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SURGEON
Medecins sans Frontieres Spain

Médecins Sans Frontières (MSF) - Spain is an independent international medical humanitarian organisation that delivers emergency aid in more than 60 countries to people affected by armed conflict, epidemics, natural or man-made disasters or exclusion from healthcare.

 

Sudan | MSF medical and humanitarian aid

 


 Vacancy No: 002
 Section/Unit: MEDICAL
 Grade Level: 9
 Supervisor: PROJECT COORDONATOR/ MEDICAL ACTIVITY MANAGRER/ HOSPITAL DIRECTOR
 No. of Post: 1
 Duty Station: ZALINGEI
 Duration: 14 DAYS
 Closing Date: 09 Sept 2024

 
 Background:

  • Bachelor of Medicine and Surgery from a recognized University
  • Essential, diploma in surgical specialty recognized by the State
  • Registered with the national council of specialist surgeons
 


 
 Duties and responsibilities:

Organize and carry out surgery 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 to improve patients’ health conditions.

 

  1. Accountabilities
 
  • 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 of HIV, TB, syphilis, and Hep B exposure) to minimize the clinical risks.
  • Undertake pre-operative consultations, evaluating the surgical risks with the anesthetist and/or other medical staff involved, 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 interventions.
  • Carry out post-operative clinical care and ward rounds, collaborating with the anesthetist, the operating theater nurse, and ward staff or other unit managers to ensure compliance with MSF protocols and rational use of medicines. Attend OPD, emergency room when required.
  • In collaboration with the anesthetist, carry out the collection and analysis of quantitative surgical-anesthesia data, using post-operative observation sheets, routine data collected, patient files, the operating department register, the patient file, etc. to monitor quality.
  • Monthly review data and analyze 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, advise on instrument needs, and coordinate patient referral.
  • Put in place the emergency disaster response plan of the hospital along with the anesthetist, the medical doctor, and/or the responsible OT supervisor, and run role-hospital practical rehearsals to ensure the continuity of the services under any circumstance.
  • Knows and helps implement the accidental blood exposure policy.
  • Plan, evaluate, and supervise the training of the staff (emergency and outpatient teams) to ensure the amount of knowledge required and to improve diagnosing, triage, and early detection capabilities.
  • Supports other medical teams/wards when needed (i.e., medical doctors, midwives, and obstetric teams in the maternity ward, etc.). 

 

  1.  

 

  1. MSF Section/Context Specific Accountabilities
 

ACTIVITIES

Pre-operative consultations: 

▪ provides surgical consultations,

▪ informs the patient about their condition and the surgery proposed,

▪ Obtains the patient's signed agreement to surgery,

▪ Evaluates the risk of operating in collaboration with the anesthetist.

Surgery:

▪ Performs emergency surgical procedures in line with MSF protocols,

▪ coordinates surgical activities and takes responsibility for the quality of interventions,

▪ Oversees the rational use of surgical supplies and instruments during procedures,

▪ Draws up a postoperative report following each procedure.

. Perform on-call duties to respond to surgical emergencies.

Post-operative patient follow-up:

▪ Checks that patients are re-allocated to the appropriate hospital department depending on the different pathologies (infected, non-affected, orthopaedic, burns, etc.).

▪ conducts rounds and follow-up rounds in the surgical and intensive care departments in collaboration with the anesthetist, the operating theater nurse, and the department supervisor.

▪ Ensures the application of MSF protocols (antibiotic therapy, dressing protocols, etc.) and rational medicine use.

▪ Ensures proper pre- and post-operative prescription follow-up in liaison with the anesthetist,

▪ Follows up patients hospitalized in associated departments (gynecology-obstetrics, IPD surgical wards) in collaboration with the healthcare team.

Hygiene:

▪ Oversees and monitors his/her colleagues' adherence to hygiene and IPC rules concerning the protection of patients and staff in the operating theater (decontamination, sterilization, etc.).

▪ Knows the steps to take in the event of accidental exposure to blood (AEB).

Data collection:

▪ Collaborates with the anesthetist in the collection of quantitative surgical and anesthetist data, checks the quality of the data encoding,

▪ Participates in drawing up and analyzing morbidity-mortality reports with the anesthetist, the medical advisor, and/or the hospital director or project medical referent.

Collaboration with the other departments:

▪ Participates in medical meetings, notably the perioperative morbidity-mortality meeting,

▪ works in close collaboration with the emergency, intensive care, etc. departments,

▪ Provides support to other departments if needed.

Management/training:

▪ Provides ongoing guidance and training to the surgical team in line with MSF guidelines and protocols.

▪ can be asked to support training projects (e.g., first aid, MCP drills and simulations, etc.). 

 


 
 Minimum Qualification, Skills and Experience Required:

  • Surgical experience as stated in surgical CV/skill form (number of independently performed 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.
  • Essential, mission language; local working language (Arabic) would be an asset.
  • Computer literacy is essential.
  • People management.
  • Commitment.
  • Flexibility.
  • Results.
  • Teamwork.  








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