The Machakos County Public Service Board is inviting qualified and committed professionals to apply for a wide range of healthcare positions. These opportunities are part of an ongoing effort to strengthen healthcare delivery in the county and ensure that residents receive efficient, accessible, and quality medical services.
The positions available are within the nursing cadre and will be based at health facilities across Machakos County. Successful applicants will work under the supervision of the Department of Health and will contribute directly to patient care, health promotion, and medical support services.
Applicants are encouraged to carefully read the descriptions of each role and ensure they understand the responsibilities associated with the position before submitting their applications.
Registered Nurse I
Duties and Responsibilities.
i. Receive, register, record and document patients’ information and present the same to the Medical Officers at the accident and emergency unit of the hospital.
ii. Transfer referred patients from the wards for further diagnosis or specialized treatment from other units of the hospital.
iii. Provide general nursing services and care to patients in the hospital.
iv. Support Medical Officers and Medical Specialists in attending to patients in accident and emergency of the hospital.
v. Administer medication to patients as prescribed by Medical Officers and Medical Specialists in the hospital.
vi. Administer patient care and nursing to outpatients in the hospital.
vii. Monitor patients’ progress in the hospital, document the same for clear patient records and report the same to the Medical Officers and Medical Specialists in the hospital.
viii. Liaise with other healthcare staff in handling patients with multiple of complex medical conditions in the hospital.
ix. Ensure that the nursing areas of the hospital are clean and tidy complying with sanitation standards of the hospital.
x. Perform any other duties as may be assigned.
Registered Nurse III – MCPSB/08/2025/329
Job Group H
Number of Positions: 300
Location: Youth Center, Machakos
The Registered Nurse III position plays an essential role in the provision of frontline nursing care in public health facilities. Nurses at this level are expected to carry out comprehensive patient assessments and deliver high-quality nursing care across a variety of medical settings.
Job Description
- Provide direct nursing care to patients in outpatient and inpatient facilities, including monitoring vital signs, administering medications, and observing patient progress.
- Support medical officers and clinical officers during diagnosis, treatment, and minor medical procedures.
- Offer health education to patients, families, and communities on disease prevention, nutrition, hygiene, and family health practices.
- Maintain accurate patient records, treatment charts, and medical reports as per hospital standards.
- Participate in routine ward rounds, case discussions, and multidisciplinary care planning sessions.
- Assist in the admission, transfer, and discharge of patients while ensuring continuity of care.
- Identify and report any medical emergencies, complications, or adverse reactions for immediate intervention.
- Promote infection prevention and control practices within the health facility to safeguard patient safety.
- Support mentorship of students on clinical attachments and provide guidance to newly deployed nursing staff.
- Ensure adherence to professional standards, ethical guidelines, and institutional protocols in all areas of nursing practice.
Enrolled Nurse III – MCPSB/08/2025/330
Job Group G
Number of Positions: 70
Location: Youth Center, Machakos
The Enrolled Nurse III role involves providing basic nursing support services under the supervision of senior nursing staff. These nurses are instrumental in assisting with patient care and ensuring smooth day-to-day clinical operations.
Job Description
- Deliver routine nursing services such as monitoring patient conditions, providing wound care, and administering oral and injectable medications as directed.
- Support patients in activities of daily living including feeding, mobility, hygiene, and comfort care.
- Record patient information such as temperature, blood pressure, pulse, and respiratory rates, and report abnormal findings promptly.
- Offer counseling and basic health education to patients and caregivers to promote recovery and wellness.
- Assist in preparing patients for medical examinations, procedures, or surgical operations.
- Maintain cleanliness and orderliness of hospital wards, treatment rooms, and nursing stations.
- Support infection control by ensuring proper waste segregation, sterilization, and safe handling of medical instruments.
- Participate in community outreach programs, vaccination campaigns, and preventive health initiatives.
- Collaborate with other health professionals to provide holistic patient care.
- Document all nursing interventions and ensure confidentiality of patient records.
Nursing Officer – MCPSB/08/2025/326
Job Group K
Number of Positions: 30
Location: Youth Center, Machakos
Nursing Officers provide leadership in clinical care and act as supervisors for junior nursing staff. They are responsible for complex nursing procedures and coordination of care within different health units.
Job Description
- Undertake comprehensive patient assessments and develop individualized nursing care plans.
- Administer specialized treatments including intravenous therapy, blood transfusions, and advanced wound management.
- Supervise and mentor nursing teams to ensure effective delivery of healthcare services.
- Participate in clinical research, audits, and evaluation activities aimed at improving nursing practices.
- Lead health promotion activities including maternal and child health, communicable disease control, and chronic disease management.
- Collaborate with medical specialists and allied health professionals to provide multidisciplinary patient care.
- Ensure compliance with national and county health policies, nursing guidelines, and professional standards.
- Manage hospital resources such as drugs, equipment, and supplies to ensure efficiency and accountability.
- Handle emergency situations and provide immediate life-saving interventions.
- Contribute to staff training programs and workshops to enhance professional development in nursing practice.
Registered Nurse I – MCPSB/08/2025/327
Job Group K
Number of Positions: 80 (30 + 30 + 10 + 10)
Location: Youth Center, Machakos
The Registered Nurse I position requires advanced clinical expertise and the ability to independently manage patient care in specialized units. Nurses in this category are often deployed in departments requiring higher levels of clinical competence.
Job Description
- Conduct in-depth patient assessments, plan and implement complex nursing interventions.
- Provide specialized care in medical, surgical, pediatric, obstetric, and intensive care units.
- Administer advanced treatments and monitor patient responses to interventions.
- Train, guide, and supervise junior nurses and student trainees in clinical settings.
- Participate in the development of clinical guidelines, nursing policies, and best practices within health facilities.
- Coordinate with multidisciplinary teams in managing patient care for chronic, critical, and surgical cases.
- Document and analyze patient outcomes for quality improvement initiatives.
- Promote patient safety, infection prevention, and adherence to health protocols.
- Offer counseling and psychosocial support to patients and families facing complex health conditions.
- Serve as a role model in professional ethics, accountability, and commitment to patient-centered care.
Registered Nurse I (Anesthesia Nurse) – MCPSB/08/2025/328
Job Group K
Number of Positions: 20
Location: Youth Center, Machakos
This specialized nursing role focuses on anesthesia and perioperative care. Anesthesia nurses work closely with anesthesiologists, surgeons, and operating theatre staff to ensure safe surgical procedures.
Job Description
- Prepare patients for surgical procedures by conducting pre-anesthetic assessments and obtaining medical histories.
- Administer anesthesia under the supervision of anesthesiologists and monitor patients throughout surgical operations.
- Manage post-operative care including pain control, airway support, and monitoring of vital functions.
- Ensure availability and functionality of anesthesia equipment and related supplies in operating theatres.
- Identify and promptly respond to anesthesia-related complications or emergencies.
- Collaborate with surgeons, anesthesiologists, and theatre nurses to maintain safe and efficient surgical operations.
- Maintain detailed anesthesia records and ensure confidentiality of patient medical information.
- Participate in perioperative education, counseling, and reassurance of patients and families.
- Contribute to the development of anesthesia protocols and quality assurance initiatives.
- Provide mentorship and technical support to junior nurses assigned to the surgical department.
Registered Nurse III
Duties and Responsibilities.
i. Assessing planning Nursing interventions and evaluating patient outcome.
ii. Providing appropriate health care service including Integrated Management of Childhood Illness (IMCI), Immunization, PMTC, ante-natal care and delivery
iii. Providing health education and counselling to patients/clients and community on identified health needs
iv. Referring patients and clients appropriately
v. Facilitating patients’ admission and initiating discharge plans
vi. Maintaining records on patients’/clients’ health condition and care
vii. Ensuring a tidy and safe clinical environment
viii. Collecting and compiling data
Registered Nurse I
Duties and Responsibilities.
i. Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.
ii. Ensuring that ventilators, monitors, and other types of medical equipment function properly.
iii. Ensure that equipment or devices are properly stored after use.
iv. Prioritize nursing care for assigned critically ill patients based on assessment data and identified needs.
v. ICU nurses must be able to draw ABG Blood and interpret the report correctly.
vi. ICU nurses should have enough knowledge about GCS (Glasgow Coma Scale) and also the evaluation capacity of patient condition.; participating in quality improvement and quality assurance procedures; and diagnosing common health conditions and recommending necessary interventions.
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