Nurse

Job Description

Main Objectives

Provide quality nursing care (preventive & curative) and follow-up of patients, according to doctors’ prescriptions and following MSF protocols & guidelines in order to ensure 24/7 good quality nursing care of patients admitted in MSF health program, under the supervision of the Nurse Supervisor or a Medical Doctor or an expat Nurse

MSF’s health services include:

Delivery Room / Birthing Unit

OBs & Paeds IPD

Nursery

OT (Obstetrics ONLY)

Therapeutic feeding (ITFC/ATFC)

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.

(If applicable)

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 theatre 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