|Job Title and Grade||Risk and Health and Safety Manager CNM3 – (Grade VI) (25hrs per week)|
|Reporting Relationship:||The Risk Manager reports directly to the Director of Nursing.|
|Key Working Relationships||All staff members including outside agencies, contractors, transition students and volunteers|
|Location of Post||The Royal Hospital Donnybrook, Morehampton Road | Dublin 4||
|Informal Enquiries||Sharon Lawlor, HR Manager, E: [email protected],Tel: 01 406 6632
Evonne Healy, Director of Nursing, E:[email protected], Tel 01 4066716
|Purpose of the Post||
Operational responsibility to develop and co-ordinate a risk management and a safety, health and welfare programme in the hospital to effectively manage, measure and monitor the overall safety of the hospital
Promote best evidence risk management and systems of work practices that foster a fair, open and learning culture
Implement systems and processes to ensure that the organisation learns from incidents and claims analysis
Support Hospital Management Team, Board, Consultants, Nurse Managers and Department Heads in establishing a proactive risk management and health and safety culture, focussing on patient/ resident, staff and public safety.
|Roles and Responsibilities
|The Risk Manager post will be informed by the HSE Quality Enablement Programme, HSE National Service Plan, National Standards for Safer Better Healthcare/ National Standards for Residential Care Settings for Older People in Ireland and the Safety, Health and Welfare at Work Act 2005 and the Safety, Health and Welfare at Work (General Application) Regulations 2007 and associated legalisation. This focus will be expected to change over time as the organisation matures in the area of risk management, clinical governance and safety management systems.|
The successful candidate must:
Have the requisite knowledge and ability (including a high standard of suitability and management ability) for the proper discharge of the duties of the office.
|Risk and Health & Safety Management
· In conjunction with the Health and Safety Group and the CEO, review, at least annually , the hospital’s Safety Statement
· Monitor the performance of the Safety Management System by:
Ø Internal and external inspections; health and safety audits
Ø System analysis of accident trends and incident reports
Ø Benchmarking performance against agreed standards
· Co-ordinate announced external auditing (e.g. Dangerous Goods Safety Advisor)
· Accompany External Regulatory Inspectors such as Health and Safety Authority, Health Information & Quality Authority (HIQA). Assist external bodies in the investigation of accidents (e.g. Health and Safety Authority, States Claims Agency etc.)
· Monitor hospital contractors to ensure that safety procedures are in line with legal requirements and hospital policy
· Provide RHD with analysis including reports on adverse patient safety incidents, claims to identify trends and opportunities for further learning, quality and safety improvements and risk reduction strategies.
· Provide hospital groups and committees relevant information on matters relating to risk management.
· Provide risk and claims management data to the Hospital Management Team, Clinical Governance Steering Group for the purpose of updating on all aspects of risk.
· Work with the CEO and Director of Nursing in identifying priorities for quality improvements and monitoring compliance with all National Standards relating to Quality, Safety and Risk.
· In consultation with the CEO prepare and submit reports bi-monthly to the Board in relation to the new or significant risks on the Corporate Risk Register
· Report any Serious Reportable Events to the HSE within 3 working days.
· Prepare Preliminary Review Reports to Assist Decision Making for the Serious Incident Management Team.
· Participate as required in reviews of serious incidents
|Emergency Preparedness Planning||· Assist the Hospital Management Team in the development, testing, monitoring of the hospital’s emergency plan.
· Plan, organise and test the hospital’s internal emergency plan at least yearly. Maintain all records of attendance
· Co-ordinate basic Fire Safety and Fire Marshall training in conjunction with external consultants and HR staff
· Plan and co-ordinate a yearly Fire Drill programme for all wards.
|Education and Training||
· Provide training and advice of the risk management and health and safety programme which will include:
Ø Incident management, reporting and investigation methodologies
Ø Serious Incident and Serious Reportable Events reporting and management
Ø System Analysis Investigation methodology
Ø Risk Assessment
Ø Risk Register development & management
Ø Incident and Claims analysis
· Develop staff capacity to input relevant risk data into the hospital quality information management system.
· Contribute to other training and induction programmes to ensure awareness of the risk management and safety systems programme.
· Identify and facilitate educational development needs of staff.
· Ensure the recording of staff mandatory training.
|Health & Safety||
· Comply fully with all aspects of the Health and Safety Policy employee liability requirements.
· Ensure all staff are regularly updated on health and safety matters.
· Promote the use of management tools and initiatives such as team based performance management process.
· Promote the use of competency assessment for the purposes of professional development planning of staff.
· Participate in recruitment, selection and induction process for staff.
· Ensure that staff have a clear understanding of their duties, responsibilities and competencies expected.
· Participate on hospital committees in areas of quality & safety as required and agreed with the CEO.
· Work collaboratively with all other managers and staff in the hospital to ensure staff opportunities and development are consistent across the hospital.
· Represent Risk Management and Health and Safety at meetings and other events as required.
· Support, promote and actively participate in sustainable energy, water and waste initiatives to create more sustainable, low carbon and efficient health service.
· Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc. and comply with associated HSE protocols for implementing and maintaining these standards