L Clinical Nurse Manager / Clinical Midwife

Purpose of the Post

The purpose of this Clinical Nurse Specialist/Clinical Midwife Specialist Colposcopy post isto deliver care in line with the five core concepts of the role as set out in the Framework for the establishment of Clinical Midwife Specialist Posts 4th edition National Council of the Professional Development of Nursing and Midwifery (NCMN) 2008.

The Clinical Nurse/Midwife Specialist Colposcopy will provide clinical expertise and support to staff working in Gynaecology Service. S/he will provide leadership in the delivery of specialised services and will ensure the Colposcopy service is part of a dynamic and growing health care facility catering for the health needs of women referred to the Colposcopy service. The Clinical Nurse Specialist (Colposcopy) will carry out the duties appropriate to the specialist area and support and supervise staff in training.

Caseload

TheCNM2/CMM2caseload will include Women referred to colposcopy with abnormal cervical screening results, high risk HPV positive results.

Principal Duties and Responsibilities

• The post holder will support the principle that care of the patient comes first at all times and will approach their work with the flexibility and enthusiasm necessary to make this principle a reality for every patient to the greatest possible degree
• Maintain throughout the Group’s awareness of the primacy of the patient in relation to all hospital activities.
• Performance management systems are part of the role and you will be required to participate in the Group’s performance management programme

The post holder’s practice is based on the five core concepts of Clinical Midwife Specialist (Colposcopy) 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

Clinical Midwife/Nurse Specialist (Colposcopy) will have a strong patient focus whereby the specialty defines itself as midwifery and subscribes to the overall purpose, functions and ethical standards of Nursing and 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 CNM2/CNM2. Colposcopy will:

• Provide a specialist nursing/midwifery service for patients with a positive cervical screening test 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 cervical screening and colposcopy
• 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, 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 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 as appropriate, to assess patient’s needs and provide relevant support, information, education and advice as required
• Where appropriate work collaboratively with MDT colleagues across Primary and Secondary Care to provide a seamless service delivery to the patient as appropriate
• Manage nurse/midwife led colposcopy 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

The CNM2/CMM2. Colposcopy will:

• Identify and agree appropriate referral pathways for patients with cervix canceror complex pre-cancer of vagina, vulva or cervix
• Participate in case review with MDT colleagues
• Use a case management approach to patients with complex needs in 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 colposcopy care
• Take a lead role in ensuring the service for patients with cervical pre-cancer is in line with best practice guidelines and the Safer Better Healthcare Standards (HIQA, 2012)

Patient/Client Advocate

The CNM2/CMM2. Colposcopy will:

• Communicate, negotiate and represent the woman’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 the woman’s participation in decision making, thereby enabling informed choice of treatment options

• Respect and maintain the privacy, dignity and confidentiality of the woman, family and/or carer.

• Establish, maintain and improve procedures for collaboration and cooperation between Tertiary centres, Acute Services, Primary Care and Voluntary Organisations as appropriate.

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

Education & Training:

The CNM2/CMM2. Colposcopy will:

• Maintain clinical competence in patient management within colposcopy nursing/midwifery practice, 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 theircervical pre-cancer condition.
• Contribute to the design, development and implementation of education programmes and resources for the patient, family and/or carer in relation to colposcopythus empowering them to self manage their condition.
• Provide mentorship and preceptorship for nursing/midwifery colleagues as appropriate.
• Participate in training programmes for nursing/midwifery, MDT colleagues and key stakeholders as appropriate
• Create exchange of learning opportunities within the MDT in relation to evidence based cervical screening and treatment 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 incolposcopy care.
• Be responsible for addressing own continuing professional development needs

Audit & Research:

The CNM2/CMM2. Colposcopy will:

• Establish and maintain a register of patients withcervical pre-cancer within the CNM2. / CMM2 caseload.

• Maintain a record of clinically relevant data aligned to National Key Performance Indicators (KPI’s) as directed and advised by the Director of Midwifery.

• Identify, initiate and conduct midwifery and Nursing MDT audit and research projects relevant to the area of practice.

• Identify, critically analyse, disseminate and integrate best evidence relating to Colposcopy diagnosis into practice.

• 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 which will provide evidence of the effectiveness of Clinical Midwife/Nurse Specialist (Colposcopy) 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 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 midwifery management and MDT colleagues.

Consultant:

CNM2/CMM2(Colposcopy) will:

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

• 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 Clinical Midwife/Nurse Specialist (Colposcopy)’s/Registered Advanced Midwife Practitioner/MDT colleagues as appropriate, developing person centred care pathways to promote the integrated model of care delivery.

• With the support of the Director of Midwifery, 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 Clinical Midwife/Nurse Specialist (Colposcopy) in appropriatetertiary centres in related professional associations.

Management/Administration:

CNM2/CMM2(Colposcopy) will:

• Provide an efficient, effective and high quality service, respecting the needs of each patient, family and/or carer.

• Effectively manage time and caseload in order to meet changing and developing service needs.

• Continually monitor the service to ensure it reflects current needs.

• Implement and manage identified changes.

• Ensure that confidentiality in relation to patient records is maintained.

• Represent the specialist service at local, national and international fora as required.

• Maintain accurate and contemporaneous records and data on all matters pertaining to the planning, management, delivery and evaluation of care and ensure that this service is in line with HSE requirements.

• Contribute to the service planning process as appropriate and as directed by the DoM.

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

• To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

Health & Safety:

These duties must be performed in accordance with local organisational and the HSE health and safety polices. In carrying out these duties the employee must ensure that effective safety procedures are in place to comply with the Health, Safety and Welfare at Work Act (2005). Staff must carry out their duties in a safe and responsible manner in line with the local policy documents and as set out in the local safety statement, which must be read and understood.

KPI’s

• The identification and development of Key Performance Indicators (KPIs) 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 KPIs as a routine and core business objective.

PLEASE NOTE THE FOLLOWING GENERAL CONDITIONS:

· Employees must attend fire lectures periodically and must observe fire orders.

· All accidents within the Department must be reported immediately.

· Infection Control Policies must be adhered to.

· In line with the Safety, Health and Welfare at Work Acts 2005 and 2010 all staff must comply with all safety regulations and audits.

· In line with the Public Health (Tobacco) (Amendment) Act 2004, smoking within the Hospital Buildings is not permitted.

· Hospital uniform code must be adhered to.

· Provide information that meets the need of Senior Management.

· To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

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 has a duty to familiarise themselves with the relevant Organisational Policies, Procedures & Standards and attend training as appropriate in the following areas:

o Continuous Quality Improvement Initiatives

o Document Control Information Management Systems

o Risk Management Strategy and Policies

o Hygiene Related Policies, Procedures and Standards

o Decontamination Code of Practice

o Infection Control Policies

o Safety Statement, Health & Safety Policies and Fire Procedure

o Data Protection and confidentiality Policies

· 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 Group’s Risk Management Incident/Near miss reporting Policies and Procedures.

· The post holder is responsible for ensuring that they comply with hygiene services requirements in your area of responsibility. Hygiene Services incorporates environment and facilities, hand hygiene, catering, cleaning, the management of laundry, waste, sharps and equipment.

· The post holder must foster and support a quality improvement culture through-out your area of responsibility in relation to hygiene services.

· The post holders’ responsibility for Quality & Risk Management, Hygiene Services and Health & Safety will be clarified to you in the induction process and by your line manager.

· The post holder must take reasonable care for his or her own actions and the effect that these may have upon the safety of others.

· The post holder must cooperate with management, attend Health & Safety related training and not undertake any task for which they have not been authorised and adequately trained.

· The post holder is required to bring to the attention of a responsible person any perceived shortcoming in our safety arrangements or any defects in work equipment.

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

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 him/her from time to time and to contribute to the development of the post while in office.

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