Site Manager Out of Hours

Position Summary:

The Out of Hours manager is a key member of the Senior Nursing Management Team providing operational and clinical leadership to support ward managers and nursing teams in providing the highest possible quality of care. The role is expected to function in the wider hospital management context with regard to operational management of the hospital in the out of hours period to ensure safe and efficient management of the overall hospital site.

A. Operational Management:

i. The Out of Hours Manager is the Senior Manager on site with respect to decisions regarding a number of key areas but not limited to the following;

Patient flow in the out of hours period
Escalation procedures when the hospital is at its bed capacity
To ensure safe staffing and skill levels including redeployment of staff as necessary
Point of contact for media / PR issues
Discussion with the senior executive on call to ensure accurate real time communications in relation to the Emergency Department patient flow or status on any other hospital wide issues.
Major Incident plan activation and lead until CEO or designate on site

ii. The post holder will provide nursing leadership and professional advice that supports effective delivery of care across the hospital site.

iii. To coordinate efficient and effective resource utilization i.e. skill mix issues staffing bed utilization and supervision of the nurses on duty out of hours.

iv. To be accountable for the quality of service delivery ensuring effective patient care in the out of hours period

v. To promote the development and maintenance of high standards of care in order that the care offered is family centred sensitive and responsive to service users.

vi. To manage the bed management function between the hours of 20.30 pm and 07.00am Mon Fri and until 07.30 am weekends including Bank Holidays

Clinical & Professional Leadership

i. To provide clinical and professional Nursing leadership across the hospital site.

ii. To support the Director of Nursing and Human Resources colleagues with workforce planning professional development or employee relations matters that arises within the out of hours period.

iii. To act as an advisor to the Director of Nursing on matters relating to professional conduct or Nursing and Midwifery Practice issues that may arise.

iv. Be responsible for keeping his/her own practice up to date and maintaining competency relevant to the role.

v. To develop and maintain excellent communication throughout the out of hours nursing team and others involved directly or indirectly with patient care to ensure a patient focused service.

vi. To have a visible clinical presence in conjunction with the out of hours CNM 3.

vii. To link with senior medical staff regarding the overnight management of patients.

viii. To support nursing staff with clinical decision-making thereby enhancing their professional development.

ix. To attend out of hours clinical emergencies as appropriate such as cardiac arrest untoward incidents etc.

x. To work with the Director of Nursing on practice development including the development of nurse-led initiatives and developments that will enhance patient care and effective patient pathways within the hospital.

xi. To serve on working groups or committees deemed appropriate to the role or grade.

xii. To lead out on the night safety huddle ensuring collaboration and engagement with the multidisciplinary representatives in planning the night ahead.

B. Performance and Financial Management.

i. To have a hospital-wide focus and overview of clinical activity and related operational issues achieved through liaison with Directorate links to gain a full understanding of the clinical and managerial issues across all clinical areas.

ii. To have a hospital-wide understanding of clinical activity patient dependency skill mixes and bed availability

iii. To assist the Director of Nursing in implementing any corrective programme necessary for adherence to financial budgets.

iv. To have a full awareness and understanding of the suite of performance indicators for the nursing department which support the achievement of the hospital-wide Key Performance Indicators

v. Establish mechanisms which provide the Director of Nursing with timely management information regarding performance against specified targets and budgets in the out of hours period.

vi. To promote a corporate approach to the hospitals overall strategy objectives mission and values.

C. Quality Assurance and Risk Management

i. To ensure there is an effective process for risk assessment and risk management in respect of Out of hours services

ii. To be responsible for ensuring that adverse incidents within the out of hours period are investigated promptly respecting confidentiality taking preventative action where necessary to ensure that IQS procedures are adhered to and fully implemented.

iii. To investigate patients complaints and report appropriately in accordance with the hospital protocol.

iv. To participate where appropriate in formulation of policies clinical guidelines operational policy/procedures sharing of information.

v. To ensure that the hospitals health and safety fire and other statutory regulations are adhered to

vi. To liaise with the Risk Manager and Quality Manager as appropriate.

-operates and participates in quality initiatives against which clinical practice can be measured.

viii. Participates in audits of nursing practices and procedures in operation.

ix. Assists in identifying specific areas in which improvements can be made in effectiveness of care and works to achieve these improved standards.

x. Reports problems which interfere with clinical standards of care to the Director of Nursing and relevant Directorate Nurse Manager.

xi. To work with the Director of Nursing and the senior nursing team on the development of the nursing strategy and ensure its implementation

xii. To work with Nursing and Multidisciplinary teams across the hospital in relation to review/development of processes policies and procedures relative to JCI accreditation.

HR Management and Organisational Development

i. Provision of direct line management to support the CNM 3 role out of hours. Ensuring a period of Induction scheduled probation meetings and opportunity for personal growth and development.

ii. Ensure that the responsibilities and objectives for direct reports are clearly defined and understood job descriptions and person specifications up-to- date.

iii. Be responsible for managing sickness and absence in accordance with hospital policy.

iv. Promote equal opportunity and adherence to best practice employment and approaches to managing and implementing change.

v. To monitor attendance and allocation of all agency nurses and Health care assistants.

collaboration with other disciplines promote good industrial relations in accordance with personnel policies.

vii. Involvement in the selection and recruitment of staff.

Involvement in the planning and delivery of orientation/induction of relevant staff and participate in in-service training.

Requirements:

Candidates:

Are registered or be eligible for registration in the General Nurse Division of the Register of Nurses and Midwives maintained by the Nursing & Midwifery Board of Ireland

And

• Have 10 years post registration nursing experience and 5 years nursing management experience at a minimum of CNM2 in an acute setting

And

• 
  Possess a post graduate qualification at not less than level 8 (QQI) in health care management related area

And

• 
  Candidates must possess the requisite clinical leadership managerial and Administrative knowledge and ability for the proper discharge of the office