Clinical Nurse Manager 2 – Children’s Outreach Nurse Life Limiting Conditions
Job Specification & Terms and Conditions
Job Title and Grade
Clinical Nurse Manager 2 - Children’s Outreach Nurse Life Limiting Conditions
(Grade Code 2119)
Campaign Reference
NRS0782B
Closing Date
5pm on Monday 19th November 2012
Proposed
Interview
Date (s)
Taking
up
Appointment
Organisational Area
Week commencing 10th December 2012
Important Details
regarding the post
The National Recruitment Service is running 2 recruitment campaigns concurrently at
Clinical Nurse Specialist level and Clinical Nurse Manager 2 level.
 It is the services intention to initially fill vacancies at a CNS level as appointees at this
grade have achieved the relevant level 8 qualification in an area relevant to Life
Limiting Conditions.
 The service believes that there is a limited applicant pool with the relevant Life Limiting
Conditions Level 8 qualification and that posts may remain unfilled following
completion of the CNS campaign.
 Therefore in order to address this concern the NRS is running CNS and CNM2
campaigns concurrently.
 Any posts not filled by CNS appointees may be filled by the CNM2 panel created on
foot of this campaign.
 The CNS panel will take precedence over CNM2 panel.
A start date will be indicated at job offer stage
Health Service Executive South, West, Dublin North East and Dublin Mid Leinster
Should the CNS panel become exhausted CNM2 candidates will be appointed into the
post at a CNM2 level as an interim measure. The successful candidate will be appointed
as a CNM2 and will progress to Clinical Nurse Specialist level on attainment of his/ her
Level 8 (NQAI) major academic award/qualification relevant to life limiting nursing and his/
her fulfilment of requirements set by the HSE for entry on the Clinical Nurse Specialist
database.
 The academic fees for this programme will be supported by the Irish Hospice
Foundation.
 Successful candidates must pursue and obtain Clinical Nurse Specialist Qualification
(Life Limiting Conditions) within a 2-year period of appointment.
 Non-obtainment of the specialist qualification may lead to redeployment within the
organisation or termination of contract.
Location of Post
There are current vacancies for CNS in Cork University Hospital, Galway University
Hospital, Midland Hospital Group and Our Lady’s Children’s Hospital, Crumlin, Dublin. Any
posts that remain unfilled by the CNS panel will be filled by the CNM2 panel.

Cork University Hospital
Informal enquiries contact for Cork post:
Audrey Moran, Assistant Director of Nursing & Midwifery HR, CUH
Mobile: 086 7872164 Email: [email protected],

Galway University Hospital
Informal enquiries contacts for Galway post:
Anne Matthews, Clinical Nurse Manager 111, Paediatrics, UHG
Tel 091 544566 Email: [email protected],
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 1
Una Carr, ADON, Women’s & Children’s Directorate, UHG
Tel 091 544789 Email: [email protected],

Midland Hospital Group
Informal enquiries contact for Mullingar post:
Marie Corbett, A/DON
Tel : 044 93490221 Email : [email protected],

Our Lady’s Children’s Hospital Crumlin
Informal enquiries contact for Crumlin post:
Joan Troy, A/DON
Tel: 01 4096310 Email : [email protected]
The panel created from this recruitment campaign will be used to fill current and future
vacancies. This means that all future vacancies will be filled from this panel and it is
anticipated that vacancies will arise in other sites.
As the Health Service Executive moves towards an Integrated Care Model of Service
Provision, you will be required to work in a hospital setting and/or a primary care setting
and across all population groups to meet service needs and/or to rotate between both the
hospital and a primary care/community setting.
The person will have remit to in-patients in the Acute Services and children with life limiting
conditions in the community
Details of Service
Background to this Post:
An average of between 536-592 children dies in Ireland each year prior to their eighteenth
birthday. The prevalence of life-limiting conditions in the Irish child population is unknown.
An estimate based on rates in the United Kingdom is 12/10,000. The duration of lifelimiting conditions can extend from days to weeks to months and even to years. This
leads to a significant need for care services for these children and their families. The
provision of such services should preferably be in the child’s own home.
Palliative care means the total care of a child and their family at a time of serious illness
when the aim of treatment has changed from cure to improving quality of life. “It is an
active and total approach to care, embracing physical, emotional, social and spiritual
elements. It focuses on enhancement of quality of life for the child and support for the
family, and includes the management of distressing symptoms, provision of respite and
care through death and bereavement”. (Association for Children with Life-Threatening or
Terminal Conditions and their Families (ACT) and the Royal College of Paediatrics and
Child Heath (RCPCH), 2003, Bristol, UK)
A comprehensive paediatric palliative care service needs to function within a co-operative
model with close liaison between general practitioner, community paediatrician, nursing
services, children’s hospitals and hospitals with paediatric units. The post holder will
endorse a palliative care approach and promote seamless care between agencies and
professionals involved in the child’s care.
The Service will be active in its total approach to care, embracing physical, emotional,
social and spiritual elements. It focuses on enhancement of quality of life for the child and
support for the family, and includes the management of distressing symptoms, provision of
respite and care through death and bereavement.
The Service will establish close liaison between general practitioner, community
paediatrician, disability services, nursing services, children’s hospitals, hospitals with
paediatric units and other services as appropriate.
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 2
Reporting
Relationship
The post holder:

Is professionally accountable to the Director of Nursing (DON) or designated officer

Will report to the Assistant Director of Nursing or designated officer as required on
operational matters

Is clinically accountable to the Clinical Director / Lead Consultant
Purpose of the Post
The role of the Clinical Nurse Manager 2 - Children’s Outreach Nurse Life Limiting
Conditions is addressing a prioritised service need as outlined in A Palliative Care Needs
Assessment for Children (DOHC 2005)
Principal Duties and
Responsibilities

To co-ordinate a service that provides continuity of care and quality of life for children
with life limiting conditions and their families.

Plan, implement, deliver, and evaluate care for a caseload of patients in collaboration
with local healthcare professional/carer especially those with specific palliative care
needs. This role will apply to acute and community care setting.

Act as an informed resource for health and social care professionals involved in the
care of children with life limiting conditions.

Facilitate education and training for health and social care professionals in
collaboration with relevant stakeholders.

Support collection of data in relation to children with life limiting conditions to support
national programme development.
Clinical Responsibilities

Assess, plan, implement, and evaluate care for a caseload of patients with local
healthcare professionals/carers

Collaborate with health and social care team to develop a plan of care within the
regional paediatric unit and the community. To provide pain and symptom
management for children with a life-limiting illness.

Co-ordinate a supportive service for children and families having assessed their
psychosocial and spiritual needs and refer for formal counselling services as required.

Establish and maintain good working relationships with nursing staff and medical staff
involved in the provision of quality care to children with life limiting conditions.

Act as a resource to colleagues, members of the multidisciplinary team in the regional
paediatric unit, outpatients and community, including GPs, PHNs, specialist palliative
care services and voluntary services.

Educate and support the primary health care team and voluntary services throughout
the course of the child’s illness, assisting in symptom management and terminal care.

Refer families for bereavement support as necessary

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
Child/Family Advocacy

Have knowledge and regard for the entire family as a unit, assessing and respecting
their coping mechanisms while encouraging healthy family patterns.

Act as the child’s advocate for the palliative care approach within the health and social
care team

Collaborate with health and social care team to address ethical issues

Ensure that the dignity of the child is maintained and respected
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 3

Collaborate with statutory and voluntary agencies to support the provision of optimum
care
Education and Training

Take every reasonable opportunity to sustain and improve knowledge and
professional competence of oneself with reference to An Bord Altranais Scope of
Nursing Practice Framework and code of professional conduct.

Identify the education and training needs of staff and initiate strategies to meet these
needs

Support training and education of families, local hospitals, community health care
professionals and voluntary services about the needs of children with life limiting
conditions.

Liaise with the relevant education providers and participate in teaching on various
aspects of pre and post registration nurses and allied healthcare professional
programmes.

Attend study days and conferences in order to update knowledge in the field of
children’s nursing/ life limiting illness conditions/palliative care and related subjects.

Assist in developing education material e.g., information leaflets and booklets for
parents and children relating to their conditions with their interdisciplinary teams.
Research & Audit

Audit the activities of the service with a view to assessing the effectiveness and
efficiency of the service

Monitor and evaluate the role of the Outreach Children’s Nurse

Participate in data collection to support own role and service provision

Demonstrate an interest in learning new techniques and skills and apply these to
practice

Identify clinical issues of interest and ensure they are incorporated into clinical
practice through teaching and example

Publish work related research and personal projects

Identify and implement operational processes to the standards of best practice in
order to optimise use of resources and to ensure compliance with statutory
requirements.

Set up clinical standards of care and ensure they are appropriately audited

Maintain statistical data of patient/service activity and supply annual reports to line
manager

Co-ordinate and develop nursing/clinical policies and protocols in area

Monitor, access, utilise and disseminate current relevant research findings in order to
advise and ensure the provision of informed evidence based practice in the care of
children with life limiting conditions.

Be responsible for identifying opportunities for nursing research which would
contribute to the development of services

Report accidents/incidents, complaints immediately to the consultant in charge of the
child and follow the regional paediatric unit’s and the community’s incident monitoring
and complaints policy.
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 4
Consultancy

To act as and be available as a clinical resource and consultant, providing
professional advice inter and intra disciplinary, in the area of life limiting conditions to
those within and outside the service in order to promote improved patient
management and continuity of care.

To accept referrals and to refer in line with local and regional guidelines

To establish, standardise and monitor clear communication channels for such
consultations, inter and intra disciplinary.
This above Job Specification 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
Candidates must, at the latest date for receipt of completed applications for the post:
Qualifications and/ or
experience
(a)
Be currently registered in the Children’s Nursing Division of the Register of Nurses &
Midwives maintained by An Bord Altranais or be entitled to be so registered;
And
(b)
Have at least 5 years post-registration experience of which 2 years must be in the
speciality area of life limiting conditions*.
And
(c)
Have the clinical, managerial and administrative capacity to properly discharge the
functions of the role.
And
(d)
Must demonstrate evidence of continuing professional development at the
appropriate level.
*Examples of experience relevant to the area of life limiting conditions include Palliative
Care, Neonatology, Oncology, ICU, Motor neurone, Cystic Fibrosis etc. Please note this
list is not exhaustive.
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 on the first day of the
month in which the latest date for receiving completed application forms for the office
occurs.
Post
Specific
Requirements
Demonstrate depth and breadth of experience in the area of life limiting conditions.
Complete a level 8 post registration National Qualifications Authority of Ireland major
award relevant to the specialist area of life limiting conditions within 2 years of
appointment.
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 5
Skills, competencies
and/or knowledge
Professional Knowledge:
 Demonstrates practitioner competence and professionalism in order to carry out the
duties and responsibilities of the role

Expert knowledge of caring for children with life limiting conditions

Overview of Children’s Healthcare Services

Relevant Strategies or Documents - A Palliative Care Needs Assessment for Children
(2005)

All clinical and theoretical knowledge appropriate to care of children with life limiting
conditions

Clinical Developments in the Speciality

Evidence based practice in dealing with Children with Life Limiting Conditions

Demonstrates an awareness of legislation and standards relevant to the role

Demonstrates a commitment to educational and professional development issues

Demonstrates an understanding of key issues and priorities in the health sector both
locally and professionally within nursing.

Demonstrate a willingness to engage in and develop IT skills relevant to the role

Adopts and develops the concept of customer care and challenges any interaction
which fails to deliver a safe, quality service to internal and external customers.
Interpersonal / Communication Skills:
 Excellent Interpersonal and Communication skills both verbal and written

Ability to develop positive working relationships both internally and externally

Experience of working in multi-disciplinary teams

Demonstrates evidence of ability to empathise with and treat patients, relatives and
colleagues with dignity and respect.
Management / Leadership Skills:

Ability to Manage Change / Change Management skills
Planning & Organisational Skills:

Demonstrate evidence of effective planning and organising skills including awareness
of resource management and importance of value for money.

Organisational & time management skills

Awareness of extended environment

IT / PC skills – database management & report writing

Ability to work on own initiative

Functions autonomously, without direct supervision in specialist nursing practice

Ability to meet deadlines
Teamwork / Influencing Skills:

Ability demonstrate leadership and teambuilding

Ability work in a team

Ability to demonstrate motivation of self and others
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 6

Demonstrates the ability to build and maintain relationships including the ability to work
effectively as part of a multi disciplinary team
Problem Solving and Decision Making:

Display evidence-based clinical knowledge in making decisions regarding client care

Demonstrate strong analytical, problem solving and decision making skills
Commitment to Providing a Quality Service
 Ensures quality exists within the service through ongoing quality improvement plans,
Audits and re-evaluation.
Other requirements
specific to the post
Campaign Specific
Selection Process
Ranking/Shortlisting /
Interview
Access to transport as post will involve travel.
A ranking and or shortlisting exercise may be carried out on the basis of information
supplied in your application form. The criteria for ranking and or shortlisting 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 ranking stage of this process (where applied) will be placed on an
order of merit and will be called to interview in ‘bands’ depending on the service needs of
the organisation.
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 Code also specifies the responsibilities placed on
candidates, facilities for feedback to applicants 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
www.hse.ie/eng/staff/jobs in the document posted with each vacancy entitled “Code of
Practice, information for candidates” or on www.cpsa.ie.
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.
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 7
Clinical Nurse Manager 2 – Children’s Outreach Nurse Life Limiting Conditions
Terms and Conditions of Employment
Tenure
The initial vacancy for this post is whole time and specified purpose
contract. This post is pensionable. A panel will be formed from this
recruitment campaign and future permanent or specified purpose
vacancies of full-time or part-time duration will be filled from this panel.
The tenure of these posts will be indicated at ”expression of interest”
stage
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 (as at 01/01/10) for the post is:
Euro 47,089 - 47,886 - 48,559 - 49,659 - 50,874 - 52,067 - 53,260 54,604 - 55,852 (pro rata).
Working Week
Annual Leave
The standard working week applying to the post is to be confirmed
at Job Offer stage.
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).
The Annual Leave applying to the post will be agreed at job offer
stage and as determined by the Organisation of Working Time Act
1997
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 31 st
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 as stipulated in the Department
of Health Circular No.10/71.
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 8
Protection
of
Persons Reporting
Child
Abuse
Act
1998
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.
NRS0782B Job Spec CNM2 CON Life limit Conditions: Page 9