Main purposeThe anesthetics nurse works alone, and so is responsible for anesthesia (pre-anesthesia evaluation, administration of anesthetics, recovery period, pharmacy, equipment, etc.) and, in collaboration with the surgeon, for pre and post-operative care in accordance with his/her (hereafter referred to as “his”) speciality (resuscitation, pain, ATB, etc.),He/She is requested to pay particular attention to hygiene rules and pain management.FUNCTIONAL AND HIERARCHICAL LINES
He/she manages: nurses in the recovery room, and in the domains linked to his speciality, nurses in intensive care and surgical departments;
He/she collaborates and inter-reacts with all the personnel working in the operating theatre (nurse anesthetists, managers, surgeons, nurses); the hospital personnel, and in particular the nurses and doctors in the accidents and emergency department, intensive care and surgical departments.
AccountabilitiesA system of night duties guarantees 24h/24h service.Pre-operative consultation
Checking that patients have given signed authorization for their operations;
Respecting medical confidentiality and providing patients with information on their illnesses and treatments
Programmed interventions
Carrying out the patients’ pre-operative consultations before they undergo surgery;
Evaluating the risks of operating in collaboration with the surgeon;
Deciding on the type of anesthetic to be used.
Emergency interventions
Carrying out the necessary resuscitation maneuvers
Evaluating the risk of operating in collaboration with the gyneco-obstetrical
Anesthesia
Preparing the drugs, material and equipment required for administering the anesthetics;
Undertaking the induction and maintenance of the anesthetics in accordance with the techniques chosen beforehand and following the rules of hygiene and asepsis in force;
Monitoring patients throughout their interventions.
Immediate post-operative surveillance (Recovery room)
Ensuring the immediate recovery of patients;
Transferring the patients to and installing them in the recovery room;
Passing on necessary information to the recovery room nurses;
Evaluating patients’ pain and setting up a protocol of post-operative pain relief;
Drawing up post-operative prescriptions relating to his speciality (hydric resuscitation, ATB, pain relief).
Post-operative care
Carrying out a joint round with the gyneco-obstetrical Dr once or twice a day
Renewing prescriptions, checking that they are followed
According particular attention to the correct case management of pain
Systematically evaluating pain once or several times a day
Adapting prescriptions to the levels of pain
Intensive careProviding post-operative follow up of surgical patients present in the facility (rounds, prescriptions, etc.)Hygiene
Checking the rules of hygiene concerning the protection of patients and personnel are followed (by himself and his colleagues);
Knowing how to react in the case of accidental blood exposure
Pharmaceutical material
Setting up and monitoring the stock of anesthesia material;
Supervising the hygiene and integrity of anesthesia material: decontamination, sterilization, storage conditions, etc.
Checking that the anesthesia station is tidied, cleaned and re-stocked between each patient
Drawing up pharmacy orders according to needs;
Supervising the follow up and traceability of tranquilizers (register, empty phials).
Data collection
In collaboration with the gyneco-obstetrical, carrying out quantitative surgical-anesthesia data collection
Drawing up and sending out reports for the monthly follow up of peri-operative mortality
Drawing up and sending out monthly reports on the quality of anesthesia/pain management
In collaboration with other departments
Maintaining close collaboration with the accident and emergency department and responding to its frequent requests for his opinion and/or resuscitation;
Intervening in support of the midwifery and obstetrics teams in the maternity department, particularly for the resuscitation of newborns amongst others;
Intervening in support of other services if needed;
Supervising the management of emergency trolleys;
Possibly supporting training projects, e.g. blood transfusion control, first aid, etc.
PainBeing the reference person for pain problems within the health facility Others
Respecting the deontology and confidentiality linked to his/her function and the rule of the organization;
Participating in different project meeting if deemed necessary;
Exercising vigilance and informing his supervisor in the events of medical error.
RequirementsEducationAnesthetist Nurse diplomaExperience
Previous experience at least 2 years in Humanitarian assistance, as anesthetist nurse in ALIMA or others NGOs.
Essential working experience in developing countries is desirable.
Languages
English is a pre-requisite.
Knowledge
Resuscitation procedure, management of intensive care unit patients, computer literacy
Competencies
Results
Teamwork
Flexibility
Commitment
Stress management
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