Candidate (cANP) (RANP) Ambulatory Gynaecology

Coombe Women and Infants University Hospital
Employment Type
€59,742 - €73,725 per annum
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Responsibilities & Accountabilities:


  • Identify through collaboration with key stakeholders the agreed caseload, parameter of the RANP service to be delivered and the additional clinical supervision required to meet the registration requirements and agree and commit to a plan of work. This includes acquiring a minimum of 500 hours of clinical supervision in the specific practice area – Ambulatory Gynaecology. The expectation for the role is to support the existing ambulatory gynaecology service and develop the capacity to bridge between it and colposcopy in providing women presenting with concurrent colposcopy and associated gynaecologic needs. The future vision for ambulatory gynaecology is to enable assessment and management within a “one-stop” model of care where feasible. The RANP is expected to provide support to triage, assess and manage an episode of care for Women referred to the Ambulatory Gynaecology service. 
  • Agreed the scope of practice for the Candidate ANP/RANP as appropriate with key stakeholders. The role content should be defined within a framework of nursing/midwifery practice. Areas of responsibility, levels of authority and channels of accountability must be clearly defined.
  • Be aware of the clinical governance structures within and outside the organisation that support advanced practice including indemnity. 
  • Utilise practical, theoretical knowledge and critical thinking skills to a level that will be seen as exemplary amongst peers and will be recognised and acknowledged as an authority in the area of advanced midwifery care as agreed for the role.
  • Accept accountability and responsibility for clinical decision making at Candidate ANP/RANP level by managing a caseload under clinical supervision,as a candidate ANP to develop competencies and skills required for registration. 
  • Review collaboratively agreed clinical decision making frameworks, protocols, policies, guidelines, referral pathways to support the role responsibilities of the RANP-Nursing care in Ambulatory Gynaecology.
  • Develop and obtain the core and specialist clinical skills, knowledge and competencies to become an autonomous Registered Advanced Nurse Practitioner-Ambulatory Care whilst clearly defining the scope of practice.
  • Develop expert knowledge and skills in all aspects of assessment, risk stratification and management of the client cohort for whom the post is being developed
  • Develop close links with all members of the multidisciplinary team to ensure that a safe quality driven evidence based service is being delivered to all women including the family/carers within their caseload.
  • Develop the ability to use professional judgement, clinical reasoning and decision making processes to refer women to other health care professionals as required and as per agreed referral pathways.
  • Utilise practical clinical skills and knowledge to manage the woman’s need holistically , for example, venepuncture, cervical screening. IUCD removal/insertion based on clinical care pathways.
  • Achieve clinical competence through engagement in education, clinical supervision and peer review on an ongoing basis.
  • Take responsibility for expanding autonomy over time, maintaining and providing the exemplary governance. 
  • Work with the Clinical team in leading on the implementation of the National Maternity Strategy and the National Women and Infants programme. 
  • Articulate and rationalise the concept of advanced nursing practice within the framework of relevant laws, rules and guidelines that govern nursing practice including, but not exclusively, The Scope of Nursing and Midwifery Practice Framework (An Bord Altranais, 2000), The Code of Professional Conduct (NMBI, 2014) Practice Standards for Midwives (2015), Advanced Practice (Midwifery) Standards and Requirements (NMBI, 2018) and The Nurses & Midwives Act (Government of Ireland 2011)
  • Demonstrate advanced practical and theoretical knowledge and critical thinking and decision making skills to manage the agreed caseload effectively. 
  • Be identified in the clinical setting as an autonomous practitioner and role model demonstrating an expert level of professional knowledge and competency in the area of Nursing , Ambulatory Gynaecology  . 
  • Will provide expert nursing guidance, advice and support to all midwives, CMM2s, CMM3s and ADON/M. 
  • Develop a means of improving practice through exploring practice issues with team members, development of practice protocols and research and audit initiatives.
  • Develop skills in order to function in a variety of roles including clinical and consultative, clinical practice development, clinical leader, teacher, coach, mentor, manager and researcher, 
  • Assess, plan, implement, manage and evaluate patient care holistically, encouraging the patient and family/carers to be involved in their care pathway.
  • Identify health promotion priorities and opportunities in the wider health care agenda were appropriate.


  • Articulate and communicate the vision of advanced level nursing practice 
  • Manage the integration of the ANP role into the multidisciplinary team and the effect of the new role on the work of other healthcare professionals
  • Promote an understanding of the role of the Registered Advanced Nurse Practitioner and increase the awareness of nurses, midwives and other grades of the scope of practice of the Registered ANP.
  • Contribute to professional development of nursing, the development of health policy at local, regional and national level in the specialist area and the wider health care field.
  • Provide professional leadership, strategic direction, expert advice and support to the clinical teams
  • Provide professional leadership, strategic direction, expert advice and support to nursing and midwifery and the wider MDT at local and national level.
  • Actively engage in leading and managing change in the delivery of gynaecology care services according to service user need and service demand through professional leadership, providing expert nursing advice and support to colleagues and the wider MDT and other key stakeholders.
  • Act as a role model of advanced nursing practice for all nursing and midwifery colleagues, the MDT and other key stakeholders; this includes education and clinical skill development in the area.
  • Develop, lead and clinically supervise nurse led service in line with changing service and healthcare needs.
  • Assess and evaluate the service user and family/carers experience with the service through evidenced based methods.
  • Ensure that effective patient quality safety procedures are in place to comply with local and national requirements. 
  • Adhere to mandatory training requirements of the role.
  • Participate in facilitating learning and education of midwives (both undergraduate and post-graduate levels) and other health professionals in the clinical area. Teaching in the classroom and in the clinical area as well as presenting at conferences, seminars and workshops to enhance the advanced midwifery 
  • Contribute to the service plan by producing an annual working report, outlining the level of current service provided, the achievements and challenges of the service and a future plan for the service role.
  • Contribute to the professional body of nursing knowledge and practice nationally and internationally by developing writing, publishing and presentation skills 
  • Recognise limitations in scope of practice and address theoretical and practice gaps through continuing education, consultation with colleagues and consultant.
  • Work to achieve excellence through continuously improving the standard and quality and safety of nursing care.
  • Help to lead quality and safety improvement, risk management and standard setting projects in conjunction with clinical governance
  • Ensure that effective safety procedures are in place to comply with Health & Safety Guidelines and Welfare at Work Act


  • Identify research priorities specific to/related to the area of clinical practice and the scope of practice/caseload
  • Lead, conduct, disseminate and publish nursing research to shape and advance practice, education and policy in nursing care and where appropriate the wider health agenda. Collaborate with MDT colleagues were appropriate to enhance care provision.
  • Identify, critically analyse, and disseminate nursing and other evidence into clinical practice in the specialist area.
  • Develop skills to lead and engage in the review of accidents, incidents and near misses in specialist area. Undertake analysis as appropriate and furnish reports on same.
  • Initiate, participate in and evaluate audit of the patient caseload and other relevant areas appropriate to the specialist area. Utilise outcomes appropriately to enhance service delivery.
  • Initiate and foster links with third level education institutions as appropriate. 
  • Contribute to service planning and budgetary processes through use of research, audit and evaluation processes. 

The above Job Description 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 him/her from time to time and to contribute to the development of the post while in office.