ممرض غرفة عمليات

إعلان خارجي 

ممرض غرفة عمليات

OT Nurse

Working under the MOU between UHWC & MSF

Overview of UHWC

UHWC is NGO leading Palestinian  knowledge-based community healthcare organazation established in 1985, contributing to community empowerment in healthcare and promoting the comprehensive concept in the Gaza Strip.Its members are gathering a healthy vision for our slogan , "Health Service is a right to whoever needs it". UHWC is achieving community health empowerment and promoting the comprehensive healthcare concept through capacity development; primary; and tertiary healthcare; culture and health, and community health communication and advocacy programs.

Overview of MSF :

MSF is a civil society initiative that brings together individuals committed to the assistance of other human beings in crisis. As such MSF is by choice an association.
Each individual working with MSF does it out of conviction and is ready to uphold the values and principles of MSF.

The staff will be  employed by Union of health work commitees (UHWC) and is assigned to MSF Limb reconstructive surgery project in Al Awda hospital according the partnership between UHWC and MSF.

Position in the Organization

Reports to (Hierarchical): PROJECT MEDICAL REFERENT 

(could be modified according to organigram  update)

Reports to (Functional): OT NURSE SUPERVISOR

Job Family: Medical and Paramedical

Supervises (Function): NA

Main Purpose

The OT nurse is responsible for the overall running of the OT activities, to ensure good quality and safe management of pre-, per- and post-operative medical and nursing care, according to international standards and MSF protocols. 

Wearing correct work clothing, according MSF guidelines. Surgical cap is required at all times, use of shoes specifically for OT, mask during the procedure or manipulation of instruments, gloves, scrub uniform wear just in the OT service. If it is needed to go to other units, change of OT uniform is mandatory.

Accountabilities

• Ensure the preparation of the material and equipment (checking the quantity and quality), in the OT and carry-out the reception, transport of the patient from the preparation room to the OT and ensuring his/her installation for surgery. 
• Assist the surgeon and anaesthetist during the operation, anticipating their needs, in order to facilitate their job and helping throughout the whole process. 
• Checks vital parameters of the patient with the nurse anaesthetist 
• Organize the patient’s transport and installation from the operating theatre to the recovery room and carry-out and/or supervise all the post-operative activities (used material collection, OT’s cleaning and disinfection, resetting all equipment and material back), in order to prepare the OT for next surgical intervention or any emergency. 
• Implement and follow-up the hygiene, sterilization, asepsis and disinfection protocols and procedures at all times, in pre, during and post-operative activities, in order to ensure the patient and staff’s safety conditions. i.e. waste containers availability, sharps container, checking no material or needles remain in the surgical towels, placing instruments into soak container, take instruments/linen to sterilization unit, etc.). 
• Following all appropriate protocols and procedures, in order to ensure the quality of the healthcare given to patients. and train NS where applicable 
• Perform cleaning and minor maintenance for biomedical equipment used. Follow user manual and protocols and alert supervisor in case of malfunctioning of any device.
• Control all equipment and material stock to be used in the OT, in order to ensure an efficient and rationale use of material resources while preventing damage and deterioration. 
• Carry-out and supervise administrative procedures and documents (check identity of patient and his/her consent for the operation, fill in patients files, forms, statistics, quantitative surgical data collection, etc.), and report any problematic situations and cases arising, in order to have updated and correct information about the day-to-day activity and ensuring proper transfer of information. 
• Participate in data and reporting 
• Intervene in support of other services whenever needed and work particularly in close collaboration with the accident, emergency department and with obstetrics. 

Operational / Technical responsibilities 

Pre-operative tasks

Preparation of the Operating room:

• Cleans the OT room, before the surgical program begins, between each patient and when the surgical program has ended, following MSF protocols.
• Perform the hygiene check by using the hygiene check list.  
• Provide and prepare all instruments and equipment needed for the surgical interventions of the day.
• Ensure all instruments and equipment are ready-to-use and available in sufficient quantity in accordance with the needs of the next surgical interventions.
• Verify biomedical equipment functions properly and safely
• Verify the sterile condition of sterile materials (date, packaging integrity, colours of TST strip)
• Write down before the start of the intervention the total number of compresses, the type and number of surgical sets and of every other specific instrument that was provided

Transport and reception of the patient

• Meet the patient at the entrance of the OT
• Ensure the patient’s medical file is complete together with nurse from the ward.
• Verify the identity of the patient.
• Ensure authorization for the intervention was given and an authorization file was signed- Consent.
• Check the patient has no known allergies (iodine, penicillin, ...) and inform the surgical team about it .
• Explain the procedure the patient and answer their questions. 
• Check pre-operative hygiene measures were taken (pre-operative shower, removal of jewellery, clean bed linen and clothes,...).
• Organize safe, comfortable and on time transport from the ward to the OT.
• Is responsible for the quality of nursing care in the preparation room.  
• Make sure nursing care needed for a good preparation of the patient and his comfort are provided.
• Ensure nursing care meets MSF recommendations and standards.  
• Organize safe transport for the patient from the preparation room to the operation room.
• Is responsible for adequate and safe installation of the patient on the operation table 
• Connect the patient to the monitoring equipment. 
• Monitor the patient till anaesthetist or surgeon are ready to take over. 
• Is responsible of the nursing care in the operation room.
• Ensure nursing care meets MSF recommendations and standards. 
• Respect patients privacy, comfort and dignity at all times.

Provide assistance

• Assist  the surgeon and the scrub nurse. 

Intra-operative tasks

• Ensure the good progress of the surgical intervention
• Anticipate the needs of the surgical team during the intervention.
• Prepare, control and handle non- sterile medical devices.
• Present in an aseptic way sterile devices.
• Supervise the respect of standard precautions by all staff members. 
• Watch that all staff-members respect the rules of asepsis during the surgical intervention.
• Minimize and keep to a minimum the number of people allowed to enter in the OT during the procedure.  
• Note the exact number of compresses and materials that were supplied additionally during the intervention.
• Count all the compresses, needles, sutures and surgical instruments before the operating site is closed and inform the surgeon of the amount. (scrub nurse and circulating nurse together)

Post-operative tasks Follow up of hospitalised patients

• Transport of the patient
• Organize and assist safe transport of the patient from the operation room to the recovery room. 
• Is responsible for the nursing care of the patient till the handover is completed.
• Install the patient in the recovery room with the help of the recovery nurse.
• Hand over the patient to the ward nurse and brief essential information for a good follow-up, monitoring and care of the patient.

• Material collection
• Collect the surgical instruments that were previously wiped clean, checked and sorted out by the scrub nurse. 
• Respect standard precautions and MSF recommendations for the collection. 
• Is responsible for:
• Sending the used surgical and anaesthetic materials to the sterilization room
• Good waste triage and management according to MSF protocols.

• Put the operation room back in operational state
• Cleans and disinfects surfaces and medical equipment are followed and accomplished, according to MSF protocols.
• Ensure all instruments and equipment are again available and ready-to-use in the operation room. 
• Re-supply the OT with linen, instruments, sets, medical supplies and small equipment. 
• Prepare the OT to be able to face the next surgical intervention or any emergency.

Management of written/oral handovers  

Maintain registers and files up to date at all times, enter all pertinent information.

Fill in the handover book, note everything that happened during the shift and any changes in prescription or patients to be followed up 

Ensure an oral handover at every team changeover, draw attention to any notable events during the shift

Participate to the medical team meeting for exchanging information on the state of the patients

Notify any problems to the direct Supervisor.

Management of material and consumables

• Strict management of material and consumables.
• Daily maintenance of material and medical/surgical supplies provided
• Contributing to proper management of stocks and renewing orders.

Monitoring, analysis and reporting

Participate actively in the monitoring and the reporting of medical activities (correctly fill in patient files, forms, statistics, reports) and propose analyse of these statistics.

Knows, promotes and ensures the deontological principles of confidentiality

Reporting

• Report immediately to the technical referent any problem arising in the service, especially the loss/ robbery/damage of medical equipment or medicines.

MSF Section/Context Specific Accountabilities

Additional activities 

Additional activities descriptions

•   Patient care in the Recovery room together with the anaesthetist nurse.
• Daily checking and tidying of the recovery room
• Taking part in training and internal evaluations.
• Knows and follows the blood exposure protocols in the event of blood contamination.   

Responsibilities towards MSF

Commitment to MSF

Availability for emergencies 

General knowledge of MSF

Has a general understanding of the association, its functioning, structure and values (charter).

Is aware of MSF objectives and activities in general and in the working context.

Participates actively in meetings and trainings.

Security

NA

Cooperation with other departments

Is aware of activities of other departments and respect specific rules and procedures.

Information source

Interprets conversation when necessary.

جميع الحقوق محفوظة لموقع جوبس.

Education  

Nurse degree/diploma recognised by National Authorities

Note: specialty to precise here if any

Experience

2 years of clinical nursing required

Experience in health education a plus

MSF experience is an advantage.

Languages

English required.

Competencies

• Multi task Management, 
• Planning capabilities, organizational skills, 
• Management skills, 
• Communication skills, 
• Computer skills (good knowledge of MS Office and specifically excel) 

Personal qualities

• Diplomacy, discretion, good communication and  interpersonal skills, 
• Multi-cultural flexibility or experience, Team Player, 
• Calm, stress management, patient, 
• Confidentiality, strong sense of integrity 
• Ability to adapt to new circumstances, flexibility

ملاحظات:

• تقديم طلبات التوظيف إلكترونياً عبر الرابط  https://forms.gle/D29d5QRk3yqj6X2F7 
• تقديم الطلبات ابتداءً من الخميس 06/01/2022 حتى نهاية يوم الأربعاء الموافق 12/01/2022.
• يرجى إحضار الأوراق الثبوتية التالية: سيرة ذاتية باللغة الانجليزية- صورة الهوية – شهادة جامعية في التخصص- كشف الدرجات –شهادات الخبرة – شهادة الثانوية العامة –مزاولة المهنة-صور شخصية ( أصل وصورة لكل الأوراق).

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