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Blackrock Health Hermitage Clinic is a private hospital providing a full range of medical and surgical care across a broad spectrum of specialities. Each Ward provides a range of services and this role is important in making a significant contribution, developing and maintaining best practice in nursing services at clinical areas. The Hermitage Clinic is now part of Blackrock Health private hospital group along with the Blackrock Clinic, Galway Clinic, and Limerick Clinic, some of the most advanced hospitals in Irish private healthcare. As a JCI accredited hospital, The Hermitage Clinic is a progressive and pioneering hospital in which care for the patient is central to everything we do.
Job Responsibility:
Plan and initiate care and treatment modalities within agreed protocols to achieve patient centred outcomes and evaluate their effectiveness
Utilize assessment skills and techniques to determine each patient/family needs
Plan all care in collaboration with the patient
Provide specialist advice to patients on appropriate products to meet their needs
Liaise as appropriate with other members of the multidisciplinary team (MDT) regarding any aspect of patient care
Develop, document and update care, discharge and teaching plans and documentation as necessary
Evaluate the care/information given and reassess accordingly
Co-ordinate and track the completion of the patient reported outcome measures (P.R.O.M.S.) at the pre and post-operative assessments, review the patient post-operatively at 6 months, 2 years, 5 years, 10 years, 15 years and 20 years and record any complications in accordance with the Irish National Orthopaedic Register (INOR) template
Monitor and review data input from this hospital
Attend to the routine calls from patients by the use of a telephone helpline, provide timely specialist advice or consultation as appropriate
Provide support for the ward staff in managing the care of this patient on the day of their admission / discharge
Lead the establishment of a joint school
Obtaining informed consent from the patient at the pre-operative assessment clinic for the INOR register
Caring for patients pre and post Orthopaedic surgery
Enter PROM's (patient outcome measures) at pre-operative clinic and post-operative nurse led clinics at six months, 2 years, 5 years, 10 years, 15 years and 20 years
Schedule interdisciplinary referrals as required
Establishment of a joint school to prepare patient for early discharge and reduced length of stay
Run reports as requested by Consultants or hospital leadership
Increase patient satisfaction with the service
Improve patient outcomes through education and health promotion
Attend ward rounds and clinics as required
Provide patients/carers with advice, support and reassurance via telephone calls
Maintain effective and appropriate communication and collaboration with members of the multidisciplinary teams, colleagues, personnel, patients and their relatives/carers
Complete and maintain relevant documentation in a thorough and accurate manner
Use a patient centred approach in all aspects of practice ascertaining their views on aspects of their care
Influence practice and promote improved/new standards of care in relation to patients
Respect the dignity and confidentiality of patients, serving as their advocate when necessary
Develop and deliver a comprehensive education programme in Orthopaedic nursing, including the development and evaluation of competencies, in conjunction with other relevant personnel
Maintain clinical, nursing and managerial competence in the field of Orthopaedic nursing, including keeping up to-date with relevant research to ensure evidence-based practice and research utilisation
Be responsible for identifying his/her own training development needs in consultation with the line manager in order to keep professionally and clinically updated
To be responsible for creating an environment that is conducive to learning and development of self and others
To provide professional, clinical and education advice to nursing and other healthcare staff as appropriate
Educate and provide supportive care to patients, their families/their carers through all stages of their disease
Attend all mandatory training days
Keep abreast of current trends in Orthopaedic nursing through reading, attending seminars and having thorough knowledge of nursing policy and standards
Participate in in-service education
Take personal responsibility for own professional development and keep up to date with evidence based practice and research
Identify areas where scope of practice can be advanced
Provide mentorship, preceptor ship, teaching, facilitation and professional supervisory skills for nurses and other health care workers
Act as preceptor to undergraduate and post-graduate student nurses on placement
Plan and deliver staff teaching in relation to individual setting
Maintain and update a personal development portfolio
Identify, critically analyse, disseminate and integrate nursing and other evidence into the area of Orthopaedic nursing
Establish, implement and evaluate audit programmes of the service, the quality of care and the Clinical Nurse Specialist current practice
Contribute to service planning through use of audit data and specialist knowledge
Record information on patients electronically, which will provide data for auditing the service
Monitor, access, utilize and disseminate current relevant research to advise and ensure the provision of informed evidence based practice in Orthopaedic nursing
Understand the need for nursing research and be able to implement this process to contribute to the development of services provided
Ensure that there is compliance with all relevant Hermitage Clinic guidelines, policies, procedures and relevant legislation and regulatory requirements
Encourage continuous review and evaluation of policies, guidelines and existing practices through regular audit programmes and review engaging with the multi-disciplinary team where required
Promote a culture of continuous quality improvement across the department involving the team in continuous improvement initiatives and encouraging innovation
Set and monitor core objectives, standards and key performance indicators for the service and monitor performance against these standards through internal and (where applicable) external audit
Lead out on the requirements of the hospitals accreditation process
Participate fully in the requirement of the hospital’s risk management programme
Promote the delivery of a high standard of care to all patients
Encourage evidence-based practice and assist in the dissemination and implementation of research findings
Work with members of the Multidisciplinary team in devising Standard Operating Procedures
Provide clinical nursing leadership in proactively addressing ethical and quality of service issues with multidisciplinary team members and hospital management
Develop a culture of safety, promoting positive reporting of incidents and near misses
investigate and take remedial action on incidents or near misses involving patients and staff according to hospital policies, protocols and guidelines
Identification and development of Key Performance Indicators (KPIs) which are congruent with the Orthopaedic service and hospital performance
Develop Action Plans to address KPI targets
The management and delivery of KPIs as a routine and core business objective
Provide leadership in clinical practice and act as a role model to staff nurses who work in the acute services or in the community
Network with other CNS’ in the hospital, nationally and other organisations
Generate and contribute to the development of clinical standards and guidelines
Use specialist knowledge to support and enhance nursing practice
Contribute to nursing quality assurance by assisting in identification of recurring nursing problems and data collection
Requirements:
Be registered in the general division of the Register of Nurses maintained by NMBI
Have at least five years recent relevant post-registration nursing experience (full-time or equivalent hours part-time) in an acute hospital setting and a minimum of two years nursing experience in Orthopaedic Nursing
Have acquired a level 8 post registration Quality and Qualifications Ireland (QQI), National Framework of Qualifications (NFQ) major academic award relevant to the specialist area- Orthopaedic Nursing (or similar)