Enrolled Nurse at BroadReach

Purpose of the position

• The Enrolled Nurse’s primary responsibility is to support the implementation of strategic and tactical interventions at Department of Health (DoH) facilities and sites through the provision of direct HIV & TB related clinical services to patients and clients, namely HIV Testing Services, referring HIV-positive persons, ensuring linkage to care and prevention services, implementation of decanting strategies. She / he will drive the 90-90-90 HIV and TB agendas for adults and children by ensuring that DOH clinical protocols and guidelines are being implemented by target facilities and that facility staff are continuously identifying and addressing clinical issues in order to reach 90-90-90 targets. The Enrolled Nurse will work in conjunction with a registered nurse/ professional nurse on site, led by the Cluster Team Lead.

Key Accountabilities (included but not limited to)
In your role you will:

• Provide voluntary and confidential HIV Testing Services
• Linkage of all HIV positive patients to care and negative patients to Prevention Services
• Maintain and monitor patients’ adherence to treatment regimen to assess success of counselling
• Support adherence by educating patients about self-management of HIV/AIDS and/or TB, tailoring instructions to patient’s individuals’ circumstances
• Refer newly diagnosed HIV positive patients for ART initiation and ensure linkage to care
• Conduct the vitals examination and record results for all patients seen
• Screen all patients for TB
• Take bloods (and/or sputum) for all HIV positive patients and TB suspects as per guidelines under direct and/or indirect supervision of PN
• Educate and enrol patients into differential care models streams when eligible
• Contact patients to return at scheduled intervals for Viral Loads in accordance with treatment guidelines
• Track, Trace and Refer Early Missed and Late Missed appointments, LTFU and uLTFU patients to WBOTs, Community Partners or as directed for return to care
• Contact patients who miss appointments within 3 days of missed appointment and reschedule Provide health education on health-related issues such as nutrition, retesting, family planning, etc, in patient waiting rooms and appropriate community events
• Participate in organizing and staffing HIV/AIDS awareness events including youth events
• Work with the DREAMS team to ensure Prevention activities within facilities
• Ensuring patient confidentiality
• Safekeeping of patient records
• Maintain current filing system
• Systematic daily filing of patients’ patient’s records including blood results
• Create patient list from appointment system and pre pull files/folders for next 2 days’ appointments
• Registers, daily tally and monthly summary forms always available, filed for 5 years (send it to archive after 5years)
• Ensure availability of updated data collection tools and daily distribution to all consulting rooms
• Daily retrieving of patients’ files, daily collection of patients’ raw data from all relevant facility’s registers for entry into clinical stationery
• Compare tracking list provided to WBOTs, Community Partners, other with appointment system to ensure patients return to care
• Compare phone log for missed appointments against facility daily appointments to ensure patients prompt return after a missed visit

In your role as Enrolled Nurse you will:

• Have knowledge of diagnosis, clinical management and on-going antiretroviral use in HIV and TB exposed and infected children and adults
• Be able to diagnose and clinically manage HIV and TB infected adults and children.
• Have knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Understand healthcare systems and relationships in resource limited settings
• Understand the local political landscapes involved at Facility, Sub-district and District level
• Ensure that daily, weekly and monthly standards are met
• Ensure that standard counselling care provided, and referral executed for advanced care to medical doctors and specialists as recorded and in accordance with treatment protocols
• Demonstrate high quality counselling care evidenced by patient outcomes
• Ensure that all newly diagnosed HIV positive patients referred for treatment and linkage to care confirmed and documented
• Refer all TB positive patients for treatment and ensure linkage to care
• Ensure that Eligible patients are enrolled into decanting programmes
• Ensure that Viral load testing conducted on all patients in accordance with treatment guidelines
• Ensure that LTFU patient numbers are reduced, and patients are brought back into care
• Ensure that efficient appointment system implemented at facility with minimal missed visits
• Ensure that Weekly HIV/AIDS awareness events and health education sessions within and outside facilities
• Have linkage to care of all HIV positive patients
• Ensure correct and accurate information are captured.
• Ensure filing system is systematic and easily and readily available for Office use and retrieval of data.
• Ensure reduced number of patients LTFU
• Ensure reduced number of missed appointments
• Ensure Increase in patient retention and adherence numbers
• Ensure All DSD captured on BR reporting tools correctly, consistently and timeously

Qualifications
Essential qualifications

• Standard 10 (Grade 12) / N3 or equivalent, current registration with SANC is essential

Experience & Skills

• 1 year relevant experience

Personal qualities & Behavioural competencies
Personal qualities

• Ability to connect the dots, make linkages and collaboratively work across the organization to optimize the client experience
• Be solution focused
• Has a customer centric mindset
• Able to connect with clients at different levels
• Maintain confidentiality

Behavioural Competencies

• Results orientation

BroadReach Culture Cornerstones

• We serve a mission greater than ourselves
• We do better everyday
• We are solutions driven not problem focused
• We turn all customers into raving fans