Clinical Nurse Manager 11 Palliative Care

March 29, 2021
Job Type Full Time
Function Nursing and Midwifery
Location Connolly Hospital, Dublin

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

Clinical Focus

The CNM will:

  • Articulate and demonstrate the concept of palliative care practice within the framework of relevant legislation, Scope of Nursing & Midwifery Practice Framework (ABS 2000) and the Code of Professional Conduct (ABA 2000)
  • Act as a palliative care resource for patients with advanced disease and their carers referred to the palliative care team.
  • Perform palliative care nursing assessments and plan and initiate care and treatment to achieve patient / client centred outcomes; evaluates their effectiveness
  • Attend and contribute to multidisciplinary palliative care team meetings
  • Ensure that patients receive adequate information in order to participate fully in decision making regarding their care.
  • Provide palliative care information and support on all aspects of care to patients and their families / carers
  • Anticipate patients’ palliative care needs and plan for out of hours care.
  • Establish and maintain close working relationships with local palliative care services to ensure effective transition of care between hospital, community and specialist in patient units.
  • Identify health promotion priorities in the area of palliative care practice


Patient Advocate

The CNM will:

  • Enable patients / carers to participate in decisions about their health needs
  • Act as a patient advocate at all stages of the patients care but especially in helping establish goals of care with the patient and communicating these to all relevant members of the multidisciplinary team.
  • Articulate and represent patient and carer interests in collaboration with the multidisciplinary team
  • Act as a resource contact person for patients and carers
  • Implement palliative care changes in healthcare service in response to patient need and service demand


Education and Training

 The CNM will:

  • Promote a progressive learning environment based on high quality, research based, nursing care
  • Educate patients and carers in relation to their palliative care healthcare needs Identify own continuing professional development needs and engage accordingly
  • Work with the relevant education departments and participate in teaching on palliative care aspects of pre and post registration nurses training
  • Be actively involved in the updating and formulation of hospital policy/procedure/standards, and especially within palliative care and end of life care



The CNM will

  • Provide palliative care leadership in clinical practice and act as a resource and role model for palliative care practice and end of life care
  • Generate and contribute to the development of palliative care clinical standards of practice and implement national guidelines
  • Use palliative care knowledge to support and enhance generalist nursing palliative care practice
  • Actively be involved in End of Life Care Standing Committee within hospital.


Audit and Research

The CNM will

  • Keep up to date with current palliative care research and practice
  • Identify, critically analyse, disseminate and integrate nursing and other evidence into the area of palliative care practice
  • Initiate and participate in evaluations, audits and quality initiatives relevant to the palliative care service, and this includes annual nursing service report and plan
  • Use the outcomes of audit to improve palliative care service provision
  • Contribute to palliative care service planning through use of audit data and knowledge


Health & Safety

 The CNM will

  • Contribute to the development of policies, procedures & guidelines where a palliative care perspective is required
  • Adhere to, and ensure adherence to relevant legislation, regulations and standards in the delivery of palliative care and nursing service
  • 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 patient care or well being / may be inhibiting the efficient provision of care
  • Adhere to established policies and procedures e.g. health and safety, infection control
  • 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



The CNM will

  • Contribute to service development through appropriate continuous palliative education, research initiatives, keeping up to date with specialist palliative care & nursing literature, recent nursing research and new developments in specialist palliative Care & nursing and attend study days as considered appropriate
  • Provide an efficient, effective, and high quality palliative care and nursing service, respecting the needs of each patient
  • Effectively manage time and caseload in order to meet the needs of a changing and developing palliative care service
  • Be aware of budgetary issues and resource allocation – all the time striving for value for money
  • Continually monitor the palliative care and clinical nursing service to ensure it reflects current needs
  • Maintain accurate and up to date statistics of the service provided, including audit and annual report on service activity
  • Ensure that confidentiality in relation to patient /client records is maintained
  • Represent the palliative care service at local, national and international meetings as required
  • Maintain accurate and contemporaneous records / data on all matters pertaining to the planning, management, delivery and evaluation of this service in line with HSE requirement

Essential Criteria


Professional Qualifications & Experience

Candidates must:

  • Be registered in the relevant Division of the Register of Nurses & Midwives maintained by Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland)


  •  Have at least 5 years post registration experience with 3 years recent experience in an acute hospital


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


  •  Must demonstrate evidence of continuing professional development


  •  Participate in educational opportunities available to increase knowledge base in the area of Palliative Care.


  •  Have the clinical, managerial and administrative capacity to properly discharge the functions of the role


Annual Registration

Appointment to and continuation in posts that require statutory registration is dependent upon the post holder maintaining annual registration in the relevant division of the register maintained by Bord Altranais agus Cnáimhseachais na hÉireann (Nursing Midwifery Board Ireland).



Skills/ Competencies

Professional Knowledge & Experience

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


Evaluating Information, 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.


Team Working

Has the ability and desire to work cooperatively with others; collaborating to get the job done. Provides support to colleagues to help develop a strong and cohesive team ethos. Willing to participate as a member of the team.


Commitment to a Quality Service

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.


Communications & 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.