Nurse

Responsibilities/Activities:

Medical / Nursing Activities

Carry the overall responsibility of any nursing activities appropriately, skillfully and in accordance with MSF protocols and procedures in place, which may include (but not limited to):

Ensure the triage of patients and prioritize workload

Take anthropometric measurements (MUAC, weight, height, oedema, use of w/h charts) and evaluate the results

Take, register and report vital signs and making any other necessary observations as required by their supervisors;

Together with Nurse Assistants/ Paramedic Helpers, monitor patient vital signs, food intake and output; immediately report unexpected deviations to the doctor and follow his/her order how to respond on it

Calculation of the dosages and safe administration of oral, IM, IV drugs as per Doctors instructions and prescriptions and in accordance with MSF protocols

Safe insertion and good management of IV cannula; ensure (directly or by guiding Nurse Assistants) administration / management of IV fluids

Indication and good management of drains, catheters, NG Tubes.

Indication and use of rapid diagnostic tests (RDTs) including bedside testing like glucose or dipstick, Hb.

Indication and correct use of oxygen, suction equipment, CPAP and incubators

Initiate the patients on the blood transfusion according MSF blood transfusion guidelines and monitor the patients closely.

Laboratory specimen collection and procedure, follow up results from the laboratory

Respond appropriately to emergency situations, obstetrical and medical and immediately call MD in the case of any medical emergency in the wards.

If necessary, prescribe relevant treatment according to MSF guidelines and protocols.

Appropriate wound care if necessary.

Additional EPI tasks as needed.

Maternal care if requested

Assist in the isolation room and daily care

Provide nutritional medical care, calculate the correct quantities of the therapeutic food to the patients according to MSF nutritional protocols and guidelines.

Assist in the operating theater as required; this may include setting up OT preoperatively, managing OT sets and instruments, assisting surgeons as required, management of post-operative patients and sterilization.

General

Ensure that all patients have been reviewed by the doctor and correct prescribed medication and treatment given according to MSF protocols and guidelines and follow up progress daily. Responsible for admission and discharge of patients according to doctor’s orders (documentation and assessment according to MSF protocols)

Attend ward rounds by the consultants/MDs in the ward including updates of the patients conditions

Ensure integrated health education and support within all activities, to patients and their families.

Ensure clean and safe environment for patients and staff

Comply with MSF Health Care Waste Management, hygiene and sterilization procedures.

Comply with, and insure implementation of nursing protocols, procedures and standards

Responsible for MSF equipment and materials and their correct use

Accurate reporting and timely consultation and or referral, following the orders of and giving assistance to the doctors and/ or other supervisors.

Report any type of medical error in the ward which could be linked with wrong administration of the drug, or mistake in the calculation of the dosage or any other error happening during nursing activities.

Review, give suggestions, and develop with the nurse supervisor, any changes to the guidelines and protocols to benefit patient care and the smooth running of the health facility.