Clinical Nurse Specialist at Beaumont Hospital

Dublin, Leinster, Ireland -

Full Time

Start Date

Immediate

Expiry Date

23 Apr, 26

Salary

77666.0

Posted On

23 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Focus, Patient Advocacy, Education and Training, Audit and Research, Consultation, Patient Assessment, Care Planning, Multi-disciplinary Team Collaboration, Medication Management, Health Promotion, Communication, Leadership, Organizational Skills, Analytical Skills, Decision Making, Multiple Sclerosis Management

Industry

Hospitals and Health Care

Description

Overview Confined Competition - Internal Applicants Only Post Title: Clinical Nurse Specialist, Multiple Sclerosis Post Status: Specified Purpose Department NeuroCent Directorate, Beaumont Hospital Location: Beaumont Hospital, Dublin 9 Reports to: Directorate Nurse Manager (DNM), Clinical Nurse Manager 3 Salary: Appointment will be made on CNM 2 Pay scale (€61,463 - €77,666) at a point in line with Government pay policy. Hours of work: Full time,37.5 hours/week Closing Date: Friday 6th February 2026 @ 12Noon Please note the hospital reserves the right to close the competition early should a substantial number of applications be received. Position Summary: Multiple Sclerosis (MS) typically affects individuals in the prime of their lives, and is more common in women. The condition is characterised in some cases by initial relapses and remissions, with associated evolving disability, and in others by progressive disability from the outset. Patients with MS require support in coming to terms with the diagnosis of a chronic illness with an uncertain prognosis. They face the prospect of both intermittent and progressive loss of neurological function over a period of time, and the associated social and personal consequences of this loss. The role of the MS specialist nurse is to provide information and support at the time of initial diagnosis and when therapies are commenced, to facilitate access to hospital and community based services, to provide a link for patients to the hospital-based services, and to interface between the medical services and those provided by voluntary organizations. Responsibilities Principle Duties and Responsibilities The post holder’s practice is based on the five core concepts of the Clinical Nurse Specialist role as defined by the National Council for the Professional Development of Nursing and Midwifery (NCNM 4th edition (2008)) in order to fulfil the role. The concepts are: • Clinical Focus • Patient/Client Advocate • Education and Training • Audit and Research • Consultant Clinical Focus The clinical practice role may be divided into direct and indirect care. Direct care comprises the assessment, planning, delivery and evaluation of care to the patient, family and/or carer. Indirect care relates to activities that influence and support the provision of direct care. Direct Care Clinical Nurse Specialists will: • Provide a specialist nursing service for patients within their remit who require support and treatment through the continuum of care • Undertake comprehensive patient assessment to include physical, psychological, social and spiritual elements of care using best evidence based practice • Use the outcomes of patient assessment to develop and implement plans of care/case management in conjunction with the multi-disciplinary team (MDT) and the patient, family and/or carer as appropriate• Monitor and evaluate the patient’s response to treatment and amend the plan of care accordingly in conjunction with the MDT and patient, family and/or carer as appropriate• Make alterations in the management of patient’s condition in collaboration with the MDT and the patient in line with agreed pathways and policies, procedures, protocols and guidelines (PPPGs)• Accept appropriate referrals from MDT colleagues • Co-ordinate investigations, treatment therapies, and patient follow-up • Communicate with patients, family and /or carer as appropriate, to assess patient’s needs and provide relevant support, information, education, advice and counselling as required • Where appropriate work collaboratively with MDT colleagues across Primary and Secondary Care to provide a seamless service delivery to the patient, family and/or carer as appropriate • Participate in medication reconciliation taking cognisance of poly-pharmacy and support medical and pharmacy staff with medication reviews and medication management • Identify and promote specific symptom management strategies as well as the identification of triggers which may cause exacerbation of symptoms• Provide patients with appropriate self-management strategies and escalation pathways• Support (where appropriate) clinics with MDT input • Identify health promotion priorities for the patient, family and/or carer and support patient self-care in line with best evidence. This will include the provision of educational and health promotion material which is comprehensive, easy to understand and meets patient’s needs. Indirect Care Clinical Nurse Specialists will: • Support and facilitate agreed referral pathways for patients• Participate in case review with MDT colleagues • Use a case management approach to patients with complex needs in collaboration with MDT in both Primary and Secondary Care as appropriate • Ensure that practice is evidence based and guided by policy or local protocols• Take a lead role in ensuring the service for patient is in line with best practice guidelines and the Safer Better Healthcare Standards (HIQA, 2012) Patient/Client Advocate Clinical Nurse Specialists will: • Communicate, negotiate, and represent patient’s family and/or carer values and decisions in relation to their condition in collaboration with MDT colleagues in both Primary and Secondary Care as appropriate • Develop and support the concept of advocacy, particularly in relation to patient participation in decision making, thereby enabling informed choice of treatment options • Respect and maintain the privacy, dignity and confidentiality of the patient, family and/or carer • Establish, maintain and improve procedures for collaboration and cooperation between Acute Services, Primary Care, and Voluntary Organisations as appropriate • Proactively challenge any interaction which fails to deliver a quality service to patients Education & Training Clinical Nurse Specialists will: • Maintain clinical competence in patient management within nursing, keeping up-to-date with relevant research to ensure the implementation of evidence based practice• Provide the patient, family and/or carer with appropriate information and other supportive interventions to increase their knowledge, skill and confidence in managing their condition• Contribute to the design, development, and implementation of education programmes and resources for the patient, family and/or carer thus empowering them to self-manage their condition • Provide mentorship and preceptorship for nursing colleagues as appropriate• Participate and lead training programmes for nursing/midwifery, MDT colleagues and key stakeholders as appropriate • Be responsible for addressing own continuing professional development needs Audit & Research Clinical Nurse Specialists will: • The post holder will maintain a register of patients with within the CNS remit• Maintain a record of clinically relevant data aligned to National Key Performance Indicators (KPIs)• Support and/or lead audit and research projects relevant to the area of practice• Utilise and disseminate current relevant research to advise and ensure the provision of informed evidence based practice Consultant Clinical Nurse Specialists will: • Provide leadership in clinical practice and act as a resource and role model• Use specialist knowledge to support and enhance generalist nursing practice • Develop collaborative working relationships with local Clinical Nurse Specialists/Registered Advanced Nurse/Midwife Practitioner/MDT colleagues as appropriate, developing person centred care pathways to promote the integrated model of care delivery• With the support of the Director of Nursing, attend integrated care planning meetings as required • Develop and maintain collaborative networks with specialist services in voluntary organisations which support patients in the community• Liaise with other health service providers in the development and on-going delivery of the National Clinical Programme model of care Health & Safety These duties must be performed in accordance with local organisational and the HSE (Health Service Executive) health and safety polices. In carrying out these duties the employee must ensure that effective safety procedures are in place to comply with the Health, Safety and Welfare at Work Act (2005). Staff must carry out their duties in a safe and responsible manner in line with the local policy documents and as set out in the local safety statement, which must be read and understood. Quality, Risk and Safety Responsibilities It is the responsibility of all staff to: • Participate and cooperate with legislative and regulatory requirements with regard to quality, risk, and safety • Participate and cooperate with local quality, risk, and safety initiatives as required • Participate and cooperate with internal and external evaluations of the organisation’s structures, services and processes as required, including but not limited to, The National Hygiene Audit, National Decontamination Audit, Health and Safety Audits and other audits specified by the HSE or other regulatory authorities • Support and implement quality improvement initiatives in their area which are in keeping with local organisational quality, risk, and safety requirements • Support the MDT in the development of PPPGs and safe professional practice and adhere to relevant legislation, regulation, and standards • Comply with Health Service Executive (HSE) Complaints Policy • Ensure completion of incident/near miss forms and clinical risk reporting – lead investigations and disseminate findings to key stakeholders where appropriate • Adhere to department policies in relation to the care and safety of any equipment supplied Management/AdministrationClinical Nurse Specialists will: • Provide an efficient, effective and high quality service, respecting the needs of each patient, family and/or carer • Effectively manage time and caseload in order to meet changing and developing service needs • Continually monitor the service to ensure it reflects current needs • Support and lead change and quality improvement initiatives with the support of the wider MDT and other stakeholders• Ensure that confidentiality in relation to patient records is maintained • Represent the specialist service at local, national and international forums • Maintain accurate and contemporaneous records and data on all matters pertaining to the planning, management, delivery and evaluation of care and ensure that this service is in line with HSE requirements• Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards as they apply to the role• To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service. Skills, Competencies, and Knowledge Professional Knowledge Clinical Nurse Specialists will: • Practice in accordance with relevant legislation and with regard to The Scope of Nursing & Midwifery Practice Framework (Nursing and Midwifery Board of Ireland, 2015) and the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (Nursing and Midwifery Board of Ireland, 2014) • Maintain a high standard of professional behaviour and be professionally accountable for actions/omissions. • Take measures to develop and maintain the competences required for professional practice • Adhere to the Nursing & Midwifery values of Care, Compassion, and Commitment (DoH, 2016) • Adhere to national, regional, and local HSE PPPGs • Adhere to relevant legislation and regulation • Adhere to appropriate lines of authority within the nurse/midwife management structure Clinical Nurse Specialists will demonstrate: • In-depth knowledge of the role of Clinical Nurse Specialist • A commitment to developing in-depth knowledge of the pathophysiology for the conditions they are supporting• Ability to support nursing assessments for patient caseloads • Critical thinking with regards to referral onto specialist teams or agencies • The ability to formulate a plan of care based on findings and evidence based standards of care and practice guidelines • The ability to follow up and evaluate a plan of care • Knowledge of health promotion principles/coaching/self-management strategies that will enable people to take greater control over decisions and actions that affect their health and wellbeing • An understanding of the principles of clinical governance and risk management• Evidence of teaching in the clinical area • A working knowledge of audit and research processes • Evidence of computer skills including use of Microsoft Word, Excel, E-mail, PowerPoint Communication and Interpersonal Skills • Effective communication skills • Ability to build and maintain relationships particularly in the context of MDT working • Ability to present information in a clear and concise manner • Ability to manage groups through the learning process • Ability to provide constructive feedback to encourage future learning • Effective presentation skills Organisation and Management Skills • Evidence of effective organisational skills including awareness of appropriate resource management • Ability to attain designated targets, manage deadlines and multiple tasks • Ability to be self-directed, work on own initiative • A willingness to be flexible in response to changing local/organisational requirements Building & Maintaining Relationships including Team and Leadership skills • Leadership, change management, and team management skills including the ability to work with MDT colleagues Commitment to providing a quality service • Awareness and respect for the patient’s views in relation to their care • Evidence of supporting quality improvement programmes • Evidence of conducting audit or service evaluation initiatives • Evidence of motivation by ongoing professional development Analysing and Decision Making Effective analytical, problem solving and decision making skills Multiple Sclerosis Key Skills • Where possible, the CNS attends patient diagnosis meetings, and where appropriate, the CNS facilitates their early attendance to the relevant clinic post discharge• To provide information and education on disease modifying therapy (DMT) if this is being commenced• The MS Nurse specialist provides information to both patients and colleagues regarding the management of relapses, and in the management of fixed deficits including:- 1. Weakness and spasticity nursing management of Intrathecal Baclofen Pumps2. Continence care including bowel and bladder dysfunction3. Mood disturbance, depression and coping difficulties4. Bulbar dysfunction5. Emotional liability6. Pain7. Visual disturbance • The MS nurse liaises with and co-ordinates hospital and community based rehabilitation that addresses the following:- 1. Problems with disease modifying therapy (DMT), including drug reactions, monitoring protocols etc2. Problems with continence and management of bowel issues3. Access to community occupational therapy for advice about changes to living space4. Access to hospital based and community based physiotherapy for management of gait disturbance and spasticity5. Access to neuropsychology, psychiatry and allied services for management of mood disorders and cognitive decline6. Access to appropriate counselling services7. Liaison with community and voluntary bodies • The CNS assesses nursing needs of MS patients in the day unit (or Outpatients setting) at the time of relapse assessment, for DMT pre-assessment and education, and at the time of Fampyra assessment • Following diagnosis, the CNS ensures supports a seamless transfer to community services where required. The CNS remains in close contact with the patient and family and is available as a resource at times of acute relapse, or sub-acute decline.• The CNS will maintain effective links with community services (e.g. social worker) to support social, financial, and emotional needs of patients living with MS• The CNS will engage closely with community general practitioners and other health professionals to ensurethat there is optimal surveillance and support of patients living with MS 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. Qualifications Selection Criteria: Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate would need to demonstrate for successful discharge of the responsibilities of the post. Applications will be assessed on the basis of how well candidates satisfy these criteria. Mandatory: 1. Statutory Registration, Professional Qualifications, Experience, etc(a) Eligible applicants will be those who on the closing date for the competition:(i) Be a registered nurse/midwife on the active Register of Nurses and Midwivesheld by An Bord Altranais and Cnáimhseachais na hÉireann (Nursing andMidwifery Board of Ireland) or be eligible to be so registered.(ii) Be registered in the division(s) of the Nursing and Midwifery Board of Ireland(Bord Altranais agus Cnáimhseachais na hÉireann) Register for which theapplication is being made or be entitled to be so registered.(iii) In exceptional circumstances, which will be assessed on a case by case basisbe registered in another Division of the register of Nurses and Midwives.(iv) Have a minimum of 1 years’ post registration full time experience or anaggregate of 1 years’ full time experience in the division of the register in whichthe application is being made (taking into account (ii) (iii) if relevant)(v) Have a minimum of 1 years’ experience or an aggregate of 1 years’ full timeexperience in specialist area of Neurosciences. (vi) Have successfully completed a post registration programme of study, ascertified by the education provider which verifies that the applicant has achieveda Quality and Qualifications Ireland (QQI), National Framework of Qualifications(NFQ) major academic Level 9 or higher award that is relevant to the specialistarea of care (equivalent to 60 ECTS or above), and in line with the requirementsfor specialist practice as set out by the National Council for Nursing andMidwifery 4th ed (2008). Alternatively provide written evidence from the Higher Education Institute thatthey have achieved the number of ECTS credits equivalent to a Level 9 or higherstandard, relevant to the specialist area of care (equivalent to 60 ECTS orabove), and in line with the requirements for specialist practice as set out by theNational Council for Nursing and Midwifery 4th ed (2008). Endocrine ofcare prior to application* (See **Note 1 below).(vii) Be required to demonstrate that they have continuing professional development(CPD) relevant to the specialist area. (viii) Have the ability to practice safely and effectively fulfilling his/her professionalresponsibility within his/her scope of practice **Note 1: For Nurses/Midwives who express an interest in CNS/CMS roles and whocurrently hold a level 8 educational qualification in the specialist area(equivalent to 60 ECTS or above), this qualification will be recognised up toSeptember 2026.(b) Candidates must possess the requisite knowledge and ability, including a high standard ofsuitability and clinical, leadership, managerial and administrative capacity for the properdischarge of the duties of the office. 2. Annual registration(i) Practitioners must maintain live annual registration on the appropriate/relevant Divisionof the register of Nurses and Midwives maintained by the Nursing and Midwifery Boardof Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role.(ii) Practitioners must confirm annual registration with NMBI to the HSE by way of theannual Service user Safety Assurance Certificate (PSAC).3. HealthCandidates for and any person holding the office must be fully competent and capable ofundertaking the duties attached to the office and be in a state of health such as would indicate areasonable prospect of ability to render regular and efficient service. 4. CharacterCandidates for and any person holding the office must be of good character. Desirable • Management or leadership experience• Project management• Policy development If an appointee has previously been employed in the Civil or Public Service and that appointee is entitled to or in receipt of a pension from the Civil or Public Service or where a Civil/ Public Service pension comes into payment during the appointee’s re-employment that pension will be subject to abatement in accordance with Section 52 of the Public Service Pensions (Single Scheme and other Provisions) Act 2012. Please note: In applying for this position you are acknowledging that you understand that the abatement provisions, where relevant, will apply. It is not envisaged that the employing Department/ Office/ Body will support an application for an abatement waiver in respect of appointments to this position Further Information for Candidates: Supplementary information: The Hospital www.beaumont.ie Management Unit: www.beaumont.ie/hr Informal Enquiries ONLY to: (No applications will be accepted through this email address) Name: Cam Salcedo Title: Directorate Nurse Manager Email address: camilosalcedo@beaumont.ie Telephone: 0873859439 or internal extension 8337

Responsibilities

The Clinical Nurse Specialist will provide specialized nursing services for patients with Multiple Sclerosis, including assessment, care planning, and coordination of treatments. They will also serve as a patient advocate and collaborate with multi-disciplinary teams to ensure comprehensive care.