Clinical Nurse Manager, IVI Team, University Hospital

Details of Service

Cork University Hospital (CUH) has approximately 800 beds and this will increase further to 1,000 beds on completion of the transfer of additional services to the CUH campus. CUH currently employs approximately 3,269 (WTE) staff of multiple professions and is the primary teaching hospital for the Faculty of Health and Science in University College Cork (UCC). UCC is the Academic partner of the South/South West Hospital Group. CUH has very strong relationships with each of the six schools within the Science Faculty of UCC and this is a key area for future development to maximise the opportunities for both the service and academia.

CUH is a recommended Major Trauma Centre for the Republic of Ireland due to the wide range of specialties delivered by the hospital – including Neurosciences, Cardiac Services, Orthopaedics, General Surgery, Renal, Internal Medicine, Vascular, Ophthalmology, Urology, Plastic Surgery, Maxillary-Facial, Paediatrics, Intensive Care, Oncology, Haematology, Obstetrics, Gynaecology, Neonatology and Emergency Medicine.

CUH is the tertiary referral centre for the HSE Southern area, and the supra regional area of Limerick, Clare, Tipperary, Waterford and Kilkenny. CUH therefore acts as a regional centre for secondary and tertiary care for the catchment population of approx. 550,000 served by the HSE Southern area and a supra-regional centre for a total a population of 1.1 million.

In 2022, CUH had 72,928 ED presentations; 265,360 physical out-patient attendances; 38,457 virtual out-patient attendances; 30,379 inpatient discharges and 30,593 day cases.

AMRIC Action Plan

Antimicrobial resistance (AMR) has been recognised as one of the greatest potential threats to human and animal health over the last decade. In recent times, the implications of an infection for which we do not have effective treatment on human health have been clearly seen with the COVID-19 global pandemic. Antimicrobials are key to the practice of modern medicine and enable sophisticated medical interventions and treatments. Over the last 20 to 30 years many antibiotics have become less effective or useless for treatment of some bacterial infections. This is because of antimicrobial resistance. This pushes us to use different antibiotics that may be more toxic and more difficult to use. It was expected we would always be one step ahead of changes in bacteria. We know now that we cannot depend on that. Bacteria adapt too quickly and new classes of antibiotics that are as safe and effective as penicillin have proved very hard to find. Education and training have been reinforced as a key focus to ensure all healthcare workers integrate best practice into their delivery of day-to-day care.

Purpose of the Post

To provide professional / clinical leadership in the designated area(s) of responsibility. To oversee the management of resources including staffing and staff development. To facilitate communication across the healthcare teams.

The CNM3s responsibilities include overseeing the quality of nursing care, ensuring compliance with regulatory standards and adherence to legislative requirements, the development and implementation of policy and procedures, the monitoring of activity and the delivery of agreed levels of service for the designated area(s) including local and National KPIs. The promotion and audit of evidenced based standards of care. The CNM3 plays a key role in providing clinical and professional leadership and promoting the values of the organisation.

IVI Team

· Provide expert clinical advice and support for the implementation of the procedure for prevention of Peripheral and Central Venous Catheter Related Infections.

· Implement the HSE AMRIC Action Plan 2022-2025.

· Provide unit based guidance and support to clinical teams in relation to peripheral and central venous catheter insertion.

· Coordinate service delivery in conjunction with the Centre of Nurse Education.

· Developing the service within CUH to provide clinical advice and support across the seven day service and unsociable hours.

· Developing the strategic plan and competencies in relation to peripheral and central venous catheter management.

Principal Duties and Responsibilities

Professional / Clinical

The Clinical Nurse Manager 3 (IVI Team) will:

· Provide a high level of professional and clinical leadership.

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

· The Manager will practice nursing according to:

o Professional Clinical Guidelines

o National and Area Health Service Executive (HSE) guidelines.

o Local policies, protocols and guidelines

o Current legislation

o Regulatory standards pertaining to Mental Health Services

· Manage, monitor and evaluate professional and clinical standards ensuring an evidence based, care planning approach.

· Manage own caseload in accordance with the needs of the post.

· Participate in teams as appropriate, communicating and working in co-operation with other team members.

· Facilitate co-ordination, co-operation and liaison across healthcare teams and programmes.

· Collaborate with service users, family, carers and other staff in treatment / care planning and in the provision of support and advice.

· Communicate results of assessments, treatment / care programmes and recommendations to the team and relevant others in accordance with service policy / as required.

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

· Ensure that service users and others are treated with dignity and respect.

· Ensure the maintenance of nursing records in accordance with local service and professional standards.

· Adhere to and contribute to the development and maintenance of nursing standards, protocols and guidelines consistent with the highest standards of patient care.

· Evaluate and manage the implementation of best practice policy and procedures e.g. admission and discharge procedures, control and usage of stocks and equipment, grievance and disciplinary procedures.

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

· In consultation with other disciplines, implement and assess quality management programmes as appropriate.

· Participate in clinical audit as required and ensure that clinical audits are performed in his/her area(s) of responsibility

· Initiate and participate in research studies as appropriate.

· Devise and implement Health Promotion Programmes for service users as relevant to the post.

· Operate within the Scope of Practice - seek advice and assistance from his / her manager with any cases or issues that prove to be beyond the scope of his / her professional competence in line with principles of best practice and clinical governance.

· Ensure that the staff works in compliance with the Scope of Practice.

· Provide professional and specialist advice.

· Review, develop and implement policies / procedures in collaboration with key stakeholders.

Health & Safety

The Clinical Nurse Manager 3 (IVI Team) will:

· Ensure that effective safety procedures are developed and managed to comply with statutory obligations, in conjunction with relevant staff e.g. health and safety procedures, emergency procedures.

· Take appropriate action on any matter identified as being detrimental to staff and/or service user care or well being / may be inhibiting the efficient provision of care.

· Ensure adherence to established policies and procedures e.g. health and safety, infection control, storage and use of controlled drugs etc.

· Ensure completion of incident / near miss forms.

· Maintain a feedback mechanism with the clinical risk manager and report to senior management team where appropriate.

· Ensure adherence to department 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 e.g. CNS infection control, Occupational Therapist.

· 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 as appropriate to the role.

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

· Assist in investigating and minimising accidents, incidents and complaints as part of the hospital risk management strategy.

Education and Training

The Clinical Nurse Manager 3 (IVI Team) will:

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

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

· Be familiar with the curriculum training programme for student nurses and be aware of the clinical experience required to meet the needs of the programme.

· Participate in the identification, development and delivery of induction, education, training and development programmes for nursing and non-nursing staff.

· Provide support supervision and professional development of appropriate staff.

· Engage in performance review processes including personal development planning e.g. by setting own and staff objectives and providing and receiving feedback.

· Develop orientation programmes for new staff.

Management

The Clinical Nurse Manager 3 (IVI Team) will:

· Exercise authority and co-ordinate the functions of the assigned area(s).

· Provide support, advice and direction to staff as required.

· Engage with the wider healthcare team and facilitate team building.

· Facilitate communication at ward and departmental level and within the senior nurse/midwife team.

· Provide staff leadership and motivation which is conducive to good working relations and work performance.

· Promote a culture that values diversity and respect in the workplace.

· Manage and promote liaisons with internal / external bodies as appropriate e.g. intra-hospital service, the community, voluntary organisations.

· Contribute to the strategic management and planning process.

· Formulate service plans and budgets in co-operation with the wider healthcare team.

· Lead on practice development within the clinical area.

· Manage resources, including staff, efficiently and effectively to ensure the highest standards of service.

· Manage and evaluate the implementation of the service plan and budget.

· Provide reports on activity and services as required.

· Develop and manage departmental and nursing policy with a particular emphasis on change management. Monitor as appropriate and lead on proactive improvement.

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

· Actively participate in the Nursing Management structure by ‘acting up’ when required.

· Engage in IT developments as they apply to service user and service administration.

· Manage resources efficiently and effectively, including staff, to ensure the delivery of the highest standards of service.

· Arrange duty rosters and all leave for staff within a 12 month time frame to provide optimal rostering.

· Manage absenteeism within policy and support staff in this area as required.

· Assist in managing resolution of conflict to achieve desired positive outcome.

· Assist in the development and management of departmental policy with a particular emphasis on change management.

Key Performance Indicators:

· The identifications and development of Key Performance Indicators (KPIs) which are congruent with the Hospital service plan targets.

· The development of Action Plans to address KPI targets.

· Driving and promoting a Performance Management culture.

· In conjunction with the 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 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 Act 2005, all staff must comply with all safety regulations and audits.

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

· Hospital Uniform code must be adhered to.

· Provide information that meets the needs of Senior Management.

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

· The management of risk, infection Control, Hygiene Services and Health and safety is the responsibility of everyone and will be achieved with 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 and Standards and attend training as appropriate in the following areas.

• 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 and Safety Policies and Fire Procedure
• Date 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 Hospitals 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 environmental 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 throughout your area of responsibility in relation to hygiene services.

· The post holder has specific responsibility for Quality and Risk Management, Hygiene Services and Health and Safety will be clarified to you in the induction process 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 co-operate with management, attend Health and 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 shortcomings in our safety arrangement or any defects in work equipment.

· 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.

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.

Informal Enquiries

Maeve Crudge, Assistant Director of Nursing

Email: Maeve.Crudge@hse.ie

Tel: 087 4575013