Nurse – Midwife at International Rescue Committee

Key Responsibilities

Maternal Care:

• Provide comprehensive antenatal care, including health assessments, counseling, and education.
• Identify high risk pregnancies and making necessary referrals to medical officers.
• Supervise and assist mothers in labor, monitor labor using partograph and nursing care plans.
• Ensure all required observations, prescribed treatments and procedures are properly carried out and documented in the patient’s chart.
• Provide postnatal care, including counseling on breastfeeding, family planning, and newborn care.
• Identify and manage complications during pregnancy, labor, and postpartum periods.
• Ensure birth registration is carried out promptly before discharge of both mother and baby.
• Offering support and counselling following miscarriages, stillbirth, early neonatal death, birth asphyxia and congenital anomalies.
• Arranging and providing health education for the mother, her partner and family.
• Offer family planning counseling and services, including long-acting reversible contraceptives (LARCs).

Neonatal Care:

• Provide immediate newborn care, including resuscitation, thermal regulation, and early breastfeeding.
• Monitor newborn health and identify any potential complications through assessment of the newborn.
• Administer essential neonatal interventions, such as vitamin K and vaccinations.

Family Planning:

• Provide counseling and education on post-partum family planning methods.
• Offer contraceptive methods, including long-acting reversible contraceptives (LARCs).

Record Keeping:

• Maintain accurate and up-to-date electronic medical records for all patients.
• Submit timely reports on maternal and child health indicators.

Training and Supervision:

• Participate in training and capacity-building activities to enhance skills and knowledge.
• Supervise and mentor junior staff.

Community linkage:

• Coordinate with the community health workers to ensure continuity of care of all clients on discharge.

Additional duties:

• Supervise incentive staffs working in the maternity ward
• Escort patient to other referral hospital when necessary.
• Do hospital coverage and on-call as required.
• Maintain equipment in good condition and submit regular inventory report of the same.
• Carry out any other additional duties as may be assigned by the supervisor.

Key Result Areas.

• Reduced maternal and neonatal mortality rates
• Increased uptake of antenatal and postnatal care services
• Improved postnatal family planning utilization rates
• Effective supervision and mentorship of junior staff.

Minimum Qualifications:

• KRN/KRM, Bachelors in Midwifery from a recognized institution.
• Registration with the Nursing Council of Kenya.
• At least 4 years of experience in a busy maternity ward.
• Emergency Obstetrics and Newborn Care is mandatory.
• Respectful maternal newborn competency trainings highly desirable.
• Strong clinical skills and knowledge of maternal and child health.
• Ability to work under pressure and in challenging environments.
• Good communication and interpersonal skills.