The advanced practice service is provided by nurses who practice at a higher level of capability as independent, autonomous and expert advanced practitioners. The overall purpose of the service is to provide safe, timely, evidence-based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting complete episodes of patient care, which include comprehensively assessing, diagnosing, planning, treating and discharging patients in accordance with collaboratively agreed local policies, procedures, protocols and guidelines and/or service level agreements/ memoranda of understanding. The ANP demonstrates advanced clinical and theoretical knowledge, critical thinking, clinical leadership and complex decision-making abilities.
Service provision by the ANP is described in
ANP / CNS Role in Acute Oncology Serve (Reviewed yearly)
Cancer Service Plan for Provision of Care. (Reviewed 2 yearly)
The ANP / CNS practices in accordance with the following documents;
Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2014)
Scope of Nursing and Midwifery Practice Framework (NMBI 2015)
Advanced Practice (Nursing) Standards and Requirements (NMBI 2017)
Values for Nurses and Midwives in Ireland (Department of Health 2016)
Joint Commission International (JCI) Accreditation Standards for Hospitals
Local policies, procedures, protocols and guidelines.
Professional Practice Portfolio and Clinical Supervision (RANP Only)
The ANP must maintain a professional practice portfolio, incorporating evidence of learning from continuing professional development, clinical supervision, reflective practice and review of his/her own scope of practice in accordance with regulatory requirements and service need.
The ANP will engage in the following clinical supervision;
Conduct a clinical supervision meeting with the Head of cancer services Martin Farley monthly. The agenda for these meetings will include collaborative reflective practice, review of scope of practice and review of the ANP’s portfolio
Meet with other ANPs and candidate ANPs in the organisation via the Beacon Hospital Advanced Practice Forum
Engage with and/or maintain membership of relevant national expert groups for the practice area
Conduct audits of nurse prescribing as specified in the ANP’s Collaborative Practice Agreement / Beacon Hospital Nurse Prescribing Policy
Engage in continuous professional development activities relevant to the role e.g. attendance at scientific meetings, review of scientific literature, reflective practice, mentorship, workshops, e-learning, self-directed learning. Study days must be requested and approved by the ANP’s line manager
Key Responsibilities and Deliverables
The post holder’s practice is based on the six domains of competence as defined by the Nursing and Midwifery Board of Ireland (2019) Advanced Practice (Nursing) Standards and Requirements. The domains of competence are;
Professional Values and Conduct
Clinical Decision-Making
Knowledge and Cognitive Competencies
Communication and Interpersonal Competencies
Management and Team Competencies
Leadership and Professional Scholarship Competencies
Main Clinical Goals
Rapid Assessment and Management
Provide immediate and expert assessment of patients with cancer-related emergencies.
Implement timely and appropriate interventions to manage acute oncological conditions.
Management of Oncological Emergencies within 24hours (or on first review)
Address complications such as neutropenic sepsis, spinal cord compression, hypercalcemia, and tumour lysis syndrome.
Ensure prompt treatment to prevent morbidity and mortality.
Compliance and adherence to the UKONS Acute Oncology Management Guidelines
Coordination of Care
Facilitate coordination between oncology specialists, primary care providers, and other healthcare professionals.
Ensure seamless transitions between different levels of care, including inpatient, outpatient, and community services.
Patient and Family Support
Provide psychological and emotional support to patients and their families.
Offer counselling and support services to help patients and families cope with the diagnosis and treatment.
Education and Training
Educate healthcare professionals about the recognition and management of oncological emergencies.
Provide training to staff to enhance their skills in managing acute oncology patients.
ANP CNS to be Trained to advanced - expert Level within UKONs Training program (Acute Oncology Management Guidelines) Competency for ANP / CNS to be signed off by clinical lead for Acute Oncology, however one of the privileged Medical Oncology Consultant’s may sign off in Clinical Leads absence.
Prevention of Unplanned Admissions
Implement strategies to reduce unplanned hospital admissions through early intervention and proactive management.
Provide oversight of KPIs within Beacon UKONs Dashboard, monitoring compliance and performance through compliance of UKONS Triage forms.
Develop and follow pathways and protocols to manage common oncological emergencies in the outpatient setting when appropriate.
Clinical Governance and Quality Improvement
Monitor and evaluate the quality of care provided to ensure adherence to clinical guidelines and best practices.
Engage in continuous quality improvement initiatives to enhance patient outcomes and service efficiency
Key Working Relationships
Director of Nursing
Head of Cancer Services
Assistant Directors of Nursing
Medical Oncologists
Palliative Care team
Urology Consultants
Clinical Nurse Managers
ANPs and other nursing grades
Interprofessional colleagues
Patients/service users/families and/or carers
Nursing and Midwifery Board of Ireland
Other relevant statutory and non-statutory organisations
Person Specification
Qualifications
Be registered in the Advanced Nurse Practitioner division of the Nursing and Midwifery Board of Ireland Register or as a CNS be willing to progress to ANP
Be registered in the Nurse Prescribers division of the Nursing and Midwifery Board of Ireland Register
Hold a Master of Science Degree (National Framework of Qualifications (NFQ) Level 9 major academic award or equivalent) relevant to the clinical speciality at CNS Grade
Possess the requisite knowledge and ability including a high standard of suitability and clinical, professional and administrative capacity to properly discharge the functions of the role.
Experience
Have extensive experience and clinical expertise i.e. a minimum of 5 years’ (full-time or an aggregate of 5 years’ full time) post-registration experience
Have a minimum of 2 years’ experience in the specialist area
Have the ability to practice safely and effectively fulfilling his/her professional responsibility within his/her scope of practice
Have evidence of continuing professional development.
Job Specific Competencies and Knowledge
Teamwork
Demonstrate ability to work as part of a multi-disciplinary team.
Demonstrate motivation and an innovative approach to job.
Communication & Interpersonal Skills
The ANP will demonstrate: The ability to build and maintain relationships, particularly in the context of MDT working
The ability to present information in a clear and concise manner
The ability to manage groups through the learning process
The ability to provide constructive feedback to encourage future learning
Planning & Organising
The ANP will demonstrate: Evidence of effective organisational skills including awareness of appropriate resource management
The ability to attain designated targets, manage deadlines and multiple tasks
The ability to be self-directed and work on own initiative
A willingness to be flexible in response to changing local/organisational requirements.
Building & Maintaining Relationships including Team and Leadership skills
The ANP will demonstrate: Leadership, change management and team management skills including the ability to work with MDT colleagues.
Commitment to Providing a Quality Service
The ANP will demonstrate: Awareness and respect for the patient’s views in relation to their care
Evidence of providing quality improvement programmes
Evidence of conducting audit
Evidence of motivation by ongoing professional development.
Analysing and Decision-Making
The ANP will demonstrate: Effective analytical, problem solving and decision-making skills.
All posts in Beacon Hospital require a high level of flexibility to ensure the delivery of an effective and efficient service. Therefore, the post holder will be required to demonstrate flexibility as and when required by their manager or hospital management.
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