Registered nurse for maternity department

Main responsibilities

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

This position is located mainly in the MSF Birth Center inside the Rafic Hariri Univeristy Hospital (RHUH). Occasional support to teams in Burj al Barajneh and Shatila camp will also be required.

What is MSF ?

Here is a short video about the maternity in which you will work.

Médecins Sans Frontières/حدود  بلا أطباء (MSF) is an international, independent, medical humanitarian organization that delivers emergency aid to people in 70 countries who are affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation and our actions are guided by medical ethics and the principles of neutrality and impartiality.

We offer basic healthcare, perform surgery, fight epidemics, rehabilitate and run hospitals and clinics, carry out vaccination campaigns, operate nutrition centers, and provide mental healthcare. Our activities include the treatment of injuries and disease, maternal care and the provision of humanitarian aid. Where necessary, we set up sanitation systems, supply safe drinking water, and distribute relief to assist survival.

Detailed accountabilities

This position requires mainly shift duties (7 am to 7 pm // 7 pm to 7 am)

During delivery-immedicate postpartum

• Collaborate with the midwife/gynaecologist during the second, third, fourth stage of labour in delivery room

• Support the patient during the second stage of labour
• Receive the newborn from the MW / obstetrian post-delivery and provide immediate newborn care, registration and vaccination.
• If necessary initiate and attend resuscitation of the newborn – as per training, and with the team
• Monitor newborns and mothers during the fourth stage of labour, document findings and transfer to postpartum ward when stable. In complicated cases (PPH, instrumental deliveries etc), observe and record the vital signs – BP, PR, temp, RR, PV blood loss…
• Educate the mothers on the importance of breast feeding and support them in the intiation of feeding.
• Ensure proper discharge education is provided for both the mother and baby, and invite for follow up within the MSF structure during the postnatal period.
• Monitor the babies breast feeding pattern and report to IPD supervisior /MD any problems.
• For identified higher risk infants follow MSF protocols and take actions toward treatment and referral
• Ensure patients' rights to privacy and confidentiality are respected, and treat them in this manner.
• Ensure patient centered care with respect for the patient regarding dignity and autonomy.

Referral of high risk women / newborns

• Consult with the obstetrician /MW / paediatrian / referral nurse when referral is deemed necessary based on criteria. Prepare the patient/newborn accordingly and complete the required documentation.
• Communicate handover with affiliated hospitals and find a place for the patient according to protocol. Administratie work regarding referral to be done.
• Inform family / caretaker accordingly
• Accompany patient / newborn when needed

Participates in the department related pharmacy and medical equipment control and maintenance

• Perform handover of medicines and materials at every shift
• Ensure no material is removed from the nursing area / wards withour prior authorisation
• Checks that the medical equipment in the department functions properly (suction pump, BP machine pulse oximeter)
• Cleans and disinfects materials after each patient.
• Monitors and records the consumption of medical materials and supplies and report to midwife supervisor about near ruptures.

Hygiene / aspesis, waste disposal and stock keeping

• Ensure appropriate waste management and  use appropriate containers and bins (sharps, medical waste, domestic waste)
• Follow cleaning and instrument sterilisation procedures
• Respect standard precautions and aspesis during procedures
• Awareness of PEP kit and follow up of AEB procedure

Additional Responsibilities

• Participate in collecting needed data for monthly medical reports
• Participate in the regular meetings of the medical team
• Rotation to OPD to ensure continuity of SRH (sexual and reproductive health) related activities.
• Participates in all trainings delivered  to the department and makes an ongoing effort to maintain and update obstetrical/medical/ paediatric knowledge and skills.

REQUIREMENTS

Mandatory education : Nursing degree and registration with the Syndicate of Nurses

Desirable experience : 2 years of previous experience, including neonatal care / Experience with NGO

Language skills : Arabic (mandatory) English (strong asset)                             

Soft skills :   Results and Quality Orientation  -- Teamwork and Cooperation  - Behavioural Flexibility - Commitment to MSF Principles  - Stress Management