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DUTY STATION     :           C-Care

DEPARTMENT       :           Pharmacy      

POSITION             :           Pharmacy Technician/Dispenser

REPORTS TO        :           Pharmacist    

INTERFACES WITH:          Clients/Patients, Doctors, Nurses

 

OVERALL JOB PURPOSE

To participate in the preparation, documentation and dispensing of drugs and other supplies to other hospital units and to clients. This service requires a professional demeanour, excellent communication skills and empathy to ensure that patients are accurately counselled so as to improve their adherence to treatment and other guidelines.

 

JOB REQUIREMENTS AND COMPETENCIES

  1. Diploma in Pharmacy Technology or equivalent qualification (e.g. diploma in clinical medicine)
  2. Registration with the Uganda Allied Health Professionals Council.
  3. Knowledge of key pharmacology terms and standards
  4. Experience in dispensing is an added advantage
  5. Basic computer knowledge.
  6. Knowledge of C-Care drug formulary and pharmacy standards and procedures.
  7. Excellent customer care and communication skills
  8. Knowledge of key drug indications, regimen and interactions.

 

PERFORMANCE INDICATORS

  1. Safe dispensing practices e.g. 100% prescription records, clear, accurate and timely patient counselling
  2. Good stock management e.g. 100% Navision entry, Up-to-date accurate stock card entries
  3. Professionalism i.e.
  • Continuous professional and personal development
  • Knowledge and adherence to C-Care Drug Formulary in dispensing
  • Supportive, facilitative and collaborative team work
  1. Cost effective pharmaceutical care

 

SPECIFIC JOB RESPONSIBILITIES

 

  1. Undertakes the preparation, packaging, labelling and dispensing of drugs against a validated prescription or drugs/sundries order, working to national standards and in accordance with C-Care procedures, in an accurate and timely manner

 

  1. Prepare documentation and labels for all products, in accordance with C-Care standard operating procedures

 

  1. Receive and evaluate prescriptions / orders from patients and / or hospital staff, against agreed departmental protocols

 

  1. Ensure that relevant details recorded on prescriptions comply with all legal requirements and liaise with medical and nursing staff as necessary

 

  1. Ensure that all medicines dispensed are checked against the prescription and check with the prescribing doctor; whenever there is doubt about the appropriateness of the medication, or about the doze or labelling instructions

 

  1. Communicate to patients regarding treatments and to accurately pass on information to other members of the team, regarding patient treatments

 

  1. Monitor expiry dates of drugs and other supplies to ensure timely rotation and use in other wards/clinics before the expiry date.

 

  1. Perform regular stock checks and agreed upon stock take to ensure that the hospital has adequate medical supplies (drugs, sundries, fluids, etc) and that there are no expired drugs or other medical supplies on the shelves and cupboards. This may require that you physically check stock in:

 

  • Theatre & Sterilisation
  • Pharmacy cages and dispensary.
  • Stock Cupboards
  • Wards ( OPD, IPDs )

 

  1. Ensure that refrigerated items are stored at the appropriate temperature.

 

  1. Regularly monitor and record the fridge temperatures to ensure adherence to agreed standards.

 

  1. Maintain agreed data entries and documentation or paper trail for all prescriptions/ supplies to ensure a seamless accountability and stock-keeping system using agreed documents accurately and in timely manner e.g. stock cards, Navision and others

 

  1. Be fully accountable for drug usage in the pharmacy and report any abuse of medical resources under your care.

 

  1. Answer the telephone according to C-Care telephone etiquette and assess the nature of the query, respond to the enquiry and refer to appropriate members of staff as necessary.

 

  1. Attend any meetings and training sessions as requested. Keep up to date with department and/or organisation communications via inter/intranet, noticeboards etc.

 

 

  1. Check for any contra-indications or any harmful drug interactions of drugs prescribed (e.g. in pregnancy) to ensure safe usage of drugs by patients

 

  1. Dispose of all used and unwanted materials e.g. expired drugs according to C-Care Standard operating procedure.

 

  1. Participate in the assessment and internal audit of the unit to assure the quality of service

 

  1. Ensure the safe and appropriate storage of all materials and equipment and ensure that adequate stock takes are maintained.

 

  1. Perform any other duties that will be assigned to you by the Pharmacist and/or Pharmacy team leader.

 

EQUIPMENT AND MACHINERY

  • Refrigerator and Computer
  • SYSTEMS/ TECHNOLOGY
  • MS office
  • Navision

 

PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

  • You may have long shifts, standing as you deliver your services to clients.

 

  • You may deal with irate patients or staff from time to time.

 

  • You may deal with anxious or distraught patients or staff.

 

FUNCTIONAL STATEMENT

You are required to adhere to the employment policies as per department guidelines and as per the Employee Handbook.

 

Among other performance measures as agreed within your department, you are required to align your accomplishments to the 5 pillars of the organisation; namely:

  1. PATIENT SAFETY
  2. QUALITY OF CARE
  3. CUSTOMER SATISFACTION
  4. PRODUCTIVITY
  5. PROFITABILITY

 

You are required to adhere to and embody the values of the organisation; these require a commitment to creative demonstration of the values below in your day-to-day work:

 

  1. ACCOUNTABILITY for our actions
  • Committed to creative actions that have a positive impact on others
  • Proactively seeking feedback about our services, we willingly take the necessary actions for redress, where needed
  • Taking responsibility for our decisions and their outcomes, we do not shift blame, give excuses or become defensive
  • Understanding that our responses are within our control, we choose to positively respond to the circumstances around us

 

  1. DIGNITY in our service
  • Recognising the sanctity of life, we honour those we serve
  • Acknowledging that respect is earned, we have self-respect and esteem others, too
  • We recognise that everyone brings unique value to the organisation so we treat all partners with respect and dignity
  • We value the unique opinions and contributions added by others so we actively listen in our communications with one another

 

  1. COMMITMENT to excellence
  • Exceptional outcomes are a result of our focussed dedication
  • Deliberate devotion to our standards of care
  • Shared accountability for achievement of results
  • Evidence-based practice for quality care

 

  1. COMPASSION for our customers
  • Empathy for those in our care
  • Willingness to listen to others
  • Going the extra mile to meet clients’ needs
  • Responsive to the individual needs of the client, we deliver holistic care to our clients

 

  1. BUILDING HOPE in the community
  • Providing quality care to the needy
  • Investing in health interventions that have a wider social impact
  • Touching our communities through our health programs
  • Encouraging and supporting those around us

 

  1. INNOVATION in our approaches
  • Continuous improvement in our systems and practices ensures effective models for first-rate service delivery
  • Committed to life-long learning, we strive to be creative and innovative in all we do
  • Investing in modern equipment
  • We believe in the synergy inherent in partnerships and proactively seek to work with our stakeholders

 

  1. INTEGRITY in our dealings
  • Honest communication with patients and among staff
  • Fairness and self-scrutiny in everything we do
  • Maintaining confidentiality and privacy
  • Sound business practices in line with best practice

 

  1. INVESTING in people and services
  • Developing our staff through internal and external opportunities
  • Fostering an empowering and conducive working environment
  • Constantly advancing our facilities and equipment
  • Consistently scrutinizing our services and conduct


DEPARTMENT         :           Administration

POSITION                 :          Administrative Officer

REPORTS TO           :          Business Manager

INTERFACES WITH  :           Medical staff, Nurses, laboratory staff, Patients, company         representatives

 

OVERALL JOB PURPOSE

This job is critical to accurate and complete running of the administrative duties at the centre; and the billing process for services rendered. The key objectives for this role include:

  • To ensure that all administrative work is done accurately and promptly.
  • To ensure that customer experience is improved time to time.
  • To ensure that all bills in the designated centre are captured to detail.
  • To ensure that all cash paying patients clear their bills.
  • To prepare final bills for patients, collect final settlement payments and properly close off all bills.

 

JOB REQUIREMENTS

  • A good management, business or Accounting degree/diploma from a recognized university
  • Good and demonstrable understanding of IMG Philosophy, Vision and strategy (desirable)
  • Good interpersonal skills.
  • Good communication skills (Verbal & Written) so as to communicate effectively with clients, the team and other staff.
  • Good and demonstrable leadership skills (desirable)
  • Computer Literacy especially MS Office( Word, Excel and outlook)
  • Knowledge and ability to use Navision/Quick books
  • Ability to foresee problems and inform or advise direct supervisor accordingly.
  • Exceptional Customer service
  • Ability to multi-task
  • Flexibility, attention to detail, professionalism, time management, telephone etiquette
  • Experience in a similar field is desired.

 

KEY PERFORMANCE INDICATORS

  • Management of patient queues
  • Organising meetings and morning briefs
  • Level of patient satisfaction as reflected in customer feedback/Minimal customer care complaints regarding services at the clinic
  • 100% completion of required forms by all invoicing clients.
  • Effective liaison with Doctors, Lab technicians, Nurses and kitchen staff to make sure that all billable items are included in the bills.
  • Daily submission of reports as required
  • Adherence to minimum working hours as per C-Care Policy i.e. 45 Hours per week
  • Punctuality/ Keeping time
  • Minimal number of Credit Memos. (2 in a month)
  • Daily handing over of invoices to doctors for vetting and verification.
  • Daily & proper filling of invoices on time.
  • Organised filing and information management – for easy retrieval, safe storage

 

GENERAL PERFORMANCE INDICATORS:

  • Team work
  • Approachability
  • 100% Attendance of work
  • 100% Navision usage
  • 100% attendance of meetings
  • 100% attendance of training sessions
  • Clear working area
  • 100% adherence to agreed uniform policy

 

SPECIFIC JOB RESPONSIBILITIES

  1. Reception duties

–           Receive patients, ensuring prompt attention to clients and addressing their needs professionally, efficiently and without unnecessary delay.

–           Ensure the patients are informed if a doctor is late or called out.

–           Respond to all queries and requests for assistance from patients and other visitors to the organisation as appropriate

–           Ensure reception area is clean and tidy

–           Liaise with all departments to make sure clients’ needs are met in the most efficient and fast manner.

  1. Management of specialist’s appointment system

–           Maintain working knowledge of the appointment system i.e. times of all clinics, duration of appointments, knowledge of computer system, doctors rotas, and procedures for booking routine and urgent appointments.

–           Book appointments accurately and appropriately

  1. Management of medical records

–           Ensure patients records are kept accurately in alphabetical order, in easily retrievable method and kept tidy, Retrieve and refile records as required

  1. Switchboard management/ Operation of telephone

–           Receive and make calls as required in an efficient, professional manner according to IMG protocol

–           Divert calls and take messages as appropriate, record information for the different parties e.g. Senior Managers, Doctors, etc to action

–           Ensure phones are transferred to and from the switchboard before & after the night duty. i.e. at 5:00pm and at 8:00am

–           Hold people accountable for all costs related to telephone usage

 

  1. Information security

–           Ensure that all patient interactions are dealt with confidentially and any confidential paperwork is dealt with in accordance with IMG protocol.

  1. Patient liaison/ Customer care

–           Ensure waiting areas are in good condition; have health reading materials, water and are clean.

–           Ensure capturing and facilitating immediate resolution of patients’ complaints at OPD. Issues must be broken down into urgent plan of action affecting patient satisfaction. Basically clinical and non-clinical complaints.

  1. Verification and Cash receipting

–           Familiarize yourself with our various schemes and companies; including their limits/ exclusions and benefits.

–           All cash-paying patients must be encouraged to make deposits.

–           Collect payments (be very vigilant about this) from patients.

–           Ensure that all cash paying patients who fail to clear their bills, are brought to the attention of Billing manager and Business manager

  1. Billing

–           Liaise with doctors, lab technicians, nurses, and kitchen staff to make sure that all billable items are included in the bill. The doctor in charge of the shift MUST see the final bill prior to being presented to the patient/ dispatch to the Business manager

–           Ensure that medical claim forms are accurately filed and duly signed by all relevant parties.

–           Prepare final bills for all out -patients, collect final cash payments.

  1. Invoice dispatch to Credit control

–           Arrange company invoices for dispatch per shift and hand them over to the business manager after being review by the doctor; ensure that;

  1. Signed by the doctor and the patient duly sign
  2. Cross check that the information on the insurance forms matches the invoice details;

–           Ensure proper filing of invoices in the credit control department.

–           Proactively address patient queries or concerns regarding their bills and request for support from your line manager or Credit Control where needed

–           Make sure that all the patients in the Clinic are divided into the required categories e.g. Cash, Pre-paid and invoicing.

–           Work as a liaison staff between patients and the Credit control Department to ensure that Medical claim forms are accurately filled and signed forms.

–           Bills that are invoiced or cash but have not been cleared should be gathered and presented to the credit control officer.

Undertake any other duties as necessary at the request of senior management or the line manager, which are commensurate with the role, including project work, internal job rotation and absence cover in response to the changing needs of the clinic or organisation so as to provide a quality service

EQUIPMENT AND MACHINERY

  • Computers
  • Printers
  • Fax machines
  • Telephones

SYSTEMS/ TECHNOLOGY

Computer use especially MS office and Navision.

PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

The Environment

The post holder may be required to spend long periods at a keyboard. Long periods of concentration may be required when preparing bills or reviewing statements and other documents. Frequent interruptions will be experienced necessitating the reprioritizing of duties.

You will be required to exercise:

  • A high degree of concentration to ensure accuracy
  • A high degree of intuition to effectively deal with difficult situations
  • Ability to maturely and patiently explain processes or policies to patients
  • Attention to detail

To ensure that all statutory requirements outlined in the IMG employee handbook and code of professional conduct and policies are personally adhered to.

Working Hours

The official working hours will be a minimum of 45 hours per week as per C-Care policy but the position will require you to be flexible including weekend and night shifts

FUNCTIONAL STATEMENT

You may occasionally deal with difficult and at times angry/ aggressive clients or members of the public by telephone or in person.

 

5 PILLARS OF THE ORGANIZATION

Among other performance measures as agreed within your department, you are required to align your accomplishments to the 5 pillars of the organisation; namely:

  1. PATIENT SAFETY
  2. QUALITY OF CARE
  3. CUSTOMER SATISFACTION
  4. PRODUCTIVITY
  5. PROFITABILITY

You are required to adhere to and embody the values of the organisation; these require a commitment to creative demonstration of the values below in your day-to-day work:

  1. ACCOUNTABILITY for our actions
  • Committed to creative actions that have a positive impact on others
  • Proactively seeking feedback about our services, we willingly take the necessary actions for redress, where needed
  • Taking responsibility for our decisions and their outcomes, we do not shift blame, give excuses or become defensive
  • Understanding that our responses are within our control, we choose to positively respond to the circumstances around us.

 

  1. DIGNITY in our service
  • Recognising the sanctity of life, we honour those we serve
  • Acknowledging that respect is earned, we have self-respect and esteem others, too
  • We recognise that everyone brings unique value to the organisation so we treat all partners with respect and dignity
  • We value the unique opinions and contributions added by others so we actively listen in our communications with one another

 

  1. COMMITMENT to excellence
  • Exceptional outcomes are a result of our focussed dedication
  • Deliberate devotion to our standards of care
  • Shared accountability for achievement of results
  • Evidence-based practice for quality care

 

  1. COMPASSION for our customers
  • Empathy for those in our care
  • Willingness to listen to others
  • Going the extra mile to meet clients’ needs
  • Responsive to the individual needs of the client, we deliver holistic care to our clients

 

  1. BUILDING HOPE in the community
  • Providing quality care to the needy
  • Investing in health interventions that have a wider social impact
  • Touching our communities through our health programs
  • Encouraging and supporting those around us

 

  1. INNOVATION in our approaches
  • Continuous improvement in our systems and practices ensures effective models for first-rate service delivery
  • Committed to life-long learning, we strive to be creative and innovative in all we do
  • Investing in modern equipment
  • We believe in the synergy inherent in partnerships and proactively seek to work with our stakeholders

 

  1. INTEGRITY in our dealings
  • Honest communication with patients and among staff
  • Fairness and self-scrutiny in everything we do
  • Maintaining confidentiality and privacy
  • Sound business practices in line with best practice

 

  1. INVESTING in people and services
  • Developing our staff through internal and external opportunities
  • Fostering an empowering and conducive working environment
  • Constantly advancing our facilities and equipment
  • Consistently scrutinizing our services and conduct


DUTY STATION            :           C-Care IHK

DEPARTMENT              :           Physiotherapy

POSITION                    :           Physiotherapy Head of Department

HOURS/ SHIFTS           :           Full time – 45 hours per week    

REPORTS TO               :           Allied Medical Services Manager/ Director of Clinical Services

INTERFACES WITH      :           Doctors, Nurses and other carers, Clients, Client Relations team

OVERALL JOB PURPOSE

To lead the Physiotherapy Department and team in administrative, clinical and professional matters; oversee service development and quality control within the department; and represent the department within the organization.  In summary, this role:

  • Oversees all aspects of the daily running of the physiotherapy department.
  • Carries a caseload of complex and non-complex patients.
  • Provides advanced physiotherapy assessment, diagnosis and treatment of patients.
  • Oversees the training and supervision of all physiotherapists, support staff and students.
  • Develops implements and maintains policies, protocols and procedures within the department.
  • Ensures the clinical effectiveness and productivity of the department including driving service development and quality initiatives.
  • Represents the physiotherapy department in all hospital matters.

Daily work within

  • Inpatient department including ICU, medical/surgical wards, obs/gynae wards, paediatric ward
  • Outpatient department including A&E

Occasional Work within

  • Antenatal classes
  • Hydrotherapy
  • Core stability class
  • Manual handling & Ergonomics training
  • Other IMG Clinics

JOB REQUIREMENTS AND COMPETENCIES

  • Good and demonstrable understanding of IMG mission, vision, values, and beliefs
  • Good interpersonal and communication skills (verbal/written)
  • Effective and demonstrable leadership skills
  • Ability to effectively maintain a cohesive team and to apply broader objectives at team level
  • Competency in resource budgeting and planning
  • Computer literacy especially MS Office, e-mail

GENERAL PERFORMANCE INDICATORS

  • Reports on operations of Physiotherapy Department accurately and regularly.
  • Ensures team adherence to IMG policies; including Health and Safety, Infection Control, Emergency procedures as well as tasks set out in job descriptions
  • Maintains appropriate documentation and safety standards in accordance with audit requirements.
  • Effective use of time at work; finishes set case load, prioritizes ward patients to see the highest priority patients first, provides treatment to five (5) patients per day or 100 patients per month
  • Patient safety; patient evaluation/Audits; completes a peer review in the allocated time, achieves a minimal of 70% yes on peer review, shows evidence of improvement in areas of weakness.
  • Client satisfaction; receives positive feedback from both patients and staff through patient satisfaction surveys, emails, and written statements.
  • Achieves 90% of the goals set out in the personal development plan during the appraisal
  • Finishes other departmental obligatory duties on time such as monthly stock take, entry of statistics within two weeks from end of the previous month, cleaning the department, ordering materials from the pharmacy and stores on time.
  • Continuous Professional Development attends 100% of all in-services offered when at work, completes in-services on time that is evidence based, well referenced & presented, conducts antenatal, manual handling and ergonomics training sessions.

GENERAL MANAGEMENT RESPONSIBILITIES

  1. Monitor staff attendance and deal with absenteeism using:
    1. department schedules
    2. time and attendance system
    3. HR guidelines on authorized time off and penalties for absenteeism
  2. Advise line manager and HR on personnel needs to ensure adequate staffing numbers and appropriate skills mix related to agreed or planned departmental services to customers. Accordingly, participate in the recruitment process in line with agreed needs.
  • Be accountable and supervise adherence of staff to minimum standards; which include but are not limited to:
    1. entry of patient statistics
    2. time and attendance
    3. completion of assigned work
    4. adherence to Health & Safety, Infection Control, Waste Management policies
    5. up-keep of COHSASA standards
  1. Be accountable for disciplinary issues arising in department in line with agreed policy and where necessary, in liaison with your senior manager or HR.
  2. Budget and plan for resources needed and utilized in the department.
  3. Prepare regular reports on the running of the department on staffing, service development, etc.
  • Be responsible for fortnightly department meetings ensuring 100% attendance by team members.
  • Contribute to the identification of training needs and implement agreed training interventions, ensuring 100% attendance by team members.
  1. Communicate overall IMG or IHK goals and apply them to team activities.
  2. Communicate team recommendations to line manager (and vice versa) as required.
  3. Carry out performance reviews for all department staff and follow through action points.

 

SPECIFIC JOB RESPONSIBILITIES

  1. Communication

1.1        To use excellent communication skills in order to establish and maintain contact with a wide range of individuals such as patients, their families, managers and visitors to the organisation.

1.2        To identify ways of managing barriers to communication and be able to apply a range of strategies to

Overcome threats and difficulties.

1.3        To understand, implement and promote professional policies, procedures and standards and in doing so present a positive image of her/himself and the service to others.

 

  1. Personal and People Development

2.1        To actively participate in developing and supporting a range of individuals; to include colleagues, patients and their carers, new staff and students. Support to these parties may include demonstration of skills, provision of information and advice, internal/ external training sessions and appraisals.

2.2        To identify personal development and learning needs independently through reflective practice and also in review processes with the Clinical Directorate. In doing so, be able to develop strategies to improve your knowledge and skills in a variety of areas so as to maintain best practice.

 

  1. Health, Safety and Security

3.1        To use risk assessment in order to identify risks regarding health, safety and security for yourself, colleagues, service users and the wider public within the immediate working environment and other areas within the hospital.

3.2        To act upon risks accordingly, using the existing policies and procedures.

3.3        To ensure that your individual and immediate colleagues responsibilities in emergencies is understood within the working environment including home visits and hydrotherapy.

3.4        To teach, promote and develop, where appropriate, policies, procedures and standards related to health, safety and security, and support others in maintaining this through strategies such as information and advice, teaching and acting as a role model.

 

  1. Service Development

4.1        To initiate and lead the team, in evaluating the clinical effectiveness of the current service delivery by means of audit.

4.2        To liaise with appropriate personnel for advice and direction of the service.

4.3        Encourage colleagues to; identify potential areas for improvement; appreciate changes in service delivery and the reason for such improvements.

4.4        To lead the team in appraising, interpreting and implementing new policies and strategies within practice and promoting them so as to inspire values on others.

4.5        To attend meetings and seminars on development of multi-services within the hospital. To contribute by appraising draft ideas and making recommendations.

 

  1. Quality Control and Improvement

5.1        To act consistently with legislation, policies and procedures and other quality approaches and to promote the value of a quality approach to others.

5.2        To ensure the team delivers a quality service by monitoring and evaluating their adherence to existing policies, protocols and standards.

5.3        To address issues of staff non-conformance by using the disciplinary standards in place.

5.4        To participate as an effective and responsible team member by observing and practicing the systems in place and by doing so presenting a positive impression to the team and of the service.

5.5        To support team members by recognising, respecting and promoting the different roles and diversity individuals have within the team.

5.6        Ensuring resources are utilised in a cost effective way and depleted stock is replenished as necessary.

 

  1. Equality and Diversity

6.1        To act in accordance with legislation, policies and procedures relating to equality and diversity.

6.2        To behave and practice in a way that acknowledges and recognises peoples expressed beliefs, preferences and choices.

6.3        To identify and take action when others’ behaviour undermines equality and diversity.

6.4        To deal directly with complaints and issue resolution involving harassment, bullying and inequality within the team seeking assistance and direction from appropriate personnel where necessary.

 

  1. Assessment and Treatment Planning

7.1        To assess physiological and/ or psychological functioning where there are complex and/ or undifferentiated abnormalities, diseases and disorders and develop, monitor and review related treatment plans.

7.2        To carry out assessments and treatments in line with evidence based practice, legislation, policies and procedures and/or established protocols, established theories and models.

7.3        To support team members where necessary by advising aspects of the assessment and treatment process. Where appropriate, to transfer patients’ with more complex needs to own caseload.

7.4        To coordinate the delivery of treatment plans with the MDT; supplying relevant information to support wider treatment planning.

7.5        To identify individuals whose needs fall outside own expertise and make referrals to the appropriate practitioners.

 

  1. Interventions and Treatments

8.1        To plan, deliver and evaluate interventions and/or treatments when there are complex issues and/or serious illness.

8.2        To undertake interventions/ treatments in a manner that is consistent with evidence-based practice and/or clinical guidelines/ theories and models.

8.3        To select appropriate interventions and/or treatments from within his/her own scope of practice, which relate to physiological and psychological functioning

8.4        To ensure comprehensive documentation of all intervention and relating incidents.

 

  1. People Management

9.1        To provide clinical and management supervision for all team members, support workers and students.

9.2        To provide support and opportunities to the team, thereby contributing to the planning and organisation of their work.

9.3        To communicate both formally and informally on a range of professional matters to enable others to work effectively alongside work plans and activities and in coordination with legislation, policies and procedures.

9.4        To develop, implement and abide by policies and procedures relating to employment, equality and diversity, health and safety, security and daily working parameters.

9.5        To provide the team with support and opportunities to assess their own work and give them clear, sensitive and appropriate feedback in a way that helps them to improve, develop and be motivated.

9.6        To act upon a team members’ poor performance in association with other relevant personnel where appropriate.

  • To actively participate in the recruitment and dismissal of physiotherapy staff.
  • Any other duties as may be required from time to time

 

EQUIPMENT AND MACHINERY

  • Desktop PC
  • Medical Equipment
  • Printer & Telephone

SYSTEMS/ TECHNOLOGY

MICROSOFT OFFICE PROGRAMS (WORD, EXCEL, ACCESS, POWERPOINT)

PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

The therapist needs to be physically feet as is required to spend long hours standing and treating patients whom are sometimes very heavy.

Sometimes, you will be required to deal with difficult and angry clients so a high level of patience is required of you. A friendly, empathetic, professional tone and the right attitude are highly valued.

Ability to maturely and patiently explain processes and procedures to patients.

To be available on phone for consultations at all times regardless of the time of the day.

You may occasionally be required to work on weekends to cover on wards or antenatal clinics.

FUNCTIONAL STATEMENT

You are expected to work at all times within the Ugandan Nurses and midwifery council code of professional conduct and to observe safety measures as outlined in the Nurses Procedure Manual, which you are required to read.

You are required to adhere to the employment policies as per department guidelines and as per the Employee Handbook.

Among other performance measures as agreed within your department, you are required to align your accomplishments to the 5 pillars of the organisation; namely:

  1. PATIENT SAFETY
  2. QUALITY OF CARE
  3. CUSTOMER SATISFACTION
  4. PRODUCTIVITY
  5. PROFITABILITY

You are required to adhere to and embody the values of the organisation; these require a commitment to creative demonstration of the values below in your day-to-day work:

  1. ACCOUNTABILITY for our actions
  • Committed to creative actions that have a positive impact on others
  • Proactively seeking feedback about our services, we willingly take the necessary actions for redress, where needed
  • Taking responsibility for our decisions and their outcomes, we do not shift blame, give excuses or become defensive
  • Understanding that our responses are within our control, we choose to positively respond to the circumstances around us.

 

  1. DIGNITY in our service
  • Recognising the sanctity of life, we honour those we serve
  • Acknowledging that respect is earned, we have self-respect and esteem others, too
  • We recognise that everyone brings unique value to the organisation so we treat all partners with respect and dignity
  • We value the unique opinions and contributions added by others so we actively listen in our communications with one another

 

  1. COMMITMENT to excellence
  • Exceptional outcomes are a result of our focussed dedication
  • Deliberate devotion to our standards of care
  • Shared accountability for achievement of results
  • Evidence-based practice for quality care

 

  1. COMPASSION for our customers
  • Empathy for those in our care
  • Willingness to listen to others
  • Going the extra mile to meet clients’ needs
  • Responsive to the individual needs of the client, we deliver holistic care to our clients

 

  1. BUILDING HOPE in the community
  • Providing quality care to the needy
  • Investing in health interventions that have a wider social impact
  • Touching our communities through our health programs
  • Encouraging and supporting those around us

 

  1. INNOVATION in our approaches
  • Continuous improvement in our systems and practices ensures effective models for first-rate service delivery
  • Committed to life-long learning, we strive to be creative and innovative in all we do
  • Investing in modern equipment
  • We believe in the synergy inherent in partnerships and proactively seek to work with our stakeholders

 

  1. INTEGRITY in our dealings
  • Honest communication with patients and among staff
  • Fairness and self-scrutiny in everything we do
  • Maintaining confidentiality and privacy
  • Sound business practices in line with best practice

 

  1. INVESTING in people and services
  • Developing our staff through internal and external opportunities
  • Fostering an empowering and conducive working environment
  • Constantly advancing our facilities and equipment
  • Consistently scrutinizing our services and conduct


DUTY STATION            : C-Care IHK 

DEPARTMENT              : NURSING       

POSITION                    : UNIT MANAGER        

REPORTS TO               : HON, NURSE MANAGER

INTERFACES WITH      : TEAM LEADERS, NURSES, DOCTORS, SPECIALISTS, PATIENTS & OTHER

OVERALL, JOB PURPOSE

To ensure smooth running of all processes in the unit and that patient care provided by nurses and the multi-disciplinary team in the unit is executed in a compassionate, evidence-based and ethical manner.

JOB REQUIREMENTS AND COMPETENCIES

Basic requirements

  • Licensed and Registered with the UNMC
  • Holds BScN, or Diploma in Nursing with a minimum of two years’ experience in similar position; nursing supervisor and management background is an added advantage.
  • Basic Life Support and Advanced Life Support training is an added advantage.
  • Have sound clinical knowledge base and excellent time management skills.
  • Hospital experience or training in Critical care nursing
  • Effective communication and good inter-personal skills
  • Strong organizational and co-ordination skills
  • Positive, professional leader focused on ensuring quality patient care and a motivated nursing staff
  • Strong commitment to developing the next generation of nursing talent & teamwork
  • Confidence, enthusiasm, and a friendly approach to work
  • The ability to be flexible and work on one’s own initiative

 

Professional competencies

  • Excellent nursing assessment, critical thinking, clinical reasoning skills.
  • Excellent care coordination, planning and evaluation skills for individual and groups of patients and families.
  • Knowledge of clinical auditing processes and a commitment of continuous quality improvement and research.
  • Ability to cope with high and varied workload with demonstration of appropriate task prioritisation, time and resource management
  • Demonstrated understanding of and sensitivity to complex patient/family circumstances/ situations, and cultural issues that affect the delivery of health services

 

Management competencies

The Manager needs to be well rounded in a wide range of competencies. The critical competencies of are:

  • Strategic Thinking and Management – have a clear understanding of C-Care’s philosophy, vision, direction and be able to translate this to the team.
  • Effective communication (verbal & written) skills– including ability to speak clearly and concisely, write and summarise reports, use computerised and other communication methods.
  • Effective Interpersonal Skills – Including demonstrated ability to motivate and develop (including appraisal and training) teams
  • Demonstrated competence in resource planning and management
  • Computer literacy, knowledge and ability to use information management system

 

GENERAL PERFORMANCE INDICATORS

  • Handle nursing administrative issues that may arise
  • Handle disciplinary issues as per C-Care IHK protocols.
  • Identify, investigate and deal with problems that arise during the night and report to Nursing Director as appropriate.
  • Ensure that team leaders are available for doctors’ rounds. Observes techniques of and services rendered by nursing staff to ensure adherence to hospital guidelines.
  • Be available to revisit other areas and or provide assistance if the need arises during the shift.
  • At shift handover, check record keeping (observations, fluids and medications), nurse absence and staff allocation.
  • Assigns duties to nursing staff in department for efficient use of personnel.
  • Provide help as required in emergency ambulance pick-ups e.g. allocating a nurse
  • Ensure that nursing policies and procedures for as per the Nursing protocol handbook are adhered to.

 

SPECIFIC JOB RESPONSIBILITIES

  • Ensure the delivery of quality care to patients and monitor and evaluate the care delivered.
  • Develop processes and checks to ensure all patients receive due medications and care. Check that records have been correctly kept during the previous shift.
  • Monitor and evaluate patient care through rounding and consultation.
  • Be a mentor and educator for the IPD2 nursing team, a problem-solver for physicians and other hospital staff, and an advocate for patients and families.
  • Ensure that drug supplies are correctly maintained and recorded on the ward. Ensure that DDA is maintained per regulations
  • Take responsibility for the stock levels of non-drug consumables on the ward, including equipment and other resources.
  • Communicate effectively with the MDT and offer support to the others depending on the different patients’ conditions, needs, and concerns.
  • Participate in the compiling nurses’ duty rota, including the co-ordination of all Leave, ensuring 24-hour cover and appropriate skill mix.
  • Ensure that nursing staffing numbers are adequate at all times and appropriately changing the allocation of nurses on teams if required by staff absence or high patient dependency/acuity.
  • Identifies staffing needs and levels, in coordination with the Nurse Staffing Office.
  • Coordinate orientation and training of new employees in the unit.
  • Carry out daily reviews on Performance Indicators and appraisals as required and continued staff feedback on their performance.
  • Be in position to respond to concerns, issues, complaints, and grievances quickly and appropriately (Role model for promoting a caring environment for patients, staff, families, visitors and physicians)
  • Conduct periodic team meetings or forums with clinicians, support staff and relevant hospital personnel, and follow through with implementation of agreed actions.
  • Manage complaints, accidents and untoward incidents as per C-Care policy/guidelines.
  • Monitor & coordinate patient flow – admissions and discharges
  • Develop a working knowledge of budgetary control, manpower and skill mix.
  • Directly work with the in- house Doctor/specialists and ensure that patient has been reviewed and new instructions promptly followed.
  • Demonstrate critical thinking and problem solving when dealing with complex situations occurring on regular basis.
  • Delegate as necessary to ensure a neat, tidy and welcoming environment in the unit and in various areas e.g. the ward kitchen, treatment rooms, nurses’ station at all times
  • Co-ordinate Nurses CME for the unit and any other training as may be required.
  • Attend meetings as appropriate.
  • Co-ordinate & participate in the auditing process on the ward.
  • Mentoring team members & carry out skill competency assessment in your department
  • Liaise with the clinical directorate to ensure regular clinical safety meetings are held as scheduled.
  • Supervise ward billing clerk activities and review daily interims
  • Perform any other duties as may arise from time to time.

 

EQUIPMENT AND MACHINERY

  • Be familiar with the inventory processes for equipment on the various nursing departments and have the ability to spot-check for compliance by nursing staff as assigned
  • Be familiar with ISO standards regarding equipment repair procedures

 

SYSTEMS/ TECHNOLOGY

  • Working use of Microsoft word, Microsoft excel, & the internet

 

PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

Critical thinking, insight and good decision making in view of nature and needs of the unit

FUNCTIONAL STATEMENT

You are expected to work at all times within the Ugandan Nurses and midwifery council code of professional conduct and to observe safety measures as outlined in the Nurses Procedure Manual, which you are required to read.

You are required to adhere to the employment policies as per department guidelines and as per the Employee Handbook.

Among other performance measures as agreed within your department, you are required to align your accomplishments to the 5 pillars of the organisation; namely:

  1. PATIENT SAFETY
  2. QUALITY OF CARE
  3. CUSTOMER SATISFACTION
  4. PRODUCTIVITY
  5. PROFITABILITY

You are required to adhere to and embody the values of the organisation; these require a commitment to creative demonstration of the values below in your day-to-day work:

  1. ACCOUNTABILITY for our actions
  • Committed to creative actions that have a positive impact on others
  • Proactively seeking feedback about our services, we willingly take the necessary actions for redress, where needed
  • Taking responsibility for our decisions and their outcomes, we do not shift blame, give excuses or become defensive
  • Understanding that our responses are within our control, we choose to positively respond to the circumstances around us.

 

2. DIGNITY in our service

  • Recognising the sanctity of life, we honour those we serve
  • Acknowledging that respect is earned, we have self-respect and esteem others, too
  • We recognise that everyone brings unique value to the organisation so we treat all partners with respect and dignity
  • We value the unique opinions and contributions added by others so we actively listen in our communications with one another

 

3. COMMITMENT to excellence

  • Exceptional outcomes are a result of our focussed dedication
  • Deliberate devotion to our standards of care
  • Shared accountability for achievement of results
  • Evidence-based practice for quality care

 

4. COMPASSION for our customers

  • Empathy for those in our care
  • Willingness to listen to others
  • Going the extra mile to meet clients’ needs
  • Responsive to the individual needs of the client, we deliver holistic care to our clients

 

5. BUILDING HOPE in the community

  • Providing quality care to the needy
  • Investing in health interventions that have a wider social impact
  • Touching our communities through our health programs
  • Encouraging and supporting those around us

 

6. INNOVATION in our approaches

  • Continuous improvement in our systems and practices ensures effective models for first-rate service delivery
  • Committed to life-long learning, we strive to be creative and innovative in all we do
  • Investing in modern equipment
  • We believe in the synergy inherent in partnerships and proactively seek to work with our stakeholders

 

7. INTEGRITY in our dealings

  • Honest communication with patients and among staff
  • Fairness and self-scrutiny in everything we do
  • Maintaining confidentiality and privacy
  • Sound business practices in line with best practice

 

8. INVESTING in people and services

  • Developing our staff through internal and external opportunities
  • Fostering an empowering and conducive working environment
  • Constantly advancing our facilities and equipment
  • Consistently scrutinizing our services and conduct

 

 


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By Prof. Moses Galukande

It is fairly well known now that when blood clots in our blood vessels, it is a potentially life threatening condition. And many people have lost their lives on the account of clots formation in the blood vessels. For the most part this can be prevented.

How common is it?

Whereas in the past it was thought to be less common in Africa, we have lately seen a surge. Clots are more likely in Africa in people who have just had surgery, child birth and pregnancy. Globally it is estimated that up to 2 million people annually will develop this potentially life threatening condition.

What are they?

Blood is a thick fluid that has several components that would be prone to getting stuck inside our vessels but through complex well-coordinated mechanisms including naturally occurring blood thinners it is able to flow seamlessly through the vessels back and fro, up and down.

Clotting is a useful process designed to prevent one from bleeding to death should a blood vessel get opened up.

How do clots form?

Blood clots form when blood loses its fluidity and tends towards a partially solid state (gel-like) and gets stuck in parts of veins or arteries or plugs them.

There are three factors that contribute to clot formation. One, the fluidity of the blood, the thicker it gets the more likely to clot, and a number of things can lead to this. Two, the vessels through which the blood flows, damage to the vessel walls trigger clots formation, for example uncontrolled high blood pressure damages vessel walls. Three, the speed with which the blood flows in the vessels, with sluggish flow the risk goes up, as in when one stays in one place for a long time without moving.

Where do clots form and move to?

The more deadly forms of clots are those that form in the deep veins of the legs, dislodge and move to the lungs (medical term is Pulmonary Embolism (PE).   In the lung, these clots block arteries and prevent oxygen delivery to vital organs. Clots may plug a vessel in the brain (stroke), the intestines (causing part of the intestines to die off), the kidneys and limbs.

How deadly are clots?

When clots form inside the vessels the body often attempts to dissolve them naturally, they only become dangerous when the natural dissolution fails or delays. Clots plug vessels partially or completely and restrict blood flow, decrease oxygen levels in the blood, and spark off a whole cascade of events. Large or multiple blood clots can be fatal.

How do you know you got a clot in the lungs?

Sudden shortness of breath that isn’t caused by exercise, chest pain, palpitations (rapid heart rate).

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By Prof. Moses Galukande

What is it?

Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorder. Functional, means in this case that the physical disorder in which the symptoms have no known or detectable organic basis. Organic means, without clearly defined physical cause or structural change in the organ in question.

In a consensus meeting by numerous global experts in the field called ‘Rome IV criteria’, IBS was characterized by as repeated abdominal pain, on an average of at least 1 day a week in the last 3 months, associated with two or more of the following: related to defecation, association with a change in frequency of stool or association with a change in form (appearance) of stool.

Are there types of Irritable bowel syndrome (IBS)?

For the purpose of treatment, IBS can be divided into three types, based on your symptoms: one; constipation which is predominant, two; diarrhea is predominant or three a mix of the two.

How common is it?

From the available community surveys, it goes as high as 1 in 10 people, though it varies from community to community. Not much work has been documented in most African countries about IBS.

How is it diagnosed?

With the above criteria and the absence of organic cause a diagnosis is made. The absence of organic cause is after a whole lot of investigations are done. These investigations include but not limited to lab tests, imaging tests and endoscopy. It is a diagnosis of exclusion, i.e. after all else has been ruled out.

Diagnostic procedures can include:

Colonoscopy. A small, flexible tube with a powerful light at the end of it, is used to examine the entire length of the colon.

X-ray or CT scan. These tests produce images of your abdomen and pelvis that might allow a health worker to rule out other causes of your symptoms, especially if you have abdominal pain. We might also investigate the large intestine by pushing in a “dye’ (barium) to make any problems more visible on X-ray. This barium test is sometimes called a lower GI series.

Upper endoscopy. A long, flexible tube is inserted down your throat and into the tube connecting your mouth and stomach (esophagus). A camera on the end of the tube allows us to inspect your upper digestive tract and obtain a tissue sample (biopsy) from your small intestine and fluid to look for overgrowth of bacteria.

Laboratory tests can include:

Lactose intolerance tests. Lactase is an enzyme you need to digest the sugar found in dairy products. If you don’t produce lactase, you may have problems similar to those caused by IBS, including abdominal pain, gas and diarrhea. A breath or blood test confirms lactose intolerance or if you remove milk and milk products from your diet for several weeks and the problem goes away it is another way of proving it.

Breath test for bacterial overgrowth. A breath test can also determine if you have bacterial overgrowth in your small intestine. Bacterial overgrowth is more common among people who have had bowel surgery or who have diabetes or some other disease that slows down digestion.

Stool tests. Your stool might be examined for bacteria or parasites, or a digestive liquid produced in your liver (bile acid), if you have chronic diarrhea.

Who gets it?

Early studies have suggested a low prevalence (occurrence) of IBS in developing countries, but more recent research has shown an increasing prevalence in newly developed and developing economies as they become more ‘westernized’. Westernized, means taking on a lifestyle as in the west, not limited to adoption of the western diets.

The Irritable bowel syndrome (IBS) is more common in women in their 20 to 40s.

Is it curable?

Because IBS is a chronic condition, it may not go away completely. However, medication and lifestyle changes can help you manage the condition and reduce the frequency of attacks.

Does it worsen as we grow older?

Although seniors may feel that IBS is an inevitable part of aging, the opposite is actually true. While sensitivity of the nerves within the digestive system may increase with age, there are ways to help reduce the overall risk or alleviate the symptoms.

Are there triggers of IBS?

There is psychological stress and there is irritation caused by particular foods and drinks, and this may vary from person to person, the idea here is to be careful to note what food provokes your intestines, then withdraw from it, if relief comes, introduce it again at some point, if the symptoms return, there is your confirmation. However, there are food allergy tests that can be done by taking a blood sample to check incompatibility with your system.

How can I control it?

Try a high fiber diet. Fiber helps reduce constipation but also can worsen gas and cramping.

Avoid problem foods. Eliminate foods that trigger your symptoms.

Eat at regular times. Don’t skip meals, and try to eat at about the same time each day to help regulate bowel function.

Exercise regularly.

Deal with mental stress, relax, worry less, socialize, and talk to a counsellor or clinical psychologist.

Does IBS lead to cancer?

No, it doesn’t, though cancer can develop independent of it. Generally, after the age of 45 in Uganda, we recommended a regular colonoscopy, regular is every 2-3 years.

When should you worry?

If the following or any of the following is happening, you need a full assessment to be sure nothing sinister is going on.

  • Onset of signs and symptoms after age 45
  • Unintentional weight loss
  • Rectal bleeding
  • Fever
  • Nausea or recurrent vomiting
  • Abdominal pain, especially if it’s not related to a bowel movement, or occurs at night
  • Diarrhea that is persistent or awakens you from sleep
  • Anemia related to low iron

How is it treated?

Treatment of IBS focuses on relieving symptoms so that you can live as normally as possible. Some mood modifying drugs may be deem necessary to add to other measures.

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