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St James’s Hospital

Clinical Nurse Specialist in Dermatology, Specialising in Epidermolysis Bullosa [EB]

St James’s Hospital

  • Dublin
  • See description
  • Permanent part-time
  • Updated 13/10/2017
  • Human Resources
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Clinical Nurse Specialist in Dermatology, Specialising in Epidermolysis Bullosa [EB]


Role Profile


Role Title

Clinical Nurse Specialist in Dermatology, Specialising in Epidermolysis Bullosa [EB]

Purpose of the Role

The purpose of this role is to provide specialist nursing expertise on the management of general medical dermatology patients including patients with epidermolysis bullosa [EB] and other skin fragility conditions. The successful candidate will work as a key member of the multidisciplinary team providing a patient centered and quality service. He / she will work closely with dermatology consultants, GP’s, primary care services throughout Ireland and Northern Ireland to ensure seamless integrated care.




Department of Dermatology, MED Directorate

Reports to:


Clinically Dermatology Consultant lead & Nursing leads

Operationally CNM II : CNM III

Professionally Adon



Clinical Nurse Manager II

Salary Scale


€48,089 - €56,852 (pro rata to contractual hours)

Job Reference Number:



Enquiries To:


Ms. Carolyn Treacy CNMIII, Phone: 014103141

Ms. Sharon Slattery ADON Chronic Diseases and Clinical Care Programs, Phone 014103386

Closing Date:


Sunday, 15th October 2017


Key Duties and Responsibilities

This CNS is a registered nurse who has extensive experience and clinical expertise in Dermatology and wound care The role will encompass a major clinical focus (direct & indirect) comprising of assessment, planning and delivery of patient care that is done in collaboration with medical and other healthcare professionals.


The management of patients with dermatologic conditions specialising in skin fragility conditions including EB. Dermatology conditions demand a broad range of professional skills and knowledge, as well as skills in communication, leadership, teaching, education, research and counselling. The CNS will have the expertise and specialist knowledge to incorporate these skills into practice and so develop standards of care that benefit the patient. In so doing, the CNS will embrace the five core concepts of the clinical nurse specialist role to ensure the provision of a high quality holistic service for the patients in need of the service, and to enhance the health status of this patient population.



Clinical Focus

  • To provide specialist knowledge, expertise and care to patients with dermatology conditions psoriasis, eczema and EB. This will be at a higher level of autonomy and decision-making in patient management as defined by protocols.
  • Delivery of care involves the management of UVL, OPD services, nurse led clinics, patch testing and inpatients.
  • To assess, plan, deliver, and evaluate care to patients and their families, in the inpatient and outpatient setting.
  • To monitor patients on an ongoing basis, to evaluate outcomes and adjust nursing care practise to ensure optimum co-ordination and delivery of care.
  • To evaluate and develop professional scope of practice through ongoing evaluation and monitoring of the role of the CNS.
  • To coordinate and attend multidisciplinary meetings, case conferences  and ward rounds
  • To participate in team discussions regarding treatment needs as appropriate.
  • Liaise with other disciplines involved with patient care such as clinical psychology, pain management, plastic surgery, gastroenterology, specialist palliative care & intervention radiology
  • Work with the multidisciplinary clinical team to meet the needs of patients and their families.
  • Evaluate clinical problems in conjunction with the medical team; co-ordinate investigation, therapy and patient follow up which may require the CNS/ CNM2 performing home visits.
  • Formulate discharge plans, which ensure continuity of patient care by liaising with relevant professionals in the hospital and community.
  • Contribute where appropriate in formulating or updating policies and procedures, which comply with agreed best practices.
  • Demonstrate vision, innovation and flexibility in nursing practice.
  • Maintain an advisory role to other nurses
  • Communicate with relevant patient support organisations regarding patient issues
  • Consult as necessary with Irish EB nursing colleagues and the UK
  • To work in collaboration with the community care and primary care services offering specialist advice and develop education programmes.
  • Ensure that regard is taken to the dignity, choices, self–esteem, well-being of patients and their relatives including end of life preferences.
  • To ensure the provision of an efficient, effective and seamless transition from the paediatric setting in Our Lady’s Children’s Hospital to the adult setting in St James’s  for patients with epidermolysis bullosa and other genetic skin fragility conditions
  • In collaboration with patients, take available opportunities to represent views of and negotiate on behalf of individual patients/patient groups at a multidisciplinary level and with other personnel or agencies as appropriate.
  • Play a central role in directing patients to specialist advocacy services as appropriate.

Patient/Client Advocate


Education and Training

  • To provide a high level of professional and clinical leadership and to demonstrate innovative practice in the provision of care in line with the Scope of Professional Practice and service needs.
  • To identify own professional development as well as in collaboration with lead consultant


  • Develop and facilitate education and support programmes, for patients and their families and professional staff.
  • To participate in undergraduate and postgraduate nursing programmes as requested.
  • Ensure patients and staff have access to relevant education material, and develop new material as required.
  • Assist in training members of the multidisciplinary team in changes in practice in the delivery of care including the provision of ward based teaching.
  • Use relevant educational opportunities to maintain the highest standard of care to EB and dermatology patients.
  • Raise awareness regarding the benefits of treatment through health promotion.
  • Organisation and training of incoming staff medical, nursing and clerical.


Audit and Research

  • Maintain awareness within the speciality of current developments of dermatology.
  • To establish, implement and evaluate audit programmes of the service, the quality of patient care and the CNS current practice, in line with local and regional developments, to include monitoring and evaluation of educational and health promotion programmes as relevant.
  • To identify areas of practice for evaluation and evaluate current practice and improved methods of care against current peer reviewed research findings. Disseminate research findings to Nursing colleagues, Nurse Managers and the multidisciplinary team.
  • Use research findings to influence care within the speciality.
  • Ensure that accurate documentation and record keeping is maintained.
  • Maintain awareness of, and participate as appropriate in multidisciplinary research projects.
  • Develop a system for recording clinical activity.
  • Participate in maintenance of service databases as appropriate.
  • Provide updates of service reports to Nurse Manager and Consultants and produce an Annual report for the Hospital.
  • Contributes to nursing research in dermatology.
  • Provide specialist knowledge, expertise and care in liaison with the multi-disciplinary team.
  • Actively participate in the education and development of nurses and healthcare professionals in Epidermolysis Bullosa on a hospital and community basis including Northern Ireland.
  • To establish and standardise clear communication channels for referrals and consultations, inter and intradisciplinary.



**The above Role Profile 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.

**Should service demands change this post may be subject to rotation. The Occupational Therapy Manager reserves the right to rotate staff as and when appropriate.





Academic/Professional Qualifications and/or relevant Experience

  • Registered General Nurse with The Nursing & Midwifery Board of Ireland (NMBI), or eligible to register with NMBI.
  • 5 years post-registration experience in the acute hospital setting within the last 7 years.
  • A minimum of two years’ experience in the specialist area of Dermatology
  • Formal recognised post-registration education relevant to the area of specialist practice at level 8 (higher Diploma or Honours degree) or above on the HQAI framework or a commitment to undertake within an agreed timeframe.  Candidates without the relevant post-grad course will be appointed as Clinical Nurse Manager II.
  • Tissue Viability qualification and experience.



  • Management experience
  • Nurse Prescribing Certificate
  • Experience in nurse led clinic


*Qualification from outside the Republic of Ireland must be validated by the Department of Health.


Technical/Clinical Competencies


  • IT skills
  • Experience in teaching and assessing junior staff/nursing students



  • N/A


SJH Behavioural Competencies

Competency Required



Level Required





The following “Descriptors” are a further clarification of the behaviours required.  Candidates should use these descriptors as a “guide” when assessing their suitability for this role and also when preparing an example of where they have demonstrated this competency in the past for inclusion in the required Application Form.



  • Embraces organisational change initiatives, establishing structure/roles to support it
  • Is politically attuned, knows when and how to communicate with key stakeholders
  • Shows strong initiative; can work outside of standard protocol when necessary
  • Motivates and encourages others to achieve goals




  • Keeps key people informed, sharing information in a timely and open manner
  • Supports ideas with appropriate research and information to persuade others
  • Documents important/relevant communication.

Problem Solving and Decision Making



  • Consults with others to improve decision making
  • Able to recognise early warning signs of potential problems and take pre-emptive action
  • Able to act quickly to address urgent matters
  • Accurately anticipates likely consequences of actions/decisions (both short and long term)

Quality Service



  • Shows resourcefulness, flexibility and initiative in difficult situations
  • Utilises research and evidenced based practices when providing services
  • Understands the role of multi-disciplinary teams for patient care.
  • Understands and respects the rights of service-users.

Planning and organizing



  • Ensures most effective allocation and use of resources
  • Manages competing and changing priorities
  • Consistently plans ahead to meet important deadlines

Continuous  Learning and Development


  • Is known as a clinical resource for others.
  • Encourages investment in continuous learning; is a role model for others in this regard.
  • Uses professional bodies to improve knowledge and resources
  • Stays abreast of new technologies / research relevant to chosen field


Proficiency in the English language

A level of proficiency in the English language, written and spoken, is a requirement of all roles within St. James’s Hospital. You will be required to self-assess your proficiency level in the Standard Application Form. In addition, your proficiency in spoken English will be assessed during the interview process appropriate to the role available.


Particulars of Office

  1. The appointment to this post will be Part-Time, Permanent & Pensionable.
  2. Annual Leave allowance is 25 – 28 days per annum (pro rata contractual hours).
  3. The person appointed must not give less than one month’s­­­­­­­­­­­­ notice, in writing, of intention to resign.
  4. Normal working hours will be 19.5 hours per week.
  5. You will be required to work the agreed roster / on call arrangements advised to you by your line manager.  Your contracted hours of work are liable to change between the hours of 8.00am - 8pm over seven days to meet the requirements for extended day services in accordance with the terms of the Framework Agreement.


General Conditions
  1. The Hospital Board will not be responsible for the loss or theft of personal belongings.
  2. Fire orders must be observed and staff must attend fire lectures annually.
  3. All accidents within the department must be reported immediately.
  4. In accordance with the “Safety, Health and Welfare at Work Act 2005”, all staff must comply with all safety regulations.
  5. St James Hospital will be a smoke free Campus. Smoking will not be permitted on Hospital grounds.

In the course of your employment you may have access to or hear information concerning the medical or personal affairs of patients and/or staff, or other health services business. Such records and information are strictly confidential and unless acting on the instructions of an authorised officer, on no account must information concerning staff, patients or other health service business be divulged or discussed except in the performance of normal duty. In addition records must never be left in such a manner that unauthorised persons can obtain access to them and must be kept in safe custody when no longer required.



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.


Infection Control & Hygiene

It is the responsibility of all staff across the hospital to ensure that infection control and hygiene standards are adhered to and maintained at all times.


Recruitment Process

  • Approval to Hire (VAF process)
  • Hiring Manager – Role Profile
  • Advertising
  • Application Process (Standard Application Form)
  • Shortlisting of Candidates will be based on information provided in Standard Application Form
  • Interview Process
  • All applicants who move to the 2nd stage of the Selection process (i.e. post interview) will be subject to Reference Checking X 2, Garda Clearance and Occupational Health Screening (Questionnaire)




For External Applicants:


The Application Form is available under Nursing Posts section of Careers webpage.


Alternatively, please contact the Human Resources Directorate for an application form, Ph: 01 4162559.

Please note closing date Sunday, 15th October 2017 for receipt of completed application forms.  C.V.s will not be accepted.


A panel may be formed from which future vacancies will be filled


St. James’s Hospital is an Equal Opportunities Employer

Ref: 38130/17
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