CNM 1-Beaumont Care in the Home

WORK TO BE DONE AND WORKLOAD ESTIMATION

On a day to day basis the Clinical Nurse Manager (CNM) 1 decides and allocates the work to be completed by HCAs based on the needs of the patients and the capability of the staff.

Implements a systematic method for the assessment of individual patients needs and ensures appropriate documentation of same.

Estimates workload based on patient nursing needs in agreement with the services policy on same.

STAFFING AND MANPOWER PLANNING

Plans and allocates HCA teams with appropriate staff numbers skill mix and level of experience in such a way that will meet the workload and ensure continuity of care.

Arranges staff meal breaks.

Supports and supervises HCAs and other support staff in carrying out their allocated clinical duties to the required standard.

Advises the CNM3 when staff levels fall below or are in excess of that considered to be adequate to meet variations of workload.

PERSONNEL

Promotes nurtures and maintains a high level of staff morale hence promoting team spirit and job satisfaction among staff within the service.

Implements welfare and safety policies within the service

Participates in the interviewing and selection of staff for the service.

Participate in the development of an orientation programme for staff and implements and evaluates same.

Ensures that all staff practice nursing within the code set for the profession by An Bord Altranais.

Carries out development and performance review interviews with individual staff using job specifications and performance appraisal review documentation in accordance with hospital policy and records judgement about the performance of each individual staff member.

Identifies abilities and recommends staff for promotion to permanent and senior positions.

Recommends to the CNM3 the transfer of staff from the service.

Decides how to deal with behaviour outside acceptable limits for whatever reason (i.e. emotional upset in staff brusqueness to patients or colleagues undignified behaviour absenteeism late attendances conflict grievance discipline and industrial relations); and seek advice where necessary.

Ensures that all staff know disciplinary and grievance procedures. Handles staff complaints grievances and disciplinary matters in accordance with hospital policy and reports to the CNM3 as necessary serious or unresolved issues.

Investigates incidents and accidents involving patients and staff. Reports these verbally and in writing to the CNM3.

Monitor absenteeism and sick leave episodes and where appropriate discuss any problems with your staff and provide advice or assistance. Ensure that all staff are aware of the hospital sick leave policy.

EDUCATION/STAFF DEVELOPMENT

Assesses and identifies training and development needs for staff within the service sets objectives for such learning recommends these to the CNM3 and contributes to the development of training programmes where appropriate.

Identifies teaching/learning opportunities within the service.

Plans implements and evaluate staff development programmes to support new clinical services.

Participates in clinical induction training of all new staff ensuring that HCAs receive sufficient theoretical and practical training to make them safe practitioners.

Ensures the agreed hospital specialist administrative and clinical policies and procedures are known to and understood by the staff and are implemented.

Provides for teaching counselling and training of learner nurses.

Ensures that mandatory training requirements are met.

At all times acts as an effective role model by demonstrating skilled nursing care in the clinical situation for all staff.

CLINICAL NURSING PRACTICE
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Provide safe comprehensive nursing care to service users within the guidelines laid out by NMBI.
Promote the development and maintenance of high standards of care and that the care offered is patient centred sensitive and responsive to service users.
Practice and promote nursing according to Professional Clinical Guidelines National and Area Health Service Executive guidelines local policies protocols and guidelines current legislation.
Continuously monitor suggest and improve upon the service.
Liaise with Beaumont hospital delayed discharge team and Medical social Workers for referrals for patients awaiting home care agency.

Complete assessment of patients to ensure they meet criteria for Beaumont Homecare Service

Liaise with patient and family to discuss allocated hours.

Ensure risk assessment is completed in accordance with lone working policy prior to commencement of Homecare Service.

Complete a home environment safety assessment prior to commencement of Homecare Service and develop an individualized care plan for each patient incorporation with the patient and family.

Provide information to HCAs on patients health care needs while adhering to Beaumont Hospital GDPR policy.

Coordinate Beaumont Homecare HCAs to provide the required home care hours to patients.

Provide appropriate induction to HCAs to Beaumont Homecare policies and procedures.

Point of contact for Beaumont Homecare HCAs.

Processing of expense forms for Beaumont Homecare Health Care Assistants.

Provide distant supervision and support the work of Beaumont Homecare HCAs

STANDARDS AND QUALITY OF CARE

Takes all steps possible to safeguard the welfare and safety or patients by:-

Deciding with the CNM3 the indicators to be used to judge quality of services to patients.

Be responsible for risk management issues within the area and work closely with other relevant personnel to develop appropriate strategies to minimise risk.

Establishing management and clinical standards within realistic targets and explicit limits as set by the CNM3 and Director of Nursing.

Ensuring that all staff understand and abide by required standards and limits.

Checking on the quality of all work completed by all staff.

Monitoring and evaluating the outcomes of nursing care for individual patients.

Convening periodic meetings with the staff to discuss outcomes of the service and taking suggestions on how the service might be improved.

BUDGETING

Encourages staff to utilise resources judiciously by developing economical habits and adhering to the limits so as to ensure economical use consistent with satisfactory standards.

Continually monitors staffing use patterns and ensures adequate standards consistent with maximum economy while maintaining acceptable standards for safe yet judicious use of resources.

Prepares monthly premium payment returns for Accounts Department.

SELF DEVELOPMENT

The post holder is expected to:-

Maintain update and develop knowledge on relevant professional development and on all speciality current trends by attending a number of study days each year.

Develop and maintain personal nursing practice skills.

Maintain a personal record of professional development.

Discuss present performance and future self-development needs with the CNM 3 using job performance review in accordance with nursing policy.

ADMINISTRATIVE

Ensures the correct completion of records and reports.

Promotes the development of clinical and administrative computerisation.