Nurse Lead

Wits RHI – Gophelega Tshwane

Type: Permanent

Main purpose of the job:

• To lead the implementation of the Gophelega programme within the specified local health areas in support of achievement of programme targets; and in quality improvement activities to ensure quality of care for HIV/TB clients (both children and adults).

Location: Tshwane (Community)

Closing date: 4 May 2023

Submit detailed CV to: vacancy6@wrhi.ac.za

Advert reference number: LM-BRK-027

Key performance areas:

• Regularly monitor and track facility performance in relation to programme targets.
• Monitor and review the implementation and progress of facility level implementation plans in conjunction
  with relevant stakeholders and the RHI team.
• Regularly conduct facility and clinical audits to identify facility level gaps in programme implementation
  and clinical care.
• Implement remedial plans to address identified gaps, together with the facility team.
• Support the identification, implementation and monitoring of QI projects, taking into consideration the
  needs and priorities of the clinic.
• Track changes made that lead to improved outcome measures at the facility level.
• Understand and align DOH mandates to project expectations.
• Review challenges and achievements and escalate challenges timeously.
• Report accurate data on activities conducted, according to data reporting requirements.
• Compile and disseminate reports on facility implementation, according to agreed reporting requirements.
• Act as the first point of contact for Gophelega activities at the facility level.
• Examine and treat HIV infected patients in accordance with guidelines.
• Treat opportunistic infections diagnosed.
• Prescribe appropriate treatments.
• Provide ART and prophylaxis according to DoH guidelines.
• Identify and manage patients with ART failure and opportunistic infections
• Support counsellors to manage adherence issues in patients on ART.
• Facilitate services such as down- and up-referrals.
• Assist with development and implementation of SOP’s that will improve operational efficiencies and
  patient management in the facility.
• Provide comprehensive follow-up services for patients on treatment.
• Register and follow up decanted patients in accordance with guidelines and SOPs.
• Implement programme activities in HTS and non-clinical prevention such as testing for HIV in TB patients, FP and STI, condom distribution, male circumcision and pre- and post-treatment adherence.
• Implement programme activities in PMTCT such as paediatric diagnosis, care and treatment, reproductive
  health including family planning, general adult HIV treatment and chronic care, HIV wellness programmes,
  Tuberculosis screening and care, Nurse-initiated and managed ART.
• Identify gaps in clinical guideline implementation at the facility level and develop plans to address these.
• Identify training needs of DoH / facility staff.
• Address training needs in collaboration with DOH and Wits RHI counterparts.
• Support the implementation of clinical guidelines at the facility level through on-site mentoring support
  and contribute to achievement of priority programmes targets.
• Support the provision of classroom / off site training and on the job training to ensure skills transfer and
  competency.
• Support the implementation of 95-95-95 strategies to ensure clinicians are competent to initiate ART,
  manage and monitor viral suppression and retention in care for patients on ART/TB, including adherence
  support strategies and identification and management or referral of patients for advanced clinical care
  and failing treatment.
• Supervise and manage line reports in keeping with Wits RHI policies and procedures.
• Attend to all staffing requirements and administration.
• Supervise and manage the duties of subordinates to ensure optimal staff utilisation and maintenance of
  sound labour relations.
• Perform and facilitate performance development and assessments.
• Identify substandard performance by team members and take necessary corrective action.
• Coach and train subordinates and team members to ensure the acquisition of knowledge and skills
  required by the organization.
• Identify training gaps at facilities and arrange with the training department the necessary trainings.
• Facilitate skills transfer from programme staff to DOH counterparts.
• Promote harmony, teamwork and sharing of information.
• Take ownership and accountability for tasks and demonstrates effective self-management.
• Follow through to ensure that quality and productivity standards of own work are consistently and
  accurately maintained.
• Maintain a positive attitude and respond openly to feedback.
• Take ownership for driving own career development by participating in ongoing training and
  development activities such as conferences, workshops etc.

Required minimum education and training

• Relevant Nursing diploma or equivalent

Desirable additional education, work experience and personal abilities

• Certification/experience in HIV management, training, and mentoring.
• Sound technical knowledge of PMTCT, Adult HIV, TB-HIV integration and adherence, paediatric treatment
  and care, decanting strategies including referral networks.
• Knowledge of National, Provincial and District health structures.
• Experience working in a donor funded organization / NGO or project-based environment.
• Knowledge of clinical systems and data management.
• Exceptional organizational and administrative skills together with knowledge of Microsoft Office.
• Ordered and systematic in approach to tasks.
• Attention to detail.
• Pro-active, able to exercise discretion and independent decision-making.
• Able to prioritize own workload and work towards deadlines.
• Self -motivated, able to work independently and work as part of a multidisciplinary team.
• Able to speak other local African languages.

Required minimum work experience

• Minimum 5 years’ experience in public health and NiMART certificate.

Demands of the job

• May be required to travel.
• Must be contactable after working hours.
• May be required to work at sites that are under resourced and operate in a highly pressurized
  environment.

Communications and relationships

• Maintain effective working relationships with Senior Management and Wits RHI staff at all levels.
• Communicate effectively with all external stakeholders such as donors, Department of Health (DoH),
  medical and academic institutions, community and other partner organizations.

Should you be interested in applying for this vacancy, please send an email to vacancy6@wrhi.ac.za. The
subject heading of the email must read LM-BRK-027 and the job title of position applying for. Please include
the following documentation:

• A cover letter (maximum one page) that clearly states which vacancy you are applying for.
• A detailed CV, with all the relevant reference checks and contacts.

The Wits Health Consortium will only respond to shortlisted candidates. Candidates who have not been contacted within two weeks of the closing date can consider their applications unsuccessful.

All the best with your applications.