TFU Nurse

Job Description

Position: TFU Nurse

Apply medical and nutritional protocols to ensure the care of the IPD SAM children in TFU. Provide nursing care, treatment, and follow-up for children suffering from severe malnutrition with medical complications, according to IMAM treatment protocols, universal hygienic standards, and other procedures, in order to ensure a good delivery of care and improve their nutritional condition.

Responsibilities:

Providing Preventive and Curative Health Care to Patients Admitted in the TFU:

Admission of Children:

• Understand and apply the SC admission criteria.
• In collaboration with the nutrition worker:
• Measure (MUAC, Z. Score) of the children and detect the presence of Edema.
• Identify the degree and types of malnutrition.
• Note admissions in the register with all the requested information.
• Inform mothers about the child’s condition and results.
• Draw up nutritional surveillance forms and milk cards for the children.
• Trace the children’s weight-target line and note their temperatures.
• Administer treatment as prescribed after medical consultation.
• Check the children’s vaccination status, referring them to the vaccination station if necessary.
• Explain to mothers what hospitalization involves and provide advice if required.

Medical Follow-Up:

• Ensure medical parameters are taken (temperature, heart and respiratory rate, weight, weight/height accordance, presence of oedemas, etc.) following the protocols in use, noting the results on the corresponding forms in the patients’ files.
• Participate in the daily medical round and note changes in prescription according to the patients’ state.
• Check that prescriptions are signed and dated.
• Distribute treatments according to individual medical prescriptions, following the doses, administration methods, and times, and signal any problems.
• Tick off and counter-sign treatments taken in the medical files.
• Ensure external care and dressing, referring the children for complementary examinations if required.
• Follow the rules of hygiene and asepsis during the delivery of all health care (washing hands, sorting waste, what to do in the case of accidental blood exposure, etc.).
• Detect all anomalies in the children’s health and behavior, providing first aid while waiting for a doctor to arrive.

Nutritional Follow-Up (in collaboration with the nutrition worker):

• Insert naso-gastric tubes for feeding, responsible for checking the proper position before feeding, evaluating, and notifying any complications.
• Establish the children’s food ration according to their weight and degree of malnutrition.
• Inform mothers about the importance of meals.
• Educate mothers about the children’s diets and the number and frequency of meals.
• Encourage mothers to continue breastfeeding during hospitalization.
• Incite mothers to give the children liquid intake.
• Ensure that the children eat all their meals correctly, in collaboration with the nutrition worker.
• Note the quantities absorbed and any identified problems (vomiting, diarrhea, etc.).
• Monitor the weight curves.
• Ensure the children’s correct and regular growth by examining their weight curves.
• Identify all anomalies in the curves and inform the doctor in the case of weight loss.
• Organize daily information and education sessions in the SC.

Discharge of the Children from TFU:

• Manage the children’s discharge according to the criteria set out in the protocol and after medical agreement.
• Measure the children’s brachial perimeters.
• Weigh and measure the children to calculate weight/height associations.
• Check that oedemas have disappeared.
• Report all this information on the follow-up forms and note the exits in the register.
• Provide handover notes on each team changeover.
• Inform mothers of measures to be taken and give them nutritional advice adapted to the state of their children.

Managing the Premises, Medicines, and Medical Equipment:

• Be responsible for the material used.
• Ensure the follow-up of medicine consumption during the inpatient phase, drawing up an order with the supervisor if needed.
• Hand over the pharmacy and consumable medical equipment on each team changeover.
• Prepare Oral Rehydration Solution daily, following the rules for doses, dilution, and storage conditions.
• Ensure the cleanliness of the premises and work surfaces.

Communication and Teamwork:

• Introduce yourself to each patient and be polite.
• Explain how to take any treatment prescribed and the importance of following them correctly.
• Always respect medical confidentiality.
• Work in collaboration with the medical and paramedical team.
• Be responsible for the correct execution of tasks by the team under your supervision.
• Organize and manage training sessions if required.
• Ensure written and oral handovers within the team and between the teams.
• Participate in departmental meetings and ongoing training sessions.
• Refer to the SC HoP/Health Officer in the case of any problems.
• Use language that the translator can understand.
• Ensure good communication with the team.
• Report problems encountered in the center or within the team to the SC PM.

Objective 4: Recording and Reporting

• Be responsible for the correct upkeep of registers and hospitalization forms.
• Participate in daily data collection (number of admissions and exits, morbidity, etc.).
• Participate in the calculation and analysis of weekly statistics (calculating weight gain, length of stay, etc.) in collaboration with the field officer and the TFU staff.
• React as necessary according to the results.
• Follow clearly appropriate protocols and guidelines - National.
• Participate in the weekly/monthly reporting of TFU activities.
• Support the organization of transfer if needed (transport, paper, etc.).

Safeguarding Responsibilities:

• Uphold CARE’s Safeguarding Policy and Safeguarding Code of Conduct.
• Must read the Safeguarding Policy and either sign the Safeguarding Code of Conduct or sign a Code of Conduct that is consistent with or references this policy and Safeguarding Code of Conduct.

Safety and Security Responsibility:

• We all have a responsibility to promote a safe and secure work environment, foster a safety and security culture, and ensure consistent application of, and compliance with, CARE Afghanistan safety and security policies and procedures.

Job Requirements

• Education: Nurse graduated degree.
• Training: IPD SAM training.
• Experience: At least 18 months’ experience in nutrition and pediatric activities.
• Language Skills: Fluency in spoken and written Dari and Pashto is a requirement.
• Experience in TFU: Experience in TFU is a plus.

This position will work under the supervision of the TFU In-charge and will report to the Head Nurse.

Submission Guideline

Please submit your completed CARE Standard Job application form (ACBAR: Application Form) along with an updated CV to: afg.vacancies@care.org.

• Applications submitted after the closing date (12:00 AM) and without the CARE Application form will not be accepted.
• Please indicate the position title and Vacancy Number in the Subject Line (TFU Nurse CARE-AF-1166 Ghazni); otherwise, your application will not be considered.
• Note that there will be no telephonic inquiries, and only shortlisted applicants will be contacted for an interview.
• The successful applicant will be expected to undergo a Background Check, Bridger check & Reference check and be compliant and sign up to CARE Afghanistan’s Code of Conduct, PSHA (Prevention from Sexual Harassment, Exploitation, and Abuse), and other CARE Afghanistan policies prior to a final offer being made.
• CARE IS COMMITTED TO CHILD PROTECTION POLICY (Available at: Child Protection Policy).

Equal Opportunity Statement

CARE is an Equal Opportunity employer. We provide equal employment opportunities to all employees and qualified applicants for employment without regard to race, color, sex, religion, ancestry, national origin, age, disability, marital status, or veteran status, or any other characteristics protected under applicable law.

MDS (Misconduct Disclosure Scheme)

CARE participates in the Inter-Agency Misconduct Disclosure Scheme. In line with this Scheme, we request information from candidates’ previous employers about any findings of sexual exploitation, sexual abuse, and/or sexual harassment during employment, or incidents under investigation when the candidate left employment. All offers of employment are subject to satisfactory references and appropriate screening checks. By submitting an application, the job applicant confirms understanding of these recruitment procedures.