This position is a daily wages position. It means that after orientation days, you will be called upon request.
PURPOSE OF POST
The LHV in Maternity department is responsible for providing care at the maternity department under the direct supervision of the nurse: the Labour Room, Delivery room, ensures the neonatal resuscitation and early postpartum follow up of women.
FUNCTIONAL AND HIERARCHICAL LINES
She answers to: Midwife supervisor.
She works under direct supervision of a registered nurse on all duties.
She collaborates with: the rest of the medical team, the logistic and administrative department
MISSION AND PRINCIPAL ACTIVITIES
Attendance and involvement at work:
· Observe the MSF charter.
· Perform all activity in line with the MSF protocols and procedures.
· Respect the time schedule and be at work on time (flexible at anytime).
· Treat the patient with care and respect providing good quality care.
· Respect the patient privacy and strictly respect community culture, norms.
· Maintain good relationship with other team members.
· Adhere to MSF Clinical Guidelines and protocols.
1. Maternity department
To work under direct supervision of a registered nurse on all duties.
§ Ensuring adequate handover of patients to oncoming staff
§ To accompany patients when transferring between departments
§ Attending regular team meetings
§ Participating in training sessions
§ Keeping the labour room stocked and tidy
§ Participating in filling our daily consumption sheets
§ Being aware of the procedures to follow after accidental exposure to blood
§ Documentation of antepartum, intrapartum and postpartum care in nursing notes
§ Carrying our daily/ weekly checking of equipment including cleaning of emergency equipment
§ Assisting with weekly drug order and stock inventories
§ Collaborating with cleaning staff to maintain a good standard of hygiene in the maternity department
§ Sending the laundry in the morning with proper documentation
§ Handover of baby towels
§ Handover of medical equipment
§ Assisting doctors in the assessment room when a patient is referred with patient cares which include drawing blood, cannulation, haemocue, blood glucose testing, and urinalysis.
§ Caring for women with missed abortion
§ To provide early labour care under the supervision of medical staff
§ Carrying out an abdominal palpation to establish fetal presentation, lie and position.
§ To be able assess progress of labour, i.e. strength and frequency of contractions
§ Conducting normal deliveries under supervision of a registered nurse
§ Performing vaginal examinations
§ Taking and recording vital signs during: early labour, active labour and postpartum period, as per msf protocol.
§ Auscultation of fetal heart during first and second stage as per msf protocol
§ Using a Partograph in labour to monitor and document the progress of labour.
§ Regularly auscultation of the fetal heart during labour and delivery as per msf protocol
§ Administration of oral medications under direct supervision of a registered nurse or doctor.
§ Administration of oxytocin in the third stage under direct supervision of a registered nurse or doctor
§ Recognising and assisting with management of obstetric emergencies
§ Informing doctor of abnormal progress of labour/ complications of labour
§ Assisting Doctor/ Nurse with complicated deliveries
§ Assess the need for episiotomy and perform episiotomy if indicated
§ Able to perform artificial rupture of membranes if indicted
§ Suturing of episiotomy and second degree vaginal Perineal tears
§ To recognise problems in the second stage of labour
§ Safe management of the third stage of labour
§ To assist in the management of Obstetric emergencies
§ Competent to conduct basic neonatal resuscitation
§ Accompanying patient to theatre for caesarean section, and being familiar with aseptic technique
§ Receiving baby at caesarean section and assist the NBU doctor in providing resuscitation
§ Completing birth register
§ Listens to patients complaints and informs doctor, supervisor
Patient Care - Postnatal Period
§ Monitoring/recording of blood loss, vital signs, uterus, bladder care and general wellbeing in the immediate postpartum period.
§ Perform postnatal checks on a daily basis and prior to discharge
§ To promote early breastfeeding and skin to skin contact within first hour of birth
§ Assistance with breastfeeding as required
§ Recognising and responding to problems immediately postpartum
§ Informing doctor of complications during postpartum period
§ Health promotion – postnatal care and advice to women
§ Providing advice to women on the signs of postpartum infection and importance of accessing medical care/ follow
Care and Monitoring of Newborn Baby
§ Maintaining temperature and checking respirations as required
§ Carrying out newborn check within first 24 hrs of birth including birth weight
§ Regular observation of baby to detect any abnormal conditions i.e., infection, sepsis, hypoglycemia, and hyperthermia.
§ Administration and documentation of vitamin K and routine vaccinations within first 24 hours
§ Observation and documentation of vital signs, colour, and urine output on newborn observation chart
§ Care and observation of a small or sick baby as per msf protocols
§ Perform blood glucose monitoring for baby if required
§ Perform training sessions of BHU LHVs in high risk obstetrics training
§ Distributing patient food in time
§ Actively supporting other departments of WH as required by supervisor according to operational needs
§ In case of referral to accompany the patient and the attendance
pMedecins Sans Frontieres Doctors Without Borders (MSF) is an independent medical humanitarian association providing medical assistance to people in need, irrespective of race, religion, creed or political conviction. MSF has started work in Pakistan since 1986 as an independent, self-governed organ ...Read More