ANAESTHESIA NURSE/ TECHNICIAN

Médecins Sans Frontieres “Doctors Without Borders” is a private, non-profit international humanitarian organization dedicated to providing medical assistance to populations in crisis, without discrimination and regardless of race, religion, creed or political affiliation

 MSF-Belgium is currently seeking to hire ANAESTHESIA NURSE/ TECHNICIAN  

Contract Duration: 3 months , renewable.

Main Purpose

• Assisting the doctor anaesthetist with all anaesthetic medical activities(pre-anaesthesia evaluation, administration of anaesthesia, recovery period, specific pharmacy, equipment, general organization, etc.) according to MSF policies, protocols and universal hygiene standards, in order to ensure the quality of pre, during and post-operative care of patients.

Accountabilities

• •          Assisting the doctor in the consultations to patients due for surgery: evaluating the risks of operating (in collaboration with the surgeon),  obtaining patient’s written authorization for their operation, providing patients 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
• •          According to set procedures, carrying out all nursing anaesthetics related activities during surgery in order to collaborate in patient's adequate anaesthetized state and safety during the process. Preparing the drugs, material, and equipment required for the surgery. Monitoring patients throughout the whole intervention and administering and maintaining anaesthetics following the rules of hygiene and asepsis in force.
• •          Assisting the doctor in providing post-operative care, including immediate post-operative surveillance in the recovery room and special patients present in the intensive care unit, in order to adapt the prescriptions during the stabilization and recovery process. Performing consultation rounds with the Surgeon Doctor 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.
• •          Respects, promotes and ensures medical confidentiality.
• •          Perform cleaning and minor maintenance for biomedical equipment used. Follow user manual and protocols and alert supervisor in case of malfunctioning of any device.List item
• •          Implements and follows hygiene rules, procedures and protocols at all times as well as look after the integrity of anaesthesia material (decontamination, sterilisation, storage conditions, etc.)  in order to ensure the safety and protection of patients and other staff. Knows accidental blood exposure policy and procedure and implements them when necessary.  
• •          Carries 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. Draws up pharmacy orders according to needs.
• •          Collaborates with other departments and supports other medical services in order to support the overall MSF project with his/her expertise and capabilities. Trains other medical staff when applicable and works particularly in close collaboration with the accident and emergency department and the midwifery and obstetrics team in the maternity department (especially to resuscitate new-borns).
• •          Carries out administrative procedures and documents (fill in of patients files, forms, statistics, data base, etc.), in order to have updated and correct information about the day-to-day activities.
• •          In collaboration with the Surgeon Doctor, carries out quantitative surgical-anaesthesia data collection, draws up and sends out reports for the monthly follow up of peri-surgical mortality and for the quality of anaesthesia/pain management and informs the direct supervisor immediately in the event of medical error.

MSF Section/Context Specific Accountabilities

• Good knowledge of the Anesthesia principles and its related sciences.
• Complies with personal protective equipment (PPE) use including covering during exposure to X-rays, correctly wearing a mask in the operating theatre and hand hygiene.
• Professional Development/ongoing learning -participates in training by the local and/or ex-patriate doctors and other anesthetic technicians.
• Technical Skills – perform skills related to anesthesia including but not limited to airway management (jaw thrust, bag-mask ventilation, laryngeal mask, and endotracheal tube placement, intravenous line insertion, neuraxial techniques (spinal), and monitoring patients under general anesthesia. Note: training can be provided if required/requested.
• Assist the anesthesiologist, who is the supervisor of the anesthesia in the OT, in light of the instructions issued by him/her.
• Respecting, promoting, and ensuring medical confidentiality
• Knowing accidental blood exposure policy and procedures and implementing them when necessary.
• Doing special follow-ups of narcotics and sedatives (register, consumptions, empty vials, etc.),
• Ensuring enough stock for the smooth functioning of medical activities.
• Drawing up pharmacy orders according to stock and consumption.
• Training other medical staff when applicable
• Preoperative evaluation: (in accordance with the Anesthetist Doctor):  
• Performing consultations with patients scheduled for anesthesia and surgery.
• Evaluating the risks of the anesthesia procedure.
• Providing patients with appropriate information on their anesthetic and intra-operative management.
• During the procedure:
• -Participating with the OT nurse to enter the patient in the operating room and check all the information about him/her.
• Carrying out all clinical activities related to the safe provision of anesthesia and maintenance of homeostasis during surgery, under the supervision of an Anesthetist Doctor.
• Preparation of the anesthesia and peripheral devices, and ensuring the safety of the connections and operation as well as sterilization and clean the devices according to infection prevention and control guidelines.
• Prepare medicines and solutions needed for anesthesia and inform the anesthetist about them.
• Maintaining a continuous, vigilant presence and monitoring throughout the whole procedure and inform the anesthetist doctor of any changes you get to the anesthetized patient and record on the anesthesia chart
• Writing prescriptions for anesthesia and follow-up orders.
• Prepare and test the anesthesia equipment every morning.
• Refilling all the supplies in the emergency trolley for drugs and disposables.
• Postoperative care:
• Includes immediate post-operative surveillance in the recovery room (in collaboration with the OT nurse), until the patient has regained normal control of the airway and cardiovascular stability.
• Supervise management of pain, nausea, vomiting, and other symptoms during the recovery period, after consultation with the anesthetist.
• Systematic evaluation of pain scores and adaptation of analgesic medication and other therapies after consultation with an anesthetist doctor.
• Perform night shifts according to the rotation program and procedures.
• Anesthetic data and surgical checklist:  
• Completion of clinical documentation (patient files, checklists, anesthetic forms),
• Completion of routine data collection on surgical activity.
• In collaboration with the OT supervisor, carrying out quantitative surgical-anesthesia data collection.
• Cleaning and maintenance of anesthesia and airway equipment:
• Implementing and following standard precautions and infection prevention and control procedures at all times.
• Looking after the integrity of anesthesia material (decontamination, sterilization, storage conditions, etc.) and other equipment, to ensure the safety and protection of patients and other staff.

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Education

•          Bachelor's Anesthesia degree / or two-year diploma in Anesthesia from an organized institution.

•          Current nursing license in Palestine.

Experience

•          At least Four years’ experience for a diploma and two years’ experience for a Bachelor anesthetist technician.

•          Minimum 1-year experience in orthopedics/plastics or pediatrics is desirable.

•          Experience in MSF is highly desirable.

Language

English is required.

Competencies

·       Good communication skills and maintaining effective working relationships with staff and clients.

·       Good organizational skills and ability to work under pressure.

·       Adequate computer skills.

·       Self-motivated and willing to learn from others.

·       Acts in accordance with professional ethics and values.

This job description may be amended in line with the activities or evolution of the Mission. Interested candidates should submit their CV and cover letter in English, with reference details to: 

Médecins Sans Frontières, Human Resources Department – Gaza Project

[email protected]

Mentioning as email object:  ANAESTHESIA NURSE/ TECHNICIAN

Deadline: 22/02/2024 End of the day