Afghanistan, Central African Republic, Sierra Leone, Sudan
Type of contract
Fixed-term contract - paid (6 months)
Degree in Nursing; 3 years' continuous professional experience in Paediatrics or Neonatology.
Are you interested?
Read the full Job Description; if you are qualified, please apply online.
This role requires complete and autonomous management of the nursing care of paediatric and/or neonatal patients.
BACKGROUND AND ORGANISATION OF WORK
The international Paediatric Nurse supervises, teaches and works alongside the national staff colleagues – in the clinic and in the ward – in collaboration with the centre’s medical team and with the international Paediatrics (Neonatology) specialist.
The international Paediatric Nurse is responsible to the Medical Coordinator, who is in charge of the management and organisation of the project.
The main areas of work are:
- TRIAGE: area dedicated to paediatric triage;
- OUTPATIENTS DEPARTMENT: 2-3 treatment rooms, also equipped for the management of medical emergencies;
- PAEDIATRIC WARD: the paediatric ward has between 8 and 18 beds, depending on the project;
- NEONATOLOGY (Afghanistan only): Special Care Baby Unit (Level II), neonatal follow-up, and nursery.
Assignment to a designated department will be made according to the specific skills and professional experience. The international Paediatric Nurse will be present in the hospital 5-6 days a week (depending on the project), and will participate in clinical activity and the ward round. On-call 24/7 in case of paediatric/neonatal emergencies on the ward.
The international Paediatric Nurse, together with the Medical Coordinator of the project, organises the shifts of the national staff, ensuring nursing coverage 24/7 on the ward.
DUTIES AND RESPONSIBILITIES
All EMERGENCY international personnel are expected to know and follow the hospital admissions criteria, guidelines, protocols, and the diagnosis and treatment standards in use in the Centre, and to ensure the correct compilation of clinical records and statistics in both computer and paper formats.
The main duties and responsibilities of the International paediatric nurse are:
- management of nursing triage for the main paediatric illnesses, in collaboration with the national colleagues;
- care of paediatric patients, who are often very young and malnourished;
- nursing care in the Level II Neonatal ICU and sub-ICU (Afghanistan only);
- nursing care of cardiopathic patients (adult and paediatric) presenting for INR checks, therapy, follow-up (where previously operated at the Salam Centre for Cardiac Surgery) and/or new medical examination;
- assistance in clinical research and record keeping as required by the scientific programmes of the specialist sector of the Medical Division of EMERGENCY.
MANAGEMENT AND TRAINING OF LOCAL PERSONNEL
Clinical activities and patient care are always carried out alongside and in collaboration with local personnel, who thus benefit from training in the field. There is also provision for more specific teaching activities, managed by the international specialists, in accordance with the clinical protocols in use and as agreed with the Medical Coordinator.
CASELOAD AND EQUIPMENT
The admissions criteria and therefore the caseload vary according to the project. The technological level of the equipment present in the Centres is suited to the clinical and managerial protocols in use, and the level of professional autonomy of the national staff, with the aim of achieving – and sustaining – high standards of care.
The basic reference tool is the EMERGENCY book of Paediatric Guide Lines, updated in September 2016.
SURGICAL AND MEDICAL CENTRE – Anabah, Afghanistan
In 2003 the EMERGENCY Medical-Surgical Centre in Anabah broadened its admissions criteria to include Paediatrics and Maternity (Gynaecology, Obstetrics and Neonatology).
PAEDIATRICS — The Centre includes an Emergency Department and a clinic for medical examinations. Each month an average of 400-500 paediatric medical examinations are carried out in collaboration with the national medical staff; around 10% require admission to the ward. The Paediatric ward has 25 beds.
NEONATOLOGY — The Maternity Centre is the only facility in the area specialising in Obstetrics, Gynaecology and Neonatology. In view of the increased activities of the Centre and in order to respond to the increased needs of the local population, In 2016 EMERGENCY decided to expand the Centre to handle up to 6-7,000 deliveries peryear and boost obstetric and neonatal activities.
The protocols in use provide for the positioning of umbilical vein catheters and neonatal transfusions; endotracheal intubation is reserved for severe cases of meconium aspiration. The ward is equipped with oxygen supplies, pulse oximeter, neonatal isolettes, incubators and phototherapy lamps.
PAEDIATRIC CENTRE – Bangui, Central African Republic
Since 2009 the Centre has offered basic health and hospital care for children under 14 years of age, and health and hygiene education aimed at families. Every day an average of 70 children are seen, the most common illnesses being malaria – often with encephalopathy – respiratory infections, drepanocytosis (sickle cell anaemia) and malnutrition. An Antenatal Care programme is also operational, managed by the national midwife.
The Centre has 2 paediatric clinics and a cardiology clinic, as well as a pharmacy and an external play area. The ward has 8 beds with almost constant 100% occupancy levels.
PAEDIATRIC CENTRE – Goderich, Sierra Leone
The Centre has been operational since 2002, and is annexed to the EMERGENCY Surgical Centre. Every day over 130 patients are seen in clinic, and the most serious cases admitted to the ward. Malaria is endemic in this country and in most cases presents with serious complications including convulsions, hypoglycaemia, septic shock and severe anaemia. Other commonly encountered pathologies are respiratory infections, typhoid fever and tetanus. The Paediatric ward has 14 beds and all the services of the hospital are available for use.
PAEDIATRIC CENTRE – Port Sudan, Sudan
The Port Sudan Paediatric Centre opened in December 2011. The health staff see an average of 60 patients per day – around 20% of patients are under 1 year of age – mainly for respiratory infections, gastroenteritis, parasitic infestations, and malnutrition. In addition to the paediatric and cardiology clinics, there is a pharmacy and all technical and auxiliary services. The ward has 18 beds.
All these facilities have oxygen supplies, pulse oximeter, nebuliser equipment, syringe and infusion pumps, and suction equipment. In terms of diagnostics, basic laboratory tests and X-rays can be carried out.
PAEDIATRIC CENTRE (Out-patient Clinic) – Mayo, Sudan
This facility was opened in December 2005 in a camp for internally displaced persons on the outskirts of the capital Khartoum. The clinic is open from 07:00 – 16:00, 5 days a week, and sees an average of 50-60 paediatric patients per day. In agreement with the local Health Authority, a vaccination programme and antenatal and postnatal services are operational with the aim of reducing maternal, infant and neonatal morbidity and mortality rates. An outreach programme promoting health and hygiene is also under way, in an area otherwise completely deprived of free specialist health care services.
The clinic has 6 beds for the observation and stabilisation of children in need of admission to other facilities.
The international staff employed in the Mayo Clinic share logistics and lodgings with the international staff of the Salam Centre for Cardiac Surgery.
GUIDELINES, PROTOCOLS AND EQUIPMENT
Further information on the guidelines, protocols and clinical services relevant to the post along with details of the instruments and equipment available will be provided at interview and during the period of preparation for the mission.
The general requirements and conditions apply to all the international staff.
- Nursing Degree (or equivalent Diploma) and current registration on the professional nursing register of your Country of residence;
- at least 3 years’ continuous professional experience in one or more of the following specialist areas: Paediatrics or Neonatology.
6 months’ overseas stay including a period of leave to be taken at the end of the mission in agreement with the coordinator.
HOW TO APPLY
For further information and inquiries (not for applications): email@example.com. To apply, please complete the on-line application form: applications sent to this e-mail account will not be considered.
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