Clinical Midwife Specialist – Ultrasound

Coombe Women and Infants University Hospital
Employment Type
€51,422 - €60,792 per annum
Coombe Women and Infants University Hospital logo

Clinical Focus – Direct Care

Aspects of Specialist post as defined by NCNM :

  • The post holder is required to support the principle that the care of the woman and her baby comes first at all times. S/he will approach her work with the flexibility and enthusiasm necessary to make this principle a reality for every woman accessing our services to the greatest possible degree.
  • Maintain throughout the Hospital, awareness of the primacy of the woman and her baby in relation to all hospital activities.
  • Demonstrate behaviour consistent with the Mission and Values of the Hospital.
  • Place kindness and compassion at the core of daily work
  • The CMS Ultrasound
  • Will articulate and demonstrate the concept of nursing & midwifery specialist practice within the framework of relevant legislation, the Scope of Nursing & Midwifery Practice Framework (An Bord Altranais 2000a), The Code of Professional Conduct (An Bord Altranais 2000c) and Guidelines for Midwives (An Bord Altranais 2001).


  • Will demonstrate a strong woman/family centred focus. S/He will provide direct care by assessing, planning, delivering and evaluating care in routine ultrasonography cases thus assisting prompt management. S/He will provide indirect care by influencing others as described below to provide a high quality ultrasonography service to women and their families.

  • Identifies health promotion priorities and implements strategies in accordance with the public health agenda as agreed at Dept level in conjunction with the line manager

  • The Ultrasound Service plays an integral part in the provision and development of Women and Infant Services within the Coombe Women & Infants University Hospital. Within its remit, it is committed to providing high quality family centred Fetal Assessment. 

The CMS provides a multidimensional role within the Ultrasound Department and Perinatal Assessment Team.

Direct care encompasses a vast variety of tasks and duties including:

Perinatal Assessment. Ultrasound screening as categorised as per Table 1.

Coordination of the assessment, planning, implementation and re-evaluation of pathways of care for women and their families both in low and high risk settings. This role acts foremost within its primary assessment of the client to make clinical decisions based on agreed hospital protocols.

Antenatal education of Families

Coordination and monitoring of clinical pathways of care within specialised Multidisciplinary teams for those who are deemed to fall within a ‘High Risk’ category i.e. Diabetic, Twin and Rhesus Clinics.

Counselling: women and their families in cases of early pregnancy loss / intra-uterine death and pregnancies effected by fetal anomalies 

Assist in the provision of invasive antenatal screening procedures such as amniocentesis, chorionic villi sampling and cordocentesis

Act as a reference point for women and their families to ensure adequate follow up of care and implementation of pathways of care post procedure and diagnosis.

Act as consult for junior members of staff and other members of the multidisciplinary team

Act as Consult for Early Pregnancy Assessment Unit

Assist in facilitation of the Gynaecological and Infertility Service

Indirect Care

Acts as a resource person for the multidisciplinary team / perinatal / audit and clinical risk groups

Provides for the educational needs of staff and clients ( this may include the provision of teaching student midwives in the formal setting i.e. university and as agreed with the line manager).

Contributes towards Inter-departmental planning re time and resource management with regard to meeting service demands, and the anticipation of projected needs for future services in a bid to provide a quality service within the department and as part of the Clinical Governance framework.

Patient/Client Advocate

•  The role of the CMS involves communication, negotiation and representation of the woman’s values and decisions in collaboration with other professionals within the multidisciplinary team; both in the hospital and the community, together with advisory and support health care professionals thus promoting improved woman centred care.

  • The CMS acknowledges the woman’s anticipation, meets the particular needs of each woman and her partner and enhances and promotes effective communication between the woman/couple and health care professionals.

  • Using specialist knowledge and skills, the CMS facilitates the woman / couple receiving whatever information is made available to them by identified counselling concepts and core conditions e.g. empathy, transparency, authenticity and non-judgemental caring.

  • The Clinical Midwife Specialist:

  • Enables families to fully participate in decisions about their baby’s health care needs.

  • Articulates and represents mother and baby’s interests in collaboration with the interdisciplinary/ multidisciplinary team.

  • Implements changes in healthcare service in response to women’s need and service demand.

  • Ensures the dignity of the woman is maintained at all times, having regard to the ethics and philosophy

Education & Training:

•  Provides structured education and training for staff as required by the line manager. The aim of training is to empower staff and facilitate development by enhancing existing knowledge, insights, understanding, skills and sensitivity in caring for women/couples attending ultrasound services.

•  Provides an effective clinical learning environment as part of the training for Diploma & Degree students of Midwifery & Nursing / Medical at the Coombe Women & Infants University Hospital /TCD. 

•  Participates in the weekly multidisciplinary Perinatal Morbidity & Mortality Meeting and uses this forum to inform of service developments, audits or enhancements in care.

•  Participates in Induction programmes for relevant staff, as required by the CMM3. 

•  Identifies own Continuing Professional Development (CPD) needs and engages accordingly.

The Clinical Midwife Specialist:

  • Participates in and develops education and training programmes in Ultrasound for all grades and disciplines of staff.
  • Provides mentorship, preceptorship, teaching, facilitation, and professional supervisory skills for midwives, sonographers and medical staff.
  • Develops Competency programmes in accordance with recommendations advocated by the national guidelines and or evidence based best practice.
  • Develops, provides and delivers lectures in ultrasound to students within the midwifery training programmes. 
  • Educates and advises patients and families re clinical pathways of care within High and Low Risk antenatal settings
  • Develops patient information tools with respect to the consent standards, provision and limitation of ultrasound screening 
  • Sustained clinical competencies are achieved by the Clinical Midwife Specialist, in accordance with An Bord Altranais agus Cnáimhseachais recommendations by:

                – Regular participation in relevant Midwifery / Ultrasound educational programmes.

               – Attendance at National and International Multidisciplinary conferences in Ultrasound and Fetal Medicine                           facilitating dissemination of recent research findings/practice within Ultrasound Team.

Audit & Research:

  • Identifies, critically analyses, disseminates and integrates midwifery and nursing research and other evidence into the area of specialist practice.

  • Identifies, participates in and evaluates audit.

  • Uses the outcomes of audit to improve service provision.

  • Contributes to service planning and budgetary processes through use of audit data and specialist knowledge

  • The CMS must keep up to date with relevant current research to ensure evidence based practice and research utilization.

The CMS 

  • Ensures evidence based practice by development of clinical standards and guidelines and is responsible for reviewing and disseminating such guidelines.
  • Instigates and participates in clinical audit and prepares appropriate reports.
  • Uses the outcomes of clinical audit to improve the ultrasound service provision
  • Initiates and participates in research where appropriate under the direction of the Director of Ultrasound.
  • Maintains accurate statistical data, and prepares an annual report


  • Provides leadership in clinical practice and acts as a resource and role model for specialist practice.
  • Generates and contributes to the development of clinical standards and guidelines. These are compiled from current relevant research to ensure evidence-based practice. 
  •  Uses specialist knowledge to support and enhance generalist midwifery & nursing practice.
  • Inter and intra disciplinary consultations, across sites and services are recognized as key functions of the CMS. This consultative role also contributes to improved management patient/client management. 
  • In the promotion of the high standards of patient care the Clinical Midwife Specialist liaises with Multidisciplinary Teams and acts as a consult for other members of the healthcare team both within hospital and community settings.
  • The Clinical Midwife Specialist encourages and promotes effective communication between agencies to facilitate and devise efficient pathways of care for patients and their families.
  • Provides leadership in clinical practice and acts as a resource and consult for specialist ultrasound practice.
  • Uses specialist knowledge to support and enhance midwifery practice
  • In the promotion of a Quality service the Clinical Midwife Specialist acts in an advisory capacity to the clinical management team in the planning and development of service needs.
  • The Applicant will be employed in the specialist role, including approved associated administrative activities.
  • Ensure effective communication with all disciplines, women and relatives. 
  • Comply with all An Bord Altranais agus Cnáimhseachais Guidelines, Code of Conduct and Scope of Practice etc.
  • Comply with hospital policies/procedures/ guidelines.
  • Comply with the requirements of the Health, Safety & Welfare at Work Act

Management/ Administration 

  • The role of this post centres on the effective and efficient coordination of services to include:
  • Compliance with National Standards for Safer Better Healthcare
  • Cooperation with CMM3 in the formulation of an annual service plan and an annual report
  • To keep accurate, legible records and be aware of the legal implications of these documents.
  • Contribute to the formulation of, or updating of policies and procedures, where appropriate, which comply with agreed best practices.
  • Take responsibility for leading out on aspects of national standards for Safer Better Health Care as agreed in conjunction with line manager
  • Manage time and resources in a professional and effective manner.
  • Report all accidents or incidents to the Clinical Midwife Manager 3 in charge of the dept using the hospital approved mechanisms for reporting.
  • Support/assist colleagues in the establishment of a good working atmosphere and making the most effective/efficient use of resources including staffing.
  • Assist in the maintenance of necessary equipment and ordering of supplies as required for this service to ensure a safe environment.
  • Practice an enabling management style with the front-line management team and other contributing professionals.
  • Participate and collaborate in the development of the Divisional Service Planning process for CWIUH
  • Provide reports on matters affecting the implementation and monitoring of the service plans against the targets set.
  • Comply with all legislative requirements as they pertain to employment and the post.
  • Promoting and supporting a Performance measurement and management culture.
  • Act up for the CMM 3 in his/ her absence as required 

The principal duties and responsibilities as outlined above indicate the main functions and responsibilities of the post and are subject to review and amendment in light of changing circumstances and may include other duties and responsibilities as may be determined from time to time by the Director of Midwifery & Nursing.

ties as may be determined from time to time by the Director of Midwifery & Nursing.