Referral Nurse-Beqaa-Activity Rate 100%

Main Purpose:

Providing nursing care, follow-up and coordination of patients referred to, within and from the hospital, according to medical prescriptions, protocols, referral criteria and universal hygiene standards/precautions, in order to ensure the quality, safety and continuity of care of the targeted population.

Accountabilities:

• Knowing, promoting, implementing and following up the universal hygiene standards/precautions, infection prevention and control, biohazard prevention and security rules and protocols during patient care and transport, and keeping medical confidentiality at all times.
• Organizing and carrying out care and treatments according to medical prescriptions, including the stabilisation of the patient before transfer and the nursing care during transfer, to ensure the patient arrives safely and in the condition expected by the receiving team.
• Identifying Sexual and Gender Based Violence victims and child protection concerns and referring them to the medical team and social worker. Knowing and correctly using the Post-Exposure Prophylaxis (PEP) kit.
• Ensuring referred patients are properly received and installed, and that caregivers are informed, supported and kept updated on the condition and plan of the patient, in coordination with the doctor.
• Carrying out admission, surveillance and follow-up of referred patients, identifying deterioration or emergencies and alerting the doctor on duty.
• Accompanying patients during transfers and referrals when the escort level requires a nurse, with the appropriate equipment, medication and documents.
• Carrying out and supervising administrative procedures and documents: patient files, referral and counter-referral forms, registers, statistics, and accurate written and verbal handover (iSBAR).
• Sharing the referral process, safe transfer and documentation with ER, PICU and ward nurses during handovers and on-the-job orientation.
• Reporting to the line manager any complication, suspected medical error, incident during transfer, or problem with equipment or receiving facilities.

 

Specific Accountabilities:

Referrals into BGH (PHCCs, MMUs and external providers)

• Receiving referral calls from the PHCCs of Baalbek–Hermel, the MSF MMUs, other hospitals and external providers, passing them to the paediatrician or PICU doctor on duty for decision, and informing the referring facility of the answer and the expected arrival time.
• Checking bed availability in the PICU and the paediatric ward, and informing the ER team before a referred child arrives.
• Making sure every referred child arrives with a referral letter, and reporting to the MAM any referral received outside the BGH admission criteria.

Patient flow inside BGH (ER, PICU and paediatric ward)

• Supporting transfers from the paediatric ER to the PICU and the paediatric ward, and between PICU and ward, with the ER team and the unit head nurses, and keeping the bed status updated.
• Participating in the daily bed meeting: available beds, pending admissions, planned transfers and discharges.
• Ensuring a structured handover (iSBAR) at every transfer, with the patient file travelling with the child.

Referrals out of BGH

• Once the referral is decided by the doctor and validated by the MAM, checking availability in the receiving facilities using the Referral Pathway and Service Mapping, and confirming the bed, the name of the receiving doctor and the time of acceptance before departure.
• Arranging transport with the ambulance services (Lebanese Red Cross, IMA, Civil Defence, IHA, Al Shefaa, etc) and the logistics team, and preparing the transfer equipment and documents.
• Informing caregivers, in coordination with the doctor, where and why the child is referred, what will happen on arrival and what it will cost, and making sure consent is obtained before departure.
• Following referred patients closely through calls and visits to the receiving facility, confirming arrival within 24 hours, and collecting the counter-referral at discharge.
• Booking appointments for specialised consultations, lab tests and other exams not available at BGH.

Discharge and counter-referral

• Supporting discharge with the treating team: follow-up appointment, medication and home-care instructions explained to the caregiver, and counter-referral sent to the referring PHCC or MMU.
• Informing the social worker and the health promotion team of children needing community follow-up, support or financial coverage.

Administration, data and liaison

• Handling referral administration: advances, per diems, and collection of invoices from receiving facilities for MSF validation.
• Keeping the referral-in, referral-out, transfer and discharge registers up to date, and sending the referral table to the MAM weekly.
• Supporting the collection of referral data for monthly reports and medical SITREPs, and checking its completeness.
• Visiting referral facilities regularly, including newly opened ones, writing visit reports, and keeping the contact list of their focal points up to date.
• Building and maintaining professional relationships with the PHCCs, MMUs, receiving hospitals, laboratories and ambulance services.
• Reporting to the NAM and MAM the same day any refused admission, failed referral, refusal by the family or incident during transfer.
• Participating in emergencies and on-call duties, especially for referral cases, as defined by the project.

Support to MAM and PMR

• Case discussion with technical referents and PMR if needed.
• Participation to medical briefings (referral part).

 

Requirements:

Education:

• Essential: Recognised nursing degree with a valid licence from MOPH and Order of Nurses in Lebanon
• Desirable: Bachelor of Science in Nursing
• Desirable: PALS or paediatric emergency training

Experience:

• Desirable: 2 years of nursing experience, preferably in paediatrics, emergency or critical care.
• Desirable: previous experience in referrals, patient flow or bed management
• Desirable: experience with MSF or other NGOs and collaboration with Ministry of Health institutions
• Desirable: knowledge of the health system and service providers in Baalbek–Hermel and the Bekaa

Languages:

• Essential: Arabic and English
• Desirable: French

Knowledge:

• Essential: computer literacy (Word, Excel, Outlook)
• Desirable: knowledge of health coverage in Lebanon (MoPH, NSSF, insurance funds, NGOs and programmes)

Cometencies:

• Results and Quality Orientation L1
• Teamwork and Cooperation L1
• Behavioural Flexibility L1
• Commitment to MSF Principles L1
• Stress Management L2

 

MSF is committed to achieving diversity, equity, and inclusion within its workforce irrespective of gender, nationality, disability, sexual orientation, culture, religious and ethnic backgrounds. All job applications will be treated in strictest confidence.

Due to the high number of submissions, we will only be able to reach out to candidates shortlisted for the next stage of the hiring process.

Interested applicants are requested to submit their applications on the below link.

Note: Applications sent by email on [email protected] will not be considered.

Apply: https://forms.cloud.microsoft/e/Z52pze2R7T?origin=lprLink