cANP RANP Rapid Assessment & Treatment Emergency Department (10.001 (2025))
cANP RANP Rapid Assessment & Treatment Emergency Department (10.001 (2025))
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05-10-2025
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Job Description
JOB DESCRIPTION
Registered Advanced Nurse Practitioner (RANP)/Candidate Advanced Nurse Practitioner (cANP)
Emergency Rapid Assessment and Treatment Service Emergency Department
Full time Permanent Post
Reference Number: 10.001 (2025)
Applying as a Candidate /ANP
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.
SPECIFIC ACCOUNTABILITY
The post holders practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017).
The 6 domains are:
Professional Values and Conduct
The cANP Rapid Assessment and Treatment will be required to apply ethically sound solutions to complex issues related to individuals and populations by:
Clinical-Decision Making
The cANP Rapid Assessment and Treatment will utilise advanced knowledge skills and abilities to engage in senior clinical decision making by:
Knowledge and Cognitive Competences
The cANP Rapid Assessment and Treatment will actively contribute to the professional body of knowledge related to his/her area of advanced practice by:
Communication and Interpersonal Competences
The cANP Rapid Assessment and Treatment will negotiate and advocate with other health professionals to ensure the beliefs rights and wishes of the person are respected by:
Management and Team Competences
The cANP Rapid Assessment and Treatment will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:
Leadership and Professional Scholarship Competences
The cANP Rapid Assessment and Treatment will lead in multidisciplinary team planning for transitions across the continuum of care by:
Advanced Practice Performance Management and Evaluation
Performance Indicators (PIs) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided. They should have a clinical nursing focus as well as a breakdown of activity including patients seen and addition they identify areas of good practice that must be recognised and celebrated (HSE 2015).
The Department of Health (2017) Framework for National Performance Indicators for Nursing and Midwifery provides a guiding framework for the development of Nursing and Midwifery PIs.
In collaboration with the Director of Nursing the cANP will identify and develop Nursing PIs for their area of practice collect and collate data which will provide evidence of the impact and effectiveness of the interventions undertaken.
The cANP will evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and multidisciplinary team colleagues (primary and secondary care).
Professional / Clinical
The cANP Rapid Assessment and Treatment will practice nursing according to:
Education and Training
Health & Safety
Management
Core Competencies
Specific Competencies to RANP RAT ED
Performance Management & evaluation
Management and Leadership
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. They 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.
Information Technology
Health & Safety
Hygiene/Infection Control
Quality Safety and Risk Management
Confidentiality
Data Management
Development of Hospital Groups
GENERAL
Applications can be submitted on-line at by completing the application form and attaching your CV.
Candidates should be aware that when applying for a post through the On-Line Application System (Candidate Manager) they will receive an automated replying acknowledging receipt of their application. Should you for any reason not receive this automated acknowledgement you should notify the Human Resources Department before the closing date otherwise your application will not be considered.
Closing Date: Before close of business on: 16th October 2025
Informal enquiries to:
Mr. Keith Barter Assistant Director of Nursing Telephone (01)/ email
or
Dr. Aileen McCabe Emergency Medicine Consultant Telephone (01)/ email
Registered Advanced Nurse Practitioner (RANP)/Candidate Advanced Nurse Practitioner (cANP)
Emergency Rapid Assessment and Treatment Service Emergency Department
Full time Permanent Post
Reference Number: 10.001 (2025)
SUMMARY OF ROLE
The Advanced Practice Service is provided by Nurses who practice at a higher level of capability as independent autonomous and expert advanced practitioners. The overall purpose of the service is to provide safe timely evidenced based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting complete episodes of patient care which includes comprehensively assessing diagnosing planning treating and discharging patients in accordance with collaboratively agreed caseloads local policies procedures protocols and guidelines and/or service level agreements/ memoranda of understanding.
The ANP-led The Emergency Rapid Assessment and Treatment service was established in 2022 in TUH Emergency Department (ED). The service has been recognised internationally as a patient-centred model for managing high volume low acuity presentations within the ED*. The service has been proven to enhance ED efficiency optimize care delivery and improve patient satisfaction for ED patients. Operationally the ANP works in zone 2 (ambulatory care area) within the adult emergency department.
(*Deay D OKeefe O Byrne M McBrien B McCabe A. Evaluation of an advanced nurse practitioner led emergency rapid assessment and treatment service. Int Emerg Nurs. 2025 Sep 26; 83:101684. doi: 10.1016/.. Epub ahead of print. PMID: .)
The RANP or cANP Rapid assessment and Treatment - Emergency Department
The Advanced Practice Service is provided by Nurses who practice at a higher level of capability as independent autonomous and expert advanced practitioners. The overall purpose of the service is to provide safe timely evidenced based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting complete episodes of patient care which includes comprehensively assessing diagnosing planning treating and discharging patients in accordance with collaboratively agreed caseloads local policies procedures protocols and guidelines and/or service level agreements/ memoranda of understanding.
The ANP-led The Emergency Rapid Assessment and Treatment service was established in 2022 in TUH Emergency Department (ED). The service has been recognised internationally as a patient-centred model for managing high volume low acuity presentations within the ED*. The service has been proven to enhance ED efficiency optimize care delivery and improve patient satisfaction for ED patients. Operationally the ANP works in zone 2 (ambulatory care area) within the adult emergency department.
(*Deay D OKeefe O Byrne M McBrien B McCabe A. Evaluation of an advanced nurse practitioner led emergency rapid assessment and treatment service. Int Emerg Nurs. 2025 Sep 26; 83:101684. doi: 10.1016/.. Epub ahead of print. PMID: .)
The RANP or cANP Rapid assessment and Treatment - Emergency Department
- Demonstrates advanced clinical and theoretical knowledge critical thinking clinical leadership and complex decision-making abilities.
- Practices in accordance with the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2014) the Scope of Nursing and Midwifery Practice Framework (NMBI 2015) Advanced Practice (Nursing) Standards and Requirements (NMBI 2017) and the Values for Nurses and Midwives in Ireland (Department of Health 2016).
- Provides clinical leadership and professional scholarship in the delivery of optimal nursing services and informs the development of evidence based health policy at local regional and national levels.
- Contributes to nursing research that shapes and advances nursing practice education and health care policy at local national and international levels. It is expected that the RANP will publish research output in journals and at conferences.
PURPOSE OF THE RANP or cANP Rapid assessment and Treatment - Emergency Department
The overall purpose of the post is to provide safe timely evidenced based nurse-led care to patients at an advanced nursing level .This involves undertaking and documenting a complete episode of patient care (assess diagnose plan treat and discharge patients) according to collaboratively agreed protocols and scope of practice in the clinical setting; demonstrating advanced clinical and theoretical knowledge critical thinking clinical leadership and decision making skills. The advanced practice role demonstrates a high degree of knowledge skill and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis problem solving and accurate decision-making (NMBI 2017). Central to this is the provision of quality care a safe environment and processes for patients by the use of evidence based clinical guidelines that address patient expectations promote wellness and evaluate care given. The role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at local regional and national level. The role will contribute to nursing research to shape and advance nursing practice education and health care policy at local national and international levels.
QUALIFICATIONS
1. Applying as a RANP
The overall purpose of the post is to provide safe timely evidenced based nurse-led care to patients at an advanced nursing level .This involves undertaking and documenting a complete episode of patient care (assess diagnose plan treat and discharge patients) according to collaboratively agreed protocols and scope of practice in the clinical setting; demonstrating advanced clinical and theoretical knowledge critical thinking clinical leadership and decision making skills. The advanced practice role demonstrates a high degree of knowledge skill and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis problem solving and accurate decision-making (NMBI 2017). Central to this is the provision of quality care a safe environment and processes for patients by the use of evidence based clinical guidelines that address patient expectations promote wellness and evaluate care given. The role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at local regional and national level. The role will contribute to nursing research to shape and advance nursing practice education and health care policy at local national and international levels.
QUALIFICATIONS
1. Applying as a RANP
- Be registered on the Advanced Nurse Practitioner Division of the active Register held by Nursing and Midwifery Board of Ireland.
Or
- Be eligible to register in the Advanced Nurse Practitioner Division of the Nursing and Midwifery Board of Ireland Register by meeting the criteria for registration as an Advanced Nurse Practitioner as specified
And
- Have a broad base of clinical experience relevant to the advanced field of practice Adult Emergency Nursing.
- Demonstrates the competencies relevant to the specialist area of advanced practice.
- Possesses the requisite knowledge and ability including a high standard of suitability and clinical professional and administrative capacity to properly discharge the functions of the role.
- Practitioners must maintain active annual registration on the Advanced Nurse Practitioner Division of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland for the role.
Applying as a Candidate /ANP
- 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 a broad base of clinical experience relevant to the advanced field of practice (Adult Emergency Nursing).
- Be eligible to undertake a Masters Degree (or higher) in Nursing or a Masters Degree which is relevant or applicable to the advanced field of practice. The Masters programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland) or equivalent. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice in addition to clinical practicum.
Or
- Be currently undertaking a Masters Degree in Nursing (Advanced Practice Pathway) or be eligible to register to undertake additional Level9 National Framework of Qualifications (Quality and Qualifications Ireland) specific modules of a Masters Degree in Nursing (Advanced Practice Pathway) within an agreed timeframe. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice in addition to clinical practicum.
Or
- Possess a Masters Degree (or higher) in Nursing or a Masters Degree which is relevant or applicable to the advanced field of practice. The Masters programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland) or equivalent. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice in addition to clinical practicum.
And
- Candidates must possess the requisite knowledge and ability including a high standard of suitability and clinical professional and administrative capacity to properly discharge the functions of the role.
- Hold a current Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) certificate which must be renewed every 2 years.
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 position is fulltime permanent 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 August 2025 is:
Candidate Advanced Nurse Practitioner 707025 by 6 Increments to 79872 per annum
Advanced Nurse Practitioner (General) 71408 by 9 increments to 88123 per annum
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 ANP/ANPc will perform such duties as are outlined in this job description. The RANP or cANP Rapid Assessment Unit Emergency Department practices to a higher level of capability across six domains of competence as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017).
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:
The annual leave entitlement is 25-28 (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 three 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 themselves in relation to the post or is otherwise unfit to hold the appointment.
General Accountability
PARTICULARS OF OFFICE
1. The position is fulltime permanent 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 August 2025 is:
Candidate Advanced Nurse Practitioner 707025 by 6 Increments to 79872 per annum
Advanced Nurse Practitioner (General) 71408 by 9 increments to 88123 per annum
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 ANP/ANPc will perform such duties as are outlined in this job description. The RANP or cANP Rapid Assessment Unit Emergency Department practices to a higher level of capability across six domains of competence as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017).
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:
The annual leave entitlement is 25-28 (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 three 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 themselves in relation to the post or is otherwise unfit to hold the appointment.
General Accountability
- Demonstrate behaviour consistent with the Values within Tallaght University Hospital.
- Adhere to and uphold the Professional Code of Conduct for nurses
- Maintain the primacy of patient care in all activities undertaken.
- Commitment to continuous professional development including completion of relevant internal training programmes available through our Centre for Learning & Development Prospectus.
- Is professionally accountable to the Director of Nursing.
- Clinically accountable to the supervising Consultant/Clinical Lead in Adult Emergency Department.
- Reports to the Assistant Director of Nursing for Medical Directorate.
SPECIFIC ACCOUNTABILITY
The post holders practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017).
The 6 domains are:
- Professional Values and Conduct
- Clinical-Decision Making
- Knowledge and Cognitive Competences
- Communication and Interpersonal Competences
- Management and Team Competences
- Leadership and Professional Scholarship Competences
Professional Values and Conduct
The cANP Rapid Assessment and Treatment will be required to apply ethically sound solutions to complex issues related to individuals and populations by:
- Demonstrating accountability and responsibility for professional practice as a lead healthcare professional
- Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice experience and competence
- Demonstrating leadership by practising compassionately to facilitate optimise promote and support the health comfort quality of life and wellbeing of persons whose lives are affected by altered health chronic disorders disability distress or life-limiting conditions.
- Articulating and promoting the RANP role in clinical political and professional contexts.
Clinical-Decision Making
The cANP Rapid Assessment and Treatment will utilise advanced knowledge skills and abilities to engage in senior clinical decision making by:
- Conducting a comprehensive holistic health assessment using evidenced based frameworks to determine diagnoses and inform autonomous advanced nursing care
- Synthesising and interpreting assessment information particularly history including prior treatment outcomes physical findings and diagnostic data to identify normal at risk and subnormal states of health
- Demonstrating timely use of diagnostic investigations to inform clinical-decision making
- Exhibiting comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions.
Knowledge and Cognitive Competences
The cANP Rapid Assessment and Treatment will actively contribute to the professional body of knowledge related to his/her area of advanced practice by:
- Providing leadership in the translation of new knowledge to clinical practice
- Educating others using an advanced expert knowledge base derived from clinical experience on-going reflection clinical supervision and engagement in continuous professional development
- Demonstrating a vision for advanced practice nursing based on a competent expert knowledge base that is developed through research critical thinking and experiential learning
- Demonstrating accountability in considering access cost and clinical effectiveness when planning delivering and evaluating care.
Communication and Interpersonal Competences
The cANP Rapid Assessment and Treatment will negotiate and advocate with other health professionals to ensure the beliefs rights and wishes of the person are respected by:
- Communicating effectively with the healthcare team through sharing of information in accordance with legal professional and regulatory requirements
- Demonstrating leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care which is shared with the person and other members of the inter-professional team
- Facilitating clinical supervision and mentorship through utilising ones expert knowledge and clinical competences
- Utilising information technology in accordance with legislation and organisational policies and procedures to record all aspects of advanced nursing care.
Management and Team Competences
The cANP Rapid Assessment and Treatment will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:
- Promoting a culture of quality care
- Proactively seeking feedback from persons receiving care families and staff on their experiences and suggestions for improvement
- Implementing practice changes using negotiation and consensus building in collaboration with the multidisciplinary team and persons receiving care.
Leadership and Professional Scholarship Competences
The cANP Rapid Assessment and Treatment will lead in multidisciplinary team planning for transitions across the continuum of care by:
- Demonstrating clinical leadership in the design and evaluation of services
- Engaging in health policy development implementation and evaluation
- Identifying gaps in the provision of care and services pertaining to his/her area of advanced practice and apply the best available evidence
- Leading in managing and implementing change.
Advanced Practice Performance Management and Evaluation
Performance Indicators (PIs) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided. They should have a clinical nursing focus as well as a breakdown of activity including patients seen and addition they identify areas of good practice that must be recognised and celebrated (HSE 2015).
The Department of Health (2017) Framework for National Performance Indicators for Nursing and Midwifery provides a guiding framework for the development of Nursing and Midwifery PIs.
In collaboration with the Director of Nursing the cANP will identify and develop Nursing PIs for their area of practice collect and collate data which will provide evidence of the impact and effectiveness of the interventions undertaken.
The cANP will evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and multidisciplinary team colleagues (primary and secondary care).
Professional / Clinical
The cANP Rapid Assessment and Treatment will practice nursing according to:
- Professional clinical guidelines
- National Health Policy.
- Local policies procedures protocols and guidelines
- Current legislation
- Values for Nursing and Midwifery Care Compassion and Commitment (DoH 2016).
Education and Training
- 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 practice education and management.
- Provide support and advice to those engaging in continuous professional development in his/her area of advanced nursing practice.
Health & Safety
- 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 and near miss forms.
- Ensure adherence to department policies in relation to the care and safety of any equipment supplied for the fulfilment of duty.
- 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.
Management
- Provide support advice and direction to staff as required.
- Engage with the wider healthcare team and facilitate team building.
- Facilitate communication with the healthcare team across services and within the senior nurse 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 and external bodies as appropriate for example; intra-hospital service community services or voluntary organisations.
- Contribute to the strategic management and planning process.
- Formulate service plans and budgets in co-operation with the wider healthcare team.
- Provide reports on activity and services as required.
- Engage in IT developments as they apply to service user and service administration.
Core Competencies
- Demonstrates an understanding of the concept of autonomy and its relationship to accountability and responsibility in advanced nursing practice.
- Demonstrates an ability to implement strategies to ensure the provision of safe quality care and efficient use of resources.
- Develops and sustains professional relationships with other members of the multi-disciplinary team.
- Demonstrates the capacity to lead manage and advance the nurse practitioner service locally and nationally
- Demonstrate team management skills including the ability to demonstrate advanced nursing skills within the multidisciplinary team.
- Demonstrates the skills required to mentor facilitate and clinically supervise nursing and other MDT students.
- Demonstrate ability to manage deadlines and effectively handle multiple tasks.
- Demonstrates effective problem solving decision making and analytical skills at an advanced practice level.
- Demonstrate effective communication skills including: the ability to present information in a clear and concise manner; the ability to facilitate and manage groups through the learning process and the ability to give constructive feedback to encourage learning.
- Demonstrate the ability to interact and consult with patients.
- Demonstrate evidence of ability to empathise with and treat patients relatives and colleagues with dignity and respect.
- Demonstrate evidence of computer skills including use of Microsoft office.
Specific Competencies to RANP RAT ED
- Demonstrate advanced skills performing and reporting on examination/findings and understanding the significance of same.
- Have an understanding of when a case is beyond ones scope of practice and appropriately escalating same to consultant and refer using established referral pathways as per locally agreed policies procedures protocols and guidelines.
- Demonstrate understanding of research methods and appropriately disseminate research outputs from the service.
- Patient advocacy in terms of Quality of care and Quality of life.
Performance Management & evaluation
- Performance Indicators are required to evaluate nursing interventions and implement initiatives to improve the quality and quantity of nursing care provided. Performance indicators should have a clinical nursing focus as well as a breakdown of activity including patients seen and addition Performance Indicators should identify areas of good practice that must be recognised and celebrated (HSE 2015).
- The Department of Health (2017) Framework for National Performance Indicators for Nursing and Midwifery provides a guiding framework for the development of Nursing and Midwifery Performance Indicators.
- In collaboration with the integrated care team and the Assistant Director of Nursing the RANP will identify and develop Nursing Performance Indicators for their area of practice collect and collate data which will provide evidence of the impact and effectiveness of the interventions undertaken.
- The RANP or cANP ED will participate in clinical audit and evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing and multidisciplinary team colleagues (primary and secondary care).
- The RANP or cANP ED will collaboratively evaluate the service accordingly and provide an annual report to the ADON.
Management and Leadership
- Support the principle that person-cantered care comes first at all times and will approach the effective efficient and resourceful planning organisation and delivery of nursing service with the flexibility and enthusiasm necessary to make this principle a reality for every patient.
- Adopt a professional leadership role within the clinical governance structures influencing both clinical and non-clinical processes that impact upon the experience and/or outcomes for patients attending TUH ED.
- Participate in the appropriate and effective management of the service.
- Participate in the development of the overall service plan and in the monitoring and review of RANP service in ED activity against the plan.
- Provide innovative and effective leadership support and advice to nursing and allied staff at all levels related to their area of practice.
- Participate and engage in projects and service developments by representing senior nursing on committees and groups as relevant to the nursing service.
- Participate in the overall financial planning of the service including the assessment of priorities in pay and non-pay expenditure relating to the service.
- Promote a culture that values diversity and respect in the workplace.
- Manage and promote liaisons with internal and external bodies as appropriate for example; intra-hospital service community services or voluntary organisations.
- Completion of relevant training and availing of supports in the Leadership Academy including coaching mentoring and leadership development as applicable.
- Engage in IT developments as they apply to service user and service administration.
- Undertake other relevant duties as may be determined from time to time by the Director of Nursing or other designated officer.
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. They 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.
Information Technology
- Ensure that the team makes 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.
- Ensure that all staff are trained in the use of computer systems which are used in the managementof patient episodes in the Hospital e.g.: EPR Pims Order comms Symphony sap core.
Health & Safety
- Ensure the compliance of all your staff with the Safety Health and Welfare at Work Act 2005.
- Comply and enact Health and Safety responsibilities as outlined in Hospital policies protocols and procedures relevant to your area.
- Prepare risk assessments and departmental safety statements as required.
Hygiene/Infection Control
- Ensure you are aware of your responsibility for Hygiene awareness. Hygiene is defined as The practice that serves to keep people and environments clean and prevent infection.
- Act as a role model and actively promote infection control and prevention and ensure that staff in your area familiarise themselves with the hospital infection control policies and guidelines as outlined in the Infection Control Manual.
- Ensure that staff in your area are aware that they work in an area where there is potential for transmission of infection.
- Ensure that all your staff are advised that they have a responsibility to prevent the transmission of infection particularly in relation to hand hygiene.
Quality Safety and Risk Management
- Support the delivery of the Quality Safety and Risk Management Programme including the appropriate identification reporting 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.
GENERAL
Applications can be submitted on-line at by completing the application form and attaching your CV.
Candidates should be aware that when applying for a post through the On-Line Application System (Candidate Manager) they will receive an automated replying acknowledging receipt of their application. Should you for any reason not receive this automated acknowledgement you should notify the Human Resources Department before the closing date otherwise your application will not be considered.
Closing Date: Before close of business on: 16th October 2025
Informal enquiries to:
Mr. Keith Barter Assistant Director of Nursing Telephone (01)/ email
or
Dr. Aileen McCabe Emergency Medicine Consultant Telephone (01)/ email
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.
Employment Type
Full-Time
Key Skills
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