Registered/ Candidate Advanced Nurse Practitioner - Acute Oncology NursingBlackrock Health Hermitage ClinicLocation: On site / Lucan, Co. Dublin, Ireland
Job Type: Permanent / Full-time
Sector and Subsector: Medical & Healthcare | Administration
Salary: Competitive Salary
The Hermitage Clinic is an acute care hospital with 110 inpatient beds, seven operating theatres, a 7 bed ICU, an Emergency Department, many outpatient services, and a wide range of modern technically complex medical diagnostic and treatment facilities, providing high quality patient care. As a part of the Blackrock Health Group, the Hermitage Clinic offers a range of services in areas such as cardiology, oncology, and urology.
Working with Blackrock Health is a unique opportunity. We offer the chance to work at some of Ireland's most advanced hospitals while still enjoying a sustainable work-life balance. We ensure all our people have the support they need to progress their career, and we offer a package of unmatched benefits across our three hospitals and diagnostic clinic.
Job Title: Registered/ Candidate Advanced Nurse Practitioner - Acute Oncology Nursing
Department: Oncology
Job Function: Nursing
Reporting to: Director of Nursing and Transformation
Job Purpose: The main purpose of the post is to develop the expert role and supporting documentation, to enable the individual nurse to meet the NMBI Criteria for Registration as an Advanced Nurse Practitioner as set out in Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017). The individual will undertake the academic preparation and develop the clinical and leadership skills, competencies and knowledge required to meet the criteria to be registered as a RANP with NMBI. The scope of the c/rANP role must reflect the incremental development of expertise and as such, the c/rANP cannot deliver care as an autonomous practitioner. Furthermore, the c/rANP will develop and submit their personal portfolio and all other necessary documentation to NMBI in order to register as a RANP if not currently registered.
The value of the nursing contribution as a distinct profession must be safeguarded and articulated in the development of new services led by advanced nurse practitioners, complementing rather than replacing current services delivered by doctors (NMBI 2017 p.9).
The overall purpose of the post is to provide safe, timely, evidenced-based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting a complete episode of patient care (assess, diagnose, plan, treat and discharge patients) according to collaboratively agreed protocols and scope of practice in the clinical setting; demonstrating advanced clinical and theoretical knowledge, critical thinking, clinical leadership and decision-making skills.
Central to this is the provision of quality care, a safe environment and processes for patients by the use of evidence-based clinical guidelines that address patient expectations, promote wellness and evaluate care given. The role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at local, regional and national level. The role will contribute to nursing research to shape and advance nursing practice, education and health care policy at local, national and international levels.
Key Responsibilities: The post holder's practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017).The domains are: Domain 1: Professional Values and Conduct Demonstrating accountability and responsibility for professional practice as a lead healthcare professional in the care of patients who present to the Acute Oncology Service.Collaborating with his/her supervisor and local stakeholder group to scope the caseload and scope of practice for the RANP Acute Oncology.Collaborating with his/her supervisor to determine the inclusion criteria for the RANP Acute Oncology.Collaborating with his/her supervisor to determine the exclusion criteria for the RANP Acute Oncology.Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience, and competence.Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of persons affected by altered health, chronic disorders, disability, distress or life-limiting conditions.Selecting a professional practice model that provides him/her latitude to control his/her own practice, focusing on person-centred care, interpersonal interactions and the promotion of healing environments.The chosen professional practice model for nursing will emphasise a caring therapeutic relationship between the c/rANP (Acute Oncology) and his/her patients, recognising that c/rANPs work in partnership with their multidisciplinary colleagues.Articulating and promoting the advanced practice nursing service in clinical, political and professional contexts.Domain 2: Clinical-Decision Making Competences Conducting a comprehensive holistic health assessment using evidenced-based frameworks, policies, procedures, protocols and guidelines to determine diagnoses and inform autonomous advanced nursing care.Synthesising and interpreting assessment information particularly history including prior treatment outcomes, physical findings and diagnostic data.Demonstrating timely use of diagnostic investigations / additional evidence-based advanced assessments to inform clinical-decision making.Exhibiting comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions.Initiating and implementing health promotion activities and self-management plans in accordance with the wider public health agenda.Discharging patients from the service as per an agreed supporting policy, procedure, protocols, guidelines and referral pathways.Domain 3: Knowledge and Cognitive Competences Providing leadership in the translation of new knowledge to clinical practice.Educating others using an advanced expert knowledge base derived from clinical experience.Demonstrating accountability in considering access, cost and clinical effectiveness when planning, delivering and evaluating care.Domain 4: Communication and Interpersonal Competences Communicating effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements.Facilitating clinical supervision and mentorship through utilising one's expert knowledge and clinical competences.Utilising information technology to record all aspects of advanced nursing care.Domain 5: Management and Team Competences Promoting a culture of quality care.Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement.Providing support, advice and direction to staff as required.Engaging with the wider healthcare team and facilitating team building.Domain 6: Leadership and Professional Scholarship Competences Demonstrating clinical leadership in the design and evaluation of services.Engaging in health policy development, implementation, and evaluation.Identifying gaps in the provision of care and services pertaining to his/her area of advanced practice.Professional / Clinical The c/rANP (Acute Oncology) will practice nursing according to:
Professional clinical guidelines.Local policies, procedures, protocols and guidelines.Values for Nursing and Midwifery – Care, Compassion and Commitment (DoH, 2016).Education and Training Contributing to service development through appropriate continuous education, research initiatives, and keeping up to date with nursing literature.Knowledge/Experience Be a registered General Nurse with the Nursing and Midwifery Board of Ireland.Have a broad base of clinical experience in Oncology nursing.Be eligible to undertake a Master's Degree (or higher) in Nursing or a relevant field.Desirable skills and competencies: The ability to lead on clinical practice and service quality.Promotion of evidence-based decision making.Strong interpersonal and communication skills.This Job Description is intended as a basic guide to the scope and responsibilities of the position and is subject to regular review and amendment. The Hermitage Clinic is an Equal Opportunities Employer with a strong commitment to diversity, inclusion and equality at all levels of the organisation.
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