Candidate/Registered Advanced Nurse Practitioner Tissue Viability

Overview:
Post Title: Registered Advanced Nurse Practitioner (rANP)/Candidate Advanced Nurse Practitioner (cANP) in Tissue Viability service

Post Status: Permanent

Department: Surgical Directorate

Location: Beaumont Hospital, Dublin 9

Reports to: Professional Reporting Relationship: Director of Nursing and Surgical Directorate Nurse Manager.

Salary: Appointment will be made on ANP grade at a point in line with Government pay policy (Eur 72,122 \-89,004 (rANP) / Eur 71,432 \- 80,671 (cANP) )

Hours of work: Full Time (37\.5hrs)

Closing Date: 01/06/2026 @12:00PM

\*Please note the hospital reserves the right to close the competition early should a substantial number of applications be received\* Position Summary:
The (Candidate) Advanced Nurse Practitioner (cANP) post for Tissue Viability is being developed to enhance and support the existing tissue viability clinical nurse specialist (CNS) Service at Beaumont Hospital. The post holder will be required to deliver an advanced level of clinical practice within the field of Tissue Viability. Working within local and nationally agreed frameworks the cANP will be expected to exercise independent judgement to assess, investigate, plan, implement and evaluate the clinical care and management of patients within their specialist field of practice.
It is envisaged that the post will be structured within a regular working week (Monday to Friday). During the working week, the cANP will be involved in the co\-ordinating of the tissue viability programme, development and introduction of dedicated pathways to ensure service availability and timely assessments in line with local and national targets.
The cANP led Tissue Viability service will be supported within the wider organisation by medical and surgical practitioners. The benefits of this role are to provide timely initiation of treatment, comprehensive and holistic assessment, rapid access to diagnostics, reduction of presentations to the emergency department for acute and chronic wound issues, facilitate early discharges and admission avoidance. The cANP will endeavour to improve patient experience and satisfaction while promoting health and wellbeing, improving the quality of service patients receive within Beaumont Hospital.

Responsibilities:
Key Duties:* Improve patient experience and satisfaction

• Promote health and wellbeing


• Take a holistic approach to patient care


• Improve the quality of service patients receive


• Assess, diagnose, treat, discharge, and evaluate patients autonomously as appropriate


• Provide continuity of care


• Work effectively as part of the multi\-disciplinary team


• Be actively involved in the continued evaluation of services through ongoing clinical audit and research


• Identification and management of treatment related side effects


• Support and empower patients to self\-manage their own health needs


• Collaboratively agree and develop local policies, procedures, protocols, and guidelines


• Provide timely access to services


• Organise, interpret, and follow up on all investigations required as part of patient pathway, ensuring they are performed in a timely manner


• Establish Nurse led outpatient services, utilising ICT measures to facilitate more effective and efficient delivery of care


• Act as a communication link between the wider MDT in the management of patient issues, ensuring the appropriate services are referred to in a timely fashion


• Develop and implement specific pathways for patient specific needs, ensuring hospital compliance with local and national targets• Develop the interface between primary and secondary care services (General Practice, External Hospitals, Public Health Nurses (PHN)s, Practice Nurses) through clinical work, education, research, and leadership* Contribute to the continuous improvement of the quality of care experienced by patients attending the clinics


• Advance the theory and practice of advanced nursing practice through demonstrating expert practice, autonomy in practice, clinical leadership, research and audit


• Work with the healthcare team contributing to meeting health service quality/patient safety and resource needs at local and national level and within a patient\-centred philosophy


• Engage in on\-going clinical supervision as per a Service Level Agreement. The structure, process and outcome of clinical supervision must be explicit.


• Maintain a record of clinical supervision in his/her professional practice portfolio.


• Develop 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 duties detailed above are not intended to be a comprehensive list of all the 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 Key Working Relationships (to include but not limited to):* Director of Nursing

• Directorate Nurse Manager


• All other nursing grades


• Nurse Practice Development Co\-ordinator


• Prescribing site co\-ordinator(s)


• Medical colleagues


• Inter\-professional colleagues


• Patients/service users/families and/or carers


• Nursing and Midwifery Board of Ireland


• Higher Education Institution


• Nursing and Midwifery Planning and Development Unit


• Centres of Nursing and Midwifery Education


• National Clinical and Integrated Care Programme


• National Leadership and Innovation Centre


• Other relevant statutory and non\-statutory organisations

Purpose of the Post:
The main purpose of the post is to develop the role and supporting documentation under the direction of the Health Care Provider’s Advanced Practice Stakeholder Governance Group, to enable the individual nurse to meet the Nursing and Midwifery Board of Ireland (NMBI) Criteria for Registration as an Advanced Nurse Practitioner as set out in Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017\).
The individual will undertake the academic preparation and develop the clinical and leadership skills, competencies and knowledge required to meet the criteria to be registered as a Registered Advanced Nurse Practitioner (RANP) with NMBI. The scope of the cANP role must reflect the incremental development of expertise and as such, the cANP cannot deliver care as an autonomous practitioner.
Furthermore, the cANP will develop and submit their personal portfolio and all other necessary documentation to NMBI to register as a RANP.

The value of the nursing contribution as a distinct profession must be safeguarded and articulated in the development of new services led by advanced nurse practitioners, complementing rather than replacing current services delivered by doctors (NMBI 2017 p.9\).
The overall purpose of the post is to provide safe, timely, evidenced based nurse\-led care to patients at an advanced nursing level. This involves undertaking and documenting a complete episode of patient care (assess, diagnose, plan, treat and discharge patients) according to collaboratively agreed protocols and scope of practice in the clinical setting; demonstrating advanced clinical and theoretical knowledge, critical thinking, clinical leadership and decision making skills.

The advanced practice role demonstrates a high degree of knowledge, skill and experience that is applied within the nurse\-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving and accurate decision\-making (NMBI, 2017\).
Central to this is the provision of quality care, a safe environment and processes for patients using evidence based clinical guidelines that address patient expectations, promote wellness, and evaluate care given.
The role will provide clinical leadership and professional scholarship to develop nursing practice and health policy at local, regional, and national level.
The role will contribute to nursing research to shape and advance nursing practice, education, and health care policy at local, national, and international levels. Principal Responsibilities:
The key responsibilities of the cANP will be to develop a higher level of capability across the six domains of competences as defined by An Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017\).* Professional Values and Conduct

• Clinical Decision Making Competences


• Knowledge and Cognitive Competences


• Communication and Interpersonal Competences


• Management and Team Competences


• Leadership and Professional Scholarship Competences

The cANP practises nursing according to:

• The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2021\)


• Scope of Nursing and Midwifery Practice Framework (NMBI 2015\)


• Values for Nurses and Midwives in Ireland – Care, Compassion and Commitment (Department of Health 2016\)


• Advanced Practice Nursing Standards and Requirements (NMBI 2017\)• National Health Policies and Procedures for example, HSE (2013, revised 2016\) National Consent Policy* Local policies, procedures, protocols, and guidelines

Domain 1: Professional Values and Conduct
The cANP for Tissue Viability will gain increased competence in applying ethically sound solutions to complex issues related to individuals and populations by:• Demonstrating accountability and responsibility for professional practice as a lead healthcare professional.* Collaborating with his/her supervisor and local stakeholder group to scope the caseload and scope of practice for the RANP.

• Collaborating with his/her supervisor and local stakeholder group to determine the exclusion criteria for the RANP.


• Articulating safe boundaries and engaging in time

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