Adrenal Research Nurse

Overview

Post Title: CNM 1 Adrenal Research Nurse, Department of Endocrinology

Post Status: Fixed Term Contract for 1 year

Department: Medical 2 Directorate

Location: Beaumont Hospital, Dublin 9

Reports to: CNM 3 / Directorate Nurse Manager, Medical 2

Salary: Appointment will be made on CNM 1 Payscale (€56,081 - €66,045) at a point in line with Government pay policy

Hours of work: Part time 15 hours per week (0.4 WTE)

Closing Date: Wednesday 26th March 2025 @ 12noon

Please note the hospital reserves the right to close the competition early should a substantial number of applications be received.

Position Summary:

The Adrenal Research CNM will support the Adrenal Tumour service run by Professor Michael O'Reilly and Professor Mark Sherlock. The Adrenal Tumour service in Beaumont Hospital receives referrals from across the country on patients with complex adrenal disease, including functioning adenoma, phaeochromocytoma and adrenocortical carcinoma (ACC). A cohort of patients with ACC are treated with adjuvant mitotane therapy and require monthly blood sampling to ensure that levels are therapeutic and to avoid drug toxicity. We also provide an adrenal vein sampling service in collaboration with the Department of Radiology in Beaumont Hospital for patients with primary aldosteronism.

A large number of adrenal incidentalomas are referred to our service each month, and require a serum and urine biochemical work up to screen for adrenal hormone hypersecretion. Follow up imaging must also be coordinated for these patients, the majority of whom will have benign disease. We also have a large cohort of patients with a genetic disorder of adrenal steroidogenesis called congenital adrenal hyperplasia (CAH).

Responsibilities

Principal Duties and Responsibilities:

1. Performing monthly bloods for plasma levels and routine biochemistry in patients on mitotane therapy in the Adrenal Clinic.
2. Follow up of mitotane levels and routine haematology and biochemistry bloods in patients reviewed in the Adrenal Clinic.
3. Follow up of endocrine hormone testing results in patients undergoing biochemical assessment of adrenal nodules and masses.
4. Close liaison with the Adrenal MDT coordinator.
5. Follow up of imaging requests and results, under the supervision of the consultant, of patients in the Adrenal Tumour clinic.
6. Review of bloods in patients with CAH to guide adjustments in steroid therapy.
7. Coordination of adrenal vein sampling procedures with the Departments of Radiology and Clinical Biochemistry for patients with primary aldosteronism.
8. Consenting of patients with CAH and adrenal tumours for participation in clinical research studies approved by the Beaumont Hospital Research Ethics Committee.
9. Consenting of patients with CAH and disorders of sexual development (DSD) for inclusion in the i-CAH and i-DSD international registries as approved by the Beaumont Hospital Research Ethics Committee.
10. Report such patients promptly to the consultant/clinical leader and discuss referral.
11. Co-ordinate relevant services in preparation for treatment.
12. Attend multidisciplinary team meetings.
13. Foster good working relationships with all members of the clinical team, which are both professional and supportive.
14. Maintain accurate clinical records complying with legislation and best practice.
15. Be aware of all hospital policies and procedures and collaborate with other health care professionals to ensure that these are observed.
16. Demonstrate leadership ability and good communication skills.
17. Monitor all results and liaise and review with Endocrine Consultants.

Patient Advocate

The Endocrine Research Nurse will:

1. Provide an efficient, effective and high quality service, respecting the needs of each patient.
2. Act as an advocate for patients undergoing clinical trials, providing information as appropriate and communicating with research staff.

Audit and Research

The Endocrine Research Nurse will:

1. Ensure that his/her own practice is compliant and up to date with "best practice", which is reflected in research and development.
2. Participate in the regular audit of his/her own clinical practice.
3. Ensure the development and maintenance of a quality assurance programme which is patient-centered utilizing up to date research findings.
4. Use such research findings to influence care within the specialty.
5. Set objectives and develop policies, procedures and standards for the Endocrine nursing services based on current nursing research and relevant research from other disciplines.
6. Promote an awareness of research-based practice amongst staff.
7. Participate in departmental research related to the specialty.
8. Establish collegial partnerships and in the context of Endocrinology, contribute to the professional development of students, peers, colleagues and others through consultation, education, leadership, mentorship and coaching.
9. Develop and maintain good collaborative working relationships and communication with all members of the specialty's MDT and other health care professionals within and outside the service.
10. Participate in the implementation of the national clinical care programmes and their agreed models of care for patients and their families as they relate to the role.
11. Use specialist knowledge to support and enhance general nursing practice.

The job description indicates the main function and responsibilities of the post and is subject to review and amendment. Other specific work not covered in this job description may also be assigned by the Director of Nursing, Directorate Nurse Manager or Consultant Endocrinologists from time to time.

Qualifications

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: 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 3 years post registration fulltime experience (or an aggregate of 3 years post registration full time experience) of which 1 year post registration fulltime experience (or an aggregate of 1 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 Continuing Professional Development.
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:

• Previous experience of working in the field of research

Further Information for Candidates:

The Hospital

www.beaumont.ie

Management Unit:

www.beaumont.ie/hr

Other (Please specify):

Informal Enquiries ONLY to:

Name: Alan Healy-Cunningham

Title: Directorate Nurse Manager

Email address: alanhealycunningham@beaumont.ie

Telephone: 01 852 8196

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