Clinical Nurse Manager, SACT Outreach Services, General Hospital

Principal Duties and Responsibilities

The CNM2 SACT services will:

Management and Leadership

· Work collaboratively with the ADON responsible for strategic management of the SACT Outreach services.

· Participate in the appropriate management and co-ordination of effective and efficient outreach SACT services to improve for the service users.

· Exercise authority in running the unit as deputised by ADON; act up/out of hours when required.

· Provide supervision, coordination and deployment of nursing and support staff to ensure optimum delivery of care.

· Manage communication at unit/departmental level and facilitate team building.

· Provide staff leadership and motivation conducive to good relations and performance; promote a culture that values diversity and respect.

· Formulate, implement and evaluate service plans and budgets with the wider healthcare team; manage resources effectively within agreed budget.

· Lead on practice development and implement change.

· Develop, implement and monitor nursing policies and procedures; lead proactive improvement.

· Ensure compliance with legal requirements, policies and procedures affecting service users, staff and other hospital matters.

· Maintain clinical and administrative records and reporting arrangements; engage in IT developments relevant to patient care and service administration.

· Develop and monitor KPIs (e.g., activity, waiting times, adverse event rates, protocol compliance and patient experience).

· Take remedial action where necessary to improve the patient experience..

· Participate in the overall financial planning of the service including the assessment of priorities in pay and non-pay expenditure..

· Ensure that critical human and material resources are allocated in an effective way, monitoring activity levels and intervening to align resources and maximize efficiencies.

· Collaborate and liaise with key stakeholders' national and local e.g. relevant clinical programmes to initiate Quality Improvement projects.

· Provide guidance to nursing and other staff in the implementation of nursing guidelines and policies.

· Maintain good employee relations and promote good communication with all relevant staff.

· Give support and counsel to nursing and allied staff as necessary and take action in accordance with agreed service policy, if necessary.

· Plan and guide activities to provide optimum patient care in accordance with service policies and procedure and undertake audits as required.

· Ensure adherence to all standards and guidelines relating to professional nursing practice and behavior.

· Undertake other relevant duties as may be determined from time to time by the Director of Nursing

Professional/ Clinical Responsibilities

· Provide a high level of professional and clinical leadership to maintain efficient patient safety in outreach SACT services under the nursing governance structures.

· Oversee safe administration of SACT and specialty infusions, including pre‑assessment, observation, and post‑treatment follow‑up.

· Plan discharge or transition of the service user between services as appropriate.

· Provide safe, comprehensive nursing care to service users within the guidelines laid out by Nursing and Midwifery Board of Ireland (NMBI).

· Comply with professional developments from the Nursing & Midwifery Board of Ireland and other professional bodies relevant to the profession of nursing.

· Practice nursing according to Professional Clinical Guidelines, National and Area Health Service Executive guidelines, local policies, protocols and current legislation.

· Place the values of kindness. Care Compassion Trust and learning at the core of daily work.

· Manage own work load in accordance with the needs of the post.

· Participate in teams as appropriate, communicating and working in co-operation with the other team members, the wider multi-disciplinary teams and integrated care teams.

· Facilitate co-ordination, cooperation and liaison across health care teams' programmes and services.

· Formulate, manage and implement best practice policies and procedures.

· Ensure, as part of the team approach to patient care uphold the HSE's policy that service users and others are treated with dignity and respect and develop opportunities for service users to contribute to service improvements.

· Maintain professional standards in relation to confidentiality, ethics and legislation.

· Development policies procedures protocols and guidelines relevant to SACT outreach services and ensure implementation of same where appropriate.

· Participate in development of quality initiatives including clinical audit, standard setting, investigation of complaints and untoward incidents, use of quality improvement methodologies.

Service Management

· Be responsible for the operational management of nurse led SACT outreach services as defined by the Director of Nursing/ Assistant Director of Nursing Bantry Hospital and the SACT team at Cork University Hospital.

· Ensure effective safety procedures are developed and managed to comply with statutory obligations (e.g., health and safety, emergency procedures).

· Ensure adherence to policies and procedures (infection prevention and control, storage and use of controlled drugs, anaphylaxis management, cytotoxic handling where applicable).

· Ensure equipment is used and maintained safely in line with policy.

· Have a working knowledge of HIQA Standards as they apply to the role and comply with associated HSE protocols.

· Promote and support the delivery of quality improvement plans and other components of internal and external quality assurance programmes e.g. HIQA Programmes.

· Lead and contribute effectively to the change process.

· 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

· Contribute to service development through appropriate continuous education, research initiatives, keeping up to date with nursing and relevant literature, recent nursing and relevant research and new developments in nursing management patient flow management, education and practice and attend staff study days as considered appropriate.

· Engage in continuing professional development; keep up to date with nursing literature, research and developments in infusion and oncology practice.

· Participate in identification, development and delivery of induction, education, training and development programmes for nursing and non‑nursing staff in conjunction with practice development team.

· Provide supportive supervision to nursing and frontline staff as appropriate.

· Supervise and assess student nurses; foster a clinical learning environment.

· Engage in performance achievement processes including personal development planning as appropriate.

· Engage with the HSE performance achievement process with your line manager and direct reports

· Provide support/advice to those engaging in continuous professional development in his/her area of responsibility.

Health and Safety / Risk Management

· Ensure as part of the management team that prompt action is taken to identify general and specific health and safety risks. This will include regular consultation with appointed H&S representatives.

· Identify, assess, manage and monitor risk within area of responsibility; ensure completion of incident/near miss forms and clinical risk reporting.

· In addition, the post-holder will introduce appropriate risk elimination measures, or where this is not possible will introduce risk mitigation management measures. The process of monitoring and responding to Health and Safety (H&S) concerns will be ongoing.

· Ensure that effective safety procedures are developed and managed to comply with statutory obligations.

· Be aware of risk management issues, identify risks and take appropriate action.

· Comply with the policies, procedures and safe professional practice of the Irish Healthcare System by adhering to relevant legislation, regulations and standards.

· Assist in the development, implementation and review of Health and Safety statements, as appropriate.

· Document appropriately and report any near misses, hazards and accidents and bring them to the attention of the relevant person(s).

· Investigate complaints, review systems and processes and monitor the necessary action taken to resolve any underlying problems including education.

· Maintain a feedback mechanism and report to senior management where appropriate.

· Ensure adherence to policies in relation to the care and safety of any equipment supplied for the fulfilment of duty. Ensure advice of relevant stakeholders is sought prior to procurement.

· The post holder has a duty to familiarise themselves with the relevant:

§ Organisational Policies

§ Continuous Quality Improvement Initiatives

§ Document Control Information Management Systems

§ Risk Management Strategy and Policies

§ Hygiene Related Policies, Procedures and Standards

§ Decontamination Code of Practice

§ Infection Control Policies

§ Safety Statement, Health & Safety Policies/Fire Procedure

§ Data Protection and Confidentiality Policies

§ Strategy for People Management

§ Trust in Care

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.

KPls

The identification and development of Key Performance Indicators (KPls) which are congruent with the hospital's service plan targets.

The development of Action Plans to address KPI targets.

Driving and promoting a Performance Management culture.

In conjunction with line manager assist in the development of a Performance Management system for your profession.

The management and delivery of KPls as a routine and core business objective.

Risk Management, Infection Control, Hygiene Services and Health & Safety

• The management of Risk, Infection Control, Hygiene Services and Health & Safety is the responsibility of everyone and will be achieved within a progressive, honest and open environment.

• The post holder must be familiar with the necessary education, training and support to enable them to meet this responsibility.

• The post holder is responsible for ensuring that they become familiar with the requirements stated within the Risk Management Strategy and that they comply with the Hospitals Risk Management Incident/Near miss reporting Policies and

Procedures.

· It is the responsibility of the post holder to be aware of and comply with the HSE Health Care Records Management/ Integrated Discharge Planning (HCRM / IDP)

Code of Practice.

Information Technology

· Ensure the most effective and efficient deployment of developments in IT (patient care and administration), ensuring appropriate integration with existing systems.

Financial Performance

· Control and closely monitor nursing expenditure within the directorate, ensuring effective use of resources. Provide reports on activity, income and expenditure.

· Actively pursue cost containment, resource efficiency measures and value for money initiatives which contribute to the directorate and hospital’s budgetary / financial and headcount challenges.

· Advise relevant stakeholders on optimal use and cost effective management of inpatient and day care resources for both public and private patients, in accordance with the hospital provider plan.

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 them from time to time and to contribute to the development of the post while in office.

Informal Enquiries

We welcome enquiries about the role.

Contact Merline Tagaram – Director of Nursing @ merline.tagaram@hse.ie – for further information about the role

Contact Tamara Broderick - People Resourcing, Tamara.broderick@hse.ie – for enquiries relating to the recruitment process