Professional Nurse -Facility ( Lutzville, Klawer, Vredendal Noord en Vredendal Sentraal) (Western Cape) at Right to Care

Description

CLINICAL CARE (30%)

• Screening: HCT, TB, STI, Diabetes and Hypertension
• Do blood pressure and blood glucose test when necessary and refer abnormalities
• Refer suspect cases for TB, STI and ensure that HIV positive clients linked to care
• Introduce the counsellor to the package of sexual reproductive health services: Termination of Pregnancy, contraceptive counselling and dual contraceptive method use
• Screen women for the use of and compliance with contraception and fertility planning methods
• Screening and referral of pregnant females for early antenatal booking
• Provide antenatal and postnatal care counselling
• Pregnancy test offered where applicable
• Introduce Mom Connect to pregnant ladies and assist with registration
• Screening of pregnant mother for TB / STI and refer accordingly
• Support clinical activities within specific geographical areas (in the community) and in support of the PHC facility focusing on:
• Child Health: Immunisation, Vit A, Deworming and nutrition
• Women’s Health: Family Planning, cervical cancer screening and breast examination
• Men’s Health
• Provide relief duty for the PN working at the Integrated Health and Wellness Package i.e., daily attendance of the CHW’s, assist with mapping and CHW allocations, doing home visits and community household assessments, wound care in the community, tracing and tracking of recalls

COORDINATION OF HTA ACTIVITIES (40%)

• Work with all other stakeholders and role-players (SASSA, Department of Basic Education, SAPS, Churches, Food Kitchens,
• Department of Social Development, Department of Agriculture, Law Enforcement, Municipalities, businesses, political leaders, clinic committees, charities, churches, traditional healer associations) in the geographical area
• Do an assessment of the community i.e., the structure, demographics, socio-economic factors (education, job status, family social support, income), community safety, cultural practices, resources, and assess the potential and actual risks, health behaviours facing the community and focus on what needs to change to improve health
• Address the social determinants of health, food security and alleviating hunger, climate resilience, water safety and security, job and poverty relief schemes, planned pregnancy reduction at scale, substance abuse, trauma, and violence, and giving hope and mental resilience to young people
• Assist with the establishment of support groups, small group activities for alcohol and drug treatment, treatment adherence, contemplation groups and psychosocial support
• Link with the recent School Awareness Calendar that is in place4 of 6 Introduce the WoW (Western Cape on Wellness) Initiatives (Wellness messaging, Facebook page, website, and WoW! Active
• Public focus on screening and advocacy for socio-economic factors, physical environment, and linkage to “social economic factors” partners
• Determine the number of HTA intervention sites (old and new)
• Provide wellness and comprehensive clinical services to key population groups and vulnerable communities i.e., people in prisons, sex workers, mobile populations {truck drivers, farm workers, migrant workers}, LGBTQIA+ communities, refugees / undocumented foreigners, men who have sex with men, persons with disabilities, people injecting or using drugs, populations abusing alcohol and other drugs.
• Provide demand creation to increase awareness, uptake, and acceptability of VMMC services
• Refer commercial sex workers for reproductive health i.e., contraceptive methods, PMTCT and offer cervical and breast screening, mammogram, and menopause support
• Strengthen community awareness and dialogue via established health committees, external stakeholders, local radio, newspaper, social media platforms, posters
• Introduce and train the Integrated Health and Wellness Team in active communication techniques i.e., Focus Group
• Discussion, Role-Play, Adult Play Therapy, Flash Cards, Visual Stimulation, Key Messages. It can be helpful in conveying information and behaviour change messages, timely care-seeking behaviour to attend a wellness service “what will our promotion message be to change the behaviour?”
• Offer sensitisation of staff members at health facilities and law enforcers on issues around key population to break down barriers and enhance knowledge around them. Be mindful that it is sensitive because it touches on morals, values, culture, and religion
• Multi-pronged approach should be used to cater for different age groups e.g., using cell phones to send health messages to younger people and face to face visits to older people
• Focus on Behaviour change communication messages through face-to-face interviews or group education sessions, focus groups in the workplace or home, informal meeting places or local community venues
• Provide access to comprehensive health care treatment for key population groups is heavily influenced by stigma and discrimination.
• Place special emphasis on disclosure and stigma mitigation providing health talks during community outreaches. The only solution to the reduction of stigma is to confront it with education and increased efforts to dispel fears and misconceptions.
• Focus on the advantages and disadvantages of disclosure in assisting a decrease in stigma and increase in disclosure rates
• Provide activities which promote gender equitable principles, address harmful norms related to sex and gender
• Address drivers of gender-based violence and assist in preventing gender-based violence
• Address the power imbalances and economic empowerment of women
• Participate in all planning activities with the multi-sectoral team for the 16 Days of Activism Campaign

SUPERVISION 20%

• Submit a monthly programme for scheduled visits within the monthly allocated travelling budget amount
• Responsible for the coordination of the Community Health Workers with lay counsellor experience and peer educator at the site
• Arrange monthly mentoring and support meetings with project team
• Monthly feedback to Community Health Workers with lay counsellor experience with regards to reaching the monthly targets
• Include them in the WoW activities with HCBS – WoW Champion can assist with the arrangements
• Responsible for teams’ annual leave planning and attend to all leave applications and submit to District Admin Support for capturing on the system
• Establish a good referral network between the PHC facility, COPC Professional Nurse, other stakeholder and other NPO projects e.g. HCBS & Counsellor Project ensuring an effective referral and linkage process
• Arrange combined team meetings with relevant facility staff and DoH Wellness PN at COPC sites as well as all other NPO community projects and stakeholder in the geographical area identifying hot spot areas to plan targeted interventions in strengthening health outcomes
• Continue using the RtC templates for quality improvement outcomes measures to measure the impact and outcomes of the project e.g., MMC Recruitment lists, Health Promotional Talks, newly and known HIV + clients referred and linked to care
• Ensure that the team are using the relevant HAST Registers & Forms

RECORDKEEPING & ADMINISTRATION (10%)

• Ensure that team submit their weekly data to the Project Coordinator
• Complete all monthly statistics and submit by the 1st of each month to the next level
• Submit a monthly report to the Operations Manager (Project Development) and Project Coordinator
• Assist with compiling the quarterly report for submission on the 7th after a quarter’s closure
• Report all Injury on Duty within 24 hours to the HR Administrator
• Ordering of stock / consumables / stationery monthly

Requirements

• Diploma in General Nursing
• HIV Counselling Course (ACTS) trained
• Finger-pricked trained
• 2 years ‘experience as a Professional Nurse in
• NGO/Community Clinic or Hospital setting.
• Diploma in Community Health Science