CNS/CNM2 Gerontology Emergency Department Intervention

JOB DESCRIPTION

CNS/CNM2 Gerontology Emergency Department Intervention (GEDI) Team
Specified Purpose Position
Reference No:
PURPOSE OF THE ROLE
CNS/CNM II on the Gerontology Emergency Department Intervention (GEDI) Team is responsible for completing a comprehensive gerontological assessment including active medical problems, past medical history, medication, functional assessment, social history, bedside physical assessment, cognitive assessment and review of lab/x-ray tests and current as well as past medical history.

The CNS/CNM II works in collaboration with other colleagues and as a member of the multidisciplinary team to provide a specialist intervention which takes place at the front door. The CNS/CNM II will plan and develop the service in the Emergency Department in order to constantly improve the patient experience.

QUALIFICATIONS
1. Each applicant for CNS must on the latest date for receiving completed application forms for the office -: Each applicant for CNS must on the latest date for receiving completed application forms for the office; Be registered in the General Division of the active Register held by Nursing and Midwifery Board of Ireland or in exceptional circumstances which will be assessed on a case by case basis be registered in another division of the register of Nurses and Midwives. And Have a minimum of 1 years post registration full time experience or an aggregate of 1 years full time experience in the division of the register in which the application is being made And Have a minimum 1 years' experience or aggregate of 1 years full time experience in the specialist area of care to which they are applying. And Have a third level qualification at not less than Level 9 or higher award that is relevant to the specialist area of care (equivalent to 60 ECTS or above), and in line with the requirements for specialist practice as set out by the National Council for Nursing and Midwifery. And 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 Or
Each applicant Clinical Nurse Manager 2 must on the latest date for receiving completed application forms for the office -: 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 5 years post registration experience and a minimum of 2 years in the specialty or related area. 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 Desirable: Have a recognised post graduate course in Gerontology Nursing 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, 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 child's 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, Specified Purpose position 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 October 2023 is:

Clinical Nurse Specialist/CNM II - €57,198 by 9 increments to €67,621

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 / CNM2 will perform such duties as are outlined in this job description.

5. Hours of work:
Normal working hours are 37.5 hrs worked over Monday to Sunday. 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:
The annual leave entitlement is 25 – 28 working days per year. The leave year runs from 1st April to the 31st of 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 Management's 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

The Gerontology Emergency Department Intervention (GEDI) Team Clinical Nurse Specialist
The Clinician Nurse Specialist in the Emergency Department is a registered nurse in an expanded role demonstrating a high level of autonomy and expert skill to formulate clinical decisions and appropriately manage geriatric patients with acute/chronic illness and promote wellness. The principle responsibilities include utilizing and demonstrating a comprehensive theoretical knowledge base and advance level of clinical competence in caring for elder patients, acting as a resource and serving as a consultant to individuals and groups within the professional community and other hospital/agencies. The CNS will be professionally accountable to the Director of Nursing. Report to the Assistant Director of Nursing. The CNS will work under the guidance of the Lead Consultant for Gerontology. Refer to and comply with the Scope of Practice Framework as stated by the Nursing and Midwifery Board of Ireland in relation to all components of the position: clinical role, patient advocate role, educational role, consultative role and audit role. Comply with all existing Hospital policies. Demonstrate knowledge of the Hospital/Departmental emergency plans. Maintain throughout the Hospital an awareness of the primacy of the patient in relation to all Hospital activities. 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. Specific Accountability

Clinical Role Work in collaboration with other colleagues and as a member of the multidisciplinary team to provide a specialist in-patient and out-patient Liaise closely with the patient's primary healthcare team. Responsible for completing comprehensive gerontological assessment including active medical problems, past medical history, medication, functional assessment, social history, bedside physical assessment, cognitive assessment and review of lab/x-ray tests and current as well as past medical history. Maintain accurate and complete nursing records and ensures confidentiality. Provide a service that is evidence based. Evaluate the effectiveness of education on an on-going basis. Establish clear patterns for communicating with the Lead Consultant for Gerontology and co-operating with medical and ward staff and other professionals such as general practitioners, public health nurses and practice nurses. Ensure that protocols are evidence based, regularly updated and are utilised. Foster good nurse/patients relationships by being sensitive and supportive. Perform intravenous cannulation and venepuncture. Facilitate effective communications between the multidisciplinary team, the patients and their families. Liaise with General Practitioners and other health care facilities. Review and, if necessary, update written information for patients and families. To make & maintain effective links with staff in other hospitals. Patient Advocate Role The CNS in gerontology will communicate with patients, families and friends, assess needs and provide relevant support, information, education and advice. Act as the patients advocate when necessary, especially in informed discussion to promote the patients' participation in decision making thereby enabling informed choice of treatment options. Demonstrate an awareness of ethical awareness and social issues on an individual patient basis. Educational Role The CNS in gerontology will be expected to deliver structured and opportunistic educational opportunities to facilitate staff and patient education. This will include educational sessions for Pre-Registration and Post Registration Nurses. Undertake continuing professional development through formal and informal educational opportunities thus ensuring continuing credibility amongst nursing, medical and allied health professionals. Manage workload effectively, ensuring appropriate use of available time. Make effective use of developments in information technology for both patient care and administrative support in a manner, which integrates well with systems throughout the organisation. Consultative Role Develop an intervention plan based on identified needs. Communicate assessment findings and recommend interventions plan to appropriate physician and/or staff. Facilitate referrals to services, programs and agencies as appropriate. Provide supportive and counselling to patients and family members to decrease inappropriate admission and repeat emergency visits. Negotiate for adequate community supports for patients. Facilitate and advance discharge planning process. The CNS in gerontology will be expected to facilitate and promote effective communications between the medical staff, nursing staff, Allied Health Professionals, Hospital staff, the patients and their families. The CNS in gerontology will be expected to actively participate in change management and developments. Identify and plan with support from the Nurse Practice Development Department, in consultation with the Assistant Director of Nursing and Director of Nursing requirements for the service at a strategic level. Develop a flexible and innovative approach, forming links with other specialists. Participate in relevant committees at an organisational level and also at a National level. Audit Role The CNS in gerontology will be expected to audit current nursing practice and evaluate improvements in the quality of patient care within the gerontology/emergency service. Conduct nursing research relevant to the gerontology Services with support from the Nurse Practice Development Department. Audit the role of the CNS in gerontology and partake in the accreditation process within Tallaght University Hospital. Promote timely response in completing consultations. Ensure that expenditure within the department is controllable within agreed budgets/cash limits and in compliance with Hospital financial plan. Produce monthly data to examine efficiency and effectiveness of the service. Co-ordinate and maintain equipment and monitor the use of resources to ensure that unnecessary expenditure by misuse does not occur. Participate in cost awareness and cost control policies in the department. Collect, interpret and present data and information on the Department's activities, staffing and expenditure. Information Technology & data Make 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. Collect, interpret and present data and information on the Department's activities, staffing and expenditure, as required. Health & Safety All employees must comply with the Safety, Health and Welfare at Work Act, 2005. Comply with relevant Health and Safety responsibilities as outlined in Hospital Polices, Protocols and Procedures relevant to your area. Take reasonable care to protect your own safety, health and welfare and that of any other person who may be affected by your acts or omissions at work. Hygiene / Infection prevention and control All employees have responsibility for Hygiene awareness. Hygiene is defined as "The practice that serves to keep people and environments clean and prevent infection." All employees also have a responsibility under their terms of employment to prevent transmission of infection and to follow the hospital infection control policies and guidelines as outlined in the Infection Control Manual. All employees must be aware that they work in an area where there is potential for transmission of infection. All employees have a responsibility to follow hand hygiene guidelines as this is the single most important intervention to prevent the transmission of infection Quality, safety and risk management Support the delivery of the Quality, Safety and Risk Management Programme, including the appropriate identification 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.

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