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
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
The position will work closely with Multi-Disciplinary team in
SJH accepting referral from the hospital grouping as a
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,
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
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:
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.
The Clinical Nurse Specialist will:
Malignant Melanoma who require support and treatment through the continuum of care
and spiritual elements of care using best evidence based practice in patient care
management in conjunction with the multi-disciplinary team (MDT) and the patient, family
and/or carer as appropriate.
accordingly in conjunction with the MDT and patient, family and/or carer as appropriate.
and the patient in line with agreed pathways and policies, procedures, protocols and
and provide relevant support, information, education, advice and counselling as required
Secondary Care to provide a seamless service delivery to the patient, family and/or carer as
medical and pharmacy staff with medication reviews and medication management
identification of triggers which may cause exacerbation of symptoms. Provide patients with
appropriate self-management strategies and escalation pathways.
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
MDT in both Primary and Secondary Care as appropriate
with best practice guidelines and the Safer Better Healthcare Standards (HIQA, 2012) or the
relevant National Clinical Care Programme.
in relation to their condition in collaboration with MDT colleagues in both Primary and
Secondary Care as appropriate
participation in decision making, thereby enabling informed choice of treatment options
Acute Services, Primary Care and Voluntary Organisations as appropriate
Education & Training:
interventions to increase their knowledge, skill and confidence in managing their diagnoses.
resources for the patient, family and/or carer in relation to diabetes thus empowering them
to self manage their condition.
diabetes care delivery through journal clubs, conferences etc.
(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.
Audit & Research:
(KPI’s) as directed and advised by the ADON/DoN/Lead Consultant.
relevant to the area of practice.
patients with Malignant Melanoma and put it into practice
the provision of informed evidence based practice
Audit expected outcomes including:
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
collaboration with nursing/midwifery management and MDT colleagues (Primary and
Registered Advanced Nurse/Midwife Practitioner/MDT colleagues as appropriate, developing
person centred care pathways to promote the integrated model of care delivery.
organisations which support patients in the community.
National Clinical Programme model of care.
Academic/Professional Qualifications and/or relevant Experience
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
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
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.
Nurse Prescribing Registration- or agree to undertake within an agreed timeframe, the
nurse prescribing of Medicinal Products Certificate.
Experience in nurse led excision procedures
Wound Care Management
Experience in teaching and assessing junior staff/nursing students
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
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
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
Communicates with others in a way that builds
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
Ensures most effective allocation and use of
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
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
Presents at seminars / conferences.
Uses professional bodies to improve knowledge and
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
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.
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.
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.
Approval to Hire (VAF process)
Hiring Manager – Role Profile
Application Process (Standard Application Form)
Shortlisting of Candidates will be based on information provided in Standard
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
Alternatively, please contact the Human Resources Directorate for an application form,
Phone: (01) 416 2559 or Email: email@example.com
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
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.
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
The applicant must demonstrate relevant and ongoing continuous professional development