Specialist Nursing Group

Advanced Nurse Practitioner

Kathleen Canavan-Moran 091 785768

The role of the Registered Advanced Nurse Practitioner (RANP) for Cardiothoracic Surgery in The Galway Clinic is modelled to meet the needs of the cardiac and thoracic surgical patient. The RANP in the post, Ms. Kathleen Canavan-Moran has a positive impact on the provision of a holistic approach to patient care and achieves an efficient and effective service for patients requiring cardiac and thoracic surgery.

The RANP plays a central role in the education of these patients and their families. Particularly in regards to their diagnosis, treatment, surgery, and lifestyle factors influencing their health. Unique to acute care in Ireland, all patients and families are afforded the opportunity of having 24-hour access to the Cardiothoracic service by means of Ms. Canavan-Moran’s mobile number. This not only facilitates open communication during a patient’s hospital stay but also for each patient upon discharge to home to be able to access the Cardiothoracic Team re any queries and or concerns they may have when they return home.

The RANP meets the service needs of the cardiothoracic service in the Galway Clinic in the following manner. The RANP provides holistic, competent, comprehensive, coordinated care to the cardiac and thoracic surgical patient. This multi-skilled practitioner is involved in patient care from pre-admission to post-discharge. Incorporated in this care is the management of a RANP led pre-admission assessment clinic, assistance in the operating theatre with cardiac and thoracic surgical procedures, participation in postoperative care, discharge of patients and post-discharge follow up.

Essential to the RANP role is the education of patients, and their families. The ANP plays a pivotal role within the multidisciplinary team and acts as a liaison with Public Health Nurses (PHNs), General Practitioners (GPs), and all primary and secondary caregivers associated with patient care. Furthermore, the RANP improves and develops nursing practice by active involvement in developing the scope of nursing practice, education of colleagues, carrying out audit and conducting nursing research.

Cardiology Clinical Nurse Specialist

Philip Parackal 091 785366

Our Cardiology CNS works closely with our Interventional Cardiologists and Cardiac Nurses providing assistance, support and information to patients as an essential part of their care.

Patients benefit from the dedicated approach of the CNS throughout the duration of their treatment, explaining plan of care, helping with an understanding of medication and clarifying the ins and outs of the prognosis and rehabilitation. The CNS also connects the patients to any other member of the multidisciplinary team.

Our Cardiology CNS offers post-discharge support for patients to help with queries with regarding symptoms or medication. The Cardiology CNS is available as a resource for all nursing staff and other members of the multidisciplinary team caring for patients with cardiac related diseases. Delivery of evidence-based expert care, provision of clinical leadership and implementation of educational development for Staff Nurses is pivotal to the role of the CNS.

Breast Care Nurse Specialist

Nuala Flaherty 091 785339

The aim of the breast care service at the Galway Clinic is to provide a high standard of individualised quality care to patients from the point of referral from their General Practitioner throughout the continuum of their treatment, recovery and aftercare. The Clinical Nurse Specialist in Breast Care will work closely with the Breast Consultants, members of the Radiology and Physiotherapy teams and Staff Nurses on the wards to ensure that the coordination of the breast service is precise, and is specific to the individualised needs of the patient.

An integral part of her role includes the continuing provision of information, education, and psychological support to patients and their families, at each stage of their cancer journey and beyond. She will facilitate their transition through referral to the various specialities, and will ensure that they are provided with necessary information to assist them in decision making. It is essential that the care provided is based on the individualised requirements of the patient’s psychological, physical, sexual and psychosocial following a breast cancer diagnosis. She will assess and monitor patients in both inpatient and outpatient settings and will evaluate outcomes to ensure optimum coordination and delivery of care.

The breast CNS will be a regular point of contact for staff in clinical practice, offering advice, education, and support on an on-going basis

Diabetes Clinical Nurse Specialist

Brita Nolan 091 785373

The Diabetes CNS role in the Galway Clinic focuses on the development and coordination of the Diabetes service in the hospital. The Diabetes CNS is available as a resource for all nursing staff and other members of the multidisciplinary team caring for patients with diabetes. The Diabetes CNS accepts referrals from specialized Consultants.

List of services provided :
• Individual consultations
• Group Education
• Insulin pump training
• Liaison nurse with patients post discharge
• Patient education for newly diagnosed patients

Haemovigilance Nurse Specialist

Mary Smyth 091 785515

Hospital-based Haemovigilance activity (surveillance procedures related to blood transfusion activity) must ensure that the hospital complies with standards set in law related to Blood transfusion. (EU Blood Directive 2002/98/EC and the ISO Standard 15189). This includes reporting all serious adverse reactions and events to the appropriate organizations and ensuring full traceability for blood and blood components used.

At the Galway Clinic, the Haemovigilance service is facilitated by Consultant Haematologists, Haemovigilance Nurse, Medical Scientists in Blood Transfusion and the Laboratory Manager and Quality Manager. The Haemovigilance Nurse acts as a resource for healthcare staff, offering advice and support in Haemovigilance. The key role of the Haemovigilance Nurse is to promote and maintain safe transfusion systems and practices at the hospital level. This includes education and training, audit and continual improvement, and patient advocacy. Education of staff at a local level will ensure that those involved in transfusion have the knowledge and skills required for safe transfusion practice.

Oncology Clinical Nurse Specialist

Ailish Munroe 091 785044

The role of the Oncology Clinical Nurse Specialist is to work with patients and their families experiencing cancer and its treatments. The Oncology CNS provides support for patients and their families, starting from diagnosis to treatment and thereafter. The support offered is through education, symptom management, and counseling. On a day to day basis, the Oncology CNS meets with new patients and provides them with information and education on their treatments.

The Oncology CNS liaises with patients receiving treatment who may require some symptom management advice and is also available to patients and staff to provide education and support as needed. The Oncology CNS works as part of a larger multidisciplinary team, including doctors, oncology nurses, and physiotherapist, to ensure the best quality of care for patients.

Palliative Care Clinical Nurse Specialist 

Claire Leese 091-785678

The philosophy of our Palliative Care Service in The Galway Clinic is that by helping patients to live both pain and symptom-free and with good subjective quality of life; we empower them to live as whole and independent a life as possible; maintaining and enhancing rich relationships and good quality of life despite adversity. By living well with maximum supportive care, our experience is that patients die in peace of mind surrounded with serenity and dignity. The Palliative Care CNS is available as a resource for all nursing staff and other members of the multidisciplinary team.

Our service is based on our relationships with individuals and their families. No two patients receive the same service. We listen, understand and respond using shared expertise, creative thinking, and whole hospital team involvement.

We strive to embrace the concept of critical inquiry as central to the provision of a quality service and strive to embed developing knowledge into our practice. In conclusion, we are a growing person-centred service enabling all to flourish, families, staff and most importantly the patient.

Pre-Op Assessment Nurse Specialist

Helen Fee 091 785413

The purpose of the PAC is to identify any health concerns which may need to be resolved prior to your surgery. Prior to your admission, you may be asked to attend the Pre Op Assessment Clinic (PAC). By attending the PAC ensures that when you are admitted there is no delay in your surgery date or time, or indeed so your planned surgery is not postponed.The tests carried out are requested by your Consultant and are tailored to your individual needs. The costs associated with the tests are subsidised by The Galway Clinic to keep them as low as possible and may be reclaimed from your insurance company depending on your insurance package.

These pre-operative tests may include the following;

• Nursing assessment
• Blood tests, ECG,x-rays, urine test, blood pressure, height, weight
• Free charted physio assessment (for orthopedic patients and those undergoing certain urology procedures)
• Patient education
• Discharge planning

Respiratory Clinical Nurse Specialist

Marianne McQuaid-Kelly 091 785778

The Respiratory Nurse Specialist’s role is to provide a service to patients with respiratory diseases. This service involves a strong clinical focus where an initial assessment is carried out which allows the CNS to identify patient’s individual needs. Working in partnership with the ward staff, recommendations for a plan of care are then established. The patient’s assessment and plan of care is then documented on Meditech. Once a plan of care has been established, the CNS continues to review patients, depending on their needs. Other aspects of the role include providing education to both patients and their families on their disease and the management of their disease including their treatment plans.

The CNS is available as a resource for all nursing staff and other members of the multidisciplinary team caring for patients with respiratory diseases. This ensures that our patients receive the best possible evidence-based practice here at the Galway Clinic. A review of current policies and the introduction of new hospital policies enables us, as an organization, to continue to achieve this. As new policies are developed and implemented, education and training are provided.

Other aspects of the role include developing and performing audits throughout the Galway Clinic. As a joint commission International accredited organisation, continued evaluation of the care we provide to our patients and service users is of extremely high importance. It enables us as healthcare professionals, to measure our care and the service we provide as an organisation, against established best practice standards.

Infusion Therapy & Manometry Clinical Nurse Specialist 

Anita Bowes 091 785777

Infusion Therapy: This offers a dedicated service to patients requiring intravenous biologic treatment. With a team of three staff members, we operate three dedicated chairs located within the Oncology day ward and receive referrals from rheumatology, G.I., and neurology consultant specialists. Our current operating hrs is 08.00 am to 6 pm Monday – Friday with two long days to accommodate late evening appointments.

GI Manometry is a specialist service which provides stationary manometry; assessment of the upper GI tract along with a 24 hr PH study to assess the extent and severity of acid reflux for a wide variety of patients suffering from GORD, swallowing difficulties or atypical chest pain etc. The G.I. lab is open Monday – Friday morning and is accessible via Consultant referral.

Tissue Viability Clinical Nurse Specialist

Kate Arkley 091 785379

At the core of the role of the Tissue Viability, CNS is the provision of expert, evidence-based advice in the prevention and the treatment of wounds of differing aetiologies. The Tissue Viability CNS requires many skills, but communication skills are essential to liaise with the multidisciplinary teams and the patient, as well as promote excellence in wound care. The Tissue Viability CNS works as part of the multidisciplinary team to provide a patient-centered quality and seamless care.

The Tissue Viability CNS aims to provide a valuable service for the patient with potential tissue damage as well as advice on current wounds. This clinical nursing expertise reduces Incidence and Prevalence of hospital-acquired pressure ulcers.

The Tissue Viability CNS also ensures all staff are trained in not only understanding the management of pressure ulcers/ difficult wounds but also are competent in carrying out risk assessments of those wounds.

Urology Clinical Nurse Specialist

Michelle O’Brien 091 785771

Uro-Gynaecology Clinical Nurse Specialist

Bridget Coye 091 785734

Our Urology and Uro-gynaecology CNS’s work closely with the Consultant Urologists and Consultant Gynaecologists. We are dedicated to the delivery of a safe, competent, compassionate, effective and efficient service for patients and their families. We achieve this through evaluating patient care processes and outcomes and the provision of up to date evidence-based care with every effort made to meet the patient's individual needs. Our ethos is based on providing holistic care to each individual patient and this involves the patient being actively involved in the decision-making process regarding their care, with the overall goal being to improve patients quality of life. Referrals to the Urology and Gynaecology service are made directly by the Consultant Urologists and Gynaecologists but we are always available to offer advice if required. The Urology CNS and Uro-Gynaecology CNS are available as a resource for all nursing staff and other members of the multidisciplinary team caring for patients.

The Urology and Gynaecology service include:

• Complex Urodynamics for investigation of lower urinary tract symptoms
• Flow Rates
Teaching of clean intermittent catheterisation
• Catheter Care
• Medical treatment for interstitial cystitis
• Continence care
• Education for both patients and staff
• Advisory and support role for patients on a daily basis and post-discharge home
• Working with other members of the multidisciplinary team.