Clinical Officer Anaesthetist Pool at Medecins Sans Frontieres (MSF)

Main purpose

Organizing and ensuring medical consultations to the target population providing treatment to patients within the scope of his/her medical competencies and referring them when appropriate, according to MSF protocols, procedures and the universal hygiene standards in order to guarantee quality and efficiency of the service provided.

Accountabilities

• Ensuring the implementation and standardization of MSF clinical protocols, tools, and hygiene protocols in order to minimize clinical risks and to guarantee the quality of patient care management. Promoting and maintaining confidentiality regarding all patient cases and records
• Implementing proper physical examination, diagnosis, prescription, and prevention procedures that fall under the scope of his/her competencies applying medical knowledge, asking appropriate questions to patients and following protocols in force as well as using laboratory services, when necessary, in order to ensure correct diagnosis, appropriate medical treatments and to refer patients when appropriate.
• Participating in the planning and supervision, in close coordination with other supervisors, the HR processes (sizing, staff shifts, recruitment, training, evaluation, development and communication) of the team to ensure both the sizing and the amount of knowledge required, improve people triage capabilities, their motivation and commitment and their active participation in teaching the targeted population on therapeutic and preventive protocols.
• Ensuring that all staff using medical devices are qualified and trained. Ensuring cleaning and minor maintenance tasks are performed according to the protocols. Reporting any malfunction to the project biomedical service.
• In cases of emergency, carrying out first aid care and treatment according to protocols in order to reduce mortality rates
• Recording in the individual patient’s card and registration books, all performed medical activities (drugs prescribed, lab results, vaccination status, epidemiological activity, doses, etc.) keeping data traceability in order to ensure patients treatment continuity.
• Participating in data collection and reporting when required.
• Knowing and implementing Patient Therapeutic Education (PTE), i.e. keeping contact with all patients, providing them information regarding their health state, and responding to their questions.
• Knowing and promoting the proper application of Post Exposure Prophylaxis (PEP) Kit and Sexually Gender Based Violence (SGBV) protocol

MSF Section/Context Specific Accountabilities

• Perform consultations to patients due to undergo surgery, evaluating the risks of operating in collaboration with the surgeon/Medical officer, checking that patients authorize their operations in writing, providing them with appropriate information on their illness and treatments, and deciding on what type of anaesthetics to be used, in order to collaborate in setting everything up before surgery.
• Evaluate the risk of operating in collaboration with the Surgeon Doctor.
• Carry-out all nursing anaesthetics related activities during surgery, according to the procedures set before-hand by anaesthesiologist (if any); to collaborate in patient’s adequate anaesthetized state and safety during the process.
• Prepare beforehand the drugs, material, and equipment required.
• Administer and maintain anaesthetics following the rules of hygiene and asepsis in force.
• Monitor patients throughout the whole intervention. Reference person for pain problems within the health facility.
• Provide post-operative care, including immediate post-operative surveillance in the recovery room (ensuring patient’s recovery of consciousness and setting analgesic protocol) and special patients present in the intensive care unit, to adapt the prescriptions (hydric resuscitation, anti-biotherapies, analgesics), with special focus on patient’s pain relief, during the stabilization and recovery process.
• Do round consultations with the Surgeon/ Medical officer once or twice a day, discussing therapeutic orientations with the department manager, renewing prescriptions and ensuring they are followed and systematically evaluating patients’ pain to adapt prescriptions and/or therapies for their relief.
• Implement and follow at all times hygiene rules, procedures and protocols, as well as look after the integrity of anaesthesia material (decontamination, sterilization, storage conditions, etc.) and other equipment, in order to ensure the safety and protection of patients and other staff. Know accidental blood exposure policy and procedure and implements them when necessary.
• Carry out all pharmacy related activities (stock control, station’s re-stocking, inventories, expired drugs, etc.) and other equipment of anaesthetic ward, doing special follow-up of narcotics and sedatives (register, consumptions, empty phials, etc.), ensuring enough stock-up and the good functioning to carry-out the medical activities. Draw up pharmacy orders according to needs.
• Collaborate with other departments within the project (responding to accident emergency department requests, intervening in support of other services when needed, etc.), to support the overall MSF project with his/her expertise and capabilities.
• Carry out administrative procedures and documents (fill in of patients files, forms, statistics, data base, etc.), to have updated and correct information about the day-to-day activities.
• In collaboration with the Surgeon/ medical officer Doctor, carry out quantitative surgical-anaesthesia data collection, draw up and send out reports for the monthly follow up of peri-surgical mortality and for the quality of anaesthesia/pain management and informs immediately the direct supervisor in the event of medical error.
• Support other medical services whenever needed, particularly accident and emergency department and midwifery and obstetrics team in the maternity department (specially to resuscitate newborns).
• When applicable train other medical staff.

Requirements

• Education • Essential Clinical Officer Diploma and higher diploma in Anaesthesia
• Experience • Essential 2 years of working experience in anaesthesia Previous experience in other NGO’s/MSF is an asset
• Languages • Proficiency in English and Kiswahili is essential. Somali would be an asset
• Competencies • Essential computer literacy • Results oriented, teamwork, flexibility, commitment and stress management