Registered Clinical Nurse Specialist (CNS) in Haematology

Job DescriptionRole Title:Registered Clinical Nurse Specialist (CNS) in Haematology Job Reference Number:002500 Closing Date:Monday, 3rd August 2026 Purpose of the Role: The purpose of this role is to deliver specialist nursing care in line with the five core concepts set out in the Framework for the Establishment of Clinical Nurse Specialist posts (4th edition), National Council for the Professional Development of Nursing and Midwifery (NCNM), 2008. The successful candidate will work as a member of the multidisciplinary team providing a patient centered quality and seamless service. The purpose of the Registered Clinical Nurse Specialist (CNS) post is to deliver care in line with the five core concepts of the role set out in the Framework for the Establishment of Clinical Nurse/Midwife Specialist Posts, 4th edition, National Council for the Professional Development of Nursing and Midwifery (NCNM) 2008.

This CNS in Haematology is a registered nurse who has extensive experience and clinical expertise in Haematology nursing. 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 haematological malignancies & conditions demands 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 post holder 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. The post holders practice is based on the five core concepts of the CNS role as defined by the NCNM 4th edition (2008) in order to fulfil the role.

The concepts are: Clinical Focus Patient/Client Advocate Education and Training Audit and Research Consultant Clinical Focus The CNS will have a strong patient focus whereby the specialty defines itself as nursing/midwifery and subscribes to the overall purpose, functions and ethical standards of nursing/midwifery. The clinical practice role may be divided into direct and indirect care. Direct care comprises the assessment, planning, delivery, and evaluation of care to the patient, family and/or carer.

Indirect care relates to activities that influence and support the provision of direct care. Direct Care The CNS will: Provide a specialist nursing service for patients with a diagnosis ofMyeloid Disorder or Lymphoid Disorderwho require support and treatment through the continuum of care. Undertake comprehensive patient assessment to include physical, psychological, social, and spiritual elements of care using best evidence based practice in Myeloid Disorder or Lymphoid Disorder care.

Use the outcomes of patient assessment to develop and implement plans of care/case management in conjunction with the multidisciplinary team (MDT) and the patient, family and/or carer as appropriate. Monitor and evaluate the patients response to treatment and amend the plan of care accordingly in conjunction with the MDT and patient, family, and/or carer as appropriate. Make alterations in the management of patients condition in collaboration with the MDT and the patient in line with agreed pathways and policies, procedures, protocols, and guidelines (PPPGs).

Accept appropriate referrals from MDT colleagues. Co-ordinate investigations, treatment therapies, and patient follow-up. Communicate with patients, family, and/or carer as appropriate, to assess the patients needs and provide relevant support, information, education, advice, and counselling as required.

Where appropriate work collaboratively with MDT colleagues across Primary and Secondary Care to provide a seamless service delivery to the patient, family, and/or carer as appropriate. Participate in medication reconciliation taking cognisance of poly-pharmacy and support medical and pharmacy staff with medication reviews and medication management. Identify and promote specific symptom management strategies as well as the identification of triggers which may cause exacerbation of symptoms.

Provide patients with appropriate self-management strategies and escalation pathways. Manage nurse/midwife led Myeloid Disorder or Lymphoid Disorder clinics with MDT input. Identify health promotion priorities for the patient, family and/or carer and support patient self-care in line with best evidence.

This will include the provision of educational and health promotion material which is comprehensive, easy to understand and meets patients needs. Indirect Care Identify and agree appropriate referral pathways for patients with Myeloid Disorder or Lymphoid Disorder diagnosis. Participate in case review with MDT colleagues.

Use a case management approach to patients with complex needs in collaboration with the MDT in both Primary and Secondary Care as appropriate. Take a proactive role in the formulation and provision of evidence based PPPGs relating to Haematology care. Take a lead role in ensuring the service for patients withMyeloid Disorder or Lymphoid Disordercondition is in line with best practice guidelines and the Safer Better Healthcare Standards (HIQA, 2012) or the relevant National Clinical Care Programme.

Patient/Client Advocate Communicate, negotiate, and represent patients, family, and/or carer values and decisions in relation to their condition in collaboration with MDT colleagues in both Primary and Secondary Care as appropriate. Develop and support the concept of advocacy, particularly in relation to patient participation in decision making, thereby enabling informed choice of treatment options. Respect and maintain the privacy, dignity, and confidentiality of the patient, family, and/or carer.

Establish, maintain, and improve procedures for collaboration and cooperation between Acute Services, Primary Care, and Voluntary Organisations as appropriate. Proactively challenge any interaction which fails to deliver a quality service to patients. Education & Training Maintain clinical competence in patient management within Myeloid Disorder or Lymphoid Disorder nursing, keeping up-to-date with relevant research to ensure the implementation of evidence based practice.

Provide the patient, family, and/or carer with appropriate information and other supportive interventions to increase their knowledge, skill, and confidence in managing their condition. Contribute to the design, development, and implementation of education programmes and resources for the patient, family, and/or carer in relation to Myeloid Disorder or Lymphoid Disorder thus empowering them to self-manage their condition. Provide mentorship and preceptorship for nursing colleagues as appropriate.

Participate in training programmes for nursing, MDT colleagues, and key stakeholders as appropriate. Create exchange of learning opportunities within the MDT in relation to evidence based Myeloid Disorder or Marrow Failure care delivery through journal clubs, conferences etc. Develop and maintain links with Regional Centres for Nursing and Midwifery Education (RCNMEs), the Nursing and Midwifery Planning and Development Units (NMPDUs), and relevant third level Higher Education Institutes (HEIs) in the design, development, and delivery of educational programmes in Myeloid Disorder or Marrow Failure care.

Be responsible for addressing own continuing professional development needs. Ensure own mandatory learning and training is kept up to date. Audit & Research Establish and maintain a register of patients with Myeloid Disorders or Lymphoid Disorder within the CNS service.

Maintain a record of clinically relevant data aligned to National Key Performance Indicators (KPIs) as directed and advised by the ADON/DON/Lead Consultant. Identify, initiate, and conduct nursing/midwifery and MDT audit and research projects relevant to the area of practice. Identify, critically analyse, disseminate, and integrate best evidence relating to careMyeloid Disorders or Lymphoid Disorderinto practice.

Contribute to nursing/midwifery research on all aspects of Myeloid Disorders or Lymphoid Disorders care. Use the outcomes of audit to improve service provision. Contribute to service planning and budgetary processes through use of audit data and specialist knowledge.

Monitor, access, utilise, and disseminate current relevant research to advise and ensure the provision of informed evidence based practice. Audit expected outcomes including: Collate data which will provide evidence of the effectiveness of the CNS interventions undertaken - Refer to the National Council for the Professional Development of Nursing and Midwifery final report - Evaluation of Clinical Nurse and Midwife Specialist and Advanced Nurse and Midwife Practitioner roles in Ireland (SCAPE Report, 2010) and refer to the National KPIs associated with the speciality. They should have a clinical nursing/midwifery focus as well as a breakdown of activity - patients seen and treated.

Evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing/midwifery management and MDT colleagues (Primary and Secondary Care). Quality, Risk, & Safety responsibilities It is the responsibility of the CNS to: Participate and cooperate with legislative and regulatory requirements with regard to quality, risk, and safety. Participate and cooperate with local quality, risk, and safety initiatives as required.

Adequately identifies, assesses, manages, and monitors risk within their area of responsibility. Participate and cooperate with internal and external evaluations of the organisations structures, services, and processes as required, including but not limited to, The National Hygiene Audit, National Decontamination Audit, Health and Safety Audits, and other audits specified by the HSE or other regulatory authority. Initiate, support, and implement nursing/midwifery quality improvement initiatives in their area which are in keeping with local organisational quality, risk, and safety requirement.

Contribute specialist expertise to the development of PPPGs and safe professional practice and adhere to relevant legislation, regulations, and standards. Comply with the Hospital Complaints Policy. Respond immediately and appropriately to ensure the safety of any service user they are aware of has been put at risk.

Ensure completion of incident/near miss forms and clinical risk reporting. Adhere to department policies in relation to the care and safety of any equipment supplied and used to carry out the responsibilities of the CNS in Haematology care. Participate and cooperate with legislative and regulatory requirements in relation to Health and Safety as outlined in the Safety, Health and Welfare Act 2005 and the Hospital Safety Statement.

Consultant Provide leadership in clinical practice and act as a resource and role model forMyeloid Disorders or Lymphoid Disorderpractice. Generate and contribute to the development of clinical standards and guidelines and support implementation. Use specialist knowledge to support and enhance generalist nursing/midwifery practice.

Develop collaborative working relationships with local Haematology CNS, Registered Advanced Nurse/Midwife Practitioner/MDT colleagues as appropriate, developing person centred care pathways to promote the integrated model of care delivery. With the support of the ADON, attend integrated care planning meetings as required. Where appropriate develop and maintain relationships with specialist services in voluntary organisations which support patients in the community.

Liaise with other health service providers in the development and on-going delivery of the National Clinical Programme model of care. Network with other CNS in Haematology and in related professional associations. Quality, patient safety and risk management Provides strategic leadership for quality, patient safety and risk across the organisation with due regard to the following key responsibilities: Proactively identify, document, assess and manage risks in line with the Hospitals risk management framework.

Ensure risks and controls within each area of accountability are clearly articulated, with assigned owners, realistic mitigation actions, timelines and monitoring arrangements. Maintain appropriate oversight of risks, ensuring they are routinely reviewed. Utilise regular audit and evaluation for the purpose of assurance and identifying required areas for improvement.

Strengthen quality, safety and risk practices across areas of accountability. Drive a culture of safety, accountability, quality assurance, systems learning and continuous improvement. Support and adhere to all relevant regulatory and governance standards.

Support the implementation of quality improvements within the hospital as directed by the Hospital Board and Executive Management Group in response to quality, safety and risk management. * 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 them from time to time and to contribute to the development of the post while in office. This Role Profile will be subject to review in the light of changing circumstances. Required: Be a Registered Nurse/Midwife on the active Register of Nurses and Midwives held by Nursing and Midwifery Board of Ireland (NMBI) (An Bord Altranais and Cnimhseachais na hireann) or be eligible to be so registered.

AND Be registered in the division(s) of the Nursing and Midwifery Board of Ireland (An Bord Altranais agus Cnimhseachais na hireann) Register for which the application is being made or be entitled to be so registered. AND Have a minimum of 1 years post registration full time experience or an aggregate of 1 years full time experience in the division of the register in which the application is being made. AND Have a minimum of 1 years experience or an aggregate of 1 years full time experience in the specialist area ofpalliativecare.

AND Have successfully completed a post registration programme of study, as certified by the education provider which verifies that the applicant has achieved a Quality and Qualifications Ireland (QQI), National Framework of Qualifications (NFQ) major academic Level 9 or higher award that is relevant to the specialist area of care (equivalent to 60 ECTS or above), and in line with the requirements for specialist practice as set out by the National Council for Nursing and Midwifery 4th ed. (2008). OR Alternatively, provide written evidence from the Higher Education Institute that they have achieved t