CNM 2 ED Triage and Zone 4 (Ambulatory Care)

Overview

Post Title: Clinical Nurse Manager 2 – Triage and Zone 4 (Ambulatory Care)Post Status: PermanentDepartment: Emergency DepartmentLocation: Beaumont Hospital, Dublin 9, IrelandReports to: Assistant Director of Nursing (ADON) ED Flow and the Directorate Nurse Manager (DNM), Emergency DirectorateResponsible for: Staff nurses, healthcare assistants and support staff working in Triage and Zone 4Key working relationships: CNM 2 Shift Lead; ED Consultants, doctors and Advanced Nurse Practitioners; CNM 3 Ambulatory Care; CNM 2 Admitted Patients; CNM team; triage and assessment nurses; diagnostic and support servicesSalary: Appointment will be made on the Clinical Nurse Manager 2 grade (€62,699 – €79,227 LSI) at a point in line with Government pay policy.Hours of work: Full time, 37.5 hours per weekClosing Date: 22/11/2026 at 12pm - Please note the hospital reserves the right to close the competition early should a substantial number of applications be received & a panel may be formed for future vacancies.

 

Position Summary:The CNM 2 Triage and Zone 4 leads the day-to-day running of the patient journey from triage through Zone 4, the Emergency Department's ambulatory care area, and its streaming pathways. The post holder is accountable for the nursing service in these areas: safe, timely, high-quality care, effective streaming and flow, and the team who deliver it.We are looking for an enthusiastic, visible clinical leader with strong leadership skills who will develop, implement and evaluate ambulatory pathways and processes. Working with the ADON ED Flow, the DNM and the multidisciplinary team, the post holder will help improve time to assessment, diagnosis and discharge for ambulatory patients. The role also includes a wound clinic element. A key part of the role is leading the ‘Just Triage’ process recently introduced to the ED. The post holder will make sure it is embedded in everyday nursing practice, in line with the National Quality Improvement Framework for Emergency Department Triage (2025–2027), and will drive improvement in triage KPIs such as time to triage and time to doctor through visible leadership, staff education and audit.

Responsibilities

Principal Duties and Responsibilities:1. Leadership and Management• Leads the nursing service in Triage and Zone 4 on each shift and is a visible, approachable point of contact for staff, patients and the multidisciplinary team.• Works in close partnership with the CNM 2 Shift Lead and CNM 2 Admitted Patients, sharing information on activity, staffing and risk and supporting each other so the department runs safely and efficiently as a whole.• Covers the CNM 2 Shift Lead or CNM 2 Admitted Patients role when required, and maintains the knowledge and skills to do so.• Ensures patients streamed to Zone 4 meet the Zone 4 streaming criteria and are reviewed promptly by a senior decision maker.• Monitors patient flow from triage through Zone 4 throughout the day and escalates delays or risks to the ED Consultant and ADON ED Flow.• Works with the CNM 2 Admitted Patients and the assessment team so that patients referred to specialties are transferred and handed over safely.• Records daily activity (e.g. attendances, waiting times, time to doctor) and reviews it with the ADON ED Flow/DNM.• Raises with the Consultant and senior medical staff any practices or decisions affecting patient care or staff, and escalates to the ADON ED Flow/DNM if issues continue.• Ensures the safety and welfare of staff at all times.• Initiates the major emergency plan when required and directs staff in the event of a disaster, fire or other emergency.

2. Pathway and Service Development• Leads the development, implementation and evaluation of ambulatory pathways and processes for Triage and Zone 4, working with the ED multidisciplinary team.• Leads the implementation of the ‘Just Triage’ process, ensuring triage nurses are trained, supported and working to the agreed standard.• Monitors triage KPIs (e.g. time to triage, time to doctor), shares results with the team and leads actions to improve them.• Reviews and updates the Zone 4 streaming criteria, SOPs and related guidance.• Identifies and leads quality improvement initiatives that reduce time to assessment, diagnosis and disposition.• Introduces new clinical practices and techniques in a planned, evidence-based way.

3. Workload and Staffing• Contributes to the Emergency Department nursing roster with the CNM team, taking account of annual leave, study leave and skill mix.• Allocates nurses to Triage and Zone 4 from the daily departmental roster, adjusting allocation in response to activity.• Plans staff numbers, skill mix and experience to meet workload within allocated resources and ensure continuity of care.• Allocates appropriately skilled staff nurses and support staff to meet each patient's needs, and arranges meal breaks with staff.• Nominates who is in charge in their absence and makes sure staff know the arrangements.• Advises the ADON ED Flow/DNM when staffing is below or above what the workload requires, and on the overall staff complement and skill mix.

4. People Management• Builds a positive culture with high morale, team spirit and job satisfaction across nursing and support staff.• Takes part in the recruitment and selection of nursing staff.• Leads the orientation of new staff to Triage and Zone 4.• Carries out performance and development reviews in line with hospital policy, and identifies staff for development and promotion.• Manages conduct, attendance, complaints, grievances and discipline in line with hospital policy, and refers serious or unresolved matters to the ADON ED Flow/DNM.• Investigates incidents involving patients and staff and reports them verbally and in writing to the ADON ED Flow/DNM.• Delegates appropriate management duties to identified staff nurses.• Ensures all staff practise in line with the NMBI Code of Professional Conduct and Ethics.

5. Education and Staff Development• Identifies training and development needs, sets learning objectives and contributes to training programmes (e.g. Manchester Triage, EMEWS, ambulatory care skills).• Ensures staff are competent in the clinical skills needed in Triage and Zone 4.• Takes part in the clinical induction of all new nursing staff.• Ensures hospital and departmental policies and procedures are known, understood and implemented.• Supports the teaching and assessment of student nurses with DCU and the Centre of Education, in line with NMBI requirements.• Acts as a role model by demonstrating skilled, compassionate nursing care.

6. Clinical Nursing Practice• Ensures nursing care is planned on assessed need and each patient receives prescribed treatment in line with agreed standards.• Ensures the post-triage process, investigations and repeat vital signs are completed for patients streamed to Zone 4.• Supports the re-triage process and EMEWS for patients waiting to be seen.• Oversees the wound clinic, ensuring wounds are assessed and managed in line with evidence-based practice and hospital tissue viability guidelines, with appropriate referral and follow-up.• Ensures accurate verbal and written handover and documentation, including when patients transfer to wards or other hospitals.• Ensures patients and relatives are kept informed, and that discharge advice, follow-up treatment and appointments are co-ordinated.• Maintains own clinical skills and works clinically as required.• Applies research findings and takes part in research and audit.• Attends multidisciplinary and other Emergency Department meetings.

7. Standards and Quality of Care• Agrees quality indicators with the ADON ED Flow/DNM and monitors performance against them.• Sets clear standards of care and ensures all staff understand and meet them.• Monitors patient outcomes and the clinical competence of each registered nurse.• Ensures daily environment and equipment checks are completed and the area is clean, safe and fully stocked.• Leads audits for the area, including nursing documentation, and acts on the findings.• Holds regular team meetings to review performance and agree improvements.

8. Budgeting and Resources• Sets and maintains agreed stock levels, adjusting them to demand and ordering economically.• Promotes cost-effective use of resources without compromising safety or standards.• Monitors staffing use and contributes to monthly premium payments and cost-centre validation.• Reports equipment and estates faults promptly.

9. Self Development• Keeps knowledge current through continuing professional development and study days.• Develops own clinical and management skills and keeps a personal record of professional development.• Reviews performance and development needs with the DNM through job performance review, in line with nursing policy.

10. Support and Administrative Staff• Ensures support staff work to the required standard; directs their induction and training, and supervises and supports them in their role.• Ensures nursing staff understand and respect the role of support staff.• Liaises with administrative staff to ensure co-ordinated administrative and clinical support for patients.• Ensures records and reports are completed correctly, and promotes the use of clinical and administrative IT systems.

This job description indicates the main functions and responsibilities of the post and is subject to review and amendment. Other specific work not covered in this job description may also be assigned by the Director of Nursing from time to time.

Qualifications

Selection Criteria:

Selection criteria outline the qualifications, skills, knowledge and/or experience that the successful candidate will need to demonstrate to carry out the responsibilities of the post. Applications will be assessed on how well candidates meet these criteria.

Mandatory:(a) Eligible applicants will be those who, on the closing date for the competition:(i) Are registered in the relevant division of the Register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann), or are entitled to be so registered.And(ii) Have at least 5 years' post-registration experience, of which 2 must be in emergency nursing or a related area.And(iii) Can demonstrate evidence of continuous professional development.And(iv) Hold a postgraduate diploma in Emergency Nursing or equivalent.And(v) Are proficient in the Manchester Triage System.

 

Desirable:• Recognised management qualification, or willingness to undertake one if successful at interview• Tissue viability or wound care qualification• Experience of quality improvement, pathway development or audit

 

Skills, Competencies and Knowledge:The successful candidate will demonstrate:• Strong, enthusiastic and visible leadership, with the ability to motivate and develop a team• Sound knowledge of triage, streaming and ambulatory emergency care• Ability to manage patient flow, prioritise and make decisions under pressure• Excellent communication and interpersonal skills with patients, families and the multidisciplinary team• Commitment to quality, patient safety and continuous improvement• Ability to plan, deliver and evaluate change

 

Informal Enquiries ONLY to:Name: Fiona ThorpeTitle: Directorate Nurse Manager – Emergency DepartmentEmail address: [email protected]: 01 8528713

 

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.Please be aware that Beaumont Hospital will never ask candidates to pay money at any stage of the recruitment process. Any requests for payment, bank details, or financial information in connection with a job application should be treated as fraudulent. If you receive such a request claiming to be from Beaumont Hospital, please do not respond and report to the recruitment department immediately.