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Sort by: relevance | dateClinical Nurse Specialist Cardiac Rehabilitation
Job Title and Grade Speisialtóir Altra Cliniciúil (Athshlánú Cairdiach) (Cód Grád: 2632) Clinical Nurse Specialist (Cardiac Rehabilitation) (Grade Code: 2632) Permanent - 19.5 hours per week part-time Campaign Reference Closing Date Wednesday 30th July 2025 @ 16:00hrs Proposed Interview Date (s) TBC Taking up Appointment A start date will be indicated at job offer stage. Location of Post Aonad Athshlánaithe Cairdiaí, Ospidéal Naomh Colmcille, Baile Loch Cuan, Baile Átha Cliath 18 Cardiac Rehabilitation Unit, St Columcilles Hospital, Loughlinstown, Dublin 18 A panel may be created on foot of this campaign from which current and future permanent and specified purpose vacancies of full time or part time duration may be filled. Informal Enquiries Orla Wright, Assistant Director of Nursing, St Columcille’s Hospital Email: orla.wright@hse.ie Phone: 01 211 5049 Details of Service/Background to the post St. Columcille’s Hospital is located on the border of County Wicklow. It provides a range of services to a diverse population covering South County Dublin and County Wicklow. St. Columcille’s Hospital (SCH) is a Model 2 hospital with 117 inpatient Beds, 3 Medical Observation Beds, 8 Day Beds, 9 Beds in MAU (Medical Assessment Unit) and 6 in the IU (Injuries Unit). These services include a Cardiac Rehabilitation Unit, Injury Unit, Medical Assessment Unit, acute medical in-patient services, day surgery, outpatient care and diagnostic services. St. Columcille’s Hospital has a national speciality in obesity and gender management and is a referral centre for bariatric surgery. Specific to the Cardiac Rehabilitation To provide specialist support, we have developed a multidisciplinary model of care which incorporates a holistic assessment and individualised care pathways. We are now seeking a Clinical Nurse Specialist to provide and support existing services, and to support ongoing service development. Cardiac rehabilitation is provided primarily as an outpatient service in the Cardiac Rehabilitation Unit. There is also an outreach component as cardiac rehabilitation is delivered in community settings. Reporting Relationship · Assistant Director of Nursing over Cardiac Rehab · Director of Nursing (Professionally accountable) · Cardiologist (clinically accountable) Purpose of the Post The CNS in Cardiac Rehabilitation is a practitioner with extensive clinical knowledge and expertise in the specialist field. Working as part of a multi-disciplinary team, the CNS will use his/her clinical skills, communication and interpersonal skills to identify and address the needs of the patients and their families. •To provide a holistic nursing, education and management service for patients/ clients, their families and health professionals in the Cardiac Rehabilitation setting. •To provide a timely, safe service to Cardiac Rehabilitation patients, thus improving patient satisfaction and health outcomes. •To enhance the quality of service delivered by the multidisciplinary team to patients with cardiac conditions. •To promote autonomous nursing practice by developing practice which is based on evidence and reflective problem solving. •To devise and develop written protocols based on international guidelines and best practice, to improve and maintain a high quality of care to patients using Cardiac Rehabilitation services. Principal Duties and Responsibilities The Cardiac Rehabilitation CNS will be responsible for the co-ordination, evaluation, and development of the Cardiac Rehabilitation Service at SCH. The provision of Specialist knowledge and Clinical Expertise in the Care of Patients focusing on 5 core competencies, which are: 1. Clinical Focus. 2. Patient Advocate. 3. Education and Training. 4. Audit and Research 5. Consultant Clinical Focus The CNS will: · Model excellence in clinical practice and promote a patient centred approach to care. · Assess patients using a model of nursing, demonstrate awareness of medical management, and make appropriate referrals and co-ordinate the care of the patient throughout the system. · Assessment and monitoring of disease and treatment, interpretation of investigations and the provision of appropriate disease management. · Work closely with Clinical Nurse Managers and nursing staff and our multi-disciplinary team in the delivery of the highest standard of patient care. · Support other members of the caring team in order to assist them in their role of caring for the patient and family. · Utilise advanced knowledge, expertise and leadership skills to influence patient’s care, with the Cardiology/multidisciplinary teams. · Maintain accurate patient clinical records complying with legislation and International best practice. Patient Advocate The CNS will: · Ensure strong patient advocacy by maintaining effective communication channels with patients, families, and all members of the multidisciplinary team · Provide an efficient, effective and high-quality service, respecting the needs of each patient. · Be aware of the existing resources /services, which help patients and their families / significant others, public health nurses and patient support groups. · Help patients and families to obtain optimal treatment considering their individual and specific needs. · Ensure appropriate and effective communication between the patient, G.P. carer and all other health care professionals involved in the patient’s care. · Review current literature and facilitate the development of information booklets for patients and families. · Present individual patient views on treatment and the provision of care to multi-disciplinary team. Education and Training Patients and their families- The CNS will: · Assess and evaluate everyone’s needs and learning abilities, taking into account experiences, attitudes and beliefs and provide educational programmes accordingly · Work closely with the multidisciplinary team in the delivery of educational sessions on disease process, for patients and their families. · Educate on lifestyle changes and on the medications, they are prescribed · Impart information, and educate patients in disease management, and lifestyle change, coping strategies etc. · Facilitate the provision of psychological and/or physiological support from other agencies as required. Staff- The CNS will: · Facilitate staff education and development by delivering education sessions for staff regarding new advancements in Cardiac Rehabilitation delivery. · Develop and deliver specific orientation and education programmes for all nurses joining the department. · Facilitate the orientation and guidance of new members of the multidisciplinary team · Engage in formal and non-formal in house education programs to provide training for staff nurses, students, and other members of the multidisciplinary team · Educate, supervise, and support junior staff to help them attain a level of competency in Cardiac Rehabilitation delivery. · Provide support, guidance, and supervision to nursing staff, ensuring integration of both clinical and theoretical practice in achieving predetermined learning objectives. Audit and Research The CNS will: · Set up clinical standards of care and ensure they are met and audited regularly. · Conduct ongoing evaluation of patient satisfaction with the clinical nurse specialist delivered education programmes. · Lead or participate in research into aspects of nursing practice in accordance with the Code of Professional Conduct for each nurse and Midwife (1998) · Be aware of research in clinical practice, set objectives and develop policies and procedures for Cardiac Rehabilitation patients, based on current international evidence-based practice · Gather information regarding effectiveness of treatments given, through judicious use of well validated and reliable audit tools. · Apply data collated to facilitate the review and revision of current practice. · Constantly update knowledge and skills and adjust clinical practice if there is sound evidence to support the change. Nurse consultant The CNS will: · Support patients and their families post diagnosis of cardiac condition. · Provide information and educate the patient and their family, to ensure they understand the nature of the condition and its implications in Phase 1/3 Cardiac Rehabilitation. · Be available to patients when adjusting to changes in their condition and provide advice and information that will enable them to make informed decisions about their care. · Be available to other nurses or health care professionals who may need advice regarding the care or treatment of Cardiac Rehabilitation patients. · Liaise with Cardiac Rehabilitation Psychologist should psychological difficulties or social issues arise and know when to refer to appropriate member of the multi-disciplinary team, i.e., social worker or psychologist. · Establish and develop clear referral guidelines and communication links within hospital departments and other hospitals in the delivery of a quality Cardiac Rehabilitation service. · Act as a resource for all health professionals in hospital and community settings. Professional Development The CNS will: · Take personal responsibility for professional growth and development. · Maintain professional development portfolio reflecting both continuous professional education and specialty specific education. · Keep abreast of the current trends and developments in professional matters. · Attend national and international meetings to maintain professional education and to facilitate feedback. · Continually re-evaluate the progress of the specialist role in the annual department service plan. Make amendments to the service based on findings and endeavour to improve the delivery of the Cardiac Rehabilitation service. The job description indicates the main function and responsibilities of the post and is subject to review and amendment. Other specific work not covered in this job description may also be assigned by an Assistant Director of Nursing, or Director of Nursing from time to time. Eligibility Criteria Qualifications and/ or experience Candidates must have at the latest date of application: (a) i) Be a registered nurse on the active Register of Nurses and Midwives held by An Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) or be eligible to be so registered. And ii) Be registered in the General Division of the register of Nurses and Midwives in which the application is being made. And iii) Have successfully completed a post registration programme of study, as certified by the education provider, which verifies that the applicant has achieved a Quality and Qualifications Ireland (QQI), National Framework of Qualifications (NFQ) major academic Level 8 or higher relevant to the specialist area of Cardiac Rehabilitation for e.g. Cardiovascular nursing prior to application. Or Can provide written evidence from higher education institute that they have achieved the number of ECTS credits equivalent to a Level 8 or higher standard, relevant to the specialist area Cardiac Rehabilitation nursing prior to application. And iv) Have a minimum of 5 years post registration full time experience or an aggregate of 5 years full time in the General Division of the register in which the application is being made. And v) Have a minimum of 2 years’ full time experience or an aggregate of 2 years full time experience in specialist area of cardiovascular nursing /Cardiac Rehabilitation. And vi) Demonstrate evidence of continuing professional development. (b) Have the ability to practice safely and effectively fulfilling his/her professional responsibility within his/her scope of practice. Annual registration (i) CNS must maintain live annual registration on the appropriate/relevant Division of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role. And (ii) Confirm annual registration with NMBI to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC). 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. Character Each candidate for and any person holding the office must be of good character Post Specific Requirements · Demonstrate depth and breadth of experience in the specialist area of cardiac nursing, as relevant to the role. Other requirements specific to the post Access to appropriate transport. Skills, competencies and/or knowledge Professional Knowledge Clinical Nurse Specialist (Cardiac Rehabilitation) will: • Practice in accordance with relevant legislation and regarding The Scope of Nursing & Midwifery Practice Framework (Nursing and Midwifery Board of Ireland, 2015) and the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (Nursing and Midwifery Board of Ireland, 2014). • Maintain a high standard of professional behaviour and be professionally accountable for actions/omissions. Take measures to develop and maintain the competences required for professional practice. • Adhere to the Nursing & Midwifery values of Care, Compassion and Commitment (DoH, 2016). • Adhere to national, regional, and local HSE PPPGs. • Adhere to relevant legislation and regulation. • Adhere to appropriate lines of authority within the nurse/midwife management structure. Clinical Nurse Specialist (Cardiac Rehabilitation) will demonstrate: • In-depth knowledge of the role of Clinical Nurse Specialist (Cardiac Rehabilitation). • In-depth knowledge of the pathophysiology of cardiac rehabilitation. • The ability to undertake a comprehensive assessment of the patient requiring cardiac rehabilitation, including taking an accurate history of their cardiac condition and presenting problem. • The ability to employ appropriate diagnostic interventions including (the ability to record and interpret ECG’s and exercise stress tests). please name some of these) to support clinical decision making and the patients’ self- management planning. • The ability to formulate a plan of care based on findings and evidence-based standards of care and practice guidelines. • The ability to follow up and evaluate a plan of care. • Knowledge of health promotion principles/coaching/self-management strategies that will enable people to take greater control over decisions and actions that affect their health and wellbeing. • An understanding of the principles of clinical governance and risk management as they apply directly to Clinical Nurse Specialist (Cardiac Rehabilitation) role and the wider health service. • Evidence of teaching in the clinical area. • A working knowledge of audit and research processes. • Evidence of computer skills including use of Microsoft Word, Excel, E-mail, PowerPoint. Communication and Interpersonal Skills • Effective communication skills. • Ability to build and maintain relationships particularly in the context of MDT working. • Ability to present information in a clear and concise manner. • Ability to manage groups through the learning process. • Ability to provide constructive feedback to encourage future learning. • Effective presentation skills. Organisation and Management Skills: • Evidence of effective organisational skills including awareness of appropriate resource management. • Ability to attain designated targets, manage deadlines and multiple tasks. • Ability to be self-directed, work on own initiative. • A willingness to be flexible in response to changing local/organisational requirements. Building & Maintaining Relationships including Team and Leadership skills • Leadership, change management and team management skills including the ability to work with MDT colleagues. Commitment to providing a quality service: • Awareness and respect for the patient’s views in relation to their care. • Evidence of providing quality improvement programmes. • Evidence of conducting audit. • Evidence of motivation by ongoing professional development. Analysing and Decision Making • Effective analytical, problem solving and decision-making skills. Campaign Specific Selection Process Ranking/Shortlisting / Interview A ranking and or shortlisting exercise may be carried out based on information supplied in your application form. The criteria for ranking and or shortlisting are based on the requirements of the post as outlined in the eligibility criteria and skills, competencies and/or knowledge section of this job specification. Therefore, it is very important that you think about your experience in light of those requirements. Failure to include information regarding these requirements may result in you not being called forward to the next stage of the selection process. Those successful at the ranking stage of this process (where applied) will be placed on an order of merit and will be called to interview in ‘bands’ depending on the service needs of the organisation. Code of Practice The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commission for Public Service Appointments (CPSA). The Code of Practice sets out how the core principles of probity, merit, equity and fairness might be applied on a principle basis. The Code also specifies the responsibilities placed on candidates, facilities for feedback to applicants on matters relating to their application when requested, and outlines procedures in relation to requests for a review of the recruitment and selection process and review in relation to allegations of a breach of the Code of Practice. Additional information on the HSE’s review process is available in the document posted with each vacancy entitled “Code of Practice, Information for Candidates”. Codes of practice are published by the CPSA and are available on www.hse.ie/eng/staff/jobs in the document posted with each vacancy entitled “Code of Practice, Information for Candidates” or on www.cpsa.ie . The reform programme outlined for the Health Services may impact on this role and as structures change the job description may be reviewed. This job description is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned. Clinical Nurse Specialist (Cardiac Rehabilitation) Grade Code 2632 Terms and Conditions of Employment Tenure The current vacancy available is permanent and 19.5hrs per week part-time The post is pensionable. A panel may be created from which permanent and specified purpose vacancies of full or part time duration may be filled. The tenure of these posts will be indicated at “expression of interest” stage. Appointment as an employee of the Health Service Executive is governed by the Health Act 2004 and the Public Service Management (Recruitment and Appointments) Act 2004 and Public Service Management (Recruitment and Appointments) Amendment Act 2013. Remuneration The Salary Scale for the post is (as at 01/03/2025) €60,854,€61,862,€62,715,€64,106,€65,644,€67,154,€68,664,€70,364,€71,943,€74,658, €76,897 LSI* Working Week The standard working week applying to the post is to be confirmed at Job Offer stage. Annual Leave The annual leave associated with the post will be confirmed at Job Offer stage. Superannuation This is a pensionable position with the HSE. The successful candidate will upon appointment become a member of the appropriate pension scheme. Pension scheme membership will be notified within the contract of employment. Members of pre-existing pension schemes who transferred to the HSE on the 01st January 2005 pursuant to Section 60 of the Health Act 2004 are entitled to superannuation benefit terms under the HSE Scheme which are no less favourable to those which they were entitled to at 31st December 2004. Probation Every appointment of a person who is not already a permanent officer of the Health Service Executive or of a Local Authority shall be subject to a probationary period of 12 months as stipulated in the Department of Health Circular No.10/71. Protection of Persons Reporting Child Abuse Act 1998 As this post is one of those designated under the Protection of Persons Reporting Child Abuse Act 1998, appointment to this post appoints one as a designated officer in accordance with Section 2 of the Act. You will remain a designated officer for the duration of your appointment to your current post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. You will receive full information on your responsibilities under the Act on appointment. Infection Control Have a working knowledge of 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 as appropriate to the role. Health & Safety It is the responsibility of line managers to ensure that the management of safety, health and welfare is successfully integrated into all activities undertaken within their area of responsibility, so far as is reasonably practicable. Line managers are named and roles and responsibilities detailed in the relevant Site Specific Safety Statement (SSSS). Key responsibilities include: · Developing a SSSS for the department/service[1], as applicable, based on the identification of hazards and the assessment of risks, and reviewing/updating same on a regular basis (at least annually) and in the event of any significant change in the work activity or place of work. · Ensuring that Occupational Safety and Health (OSH) is integrated into day-to-day business, providing Systems Of Work (SOW) that are planned, organised, performed, maintained and revised as appropriate, and ensuring that all safety related records are maintained and available for inspection. · Consulting and communicating with staff and safety representatives on OSH matters. · Ensuring a training needs assessment (TNA) is undertaken for employees, facilitating their attendance at statutory OSH training, and ensuring records are maintained for each employee. · Ensuring that all incidents occurring within the relevant department/service are appropriately managed and investigated in accordance with HSE procedures[2]. · Seeking advice from health and safety professionals through the National Health and Safety Function Helpdesk as appropriate. · Reviewing the health and safety performance of the ward/department/service and staff through, respectively, local audit and performance achievement meetings for example. Note : Detailed roles and responsibilities of Line Managers are outlined in local SSSS. [1] A template SSSS and guidelines are available on the National Health and Safety Function/H&S web-pages [2]See link on health and safety web-pages to latest Incident Management Policy
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