Job Opportunities at Netcare

Role summary:

• The Enrolled Nurse is responsible for direct and/or indirect nursing care of a patient or group of patients and will function under the direct and/or indirect supervision of the Registered Nurse. 
• The incumbent is held accountable for his/her own acts and omissions. 
• Nursing activities form part of a nursing regime that is planned and initiated by the Registered Nurse.  The Enrolled Nurse will be responsible for the assessment, care and meeting of patient needs and will also be responsible for the development, implementation and evaluation of appropriate programmes of care to ensuring high quality patient care.

KEY WORK OUTPUT AND ACCOUNTABILITIES

CONSISTENCY OF CARE
Administration Management

• Ensure that all documentation is maintained timeously and accurately, reflecting patient care.
• Ensure all stock is charged appropriately.
• Assist with file compilation.

Governance, quality and risk management

• Maintain a therapeutic, clean and safe environment that is free from medico-legal hazards.
• Adhere to Netcare medical waste management principles and all other waste management principles.
• Maintain a safe working environment in accordance with the Machinery and Occupational Safety Act.
• Report potential/actual risks identified.
• Ensure all stock is well controlled.
• Responsible for ensuring correct use, cleaning and storage of equipment.
• Report equipment needing repair or replacement to sister-in-charge.
• Maintain professional conduct and standards at all times in accordance with hospital policies and procedures.
• Maintains patient confidentiality at all times.
• Acts in a supervisory capacity over ENA’s.

Patient care

• Practice patient care according to his/her Scope of Practice and assume total responsibility for these activities.
• Contribute to the holistic care of patients.
• Participate in ward/unit’s quality improvement programme.
• Attend handover of report at shift commencement.
• Effective communication with patients’ regarding their care.
• Promotion of patient overall health and wellbeing.
• Practice the principles of infection prevention and all standard precautions.
• Promote and maintain good public relations with patients, relatives and visitors.
• Execute all procedures according to hospital standards.
• Refer all complaints from patients and doctors to sister-in-charge of the unit.
• Carry out all departmental duties as assigned by supervisors.

TRANSFORMATION OF OUR SOCIETY
Teamwork

• Supports the education and training of the ENA’s.
• Actively participate as a member of a team to achieve goals.

Personal and professional development

• Active involvement in own professional development to maintain a satisfactory level of skill and knowledge.
• Keep up to date with Netcare’s evolving policies and procedures.
• Assume responsibility for maintaining competence in CPR.

Build and maintain stakeholder relationships

• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
• Develop collaborative relationships to help accomplish work goal.

SKILLS PROFILE

• Registration with the South African Nursing Council as an Enrolled Nurse or equivalent NQF 3 qualification.
• Compliance with the SANC code for an Enrolled Nurse and all applicable health care legislation.
• Relevant experience in the nursing discipline would be an advantage

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• The Campus Based Academic Staff member, appropriately qualified and experienced as a nurse educator, is responsible for the facilitation of teaching and learning of the theoretical and clinical components of a programme in an academic environment conducive to the education process to reinforce the learning process through the integration of theory and practice. Your specific area of responsibility with regards to the clinical and/or theory responsibilities will be communicated to you. 
• The incumbent will further provide interactive evidence-based nursing education, evaluation and support to students in the academic and clinical learning and practice environment, utilising a constructivist approach encouraging deep learning taking place. The incumbent is also responsible for establishing partnerships between the hospital and campus academic teams, to ensure continuous development and improvement of theoretical and clinical nursing skills, nursing standards and general nursing care.

OPERATIONAL EXCELLENCE

Business objective alignment

• Understand and ensure that education objectives are aligned to the Netcare values, Netcare nursing objectives, professional codes of conduct and legislative requirements, when making decisions and taking action.
• Ensure competence in the execution of all policies, procedures and standard operating procedures (SOP’s).

Research activities

• Utilise evidence based practice in both theoretical and clinical education.
• Active involvement in research activities to discover and create new knowledge about products, processes, and services. Appropriate application of knowledge to create new and improved products, processes, and services that meet the Netcare and FNAH needs and priorities.    
• Be involved in research activities inclusive of journal clubs, quality cycles and research on campus for the minimum hours as per the Balanced Score Card (BSC).
• Support students with the completion of their research based assignments inclusive of the dissemination of the evidence to the rest of the student bodies and the hospital staff members.

Brand value delivery

• Living the Netcare and Netcare Education brand (vision, mission and philosophy) and aligning documentation, services, day to day activities and customer interactions with overall brand value propositions through the consistent delivery of brand promise through culture, systems, attitudes and employee relationships.
• Promote the Netcare values and the Netcare Way with the students through formal education, training and role-modelling.
• Promote ethical values through formal education, training, continuous integration and role-modelling.

Academic related projects

• Plan, organise and actively participate in the FNAH and campus processes and academic related projects as delegated by the HOD/Campus Manager/Head and/or Academic Head.

GROWING WITH PASSIONATE PEOPLE

Coaching

• Provide timely guidance and feedback to help strengthen skill areas and leverage potential.
• Orientates and mentors junior academic staff members.
• Establish, prioritize and coordinate tasks and courses of action for self, and others to ensure that work is completed efficiently in a systematized manner.

Teamwork

• Develop collaborative relationships to help accomplish campus and FNAH strategic objectives.
• Actively participate as a member of the campus/academic and FNAH teams to achieve the strategic objectives.

Personal growth and development

• Active involvement in own professional development to maintain  and improve educational, technical and professional nursing skills
• Create and maintain a positive environment where diversity is embraced so that all can reach their full potential and maximize their contributions.

Stakeholder relationship management

• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.

BEST AND SAFEST PRACTICE

Teaching and learning facilitation

• Facilitate the learning process by understanding, applying and maintaining evidence based adult and student centred learning methodologies, presentation techniques and course content to ensure that students acquire skills to a quality and standard in line with FNAH curriculum requirements utilising a constructivist approach.
• Provide evidence of planning and preparation of all education activities. Reflect on the planning, preparation, implementation and evaluation of education activities.
• Plan and implement timely assessment of student progress through the application of a variety of student evaluation techniques. Reflect on the assessment methodologies utilised for efficacy, the support of learning and compliance to the principles of assessment.
• Prepare for, and implement Academic Performance Standard Review (APSR) meetings with students as per the annual planner to improve student performance, identify problems and plan for effective resolution of any problems arising from the meetings.
• Develop and implement strategies to improve the throughput and pass rate of student groups.
• Plan and support the development of student skills and capabilities by closely monitoring progress on assignments and assessments against performance targets.
• Understand, apply and leverage IT (Word, Excel, and PowerPoint, internet, e-mail, searching online data bases) and technology systems, and online education tools and/or equipment to facilitate and reinforce the learning process.
• Clearly convey information and ideas through a variety of media in a way that engages people and helps them to understand and retain messages.
• Provide and keep record of academic support to the students utilising evidence based methodologies, and evaluate the effectiveness thereof with the students.
• Participate in the maintenance and stock control of the Skills Development Laboratory.
• Maintain student academic records utilising the Netcare Education Management Information System (NEMIS) to ensure compliance with policies, procedures, SOP’s, regulations and legislation.

Quality orientation

• Conduct and participate in quality assurance activities (e.g. validation, accreditation, campus audit, BSC, Quality cycles, programme evaluation) and risk management at the campus and the hospitals.
• Ensure awareness of conditions that affect employee and student safety and Occupational Health and Safety regulations.
• Focus on the development of evidence based theoretical and clinical learning and teaching processes.
• Compliance with all relevant accreditation and legislative requirements, International Standards Organisation (ISO) standards, policies, procedures and SOP’s.
• Ensure compliance with the standards for clinical accompaniment, self-development and clinical update in the BSC.
• Attend and participate in campus academic empowerment and quality development sessions.
• Develop and maintain a reflective Portfolio of Evidence (POE) of all activities and growth in both work and personal life.
• Active participation in regional forums and driving evidenced based practice in the forums.
• Liaise monthly with administrative staff to discuss student movement.
• Actively promote the development and use of the academic resources.
• Promote life-long learning.

Community Involvement

• Plan, implement and participate in the local and FNAH community engagement programmes.
• Evaluate the success of the community engagement programme.

EDUCATION

Required

• Registration with the South African Nursing Council (SANC) as a Registered Nurse Registered Nurse and Midwife with a minimum of five years’ experience.
• A formal Education and Clinical Specialty Qualification.
• A minimum of a Bachelor’s Degree. 
• A Master’s Degree in Nursing / Commitment to commence further studies towards achieving a Master’s Degree within 2 (two) years of commencement of employment at Netcare Education and to complete qualification within the prescribed academic period.
• A qualification at least one NQF level higher than the programme the Nurse Educator is facilitating.
• Intermediate to Advanced computer and digital literacy, proficiency in the following Microsoft Office Suite programmes – Excel, Word, PowerPoint, searching data bases, e-mail, and internet.
• Own transport and driver’s license.
• Previous experience in an academic environment.

Preferred

• A Master’s degree in a Clinical Specialty/ Education will be advantageous.
• Assessor unit standard successfully completed and registered with SANC.
• Moderator unit standard to be successfully completed and registered with SANC within the first year of employment

WORK EXPERIENCE

Required

• Facilitation of teaching, learning and assessment knowledge and skills in a theoretical and/or clinical environment for a minimum of 2 (two) years.
• Research literacy.
• Minimum five (5) years working experience as a RN.

KNOWLEDGE

Required

• Proficient understanding and application of legislative and other external forces impacting the general and nursing education.
   

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Job Summary

• The Professional Nurse/Clinical Nurse is a professional who remains responsible for the assessment, planning and implementation of individualised, holistic and person centered nursing care of a patient, their families or the community, either performed directly or indirectly.
• The incumbent ultimately coordinates patient care within the concept of the multi-disciplinary health team.
• The incumbent also fulfils the role by the use of scientifically based nursing theories and processes, treating the patients as a physical, social and spiritual individual, and by use of educational and technical means applicable to health care practice.

CONSISTENCY OF CARE

Patient care

• Serve as a clinical resource in assisting personnel to assess, plan, implement, evaluate and document nursing care in the unit.
• Ensure communication and interaction with family and health professionals regarding optimal patient care, thereby acting as a patient advocate when necessary.
• Ensure communication between nursing management and unit to eliminate patient care problems / issues.
• Assess, plan and implement advanced nursing care in a specialized field in accordance with standard nursing care procedures, as set out in the standards and SOPs as well as nursing care theory and medical direction.
• Initiate, direct and maintain emergency treatment (RESUS) as indicated to any patient / person in any ward / department of the hospital. To diagnose and treat the emergency patient quickly, effectively and efficiently as possible within the Scope of Practice
• Interview patient and family to obtain relevant general background information and problem identification; evaluate patient’s behaviour and assess immediate and long term needs.
• Participate as a professional member of the multi-disciplinary team in evaluating, developing and implementing health care plans and treatment regime.
• Do rounds with the physician/medical practitioners to review condition of patients; develop nursing care plans; participate in the care of all patients in the unit.
• Evaluate patients care needs; initiate individualised nursing care plans; co-ordinate patient services.
• Prepare day / night shift documentation that reflects patient status, patient / staff ratio and problems
• Communicate with the unit manager, so that he / she is informed of activities and problems
• Perform any related tasks as requested.

Policy and procedure development

• Provide input and standards in formulating patient care policy and procedures in the hospital

Quality and risk management

• To ensure the provision of a safe, clean and secure environment for patients, staff and visitors.
• Aim as member of staff to optimise and maintain quality, effective and safe nursing care, within the frame of the assigned budget.
• Evaluate, set standards and monitor safe utilization of supplies and equipment

TRANSFORMATION OF OUR SOCIETY

Teamwork

• Actively participate as a member of a team to achieve goals
• Co-operate and collaborate with other hospital departments to provide appropriate support services.

Education and training facilitation

• Co-ordinate with the Clinical Facilitation Department and other members of the multi-disciplinary team to meet and acknowledge the on-going educational needs of the nursing staff / student as well as the patients
• Co-operate with the Clinical Facilitators in planning, implementing mentoring and evaluation of learning experiences / opportunities for nursing staff / students
• Provide for the ongoing review, practice and in-service training of emergency procedures
• Actively participate in in-service training and orientation of new staff in the unit
• Advise and inform staff on current and revised policies and procedures

Resource Allocation

• Allocate staff members in a manner that promotes optimal use of staff to provide appropriate nursing care for the individual patient regarding his / her needs and specialised skills needed by the nursing staff member through proper clinical judgement.
• Adjust staff levels to provide for acuity level needs

Personal and professional development

• Active involvement in own professional development to maintain a satisfactory level of skill and knowledge
• Keep up to date with Netcare’s evolving policies and procedures

Build and maintain stakeholder relationships

• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
• Develop collaborative relationships to help accomplish work goal
• Maintain and encourage effective communication and interaction within the unit, other members of the multi-disciplinary team and the public.
• Foster good interpersonal relations and public relations while interpreting / applying the philosophy, goals, objectives, policies and procedures

DISRUPTIVE INNOVATION

• Implementing medical technologies, digitisation, and data solutions for the benefit of our business and patients.
• CareOn adoption of electronic patient records, e-scripts and clinical orders by doctors and stock management

Inherent Requirements:​

• Registered as a Professional Nurse with the South African Nursing Council
• Thorough knowledge of general / specialized nursing theory and practice 
• Extensive knowledge of modern nursing care principles and practices

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Job Summary

• The Professional Nurse/Clinical Nurse is a professional who remains responsible for the assessment, planning and implementation of individualised, holistic and person centered nursing care of a patient, their families or the community, either performed directly or indirectly.
• The incumbent ultimately coordinates patient care within the concept of the multi-disciplinary health team.
• The incumbent also fulfils the role by the use of scientifically based nursing theories and processes, treating the patients as a physical, social and spiritual individual, and by use of educational and technical means applicable to health care practice.

CONSISTENCY OF CARE
Patient care

• Serve as a clinical resource in assisting personnel to assess, plan, implement, evaluate and document nursing care in the unit.
• Ensure communication and interaction with family and health professionals regarding optimal patient care, thereby acting as a patient advocate when necessary.
• Ensure communication between nursing management and unit to eliminate patient care problems / issues.
• Assess, plan and implement advanced nursing care in a specialized field in accordance with standard nursing care procedures, as set out in the standards and SOPs as well as nursing care theory and medical direction.
• Initiate, direct and maintain emergency treatment (RESUS) as indicated to any patient / person in any ward / department of the hospital. To diagnose and treat the emergency patient quickly, effectively and efficiently as possible within the

Scope of Practice

• Interview patient and family to obtain relevant general background information and problem identification; evaluate patient’s behaviour and assess immediate and long term needs.
• Participate as a professional member of the multi-disciplinary team in evaluating, developing and implementing health care plans and treatment regime.
• Do rounds with the physician/medical practitioners to review condition of patients; develop nursing care plans; participate in the care of all patients in the unit.
• Evaluate patients care needs; initiate individualised nursing care plans; co-ordinate patient services.
• Prepare day / night shift documentation that reflects patient status, patient / staff ratio and problems
• Communicate with the unit manager, so that he / she is informed of activities and problems
• Perform any related tasks as requested.

Policy and procedure development

• Provide input and standards in formulating patient care policy and procedures in the hospital

Quality and risk management

• To ensure the provision of a safe, clean and secure environment for patients, staff and visitors.
• Aim as member of staff to optimise and maintain quality, effective and safe nursing care, within the frame of the assigned budget.
• Evaluate, set standards and monitor safe utilization of supplies and equipment

TRANSFORMATION OF OUR SOCIETY

Teamwork

• Actively participate as a member of a team to achieve goals
• Co-operate and collaborate with other hospital departments to provide appropriate support services.

Education and training facilitation

• Co-ordinate with the Clinical Facilitation Department and other members of the multi-disciplinary team to meet and acknowledge the on-going educational needs of the nursing staff / student as well as the patients
• Co-operate with the Clinical Facilitators in planning, implementing mentoring and evaluation of learning experiences / opportunities for nursing staff / students
• Provide for the ongoing review, practice and in-service training of emergency procedures
• Actively participate in in-service training and orientation of new staff in the unit
• Advise and inform staff on current and revised policies and procedures

Resource Allocation

• Allocate staff members in a manner that promotes optimal use of staff to provide appropriate nursing care for the individual patient regarding his / her needs and specialised skills needed by the nursing staff member through proper clinical judgement.
• Adjust staff levels to provide for acuity level needs

Personal and professional development

• Active involvement in own professional development to maintain a satisfactory level of skill and knowledge
• Keep up to date with Netcare’s evolving policies and procedures

Build and maintain stakeholder relationships

• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
• Develop collaborative relationships to help accomplish work goal
• Maintain and encourage effective communication and interaction within the unit, other members of the multi-disciplinary team and the public.
• Foster good interpersonal relations and public relations while interpreting / applying the philosophy, goals, objectives, policies and procedures

DISRUPTIVE INNOVATION

• Implementing medical technologies, digitisation, and data solutions for the benefit of our business and patients.
• CareOn adoption of electronic patient records, e-scripts and clinical orders by doctors and stock management

Inherent Requirements:​
Education

• Matric Certificate or equivalent NQF level 4 qualification.
• Registration with the South African Nursing Council (SANC) as a Registered Nurse

​Work Experience

• Clinical experience post qualification in private sector
• Computer literacy ​

Knowledge

• Good verbal and interpersonal communication skills
• Ability to work well under pressure and to maintain effectiveness during changing conditions.
• Ability to work effectively and co-operatively with others by establishing and maintaining good working relationships.
• Excellent planning, organizing and control / follow-up skills are essential.
• Must be customer care oriented.
• Must be able to use initiative.

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ROLE SUMMARY 

• The driver is responsible for the Akeso Clinic’s patient transport, deliveries, collections, vehicle maintenance and general administrative duties. The driver will be required to provide an efficient and professional service at all times

KEY ROLES AND RESPONSIBILITIES

• Utilising the Quadruple Aim to deliver consistently excellent clinical services, ensuring the best and safest person-centred care.
• A shift towards wellbeing and wellness and away from curative, episodic care.
• Ensuring customer centricity is at the centre of all we do, driving greater convenience and integrated, personalised experiences.
• Delivering the best quality and consistency of care.

Deliveries and collections

• Collect Akeso Clinics’s post.
• Deliver documents as per envelope instructions.
• Take or collect visitors or patients from the airport/hotels/courses when requested.

Vehicle maintenance

• Ensure Akeso Clinic’s vehicles are taken to and collected from the relevant dealership for services as and when required.
• Wash the pool vehicle and ensure that the vehicle is clean at any given time.

Administrative duties

• Complete required documentation of deliveries etc. (obtain signatures for receipt of deliveries).
• Complete fuel log book for business kilometres travelled as and when in use.
• Complete all reasonable duties requested of you by the Hospital Manager.
• Complete all filing as and when required.
• Fax all correspondence to relevant parties as and when requested.
• Send faxes/emails within one hour of the request.
• Assist with any other administrative duties upon request, including:
• Collection or delivery of items required for repairs and maintenance of Akeso facilities.
• Marketing initiatives as and when requested to do so by the Hospital Manager.

Customer and patient service

• Build customer loyalty by managing work effectively.
• Ensure excellent customer service at all times.

Personal and professional development

• Assume responsibility for own personal and professional development.
• Keep up to date with Akeso and Netcare’s evolving policies and procedures.

EDUCATION

• Grade 12 or equivalent NQF Level 4 qualification
• A valid Code 8 Driver’s License
• Professional driving permit (PrDP)
• Registered with HPCSA
• BLA or BLS Qualification
• BAA(Basic Ambulance Assistance) Qualification

EXPERIENCE

• Minimum one year’s experience as a driver
• Good general understanding of the province/geographic routes
• Good communication skills (written and verbal)

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ROLE SUMMARY

• The Registered Nurse (RN), as shift leader, plays a pivotal role in managing the nursing team to ensure that each patient is treated with dignity and respect at all times. The RN ensures that the patient is in a safe environment and that their individual needs are addressed, thereby delivering high quality mental health care and physical health care to patients within Akeso Clinics. The RN has knowledge and skills to confidently role-model a high standard of nursing practice at all times.
• The position description is a broad indication of the work required from individual personnel holding a particular position. The personnel may be required to undertake certain duties which may not be indicated in this description. No Job Description is regarded as a precise specification of duties but should be regarded as a guide to the main responsibilities.
• The Registered Nurse will be responsible for assisting with improved quality nursing care by ensuring compliance to professional and ethical practice, Nursing act, 2005 (Act No. 33 of 2005), all Health Care legislation, Basic Conditions of Employment, Policies and Procedures and Core Standards.
• The Registered Nurse will also be responsible for assisting with monitoring and ensuring that nursing care and service delivery is implemented and practised within a multi-disciplinary quality assurance team.
• The incumbent also fulfils the role by the use of scientifically-based nursing theories and processes, treating the patients as a physical, social and spiritual individual, and by use of educational and technical means applicable to health care practice.

CONSISTANCY OF CARE

Administrative responsibilities

• Ensure that task allocation of subordinates, ie Enrolled Nurses (ENs), Enrolled Nursing Auxiliaries (ENAs) and Health Care Workers (HCWs) is done at the start of each shift.
• Ensure that proper handover takes place at the start of and during the shift.
• Participate in twice-yearly appraisals of subordinates.
• Responsible for ensuring that the Policy and Procedure file is kept intact and well-maintained.
• Familiarity with the content of the Policy and Procedure file, and ensure that implementation of the policies and procedures are adhered to by self and subordinates.

Meetings

• Attend meetings as delegated by the Nursing Unit Manager, in her absence or as part of the nursing team, e.g. Ward Rounds, Nursing Management meetings, Administration meetings, Health and Safety Committee meetings, Infection Control Committee meetings, Employment Equity Committee meetings, Risk Management Committee meetings.
• Actively participate in the meetings by making suggestions, offering contributions and being involved in problem-solving with regard to improving the patients' experience whilst patients at Akeso clinics.
• Responsible for giving feedback to other members of the nursing team by means of verbal and written handovers in respect of changes in a patient's treatment, any new decisions that have been taken, or any management changes.

Finances

• Although the RN is not directly involved with financial estimates, he/she is expected to be prudent in the supervision of human resources, ensuring that personal attendance is good, with judicious use of sick leave, and encouraging the above in subordinates.
• Prudent in the utilisation, control and management of material resources:
• Ensure that medication and medical consumables are managed and controlled as per policy.
• Ensure that patients are billed for ward-stock medication and medical consumables.
• Assist with equipment need analysis for budget / capital expenditure purposes - new medical equipment, preventative services and repair and maintenance within legal specifications.
• Ensure items for repair are reported promptly

Organisation

• In the absence of the Nursing Unit Manager, or as a delegated duty, the RN will be able to plan systematically, adapt as circumstances change, and successfully carry a greater workload.
• Delegate duties in accordance with the knowledge, skills and competencies of subordinates, thus maximising the utilisation of manpower and improving productivity.

Control

Exercise control over all available resources in a responsible manner:
Medication

• The ordering of medication for patients to be done according to policy.
• Ensure safekeeping of medicines as per policy.

Medical consumables

• Medical supplies to be kept at a manageable level and controlled as per policy.
• Prevent stock shortages through planned ordering.

Equipment

• Ensure that equipment is used correctly.
• Ensure maintenance of equipment.
• Ensure safekeeping of equipment as per policy.

Environment

• Ensure that electric lights, heaters and air-conditioners are turned off when not in use.
• Report maintenance issues.

Comply with the Health and Safety Representative role and function.
Personnel administration

• Responsible for the day-to-day supervision of the RN's subordinates.
• The delegation and supervision of subordinates is done according to their knowledge, skills and competencies, in order to ensure that quality nursing care is rendered.

Educational responsibility

• Be aware of the importance and implications of staff development, and the responsibility towards the development of self and subordinates.

In-service training

• Lead by example and monitor subordinates.
• Be involved in the planning of the in-service training programme, in conjunction with the NUM and NSM, taking into account the needs of the group and planning accordingly.
• The in-service training programme is a participatory function and therefore all RNs are encouraged to make contributions towards the development, implementation and evaluation of the programme.
• The RN is expected to be on time for the in-service training / journal club and to encourage colleagues and subordinates to do likewise.
• The RN will prepare for and present at the in-service training if so requested.
• The RN is involved in the day-to-day in-service training of the assistant nurse and health care worker by making maximum use of the teachable moment for subordinates.  This is done by placing emphasis on basic nursing skills, basic psychiatric nursing skills, incident-reporting, record-keeping and computer literacy.
• The training register is to be completed and signed after each training session, be it formal or informal (the teachable moment).
• Professional responsibility

Legislation:

• All nursing activities must be executed according to the legislation application within the Scope of Practice for a Registered Nurse; ie The Nursing Act No. 33 of 2005, and the Nursing Act No. 50 of 1978 and Regulations, as well as the Mental Health Care Act No. 17 of 2002 and Regulations.
• Company and Clinic Policy:
• Responsible for ensuring that the Akeso Human Resources and Hospital Policy files, as well as the Akeso Clinics Policy file, are kept intact and well-maintained.
• The RN is expected to be familiar with the content of the above-mentioned policy files and to disseminate the contents to subordinates.
• Ensure the implementation of the above-mentioned policies and procedures and that these are adhered to by self and subordinates.
• Take an active role in policy and procedure review processes.

Clinical responsibilities

• To ensure that the patient receives the desired standard of nursing care, there must be active involvement in all aspects of clinical nursing which will fulfil the needs of each patient.  In order to do this, the RN must develop the knowledge and skills required to successfully carry out all the aspects of clinical work delegated to him/her.  This includes:
• Being responsible for giving feedback to other members of the nursing team by means of a verbal and written handover, especially with regard to changes in the patients' treatment programme.
• Performing the psychiatric nursing evaluation and comprehensively completing the documentation.
• Provision of a therapeutic environment.
• Execution of instructions from the patient's doctor and other members of the MDT.
• The therapeutic use of self.
• Forming therapeutic nurse-patient relationships.
• Performing crisis intervention.
• Appropriate counselling of patient where it is not in conflict with the patient's therapeutic programme.
• Providing psychiatric nursing care.
• Providing pre- and post-procedure care to the patient receiving Electro Convulsive Therapy (ECT).
• Administering and evaluating the effect of medication.
• Critical analysis of the patient's vital signs and reporting of abnormalities.
• Providing health education to patients, families and the public when appropriate.
• Providing discharge education individually and by means of planned and specific nursing groups on a Saturday.
• Ensuring that all information pertaining to the patient is recorded chronologically, comprehensively, accurately, and legibly.
• Ensuring that confidentiality is maintained at all times.
• Carrying out patient care and specific duties as delegated by the Nursing Unit Manager.
• Ensuring that safe patient care is practised at all times, especially with regard to patients on Special Observation.
• Maintaining open communication with family members and significant others at all times, whilst maintaining patient confidentiality.

Emergency procedures

• Carry out the appropriate emergency procedure / treatment as directed by Akeso Clinics policy.
• Exhibit competence with regard to life-saving procedures.
• Ensure maintenance of stock, equipment and oxygen to facilitate a successful outcome of a medical emergency.
• Assist the NUM and NSM in being prepared for a potential disaster or emergency situation.

Research

• Actively participate, offering assistance and support, in any authorised nursing / medical research in the practical situation.

Expectations of the Registered Nurse towards the patient and significant others

• Interact in a polite and professional manner.
• Treat the patient and others with dignity and respect.
• Listen and be non-judgemental.
• Be an advocate of the patient.
• Establish and maintain a therapeutic relationship.
• Ensure safekeeping of patients' property that has been handed in / confiscated.

Expectations of the Registered Nurse whilst in the employment of Akeso Clinics

• Be an advocate of Akeso Clinics.
• Be a role model for peers and subordinates.
• Work within the framework of the Akeso company policies and procedures.
• Treat all clinic personnel with dignity and respect.
• Be non-judgemental towards your colleagues.
• Be helpful towards clinic personnel and the general public.

Clinical governance, OHS, Infection control and Core standards

• Assist with investigating of all negative clinical incidents.
• Assist with monitoring safety standards in accordance with the Machine and Occupational Safety Act (Act 6 of 1983).
• Report all accidents and incidents to Line Manager / Safety Representatives.
• Assist with compliance with protocols, policies and Acts.
• Report all equipment not in working order.
• Assist with the control of asset register
• Assist with Medical Healthcare waste management and compliance to legal requirements.
• Participation, representation and/or Chair on committees e.g. Occupational Health and safety, Infection and prevention, clinical governance.
• Assist with ensuring unit is providing safe, cost-effective quality patient care in line with Clinical Governance strategy and evidence-based practice.

Patient experience

• Assist with evaluating the patient’s journey through patient experience and stakeholder input.
• Assist with evaluation of nursing quality indicators and clinical outcomes.
• Effective communication with patients regarding their care.
• Promotion of health and wellbeing.
• Ensuring the principles of infection prevention and all standard      precautions are adhered to; ensure clean hygienic environment.
• Promote good public relations with patients, relatives, visitors and sales representatives.
• Identify quality improvement opportunities and assist with ensuring that appropriate strategy and Quality Improvement initiatives are developed and measured.
• Assist with implementing group quality initiatives.

Client relationship

• Assist with effective and formal communication: Registered Nurse to attend relevant meetings.
• Assist and ensure a professional environment at all times

Patient care

• Serve as a clinical resource in assisting personnel to assess, plan, implement and evaluate nursing care in the unit.
• Ensure communication and interaction with family and health professionals regarding optimal patient care, thereby acting as a patient advocate when necessary.
• Ensure communication between nursing management and unit to eliminate patient care problems / issues.
• Assess, plan and implement advanced nursing care in a specialised field in accordance with standard nursing care procedures, as set out in the standards and procedures of MPH, as well as nursing care theory and medical direction.
• Initiate, direct and maintain emergency treatment (RESUS) as indicated to any patient / person in any ward / department of the hospital.  To diagnose and treat the emergency patient quickly, effectively and as efficiently as possible within the Scope of Practice.
• Interview patient and family to obtain general background information and problem identification; evaluate patient’s behaviour and assess immediate and long-term needs.
• Participate as a professional member of the multi-disciplinary team in evaluating, developing and implementing health care plans and treatment regime.
• Do rounds with the physician to review condition of patients; develop nursing care plans; participate in the care of all patients in the unit.
• Evaluate patients' care needs; initiate individualised nursing care plans; co-ordinate patient services.
• Prepare day/night shift documentation that reflects patient status, patient/staff ratio and problems.
• Communicate with the unit manager, so that he/she is informed of activities and problems.
• Perform any related tasks as requested.

Policy and procedure development

• Provide input and standards in formulating patient care policy and procedures in the hospital.

Quality and risk management

• Ensure the provision of a safe, clean and secure environment for patients, staff and visitors.
• Aim, as a member of staff, to optimise and maintain quality, effective and safe nursing care, within the frame of the assigned budget.
• Evaluate, set standards and monitor safe utilisation of supplies and equipment.

TRANSFORMATION OF OUR SOCIETY

• Assist with complying with the transformation goals of the organisation.
• Outside orientation: Awareness of outside constituencies, emphasising particularly the need to respond to the requirements of customers, suppliers, partners, shareholders and other interest groups such as local communities affected by the organisation.
• Global mind-set: Possessing a global frame of reference that enables one to scan the external world environment for different perspectives and to adopt successful practices. The capacity to inculcate a global mentality in others by instilling shared values and cross-cultural sensitivity.
• Assist with the following of HR policies and procedures.

Coaching

• Assist with identifying, training and retaining of nursing staff.
• Assist with management and supervision of nursing staff and all related issues.
• Assist in monitoring of nursing staff attendance and/or absenteeism.
• Adhere to staff dress code within and on leaving the clinic.
• Assist with the orientation and sign-off competencies of new nursing staff, temp nursing staff and nursing students.
• Participate in ongoing performance appraisals.
• Coaching and mentoring of other nursing staff.

Personal and professional development

• Assist with the completion of own training need analysis according to nursing technical matrix, competencies and business requirements.
• Keep abreast of current research in psychiatric nursing discipline.
• Attend training seminars, workshops, etc.
• Assume responsibility for own personal and professional development (20 in-service hours, 20 own-time hours).
• Record of attendance.
• Assist with development plans and ensure adherence thereof.
• Active involvement in own professional development to maintain a satisfactory level of skill and knowledge

Co-operation between Medicross and local authorities

• Build and maintain effective relationship with, doctors staff, patients and visitors, Department of Health and Labour.
• Build strategic inter-departmental relationships.
• Assist in the effective management of doctor and patient nursing complaints and priority to improve customer care.
• Ensure compliance to the "Akeso and Netcare way".

Quality orientation

• Assist in originating action to improve existing work processes and conditions for improved quality of outputs.
• Produce work of high quality standards by accurately performing processes and tasks.
• Assist in identifying and understand problems and opportunities in order to implement appropriate action and/or to resolve problems effectively.

Teamwork

• Actively participate as a member of a team to achieve goals.
• Co-operate and collaborate with other hospital departments to provide appropriate support services.

Education and training facilitation

• Co-ordinate with the Clinical Facilitation Department and other members of the multi-disciplinary team to meet and acknowledge the on-going educational needs of the nursing staff / student as well as the patients.
• Co-operate with the Clinical Facilitators in planning, implementing and evaluation of learning experiences / opportunities for nursing staff / students.
• Provide for the ongoing review, practice and in-service training of emergency procedures.
• Actively participate in in-service training and orientation of new staff in the unit.
• Advise and inform staff on current and revised policies and procedures.

Resource allocation

• Allocate staff members in a manner that promotes optimal use of staff to provide appropriate nursing care for the individual patient regarding his/her needs and specialised skills needed by the nursing staff member.
• Adjust staff levels to provide for acuity level needs.

Build and maintain stakeholder relationships

• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
• Develop collaborative relationships to help accomplish work goals.
• Maintain and encourage effective communication and interaction within the unit, other members of the multi-disciplinary team and the public.
• Foster good interpersonal relations and public relations while interpreting / applying the philosophy, goals, objectives, policies and procedures …

SKILLS PROFILE

EDUCATION

Required

• Registered as a Professional Nurse with Psychiatric training, or equivalent NQF Level 7 qualification
• Registered with the South African Nursing Council
• Experience in clinical leadership

WORK EXPERIENCE

Required

• Minimum of 2 years’ Psychiatric Experience

KNOWLEDGE

Required

• Full understanding of the Nursing Act No. 33 of 2005 and the Nursing Act No. 50 of 1978 and the Regulations.
• Full understanding of the Mental Health Care Act No. 17 of 2002 and the Regulations.
• Excellent written and oral communication skills.
• Excellent organisational and supervisory skills.
• Understanding of confidentiality issues and the use of discretion.
• Computer literacy.
• Intermediate computer literacy
• Good verbal and interpersonal communication skills
• Ability to work well under pressure and to maintain effectiveness during changing conditions
• Ability to work effectively and co-operatively with others by establishing and maintaining good working relationships
• Excellent planning, organising and control / follow-up skills
• Customer care-oriented
• Thorough knowledge of general / specialised nursing theory and practice

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Job Summary

• The Enrolled Nurse at Akeso is responsible for providing high-quality nursing care to patients within the scope of practice for an enrolled nurse, under the supervision of a registered nurse. This role focuses on patient well-being, safety, and comfort within a mental health hospital setting.

Job Responsibilities

• Assist registered nurses in the assessment, planning, implementation, and evaluation of patient care.
• Administer medication as prescribed and according to hospital policies and procedures.
• Monitor and record patients' vital signs, observations, and relevant clinical data.
• Assist patients with activities of daily living, including personal hygiene, mobility, and feeding.
• Maintain a safe, clean, and therapeutic environment for patients.
• Document all care provided accurately and in a timely manner.
• Communicate effectively with patients, their families, and the multidisciplinary healthcare team.
• Participate in patient education and health promotion activities.
• Adhere to all hospital policies, procedures, and professional nursing standards.
• Identify and report any changes in a patient's condition to the registered nurse promptly.

Job Qualifications

• Enrolled Nurse qualification registered with the South African Nursing Council (SANC).
• Current SANC registration and valid practice certificate.
• Minimum of 1-2 years of experience as an Enrolled Nurse, preferably within a mental health or psychiatric setting.
• Strong communication and interpersonal skills.
• Ability to work effectively as part of a team.
• Sound knowledge of nursing principles and practices.
• Compassionate and patient-focused approach to care.
• Ability to maintain confidentiality and professional boundaries.
• Basic computer literacy.

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Job Summary:**

• The Akeso Enrolled Nurse Auxiliary provides essential nursing support to patients within Netcare's Akeso mental health facilities, working under the supervision of a registered nurse to ensure a safe and therapeutic environment.

Job Responsibilities:**

• Assist registered nurses with the admission, transfer, and discharge of patients.
• Provide basic patient care, including personal hygiene, mobility assistance, and feeding.
• Monitor vital signs and report any changes or concerns to the registered nurse.
• Document patient observations and care provided accurately and timely.
• Assist with the implementation of individual patient care plans.
• Maintain a clean and organized patient environment, including tidying beds and rooms.
• Support patients in daily activities and therapeutic interventions as directed.
• Communicate effectively with patients, families, and the multidisciplinary team.
• Adhere to all Netcare policies, procedures, and safety regulations.
• Participate in ward meetings and handover reports.

Job Qualifications:**

• Enrolled Nurse Auxiliary qualification registered with the South African Nursing Council (SANC).
• Prior experience in a mental health setting is advantageous.
• Excellent communication and interpersonal skills.
• Ability to work effectively within a team.
• Strong empathy and compassion for patients.
• Ability to work shifts, including weekends and public holidays.
• Basic computer literacy.
• Current Basic Life Support (BLS) certification is preferred.

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• The Enrolled Nurse is responsible for direct and/or indirect nursing care of a patient or group of patients and will function under the direct and/or indirect supervision of the Registered Nurse. 
• The incumbent is held accountable for his/her own acts and omissions. 
• Nursing activities form part of a nursing regime that is planned and initiated by the Registered Nurse.  The Enrolled Nurse will be responsible for the assessment, care and meeting of patient needs and will also be responsible for the development, implementation and evaluation of appropriate programmes of care to ensuring high quality patient care.

CONSISTENCY OF CARE
Administration Management

• Ensure that all documentation is maintained timeously and accurately, reflecting patient care.
• Ensure all stock is charged appropriately.
• Assist with file compilation.

Governance, quality and risk management

• Maintain a therapeutic, clean and safe environment that is free from medico-legal hazards.
• Adhere to Netcare medical waste management principles and all other waste management principles.
• Maintain a safe working environment in accordance with the Machinery and Occupational Safety Act.
• Report potential/actual risks identified.
• Ensure all stock is well controlled.
• Responsible for ensuring correct use, cleaning and storage of equipment.
• Report equipment needing repair or replacement to sister-in-charge.
• Maintain professional conduct and standards at all times in accordance with hospital policies and procedures.
• Maintains patient confidentiality at all times.
• Acts in a supervisory capacity over ENA’s.

Patient care

• Practice patient care according to his/her Scope of Practice and assume total responsibility for these activities.
• Contribute to the holistic care of patients.
• Participate in ward/unit’s quality improvement programme.
• Attend handover of report at shift commencement.
• Effective communication with patients’ regarding their care.
• Promotion of patient overall health and wellbeing.
• Practice the principles of infection prevention and all standard precautions.
• Promote and maintain good public relations with patients, relatives and visitors.
• Execute all procedures according to hospital standards.
• Refer all complaints from patients and doctors to sister-in-charge of the unit.
• Carry out all departmental duties as assigned by supervisors.

TRANSFORMATION OF OUR SOCIETY
Teamwork

• Supports the education and training of the ENA’s.
• Actively participate as a member of a team to achieve goals.

Personal and professional development

• Active involvement in own professional development to maintain a satisfactory level of skill and knowledge.
• Keep up to date with Netcare’s evolving policies and procedures.
• Assume responsibility for maintaining competence in CPR.
• Build and maintain stakeholder relationships
• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
• Develop collaborative relationships to help accomplish work goal.

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• The Registered Midwife will render and promote cost effective, safe quality patient care in accordance with hospital standards and policies with a specific focus on the total management of patients during the delivery process from admission to the maternity ward to discharge from the hospital, including anti-natal care. 
• The incumbent will further be responsible for direct and/or indirect nursing care of a patient or a group of patients, for assessing, planning, executing and supervising the implementation of care to meet patient needs, is a role model in the delivery of evidence based care and will actively participate in Clinical Governance.
• The Registered Midwife will render and promote cost effective, safe quality patient care in accordance with hospital standards and policies with a specific focus on the total management of patients during the delivery process from admission to the maternity ward to discharge from the hospital, including anti-natal care.
• The incumbent will further be responsible for direct and/or indirect nursing care of a patient or a group of patients, for assessing, planning, executing and supervising the implementation of care to meet patient needs, is a role model in the delivery of evidence based care and will actively participate in Clinical Governance.

EDUCATION/INHERENT REQUIREMENTS:

• A recognised Degree or Diploma in Midwifery with current Registration with SANC.
• Relevant experience in the nursing discipline
• Capacity to implement and maintain standards of health practice required from all accredited bodies and appropriate health legislation