Candidate ANP Critical Care Outreach
Posted 2 days 6 hours ago by Beaumont Hospital
Permanent
Full Time
Other
Dublin, Dublin, Ireland
Job Description
Overview Post Title: Critical Care Outreach Candidate Advanced Nurse Practitioner Post Status: PermanentDepartment: Critical Care & Anaesthetic DirectorateLocation: Beaumont HospitalReports to: Clinically to: Lead Clinician for Critical Care Outreach Professionally to: Directorate Nurse Manager CC&A Salary: Appointment will be made on cANP Grade at a point in line with Government pay policy (€72,146 - €81,478 LSI) Hours of work: Full time, 37.5 hours per week Closing Date: :00pm
Please note the hospital reserves the right to close the competition early should a substantial number of applications be received & interviews for this post will be held the week commencing September 7th 2026.
Position Summary:
This Critical Care Outreach 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, evidenced based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting complete episodes of patient care, which includes comprehensively assessing, diagnosing, planning, treating and follow up on patients in accordance with collaboratively agreed local policies, procedures, protocols and guidelines and/or service level agreements/ memoranda of understanding.
The Critical Care Outreach Service provides clinical leadership and professional scholarship in the delivery of optimal nursing services and informs the development of evidence based health policy at local, regional, national levels and international levels. This autonomous role compliments existing roles within the critical care team. The cANP (Critical Care) collaborates with the Critical Care Nursing and Anaesthetic teams. The primary aim of both teams is the delivery of a patient centred evidence based critical care service. This cANP addresses the needs of critically ill patients within an agreed framework. This role leads on innovative nursing practices. Once patients have been accepted by the ICU Anaesthetic team, the cANP co-ordinates and provides advanced nursing care within and beyond the walls of Critical Care, to acute and critically ill patients.
Responsibilities Principal Duties and Responsibilities:
• Act as a nurse member of the critical care outreach team and participate in the nursing care of critically ill patients throughout the organisation.• This nursing role is focused on patient progression, addressing the complex needs of Level 2 and Level 3 patients, reviewing their clinical progress, modifying treatments within the parameters of this role.• The cANP provides an accurate diagnosis to ensure the initiation of prompt treatment plans within their scope of practice• This role supports timely access of critically ill patients to and optimal egress from Critical Care to the ward• This role is both advisory and focused on nurse development, providing nursing support and education, fostering inquiry, critical thinking and research utilisation among the nursing workforce, to advance practice and patient care.
1. Professional Values and Conduct:
The cANP in Critical Care will be required to apply ethically sound solutions to complex issues related to individuals and populations by:
1. Demonstrating accountability and responsibility for professional practice as a lead healthcare professional. 2. Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience and competence. 3. Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of critically ill patients, some of whom lives may have been affected by altered health, chronic disorders, disability, distress or life-limiting conditions. 4. Articulating and promoting the RANP role in clinical, political and professional contexts.
2 . Clinical Decision-Making:
1. The cANP in Critical Care will utilise advanced knowledge, skills, and abilities to engage in senior clinical decision making by: 2. Conducting a comprehensive health assessment using evidenced based frameworks to determine diagnoses and inform autonomous advanced nursing care 3. Synthesising and interpreting clinical information, including history, physical findings and diagnostic data to identify normal, at risk and abnormal states of health 4. Demonstrating timely use of diagnostic investigations to inform clinical-decision making 5. Exhibiting comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions. 6. Each practitioner must be able to: - Perform a comprehensive physical examination and demonstrate the ability to recognise normal, deviation from normal findings in relation to the following systems Airway, Respiratory, Cardiovascular, Gastrointestinal, Renal, Neurological and Endocrine.7. Assess and provide first line treatment for a patient with acute or developing critical illness and those requiring emergency assistance of above systems including sepsis.8. Provide basic, immediate and advanced life-support in accordance with the level of response required.9. Recognise situations where consideration for withdrawal of treatment should be given and initiate review by appropriate medical staff, palliative care or end of life teams.10. Provide effective leadership and support for critical care teams and ward staff when caring for acutely ill ward patients with developing critical illness.11. Support safe transfer and transport of the acutely ill patient. Understand clinical limitations, and enable direct referral to other members of the multidisciplinary specialist team.12. On the basis of the assessment, initiate the level of support required, including airway management, oxygen therapy. 13. Participate in the multi-professional review of patients on general wards and emergency department working with the ward staff to support and participate in the delivery of care to critically ill patients.14. Act as an excellent clinical nursing role model in the management of patients requiring outreach critical care.15. Carry out nursing care that is based on the latest research findings, and constitutes best practice.16. Alert other members of medical/ surgical staff from the patient's own team to organise admission of patients to ITU/HDU. 17. Where necessary, liase directly with ITU Reg/ Consultant to fast track patient into ITU/HDU 18. Refer the patient where necessary to the physiotherapist for treatment19. Provide follow up care to patients transferred from ITU/HDU to ward areas.
3.Knowledge and Cognitive Competencies:
The cANP in Critical Care will actively contribute to the professional body of knowledge related to his/her area of advanced practice by: 1. Providing leadership in the translation of new knowledge to clinical practice 2. Educating others using an advanced expert knowledge base derived from clinical experience, on-ongoing reflection, clinical supervision and engagement in continuous professional development 3. Demonstrating a vision for advanced practice nursing based on a competent expert knowledge base that is developed through research, critical thinking, and experiential learning 4. Demonstrating accountability in considering access, cost and clinical effectiveness when planning, delivering and evaluating care.
4. Communication and Interpersonal Competencies:
The cANP in Critical Care will negotiate with and advocate for other health professionals to ensure the beliefs, rights and wishes of the person are respected by:1. Communicating effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements 2. Demonstrating leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is shared with the person and other members of the inter- professional team 3. Facilitating clinical supervision and mentorship through utilising one's expert knowledge and clinical competences 4. Utilising information technology, in accordance with legislation and organisational policies and procedures, to record all aspects of advanced nursing care.
5. Management and Team Competencies:
The cANP in Critical Care will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:
1. Promoting a culture of quality care 2. Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement 3. Implementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving care.
6. Leadership and Professional Scholarship Competencies:
The cANP in Critical Care will lead in multidisciplinary team planning for transitions across the continuum of care by: 1. Demonstrating clinical leadership in the design and evaluation of services 2. Engaging in health policy development, implementation, and evaluation Identifying gaps in the provision of care and services pertaining to his/her area of advanced practice and apply the best available evidence3. Leading in managing and implementing change.
7. Advanced Practice Performance Management and Evaluation1. Performance Indicators (PI's) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided . click apply for full job details
Please note the hospital reserves the right to close the competition early should a substantial number of applications be received & interviews for this post will be held the week commencing September 7th 2026.
Position Summary:
This Critical Care Outreach 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, evidenced based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting complete episodes of patient care, which includes comprehensively assessing, diagnosing, planning, treating and follow up on patients in accordance with collaboratively agreed local policies, procedures, protocols and guidelines and/or service level agreements/ memoranda of understanding.
The Critical Care Outreach Service provides clinical leadership and professional scholarship in the delivery of optimal nursing services and informs the development of evidence based health policy at local, regional, national levels and international levels. This autonomous role compliments existing roles within the critical care team. The cANP (Critical Care) collaborates with the Critical Care Nursing and Anaesthetic teams. The primary aim of both teams is the delivery of a patient centred evidence based critical care service. This cANP addresses the needs of critically ill patients within an agreed framework. This role leads on innovative nursing practices. Once patients have been accepted by the ICU Anaesthetic team, the cANP co-ordinates and provides advanced nursing care within and beyond the walls of Critical Care, to acute and critically ill patients.
Responsibilities Principal Duties and Responsibilities:
• Act as a nurse member of the critical care outreach team and participate in the nursing care of critically ill patients throughout the organisation.• This nursing role is focused on patient progression, addressing the complex needs of Level 2 and Level 3 patients, reviewing their clinical progress, modifying treatments within the parameters of this role.• The cANP provides an accurate diagnosis to ensure the initiation of prompt treatment plans within their scope of practice• This role supports timely access of critically ill patients to and optimal egress from Critical Care to the ward• This role is both advisory and focused on nurse development, providing nursing support and education, fostering inquiry, critical thinking and research utilisation among the nursing workforce, to advance practice and patient care.
1. Professional Values and Conduct:
The cANP in Critical Care will be required to apply ethically sound solutions to complex issues related to individuals and populations by:
1. Demonstrating accountability and responsibility for professional practice as a lead healthcare professional. 2. Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience and competence. 3. Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of critically ill patients, some of whom lives may have been affected by altered health, chronic disorders, disability, distress or life-limiting conditions. 4. Articulating and promoting the RANP role in clinical, political and professional contexts.
2 . Clinical Decision-Making:
1. The cANP in Critical Care will utilise advanced knowledge, skills, and abilities to engage in senior clinical decision making by: 2. Conducting a comprehensive health assessment using evidenced based frameworks to determine diagnoses and inform autonomous advanced nursing care 3. Synthesising and interpreting clinical information, including history, physical findings and diagnostic data to identify normal, at risk and abnormal states of health 4. Demonstrating timely use of diagnostic investigations to inform clinical-decision making 5. Exhibiting comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions. 6. Each practitioner must be able to: - Perform a comprehensive physical examination and demonstrate the ability to recognise normal, deviation from normal findings in relation to the following systems Airway, Respiratory, Cardiovascular, Gastrointestinal, Renal, Neurological and Endocrine.7. Assess and provide first line treatment for a patient with acute or developing critical illness and those requiring emergency assistance of above systems including sepsis.8. Provide basic, immediate and advanced life-support in accordance with the level of response required.9. Recognise situations where consideration for withdrawal of treatment should be given and initiate review by appropriate medical staff, palliative care or end of life teams.10. Provide effective leadership and support for critical care teams and ward staff when caring for acutely ill ward patients with developing critical illness.11. Support safe transfer and transport of the acutely ill patient. Understand clinical limitations, and enable direct referral to other members of the multidisciplinary specialist team.12. On the basis of the assessment, initiate the level of support required, including airway management, oxygen therapy. 13. Participate in the multi-professional review of patients on general wards and emergency department working with the ward staff to support and participate in the delivery of care to critically ill patients.14. Act as an excellent clinical nursing role model in the management of patients requiring outreach critical care.15. Carry out nursing care that is based on the latest research findings, and constitutes best practice.16. Alert other members of medical/ surgical staff from the patient's own team to organise admission of patients to ITU/HDU. 17. Where necessary, liase directly with ITU Reg/ Consultant to fast track patient into ITU/HDU 18. Refer the patient where necessary to the physiotherapist for treatment19. Provide follow up care to patients transferred from ITU/HDU to ward areas.
3.Knowledge and Cognitive Competencies:
The cANP in Critical Care will actively contribute to the professional body of knowledge related to his/her area of advanced practice by: 1. Providing leadership in the translation of new knowledge to clinical practice 2. Educating others using an advanced expert knowledge base derived from clinical experience, on-ongoing reflection, clinical supervision and engagement in continuous professional development 3. Demonstrating a vision for advanced practice nursing based on a competent expert knowledge base that is developed through research, critical thinking, and experiential learning 4. Demonstrating accountability in considering access, cost and clinical effectiveness when planning, delivering and evaluating care.
4. Communication and Interpersonal Competencies:
The cANP in Critical Care will negotiate with and advocate for other health professionals to ensure the beliefs, rights and wishes of the person are respected by:1. Communicating effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements 2. Demonstrating leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is shared with the person and other members of the inter- professional team 3. Facilitating clinical supervision and mentorship through utilising one's expert knowledge and clinical competences 4. Utilising information technology, in accordance with legislation and organisational policies and procedures, to record all aspects of advanced nursing care.
5. Management and Team Competencies:
The cANP in Critical Care will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:
1. Promoting a culture of quality care 2. Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement 3. Implementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving care.
6. Leadership and Professional Scholarship Competencies:
The cANP in Critical Care will lead in multidisciplinary team planning for transitions across the continuum of care by: 1. Demonstrating clinical leadership in the design and evaluation of services 2. Engaging in health policy development, implementation, and evaluation Identifying gaps in the provision of care and services pertaining to his/her area of advanced practice and apply the best available evidence3. Leading in managing and implementing change.
7. Advanced Practice Performance Management and Evaluation1. Performance Indicators (PI's) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided . click apply for full job details