Job Opportunities at Médecins Sans Frontières Switzerland (MSFCH)

• Know and strictly apply all specific sterilization and hygiene protocols and security rules. Proactively seek for advice and clarifications from the functional supervisor in case of doubt about the specific protocol or procedure to follow in each specific case.
• Maintain clean and disinfected the work environment allocated to his/her position applying the specific protocols and using the tools and equipment provided:

1. Clean all instruments in the sterilization solution as directed.
2. Place instruments into the sterilizer and operate at the correct time as instructed.
3. Ensure a clean and safe working environment.
4. Ensure a reserve of 0.1% and 0.5% chlorine solution at all time

• Maintain clean and organized the sterilization area/room and equipment

1. Recognize all instruments as per the provided diagrams
2. Organize all instruments for packaging
3. Pack the instruments according to the sets as directed by the supervisor
4. Label all sets correctly with the expiry date clearly indicated
5. Cycle packs to unit(s) based on soonest to expire.
6. Maintain sterilization tag log book for each autoclave cycle.
7. Perform regular routine inventory/consumption and ordering in conjunction with supply and/or pharmacy for materials and supplies
8. arrange instruments according to their expiration date, etc)

• Deliver the instruments to the different wards or departments.
• Collect and evacuate waste produced during sterilization process and by medical structures to the designated site, empty out dustbins as often as necessary to ensure an efficient quality of care and safe environment.
• Report any repair or maintenance work needed related to sterilization to the supervisor, as well as any relevant information related to his/her responsibilities.
• Ensure availability of sterilized instruments and material, and draw up orders for on-going needs.
• Ensure there are adequate packs sterilized for night, weekend and holiday shifts
• Keep good record of all instruments in sterilization and report any missing instrument to the supervisor.
• Clean the Autoclave by removing the lime deposit using water and vinegar, once per month

• Literacy (reading and writing). Internally trained by MSF desirable (MSF will train before starting). OT training desirable.
• Previous experience in relevant positions desirable. .
• Local language and Mission language essential.
• Results, Teamwork, Flexibility, Commitment, Stress Management, Service
• Literacy (reading and writing). Internally trained by MSF desirable (MSF will train before starting). OT training desirable.

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• According to the medical prescription, perform laboratory exams (serology, hematology, biochemistry, bacteriology, parasitology, according to context), with the appropriate techniques, and according to standard protocols approved by  DoH
• Provide information to the relevant persons (ward/doctors/nurse according to context) about the results, respecting confidentiality
• Always ensure that sample results are correctly reported and clerical errors are avoided
• Ensure a good reporting and registration of the analysis done and their results in order to keep a written track of activity and to be able to write regular report
• Make sure quality controls are done regularly: internal and external
• Carry out sample collection when needed
• Perform, with utmost care, serological and compatibility tests for blood transfusion
• Know and apply hygiene protocols (for individual and collective protection). Carry out cleaning and tidying up of the laboratory. Ensure briefing of cleaning persons on biohazards
• Ensure proper sample disposal according to highest international infection prevention  standards
• Manage and organise efficiently the laboratory equipment and supply: orders, stock follow-up, storage conditions, inventory, follow-up of expired reagents and kits and their proper disposal
• He/she is responsible of equipment maintenance including automatic instrument calibration

• Result
• Teamwork
• Flexibility
• Commitment
• Stress management

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• Ensure the implementation and continuity of antenatal and postnatal care, family planning, emergency obstetrical and neonatal care in accordance with MoH/MSF Reproductive Core Package of Activities and reinforce the implementation of standardised protocols.
• Properly follow up of all newborn babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices
• Ensure patients’ right to privacy and confidentiality is respected
• Assess the feasibility for referral of pregnant women for medical evacuation and/or complicated delivery
• Ensure hygiene and sterilization criteria are met according to standard specifications
• Guarantee a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering)
• Ensure that administrative procedures of admissions and hospitalizations comply with the MoH/MSF protocols, as well as verify patients are properly informed and receive the documents required.
• Participate in the organisation of the ward in collaboration with other midwifes and the maternity ward supervisor.
• Ensure transfer of relevant information to the next shift team.

• Diploma in any of the following disciplines: Kenya Registered Community, Health Nursing, Kenya Registered Nursing, Kenya Registered Midwifery, or Kenya Registered Nursing/Midwifery from a recognized institution
• Registration Certificate issued by the Nursing Council of Kenya
• Valid practicing license from Nursing Council of Kenya
• Minimum of 2 years’ experience as nurse or midwife with experience in obstetric care.
• Strong interpersonal skills, strong initiative, flexible, able to handle complex assignments with proactive attitude, punctuality, reliability and commitment

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• Ensure the implementation and standardization of MSF clinical policies, tools, and hygiene protocols in order to minimize clinical risks and to granting quality of patient care management.
• Promote and maintain confidentiality regarding all patient cases and records
• Implement diagnose, 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 a correct implementation of the medical treatments and to refer patients when appropriate.
• Participate in the planning and supervising, in close coordination with other supervisors, the HR processes (sizing, staff shifts, recruitment, training, evaluation, development and communication) of the team in order 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.
• Carry out first aid care and treatment according to protocols in case of an emergency in order to reduce mortality rates
• Record in individual patient’s card and registration books all medical activities (drugs prescribed, lab results, vaccination status, epidemiological activity, doses, etc) performed keeping data traceability in order to ensure patients treatment continuity.
• Participate in data collecting and reporting when required
• Know and implement Patient Therapeutic Education (PTE), i.e. keeping contact with all patients, providing them information regarding their health state and responding to their questions.
• Know and promote the proper application of Post Exposure Prophylaxis (PEP) Kit and Sexually Gender Based Violence (SGBV) protocol.
• 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 anaesthetics related activities during surgery, according to the procedures set before-hand by the doctor anaesthetist (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.
• 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 anesthesia 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 (especially to resuscitate newborns).
• Reference person for pain problems within the health facility.
• When applicable train other medical staff.

• Result
• Teamwork
• Flexibility
• Commitment
• Stress management

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• Ensure the implementation and standardization of MSF clinical policies, tools, and hygiene protocols in order to minimize clinical risks and to granting quality of patient care management.
• Promote and maintain confidentiality regarding all patient cases and records
• Implement diagnose, 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 a correct implementation of the medical treatments and to refer patients when appropriate.
• Participate in the planning and supervising, in close coordination with other supervisors, the HR processes (sizing, staff shifts, recruitment, training, evaluation, development and communication) of the team in order 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.
• Carry out first aid care and treatment according to protocols in case of an emergency in order to reduce mortality rates
• Record in individual patient’s card and registration books all medical activities (drugs prescribed, lab results, vaccination status, epidemiological activity, doses, etc) performed keeping data traceability in order to ensure patients treatment continuity.
• Participate in data collecting and reporting when required
• Know and implement Patient Therapeutic Education (PTE), i.e. keeping contact with all patients, providing them information regarding their health state and responding to their questions.
• Know and promote the proper application of Post Exposure Prophylaxis (PEP) Kit and Sexually Gender Based Violence (SGBV) protocol.
• 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 anaesthetics related activities during surgery, according to the procedures set before-hand by the doctor anaesthetist (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.
• 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 anesthesia 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 (especially to resuscitate newborns).
• Reference person for pain problems within the health facility.
• When applicable train other medical staff.

• Result
• Teamwork
• Flexibility
• Commitment
• Stress management

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• Apply medical knowledge and skills to diagnosis and prevention. Carry out outpatient and inpatient consultations, prescribing the necessary treatment respecting MSF protocols.
• Keep the patient and/or his/her family informed about the illness and provide appropriate explanations about the treatment to follow, checking they have understood?
• Follow up the evolution of the hospitalized/IPD patients, through daily visits, consultations and examinations, prescribing the necessary treatment following MSF protocols, deciding whether they can be discharged or transferred to other departments – in collaboration with other doctors- and informing their family about the patient’s evolution.
• Check and control the rational distribution of medicines and equipment under his/her responsibility and take care of the quality, disinfection and sterilization of the medical material. Assure general compliance with standing hygiene standards.
• Participate in the collection and analysis of epidemiological data, checking its validity and informing the line manager or project coordinator about any problem or complication of the patients’ illness, medical error and monitors the proper functioning of the department, equipment or material.
• Ensure ongoing training of the medical/paramedical multidisciplinary team in order to optimize the quality of care.
• Knows and ensures all MSF medical protocols are followed and implemented, checking universal precautions are followed at all times and reducing bio-hazard risks and improving infection control.
• Ensure professional confidentiality is respected.
• Manage the team under his/her direct responsibility according to MSF HR policies and procedures, supervising their performance, organizing and scheduling shifts and rotations, directly participating in emergencies and on calls if necessary.
• Ensure activities in the reproductive health and new born unit are organized. Support / collaborate with the midwife in charge of department in the management of obstetric emergencies or other obstetric problems.
• Responsible of the care and treatment of pregnant mothers (including ANC-PNC-FP high risk clinic ) ,Gynae patients and neonates in NBU and maternity ward by ensuring Daily ward rounds & routine reviews in Maternity ward and NBU is done.
• Perform basic procedures like MVA, assist the nurses during difficult deliveries, perform C/S as soon as it is necessary etc.
• In coordination with the maternity supervisor, conduct the High risk clinic and ensure a follow up strategy is in place with the outreach team CHW / TBA s visits all High risk mothers and remind them of the danger signs.
• Ensure on the job Training of Clinical officers  and midwife/nurses working in the department  on management of pregnancy complications, neonatal care and conduct CME at least once in a month in collaboration with hospital director &/Nursing activity manager.
• Examine and treat all SGBV cases in a confidential manner and be responsible for the P3 forms for the SGBV cases.
• Actively participate in the projects quality of care activities such as CMEs, case reviews, Mortality audits & rational prescription audits.
• Perform any other duties assigned by the supervisor.

• People Management
• Commitment
• Flexibility
• Results
• Teamwork

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• Use of personal protective equipment (PPE)
• Hand Hygiene
• Prevention of accidental exposure to body fluids
• Safe and appropriate treatment of re-usable medical devices (including ensuring the correct procedures/protocols for sterilization and laundry are followed)
• Waste management (waste segregation inside the structure)
• Cleaning and disinfection of surfaces and environment
• Respiratory hygiene
• Individual hygiene for staff, caretakers and patients

• Based on a given patient-diagnosis: evaluate the need for additional precautions in collaboration with the medical team and act accordingly
• Support the implementation of isolation measures promptly when necessary

• Organise training and coaching for all staff
• Perform audits on regular basis

• Participate and support development of an infection control plan in collaboration with the Infection Control Committee
• Monitor the implementation of the infection control action plan

• Water supply, quality and quantity
• Solid waste and waste water treatment/disposal
• Latrines and shower facilities
• Dead bodies management – Vector control
• Medical waste management
• Kitchen and laundry

• Report any irregularities to MAM or IPC managers or PMR
• Participate in project meetings as necessary
• Produce report with information & recommendations for the monthly medical reporting
• Performs monitoring of IPC activities using existing tools such as audits, checklist, surveillance etc.

• Responsible for packing and autoclaving of autoclavable instruments and other materials according to MSF protocols and autoclave manufacturers’ instructions, as well as in coordination with the Biomed responsible, the upkeep and maintenance of the sterilization room, autoclave, related materials and supplies.
• In collaboration with the MWAM and Admin, participate in the testing, interviewing and hiring of the Sterilization Technician(s).Directly responsible for the training, supervision and evaluation of the Sterilization Technician(s).
• Oversee the timely rotation of sterilized packs (oldest date used first; expired dates removed from usable supply) and materials.

• Nurse or midwife (or equivalent) diploma
• Preferable: Previous experience working with MSF or other NGOs
• Experience in OT or Intensive Care Unit is an asset
• Mission language essential, local language desirable