Job Specification and Terms and Conditions Prompt Questions

Job Specification and Terms and Conditions prompt questions

Job Title and Grade / Advanced Nurse Practitioner Emergency Department
Grade Code: 2267
Campaign Reference / NRS0301
Closing Date / 12 noon 9th November 2011
Proposed Interview date(s) / Week Commencing 21st November 2011
Taking up Appointment / To be indicated at Job Offer Stage
Location of Post / Waterford Wexford Integrated Service Area (ISA)
NB Initial immediate vacancy in Emergency Department,
Waterford Regional Hospital
Organisational Area / Health Service Executive South
Details of Service / Hospital Profile
Waterford Regional Hospital (WRH) is a Model 4 hospital and provides a broad range of acute and regional services to the population of the South East. It is one of the 8 National Cancer Centres, and is a Designated Teaching Hospital of the Royal College of Surgeons of Ireland. In partnership with Waterford Institute of Technology (WIT) pre registration and post registration education and training for nurses is provided. Similarly in partnership with the University of Limerick, Direct Entry Midwifery students undertake their internship year on the WRH site
The following Specialities are provided:-

Gynaecology and Obstetrics
Paediatric services including Regional Neonatal Intensive Care Unit
Colposcopy Screening Unit
Critical Care
Emergency Medicine
General Medicine including Medicine of the Elderly,
Endocrinology, Cardiology and Nephrology
Cancer surgery
General Surgery, Urology and Vascular Surgery
Regional ENT and Ophthalmology
Regional Orthopaedic Trauma Services
Radiography including MRI and C.T. Scanning Service.
Designated cancer centre providing Haematology and Oncology inpatient and Day Services
Palliative Care
Sexual Assault Treatment Unit
Acute Psychiatry

The Minor Injuries Unit (MIU) in Waterford Regional Hospital’s Emergency Department sees in excess of 5,000 patients per year. These patients are Triaged and streamed to the MIU to facilitate appropriate assessment and treatment of Minor Injuries and illness. The Unit is open from 9am to 8pm seven days a week and is staffed by ANP’s, an ED Registrar or/and an ED Consultant.
Reporting Relationship / Professionally Accountable to: Director of Nursing, Waterford Regional Hospital
Clinically Accountable to: Consultant in Emergency Medicine, Waterford Regional Hospital
Purpose of the Post / To act as an independent practitioner, clinically competent and skilled in the delivery of direct quality care to a specific patient group.
Principal Duties and Responsibilities / Clinical
The ANP (Emergency) will have undertaken a competency based education programme in advanced nursing practice, incorporating adult and children’s emergency nursing, which meets the requirements of An Bord Altranais.
Having demonstrated competence, the ANP will assess, treat and overall manage patients (adult and children) with minor injuries/illness.
Paediatric Presentations(18 months – 18years)

Acute traumatic shoulder injury
Acute traumatic wound management
Bite injuries (animal & human)
Paronychia
Dental Problems/injuries
Foreign body removal
Hand / finger/ fingertip injuries (including fracture/dislocation /laceration/nailbed/ tendon/ nerve injuries)
Minor burns
Minor head injuries/facial injuries
Soft tissue injury of upper & lower limb
Initial management of limb fractures
Soft tissue extremity infections/ inflammatory conditions

Adult Presentations

Acute traumatic shoulder injury
Acute traumatic wound management
Bite injuries ( animal & human)
Chronic wound management (including paronychia / leg ulcers)
Dental Problems/injuries
Foreign body removal
Hand / finger/ fingertip injuries (including fracture / dislocation / laceration / nailbed/ tendon/ nerve injuries)
Minor burns
Minor head injuries/facial injuries
Soft tissue injury of upper & lower limb
Initial management of limb fractures
Soft tissue extremity infections/ inflammatory conditions

This is not an exhaustive list of minor injuries/illnessess the ANP will treat

The ANP will supply and administer pharmaceutical products in accordance with their collaborative practise agreement for nurse prescribing in the ED department.

Autonomy in clinical practice

Accepts accountability and responsibility for clinical decision making at advanced level of practice through caseload management of children/young people and adult patients/clients
Performs comprehensive health assessment, plans and initiates care and treatment modalities to achieve patient/centred outcomes and evaluates their effectiveness
Accepts autonomy and responsibility for initiating and terminating a care episode
Uses professional judgement to refer patients/clients to nurses, healthcare professionals and healthcare agencies.

Expertise in clinical practice

Articulates and demonstrates the concept of advanced nursing practice within the framework of relevant legislation, the Code of Professional Conduct (An Bord Altranais, 200a) and the Scope of Nursing & Midwifery Practice Framework (An Bord Altranais 2000b).
Identifies health promotion priorities in the area of clinical practice
Implements health promotion strategies for patient/client groups in accordance with the public health agenda.
Initiates timely and appropriate consultation or referral with other health professional as indicated

Professional and Clinical Leadership

Articulates and communicates a vision of areas of nursing practice that can be developed beyond the current Scope of Nursing Practice and develops a commitment to the development of these areas
Contributes to professional and healthcare policy at local, regional and national level
Initiates and implements changes in health services in response to young person and adult patient need and service demand
Contributes to service planning and budgetary processes
Provides leadership in clinical practice and acts as a resource and a role model for advanced nursing practice
Contributes to the professional body of nursing knowledge and practice both

Nationally and internationally

Identifies needs and leads development of clinical standards
Procures and effectively manages resources required for service provision and development.
Ensures appropriate written advice is given
Justifies reasons for referral or seeking advice
Adheres to current guidelines for treatment, monitoring, prescribing and

administrating medications

Adheres to local protocols or guidelines for the management of conditions seen
Supports the development of practitioners in nursing and other professions
Demonstrates advanced clinical decision making skills to manage a patient caseload

Researcher

Identifies research priorities for the area of practice
Leads, conducts, disseminates and publishes nursing research which shapes and advances in nursing practice, education, policy and the wider health agenda
Identifies, critically analyses, disseminates and integrates nursing and other evidence into the area of clinical practice
Initiates, participates in and evaluates audit and uses outcome to improve service provision
Contributes to service planning and budgetary processes through the use of audit data and specialist knowledge.
Initiates or actively contributes to developing research studies to support

Practice
Clinical Governance

The post holder will participate in the Clinical Governance programme as defined by the Director of Nursing and Midwifery.
Contribute to the development of key process and outcome standards and objectives.
Assist in the monitoring of Key performance indicators as relevant to the ED dept.
Take appropriate action on any matter identified as being detrimental to staff and/or service user’s care or well being or which may be inhibiting the efficient provision of care
Ensure adherence to established policies and procedures e.g. health and safety, infection control, storage and use of controlled drugs etc.
Ensure compliance with the quality and risk safety framework programme and any culture programmes.
Participate in accreditation programmes external and internal to the HSE
Maintain a feedback mechanism with the Risk advisors and report to the Director of Nursing and Midwifery Services as appropriate.
Ensure adherence to hospital policies in relation to the care and safety of any equipment supplied for the fulfilment of duty.

Health & Safety

Comply with effective safety procedures within the Health, Safety and Welfare at Work Act.

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 must:-
(a)

Be a registered nurse or midwife on An Bord Altranais live register

Be registered in the division of An Bord Altranais live register for which the application is being made

Be educated to Masters degree level (or higher). The postgraduate programme must be in nursing/midwifery or an area which reflects the specialist field of practice (education preparation must include a substantial clinical modular component(s) pertaining to the relevant area of specialist practice)

Have a minimum of 7 years post-registration experience, which will include 5 years experience in the chosen area of specialist practice

Have substantive hours at supervised advanced practice level

Have the competence to exercise higher levels of judgement, discretion and decision making in the clinical area above that expected of the nurse/midwife working at primary practice level or of the clinical nurse/midwife specialist.

Demonstrate competencies relevant to context of practice

Provide evidence of continuing professional development.

(b) Be eligible to apply as an Advanced Nurse/Midwife Practitioner once offered an accredited Advanced Nurse/Midwife Practitioner post.
Note 1. Candidates eligibility will be assed by the HSE in the first instance using the criteria set out in (a). Following interview the preferred candidates will be provisionally offered a post as an ANP/AMP, as appropriate, conditional on ABA assessing their eligibility for registration in the ANP/AMP division of the registerr maintained by ABA
(c) Have Clinical, managerial and administrative capacity to properly discharge the functions of the role.
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, additional qualifications and/or experience required / The post holder will be required to work weekends and to work outside of 9 to 5 working hours.
Skills, competencies and/or knowledge /

Demonstrates an understanding of the concept of autonomy and it’s relationship to accountability and authority
Demonstrates excellent communication skills
Demonstrates an ability to implement strategies to ensure the provision of quality care and efficient use of resources
Develops and sustains professional relationships with other members of the multi-disciplinary team
Demonstrates the capacity to lead the management and administration of the nurse practitioner service
Demonstrates Initiative in performing appropriate clinical audits
Demonstrates mentorship, preceptorship, teaching, facilitation and professional supervisory skills for nurses and other healthcare professionals
Demonstrate evidence of effective planning and organising skills including awareness of resource management and importance of value for money
Demonstrate ability to manage deadlines and effectively handle multiple tasks
Demonstrates effective problem solving, decision making and analytical skills
Demonstrate effective communication skills including: the ability to present information in a clear and concise manner; the ability to facilitate and manage groups through the learning process; the ability to give constructive feedback to encourage learning
Demonstrate awareness and appreciation of the service user
Demonstrate leadership and team management skills including the ability to work with multi disciplinary team members
Demonstrate evidence of ability to empathise with and treat patients, relatives and colleagues with dignity and respect.
Demonstrate evidence of computer skills including use of Microsoft Word, Excel, email

Other requirements specific to the post / None
Competition Specific Selection Process
Shortlisting / Interview / 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.
Those successful at the shortlisting stage of this process (where applied) will be called forward to interview.
Code of Practice / The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commission for Public Service Appointments (CPSA). The Code of Practice sets out how the core principles of probity, merit, equity and fairness might be applied on a principle basis. The Codes also specifies the responsibilities placed on candidates, feedback facilities for candidates on matters relating to their application, when requested, and outlines procedures in relation to requests for a review of the recruitment and selection process, and review in relation to allegations of a breach of the Code of Practice. Additional information on the HSE’s review process is available in the document posted with each vacancy entitled “Code Of Practice, Information For Candidates”.
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
The reform programme outlined for the Health Services may impact on this role and as structures change the job description may be reviewed.
This job description is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned.

HEALTH SERVICES EXECUTIVE

Terms and Conditions of Employment

Advanced Nurse Practitioner Emergency Department

Tenure / The appointment is whole-time, permanent and pensionable.
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 is: €54,870 - €68,853 as at 01/01/2010
(9 points on the Salary Scale)
Working Week / The standard working week applying to the post is: 37.5
HSE Circular 003-2009 “Matching Working Patterns to Service Needs (Extended Working Day / Week Arrangements); Framework for Implementation of Clause 30.4 of Towards 2016” applies. Under the terms of this circular, all new entrants and staff appointed to promotional posts from Dec 16th 2008 will be required to work agreed roster / on call arrangements as advised by their line manager. Contracted hours of work are liable to change between the hours of 8am-8pm over seven days to meet the requirements for extended day services in accordance with the terms of the Framework Agreement (Implementation of Clause 30.4 of Towards 2016).
Annual Leave / The annual leave associated with the post is: to be advised at Job Offer Stage
Superannuation / Membership of the HSE Employee Superannuation Scheme applies to this appointment.
Existing Members who transferred to the HSE on 1st January 2005 pursuant to Section 60 of the Health Act 2004 are entitled to superannuation benefit terms under the HSE Scheme which are no less favourable to those to which they were entitled at 31st December 2004.
Appointees to posts in the Mental Health Services which formerly attracted fast accrual of service should note that the terms of Section 65 of the Mental Treatment Act 1945 do not apply to New Entrant Public Servants as defined by Section 12 of the Public Service Superannuation (Miscellaneous Provisions) Act 2004.
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.
Protection of Persons Reporting Child Abuse Act 1998[1] / This post is one of those designated in accordance with Section 2 of the Protection of Persons Reporting Child Abuse Act, 1998. You will remain a designated officer for the duration of your appointment in this post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. Such officers will, on receiving a report of child abuse, formally notify the Senior Social Worker in the community care area in which the child is living.
Heath & Safety / Have a working knowledge of 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.