JOB DESCRIPTION Clinical Nurse Manager II - Patient Flow Full Time - Specified Purpose Position Reference No: 08.009 (2025)
PURPOSE OF THE ROLE
The Patient Flow Clinical Nurse Manager will be responsiblethe management of unscheduled admissions to Tallaght University Hospital. They will have responsibility to provide ready access to beds for patients requiring emergency & elective treatment in collaboration with the Patient Flow Department Specialist area & Clinical Teams.
QUALIFICATIONS 1. Each candidate must on the latest date for receiving completed application forms for the office:
Be registered in the General Division of the active Register held by Nursing and Midwifery Board of Ireland or be entitled to be so registered.
Have 5 years relevant post registration experience and a minimum of 2 years experience in the acute hospital settings
Have the clinical managerial and administrative capacity to properly discharge the functions of the role.
Have excellent communication and interpersonal skills.
Demonstrate evidence of continuing learning and professional development
Be able to demonstrate managerial abilities.
Desirable Criteria
Evidence of management experience in an acute hospital setting
Experience working in specialist area
Knowledge of Hospital patient management IT System
Have a post graduate qualification not less than level 7 on the NFQ framework
2. Age Restrictions In Relation To Applications Age restriction shall only apply to a candidate where he/she is not classified as a new entrant (within the meaning of the Public Service Superannuation (Miscellaneous Provisions) Act 2004). A candidate who is not classified as a new entrant must be under 65 years of age on the first day of the month in which the latest date for receiving completed applications for the office occurs.
3. 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 as would indicate a reasonable prospect of ability to render regular and efficient service.
4. Be of good character.
5. Garda Vetting Garda vetting is sought for all employees and prospective employees of Tallaght University Hospital. Given the specialised nature of the services provided your appointment will be subject to satisfactory Garda Vetting and re-vetting in circumstances where the Hospital deems it appropriate. The Hospital will then process the necessary documentation to endeavour to obtain satisfactory Garda clearance for you. You are obliged to disclose previous and any criminal convictions acquired during the course of your employment. Should the Hospital obtain information from the Garda Vetting Unit to indicate that your Garda clearance report is not satisfactory and / or if you have supplied the hospital with false or misleading information in relation to your Garda clearance status the Hospital reserves the right to withdraw or terminate this contract in accordance with Tallaght University Hospital Garda Vetting policy.
6. Mandated and Designated Persons under Children First Act 2015
Schedule 2 of the Children First Act 2015 specifies the classes of persons defined as Mandated Persons for the purposes of the Act. This includes a range of disciplines that are employed by the hospital including all medical practitioners registered nurses physiotherapists psychologists social workers and others. This includes staff working in adult services. All mandated persons have two main legal obligations under the Children First Act 2015. Mandated persons under the legislation are required to report any knowledge belief or reasonable suspicion that a child has been harmed is being harmed or is at risk of being harmed. The Act defines harm as assault ill-treatment neglect or sexual abuse and covers single and multiple instances. Mandated persons are also required to assist Tusla if requested in assessing a concern which has been the subject of a mandated report. Designated Officer are required to receive reports of suspected child abuse or neglect from any person who is of the opinion that (a) a child has been or is being assaulted ill-treated neglected or sexually abused or (b) a childs health development or welfare has been or is being avoidably impaired or neglected. Full detailed list of mandated and designated staff together with details of their roles and responsibilities can be found on It is the responsibility of all staff employed by TUH to be aware of their roles and responsibilities under the legislation and to complete mandatory Children First Training.
PARTICULARS OF OFFICE
1. The appointment is full time specified purpose contract and pensionable.
2. Remuneration: Remuneration is in accordance with the salary scale approved by the Department of Health & Children. Current remuneration with effect from 1st March 2025:
60854 by 11 increments to 76897 incl. 1 LSI
Salary scales will be updated in line with nationally agreed pay agreements and will be updated accordingly and retrospective payments applied as applicable.
3. Pension Arrangements and Retirement Age There are three superannuation schemes currently in operation for staff in Tallaght University Hospital:
(a) Voluntary Hospital Superannuation Scheme (Non-New Entrant) (b) Voluntary Hospital Superannuation Scheme (New Entrant) (c) Single Public Service Pension Scheme
Please read carefully the summary of the criteria for the three superannuation schemes below. This will assist you in identifying which scheme membership is applicable to your employment circumstances.
(a) If you have been continually employed in the public service prior to the 1st April 2004 and you have not had a break in service of more than 26 weeks you will be included in the Voluntary Hospital Superannuation Scheme (Non-New Entrant) with a Minimum Retirement Age of 60 and a Maximum Retirement Age of 65.
(b) If you have been continually employed in the public service post the 1st April 2004 and you have not had a break in service of more than 26 weeks you will be included in the Voluntary Hospital Superannuation Scheme (New Entrant) with a Minimum Retirement Age of 65. There is no Maximum Retirement Age.
(c) If you have commenced employment in the public service as a new entrant or you are a former public servant returning to the public service after a break of more than 26 weeks you will be included in the Single Public Service Pension Scheme effective from the 1st January 2013 with a minimum retirement age of 66 (rising to 67 and 68 in line with state pension changes). The maximum retirement age under this scheme will be age 70.
4. Duties: The CNM2 will perform such duties as are outlined in this job description.
5. Hours of work: Normal working hours are 37.5 worked over 7 days. Your contracted hours of work are liable to change to meet the requirements for extended day services in accordance with the terms of the Framework Agreement.
6. Probation: The successful candidate will be appointed initially for a probationary period of 6 months. During the probationary period progress or otherwise will be monitored and at the end of the probationary period the service will (a) be certified as satisfactory and confirmed in writing or if not satisfactory the probationary period may be extended by 3 months.
7. Annual Leave: Annual leave entitlement is 25 -28 working days (pro rata) depending on length of service plus 10 Bank Holidays per annum as they occur. The annual leave year runs from 1st of April to 31st March each year.
8. Sick Leave: Payment of salary during illness will be in accordance with arrangements as approved from time to time by the Department of Health and Children.
9. Termination of Office: The employment may be terminated at any time by 2 months notice on either side except where circumstances are dictated by the Minimum Notice and Terms of Employment Act 1973/91. The Managements right under this paragraph shall not be exercised save in circumstances where the Management is of the opinion that the holder of the office has failed to perform satisfactorily the duties of the post or has misconducted himself/herself in relation to the post or is otherwise unfit to hold the appointment.
GENERAL ACCOUNTABILITY The person chosen will:
Maintain throughout the Hospital an awareness of the primacy of the patient in relation to all Hospital activities.
Ensure a high standard of care delivered safely in accordance with the hospital policies and procedures.
Work within the Scope of Practice
Build good relationships with key stakeholders in the patients journey through hospital including medical teams nursing health and social care professions and diagnostic areas
Demonstrate knowledge of the Hospital/Departmental emergency plans
Ensure the provision of a high standard of care to the patient and families is consistent with the mission vision values and strategic plan of the Hospital.
Demonstrate behaviour consistent with the Values of the Hospital.
Commitment to continuous professional development including completion of relevant internal training programmes available through our Centre for Learning & Development Prospectus.
Reporting relationship will be to the CNM 3 Patient Flow/Unscheduled Care Manager.
Be professionally accountable to the Director of Nursing.
The overall purpose of the patient flow function is to provide ready access to beds for patients requiring emergency and elective treatment. There are several important elements:
Discharge Planning
Safe and proactive planning of discharge from day of admission and the management of discharges for patients with more complex interim or long term needs.
Bed management
Safe allocation of beds to patients from various sources on a prioritised basis in accordance with hospital standard operating procedures.
Planned Patient Pathway Boards
Use of a transparent & electronic visual system of bed management and discharge planning
The successful applicant will report to the Patient Flow Manager and will receive training to enable them work within the patient flow department.
SPECIFIC ACCOUNTABILITY
Managing the Service - Quality & Safety of Service / Delivery of Results (level 3) Bed Management
Safe allocation of beds to patients from various sources on a prioritised basis in accordance with hospital standard operating procedures.
Discharge Planning
Safe and proactive planning of discharge from day of admission and the management of discharges for patients with more complex interim or long term needs.
Planned Patient Pathway /Visual Boards
Use of a transparent visual system of bed management and discharge planning
The successful applicant will receive training to enable them work within the patient flow department.
Safely allocate beds to patients admitted from all admission sources including ED Waiting Lists Outpatients Day ward and transfers from other hospitals taking into consideration the IPC status of the individual patient.
Review Critical capacity and demand for beds from ED DOSA & Wards. Prioritise patients based on acuity.
Be aware of the National Targets set by the HSE prioritise actions & escalate to the PF CNM 111 & USCM if breaching.
Regularly assess admissions and bed state on a whole hospital basis and prioritise patient allocations based on clinical need.
Perform morning ward round to identify definite and query discharges for the day and any predicted discharge for the week.
Challenge the appropriateness and/or timing of admission decisions when required.
Interact with the Visual Hospital/Planned Patient Pathway coordinator and Discharge Planning to identify bed availability.
Liaise with the CNMs Doctors and other members of the discharge planning team highlighting problems and identifying delay factors that require assistance.
Lead bed management meetings to inform all stakeholders of the bed state and allocation decisions.
Bed Managers will link daily with external hospitals to expedite patient transfers back to the base hospital where applicable
Continuously interact with critical care areas within the hospital (ICU PACU CCU HDU and POSU) to determine bed requirements in these areas.
Ensure patients are in appropriate ward areas according to their specialty and plan for transfer where this was not initially possible.
Where applicable monitor private bed utilisation and ensure that private beds are fully occupied by private patients whenever possible.
Interact with waiting list management to ensure HSE standards and waiting list targets are met.
Discharge Planning
Assist the Discharge Planning Team and Bed Management with the effective and efficient use of hospital beds in accordance with hospital policy. This includes:
Liaise with the CNMs Doctors and other members of the discharge planning team highlighting problems and identifying delay factors that require assistance.
Perform morning ward round to identify definite and query discharges for the day and any predicted discharge for the week.
Assist in the identification of patients who are fit for discharge and in the co-ordination of a discharge plan.
Communicate with relevant members of the Multi-Disciplinary Teams on a daily basis to progress with patients discharge.
Regular communication with Consultants if discharge issues arise.
Assist in the identification of process flow delays associated with the inpatient episode and the development of more efficient and effective processes.
Assist in the identification of patients expected date of discharge and monitor accordingly.
Have some knowledge of long term care delayed and complex discharges requiring after care. Be aware of the Fair Deal Scheme and other national targets.
Attend the daily operational bed management meetings in addition to and in the absence of the Discharge Planner when required.
Attend the weekend discharge planning meeting when required.
Liaise daily with offsite rehab/transitional care sites (St Lukes/Mount Carmel/Peamount ARHC/Resp /NRH/ Clontarf/Interim bed sites/ HSE Egress beds and plan transfers.
Liaise with SAT assessors/HCP coordinator/Offsite bed coordinator to plan discharges
Patient Placement Co-Ordinator
Populate the Patient Flow Visual Hospital/Planned Patient pathways boards working with CNMs and discharge planners to reflect changes in the bed state (discharges query discharges admissions/allocations delays)
Interact with CNMs and patient flow staff on expediting discharges. Note all related actions on the Patient Flow /Planned Patient Pathways boards.
Act as a Patient Flow support communicating with CNMs to gather information on discharges throughout the day and update the unscheduled care and Patient Flow managers of current status.
Communicate regularly with Bed Management Nursing and Discharge Planning to assess current bed availability.
Work with MDT to ensure patients are placed in a hospital bed as soon as possible in order to initiate care.
Determine if initiating patient care will be delayed and reasons why. Liaise with appropriate staff to prevent delays from occurring.
Liaise closely with Bed Management to ensure a timely transfer of patient to a bed.
Assist with setting targets for when beds become available and for patients to be placed.
Liaise with CNMs to identify any delays/ bottlenecks in vacating beds.
Work closely with the Transition Lounge to ensure all patients meeting the criteria are transferred in a timely manner.
Link closely with Discharge Cleaning team to ensure beds available in a timely manner.
Update Bed Management on available beds and set times for upcoming bed availability.
Attend Bed Management meetings as requested.
Awareness of targets set by both Hospital and HS
Bed Management and Discharge policies
Participate in the Discharge Planning group.
Implement and monitor Hospital Bed Management policies and procedures.
Review the effective functioning of all policies relating to Bed Management /Discharge Planning on a regular basis.
Promote an awareness of Bed Management and discharge policies throughout the Hospital ensuring compliance from staff on the multi-disciplinary team.
Facilitate appropriate transport for patients on discharge in conjunction with the transport desk to include ambulance/minibus service within the Dublin Midlands Hospital Group and other HSE regions.
Service Quality
Support the Bed Manager and clinical teams in placing the right patients in the right place at the right time.
Be aware of the importance of ring fencing within the Bed Management remit and minimise the short notice of cancellations for elective admissions.
Participate in Quality Improvements Initiatives/Programmes
Awareness of targets set by both TUH and the HSE. Maintain a record of clinically relevant data aligned to National KPIs as directed and advised by TUH & HSE.
Managing Change - Problem Solving & Decision Making / Communications & Influencing (level 3)
To act as a change agent for staff in introducing change within the clinical environment.
To facilitate ongoing development of nursing documentation to meet professional standards and legal requirements.
To liaise with all CNMs/registered nurses and HCAs.
To act as an effective role model in promoting healthy professional relationships.
To promote communication within the nursing profession and the organisation.
Promote awareness of and participate in nursing research activities.
To liaise where appropriate with multidisciplinary teams.
To inspire and disseminate innovative practice.
Addresses problems through balanced decisions making while identifying learnings.
Adopt a range of communication techniques to explain complex information.
Tailors their communication style dependent on the audience and situation.
Manages the adherence to company policy on confidentiality and data protection.
Managing Yourself - Team player / Planning & Organising (level 3)
Demonstrate flexibility if and when asked to work in other areas of the Medical Service as needed.
Delegates effectively to the team and ensure timelines are met and efficient use of resources.
Assists in the development and implementation of operations plans to ensure smooth and consistent execution of tasks.
Research and promote quality initiatives that are evidence based.
Takes into account others when making an important decision addresses team conflict sets clear goals embraces diversity and promotes collaboration and team strengths to achieve goals. Offers recognition.
Builds and uses networks of influences for planning and organising workload.
Develops and implements operational plans essential systems and processes.
Monitors performance evaluates impacts and risks.
Develop skills on an ongoing basis as required.
Maintain own knowledge on both local national and international professional nursing practice issues.
Managing People People Management / Leadership (level 3)
Create a learning environment for all staff to encourage and promote staff development.
Maintain a personal record of professional development.
Create and promote open communications healthy working relationships and stimulate initiative amongst ward staff.
Lead by example while focusing on the achievement of operational and strategic goals.
Completion of relevant training and availing of supports in the Leadership Academy including coaching mentoring and leadership development as applicable.
To model a professional approach in all aspects of work being undertaken.
Encourage recognition of the patient as an individual ensuring patients needs and comfort are given priority.
Support all registered nurses and in some cases multidisciplinary colleagues in the implementation of Hospital Policies.
To create and promote open communications healthy working relations and stimulate innovation in practice.
To evaluate all initiatives undertaken according to predetermined criteria as agreed with the Assistant Director of Nursing Nurse Practice Development.
To provide feedback for nursing staff and HCAs.
To audit and evaluate all initiatives undertaken.
Information Technology & data
Make the most effective and efficient use of developments in information technology for both patient care and administrative support in a manner which integrates well with systems throughout the organisation.
Collect interpret and present data and information on the Departments activities staffing and expenditure as required.
Health & Safety
All employees must comply with the Safety Health and Welfare at Work Act 2005.
Comply with relevant Health and Safety responsibilities as outlined in Hospital Polices Protocols and Procedures relevant to your area.
Take reasonable care to protect your own safety health and welfare and that of any other person who may be affected by your acts or omissions at work.
Hygiene / Infection prevention and control
All employees have responsibility for Hygiene awareness. Hygiene is defined as The practice that serves to keep people and environments clean and prevent infection.
All employees also have a responsibility under their terms of employment to prevent transmission of infection and to follow the hospital infection control policies and guidelines as outlined in the Infection Control Manual.
All employees must be aware that they work in an area where there is potential for transmission of infection.
All employees have a responsibility to follow hand hygiene guidelines as this is the single most important intervention to prevent the transmission of infection.
Quality safety and risk management
Support the delivery of the Quality Safety and Risk Management Programme including the appropriate identification and management of risks and incidents throughout the hospital.
Confidentiality
You will be aware of the confidential nature of Hospital work and in particular the right of patients to confidentiality. To this end you will not discuss workings of the Hospital or its patients or disclose any information of a confidential nature except as required to do so in the course of your work. No records documents or property of the Hospital may be removed from the premises of the Hospital without prior authorisation. You must return to the Hospital upon request and in any event upon the termination of your employment all documents or other property of the Hospital which are in your possession or under your control.
Data Management
Ensure compliance with the obligations required by the Data Protection Act 2018.
Development of Hospital Groups
The Hospital Structure is currently under review and therefore reporting relationships may change. The development of Hospital Groups may require the post-holder to adopt a different reporting relationship and additional accountabilities. Full consultation will take place in advance of any such change.
NOTE: The extent and speed of change in the delivery of health care is such that adaptability is essential at this level of appointment. The appointee will be required to maintain enhance and develop their knowledge skills and aptitudes necessary to respond to this changing environment. He/she will also be required to participate in and support the Hospitals Digital transformation strategy which may impact work processes and role profiles in the future. The Job Description must therefore be regarded as an outline of the major areas of accountability at the present time which will be reviewed and assessed on an on-going basis as advancements and developments evolve.
All candidates should note that in order to maintain a timely process the closing date and time for receipt of applications will be strictly adhered to
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