Clinical Nurse Manager 2 Deliberate Self Harm
Candidate Clinical Nurse Specialist
Amended Job Specification & Terms and Conditions
Job Title, Grade,
Grade Code
Clinical Nurse Manager 2 - Deliberate Self Harm
(Candidate Clinical Nurse Specialist)
Emergency Department (Acute Hospitals)
(Grade Code 2301)
Campaign
Reference
NRS0922
Closing Date
Thursday 12th September 2013 @ 12 noon
Proposed Interview
Date (s)
Week Commencing 21st October 2013
Taking up
Appointment
To be indicated at job offer stage.
Organisational Area
All Health Service Executive (HSE) Areas
Important Details
regarding this
recruitment campaign
for CNM2 applicants
interested in
becoming CMHN
(CNS)
Applicants are invited to apply for this CNM2 Mental Health (candidate CNS Deliberate
Self Harm) campaign to facilitate their progression to (CNS) grade. This is because
currently there is not enough Level 8 qualified candidates to fill all CMHN (CNS) posts.
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Location of Posts
It is the services intention to initially fill CMHN (CNS) vacancies at a CMHN (CNS)
level with appointees at this grade who have already achieved a level 8 qualification in
a relevant area of practice.
Any posts not filled by CMHN (CNS) appointees may be filled by the CNM2 Mental
Health (candidate CNS Deliberate Self Harm) panel created on foot of this
campaign, as an interim measure. The successful candidate will be appointed as a
CNM2 and will progress to CMHN/ Clinical Nurse Specialist level on attainment of his/
her relevant Level 8 (NQAI) major academic award/qualification 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 NMPDU regionally.
Successful candidates must pursue and obtain CHMN/ Clinical Nurse Specialist
Qualification relevant to the specialist area within a 2-year period of appointment.
Non-obtainment of the specialist qualification will lead to termination of this contract
and redeployment within the organisation.
The following vacancies are available for CMHN (CNS) grade. Any vacancies that remain
unfilled from CMHN (CNS) panelled candidates may be offered to the CNM2 (candidate
CNS) panel created on foot on this campaign.
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Donegal
Dublin South Central
Mid West
Sligo/Leitrim/West Cavan
A panel will be formed from which current and future vacancies will be filled in all HSE
areas.
Details of Service
According to the National Suicide Research Foundation (NSRF) there were 12,000 Self
harm presentations to acute hospitals nationally. The National Clinical Programme for the
Assessment and Management of individuals presenting to Emergency Department (ED)
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following self harm is being implemented nationally in 2013. The first phase of this
programme aims to identify individual people presenting in the first instance to Emergency
Departments for risk assessment and management and to ensure assertive follow up with
them, thereby ensuring they are linked in with relevant statutory, voluntary or independent
services. These posts will support clinical programme delivery.
This will involve the staff members undertaking assessments, initiating a range of
supportive interventions and linking closely with a range of statutory and voluntary services
in the local community. The post holders will work within and undertake assertive in reach
into the Emergency Departments. They will be expected to undertake standardised triage
and assessment, risk assessment and risk management along with assertive follow up to
assist the person presenting with self harm link with the various local supports. This may
involve arranging screening and follow up in the named local Community Mental Health
Centres.
The persons appointed to these posts will work within the Integrated Services
Directorate; working as part of multi-disciplinary teams delivering a co-ordinated
approach to client care.
Reporting
Relationship
Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS) post holder is:
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professionally and operationally accountable to the Area Director of Nursing
will work on matters of a clinical nature to the relevant Consultant Psychiatrist
Purpose of the Post
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS) has a pivotal role in
the delivery of effective; recovery orientated integrated care for individuals with presenting
with self harm within the local catchment area. The purpose of the role is also to provide
assessment and targeted interventions to support the individual presenting in a time of
crisis with deliberate self harm in order to ensure they have the required assessments,
interventions and assertive follow up and are linked with relevant statutory or voluntary
support services in a timely manner.
There will be a requirement to work collaboratively with General Hospital colleagues and
develop pathways of care and referral procedures with other statutory and voluntary
agencies within the community/ locality.
Principal Duties and
Responsibilities
Professional Responsibilities
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS)will:
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Practice nursing according to the Code of Professional Conduct and the Scope of
Practice Framework as laid down by the Irish Nursing Board (An Bórd Altranais agus
Cnáimhseachais na hÉireann)
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Adhere to national, regional and local Health Service Executive (HSE) guidelines,
policies, protocols and legislation
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Work within their scope of practice and take measures to develop and maintain the
competence necessary for professional practice
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Maintain a high standard of professional behaviour and be accountable for their
practice
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Be aware of ethical policies and procedures which pertain to their area of practice
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Respect and maintain the privacy, dignity and confidentiality of the patient
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Follow appropriate lines of authority within the Nurse Management structure.
Clinical – Direct
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS)will:
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Develop deliberate self harm services in line with the National Clinical Programme
for the Assessment and Management of Patients Presenting to Emergency
departments following self harm Model of Care and associated guidance.
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Work in collaboration with other members of the multidisciplinary team in
assessing, planning, implementing and evaluating an individualised plan of care
for individuals presenting with self harm/suicidal ideation which meets each
individual’s needs. This will encompass:
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Standardised triage, Nursing assessment and a risk assessment of the
individual presenting to review and adjust risk in line with the persons
needs
Planning patient care – the CNM2 (Self Harm) will work closely alongside
the multidisciplinary team (MDT) and within agreed protocol driven
guidelines to develop an individualised plan of care and develop risk
management plans
Work in collaboration with the person as experts in their own care,
promoting the principles of recovery, choice and personalisation
Deliver patient care in conjunction with the patient/family/significant others
for support as appropriate
Support, educate and empower the person in decision-making regarding
coping mechanism and resilience building.
Evaluate patient care through audit and research to evaluate the quality of
patient experience and care in collaboration with the service user, their
family/carer and the multidisciplinary team. Outcomes of audit /research
should also contribute to the service plan of care to these individuals and
their families in acute /community and outpatients settings. .
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Carry a clinical caseload appropriate to the responsibilities and manage as
designated within the patient care pathway. This may involve delivering time
limited interventions with patients assessed and engaged with the service and may
involve shared case management until the person is transferred to the relevant
Community Mental Health Team, Statutory of Voluntary Service.
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Establish systems to support effective liaison between Emergency Departments,
General Practitioners, Community Mental Health Teams , Statutory Service
Providers and Voluntary Service Providers
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Communicate verbally and / or in writing results of assessments, treatment / care
programmes and recommendations to the team and relevant others in accordance
with service policy.
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Act as a clinical support /resource to staff in the Emergency Department and to the
staff in the Hospital/Community and advise on care provision for people who self
harm.
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Communicate with service users, advocacy groups, families, carers and provide
relevant information, education, advice, support and counselling when and where
necessary.
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Explore the need for group programmes for the people who self harm and develop
support programmes with other voluntary/ statutory partners where indicated.
Clinical – Indirect
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS)will:
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Provide a high level of professional and clinical leadership.
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Provide safe, comprehensive nursing care to service users within the guidelines
laid out by the Nursing & Midwifery Board of Ireland (NMBI).
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The Clinical Nurse Manager 2 will practice nursing according to:
– Professional Clinical Guidelines
– National and Area Health Service Executive (HSE) guidelines
– Local policies, protocols and guidelines
– Current legislation
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Manage own caseload
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Provide a service which optimises quality and continuity of care
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Participate in the departments clinical governance process: i.e. teams / meetings,
committees as appropriate, communicating and working in co-operation with other
team members.
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Facilitate co-ordination, co-operation and liaison across healthcare teams and
programmes
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Collaborate with service users, family, carers and other staff in treatment / care
planning and in the provision of support, advice and education.
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Adhere to and contribute to the development and maintenance of nursing
standards, protocols and guidelines consistent with the highest standards of
patient care.
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Receive and contribute to ongoing clinical supervision to support clinical practice
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Operate within the scope of practice – seek support and clinical supervision from
his / her manager with any cases or issues that prove professionally challenging.
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Maintain professional standards in relation to confidentiality, ethics and legislation
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In consultation with professional colleagues, implement and assess quality clinical
and management programmes
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Initiate and participate in research studies as appropriate
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In order to maximise health improvement devise and implement Health Promotion
strategies reflecting the specific needs of the individual service user.
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Ensure that effective clinical governance procedures are maintained and evolve
according to defined needs and demands in the specialist mental health self harm
services
Education and Training
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS) will:
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Maintain clinical and nursing competence through engaging in continuing
professional development by keeping up to date with nursing literature, recent
nursing research and new developments in nursing management, education and
practice and to attend staff study days as considered appropriate.
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Attend national training /education programme associated with the National
Clinical Programme
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Deliver education & training programme to staff working in Emergency Department
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as required
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Liaise with Centres of Nurse Education and Higher Institutes of Education ( HEI)
to provide expert education and support within the mental health services and
community.
Provide specialist and educational information / material to services users,
families, carers, professional colleagues, primary care teams and community
groups.
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Participate in education programmes to community groups and the public which
promotes recovery, mental health promotion, social inclusion and vocational
integration.
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Supervise and precept undergraduate and post graduate student nurses and
foster a clinical learning environment.
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Engage in performance review processes including personal development
planning as appropriate.
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Promote a culture that values diversity and respect in the workplace
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Liaise with Primary Care Teams as appropriate
Audit & Research
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS)will:
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Manage the Self harm referral data, keeping an up to date monthly account of self
harm statistics that will include data on self referrals, total numbers, discharge
destinations and follow up.
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Contribute to the development and implementation of information sharing
protocols, audit systems, referral pathways, person centred care plans.
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Conduct audit in relation to there area of responsibility in order to evaluate the
quality, quantum and outcomes of patient care.
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Submit data as required by the national Clinical Programme in the agreed format
and within the agreed timeframes.
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Promote individual best practice interventions in accordance with the identified
needs of patients
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Undertake and lead in clinical and organisational audit to continually evaluate the
effectiveness of the service provided against established research / evidence
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Also be expected to support the research agenda with other members of the
multidisciplinary team.
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Ensure the views of service users and are effectively sought and integrated into
the management and delivery of services
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Ensure compliance with legal requirements, policies and procedures affecting
service users, staff and other hospital matters
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Maintain all necessary clinical and administrative records and reporting
arrangements
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Engage in Information Technology (IT) developments as they apply to service
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user and service administration.
Have a dynamic role in the development of key performance indicators and
monitoring of same within services
Patient Advocate
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS) will:
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Act in collaboration with other members of the CMHT as a patient advocate,
involving communication, negotiation and representation of service user’s values,
decisions and needs as appropriate.
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Develop and support the concept of advocacy particularly in relation to patients
participation in decision making enabling informed choice of treatment options
through education and information
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Liaise with other health services professionals in the development and ongoing
delivery of this service by coordinating regular MDT meetings.
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Establish, maintain and improve procedures for collaboration and cooperation
between acute hospital services, community services, primary care services and
voluntary services
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Establish, maintain and improve procedures for collaboration and cooperation
between vocational and social services and professionals
Consultant
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS)will:
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Act as a resource in providing specialist information, advice and care in liaison
with the MDT
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Act as a resource in providing education to the public on availability of services out
of hours /at times of crisis
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Promote the role of the CNM2 Deliberate Self Harm among healthcare staff
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Work with, support, advise and help build up the knowledge and expertise of the
other healthcare professionals in the team involved in providing care for service
users presenting through regular formal and informal education
Health & Safety
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS)will:
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Comply with the policies, procedures and safe professional practice of the Irish
Healthcare System by adhering to relevant legislation, regulations and standards
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Document appropriately and report any near misses, hazards and accidents and bring
them to the attention of relevant / designated individual(s) in line with best practice
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Work in a safe manner with due care and attention to the safety of self and others
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Be aware of risk management issues, identify risks and take appropriate action
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Comply with department procedures with regard to assessment, recommendation and
/ or manufacturing of all assistive devices
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Promote a culture that values diversity and respect
Attend mandatory Health and Safety training
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Have a working knowledge of the Mental Health Commission’s Quality Framework
standards as they apply to the role.
Administration
The Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS) will:
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Ensure the efficient action of complaints in accordance with HSE Policy
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Contribute to policy development and formulation, performance monitoring, business
planning and budgetary control
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Ensure that records are safeguarded and managed as per HSE / local policy and in
accordance with relevant legislation
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Maintain accurate and contemporaneous records / data on all matters pertaining to the
planning, management, delivery and evaluation of this service in line with Health
Service Executive requirements
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Requisition with due economy. Ensure that equipment is maintained according to
Hospital Policy
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Assist in the implementation of Information Technology developments
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Undertake other duties as required by the Director of Nursing or his / her designate
The 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
Qualifications and/ or
experience
Candidates must have at the latest date of application:
 Be registered in the Psychiatric Division of the Register of Nurses kept Bord
Altranais agus Cnáimhseachais na hÉireann (Nursing Midwifery Board
Ireland) or be entitled to be so registered
Note: Post holders must maintain annual registration with Bord Altranais agus
Cnáimhseachais na hÉireann
and
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Have at least 5 years post registration experience in the Psychiatric / Mental
Health services as a registered Psychiatric Nurse
and
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Have adequate knowledge of psychiatric nursing administrative procedures
and
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Have the clinical, managerial and administrative capacity to properly discharge
the functions of the role
and
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Demonstrate evidence of continuing professional development at the
appropriate level.
Health
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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.
Post Specific
Requirements
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.
Demonstrate a minimum of 2 years experience working in the specialist area of acute
mental health nursing.
A candidate appointed at CNM2 level must pursue and obtain a CNS Level 8 National
Qualifications Authority of Ireland (NQAI) major academic award/qualification relevant to
the specialist area of deliberate self harm/acute/community mental health nursing (e.g.
Post Graduate Diploma in Mental Health Nursing) within 2 years of appointment. Nonobtainment of the specialist qualification will lead to redeployment within the organisation
or termination of contract.
Other requirements
specific to the post
Successful applicants will be funded to undertake, within an agreed timeframe, the Nurse
Prescribing of Medicinal Products Certificate
Access to transport as posts will involve travel.
Skills, competencies
and/or knowledge
Candidates must demonstrate:
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Practitioner competence and professional credibility – demonstrates a high level of
mental health clinical knowledge to effectively carry out the duties and responsibilities
of the role.
Evidence based clinical knowledge and skills in risk assessment and risk
management.
An in-depth knowledge of psychiatric clinical presentations and appropriate evidence
based treatment interventions
Competence in delivering psychosocial interventions to individuals engaged in self
harm.
Knowledge of dual diagnosis with specific reference to presentations to ED with self
harm and alcohol misuse.
Empowering and enabling leadership skills in mental health clinical practice and
service quality
Promotion of evidence-based decision making
The ability to plan and manage resource effectively
Effective analytical, problem solving and decision making skills
Strong interpersonal skills including the ability to build and maintain relationships and
be an effective and leading multi-disciplinary team member
Effective communication and influencing skills
Initiative and innovation in the delivery of a quality service
Resilience and composure
Openness to change
Integrity and an ethical stance
A commitment to continuing professional development
The ability to relate nursing research to nursing practice
Knowledge of quality assurance practices and their application to nursing procedures
Awareness of relevant legislation policy and standards e.g. legislation relevant to
mental health, health and safety, infection control, mental health quality standards etc.
Awareness of current and emerging nursing strategies and policies in relation to the
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Campaign Specific
Selection Process
Ranking / Shortlisting
/ Interview
mental health clinical area
Awareness of relevant Health Service Clinical Programmes
A willingness to develop Information Technology skills relevant to the role
A ranking and or short listing exercise may be carried out on the basis of information
supplied in your application form. The criteria for ranking and or short listing 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 Specification 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.
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Clinical Nurse Manager 2 Deliberate Self Harm (candidate CNS)
Tenure
Terms and Conditions of Employment
The initial vacancies for this post are permanent whole time. The posts are pensionable.
A panel will be formed from this recruitment campaign and future permanent or specified
purpose vacancies of whole-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 01/07/13) 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
The standard working week applying to the post is: 39 hours (pro rata)
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).
Annual Leave
The annual leave associated with the post is to be confirmed at job offer stage.
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
31st 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.
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.
Protection of Persons
Reporting Child Abuse Act
1998
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.
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