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CNS in Malignant Melanoma

St. James's Hospital
South Dublin, Dublin
Full-time
Permanent
Graduate

Role ProfileRole Title Clinical Nurse Specialist in Malignant Melanoma

Purpose of the Role The purpose of this role is to deliver specialist nursing care

in line with the five core concepts set out in the Framework

for the Establishment of Clinical Nurse Specialist posts (4th

edition), National Council for the Professional Development

of Nursing and Midwifery (NCNM), 2008. The successful

candidate will work as a member of the multidisciplinary

team providing a patient centered quality and seamless

service.

Details of the The management of patients with Malignant Melanoma

service/Background to the demands a broad range of professional skills and

post knowledge, as well as skills in communication, leadership,

teaching, education, research and counselling. The CNS will

have the expertise and specialist knowledge to incorporate

these skills into practice and so develop standards of care

that benefit the patient. In so doing, the CNS will embrace

the five core concepts of the clinical nurse specialist role to

ensure the provision of a high quality holistic service for the

patients in need of the service, and to enhance the health

status of this patient population. The principle role of the CNS will be facilitating the journey

of each patient diagnosed with Malignant Melanoma. This

will usually start at the rapid access pigmented lesion clinic.

Skills should include, but not limited to Dermoscopy, wound

care, experience in care of patients with Malignant

Melanoma and evidence of ability to lead nurse clinics.

Dermatology procedures experience is a pivotal part of the

role and should include involvement in excising biopsies as

part of the patient’s diagnosis and follow up.

He/she will work closely with the Dermatology and plastics

team. He/she will be expected to be active in patient and

staff teaching and keeping abreast of national and

international guidelines.

The position will work closely with Multi-Disciplinary team in

SJH accepting referral from the hospital grouping as a

whole.

Department/Directorate Department of Dermatology, Med Directorate.

Key Reports Operationally: CNM III

Directorate Nurse Manager

Professionally: Director of Nursing Sharon Slattery

Clinically: Consultant Dr Patrick Ormond

Key Direct Reports Staff Nurses, Support Staff, Student Nurses as appropriate

On clinical matters only

Grade CNM II

Salary Scale €49,056 - €57,995

Job Reference Number 43882/19

Enquiries To Carolyn Treacy, (A) ADON Phone: (01) 4103141,

Email: cconroy@stjames.ie

Closing Date Sunday 27th January 2019

Key Duties, Roles and Responsibilities

The purpose of this CNS post is to deliver care in line with the five core concepts of the role

set out in the Framework for the Establishment of Clinical Nurse/Midwife Specialist Posts,

4th edition, National Council for the Professional Development of Nursing and Midwifery

(NCNM) 2008

The management of patients with Malignant Melanoma demands a broad range of

professional skills and knowledge provision of a high quality holistic service for the patients

in need of the service, and to enhance the health status of this patient population.

The post holder’s practice is based on the five core concepts of the CNS 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 CNS will have a strong patient focus whereby the specialty defines itself as

nursing/midwifery and subscribes to the overall purpose, functions and ethical standards of

nursing/midwifery. The clinical practice role may be divided into direct and indirect care.

Direct care comprises the assessment, planning, delivery and evaluation of care to the

patient, family and/or carer. Indirect care relates to activities that influence and support the

provision of direct care.

Direct Care

The Clinical Nurse Specialist will:

  • Provide a specialist nursing service for patients with a working/provisional diagnosis of

Malignant Melanoma who require support and treatment through the continuum of care

  • Undertake comprehensive patient assessment to include physical, psychological, social

and spiritual elements of care using best evidence based practice in patient care

  • Use the outcomes of patient assessment to develop and implement plans of care/case

management in conjunction with the multi-disciplinary team (MDT) and the patient, family

and/or carer as appropriate.

  • Monitor and evaluate the patient’s response to treatment and amend the plan of care

accordingly in conjunction with the MDT and patient, family and/or carer as appropriate.

  • Make alterations in the management of patient’s condition in collaboration with the MDT

and the patient in line with agreed pathways and policies, procedures, protocols and

guidelines (PPPG’s).

  • Accept appropriate referrals from MDT colleagues
  • Co-ordinate investigations, treatment therapies and patient follow-up
  • Communicate with patients, family and /or carer as appropriate, to assess patient’s needs

and provide relevant support, information, education, advice and counselling as required

  • Where appropriate work collaboratively with MDT colleagues across Primary and

Secondary Care to provide a seamless service delivery to the patient, family and/or carer as

appropriate

  • Participate in medication reconciliation taking cognisance of poly-pharmacy and support

medical and pharmacy staff with medication reviews and medication management

  • Identify and promote specific symptom management strategies as well as the

identification of triggers which may cause exacerbation of symptoms. Provide patients with

appropriate self-management strategies and escalation pathways.

  • Manage nurse led clinics with MDT input
  • Identify health promotion priorities for the patient, family and/or carer and support patient

self-care in line with best evidence. This will include the provision of educational and health

promotion material which is comprehensive, easy to understand and meets patients needs

Indirect Care

  • Identify and agree appropriate referral pathways for patients with Malignant Melanoma
  • Participate in case review with MDT colleagues
  • Use a case management approach to patients with complex needs in 3 collaboration with

MDT in both Primary and Secondary Care as appropriate

  • Take a proactive role in the formulation and provision of evidence based PPPGs relating to

diabetes care

  • Take a lead role in ensuring the service for patients with Malignant Melanoma is in line

with best practice guidelines and the Safer Better Healthcare Standards (HIQA, 2012) or the

relevant National Clinical Care Programme.

Patient/Client Advocate

  • Communicate, negotiate and represent patient’s family and/or carer values and decisions

in relation to their condition in collaboration with MDT colleagues in both Primary and

Secondary Care as appropriate

  • Develop and support the concept of advocacy, particularly in relation to patient

participation in decision making, thereby enabling informed choice of treatment options

  • Respect and maintain the privacy, dignity and confidentiality of the patient, family and/or

carer

  • Establish, maintain and improve procedures for collaboration and cooperation between

Acute Services, Primary Care and Voluntary Organisations as appropriate

  • Proactively challenge any interaction which fails to deliver a quality service to patients

Education & Training:

  • Maintain clinical competence in patient management within dermatology nursing, keeping
up-to-date with relevant research to ensure the implementation of evidence based practice.
  • Provide the patient, family and/or carer with appropriate information and other supportive

interventions to increase their knowledge, skill and confidence in managing their diagnoses.

  • Contribute to the design, development and implementation of education programmes and

resources for the patient, family and/or carer in relation to diabetes thus empowering them

to self manage their condition.

  • Provide mentorship and preceptorship for nursing colleagues as appropriate.
  • Participate in training programmes for nursing, MDT colleagues and key stakeholders as

appropriate.

  • Create exchange of learning opportunities within the MDT in relation to evidence based

diabetes care delivery through journal clubs, conferences etc.

  • Develop and maintain links with Regional Centres for Nursing & Midwifery Education

(RCNMEs), the Nursing and Midwifery Planning and Development Units (NMPDUs) and

relevant third level Higher Education Institutes (HEIs) in the design, development and

delivery of educational programmes in care.

  • Be responsible for addressing own continuing professional development needs

Audit & Research:

  • Establish and maintain a register of patients with malignant melanoma within the CNS

service.

Caseload.

  • Maintain a record of clinically relevant data aligned to National Key Performance Indicators

(KPI’s) as directed and advised by the ADON/DoN/Lead Consultant.

  • Identify, initiate and conduct nursing/midwifery and MDT audit and research projects

relevant to the area of practice.

  • Identify, critically analyse, disseminate and integrate best evidence relating to care of

patients with Malignant Melanoma and put it into practice

  • Contribute to nursing/midwifery research on all aspects of patients care.
  • Use the outcomes of audit to improve service provision
  • Contribute to service planning and budgetary processes through use of audit data and

specialist knowledge

  • Monitor, access, utilise and disseminate current relevant research to advise and ensure

the provision of informed evidence based practice

Audit expected outcomes including:

  • Collate data, nationally and locally agreed KPI’s which will provide evidence of the

effectiveness of the CNS interventions undertaken -Refer to the National Council for the

Professional Development of Nursing and Midwifery final report - Evaluation of Clinical Nurse

and Midwife Specialist and Advanced Nurse and Midwife Practitioner roles in Ireland (SCAPE

Report, 2010) and refer to the National KPIs associated with the speciality. They should

have a clinical nursing/midwifery focus as well as a breakdown of activity - patients seen

and treated.

  • Evaluate audit results and research findings to identify areas for quality improvement in

collaboration with nursing/midwifery management and MDT colleagues (Primary and

Secondary Care).

Consultant:

  • Provide leadership in clinical practice and act as a resource and role model for practice in

dermatology.

  • Generate and contribute to the development of clinical standards and guidelines and

support implementation

  • Use specialist knowledge to support and enhance generalist nursing/midwifery practice
  • Develop collaborative working relationships with local Dermatology Nurse Specialists,

Registered Advanced Nurse/Midwife Practitioner/MDT colleagues as appropriate, developing

person centred care pathways to promote the integrated model of care delivery.

  • With the support of the CNM III/ADON, attend integrated care planning meetings as

required

  • Where appropriate develop and maintain relationships with specialist services in voluntary

organisations which support patients in the community.

  • Liaise with other health service providers in the development and on-going delivery of the

National Clinical Programme model of care.

  • Network with other CNS’s in dermatology and in related professionals associations.
  • The above Role Profile 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. This Role Profile will be subject to review in the light of changing circumstances.

Academic/Professional Qualifications and/or relevant Experience

Required: 

Registered General Nurse with The Nursing & Midwifery Board of Ireland (NMBI), or eligible

to register with NMBI. 

5 years post-registration experience in the acute hospital setting within the last 7 years. 

A minimum of two years experience in the specialist area of dermatology. 

Formal recognised post-registration education relevant to the area of specialist practice at

level 8 (higher Diploma) according to the Quality and Qualifications Ireland (QQI), National

Framework 

Candidates without the relevant post-graduate level 8 specialist course will be appointed as

Clinical Nurse Manager II initially, but must agree to complete within an agreed

timeframe. 

In circumstances where a candidate does not have the relevant qualification or no

qualification is available in the relevant area then please -see Appendix 1. 

Have the ability to practice safely and effectively fulfilling his/her professional responsibility

within his/her scope of practice.

Have evidence of continuing professional development.

Desirable: 

Management experience 

Nurse Prescribing Registration- or agree to undertake within an agreed timeframe, the

nurse prescribing of Medicinal Products Certificate. 

Dermoscopy 

Experience in nurse led excision procedures 

Wound Care Management

Technical/Clinical Competencies

Required: 

IT skills 

Experience in teaching and assessing junior staff/nursing students

Desirable: 

Venepuncture & Cannulation experience

SJH Behavioural Competencies

Competency Level The following “Descriptors” are a further clarification of

Required Required the behaviours required. Candidates should use these

descriptors as a “guide” when assessing their suitability

for this role and also when preparing an example ofwhere they have demonstrated this competency in thepast for inclusion in the required Application Form.

Problem Solving and 2  Able to act quickly to address urgent matters

Decision Making  Is able to make decisions with the information that is

available at the time when a decision is needed

quickly 

Consults with others to improve decision-making 

Is able to recognise early warning signs of potential

problems and takes pre-emptive action 

Accurately anticipates likely consequences of

actions/decisions (both short- and long-term) 

Grasps how all decisions (both big and small) might

affect other colleagues, Patients, departments or the

hospital

Communication 2  Keeps key people informed, sharing information in a

timely and open manner. 

Patiently explains things to others when asked 

Clearly and confidently articulates ideas and opinions

and their underlying rationale 

Draws on a variety of communication methods to fit

situation/ circumstances 

Communicates with others in a way that builds

consensus 

Respects others’ views, in particular those of Staff of

different grades and those who hold different posts 

Documents important/relevant communications

Planning and 2  Prioritises team workload and delegates tasks

Organising effectively 

Ensures most effective allocation and use of

resources 

Anticipates problems and issues and takes

preventative action to address these 

Manages competing and changing priorities 

Consistently plans ahead to meet important deadlines 

Prepares for implementation by ensuring adequate

resources are in place 

Communicates with others in relation to the plan, and

their expectations of them 

Plans in a realistic way vis a vis resources and time

available

Leadership 2  Embraces organisational change initiatives, filling

structure/roles to support it 

Contributes to the development of an environment

where people can develop and flourish 

Shows strong initiative; can work outside of standard

protocol when necessary 

Able to follow through on commitments and bring

new ideas/initiatives to fruition (at local level) 

Understands importance of getting input and

commitment from others when seeking involvement 

Motivate others to act.

Quality and Safety 3  Designs metrics and measurements to capture

Service current standards met/unmet. Takes corrective action

and communicates same to all involved. 

Is a self-starter who shows initiative, assumes

2 responsibility for results 

Has patience and perseverance to see things through 

Designs metrics and measurements to capture

current standards met/unmet. Takes corrective action

and communicates same to all involved.

Continuous 3  Demonstrates a track record of effective

Development- teaching/mentoring junior staff and is known as a

Personal and valued resource.

Professional 2  Holds self and others accountable for high standards. 

Responds appropriately to unsafe and/or

unprofessional practices 

Presents at seminars / conferences. 

Uses professional bodies to improve knowledge and

resources 

Stays abreast of new technologies/research relevant

to chosen field 

Looks to achieve personal and professional fulfilment

Proficiency in the English language

A level of proficiency in the English language, written and spoken, is a requirement of all

roles within St. James’s Hospital. You will be required to self-assess your proficiency level

in the Standard Application Form. In addition,your proficiency in spoken English will

be assessed during the interview process appropriate to the role available.

Particulars of Office

1. The appointment to this post will be Full Time, Permanent & Pensionable.

2. Annual Leave allowance is 25 – 28 days per annum.

Please note that annual leave allowances may be amended in line with directives from

the Department of Public Expenditure and Reform in accordance with the Standardisation

of annual leave and related allowances in the public sector.

3. The person appointed must not give less than one months’ notice, in writing, of

intention to resign.

4. Normal working hours will be 39 per week.

5. You will be required to work the agreed roster / on call arrangements advised to you by

your line manager. Your contracted hours of work are liable to change between the

hours of 8.00am - 8pm over seven days to meet the requirements for extended day

services in accordance with the terms of the Framework Agreement

General Conditions

1. The Hospital Board will not be responsible for the loss or theft of personal belongings.

2. Fire orders must be observed and staff must complete fire training every 2 years

3. All accidents within the department must be reported immediately.

4. In accordance with the “Safety, Health and Welfare at Work Act 2005”, all staff must

comply with all safety regulations.

5. St James Hospital is a smoke free Campus. Smoking is not permitted within the Hospital

Buildings or on the grounds.

Confidentiality

In the course of your employment you may have access to or hear information concerning

the medical or personal affairs of patients and/or staff, or other health services business.

Such records and information are strictly confidential and unless acting on the instructions

of an authorised officer, on no account must information concerning staff, patients or other

health service business be divulged or discussed except in the performance of normal duty.

In addition records must never be left in such a manner that unauthorised persons can

obtain access to them and must be kept in safe custody when no longer required.

Health

A candidate 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.

Infection Control & Hygiene

It is the responsibility of all staff across the hospital to ensure that infection control and

hygiene standards are adhered to and maintained at all times.

Recruitment Process 

Approval to Hire (VAF process) 

Hiring Manager – Role Profile 

Advertising 

Application Process (Standard Application Form) 

Shortlisting of Candidates will be based on information provided in Standard

Application Form 

Interview Process 

All applicants who move to the 2nd stage of the Selection process (i.e. post

interview) will be subject to Reference Checking X 2, Self-Declaration, Garda

Clearance, Occupational Health Screening (Questionnaire) and relevant

Qualification/Professional Membership validation. 

All successful candidates who take up appointment will be required to attend a 1

week Mandatory Induction Programme.

For External Applicants:

The Application Form is available under CNM & Specialists Posts section of Careers

webpage.

Alternatively, please contact the Human Resources Directorate for an application form,

Phone: (01) 416 2559 or Email: nursejobs@stjames.ie

Please note closing date Sunday 27th January 2019 for receipt of completed application

forms, C.V.s will not be accepted.

A Panel will be formed for which future vacancies will be filled

St. James’ Hospital is an Equal Opportunities Employer

Appendix 1

Where applicants are in the process of completing a relevant Masters Degree or Post

Graduate Diploma/Higher Diploma level (QQI) major award, relevant to the area of

specialist clinical practice at level 8 or above, he/she will be required to furnish HEI formal

transcripts detailing the modules they have successfully completed.

The applicant must demonstrate that they have successfully completed the required number

of relevant modules that equates to a formal recognised post-registration qualification at

Post Graduate Diploma/Higher Diploma level (QQI), or ECTS Credits equivalent to Post

Graduate Diploma level as deemed by the HEI, relevant to the area of specialist clinical

practice at level 8 or above. Refer to your local Director NMPD for guidance in relation to

assessing individual cases.

In exceptional circumstances where such a course of study relevant to the specialist area

has not been developed and is not available, the following guidance should apply:

Where the applicant has achieved a formal recognised post-registration major award in

nursing/midwifery practice at level 8 or above, not in the area of specialist practice, the

applicant must additionally demonstrate the following:

The applicant must have successfully undertaken formal recognised post-registration clinical

education and have acquired a QQI award e.g. certificate, module at level 8 or above

relevant to the area of specialist practice – name the area prior to application.

Or

In very exceptional circumstances where a QQI award relevant to the area of specialist

practice is not available, the applicant must demonstrate that he/she has successfully

undertaken a substantial course/programme relevant to the specialist practice prior to

application, which should be either academically accredited or endorsed by a relevant

professional association.

And

The applicant must demonstrate relevant and ongoing continuous professional development

(CPD).

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