharge policies with the hospital.
  • An ability to plan and manage resources, including staff, efficiently and effectively to ensure the highest standards of service.

Communications Skills

Candidates must demonstrate:

  • The ability to facilitate communication at ward and departmental level and within the Senior Nurse/Midwife Team.

 

  • Strong interpersonal skills including the ability to build and maintain relationships.

 

  • Strong communication and influencing skills.

Building & Maintaining Relationships (including Team Skills & Leadership Skills)

Candidates must demonstrate:

  • The ability to manage resources, including staff, efficiently and effectively to ensure the highest standards of service.
  • Have the ability to support, advice and direction to staff as required.
  • The ability to engage with the wider healthcare team and facilitate team building. 
  • Staff leadership and motivation which is conducive to good working relationships and work related performance.
  • The ability to formulate service plans and budgets in co-operation with the wider healthcare team.

Evaluating Information, Problem Solving & Decision Making 

Candidates must demonstrate:

  • The ability to identify processes leading to delays in in-patient investigation or treatment, which lead to inefficiencies in the system.
  • Take appropriate action on any matter identified as being detrimental to staff and/or service user care or wellbeing / may be inhibiting the efficient provision of care.
  • Strong problem solving and decision making skills.
  • A capacity for analytical thinking and problem solving.

Commitment to Providing a Quality Service:

Candidates must demonstrate:

  • Initiative and innovation in the delivery of service.
  • Resilience and composure.
  • Openness to change. 
  • Integrity and ethical stance.
  • Evidence of ability to empathise with and treat patients, relatives and colleagues with dignity and respect.
  • Awareness and appreciation of the diverse needs of service users.
  • The ability to be a role model for continuous quality improvements.
  • A commitment to providing a quality service.
  • A commitment to continuing professional development.

Campaign Specific Selection Process - Ranking/Shortlisting / Interview

A ranking and or shortlisting exercise may be carried out on the basis of information supplied in your Curriculum Vitae.  The criteria for ranking and or shortlisting 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.  

Code of Practice

The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commissioners 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 applicants 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 www.careersinhealthcare.ie in the document posted with each vacancy entitled “Code of Practice, information for candidates or on www.cpsa-online.ie.

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 specification 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 Manager II (Patient Flow) Terms and Conditions of Employment

Tenure

The initial vacancy available is permanent and whole-time.  This post is pensionable. 

A panel may be created from which specified purpose vacancies of full or part time duration may be filled. 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.

Remuneration

he Salary Scale for the post is (as at 01/01/2020):

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

Working Week

The standard working hours for this post is 39 hrs per week.

Annual Leave

The annual leave associated with this post is to be confirmed at job offer stage.

Superannuation

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

Probation

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 as stipulated in the Department of Health Circular No.10/71.

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.

Protection of Persons Reporting Child Abuse Act 1998

As this post is one of those designated under the Protection of Persons Reporting Child Abuse Act 1998, appointment to this post appoints one as a designated officer in accordance with Section 2 of the Act.  You will remain a designated officer for the duration of your appointment to your current post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. You will receive full information on your responsibilities under the Act on appointment.

Mandated Person Children First Act 2015

As a mandated person under the Children First Act 2015 you will have a legal obligation:

  • To report child protection concerns at or above a defined threshold to TUSLA.
  • To assist Tusla, if requested, in assessing a concern which has been the subject of a mandated report.

You will remain a mandated person for the duration of your appointment to your current post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction.  You will receive full information on your responsibilities under the Act on appointment.

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. and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.

Health & Safety

It is the responsibility of line managers to ensure that the management of safety, health and welfare is successfully integrated into all activities undertaken within their area of responsibility, so far as is reasonably practicable. Line managers are named and roles and responsibilities detailed in the relevant Site Specific Safety Statement (SSSS). 

 

Key responsibilities include:

  • Developing a SSSS for the department/service, as applicable, based on the identification of hazards and the assessment of risks, and reviewing and updating same on a regular basis, at the least annually, and in the event of any significant change in the work activity or place of work.
  • Ensuring that Occupational Safety and Health (OSH) is integrated into day-to-day business, providing Systems Of Work (SOW) that are planned, organised, performed, maintained and revised as appropriate, and ensuring that all safety related records are maintained and available for inspection.
  • Consulting and communicating with staff and safety representatives on OSH matters.
  • Ensuring training needs assessments (TNA’s) are undertaken for employees, facilitating their attendance at statutory OSH training, and ensuring records are maintained for each employee.
  • Ensuring that all incidents occurring within the relevant department or service are appropriately managed and investigated in accordance with HSE procedures.
  • Seeking advice from health and safety professionals through the National Health and Safety Function Helpdesk as appropriate.
  • Reviewing the health and safety performance of the ward, department or service and staff through, respectively, local audit and performance achievement meetings for example.

Note: Detailed roles and responsibilities of Line Managers are outlined in local SSSS

 

1:  A template SSSS and guidelines are available on the National Health and Safety Function/H&S web-pages
2:  See link on health and safety web-pages to latest Incident Management Policy

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