JOB DESCRIPTION
Clinical Nurse Specialist/CNM II - Arthroplasty
Full Time -Specified Purpose Contract
Reference No: 10.008 (2025)
PURPOSE OF THE ROLE
The Clinical Nurse Specialist/CNM II will be responsible for managing and developing the nursing service within the area. They will manage and co-ordinate the smooth running of the department and plan and develop the department in order to constantly improve the service offered to patients and families.
QUALIFICATIONS
- Each candidate must on the latest date for receiving completed application forms for the office:
- Be a Member of the General Division of the active register of the Nursing and Midwifery board of Ireland.
- Have 5 years qualification relevant to the area of specialist practice. 2 of which much be in the speciality.
- Have completed an Orthopaedic course to level 8 or higher in the NFQ framework
- Have 5 years relevant post-registration experience
- 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.
- Confirm annual registration with NMBI to the HSE by way of the annual Patient safety Assurance Certificate.
2. Age Restrictions In Relation To Applications
Age restriction shall only apply to a candidate where they are 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 fulltime temporary and pensionable on a specified purpose contract.
2. Remuneration:
Remuneration is in accordance with the salary scale approved by the Department of Health & Children. Current remuneration with effect from 1st of August 2025 is:
61463 by 11 increments to 77666 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 CNS 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 between the hours of 8 am to 8 pm over 7 days 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 9 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 two 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
- Maintain throughout the Hospital awareness of the primacy of the patient in relation to all Hospital activities.
- Encourage recognition of the patient as an individual ensuring patients needs and comfort are given priority.
- Work within the Scope of Practice
- Comply with all existing Hospital policies
- 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.
- Reporting relationship will be to the Assistant Director of Nursing.
- Be professionally accountable to the Director of Nursing.
SPECIFIC ACCOUNTABILITY
Clinical Role
- The post holder is responsible and professionally accountable for delivery of specialist nursing care to patients with Orthopaedic conditions disease and trauma. They will have the expert skills and competencies required to ensure effective management and organisation of the Nurse Led Arthroplasty Service within agreed boundaries and protocols in line with Clinical governance and Standards. This role includes adherence to a variety of national and local assessment protocols for standard and specialised joint implants and participation in data collection and audit as required. Expert clinical practitioner providing comprehensive care education and support within the Orthopaedic Arthroplasty speciality to patients/carers and staff. Review patients as per the Irish National Orthopaedic Register.
- Provide a consultancy role within the speciality providing information and advice to healthcare professionals internally and externally.
- Participates as a Clinical Nurse Specialist service which may cross-traditional professional or service boundaries.
- Collaborate with colleagues of all disciplines/multi-professional teams to ensure a high standard of care to a defined patient group.
- Develop the clinical excellence necessary to the technical/physical aspects of care for a defined patient group.
MAIN DUTIES/RESPONSIBILITIES
Clinical/Specialist Knowledge:
- Provide clinical leadership in assessment of patient needs implementation and evaluation of programmes of care ensuring holistic and evidenced based nursing practice.
- Utilise all available resources taking into consideration the lifestyle gender and cultural background and ensure involvement of the patient family carers and significant others.
- Review audit and assess current practice and service recommending changes in nursing care in accordance to the evidence base.
- Develop and implement operational policies in line with service developments
- Develop and implement policies and guidelines in accordance with specialist practice
- Establish and maintain nurse led services in response to service demands
- Act as a role model and demonstrate expert and effective nursing practice.
- Maintain patient records in line with TUH guidelines for records and record keeping.
- Contribute to content and assist with implementation of new information technology
- Responsible for ensuring staff adhere to the organisational infection control policies and procedures and act as a role model in the maintenance of a safe environment.
- Complete the Irish National Orthopaedic Register for all relevant patients
- Educate/train relevant staff in the use of the Irish National Orthopaedic Register
- Ensure data quality with the Irish National Orthopaedic Register
- Input the data for the Irish Hip Fracture Database
- Liaise with the SSI CNM2 regarding the SSI aspect of the Irish Hip Fracture Database
- Be a member of the TUH Hip Fracture Committee
- Lead the pre-operative education class Joint School for TKA and THA patients
Public Health:
- Facilitate patients self-management to promote maximum well-being within confines of their illness.
- Lead and participate in health needs assessment/audit to ensure adequate service provision.
- Promote health education on an individual patient/carer basis.
- Identify and utilise appropriate resources to support patient health improvement
Professional:
- Empower patients to take responsibility for their health well-being and future lifestyle by practising in an open transparent and inclusive manner thereby ensuring patients have the relevant information to participate in decisions about their care.
- Promote and support innovation in clinical practice.
- Practice within the Legal & Ethical framework as established by Nursing and Midwifery Board Ireland (NMBI) and National Legislation to ensure patient interests and wellbeing are met.
Education and Research/Audit:
- Maintain expert professional practice through continuing education professional updating and involvement with professional specialist groups.
- Identify the educational and developmental needs of staff patients and carers in relation to the specialty in conjunction with other senior staff members.
- Promote patient/ carer independence through the provision of relevant education and support in relation to their individual disease and psychosocial care needs.
- Endorse and disseminate research-based practice.
- Instigate and participate in relevant research / audit projects where appropriate to service and practice needs.
- Initiate and pursue research projects to enhance the nursing knowledge base within Orthopaedic specialty.
- Audit current practice and negotiate and facilitate appropriate changes.
- Evaluate effectiveness of role in relation to U.K national managed clinical network local guideline patient outcomes service needs and professional requirements.
Organisational/Managerial:
- Act in a collaborative and advisory role to senior management.
- Organise own time within remit in line with agreed job plan. (Where applicable)
- Accountable for the effective management of resources.
- Participate in the retention recruitment and selection process where appropriate.
- Share service objectives with colleagues and participate in setting of personal development plans of staff where appropriate.
- Contribute to the wider NHS and corporate agenda.
- Develop and implement policies protocols and guidelines for own area of work.
- Participate in performance review and implement service improvements where identified.
- Support and develop staff to broaden their skills knowledge & experience in the interests of succession planning.
Systems:
- Responsible for inputting information into electronic patient record where applicable and also into patients written records. They will comply with the Data Protection Act and local policies regarding confidentiality and access to medical records and ensure all staff complies with policy.
- Ensure staff are aware of their responsibility to ensure equipment and machinery is maintained and serviced at regular intervals thus reducing risks to patient safety.
- The post holder should demonstrate a good working knowledge of office equipment including a desk top computer system laser jet printer ink jet printer fax and photocopier.
- The post holder is expected to demonstrate the ability to maximise the use of Information Technology to benefit patient care staff and self-management and personal development.
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 management of 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.
- Patient records: Maintenance of patient records Maintenance of electronic patient records Staff records: Duty Rotas Annual Leave records Staff Appraisal/development Absence/sickness records Staff counselling file notes Training and education
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.
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