Nurse at Medecins Sans Frontieres

Main Purpose

• Assisting in the nursing activities with hospitalised patients, according to nurses and doctors’ prescription, universal hygiene standards and MSF protocols, standards and procedures in order to ensure the delivery of quality medical care for patients.

Job Description

• Knowing, promoting, implementing and following up the universal hygiene standards/ precautions, bio-hazard prevention and infection control, security rules and other protocols and procedures in the medical premises and ensuring high standards of hygiene of his/her working environment. Respecting medical secrets and confidentiality at all times.
• Organizing and carrying out care and treatments according to medical prescriptions, and assisting during consultations, daily rounds and other medical procedures. Participating in health education of the patient (and family) when necessary.
• Identifying Sexually Gender Based Violence victims and referring them to the medical team so they can receive the necessary treatment.
• Knowing and is aware of the importance and appropriate use of the Post Exposure Prophylaxis (PEP) Kit
• Ensuring patients are properly received and installed and that those with lack of autonomy are assisted, especially regarding their feeding, personal hygiene, movements and comfort.
• For ER and OPD nurse, ensuring triage of patients in waiting areas, wards or during emergencies, detecting the priority acute/emergency cases, carrying out first aid care and referring them to the doctor when necessary
• Sending material to be sterilized and recuperates it from sterilization
• Carrying out admission, surveillance and follow-up of patients (i.e., assessment of the evolution of their state of health and the identification of any emergency situation or deterioration
• Carrying and supervising administrative procedures and documents (fill in patient’s files, forms, consumptions, statistics, registers, health files, etc.), ensuring an appropriate written/oral handover, and reporting any problematic situations and cases that may arise.
• Participation in data collection and keeping doctors/supervisors informed.
• Participating in the department-related pharmacy and medical equipment control and maintenance (quality and its functioning, storage conditions, follow-up of expired drugs inventories, stock takes of medicines and material at every team changeover ensuring no material is taken out of nursing area/wards without prior authorisation, etc.)
• Perform cleaning and minor maintenance for biomedical equipment used. Fol-lowing the user manual and protocols and alert supervisor in case of malfunctioning.
• Supervising and training nurse-aids, nutritional assistants, cleaners and other related staff under his/her supervision, ensuring teamwork and adherence to all appropriate protocols and procedures
• Prepares and serves milks to patients following the rules on dilution and hygiene, ensures care takers give milk to patients with the help of staffs in the unit.
• Participates in the medical tour with the doctor and the nurse of his unit.
• The nurse aid shloud maintain a good handover and documentations of all procedures performed during his shift including registration of new admissions and discharged patients files and any other checklist available in his/her unit.
• Working in collaboration with the different actors and compliance with MSF protocols.
• Provides advice to patients in order to maintain good hygiene in conjunction with the nurse / lay counselor AND , if necessary, provide assistance.
• Maintain flexibility while at work and respect hirachy.

The specificity of Gwange Pediatric hospital:

• The Nurse is likely to work day / night.
• Nurses can work in different units (E.R, ICU, Orange, Yellow, Insolation, and Outreach).

Under the supervision of the department supervisor the nurse adheres to the following:

• The nurse in triage is responsible for the triage of all patients coming to Gwange MSF hospital respecting admission criteria, actively response to emergency as parioty and maintains high standard precautions by managing all isolation cases as per protocol.
• He/she quickly identify all green patients and send to MOH by ensuring  good communication with care takers to avoid misunderstanding and maintains  good  patient floor (circuit) to allow good patient care
• The nurse should always be organize at all time during his/her shift by ensuring all material needed for patient care are available, communicates to his supervisor any missing materials and  Ensures the daily cleaning and organization of the care trolley of his unit.
• The nurse in charge of the unite follows all biomedical equipment’s in the unite to ensure that daily maintenance are completed by the Nurse Assistant and reports to the supervisor any dysfunction noticed and maintains up to date stock of consumables
• The Nurse on daily basis attends the medical round with the Doctor of his unit and In his area of competence, implement the medical treatment provided in the unit according to the pathologies diagnosed, identify potential contraindications to certain medicines and ensure that the doses to patients are respected (age, weight and other particularities) in order to ensure therapeutic success
• He/she participate with the supervisors in pharmacy inventories, meetings training of nurse, nurse assistants and orientation of new colleagues.
• He/she Works in collaboration with the assistant nurse and is responsible for the supervision of nurse assistants work and patients in his/her unit using the tools at his/her disposal.
• The nurse should maintain a good handover and documentations of all procedures performed during his shift including registration of new admissions and discharged patients files and any other checklist available in his/ her unit.
• The nurse at all time should be present at duty station except when call for help in another unite and should maintain good collaboration  and communication with other team members 
• In all areas of his activity, he can make proposals for improvement or adaptation to the supervisor of his unit.
• Working in collaboration with the different actors and compliance with MSF protocols.
• The nurse is committed to respect the free consultations and care. He respects deontology and confidentiality.

In addition, his manager may ask him to perform additional tasks if necessary:

• Detects cases of severe acute malnutrition and, if necessary, organizes with the Doctor and the supervisor the referral of the patient to an adapted structure.
• Knows / carries out the Therapeutic Patient Education (TPE), i.e. maintaining contact with all patients, providing them with information about their health status and answering their medical questions.
• Maintain flexibility while at work and respect hirakey.

Hygiene:

• Strictly apply the rules of hygiene in accordance with the standards in place in all activities.
• Respects hygiene rules: hand washing, waste management, compulsory work uniform etc.
• Provides advice to patients in order to maintain good hygiene in conjunction with the nurse assistant / lay counselor.

Information - Education - Communication:

• To educate hospital patients about vaccination.
• Routinely checks the child's immunization status.
• Provides lifestyle advice to Caregivers.

Requirements
Education:

• Essential recognized Nurse Degree / Diploma
• Desirable Bachelor’s in Science of Nursing.

Experience:

• Desirable 2 years of previous experience and previous experience in other NGO’s
• Demonstrable experience in supervising and training others in a team setting.

Languages:

• Fluent English (oral and written English), Hausa, Kanuri are Essential.

Competencies:

• Results and Qualité Orientation L1
• Teamwork and Cooperation L1
• Behavioural Flexibility L1
• Commitment to MSF Principles L1
• Stress Management L2.