Clinical Nurse Manager 3 Surgical Oncology Breast Service

Position Summary:

The Symptomatic breast service at Beaumont Hospital has expanded exponentially over the past 15 years since the amalgamation of cancer services into the eight designated cancer centres. The CNM 3 role was recommended under the National Cancer Control Programme to help provide seamless care for breast cancer patients in this unit. The post holder plays a pivotal role within the multidisciplinary team and plays a central role in the management of activities planning co-ordinating and evaluation of breast cancer oncology services within the unit for Beaumont Hospital patients and their families.

The post holder will ensure that new and existing services are planned to ensure delivery of a patient focused service and he/she is responsible for maintaining links with the Nurse Specialists Directorate Nurse Manager Surgeons Oncologists Radiologists Business Managers for relevant directorates and other professionals in the hospital.

Principal Duties and Responsibilities:

Leadership

- Provide day to day running of the breast care unit including optimisation of schedules
- Liaise with nursing mammography clinical specialist and clerical staff as well as the radiologists and surgeons with suggestions for improved efficiency
- Assist in the implementation of service improvements including electronic patient record and dedicated website
- Work with data manager to produce regular reports on activity
- Review KPI performance and implement necessary changes when/where necessary to ensure quality of care
- Prepare the service and staff for inspections/audit/accreditation including HIQA JCI and OECI
- Ensure all necessary day to day equipment is available to staff
- Manage databases of individuals who need annual/regular imaging eg patients with prior history of breast cancer high risk family history and those with a history of high risk breast lesions
- Act as a nurse advisor offering advice support and clinical expertise to staff caring for symptomatic breast care patients
- Provide a link with primary care and tertiary referral centres and other referral centres
- Ensure that policies protocols and guidelines for breast cancer nurse services are developed implemented comply with best practice.
- Work and expand within the scope of practice
- Demonstrate vision innovation and flexibility in nursing practice
- Liaise with other professionals in other Cancer centres as required

- (Lead and motivate the team to create direction and a philosophy of care in conjunction with the Directorate nurse manager)
- Establish and maintain appropriate staffing levels and skill mix affecting service needs. This will include playing an active part in the recruitment and selection process for the nursing team.
- Actively participate in service development and planning of the breast care surgical oncology services.
- Manage change within the multidisciplinary team undertaking responsibility for monitoring and evaluating the implementation of change.
- Undertake the production of annual reports and other relevant reports.
- Audit practices and implement appropriate systems within the service.

Clinical Practice
- Ensure that cancer services for breast care patients receiving surgery chemotherapy and radiotherapy are co-ordinated in liaison with the multidisciplinary team in order to facilitate the seamless provision of cancer care in line with national policy.
- Ensure through cancer nurse specialists that patients have access to relevant information enabling understanding of their disease and available treatment options
- Ensure through cancer nurse specialists that patients and their families are educated about the illness medications equipment and incorporate health promotion principles into all aspects of nursing care
- Ensure that systems are in place for cancer nurse specialists to liaise closely with patients primary healthcare team .i.e. GPs and Public Health Nurse
- Ensure that staff are aware of their obligation to maintain confidentiality relating to patients and their families
- Exercise higher levels of judgement discretion and decision-making in the clinical areas
- Facilitate decision taking and the implementation of decisions with regard to patient care
- Ensure adherence to nursing protocols policies and procedures within the hospital

Education
- Develop and facilitate educational and support programmes for members of the team
- Take part in developing an education strategy for nursing
- In conjunction with the directorate nursing team ensure that members of the nursing team receive training in changes in practice in the delivery of care
- Use relevant educational opportunities to maintain the highest standards of care to patients

Audit & Research
- Audit current practice and implement and evaluate improvements in the delivery of patient care
- Identify service development needs annually and submit for service planning purposes
- Be aware of research and current developments in nursing and management
- Initiate and promote research based practice
- Assist the surgical nursing team in the development and collation of appropriate audits and to seek opportunities to initiate and undertake nursing research projects
- Aid in continuous improvement through frequent audits
- Coordinate and implement at local level any national policies/guidelines agreed by the NCCP

Management of Resources

- Continually monitor the service to ensure it reflects current needs and implement agreed changes where required
- Promote a safe clinical environment for patients relatives and staff
- Ensure all resources are utilised effectively and efficiently.
- Ensure all documentation/records are maintained in line with national standards.

Clinical Governance

- Demonstrate commitment to evidence based practice
- Participate in national audits to include HIQA and NCCP
- Participate in all clinical governance matters with regard to surgical directorate

Consultancy

- Play a leading and participating role with the design and evaluation of breast cancer service in Beaumont Hospital as a designated cancer centre
- Promote holistic care for patients.
- Respect culture and diversity.
- Work as an innovator and change agent within the speciality.
- Act as an expert role model for health care professionals.
- Work in a complementary role to nursing colleagues and other members of the multidisciplinary team.

Personal Development
- Undertake appropriate further training as required
- Keep abreast of current trends and developments in surgical nursing the management of cancer leadership and management.
- Develop the required skills and knowledge to support the services needs within the scope of professional practice
- Take personal responsibility for own professional development and updating
- Review personal professional development plan and performance indicators with line manager

The job description indicates the main functions and responsibilities of the post and is subject to review and amendment.

Selection Criteria
Selection criteria outline the qualifications skills knowledge and/or experience that the successful candidate would need to demonstrate for successful discharge of the responsibilities of the post.
Applications will be assessed on the basis of how well candidates satisfy these criteria.

Mandatory

1. Statutory Registration Professional Qualifications Experience etc
(a) Eligible applicants will be those who on the closing date for the competition:
(i) Are registered in the relevant division of the Register of Nurses & Midwives
maintained by the Nursing and Midwifery Board of Ireland NMBI(Bord
Altranais agus Cnáimhseachais na hÉireann) or entitled to be so registered.

(ii) Have at least 5 years post registration full time (or an aggregate of 5 years post
registration full time) experience of which 2 years (or an aggregate of 2 years post
registration full time experience) must be in the speciality or related area.

(iii) Have the clinical managerial and administrative capacity to properly discharge
the functions of the role.

(iv) Candidates must demonstrate evidence of continuous professional development.

(b) Candidates must possess the requisite knowledge and ability including a high standard of
suitability and clinical managerial and administrative capacity to properly discharge the
functions of the role.

2. Annual registration
(i) On appointment practitioners must maintain live annual registration on the relevant
division of the Register of Nurses and Midwives maintained by the Nursing and
Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann).

(ii) Confirm annual registration with NMBI to the HSE by way of the annual Patient
Safety Assurance Certificate (PSAC).

3. Health
Candidates for and any person holding the office must be fully competent and capable of
undertaking the duties attached to the office and be in a state of health such as would indicate a
reasonable prospect of ability to render regular and efficient service.

4. Character
Candidates for and any person holding the office must be of good character.

Desirable:

A relevant post-graduate qualification.
Management course

Skills & Ability:
Previous management experience
Ability to plan review & adapt the service
Involvement of quality improvement initiatives & audit o Effective time management skills to deliver on all requirements of the job specification
Demonstrate good motivational/counselling skills
Good oral and written communication skills
Good presentation skills
Basic computer skills
Encourages consultation and collaboration across disciplines

Personal Attributes:
Confident
Self-motivated reliable and able to work independently
Active advocate of the patient
Flexible adaptable and creative
Able to reflect and appraise own performance
Able to maintain effective working relationships with relevant stakeholders

Experience & Knowledge:

Knowledge of cancer services
Previous management experience

If an appointee has previously been employed in the Civil or Public Service and that appointee is entitled to or in receipt of a pension from the Civil or Public Service or where a Civil/ Public Service pension comes into payment during the appointees re-employment that pension will be subject to abatement in accordance with Section 52 of the Public Service Pensions (Single Scheme and other Provisions) Act 2012.

Please note: In applying for this position you are acknowledging that you understand that the abatement provisions where relevant will apply. It is not envisaged that the employing Department/ Office/ Body will support an application for an abatement waiver in respect of appointments to this position