Professional Nurse at BroadReach

Purpose of the position

• The Professional 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 PICT, ART initiations and viral load monitoring and other HIV/AIDS related activities. She / he will drive the 90-90-90 HIV and TB agendas for adults and children by ensuring that clinical protocols and guidelines are being implemented at target facilities and that facility staff are continuously identifying and addressing clinical issues in order to reach 90-90-90 targets.

Key Accountabilities (included but not limited to)
In Your Role You Will

• Patient Care 90-90-90
• Record Keeping
• Reporting

In Your Role As Professional Nurse You Will

• To undertake nursing duties, within a Primary Health care / Hospital Service / Community
• Including integrated health service delivery (e.g. nutrition, family planning and chronic disease counselling, consultation, care and treatment according to clinical guidelines)
• Provide HIV Counselling and testing within the framework of Provider Initiated Counselling and Testing (PICT)
• Conduct TB Screening for all patients seen and all TB Standards met
• Integrated HIV and TB care and treatment provided
• Initiate newly diagnosed HIV positive adult and pediatric clients on ART as per the ART Guidelines
• EMTCT Guidelines implemented and PMTCT Standards met
• Conduct clinical reviews for all HIV positive patients (including, but not limited to phlebotomy, review of lab results, recording and defaulter management)
• Ensure Quality control measures including record keeping for all activities undertaken
• Educate and enroll patients into decanting streams when eligible
• Contact patients to return at scheduled intervals for Viral Loads in accordance with treatment guidelines
• Track, Trace Early missed and Late Missed appointments, uLTFU and LTFU patients and refer to WBOTs, Community Partners or as directed for return to care
• Contact patients who miss appointments within 3 days of missed appointment and reschedule
• Coordinate and communicate with other community partners to link patients to treatment
• Ensuring patient confidentiality
• Safekeeping of patient records
• Registers and clinical stationery completed correctly and consistently for all patients seen
• 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
• All direct service delivery reported according to BR reporting expectations (using the app, WMS or any other reporting tools provided)

Qualifications
Essential qualifications

• Experienced Professional Nurse, currently registered with SANC
• NiMART certified
• Knowledge and structure and content of the English language including the meaning and spelling of words, rules of composition and grammar
• Understanding the implications of new information for both current and future problem solving and decision making
• Computer Literacy (, MS Office)
• Familiar with TIER.Net, ETR.Net and DHIS preferred

Experience & Skills

• Understanding of HIV and TB clinical and treatment guidelines and protocols for adults and children
• Understanding of 90-90-90 HIV and TB strategies for adults and children
• Understanding of and familiarity with Ideal Clinic, ICDM / ICSM and National Core Standards
• Knowledge and use of BR tools
• Understanding healthcare systems and relationships in resource limited settings
• Understanding the local political landscapes involved at Facility, Sub-district and District level
• Knowledge of diagnosis, clinical management and on-going antiretroviral use in HIV and TB exposed and infected children and adults
• Ability to diagnose and clinically manage HIV and TB infected adults and children
• 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
• Continuous self-development in line with relevant Department of Health policies and guidelines and systems and administration

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
• Consulting and Advising
• Self Management
• Applying technical expertise
• Empathy

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