Location: Dadaab, Dagahaley Refugee Camp
Project Summary: The objective of our project is to provide primary and secondary level of healthcare to the Refugees in Dagahaley refugee camp. MSF provides a full package of medical care through 2 primary health care units and 1 hospital (100 beds) with 24 hour emergency and Operating Theatre.
Health services include curative, preventative, nutritional activities and emergency preparedness and intervention with partners.
The selected candidate will be reporting to the Hospital Director
Start date: 1st week of April
Package: Attractive salary package on offer with additional benefits including comprehensive health cover.
Contract duration: 6 month fixed term contract
Purpose: Organize and carry out surgical activities, ensure pre and post-operative surgical care, in accordance with MSF policies, protocols and universal hygiene standards and in close collaboration with medical staff in the emergency, intensive wards and operation theatre in order to improve patients’ health conditions.
Train and capacity build the surgical competencies of the Project MDs in performing appropriate preoperative, intraoperative and postoperative emergency surgical interventions
The job activities include but are not limited to;
Coordinates the implementation of MSF clinical policies, tools, guidelines and protocols ( antibiotic prophylaxis, post-operative pain management, thrombo-prophylaxis, caesarean section, blood transfusion, etc) and recommendations (standard hygiene and sterilization rules, prevention to HIV, TB, Syphilis and Hep B exposure) in order to minimize clinical risks.
Undertake pre-operative consultations, evaluating the surgical risks with the anaesthetist and with Project MDs, and obtaining the patient’s signed consent to operate.
Carry out emergency and programmed surgical intervention following MSF protocols and policies including swab counts, ensuring appropriate use of surgical equipment and proper OT registry entry/documentation of all OT intervention.
Carry out post-operative clinical care and ward rounds collaborating with the anesthetist, the Operating Theatre Nurse, MD and ward staff or other Unit
Managers to ensure compliance with MSF protocols and rational use of medicines. Attend OPD, emergency room when required.
Review the emergency disaster response plan of the hospital along with the anesthetist and the medical doctor and /or the responsible nurse and run role hospital practical rehearsals, in order to ensure the continuity of the services under any circumstance
Knows and helps implement the accidental blood exposure policy.
In collaboration with the nurse/midwife, supervise the application of surgical rules regarding preparation and work of the operating department.
Supervision and control of surgical equipment, tools and drugs Supports other medical teams/wards when needed (i.e. midwifes and obstetric teams in the maternity ward, etc.)
Undertake pre-operative consultations, evaluating the surgical risks with the anaesthetist and with Project MDs, and obtaining the patient’s signed consent to operate.
Train and upgrade the emergency surgical competencies including preoperative, intraoperative and post-operative surgical care of the Medical Officers in the Project.
In collaboration with the Anaesthetist, OT nurses and the Project MDs carry-out the collection and analysis of quantitative surgical- anaesthesia data, using post-operative observation sheets, routine data collected, patient files, operating department register, patient file, etc upload into Gecko to monitor quality.
Monthly review data and analyse clinical trends and comment on adverse events / poor clinical outcome. Support organizing the operating program and with OT staff monitor use of material and equipment and advice on instrument needs and coordinates patient referral.
Introduction and supervision of protocols for the surgical cases referrals.
Develop a system for following up patients referred to other institutions for further management
Plan, evaluate, and supervise the training of the staff (Project MD and OT nurse) in order to ensure the amount of knowledge required and to improve people diagnosing, triage, and early detection capabilities.
Conduct case reviews, mortality audits and near miss audits in the surgical department.
Prepare monthly situation reports of the program and send the report to the MTL and HD.
Conduct a bimonthly evaluation of the surgical competencies of the Project MDs and report and give feedback to the HMT, MTL and Medical Coordinator.
Conduct an End evaluation and capitalization report of the program with the MTL and HD and send the report to the Medical Coordinator
Chair the Infection Prevention Committee and initiate and implement strategies with a view to Reducing post op sepsis.
Education: Bachelor of Medicine and Surgery with a specialization in MMed Surg
Experience: Surgical experience as stated in surgical CV/skill form (number of independently per-formed surgical interventions) corresponds with the surgeries that are performed in the mission and qualification is duly certified and verified. Desirable experience with MSF or other NGO’s in developing countries.
Languages: Essential, mission language; local working language would be an asset.
Competencies
People Management.
Commitment.
Flexibility.
Results.
Teamwork.
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