MS02500 ANAESTHETIST NURSE

Performing all anaesthetic medical activities 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

Performing consultations to patients due for surgery, evaluating of 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
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.
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, with special focus on patient's pain relief, during the stabilization and recovery process. Does round consultations with the Surgeon Doctor once or twice a day, discussing therapeutic orientations with the department manager, renewing prescriptions and ensuring they are followed. Systematically evaluating patients' pain to adapt prescriptions and/or therapies for their relief.
Respecting, promoting and ensuring medical confidentiality and implementing and following hygiene rules, procedures and protocols at all times as well as looking after the integrity of anaesthesia material (decontamination, sterilisation, storage conditions, etc.) and other equipment, in order to ensure the safety and protection of patients and other staff. Knowing accidental blood exposure policy and procedure and implementing them when necessary.
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.
Carrying 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. Drawing up pharmacy orders according to needs.
Collaborating with other departments and supporting other medical services in order to support the overall MSF project with his/her expertise and capabilities. Training other medical staff when applicable and working particularly in close collaboration with the accident and emergency department and midwifery and obstetrics team in the maternity department (especially to resuscitate new-borns).
Carrying 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, carrying out quantitative surgical-anaesthesia data collection, drawing up and sending out reports for the monthly follow up of peri-surgical mortality and for the quality of anaesthesia/pain management and informing the direct supervisor immediately in the event of medical error.

Education

Nursing diploma with specialisation as anaesthetics nurse is essential).

Experience

Essential 1 year of previous supervised work experience as an anaesthetist nurse
Experience in other NGO’s and /or developing countries is desirable

Language Level Description

B1 Independent User

Threshold or intermediate

Can understand the main points of clear standard input on familiar matters regularly encountered in work, school, leisure, etc.
Can deal with most situations likely to arise while travelling in an area where the language is spoken.
Can produce simple connected text on topics that are familiar or of personal interest.
Can describe experiences and events, dreams, hopes and ambitions and briefly give reasons and explanations for opinions and plans.

Technical Skills

Data management

Autonomous

Able to provide routine data analysis

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

Master

Able to identify basic pathological conditions (apathy, anorexia, see jd…)

Capacity to address to specific medical conditions (hypothermia and fever)

Anesthesia

Autonomous

Able to assess pre-operative patient conditions

Autonomous in the use of specific anesthesiology drugs (some examples?)

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

Able to organize an OT (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)

Knowledge of MSF anesthesia protocols, procedures and tools

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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