· To ensure and carry out pre-conceptual care, antenatal care, labour and delivery, post-partum care, neonatal care
· To ensure and provide specific care for HIV pregnant women and women suffering from FGM (Female Genital Mutilation)
· To ensures prevention of fistula or its early management
· To ensure and assist comprehensive abortions in providing safe abortion services and treatment of unsafe abortion complications
· To ensure fills in properly all the registers, partograms, patient files,
· Identifies training needs and plan trainings together with the Expat midwife.
· Reinforces skills in obstetrics of all midwife and maternity staff
· To ensure follow up of all newborn babies properly since delivery and until discharge.
· To ensure and inform mothers and relatives of newborns about importance of breast feeding, vaccination and possible complications as a result of harmful traditional practices. Supports midwives to conduct safe, clean deliveries and performs with the help of expat midwife or doctor normal or complicated deliveries when required.
· Ensures the proper follow up of normal and complicated cases since admission to discharge and proper referral to other services when required.
· Ensures that all pregnant women and new born children are referred to the Extended Program on Immunisation (EPI) and postnatal clinic.
· To ensures good quality of Prevention Parent To Child Transmission (PPTCT) and Voluntary Counseling and Testing (VCT) activities for all pregnant women.
· To ensure provides counselling services following protocols.
· To ensure that transmission by HIV or other STIs is avoided with the help of Post Exposure Prophylaxis (PEP) and promotes the use of condoms while trying to respect local traditions.
· To ensure and know SGBV protocol and provides appropriate medical cares to victims of sexual violence, according to MSF
· To ensure and identify possible victims of SGBV and refers them to medical team for treatment as well as for psychological specific support according to protocols.
· To ensure respects rules of hygiene for the protection of patients and staff
· To ensure knows accidental blood exposure policy and procedure, and implements when necessary
· Is responsible for hygiene and universal precautions in the maternity according to protocols and in cooperation with logistics department. Knows and implements accidental exposure policy.
· To ensures the correct disinfection and sterilization of material, linen and premises according to MSF protocols
· Looks after all equipment provided.
· Ensures that no material is taken out of midwife area and maternity rooms without prior authorisation.
· Ensures that inventories of all material and equipment used exist and are updated.
· To supervise all care administered by the midwife (training and supervision)
· To organize the daily work and dispatch the tasks among the midwife and nurse in collaboration with the supervisor
· To ensure oral and written handovers are done, write relevant information on the individual cards and in the transmission notebook for the next team at the end of the shift
· Make necessary reporting related staff management to the administration
· Mmanages the work of the staff working in the Maternity, MCH and refers to the expat midwife for advice whenever needed
· Ensures accurate diffusion of information to all staff under supervision.
· Ensures relevant transfer of information from one duty team to another.
· Ensures that all midwife and maternity staff promote and maintains confidentiality regarding all patient cases and records
· Manages potential conflicts among staff members.
· Promotes communication and active participation of all staff in development of project as well as in MSF values and philosophy.
· To ensures relevant transfer of information to the next duty team (especially the identification of at risk cases)
· To ensure report immediately to the technical referent any problem arising for patients in the service as well as the loss/ robbery/damage of medical equipment or medicines. Ensures that basic maternity plans are adhered by all maternity staff and that prescription and protocols are respected.
· Is responsible for the surveillance of all maternity patients in wards.
· Supervises sterilization and injection services related to maternity patients
9. Pharmacy
· Ensures distribution of drugs is done according to protocols.
· Monitors and supervises weekly and monthly consumption of drugs as well as inventories in cooperation with expat midwife (or pharmacist) ensuring that drug consumptions match number of patients and prescriptions.
· Plans trainings together with the Expat midwife regarding the proper use of drugs, needs and consumptions.
10. Recording
· Ensures that recording in individual patient’s card and registration books of all nursing activities are performed correctly.
· Ensures that all administrative procedures and documents are used correctly (transfer paper)
11. Reporting
· Collaborates with the expat midwife in the compilation of the monthly statistics.
· Informs expat midwife about any possible serious problem or complication related to patients, staff or equipment.
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