BEAUMONT HOSPITAL BOARD
DEPARTMENT OF NURSING: MANAGEMENT OF NURSING
In Beaumont Hospital, the Director of Nursing manages and is accountable for the total nursing
services at executive level. The Divisional Nurse Manager is accountable to the Director of Nursing
for the work of Ward/Departmental clinical nurse managers and clinical nurse specialists assigned
to his/her division. The Ward/Departmental Clinical Nurse Managers are in turn accountable to the
Divisional Nurse Manager for the performance of Clinical Nurse Managers, Staff Nurses, Student
Nurses and ancillary staff working with Nurses on Wards or in Departments.
DERMATOLOGY DEPARTMENT
Job Title:
CNM2 in Dermatological Nursing
Grade:
Clinical Nurse Manager 2
Hours of Work:
15 hours per Week – Flexible Working Arrangement
Contract Duration:
1 Year – Externally Funded Post
Reports to:
Divisional Nurse Manager – AE/OPD Division
Liaises with:
Dermatology Consultants for clinical issues
Location:
Outpatient Department
QUALIFICATIONS:
1. To be registered with An Bord Altranais in General Division of the Register.
2. To have name maintained on Live Register with An Bord Altranais.
3. To have at minimum of 5 years post registration experience.
Experience in Dermatology Nursing is desirable.
A management course is desirable.
JOB DESCRIPTION/MAIN RESPONSIBILITIES:
JOB SUMMARY:
The aim of the Nurse in dermatological nursing is to provide optimal holistic care for patients
presenting to the Dermatology Clinic in the Outpatient Department, in-patient wards and
Emergency Department as required.
The Nurse will also play a pivotal role in meeting the psychological, emotional and informational
needs of inpatients, out patients and their families. He/she will be a key member of the interdisciplinary clinical team responsible for skin health promotion.
The Nurse should liase closely with all clinicians involved in the diagnosis, management and
ongoing care of all patients attending Beaumont Hospital with skin conditions. He/she should be
aware of his/her own scope of professional practice (An Bord Altranais 2000a) and recognise the
need to refer patients to other specialist services, where relevant in consultation with the
consultant dermatologist.
The post holder will have a major role in education, acting as a resource to staff in providing
professional and academic development, and in the development of quality initiatives within the
inter-disciplinary team.
DETAILS OF RESPONSIBILITIES
CLINICAL COMPONENT:
The dermatology nurse will help to meet both the physical, psychological, emotional and
informational needs of patients with skin conditions. The nurse will provide this care in the
following areas:
✔
Dermatology Department in the Outpatient Clinic
✔
Phototherapy Unit
✔
Renal Transplantation Outpatient Clinic
✔
Emergency Department
✔
Renal Inpatient Wards
✔
General Inpatient Wards
✔
St. Joseph's Hospital, Raheny
OUTPATIENT DEPARTMENT
The dermatology nurse will give assistance to the multidisciplinary dermatology team and
transplant nephrology team using skills within the outpatient setting:
✔
Use a framework of nursing to assess individual patients with skin diseases, consistent with
unit policy
✔
Ensures that appropriate nursing care is planned for individual patients based on needs
assessment and each individual patient receives the prescribed treatment and nursing care,
encompassing medical instructions and in conformance with established standards of care
✔
Ensures that the outcomes of individual care is monitored and evaluated
✔
Ensure that patient confidentiality is maintained at all times
✔
Provide psychological support to patients and families
✔
Develop good communication network with other relevant agencies and clinics
✔
Liaise with medical, nursing and external agencies in relation to individual patients needs and
to improve quality of service to patients
✔
To maintain a telephone advice programme for patients currently attending or recently
discharged from the dermatology service.
✔
To provide health care information, both written and verbal on all aspects of skin care
including eczema, psoriasis, skin cancer, infestations and acne; including information on
application of topical preparations and treatments.
✔
To provide information (both written and verbal), support and expert knowledge to patients
prior to minor surgery under local anaesthesia.
✔
Coordinate admission of Renal Transplant patients with skin lesions for assessment and
treatment as required. This will involve liaison between dermatology, transplant nephrology
and surgical teams.
✔
Nurse led clinics
✔
In consultation with the Renal Ambulatory Care Nurses assist a nurse-led clinic which would
faciliate a yearly review of all renal transplant patients to faciliate health promotion advice
aimed at reducing the risk of the development of skin cancer, skin surveillance, and early
referral to the Consultant Dermatology and Surgical Services
INPATIENT CARE
The dermatology nurse can be contacted by bleep through the internal paging system or by email referral on the internal Nurse Dependency System. The dermatology nurse will:
✔
Follow up renal transplant patients admitted for treatment of skin cancer with a view to
providing support to the patient and their family
✔
Assess and advise patients, deciding with the patient the best treatment options. Give advice
on the condition of their skin and instruct patients and family in practical skills which need to
be carried out after discharge
✔
Advice regarding follow up where appropriate.
✔
Attend dermatology and unit/departmental meetings on a regular basis.
✔
To utilise advanced knowledge, expertise and leadership skills to influence patients continued
care with dermatology/multidisciplinary teams.
✔
Ensure strong patient advocacy by maintaining effective communication channels with
patient, families and all members of the multidisciplinary team.
✔
Maintain accurate patient clinical records complying with legislation and best practice.
✔
Attend monthly transplant mortality and morbidity meetings when required.
✔
Attend hospital committee meetings as required e.g. accreditation, wound care
✔
Provide an efficient, effective and high quality service, respecting the needs of each patient.
✔
Act as a resource/contact person for any patients with skin conditions who are attending
other departments within the hospital
✔
Be aware of existing resources/services, which help patients and their families/significant
others, for example: Social services, support groups.
✔
Provide support for patients suffering acute or chronic skin disease.
✔
Provide support for renal transplant patients with skin cancer
✔
Active participation in team discussions regarding treatment for patients with skin conditions.
✔
Involvement in the preparation and implementation of dermatology policies and procedures
(An Bord Altranais, 2000c). Also, being aware of all hospital policies and procedures and
collaborate with other health care professionals to ensured that these are being observed.
✔
Review current available research literature and facilitate the development of information
leaflets for patients and families when required.
✔
Be aware of devices/ aids to enable patients to deal with practical problems related to skin
conditions.
EDUCATION AND TRAINING
PATIENT AND FAMILIES
The dermatology nurse will:
✔
Assist in the education on the disease process germane to dermatology prior to discharge or in
the dermatology out patient setting.
✔
Assist in the education on medication, both oral and topical related to dermatological
conditions and disease prevention
✔
Assess and evaluate each individual patients' needs and learning abilities, taking into account
experiences, attitudes and beliefs and provide educational programmes accordingly.
✔
Assist patients in setting realistic goals in relation to the outcome of treatment for chronic
skin disease
✔
Facilitate the provision of psychological and practical care for patients, especially those
requiring intervention.
✔
Devise, implements and evaluated patient education leaflets in conjunction with the C. N. S.
multidisciplinary team
✔
Assist in the education of Renal Transplant patients on their increased risk of developing skin
cancer due to immunosuppressive therapy and what they can do to minimise the risk. This
includes but is not limited to advice on protection from the sun and instructing patients how
to carry out skin surveillance.
STAFF
The dermatology nurse will:
✔
Accept referrals from the Nursing Dependency System, the hospital intranet and written
requests
✔
Educate and empower staff regarding new medical treatment and new products in
dermatology.
✔
Empower knowledge by providing formal and informal education and training for general staff
nurses, higher diploma students in Nephrology, Emergency and Intensive Care nursing, and
other members of the multi-disciplinary team.
✔
Educate, supervise and support junior staff to help them attain a level of competency in
dermatological nursing and to enable them to discuss plans and treatment options for
patients.
✔
Provide support, guidance and supervision to student nurses, ensuring integration of both
clinical and theoretical practice in achieving predetermined learning objectives.
✔
Participate in team meetings and journal club meetings.
✔
Assist in the orientation and provide guidance to new members of the multi-disciplinary team.
AUDIT AND RESEARCH
The dermatology nurse will:
✔
Participate in regular audit of own clinical practice.
✔
Maintain statistical data within the department when required.
✔
Lead or participate in research as in accordance with the Code of Professional Conduct (An
Bord Altranais, 2000b).
✔
Constantly update knowledge and skills and change clinical practice depending on relevant
research, ensuring practice is evidence based.
✔
Promote an awareness of research-based practice among staff.
✔
Identify, initiate and participate in research that will benefit patients with skin diseases
PROFESSIONAL DEVELOPMENT
The dermatology nurse will:
✔
Maintain a professional development portfolio reflecting both continuous professional
education and specific speciality education.
✔
Awareness of current trends and strategies in nursing particularly those relevant in providing
the highest standard and support to dermatology patients.
✔
Attend relevant national and international conferences relating to dermatology and renal
transplantation when required.
✔
Disseminate information gained with colleagues as appropriate.
ADMINSTRATIVE DUTIES
The dermatology nurse will:
✔
Organise and plan the caseload of patients for nurse-led clinic
✔
Monitor the flow of patients through each clinic on a daily basis
✔
Promote a safe environment within the dermatology setting in accordance with health and
safety and risk Management guidelines.
✔
Set standards appropriate for a learning environment for patients and staff (An Bord
Altranais, 2000c).
✔
Act as a representative for the dermatology department in accreditation meetings when
required.
✔
Provide leadership and direction to all individuals working within the multi-disciplinary team
when required.
✔
Liaise with hospital Physics Department regarding safety for specialist equipment.
✔
Identify projected needs through review of inventories and estimates appropriate limits of
resources (drugs, dressings and appliances) to be kept in the department in liaison with the
CNM2 in charge of the Outpatients Department
✔
Ensure the economical ordering of stocks, maintaining agreed stock level controls and adjusting
levels according to peaks and troughs in demand for the dermatology service
Informal enquiries to Suzanne Dempsey, Divisional Nurse Manager by telephoning 8528198
or 01 8092598 or e-mail suzannedempsey@beaumont.ie
TO APPLY
If you are interested in the above post please forward a curriculum vitae (4 copies, unbound)
together with the names and addresses of two referees, one of whom should refer to a current
employer to the:
Recruitment Section,
Human Resources Department,
Beaumont Hospital,
Beaumont Road,
Dublin 9.
Closing date for receipt of application is 5.00 p.m. Friday, 21st November, 2008.