Nursing Roles at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

• To manage the provision of nursing and auxiliary services in the Hospital according to Avenue’s defined quality standards, protocols and policies.

Main Responsibilities

The NSM will perform the following people management duties as guided by Avenue HR policies and in coordination with the HR Department;

• Efficient staffing - Liaise with the Hospital Manager/HR to ensure optimal staff levels including reallocation of staff depending on staffing needs, as well as efficient use of overtimes and locums.
• Identify training gaps and liaise with the HR on the scheduled trainings.
• Regular staff engagement and monthly staff meetings with documented evidence of attendance eg. minutes
• Reward, recognition and discipline - Ensure that deserving staff are recognized/rewarded and disciplinary action (with proper cause) is undertaken without undue delay and per defined policies
• Ensure staff are well groomed; have their respective uniform, name tags etc
• Supervision of nursing in-charges
• Participates in the recruitment, interviewing, orientation & training of staff
• Policies, SOPs, and other treatment guidelines: Develop effective mechanisms for the formulation, review, implementation and monitoring of nursing policies, SOPs and standard guidelines, including those applicable to multidisciplinary departments.

Ensure that the unit has the following required resources;

• Collaborate with HR to ensure that there is an updated locum pool
• Ensure proper inventory of the available equipment on a daily basis and ensure that they are in good working condition. Report any malfunction to Bio-Medical Technician/NSM.
• Liaise with the relevant departments to ensure proper  maintenance of inventory of all available equipment and other supplies (both medical & non-medical)

Ensure the unit is financially viable and demonstrate growth through;

• Offering quality care to patients and ensuring good relationship with stakeholders
• Be accountable for effective budget management of all directly responsible services, as delegated by the general manager.
• Take ownership of the preparation and monitoring of the annual budget for the division and take corrective action where there are significant variances.
• Ensure financial objectives are met by managing nursing costs within budget through appropriate staffing, managing accidents/incidences and consumable management
• Support marketing events within the facilities

Ensure that Avenue corporate governance policies are adhered to. 

• Prevent, detect and report any fraud or criminal activity
• Fully implement internal audit recommendations and attain satisfactory ratings in subsequent audits.
• Ensures that the wards are fully and efficiently utilized depending on patient load and flows (especially when there are medical emergencies, mass accidents) 
• Nursing strategy: Formulation and implementation of nursing strategies.

Nursing education: 

• Maintain nursing education credit hours for the hospital in line with the requirements of the Nursing Council of Kenya.
• Regularly assess the performance of nursing staff to determine skills / training requirements schedule and organize training programs (CNE’s) for the Qualified Nurses 
• Ensures that any service issues raised by relatives and / or patients are promptly addressed and reported to the Medical Services Manager /Hospital Manager
• Ensures that the qualified nurses accurately perform all the procedures / tasks as assigned to them including admission, discharge, drug administration, clinical observations, infection control, EMT duties and others.
• Ensures that rotas & leave schedules are followed liaising with the Human Resources team and Ward in Charges to ensure that staffing levels are adequate to meet the needs of our patients. 
• Regularly assess the performance of nursing staff to determine skills / training requirements schedule and organize training programs (CNE’s) for the Qualified Nurses 
• Liaise with Ward in Charges to organize for regular assessment and training of patient attendant
• Support marketing events within the facilities
• Ensure that all the nurses have valid nursing practice licenses
• Liaise with HR to Ensure that all nurses and PAs have their respective job descriptions and that they have signed off 
• Ensure all sentinel incidents/events are recorded and reported within 24 hours using the provided tools
• Collaborate with Infection Control Coordinator to maintain and enforce infection control standards per the hospital manual and observe the infection control bundles (SSI, VAP, CAUTI and CLABSI) where applicable.
• Engaging the multi-disciplinary team actively during ward rounds and receives handover reports from the outgoing night covering nurse.
• Liaise with the ward in-charges to ensure proper and detailed documentation of patient notes and review; consulting with fellow clinicians, consultants when need be.
• Ensure patients safety following the 6 International Patient Safety Goals (IPSGs) (patient identification, effective communication, safety of high alert medication, ensure correct site procedure and surgery, reduce the risk of healthcare associated infections, reduce the risk of patient harm resulting from falls)
• Ensure patient and family education/teaching applicable to the patients medical condition. Discusses patient concerns and answers questions relevant to care.
• Ensure prioritization of patient needs in a documented nursing care plan.
• Ensure that doctors/consultants are updated on patient’s progress and critical values in a timely manner
• Provides leadership in improving patient care, maintaining standards of care, directing and teaching personnel in a variety of setting.
• Ensure that all invasive nursing procedures are done under aseptic technique
• Prepare, review, act and submit Quality Indicator reports to the Quality and Standards department on a monthly basis
• Prepare daily statistics and submit them to the Hospital manager
• Ensure patient privacy and confidentiality is maintained at all times
• Participate in emergency response
• Client satisfaction (patient, consultants and others)- ensure client satisfaction through optimal quality of care, effective communication, timely feedback and escalation of unresolved complaints/concerns, and demonstrate follow-up and improvement.
• Covering the hospital as and when required.
• Adhere to Government and respective professional standards of care and treatment of patients as guided by the Nursing Council of Kenya.
• Read, understand and be conversant with all systems, policies and procedures as outlined in the Hospital Manual especially policies pertaining to provision of medical services i.e. Admission & discharge procedures, nurses’ reports, ward equipment and supplies, emergency protocols etc.
• Any other duty as assigned by your immediate supervisor in line with the job description

Key Deliverables

• Quality of care
• Compliance with the established clinical standards
• Accurate and timely reporting
• Client satisfaction

Person Specification

• A BScN in nursing and administrative training
• A valid nursing council of Kenya license
• Updated BLS, ACLS certificate
• ATLS certificate
• 5 years' experience in a related position

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Job Objective/Purpose

• The Chronic Care Lead Nurse performs care management for chronically ill patients with chronic diseases such as chronic kidney disease, diabetes mellitus, chronic obstructive pulmonary disease, and/or congestive heart failure. The Chronic Care nurse works in collaboration and continuous partnership with chronically ill patients and their family/caregiver(s), clinic providers and community resources in a team approach to increase patients’ ability for self-management and shared decision- making.

Key Responsibilities

• Fulfill the Avenue health care mission to provide high quality care that exceeds our client expectation with the goal to deliver through courteous, respect and compassionate manner.
• Responsible for registry of chronic care management (CCM) to patients.
• Validates enrollment of CCM patients based on provider request
• Comply with documentation requirements of the Chronic Care Management program by carrying out the care plan with the patient, family/caregiver(s) and providers and recording in the EMR.
• Monitors adherence to care plans, evaluates effectiveness, monitors patient progress in a timely manner, and facilitates changes as needed.
• Creates an ongoing process for patient and family/caregivers(s) to determine and request the level of care coordination support they desire.
• Facilitates patient access to appropriate medical and specialty providers.
• Coordinates transition of inpatient to outpatient care in an effort to decrease readmission rates
• Work closely with in-office providers to manage the day to day calls involving: symptom control, medication management, and provide patient and family education
• Educates patient and family/caregiver(s) about relevant community resources.
• Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and assist on the enrollment of these to the patient registry.
• Coordinates continuity of patient care with external healthcare organizations and facilities including from the primary care provider to a specialty care provider.
• Supports patient self-management of disease and behavior modification interventions.
• Provides patient health counseling, education and instruction.
• Any other duty assigned by your immediate supervisor in line with the job description.

Person Specification

• Graduate of an accredited nursing school as a Registered Nurse with a Diploma/Degree in Nursing, valid license with the Nursing Council of Kenya.
• Updated BLS, ACLS/ATLS certificate
• Minimum of 3 years' work experience in a healthcare setting involving patients with complex chronic disease states preferred.
• Customer focus, empathetic and emotional intelligence
• Strong interpersonal and communication skills
• Organizational awareness and attention to detail
• Team work and result oriented
• Ethical and reliable

End date 21st August 2026

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Job Objective/Purpose

• Provide safe and high-quality endoscopy services in line with the hospital policies and procedures.

Key Responsibilities

• Performs endoscopy procedures with endoscopists.
• Perform pre-procedure assessment reviewing patient history and physical examination.
• Formulate a nursing care plan to address patient care goals and ensure an excellent outcome.
• Coordinate planned nursing care with other healthcare team members.
• Act as the team leader during endoscopy procedures
• Prepare procedure room for the patient.
• Perform a pre-procedure safety checklist to ensure patient safety.
• Document patient care activities and outcomes as per policies and procedures.
• Ensure continuity of patient care during the post procedure phase with an effective handover.
• Develop promotions and publicity for the endoscopy services in collaboration with the marketing department.
• Uses equipment and departmental resources appropriately.
• Assists central scheduling with the accurate scheduling of patient appointments.
• Covers on-call schedule as assigned following departmental procedures.
• Maintains equipment, including cleaning and disinfecting according to departmental IPC procedures and processes.
• Identify problems with equipment and notifies appropriate resources for diagnosis and repair and assist with evaluation of new equipment.
• Ensure financial objectives of the Endoscopy Service are met by;
• Managing costs within budget.
• Timely and accurate billing.
• Ensuring an invoice rejection rate of < 1% by enforcing exclusions, guaranteeing the necessary pre-authorizations and proper documentation and following through with the credit control team.
• Patient satisfaction and confidentiality:
• Ensure patient satisfaction through quality of care, communication, and collection of feedback from patients as determined in the KPI using the standardized patient satisfaction tools.
• Always maintain client/patient privacy and confidentiality
• Provide Monthly reports to the line manager and senior hospital management on the performance of the endoscopy Services.

Person Specification

• BSc. Nursing or KRCHN
• BLS and ACLS certification
• Must have a valid practicing license from the Kenya Nursing council.
• At least 3 years of experience in endoscopy procedures, including Gastroscopy, Colonoscopy, ERCP and Bronchoscopy is a MUST have.
• Good Interpersonal and communication skills
• Customer focus