Enrolled Nurse (Ngaka Modiri Molema) 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. This is demonstrated through problem solving, applying professional judgement and competent performance. 

Professionalism

• Demonstrates self-control by maintaining composure and keeping emotions in check even in very difficult situations; deals calmly and effectively with stressful situations. Maintains a professional demeanour, dresses appropriately for occupation and its requirements.

Quality of Work & Accuracy

• Setting high quality standards and striving for continuous improvement and to secure quality. Monitors and checks work to meet quality standards; demonstrates a high level of care and thoroughness; checks work to ensure completeness and accuracy.

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.

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.

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.

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.
• Compile and submit monthly reports of all linked clients as required.
• Compile and submit monthly reports of HTS indicators as per the agreed reporting template and submission deadline.
• Assist in verification of all data before reporting

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 Experience 
Desirable Experience   

• Enrolled Nurse Certificate 
• Basic Counselling Qualification
• Matric (Senior Certificate)
• Enrolled nurse Certificate
• HTS Certificate (10-day certificate)
• VMMC counselling certificate
• Code B or C1 driver’s license
• Two to three years working experience as an Enrolled Nurse.
• One-year counselling experience.
• Two years counselling experience.
• VMMC - Nursing related and/or HTS-related counselling experience will be advantageous.