MD01504 DOCTOR ANAESTHETIST

Organize and carry out anesthetic medical activities, according to MSF policies, protocols and universal hygiene standards and in close collaboration with the surgeon and other medical staff, and increase the knowledge and practical skills of the anesthetic staff through on the job training and knowledge transfer in order to ensure the quality of care provided to patients

Accountabilities

Carry out pre-operative consultations evaluating the risks of operating in collaboration with the surgeon, providing the patient with appropriate information and deciding the type of anesthetics to be used, in order to ensure the best conditions prior to the surgery. Carry-out all anesthesia related activities during surgery to ensure safe, adequate anesthesia.
- Preparing beforehand the drugs, material, and equipment required.
- Administering and maintaining anesthetics following the rules of hygiene and asepsis in force.
- Monitoring patients throughout the intervention.
Ensure transfer of patients to the recovery room, and full recovery of the patient’s consciousness and setting analgesic protocol
Advise on Postoperative care in both Intensive Care Unit and wards with the surgeon, including fluid management, oxygenation monitoring and airway care and chest physiotherapy and mobilization, with special focus on patient’s pain relief during the recovering process.
Implement and supervise hygiene rules, procedures and MSF protocols in OT/recovery, anesthesia material (decontamination, sterilization, storage conditions, etc.) to ensure the safety and protection of patients and staff.
Supervise the OT pharmacy (drugs orders, inventories, expired drugs) and ensure OT register, consumptions, empty phials of narcotics, ensuring adequate stock is maintained..
Ensure good functioning and maintenance of OT equipment (oxygen extractor, ventilation, equipment, etc)
Organize the tasks of personnel under his/her responsibility, and participate and carry-out other team management activities (recruitment, training, performance evaluation, motivation, internal/external communication, etc.), in order to ensure having the appropriate team in terms of size, capabilities and skills.
Collaborate with other departments in the project (responding to accident & emergency department requests, intervening in support of other services when needed, etc.), and participate in any emergency activity or exploratory mission, in order to support the overall MSF project with his/her expertise and capabilities.
Ensure proper fulfillment of administrative procedures and documents (fill in of patients files, forms, statistics, data base, etc.), and elaborate regular reporting about results, proceedings and problematic situations and cases, in order to have updated and correct information about the day-to-day activity in the project and support decision-taking.

Education

Doctor Anesthetist diploma recognized by the state essential.

Experience

Desirable, two year experience as an anesthetist. Having worked in MSF or other NGO’s and in developing countries is desirable.

Language Level Description

B2 Independent User

Vantage or upper intermediate

Can understand the main ideas of complex text on both concrete and abstract topics, including technical discussions in his/her field of specialisation.
Can interact with a degree of fluency and spontaneity that makes regular interaction with native speakers quite possible without strain for either party.
Can produce clear, detailed text on a wide range of subjects and explain a viewpoint on a topical issue giving the advantages and disadvantages of various options.

Technical Skills

Person / material hygiene

Autonomous

Able to supervise use of PPE in a service or department

Infection control

Master

Understanding of bio-hazard risk (secure waste disposal)

Appropriation of MSF Infection control protocols and proceduresL3 Understanding of bio-hazard risk (secure waste disposal)

Appropriation of MSF Infection control protocols and procedures

Patient handling

Autonomous

Capacity to compensate patient disability (moving, feeding, toileting)

Pharmacy

Master

Able to issue accurate drug prescriptions

Stock

Under Supervision

Able to manage ward/OT material stock (inventory, refilling)

Able to evaluate equipment status (availability, functioning)

L1 able to manage ward/OT material stock (inventory, refilling)

Able to evaluate equipment status (availability, functioning)

Clinical competence

Expert +

Able to follow a correct medical consultation process (anamnesis, clinical exams, differential diagnostic, possible additional exams, diagnosis and prescription)

Capacity to perform a diagnosis without full technical support (limited or no access to 2nd level exams)

Able to perform clinical triage and admission according to MSF criteria

Able to write a comprehensive report of activities

Anesthesia

Master

Able to assess pre-operative patient conditions

Mastery in the use of specific anesthesiology drugs (examples)

Mastery in the use of all biomedical devices related to anesthesia and patient monitoring

Able to organize OT processes(flow, drug, refilling routines)

Able to ensure provision of care in pre-per and post operative care

Able to run a recovery room, intensive care unit (level 0 - 1 according to MSF protocol)

Epidemiology

Under Supervision

Knowledge of medical epidemiology principles (mortality, morbidity, evolution of out brakes)

Lab

Autonomous

Able to use rapid diagnostic tests (malaria, syphilis, hemoglobin, glucose, etc)

Bio Med

Autonomous

Capacity to provide basic periodic maintenance of biomedical device

SRH

Autonomous

Able to identify SGBV victims and handle post exposure prophylaxis

Transversal Competencies

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Commitment to MSF’s Principles

Demonstrates loyalty, awareness and respect for MSF’s values

Expresses his/her interest by talking/asking/giving informed opinions about MSF’s activities.
Expresses he/she wants to work with MSF because of its principles and mission.
Overtly expresses his/her satisfaction at belonging to MSF and defends MSF’s social mission.
Refers to beneficiaries* when speaking about his/her own work.
Always transmits a positive image of MSF in front of both colleagues and external people.
Translates the principles of MSF into actions.

Behavioural Flexibility

Adapts behaviour to the needs of the situation

Accepts decisions which are not completely in line with his/her personal opinions.
Is flexible in applying and adapting procedures.
Adapts his/her behaviour to the characteristics of the interlocutor and/or situation.
Learns from problems and difficulties, becoming more competent at resolving similar situations in the future.
Looks for adaptable solutions in order to achieve objectives.
Reassesses priorities when circumstances change, focusing on objectives.

Stress Management

Understands other people’ s stress

Has an understanding attitude towards other people’s mistakes and shortcomings.
Gives calm and polite answers and repeats them patiently if necessary.
Uses techniques or plans activities to manage his/her own stress.
Responds and acts constructively in conflictive situations.

Results and Quality Orientation

Works towards objectives, preserving established standards

Perseveres until the objectives of the job and the team have been met.
Complies with the procedures, processes and rules set by MSF.
Is aware that the purpose of his/her job is to meet the specified objectives.
Is autonomous.
Mobilizes resources.
Analyses problems and constraints.

Teamwork and Cooperation

Shares information and coordinates with team and/or others

Shares significant information in a timely manner and actively seeks the opinion of team members or others through empathetic communication.
Allows others to question work/input if this leads to improvement.
Coordinates with other team members to ensure that common objectives are achieved.
Shows interest in and empathy with team members.

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