MS02902 ANAESTHESIA NURSE/ TECHNICIAN

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.

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

Under Supervision

Capacity to ensure adequate use of Personal Protective Equipment (PPE)

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)

Counseling

Under Supervision

Able to perform basic counseling and/or educational sessions under supervision

Able to identify cases presenting psycho-social problems

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)

SRH

Autonomous

Able to identify SGBV victims and handle post exposure prophylaxis

Transversal Competencies

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Commitment to MSF’s Principles

Demonstrates knowledge of and accepts MSF’s principles

Respects the choices made by the organisation.
Has basic knowledge of MSF’s mission and main activities.
Respects and accepts the medical ethics and principles of MSF.
Knows the difference between MSF’s activities and those of other NGOs and actors.

Behavioural Flexibility

Accepts changes

Accepts changes without knowing the full reasons for them.
Accepts new ideas in a positive way.
Positively accepts changes in his/her environment.
Accepts arguments opposed to his/her own.
Is willing to listen and to take on new tasks in his/her job.

Stress Management

Manages own stress

Expresses awareness of his/her own stress level.
Is able to identify causes of his/her own stress and/or asks for help in detecting them.
Is able to express to others his/her personal stressors at an appropriate time without overwhelming them.

Results and Quality Orientation

Performs his/her work

Knows objectives of the job.
Defines tasks to achieve objectives and establishes a working plan.
Reviews and checks his/her work to detect mistakes and to correct them immediately.
Values high-quality work.

Service Orientation

Knows and understands clients’ needs and interests

Identifies and has a clear understanding of who the client to be served is.
Identifies clients’ needs and concerns, and provides them with useful information and quick solutions.
Listens to clients and asks them questions to determine their needs and motivations.
Gets to know how the rest of the team works.

Teamwork and Cooperation

Acknowledges the importance of teamwork and cooperation

Is responsible for his/her work because he/she knows the repercussions it has on the team or on others.
Establishes and maintains good working relationships with colleagues, is accessible and listens to others.
Cooperates with the team and supports decisions made.
Demonstrates a predisposition to work with others and gives help when asked.
Acknowledges there are common goals as well as individual objectives deriving from the personal plan of action.

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