Nurse x3 at American Refugee Committee (ARC)

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VACANCY – NURSE (3)

ARC is looking for a qualified, self-driven and committed individuals to join its Mahama Field office and program, in Kirehe District – in the position of NURSE, based FULL TIME in Mahama – Kirehe district.

POSITION

PRIMARY PURPOSE

 Nurse (3)

 

Reports to:  Head Nurse

Job Summary:

Nurses provide clinical care to refugees at the site level, according to all national health protocols.  He/she will maintain records of patient data for reporting purposes and will work to maintain and improve the level of healthcare for beneficiaries.  This position may work in several different capacities within the nursing continuum, including IPD/OPD care, HIV/AIDs programming (in PMTCT and VCT), pharmacy management, and referral services, all according to both ARC and Rwanda Ministry of Health protocols and guidelines.

Duties and Responsibilities

RespResponsibilities while assigned to Consultation service:

  • Fill client file and register book for each patient who comes in for a consultation
  • Interview patients to obtain information that will guide diagnosis with though physical examination of the patient while in consultation
  • Write all lab exams and findings in the patient file and in a register book
  • Prescribe treatment for the patient consulted with extra attention on doses and side effects
  • Make the decision on which patient can be referred to the medical doctor
  • Make sure the consultation activities start by the scheduled time and finish when the last patient is consulted
  • Perform PIT when it is necessary, and report all HIV-positive cases to HIV Program
  • Ensure FP is fully integrated into consultation
  • Maintain medical materials and equipment
  • Coordinate with other health staff on self-assessment of clinical skills and challenges.
  • Perform recordkeeping procedures when registering patients according to health center protocols
  • Follow up on patients that he/she has consulted and hospitalized.

 Responsibilities while assigned to hospitalization service:

  • Organize, complete, and manage patient data files according to confidentiality/organizational protocols
  • Interviews patient for information on guiding to the diagnosis with a physical examination of the patient while in consultation.
  • Take vital signs regularly and record them properly on patients files
  • Assist medical doctor in doing wards rounds on a daily basis
  • Verify all hospitalization materials, including beds, bedsheets, bed covers, medical materials, and equipment, etc.
  • Work with health center cleaners in order make sure visits to hospitalized patients are done according to health center plan.
  • Coordinate with other health staff on self-assessment of clinical skills and challenges.
  • Remind all hospitalized patients and home-health aide to avoid forbidden habits like smoking and consumption of alcohol
  • Maintain proper recordkeeping procedures when registering patients
  • Follow up the patients that are in hospitalization.
  • Perform handovers to  the night duty team as per handover checklists

 Responsibilities while timetabled to do night duty shift:

  • Make handover with the hospitalization team between 4:30 pm and 5:00 pm
  • Organize, complete, and manage patient data files according to confidentiality/organizational protocols
  • Interview patients to obtain information that will guide diagnosis with though physical examination of the patient while in consultation
  • Take vital signs during the night and in the morning,  and record them properly on patients files
  • Verify and maintain all hospitalization materials, including beds, bedsheets, bed covers, medical materials and equipment, et
  • Perform consultations of patients during the night and hospitalize severe cases
  • Distribute prescribed medicines to in-patients  and record distributions on the patient file
  • Follow-up with patients that are in hospitalization.
  • Make sure all hospitalized patients sleep in mosquito nets
  • Refer all complicated cases to District Hospital after correctly writing referral forms (transfer form and referral form)
  • Supervise the switching on/off the health center generator. The nurse on night duty must keep the key of generator house, and the opening of it must be done in her/his presence. The nurse on duty will supervise the filing of the logbook and approve with signature what the generator operator fills in the logbook after a thorough looking into it.
  • Present a comprehensive report on health center activities and data at morning health staff meetings
  • Perform handovers to  the morning duty team as per handover checklists
  • Coordinate with other health staff on self-assessment of clinical skills and challenges.
  • Enforce the restriction of rules on hospitalized patients and home-health aides using tobacco products and alcohol within the health clinic.
  • Organize, complete, and manage patient data files according to confidentiality/organizational protocols

 Responsibilities while assigned to pharmacy service:

  • Use all pharmacy tools correctly according to stock management procedures for health products (stock cards, supply request book, register for special drugs distribution and register for Health Center materials).
  • Fill stock cards whenever there is a movement in or out of health center pharmacy
  • Verify medical prescriptions according to protocols for pharmaceutical management
  • Maintain stock management and best storage practices for health products according to WHO and National protocols
  • Carry out the distribution of essential drugs to patients on a daily basis, respecting the FIFO method (First IN First Out), and informing patients on drugs dosage and mode of use
  • Receive and organize transport of medicines and other medical supplies from ARC  pharmacy store
  • Write and submit requisitions of essential drugs and other medical supplies on a weekly basis
  • Maintain recordkeeping procedures of health products stock as per ARC pharmacy regulations
  • Coordinate with other health staff on self-assessment of clinical skills and challenges.
  • Collaborate on the delivery of essential drugs to patients with other ARC departments, particularly with the ARC pharmacy

Responsibilities while assigned to PMTCT service:

  • Counsel and test pregnant women and their partners for HIV in PMTCT, and provide them with accurate information about the infection, current treatments, services, options, and other resources.
  • Follow-up HIV-positive pregnant women in PMTCT service respecting the national protocol
  • Assist deliveries of HIV-positive women and make adequate follow-up after delivery as required by the national protocol.
  • Follow-up all babies born on HIV-positive mothers relying on national protocol
  • Organize and follow-up activities related to PCR for babies born on HIV-positive mothers as well as CD4 count for HIV-positive pregnant women.
  • Maintain current and accurate client records as directed, collect and report relevant data about services provided, and prepare statistical reports as required.
  • Develop and maintain an in-depth awareness of available HIV/AIDS treatment options, local resources, and transmission prevention strategies.
  • Organize home visits as needed.
  • Work closely with other HIV Program staff on coordinating both health data, maintaining protocols on HIV treatment/counseling, and caring for patients

 Responsibilities while assigned to referral service:

  • Organize appointments of patients
  • Organize, complete, and manage patient data files according to confidentiality/organizational protocols
  • Provide to both Health Center List and CHWs with the list of patients names and the dates of their referrals
  • Provide the monthly referrals schedule to Health Coordinator, Logistics Coordinator, and Head Nurse
  • Accompany referred patients until they enter services where they are referred in-be it at district hospital or to national referral hospitals
  • Give payment sheets to patients before they enter the services they are referred to in
  • Explain briefly to each referred patient details of the service he/she referred in
  • Follow-up with referred patients to receive medical care

Responsibilities while assigned to VCT service:

  • Counsel and test clients for HIV in VCT and provide them with accurate information about the infection, current treatments, services, options, and other resources
  • Organize appointments of patients
  • Organize, complete, and manage patient data files according to confidentiality/organizational protocols
  • Post in health center list of patients names and the dates of their referrals
  • Provide to CHWs the list of patients names and the dates of their referrals
  • Provide the monthly referrals schedule to Site Manager, Logistics Coordinator, Medical Doctors and Head Nurse
  • Accompany referred patients until they enter services where they are referred to in
  • Give payment sheets to patients before they enter the services they are referred to in
  • Explain briefly to each referred patient details of the service he/she referred in
  • Follow-up with referred patients to receive medical care

Perform any other duties assigned by the supervisor, or any other ARC Senior Managers.

Education, Technical Skills & Knowledge required.

  • A1 in the Nursing field
  • 2-3 years of experience in nursing in a clinical setting in Rwanda
  • Analytical and organizational skills/experience with health data
  • Demonstrated knowledge of Health Information Systems, Nutrition protocols, HIV protocols, and Primary and Reproductive Health Care concepts, including Rwandan Ministry of Health protocols and guidelines
  • Strong report writing skills with proven organizational/multi-tasking skills.
  • Strong coordination and leadership skills with proven ability to work across multiple technical areas simultaneously, supporting and mentoring multiple staff members.
  • Experience in collecting patient data for health systems monitoring purposes.
  • Experience in Monitoring and Evaluation of health-related projects
  • Oral/writing skills in Kinyarwanda, English, and French.
  • Ability to coordinate with other health sector staff in a diverse environment
  • Must have cross-cultural and strong interpersonal skills to work with refugees and vulnerable persons.
  • Excellent organizational and administrative skills.
  • Ability to prioritize multiple tasks and meet deadlines in a dynamic environment.
  • Experience working in protracted refugee situation and/or previous experience in Rwanda

 Minimum requirements:

  • Strong clinical skills in a low-resource, fast-paced setting, working with vulnerable/displaced persons
  • Commitment to personally champion ARC’s program vision and mission and inspire others to do the same.
  • Has worked in both an emergency and a development setting.
  • Excellent written and verbal communication, including effective presentation and facilitation skills
  • Initiative, resourcefulness, and innovation.
  • Punctual at his/her duty station
  • Respectful and willing to support others.
  • Good communication skills

Submit 1 page Cover letter, an updated CV (maximum three pages) and names, title, and contacts of three professional referees, to include most current employer/supervisor – via email to RWJobs@arcrelief.org with the POSITION applied for clearly indicated in the subject line. The deadline for submission of applications is 30th August 2019 at 5:00 pm.

Only applications received through the stated email address will be considered. Only shortlisted candidates will be contacted.

American Refugee Committee is an Equal Opportunity Employer offering employment without regard to race, color, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, physical or mental disability, or protected veteran status.  American Refugee Committee complies with all applicable laws governing nondiscrimination in employment.

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