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Theatre Quality Lead

Ireland, Dublin · Job Posted December 06, 2025
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Job Description

The Theatre Quality Lead (CNM2) promotes, facilitates and supports the provision of excellent care for all patients attending the Operating Theatre Department, working collaboratively with all staff to promote a culture of continuous improvement to drive quality, person-centred care. The position requires a strategic approach to the development of services and structures, embracing continuous quality improvement and the management of changes necessary to achieve organisational objectives.

Job Responsibility

  • Ensure compliance with all relevant Blackrock Health 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
  • Promote a culture of continuous quality improvement across the Operating Theatre Department
  • Set and monitor core objectives, standards and key performance indicators for the service
  • Lead out on the requirements of the hospital’s accreditation process
  • Ensure the department’s readiness for HIQA inspections
  • Participate fully in the requirement of the hospital’s risk management programme
  • Promote the delivery of a high standard of care to all patients
  • Work with members of the multidisciplinary team in devising Standard Operating Procedures
  • Provide clinical nursing leadership in proactively addressing ethical and quality of services issues
  • Develop a culture of safety, promoting positive reporting of incidents and near misses
  • Manage own caseload in accordance with the needs of the department
  • Participate in unit-based and interdepartmental QI activities
  • Ensure that effective safety procedures are developed and managed to comply with statutory obligations
  • Promote and affect a responsible and accountable culture amongst staff
  • Manage staff objective setting frameworks and review meeting to support staff development
  • Project manage new initiatives as required
  • Prepare business plans as required to support department requirements and developments
  • Recommend and promote cost control initiatives wherever necessary
  • Contribute to formulating or updating policies and procedures
  • Ensure that the Theatre adheres to established hospital and departmental policies and procedures
  • Show leadership by achieving high morale
  • Maintain awareness within the speciality of current developments in Theatre
  • Provide updates of service reports to ADON and Consultants as required relating to Theatre
  • Provide specialist knowledge, expertise and care in liaison with the multidisciplinary team
  • Maintain good communication and liaise effectively with the ADON’s, between all wards and departments, medical and nursing staff, clinical support service staff, finance managers and administrative staff within the hospital
  • Provide reports on activity and services in a digital format as required
  • Develop and manage departmental and nursing policy with a particular emphasis on change management
  • Act as a member of relevant committees or working groups as required
  • Actively participate in the Nursing Management structure by ‘acting up’ when required
  • Provide professional and personal development opportunities for all nursing and support staff
  • Ensure that all mandatory training is undertaken to a satisfactory level and promote and facilitate staff training, development within the department
  • Oversee that the requirements of NMBI for the practice of professional nursing are met and upheld including the development of an expanded scope of nursing practice
  • Maintain accurate records of all study leave and education resources used
  • Develop and implement an enhanced staff competence assessment relevant to the Department
  • Provide support advice to those engaging in continuous professional development
  • Be familiar with the curriculum training programme for student nurses and be aware of the clinical experience required to meet the needs of the programme

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 Theatre nursing
  • Have a recognised post-registration nursing course - Higher Diploma or Post Graduate appropriate to the position is essential i.e. Quality, or in pursuit of same
  • Proven clinical and professional management, risk management and clinical audit ability
  • Quality focus
  • Excellent interpersonal and communication skills
  • Management skills
  • Leadership skills
  • Negotiating Skills
  • Risk Management
  • Clinical audit competence
  • IT skills
  • Presentation skills

Nice to have

Health Care Management qualification, preferably at third level

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