Nurse

Medecins sans Frontieres (MSF) is an independent medical international humanitarian association that delivers emergency aid to people affected by armed conflict, epidemics, healthcare exclusion and natural or manmade disasters. MSF is working in Tajikistan in the field of Tuberculosis. Our projects focus on providing treatment and support for children suffering from MDR Tuberculosis (TB) and their families based in Dushanbe and Zero TB Project based in Kulob.

MSF is currently looking for a qualified, capable, flexible and motivated person for the position of Nurse for its Zero TB Project based in Kulob. MSF offers a package of benefits (25 working days of annual leave per year, medical coverage, training opportunities as required and carrier) and the opportunity to work for an internationally renowned humanitarian organization.

Job Location: Kulob

Main Purpose of the job:

Provide nursing care and follow-up of patients, according to doctors’ prescriptions, protocols applied in service and universal hygiene standards/precautions, in order to ensure the quality and continuity of care for the targeted population.

Accountabilities:

Promote and implement at all times the universal hygiene standards/ precautions, bio-hazard prevention and infection control, security rules and other protocols and procedures in the medical premises and ensure high standards of hygiene of his/her working environment .
Organize care and treatments according to medical prescriptions, as well as assist them during consultations/ daily rounds and other medical procedures.
Ensure patients are properly received and installed in the health service. Ensures that patients with lack of autonomy are assisted, especially regarding their feeding, personal hygiene, movements and comfort.
Respect medical secret and confidentiality
Carry out admission, surveillance and follow up of patients meaning assessment of their health state evolution, and identification of emergency situation or any deterioration
Participate in health education of the patient (and family)
Supervise and train nurse-aids, nutritional assistants, cleaners and other related staff under his/her supervision in their work with special focus in following all appropriate protocols and procedures and ensuring team work
If applicable/required, Participate in the department-related pharmacy and medical equipment control and maintenance (carrying out inventories, carrying out stock takes of medicines and material at every team changeover, ensuring no material is taken out of nursing area/wards without prior authorisation, checking its quality and its functioning, storage conditions, doing follow-up of expired drugs, etc.).
Carry-out and supervise administrative procedures and documents (fill in patients files, forms, consumptions, statistics, etc.), ensure an appropriate written/oral handover, and report any problematic situations and cases that may arise. Fill in all necessary registers and health files, participate in data collection and keep doctors/supervisors informed.
If applicable, identify Sexually Gender Based Violence victims and refer them to the medical team, so they can receive the necessary treatment.
Knows and is aware of the importance and appropriate use of the Post Exposure Prophylaxis (PEP) Kit

Job Description

Technical support and supervision:

Together with the MSF medical team and MoH partners, develop and implement efficient system of care provision for outpatient, home based and hospitalized patients.
Together with Nurse Activity Manager, provide close supervision and support of MoH nurses in their routine activities of care distribution.
To supervise and coach MoH staff in daily patient clinical monitoring, including identification and reporting of side effect signs and symptoms.
To ensure that the TB facilities in each rayon for which we are working have adequate medical and TB drug supplies.
Monitoring of nursing adherence to TB guideline and infection control policies during outreach trips to ambulatory polyclinics, TB dispensaries and Hospitals.
Participate in improving patients’ adherence to infection control policy by visiting their homes.
Supervision and follow-up of nursing procedures and documentation as per clinical protocols.
To support the Logframe activities of the project including contact tracing and sputum induction activities
Work in close collaboration with MSF counsellors to enhance patient education, motivation and adherence.
Participate in project meetings.
In collaboration with MDs and health promotion team, participates in day to day avtivities of Active Case Finding (ACF) and ensure follow up of people referred from ACF for screening in KCTBC.
Participate in contact tracing activities and ensure contact-tracing data available on medical drive.
In collaboration with NTP nurses and MSF MDs, regularly conduct home visits in poly – clinics and DOT corners within MSF catchment areas.
Regularly participate in monthly medical inventory/consumption in RTBH and KCTBC and ensuring appropriate medical order.

Training:

To collaborate with Nurse Activity Manager and training coordinator on assessing and identifying training needs for nurses.
Teaching of nursing procedures and documentation as per TB guidelines.
Teaching, supervising and reinforcement of occupational safety, injection techniques and health education to staff, patients and their families.
Assist in provision of continuing education/training/lectures for clinical management of TB to MoH personnel, as well as on-the-spot trainings as required.
Assist in provision of continuing education for the patients and their families.

Management & Communication

Management of patient care, daily activities and responsibilities in coordination with Nurse Activity Manager.
Practice ethical standards in everyday work.
Regularly communicate and provide monthly reports to the Nurse Activity Manager.

Requirements
Education	Essential recognized nurse degree/diploma
Experience	Desirable 2 years of previous experience and previous experience in other NGO’s.
Languages	Knowledge of Tajik and Russian language essential. Knowledge of English language desirable

Salary: Starting Gross salary is 5158 TJS.

Please send your CV and cover letter (mentioning the position in the subject line) to: kulob-admin-assist@oca.msf.org

Deadline for applications until 15th of May 17:00 hours.

Kindly note that only short listed candidates will be invited for an interview. MSF does not enter into correspondence with regard to the reasons for non-selection of candidates.