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Project Location Peshawar, Pakistan Project and Principal Activities 1. Attendance and involvement at work: - Observe the MSF charter. - Perform all activity in line with the MSF protocols and procedures. - Respect the time schedule and be at work on time (flexible at anytime). - Treat the patient with care and respect providing good quality care. - Respect the patient privacy and strictly respect community culture, norms. - Maintain good relationship with other team members. - Adhere to MSF Clinical Guidelines and protocols. 2. Implementation of programmes A system of night duties guarantees 24h/7 services. 3. Pre-operative consultation - Checking the respect of medical confidentiality and providing patients with information on their illnesses and treatments. Programmes interventions - Carrying out the patients' pre-operative consultations before they undergo surgery. -Evaluating the risks of operating in collaboration with the gynecologist/surgeon. -Deciding on the type of anesthetics to be used. Emergency interventions - Carrying out the necessary resuscitation manoeuvres. -Evaluating the risks of operating in collaboration with the gynecologist/surgeon. - Checking that patients have given signed authorization for their operations. 4. Anesthesia - Preparing the drugs, material and equipment required for administering the anesthetics. - Administering the anesthetics in accordance with the techniques chosen beforehand and following the rules of hygiene and asepsis in force. - Monitoring patients throughout their interventions. 5. Immediate post-operative surveillance (recovery room) - Ensuring the immediate recovery of patients. - Transferring patients to and installing them in the recovery room. - Passing on the necessary information to the recovery room nurses. - Evaluating patients pain and setting up a protocol of post-operative pain relief in accordance with MSF guidelines. - Drawing up post-operative prescriptions in collaboration with gynecologist/surgeon. 6. Post-operative care - Carrying out a joint round with the gynecologist/surgeon twice a day. - Discussing therapeutic orientations with Anesthetist supervisor. - Renewing prescriptions, checking they are followed. 7. Intensive care - Providing post-operative follow up of surgical patients present in the facility (rounds, prescriptions, etc.). - Ensuring the qualified medical care of critical patients. 8. Hygiene - In collaboration with OT Nurse and Head Nurse checking that rules of hygiene concerning the protection of patients and personnel are followed. - Ensuring that Universal precautions are followed. 9. 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 anesthetics station is tidied cleaned and re-stocked between each patient. 10. In collaboration with other departments - Maintaining close collaboration with the other department and responding to its frequent requests for her opinion and/or resuscitation. - Intervening in support of the midwifery and obstetrics teams in the maternity department, particularly for the resuscitation of newborns. - Intervening in support of other services if needed. 11. Others - Participating in personnel meetings. - Exercising vigilance and informing direct supervisor in the event of medical error. - Participating in surgical-anesthesia data collection and drawing up monthly report.
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