Lowongan UN Nurse di Cambodia

UN Dispensary Nurse

United Nations Development Programme (UNDP)

Location: Cambodia (Phnom Penh)
Closing date: 19 Feb 2008

Job Description

Job Title: UN Dispensary Nurse (re-advertised)
Contract Type: Service Contract (SC4)
Job Ref No.: 2007/043

Under the guidance and supervision of the UN Physician, the post holder is responsible for ensuring the delivery of safe and effective nursing care to the whole UN staff population and their dependants. The post holder is accountable for nursing service delivery. S/he will lead and manage all the nursing resources, working closely with the physician and the dispensary team to deliver the dispensary health priorities. Clinically, the focus of the role is the delivery of nursing care for patients with long-term conditions and management and preventative nursing interventions to all patients. The nurse is responsible for the care delivering, demonstrating critical thinking and skills in clinical decision-making. S/he will work collaboratively with the whole dispensary team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership and direction to the staff.

Key responsibilities:

Clinical practice:
- Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being
- Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term condition
- Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition
- Work together with the physician to monitor, manage and treat long-term conditions, including using non-drug-based treatment methods, in line with national and local policies and dispensary needs
- Work with patients in order to support adherence to prescribed treatments
- Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with national and practice protocols
- Work with patients in order to support adherence to prescribed treatments
- Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
- Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
- Support patients to adopt health promotion strategies that promote them to live healthily, and apply principles of self-care
- Support and manage health needs of women presenting for family planning and cervical cytology consultations
- Implement and participate in vaccination and immunisation programmes for both adults and children
- Advice, support and, where appropriate, administer vaccinations for patients travelling abroad
- Meet the needs of patients presenting for wound care.

Communication:
- Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
- Communicate with and support patients who are receiving 'bad news'.
- Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
- Anticipate barriers to communication and take action to improve communication
- Estimate and maintain effective communication within the dispensary environment.
- Act as an advocate when representing patients and colleagues
- Participate in practice team meetings, delivering the nursing agenda.

Delivering a quality service:
- Recognise and work within own competence and professional code of conduct.
- Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
- Prioritise, organise and manage own and other's workload in a manner that maintains and promotes quality
- Deliver care as an individual and team according to given guidelines.
- Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
- Lead the quality agenda in responding to local and national policies and initiatives as appropriate
- Evaluate patients' response to health care provision and the effectiveness of care
- Lead and participate in shared learning across the dispensary and other organisation
- Lead in the management and review of patient complaints.
- Assess the impact of policy implementation on care delivery
- Monitor the performance of the dispensary team in accordance with UN policies
- Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
- Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Management function:
- Identify the nursing requirement to meet the dispensary population need.
- Assess competences of staff within the team
- Manage and monitor sickness, absence and annual leave requests from the dispensary staff in line with best practice and UN policies
- Participate in performance-monitoring review of the team, providing feedback as appropriate
- Collate, analyze and present clinical data and information.

Leadership – personal and people development:
- Take responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model
- Support the development of others in order to maximize staff potential
- Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
- Lead others to make realistic self-assessment of their knowledge and skills, challenging any complacency and actions that are not in the interest of the public and/or dispensary users
- Act as a clinical leader in the delivery of nursing services to patients, ensuring that the needs of the patient are the priority
- Lead in the planning and implementation of changes within the area of care and responsibility
- Lead and participate in the development of UN and local guidelines, protocols and standards
- Promote the role of the dispensary team in the provision of care

Team working:
- Understand own role and scope in the dispensary and identify how this may develop over time
- Work as an effective and responsible team leader, supporting others and exploring the mechanisms to develop new ways of working
- Delegate appropriately, adopting the principles of safe practice and assessment of competence of the staff.
- Ensure clear referral mechanisms are in place to meet patient need
- Prioritize own and other's workload and ensure effective time-management strategies are embedded within the culture of the team
- Work effectively with others to clearly define values, direction and policies impacting upon care delivery
- Lead dispensary team activities that create opportunities to improve patient care
- Participate in and support dispensary projects as agreed with the dispensary committee.

Management of risk:
- Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
- Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
- Ensure the safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements
- Act as a role model to support members of the staff team to undertake mandatory and statutory training requirements
- Apply infection-control measures within the practice according to local and national guidelines
- Apply policies that reduce environmental health risks.

Utilising information:
- Use technology and appropriate software packages as an aid to the planning, implementation, monitoring of care and patients record keeping.
- Manage information searches using the internet
- Understand the responsibility of patient records confidentiality.
- Collate, analyze and present clinical data and information to the team using appropriate charts and/or graphs to enhance care

Selection Criteria:
- Knowledge of needs of patients with long-term conditions
- Aware of accountability of own role and other roles in a nurse-led service
- Knowledge of health promotion strategies
- Awareness of clinical governance issues in primary care
- Knowledge of patient group directions and associated policy
- Clinical skills, immunisation and vaccination.
- Management skills and ability to support patients to change lifestyle.
- Communication skills, written and verbal both in English and Khmer languages
- Ability to communicate difficult messages to patients and families
- Negotiation and conflict management skills
- IT skills
- Minimum 3 years post registration clinical experience with demonstrated experience in primary and community nursing
- Management of long-term conditions
- Involvement in implementing and using protocols and clinical guidelines
- Diploma in Nursing (Registered Nurse or equivalent)
- Highly motivated
- Flexible
- Enthusiastic
- Team player
- Capable to work under stressful conditions.

Vacancies Contact

To submit your application and for more details on duties, responsibilities and selection criteria, please go to:
http://www.un.org.kh/undp/content/ > About UNDP Cambodia > Jobs Opportunity. You must state in your application letter how you meet the selection criteria specified in the terms of reference. The vacancy is open to national applicants. UNDP will contact references directly. Only short-listed candidates will be contacted for written competency test and/or interview. Women are encouraged to apply. Competitive salary package (USD700 plus per month). Previous applicants do not need to re-apply.

Reference Code: RW_7BC5SU-37