Enrolled Nurse (Bojanala Platinum) at Right to Care

Description
Accountability

• Takes responsibility for all work activities and personal actions.
• Follow through on commitments, implement decisions that have been agreed upon and maintain confidentiality with sensitive information. 

Communication

• Clearly conveys and receives information and ideas through a variety of media to individuals or groups in a manner that engages the listener, helps them understand and retain the message, and invites response and feedback.
• Keeps others informed as appropriate. 

Cultural Awareness

• Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics; treats all people fairly and consistently; effectively works with people from diverse backgrounds by treating them with dignity and respect.

Ethics and Integrity

• Earns others' trust and respect through consistent honesty and professionalism in all interactions.  
• Respects and maintains confidentiality.  
• Tells the truth and is honest in all dealings. 

Interpersonal Relationships and Self-Awareness

• Thinks carefully about the likely effect on others of one's words, actions, appearance and mode of behaviour.
• Maintains stable performance and emotional control when faced with opposition, pressure, hostility from others and/or stressful conditions

Knowledge of the Job

• Possesses, acquires and maintains the technical/professional expertise required to do the job effectively.

Professionalism

• Demonstrates self-control by maintaining composure and keeping emotions in check even in very difficult situations; deals calmly and effectively with stressful situations. 

Quality of Work & Accuracy

• Setting high quality standards and striving for continuous improvement and to secure quality. 

Counselling and Testing

• Obtain informed consent from clients by providing them with essential information as per the National Department of Health (NDoH) and PEPFAR VMMC/HTS guidelines. 
• Provide age- and culturally appropriate group and individual counselling to clients within language of their understanding.
• Screen patients for Sexually Transmitted Infections (STIs) as per current STI guidelines and Tuberculosis (TB) by asking the four standard TB screening questions and refer patients accordingly.
• Ensure that the key elements of VMMC education are included in counselling sessions (i.e. risks, benefits, description of surgery, explanation of partial protective effect of VMMC procedure, VMMC being a permanent procedure, importance of knowing HIV status, and post-operative care).
• Conduct pre- and post-HIV counselling and testing as per most recent NDoH HTS guidelines.
• Respect and ensure client confidentiality

Clinical Output

• Provide Health Care to all VMMC clients, in line with your Enrolled Nursing scope of practice and WHO/NDOH Guidelines.
• Provide follow-up care in line VMMC SAG/WHO guidelines.
• Conduct wound care management in all VMMC clients.
• Conduct and record Pre, and Post-operative care for all clients.
• Provide health education to all clients.

Linkage to Care and Treatment

• Record personal and contact information of newly tested HIV positive clients in the linkage to care and treatment register.
• Conduct Active and/or supported linkage to care and treatment of all newly diagnosed HIV positive clients.
• Ensure all clients tested HIV positive are linked to care and started treatment and record on the register accordingly
• Confirm that all linked clients have reached a care and treatment facility within a week of referral.
• Follow up on all linked clients at one-, three- and six months into care and treatment.
• Verify that all linked clients are still in care and treatment and adhere to their treatment.
• Receive and process all HIV negative clients that are referred from HTS partners for VMMC services. Quality Assurance
• Conduct regular proficiency tests on HIV testing kits as per most recent guidelines.
• Ensure participation in HIV Rapid Testing Quality Improvement Initiative (RTQII)
• Conduct quality assurance procedures on each testing kit.  These procedures must include checking the expiry date and integrity of the test kits before use.
• Adhere to the National HIV testing algorithm and process as per the most recent HTS guidelines.
• Ensure all required documents are available for a client to be circumcised
• Ensure the use of job aids during counselling/MMC education
• Ensure all follow-up and review of clients are conducted and documented accordingly.
• Ensure Emergency Management/Referral Protocol are adhered to.
• Ensure completeness of client records
• Adherence to Infection Prevention and Control Standards.
• Assist in making sure that clinic is prepared according to QA requirements.
• Adhere to the set standards of the program

Reporting

• Properly and accurately record all clients’ essential personal and demographic details in the NDoH client VMMC Input Tool, Right to Care consent form (Lynx Form) and HTS registers.
• Properly and accurately fill in the Right to Care consent forms.
• Ensure that all informed consent forms have been properly signed by clients or their parents / guardians.
• Business Continuity
• Perform any other relevant and reasonable tasks within your scope of practice which may be required from time to time. 
• Fill in for other counsellors, Admin, Nurses at sites as and when required by line management.
• Keep abreast with RTC Care policies.

Requirements

Required Minimum Qualifications

• Enrolled Nurse Certificate 
• Basic Counselling Qualification 

Desirable Qualifications

• Matric (Senior Certificate)
• Enrolled nurse Certificate
• HTS Certificate (10-day certificate)
• VMMC counselling certificate
• Code B or C1 driver’s license

Required Minimum Experience

• Two to three years working experience as an Enrolled Nurse.
• One-year counselling experience.
• Desirable Experience
• Two years counselling experience.
• VMMC - Nursing related and/or HTS-related counselling experience will be advantageous.