Anaesthetist

Job Title:	Anaesthetist
Report to:	Medical Doctor (surgeon)/ Medical Team Leader
Report to (functional) :	Medical Team leader
Area:	Medical
Assignment:	6 months
Project:	Yambio

General Context

MSF-OCBA intervened firstly in Western Equatoria State (WES) with a vertical Human African Trypanosomiasis (HAT) project from the end of 2004 in Tambura, when the sero-prevalence was over 2%, considered the epidemic threshold. After two years of activities and the result of a reduced prevalence (<0 2006.="" another="" december="" handed="" hat="" in="" ing0="" nbsp="" over="" program="" span="" the="" to="" was="">

Since October 2006 a HAT inpatient program started in Yambio County Hospital (YCH). Between June and December 2008, a project to support the PHCCs of Sakure and Gangura was implemented, justified by the arrival of refugees and IDPs fleeing from LRA attacks in DRC and South Sudan. In 2008, it was decided to close the HAT project in Yambio due to low prevalence rates in the area. At the same time it was also decided to stop the activities in Sakure and Gangura.

Current Activities

MSF-OCBA re-started new activities in Yambio (Western Equatoria State) during the month of March 2009 to respond to the humanitarian consequences of the activities of the LRA in WES. A Memorandum of Understanding signed with the Ministry of Health of the Government of South Sudan dated the 6th March 2009 legitimates our action.

The overall objective of MSF-OCBA activities in WES is now to assist the most vulnerable population, namely children under 5 years old and pregnant women. MSF is supporting the MoH in the State hospital in Maternity and Paediatric wards: General OPD services for children <5years 34="" 3="" a="" activities="" addition="" aligned="" and="" available="" behaviour="" care="" centres="" community="" education="" families="" for="" fp="" general="" health="" hiv="" implement="" improve="" in="" mnch="" msf="" network="" o:p="" of="" outreach="" patients="" phccs="" pmtct.="" pnc="" primary="" promotion="" public="" quality="" seeking="" services.="" sgbv="" sti="" strong="" supports="" the="" to="" utilization="" who="" with="" workers="">

Emergency response and medical and humanitarian assistance to populations affected by violence and/or natural disasters. Assistance defined as the provision of the minimal package of essential primary and secondary health care. The response capacity will be accompanied by constant lobbying of other humanitarian actors pushing them to assume their responsibilities and coordinate their actions. Witnessing and advocacy will be a key complement of the above-mentioned strategies in order to improve the situation of the population.

Main purpose

As Clinical officer or Nurse with anaesthesia skills he/she will be responsible for the anaesthesia activities in the OT of YSH according to MSF guidelines and protocols in cooperation with the MoH. The main focus is to provide safe anaesthesia to patients undergoing surgery and to train MoH national staff appointed to the anaesthesia department. He/she will work in close cooperation with the MSF MD/surgeon and the MoH surgeons to provide the best care in the operation theatre. He/She will work under on call system. This will be done in accordance to the context, MSF protocols, procedures and the universal hygiene standards.

Accountabilities
General: Ensure the implementation and standardization of MSF clinical policies, tools, and hygiene protocols in order to minimize clinical risks and to granting quality of patient case management in the OT Promote and maintain confidentiality regarding all patient cases and records and consultation Participate in the planning and supervising, in close coordination with other supervisors, the HR processes (sizing, staff shifts, recruitment, training, evaluation, development and communication) of the team in order to ensure both the sizing and the amount of knowledge required, improve people triage capabilities, their motivation and commitment and their active participation in teaching the targeted population on therapeutic and preventive protocols. Training of national staff in the department             Ensure training of the national staff in the department following the established curriculum Provide qualitative theoretical and practical lessons for the staff Fill in attendance protocol to ensure the staff receives the training Supervise anaesthesia given by the national staff during duty Evaluate the skills regular Perform theoretical and practical test for the national staff Coordinate with the MoH surgeons and MSF surgeon the possible procedures given by national staff Ensure that all partners are aware of the training and respect the effort and time Pre-surgical consultation Respects medical confidentiality and provides the patients with information on their illnesses and  treatments Carries out patients’ pre-surgical consultations including filling the records, request laboratory investigation if necessary Evaluates the risks of operating in collaboration with the surgeon Decides on the type of anaesthetic to be used  Anaesthesia Ensure all material is available to conduct the anaesthesia/ react to emergency Prepares the drugs, material and equipment required Administers anaesthetic drugs according to the techniques chosen beforehand and following the rules of hygiene and asepsis in force Monitors patients throughout the interventions Immediate post-surgical supervision Ensure post-surgery surveillance of the patient Hand over all information to the nurse in charge of recovery Evaluates patients’ pain and sets up a protocol of post-surgical pain relief Draws up post-surgical prescriptions according to his specialization (resuscitation, ATB, pain relief…) Post-surgical care Does  rounds with the surgeon once or twice a day Discusses therapeutic orientations with the department manager Renews prescriptions, checks they are followed Pays particular attention to the proper management of pain, systematically evaluating pain once or several times a day and adapting prescriptions to the levels of pain Intensive care Provides post-surgical follow up of surgical patients in the facility (rounds, prescriptions, etc.) Hygiene Checks that rules of hygiene for the protection of patients and staff are followed Knows accidental blood exposure policy and procedure, and implements when necessary. Pharmaceutical material Sets up and monitors the stock of anaesthetic material Supervises the hygiene and integrity of anaesthetic material: decontamination, sterilization, storage conditions, etc. Checking that the anaesthesia cabinet remains cleaned and re-stocked between each patient Draws up pharmacy orders according to needs Supervises the follow up and traceability of sedatives (register, empty phials) Participates in formulation of medical order for anaesthesia meds and supplies if activity manager. Recording & reporting In collaboration with the surgeon, carries out quantitative surgical-anaesthesia data collection Draws up and sends out reports for the monthly follow up of peri-surgical mortality Draws up and sends out monthly reports on the quality of anaesthesia/pain management Informs immediately the direct supervisor in the event of medical error Promotes and maintains confidentiality regarding all patient cases and records Give monthly report to the MTL on the training progress. Supports to other departments Intervenes in support of other services whenever needed  and works particularly in close collaboration with the accident and emergency department Supports the midwifery & obstetrics teams in maternity department, particularly to resuscitate new-borns Supervises the management of emergency trolleys Possibly supports or gives trainings on blood transfusion control, first aid, etc. Pain management Is the reference person for pain problems within the health facility Emergencies Participates in emergency activity or exploratory visit in or out of the MSF area of work upon request Others Participating in personnel meetings
Requirements
Education	Essential clinical officer diploma with additional training in anaesthesia
Experience	Desirable previous clinical supervision experience of at least one year, Essential, 2 years of relevant working experience in the anaesthesia department
Languages	English, local language is an asset
Knowledge	Desirable computer literacy
Competences	Cross cultural awareness and flexibility / Teamwork / Quality and results orientation / Identification with MSF / Communication skills.

Application Deadline	23rd December 2013
Apply to	msfe-juba-hrco@barcelona.msf.org
Subject	Anaesthetist, Yambio Project
Only shortlisted candidates will be contacted

November 2013