2. Purpose of the Position
The Nurse is responsible for providing safe, quality and patient-centred nursing care at the assigned SHC or through MHNT outreach services. The position will support patient assessment, vital-sign monitoring, medication administration, wound and basic clinical care, follow-up of patients, health education, infection prevention and control, and maintenance of accurate patient records. The Nurse will work under the clinical supervision of the assigned MD Doctor and will contribute to timely identification and referral of patients requiring additional or specialized medical care.
3. Key Responsibilities
3.1 Patient Assessment and Nursing Care
- Receive and assess patients attending the assigned health facility or MHNT.
- Conduct initial nursing assessment and record relevant patient information.
- Measure and document vital signs, including temperature, pulse, respiratory rate and blood pressure, as appropriate.
- Identify abnormal findings and promptly communicate concerns to the MD Doctor or responsible clinician.
- Provide basic nursing care according to approved clinical protocols.
- Monitor patients during and after treatment as required.
- Assist patients in accessing appropriate services within the health facility.
- Provide respectful, dignified and non-discriminatory care to all patients.
4. Support to Clinical Management
The Nurse will work closely with the MD Doctor and other clinical personnel to:
- Support clinical assessment and management of patients.
- Prepare patients for medical examination and procedures.
- Implement nursing interventions prescribed or authorized by qualified clinical personnel.
- Monitor patient response to treatment.
- Report changes in patient condition promptly.
- Assist with emergency stabilization within the Nurse's professional scope.
- Support appropriate referral of complicated or high-risk cases.
- Participate in clinical case discussions where appropriate.
The Nurse shall not independently undertake clinical decisions or procedures outside their professional qualifications, training or approved scope of practice.
5. Medication Administration
- Administer prescribed medications safely and appropriately within the Nurse's professional scope.
- Verify medication, dosage, route, timing and patient information before administration.
- Monitor patients for adverse reactions or other concerns.
- Report suspected adverse drug reactions promptly.
- Maintain accurate medication administration records.
- Promote rational and safe use of medicines.
- Follow approved medicine-storage and handling procedures.
- Report medicine shortages, expired medicines or damaged supplies to the responsible supervisor.
6. Wound Care and Basic Procedures
- Provide appropriate wound dressing and basic wound care according to approved clinical protocols.
- Maintain appropriate infection prevention and control measures during procedures.
- Support management of minor injuries within the approved scope of practice.
- Prepare patients and required materials for clinical procedures.
- Dispose of medical waste appropriately.
- Refer complicated wounds, injuries or infections to the MD Doctor or appropriate higher-level facility.
7. Maternal and Child Health Support
Although the position is a male nursing role, the Nurse will support integrated maternal and child health services as appropriate to the assigned health facility and team.
Responsibilities may include:
- Supporting the MD Doctor and Midwife in patient care.
- Assisting with general maternal and child health service delivery.
- Monitoring patients and communicating clinical concerns to the appropriate provider.
- Supporting health education activities for caregivers.
- Supporting identification and referral of children with danger signs.
- Supporting immunization and other preventive health activities within the approved scope.
- Providing appropriate nursing care to children and adult patients.
8. Emergency and Stabilization Support
- Identify patients presenting with emergency signs and immediately notify the MD Doctor.
- Provide first-line nursing support and emergency care within professional scope.
- Monitor vital signs and patient condition during stabilization.
- Prepare patients for referral where required.
- Assist with emergency equipment and supplies.
- Ensure appropriate documentation of emergency care provided.
- Support safe and timely transfer of referred patients.
9. Patient Follow-Up
- Follow up on patients as instructed by the responsible clinician.
- Monitor patient progress and treatment response.
- Identify deterioration or new symptoms and report them promptly.
- Support continuity of care.
- Provide patients and caregivers with appropriate instructions regarding treatment and follow-up.
- Maintain accurate follow-up records.
10. Health Education and Counselling
Provide patients and caregivers with appropriate health education on:
- Personal hygiene.
- Infection prevention.
- Safe water and sanitation practices.
- Medication adherence.
- Appropriate care-seeking behaviour.
- Prevention of common diseases.
- Maternal and child health.
- Nutrition and healthy practices.
- Family planning and reproductive health messages where appropriate and within the approved service arrangement.
- Available health and referral services.
The Nurse should ensure health messages are communicated in language and terms understandable to the patient or caregiver.
11. Nutrition Integration
As part of the project's integrated health and nutrition approach, the Nurse will:
- Support identification of patients requiring nutrition screening.
- Conduct or support basic nutrition screening where trained and authorized.
- Identify children and other vulnerable individuals showing signs of nutritional risk.
- Refer suspected malnutrition cases to appropriate nutrition services.
- Provide basic nutrition and health education within the approved scope.
- Coordinate with nutrition personnel and other health staff.
- Ensure nutrition-related referrals are appropriately documented.
12. Infection Prevention and Control
The Nurse shall maintain high standards of infection prevention and control, including:
- Appropriate hand hygiene.
- Correct use of personal protective equipment.
- Safe injection practices where applicable.
- Appropriate sterilization and disinfection procedures.
- Safe handling and disposal of medical waste.
- Maintaining cleanliness of clinical areas.
- Following standard precautions at all times.
- Promptly reporting IPC gaps or risks to the responsible supervisor.
13. Patient Records and HMIS
- Maintain complete and accurate nursing and patient records.
- Record patient assessment, treatment, medication administration and follow-up information as required.
- Complete relevant registers and forms accurately.
- Support timely HMIS reporting.
- Verify data before submission to the responsible reporting staff.
- Participate in data-quality checks and correction of identified errors.
- Ensure patient records remain confidential and secure.
- Support compilation of accurate service statistics.
14. SHC-Specific Responsibilities
For the 5 Male Nurses assigned to Static Health Centres (SHCs):
- Provide daily nursing care during approved facility working hours.
- Support patient flow and clinical assessment.
- Assist the MD Doctor with consultations and procedures.
- Monitor patients before, during and after treatment.
- Provide wound care and medication administration.
- Support maternal and child health services as appropriate.
- Maintain nursing registers and patient records.
- Support emergency stabilization and referral.
- Participate in health education and community awareness activities.
- Participate in facility meetings, supervision and quality-improvement activities.
15. MHNT-Specific Responsibilities
For the 6 Male Nurses assigned to Mobile Health and Nutrition Teams (MHNTs):
- Participate in scheduled monthly field/outreach visits.
- Travel to targeted communities according to the approved project work plan.
- Provide nursing services during mobile outreach activities.
- Conduct initial patient assessment and vital-sign monitoring.
- Support MD Doctors during mobile clinical consultations.
- Administer prescribed medicines within professional scope.
- Provide basic wound care and other approved nursing services.
- Support identification and referral of complicated cases.
- Provide health and hygiene education.
- Support nutrition screening and referral where applicable.
- Coordinate with CHWs and community representatives.
- Maintain accurate field service records.
- Follow all approved field security and movement procedures.
16. Referral Management
The Nurse will:
- Identify patients requiring additional medical attention.
- Immediately inform the MD Doctor or responsible clinician.
- Support stabilization before referral where appropriate.
- Prepare patients and documentation for referral.
- Assist in completing referral forms.
- Explain referral instructions to patients and caregivers as directed.
- Support coordination with referral facilities.
- Maintain records of referred patients and referral outcomes where available.
17. Medicines, Supplies and Equipment
- Ensure appropriate use and handling of medicines and medical supplies.
- Monitor availability of essential nursing supplies.
- Report stock shortages, damaged or expired items promptly.
- Maintain proper care of assigned equipment.
- Report missing, damaged or malfunctioning equipment.
- Support appropriate stock and consumption records.
- Prevent unauthorized use or removal of project medical supplies and equipment.
18. Community Engagement and Accountability
The Nurse will:
- Treat patients and community members with dignity and respect.
- Promote a welcoming and patient-friendly service environment.
- Explain available health services to patients and caregivers.
- Support community awareness and health-promotion activities.
- Encourage appropriate and timely use of health services.
- Support HDDO's complaints and feedback mechanisms.
- Report safeguarding or protection concerns through established channels.
- Ensure patients are treated without discrimination.
19. Coordination and Communication
The Nurse will maintain effective communication and coordination with:
- Project Manager.
- Project Health & Nutrition Officer.
- Assigned MD Doctor.
- Midwives.
- Other nurses and health facility staff.
- Nutrition personnel.
- Relevant health authorities and PPHD, as appropriate.
- Referral facilities and other health service providers.
The Nurse shall promptly report clinical, operational, supply and security concerns to the appropriate supervisor.
20. Quality Assurance
- Provide nursing care according to applicable MoPH/BPHS standards and approved clinical protocols.
- Participate in supportive supervision.
- Identify gaps in nursing and clinical service delivery.
- Implement corrective actions as directed.
- Participate in training, mentoring and refresher sessions.
- Promote patient safety and quality improvement.
- Report clinical incidents and risks promptly.
21. Reporting and Documentation
The Nurse will contribute to:
- Daily patient/service documentation.
- Nursing records.
- Medication administration records.
- Referral records.
- Wound-care records, where applicable.
- Patient follow-up records.
- HMIS reporting.
- Monthly project activity reporting.
- MHNT field activity reports.
- Service statistics and indicator tracking.
- Quality-improvement documentation.
All records must be accurate, complete, timely and maintained according to HDDO and MoPH requirements.
22. Compliance and Internal Controls
The Nurse must:
- Comply with HDDO policies and procedures.
- Follow MoPH/BPHS standards and applicable clinical protocols.
- Comply with AHF project requirements.
- Follow approved attendance, working-hour and leave procedures.
- Maintain accurate records.
- Protect project assets, medicines, equipment and supplies.
- Follow field security and movement procedures.
- Report suspected fraud, misuse of project resources, safeguarding concerns or serious operational risks through established channels.
23. Key Deliverables
During the 11-month project implementation period, the Nurse is expected to contribute to:
- Quality primary nursing care at assigned SHCs or through MHNTs.
- Accurate and timely patient assessment.
- Appropriate vital-sign monitoring and documentation.
- Safe administration of prescribed medications.
- Quality wound care and basic nursing procedures.
- Effective support to MD Doctors in clinical management.
- Appropriate emergency and stabilization support.
- Timely identification and referral of complicated cases.
- Effective patient follow-up and continuity of care.
- Support to maternal and child health services.
- Integration of nutrition screening and referral.
- Effective health education and counselling.
- Accurate patient records and HMIS reporting.
- Participation in scheduled MHNT field visits.
- Compliance with MoPH, HDDO and AHF requirements.
