Clinical Nurse Manager 2

Clinical Nurse Manager 2

Job Specification

Job Title and Grade /

Complex Discharge Co-ordinator

Clinical Nurse Manager 2, (Grade Code 2119)
Campaign Reference / NRS1168
Closing Date / Tuesday 1st July 2014 @ 12 noon
Taking up Appointment / A start date will be indicated at job offer stage.
Organisational Area / Health Service Executive (HSE), Dublin North East
Location of Post / Our Lady of Lourdes Hospital, Louth Meath Hospital Group
Details of Service / Our Lady of Lourdes Hospital, Droghedais a 352 bed acute hospital catering for the population of counties Louth, Meath, and areas of Cavan Monaghan and North Dublin.
Reporting Relationship / The Complex Discharge Co-ordinator will report to the Director of Transformation Department and General Manager. He/ She will be clinically governed by the Director of Nursing.
Purpose of the Post / To ensure;

Effectivedischarge and transfer of patients from Our Lady of Lourdes and Louth County Hospital to their place of residence / community or other appropriate settingutilising a multi-disciplinary approach.
Nursing and other professional staffs areempowered to establisheffective and appropriate discharge arrangements forin-patients.

An integrated person centred approach is adopted indischarge patients which considers and responds to the holistic needs of individuals admitted to and discharged from Louth Hospitals.
Processes are in place to support the smooth and timely transition of individuals from hospital to alternative settings appropriate to their needs and preferences that support the continuity of care, as appropriate.

Principal Duties & Responsibilities / The Complex Discharge Co-ordinator must:

Promote a culture of person centered integrated working in relation to discharge planning that promotes a “home first” ethos, i.e. focuses on the delivery of supports/services in the home and from the community.
Ensure that an action plan for discharge is agreed for all complex discharge patients as soon as possible after admission which clearly defines a predicted discharge date.
Ensure that all staff are clear and accountable in relation to their responsibilities to facilitate and ensure effective discharge across the hospitals.
Ensure that patients and families/carers are fully involved and have a clear understanding with regard to the patients discharge plans at all stages of the patient’s journey.
Facilitating patient choice as appropriate in accordance with patient needs.
Empowering and working with all staff to facilitate the realisation of their responsibilities in relation to discharge planning.
Attend and lead Multidisciplinary meetings. Ensure processes are in place for local staff and broader multidisciplinary team (including Primary, Community and Continuing Care (PCCC) service representatives as appropriate) to participate in multidisciplinary ward meetings/discharge planning processes/ward rounds/case conferences as required.
Promote a culture of multidisciplinary team working to support discharge planning and continuity of care within the hospitals with all PCCC Services, Transitional Care Coordinators, Liaison Public Health Nurses and others in relation to complex patient discharge planning.
Ensure that services provided before patient admission are reactivated to support discharge as appropriate.
Coordinate the provision of assisted discharge packages to facilitate timely and safe discharge of patients.
Ensure unplanned and complex discharges are notified to PCCC and other appropriate personnel.
Provide education and training of all staff in relation to discharge planning and participating in joint acute/PCCC training initiatives.
Monitor and audit Predicted Date of Discharge (PDD) for complex discharges on an ongoing basis.

Monitoring lengths of stay in context of PDDand readmission rates of complex discharges.
Support the processes of developing and implementing discharge planning procedures taking cognisance of the Integrated Care Guidelines – A Practical Guild to Discharge and Transfer from Hospital 2014.
Participate in the setting and monitoring of standards and contribute to auditing as required. This applies in particular to the auditing of delayed discharges and re-admissions including liaising with multi-disciplinary teams to examine reasons for same.
Participate in patient flow meetings and management of patient status boards / escalation where appropriate.
Maintain an up-to-date database of bed availability in LCH / Transitional Care services and other settings. Co-ordinate the referral of patients to these services.
Assist with implementation of the national clinical programmes as they pertain to Elderly care.Initiate and contribute to research and apply research to practice in link.
Adhere to agreed hospital policy and procedures.
Accept responsibility for own continuing professional development.
Keep abreast of changes in discharge planning best practice and up to date regarding available PCCC Supports and Services.
Attend and participate in any in-service training identified as appropriate by Line Manager.

Hygiene, Infection Prevention and Control (all staff)

Implement best practice in relation to hygiene, infection prevention and control, adhere to all relevant policies, protocols, procedures and guidelines, carry out and comply with audits/evaluations of the service and act as a role model in the promotion of good hygiene, infection prevention and control standards and practices.

Health & Safety (all staff)

Comply with health and safety responsibilities as set out in the hospital's policies and procedures, principally the Hospital and Departmental Safety Statements.

Discharge Planning (all staff)

Implement and support work practices in accordance with the HSE Code of Practice for Integrated Discharge Planning (2008) and local policies, procedures and guidelines. He / she is also responsible to implement, as appropriate, the specific key tasks for the Standard Admission and Discharge Process as per the Code of Practice.

The above Job Description is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.
Eligibility Criteria
Qualifications and/ or experience / Candidates at the closing date and time must:
be registered in the General Division of the Register of Nurses kept by the Nursing & Midwifery Board of Ireland or be entitled to be so registered*
and
Have at least 5 years post registration experience of which 2 must be in the speciality or related area i.e. Discharge Planning and Management of beds.
and
Have the clinical, managerial and administrative capacity to properly discharge the functions of the role
and
Demonstrate evidence of continuing professional development at the appropriate level.
*Note: Post holders must maintain annual registration with Bord Altranais agus Cnáimhseachais na hÉireann (Nursing Midwifery Board Ireland)
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 such as would indicate a reasonable prospect of ability to render regular and efficient service.
Character
Each candidate for and any person holding the office must be of good character
Age
Age restrictions shall only apply to a candidate where he/she is not classified as a new entrant (within the meaning of the Public Service Superannuation Act, 2004). A candidate who is not classified as a new entrant must be under 65 years of age.
Post Specific Requirements / Demonstrate depth and breadth of experience in discharge co-ordinating, as relevant to this post.
Skills, competencies and/or knowledge / Candidates must demonstrate:

Knowledge of the FAIR Deal application process and the range of available primary, community and continuing care supports and services.
Knowledge and experience of person centred approach to service delivery.
the ability to lead on clinical practice and service quality
promotion of evidence-based decision making
practitioner competence and professionalism
the ability to plan organise effectively
the ability to build, lead and manage a team
strong interpersonal skills including the ability to build and maintain relationships within the multi-disciplinary team.
strong communication and influencing skills
initiative and innovation in the delivery of service
resilience and composure
openness to change including change management experience in facilitating and introducing improved systems of operating and proving the benefits of changes to services
integrity and ethical stance
a commitment to continuing professional development
the ability to relate nursing research to practice including the ability to critically appraise relevant literaturepertaining to service area
knowledge of quality assurance practices and their application to nursing procedures
an awareness of Human Resource policies and procedures including disciplinary procedures, managing attendance etc.
an awareness of relevant legislation and policy e.g. legislation relevant to the service area, health and safety, infection control etc.
an awareness of current and emerging nursing strategies and policies in relation to the clinical / designated area
Information Technology skills relevant to the role including; proficiency of computer skills inclusive of Microsoft Word, PowerPoint, Excel, email, the Internet as a research tool and the ability to present data in print and graph format.

ability to use relevant databases.

Campaign Specific Selection Process / Short listing may be carried out on the basis of information supplied in your application form. The criteria for short listing are based on the requirements of the post as outlined in the “eligibility criteria” and “skills, competencies and/ or knowledge” section of this job specification. Therefore it is very important that you think about your experience in light of those requirements. Failure to include information regarding these requirements may result in you not being called forward to the next stage of the selection process.
Code of Practice / The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the new Commissioners for Public Service Appointments (CPSA).
Codes of practice are published by the CPSA and are available on in the document posted with each vacancy entitled “Code of Practice, information for candidates or on

Terms and Conditions of Employment

Complex Discharge Co-ordinator

Tenure / The appointment is whole-time, permanent and pensionable.
A panel will be formed from which permanent and specified purpose vacancies of whole or part time duration will be filled.
Appointment as an employee of the Health Service Executive is governed by the Health Act 2004 and the Public Service Management (Recruitment and Appointment) Act 2004.
Remuneration / The Salary scale for the post (1/10/10) is: Euro 47,089 – 47,886, - 48,559 – 49,659 – 50,874 – 52,067 – 53,260 – 54,604 – 55,852
Working Week / The standard working week applying to the post is: 39 hours per week
Annual Leave / The annual leave associated with the post is to be confirmed at job offer stage.
Superannuation / All pensionable staff become members of the pension scheme.
Probation / Every permanent appointment of a person who is not already a permanent officer of the Health Service Executive or of a Local Authority shall be subject to a probationary period of 12 months as stipulated in the Department of Health Circular No.10/71.
Probation / Every appointment of a person who is not already a permanent officer of the Health Service Executive or of a Local Authority shall be subject to a probationary period of 12 months as stipulated in the Department of Health Circular No.10/71.
Protection of Persons Reporting Child Abuse Act 1998[1] / As this post is one of those designated under the Protection of Persons Reporting Child Abuse Act 1998, appointment to this post appoints one as a designated officer in accordance with Section 2 of the Act. You will remain a designated officer for the duration of your appointment to your current post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. You will receive full information on your responsibilities under the Act on appointment.
Infection Control / Have a working knowledge of Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc.