Overview

Post Title:

Candidate or Registered Advanced Nurse Practitioner (CANP/RANP) Epilepsy

Post Status:

Permanent

Department

NeuroCent Directorate

Location:

Beaumont Hospital, Dublin 9

Reports to:

Directorate Nurse Manager, Consultant

Salary:

Appointment will be made on CANP/RANP Pay scale (€71,432 - €80,671) / (€72,122 - €89,004) at a point in line with Government pay policy

Hours of work:

Full time, 37.5 hours per week

Closing Date:

Wednesday 15th April 2026 @ 12Noon

Please note the hospital reserves the right to close the competition early should a substantial number of applications be received.

Overview of Post

Epilepsy is a chronic disease characterized by unpredictable, sometimes lifelong, often dangerous seizures which result in involuntary alterations in behaviour and consciousness. The condition affects about one in every 100 people and is second only to stroke as the commonest chronic neurological disorder in Europe. Of the 40,000 people with epilepsy (PWE) in Ireland (10,000 of whom are under 16 years), approximately 70% are well controlled on medication whilst it is estimated that 12-15,000 people who have uncontrolled seizures and are in regular contact with secondary and tertiary hospital services.

The Nursing and Midwifery Board of Ireland (NMBI) sets out the criteria for registration as an Advanced Nurse Practitioner as set out in Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017). Registered Advanced Nurse Practitioners (RANPs) provide expert nursing skills and interventions which transcend traditional nursing roles and responsibilities. RANPs have significant experience, knowledge, and have received training to be able to competently deliver care and skills which serve as an adjunct to, instead of a replacement of, the work of medical colleagues. The Candidate Advanced Nurse Practitioner (CANP/RANP) is also an advanced nursing role where the successful post holder will undertake academic preparation (over an agreed timeframe in line with hospital procedures) and develop clinical and leadership skills, competencies, and knowledge required to meet the criteria to be registered as a Registered Advanced Nurse Practitioner (RANP) with NMBI. Appointment as a CANP or RANP will be contingent on the candidate’s prior experience and completion of required qualifications.

The scope of the CANP/RANP role reflects the incremental development of expertise and as such, the CANP cannot deliver care as an autonomous practitioner. Furthermore, the CANP/RANP will develop and submit their personal portfolio and all other necessary documentation to NMBI in order to register as a RANP. 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, working within a scope of practice and demonstrating advanced clinical and theoretical knowledge. Critical thinking, clinical leadership, and decision making skills are added skills within this role. Additionally, the role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at a local, regional and national level. Finally, CANP/RANPs contribute to nursing research to shape and advance nursing practice, education and health care policy at local, national and international levels.

Key Working Relationships

Clinical Consultant Lead for the Service Director of Nursing/Directorate Nurse ManagerRANPs and other nursing gradesNurse Practice Development Co-ordinatorPrescribing site co-ordinator(s)Medical colleagues Inter-professional colleagues Patients/service users/families and/or carersNursing and Midwifery Board of IrelandHigher Education InstitutionNursing and Midwifery Planning and Development Unit Centres of Nursing and Midwifery EducationNational Clinical and Integrated Care ProgrammeNational Leadership and Innovation CentreOther relevant statutory and non-statutory organisations

Responsibilities

Principal Duties and Responsibilities:

The post holder’s practice is based on the six domains of competences as defined by the Nursing and Midwifery Board of Ireland’s (Bord Altranais agus Cnáimhseachais na hÉireann) Advanced Practice (Nursing) Standards and Requirements (NMBI 2017).

The domains are:

• Professional Values and Conduct • Clinical-Decision Making • Knowledge and Cognitive Competences • Communication and Interpersonal Competences • Management and Team Competences • Leadership and Professional Scholarship Competences

Domain 1: Professional Values and Conduct

The CANP/RANP 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 in the care of patients within their specialty• Collaborating with his/her supervisor and local stakeholder group to scope the caseload and remit of practice for the RANP role by defining inclusion and exclusion criteria• Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience, and competence by establishing, in collaboration with key stakeholders, referral pathways and locally agreed policies, procedures, protocols and guidelines to support and guide the RANP service • Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of persons whose lives are affected by altered health, chronic disorders, disability, distress or life-limiting conditions• Selecting a professional practice model that provides him/her latitude to control his/her own practice, focusing on person centred care, interpersonal interactions and the promotion of healing environments• Emphasising a caring therapeutic, relationship between the CANP/RANP and his/her patients, recognising that CANP/RANPs/RANPs work in partnership with their multidisciplinary team (MDT) colleagues.• Articulating and promoting the advanced practice nursing service in clinical, political and professional contexts (e.g. presenting key performance outcomes locally and nationally, contributing to the service’s annual report, participating in local and national committees to ensure best practice as per the relevant national clinical and integrated care programme)

• Acting as a clinical leader and initiating and implementing changes in health services in response to the needs of patients • Articulating and communicating a vision for nursing practice in the area of epilepsy disease care and management that can be developed beyond the current scope of practice• Contributing to strategic and innovative development of the epilepsy services to ensure the constant provision of effective, high quality nursing care to patients with neurological conditions.• Providing leadership in clinical practice and acting as a resource and role model for advanced nursing practice, sharing knowledge and expertise with colleagues• Advocating for advanced nursing practice in the area of epilepsy by undertaking teaching in the clinical area, classroom, and the wider multidisciplinary/patient community• Will ensure that recommendations for travel with use of own vehicle are consistent with recommendations with national HSE policy for travel and subsistence (available online)

Domain 2: Clinical-Decision Making Competences

The CANP/RANP will enhance his/her advanced knowledge, skills, and abilities to engage in senior clinical decision-making by increasing his/her capability to:

• Conduct a comprehensive holistic health assessment using evidenced based frameworks, policies, procedures, protocols and guidelines to determine diagnoses and inform autonomous, advanced nursing care• Synthesise and interpret assessment information (particularly history) including prior treatment outcomes, physical findings and diagnostic data to identify normal, at risk and subnormal states of health• Demonstrate timely use of diagnostic investigations / additional evidence-based advanced assessments to inform clinical-decision making• Exhibit comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions, supported by evidence-based policies, procedures, protocols, and guidelines, relevant legislation, and relevant professional regulatory standards and requirements• Initiate and implement health promotion activities and self-management plans in accordance with the wider public health agenda• Discharge patients from the service as per an agreed supporting policy, procedure, protocols, guidelines and referral pathways• Manage a caseload - the CANP/RANP has the authority to manage an independent and autonomous caseload of patients that falls within a collaboratively agreed scope of practice • Assess referrals for Psychiatry or Psychology as required and expedite relevant referrals to supportive services

Domain 3: Knowledge and Cognitive Competences

The CANP/RANP will actively contribute to the professional body of knowledge related to his/her area of advanced practice by enhancing his/her capability to:

• Provide leadership in the translation of new knowledge to clinical practice (for example teaching sessions; journal clubs; case reviews; facilitating clinical supervision to other members of the team) • Educate others using an advanced expert knowledge base derived from clinical experience, on-going reflection, clinical supervision, and engagement in continuous professional development • Demonstrate a vision for advanced practice nursing based on service need and a competent expert knowledge base that is developed through research, critical thinking, and experiential learning • Demonstrate accountability in considering access, cost, and clinical effectiveness when planning, delivering and evaluating care (for example key performance areas, key performance indicators, metrics)• Participate in development and continuous evaluation of Integrated Care Pathways, Standard Operating Procedures (SOPs), and Key Performance Indicators (KPIs)• Articulate and demonstrate the concept of advanced nursing practice within the framework of relevant legislation, the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI, 2025) and the Scope of Nursing and Midwifery Practice Framework (NMBI, 2015)• Develop advanced knowledge of the pharmacodynamics of medications for epilepsy , drug interactions for specific groups, and maintain awareness of teratogenicity issues for women• Contribute to the professional body of nursing knowledge both nationally and internationally by presenting at conferences, seminars, and workshops• Maintain expertise in clinical practice supported through ongoing clinical encounter, case discussions, clinics, journal clubs, attendance of Neuro radiology & Neurophysiology conferences and clinical supervision

Domain 4: Communication and Interpersonal Competences

The CANP/RANP will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the person are respected by gaining increased competence and capability to:

• Communicate effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements as per established referral pathways• Demonstrate leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is developed in collaboration with the patient and shared with the other members of the inter-professional team as per the organisation’s policies, procedures, protocols and guidelines • Facilitate clinical supervision and mentorship through utilising one’s expert knowledge and clinical competences• Utilise information technology, in accordance with legislation and organisational policies, procedures, protocols, and guidelines to record all aspects of advanced nursing care• Function as an expert, educator, advocate, researcher, and leader in the area of their specialty management to patients, families and the MDT• Implement health promotion strategies for the patient group in accordance with the public health quality and safety agenda• Demonstrate appropriate use of electronic records and other forms of medical records in clinical settings with respect for data protection and collection• Liaise and develop strong links with charities and external agencies • Collaborate and coordinate the patient’s journey with MDT partnership. Acknowledge the input and role of MDT team both in Beaumont Hospital (BH) and community services• Improve and enhance community links with primary care services, GPs, other referring hospitals, local pharmacies and organisations• Manage and promote liaisons with internal and external bodies as appropriate, for example; intra-hospital service, community services, or voluntary organisations.• Maintain and create audits which support the surveillance of service delivery effectiveness and lead on initiatives to manage key performance indicators

Domain 5: Management and Team Competences

The CANP/RANP will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:

• Promoting a culture of quality care• Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement• Implementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving care• Engaging in forums which evaluate quality and standards in clinical practice and lead the promotion of effective clinical standards• Promoting an understanding of the role of the CANP/RANP and increase awarenessof other healthcare colleagues and service users of the scope of practice of the CANP/RANP• Providing a visible, accessible advanced nurse service as well as delivery of formal and informal teaching and knowledge sharing initiatives. • Responding to untoward events or incidents, determine the root cause of these through investigation, reporting on these events, and instigating remedial action to prevent these from happening again• Contributing to professional and healthcare policy at local, regional and national level

• Support and mentor junior or inexperienced colleagues in their team • Facilitating communication and enhancing networks with healthcare teams and supportive services both internally and externally• Promoting a culture that values diversity and respect in the workplace• Contributing to the strategic management and planning process• Formulating service plans and budgets in co-operation with the wider healthcare team

Domain 6: Leadership and Professional Scholarship Competences

The CANP/RANP will lead in multidisciplinary team planning for transitions across the continuum of care by enhancing his/her competence and capability to:

• Demonstrate clinical leadership in the design and evaluation of services (for example findings from research, audit, metrics, new evidence)• Engage in health policy development, implementation, and evaluation (for example key performance indicators from national, clinical, and integrated care programmes/HSE national service plan/ local service need to influence and shape the future development and direction of advanced practice in epilepsy management)• Identify gaps in the provision of care and services pertaining to his/her area of advanced practice and expand the service to enhance the quality, effectiveness and safety of the service in response to emerging healthcare needs • Lead in managing and implementing change• Will ensure that lone working arrangements and travel with use of own vehicle are consistent with recommendations with national HSE policy for travel and subsistence (available online)

Research

The CANP/RANP has a professional responsibility to deliver the highest standard of evidenced based care to patients with neurological conditions. Therefore, the CANP/RANP will participate in the research process to develop and contribute to the existing body of knowledge in this area by:

• Identifying research priorities pertaining to the best practice relating to their specialty • Leading, conducting, disseminating, and publishing nursing research which shapes and advances nursing practice, education, the wider health policy and patient safety agenda• Identifying, critically analysing, disseminating and integrating nursing research and other evidence into this specialist area of clinical practice• Contributing to service planning and budgetary processes through the use of audit data and specialist knowledge• Initiating, participating, evaluating, and coordinating clinical audits and research, reviewing process, interventions and outcomes in the area of epilepsy management. • Recording pertinent data relating patient care in data base format where the outcomes of this data can be extrapolated• Continuously reviewing clinical practice guidelines/protocols in collaboration with the MDT and Consultants• Proactively forge links with academic institutions in order to participate and collaborate in research studies/forums in the area of epilepsy in line with the RCSI hospital group

Clinical Governance

Clinical Governance is an integral part of the CANP/RANP role whereby healthcare professionals and teams demonstrate accountability for the quality, safety, and satisfaction of the delivery of care to patients withepilepsy. Clinical Governance supports the provision of the right care, at the right time, from the right person in a safe, caring environment (Health Service Executive, HSE 2012). In conjunction with reporting relationships discussed above, the CANP/RANP has an operational responsibility to the Clinical Lead for their service.

The CANP/RANP will demonstrate adherence to the Clinical Governance agenda by:

• Participating in the organisation’s clinical governance programme as defined by the Directorate Nurse Manager, the Directorate Business Manager, and the Clinical Director• Initiating and contributing to the development of KPIs and outcome measures relevant to epilepsy management• Assisting in the monitoring of KPIs and responding to performance improvement initiatives as required• Taking appropriate action on clinical matters identified as being detrimental to the care and wellbeing of patients, families and staff which may be inhibiting the safe and efficient provision of care• Ensuring adherence to the organisation’s policies, procedures and protocols on patient safety, infection control, medication prescribing and the provision, storage and use of medicinal products• Ensuring compliance with the quality and risk safety framework programme• Establishing a feedback mechanism with the organisation risk advisors and reporting any risk issues to the Directorate Nurse Manager as appropriate. • Participating in accreditation programmes external and internal to the Health Service Executive

• Ensuring adherence to hospital policies in relation to the care and safety of equipment utilised in the fulfilment of clinical duty

Clinical Supervision and Practice Portfolio

The CANP/RANP will 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 CANP/RANP engages in on-going clinical supervision as per a Service Level Agreement. The structure, process and outcome of clinical supervision must be explicit. The CANP/RANP maintains a record of clinical supervision in his/her professional practice portfolio.

Legislation, Regulation, Policy, and Guidelines

The CANP/RANP practises nursing according to:

• The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2025)• 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• Local policies, procedures, protocols and guidelines• Current legislation

The job description represents the main functions of the role and is subject to review and amendment to reflect changing practice in the service.

Qualifications

Selection Criteria:

Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate requires for successful discharge of the responsibilities of the post

Mandatory Criteria (Registered Advanced Nurse Practitioners):

Professional Qualifications and Experience

• Be registered in the advanced nurse practitioner division of the Nursing and Midwifery Board of Ireland Register• Candidates must 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.• Annual registration - Practitioners must maintain active annual registration on the Advanced Nurse Practitioner Division of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role. • Confirm annual registration with NMBI to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC).• Age restriction - shall only apply to a candidate where s/he is not classified as a new entrant (within the meaning of the Public Service Superannuation (Miscellaneous Provisions) Act, 2004). A candidate who is not classified as a new entrant must be under 65 years of age on the first day of the month in which the latest date for receiving completed application forms for the office occurs. • Health - Candidates 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. • Character - Candidates for and any person holding the office must be of good character.

Mandatory Criteria (Candidate Advanced Nurse Practitioners):

Professional Qualifications and Experience

Eligible applicants will be those who on the closing date for the competition are:

• Be a registered nurse with the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) or entitled to be so registered.

And

• Be registered in the division(s) of the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) Register for which the application is being made or entitled to be so registered.

Or

• In recognition of services that span several patient/client groups and/or division(s) of the register, provide evidence of validated competences relevant to the context of practice

And

• Have a broad base of clinical experience relevant to the advanced field of practice

And

• Be eligible to undertake a Master’s Degree (or higher) in Nursing or a Master’s Degree, which is relevant, or applicable, to the advanced field of practice. The Master’s programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland), or equivalent. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

Or

• Be currently undertaking a Master’s Degree in Nursing (Advanced Practice Pathway) or be eligible to register to undertake additional Level 9 National Framework of Qualifications (Quality and Qualifications Ireland) specific modules of a Master’s Degree in Nursing (Advanced Practice Pathway) within an agreed timeframe. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

Or

• Possess a Master’s Degree (or higher) in Nursing or a Master’s Degree which is relevant, or applicable, to the advanced field of practice. The Master’s programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland), or equivalent. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

And

• Candidates must 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.

• Annual Registration - Practitioners must maintain live annual registration on the appropriate/relevant Division of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role.

• Confirm annual registration with NMBI to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC).

• Age restriction - shall only apply to a candidate where s/he is not classified as a new entrant (within the meaning of the Public Service Superannuation (Miscellaneous Provisions) Act, 2004). A candidate who is not classified as a new entrant must be under 65 years of age on the first day of the month in which the latest date for receiving completed application forms for the office occurs.

• Health - Candidates 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.

• Character - Candidates for and any person holding the office must be of good character.

Desirable Skills (for either CANP or RANP):• Level 8 (or above) or equivalent Post Graduate Qualification in the Specialty• A recognised management qualification

If an appointee has previously been employed in the Civil or Public Service and that appointee is entitled to or in receipt of a pension from the Civil or Public Service or where a Civil/ Public Service pension comes into payment during the appointee’s re-employment that pension will be subject to abatement in accordance with Section 52 of the Public Service Pensions (Single Scheme and other Provisions) Act 2012.

Please note: In applying for this position you are acknowledging that you understand that the abatement provisions, where relevant, will apply. It is not envisaged that the employing Department/ Office/ Body will support an application for an abatement waiver in respect of appointments to this position

Further Information for Candidates:

Supplementary information:

The Hospital

www.beaumont.ie

Management Unit:

www.beaumont.ie/hr

Other (Please specify):

Informal Enquiries ONLY to: (No applications will be accepted through this email address)

Name:

Cam Salcedo

Title:

Directorate Nurse Manager

Email address:

camilosalcedo@beaumont.ie

Telephone:

Internal Extension 8337 or mobile 087 385 9439

Candidate/Registered Advanced Nurse Practitioner

Job Description