X-Ray Technician

The International X-Ray Technician guarantees the correct execution of radiological examinations and/or CT scanning for cardiopathic or surgical patients – including polytrauma cases – depending on the admissions criteria of the hospital.

BACKGROUND AND ORGANISATION OF WORK

The radiographer works as part of a team of international medical and health care specialists, and is responsible for the management of diagnostic radiography services. You will supervise and work alongside the national personnel, organising their training with the aim of enabling them to achieve total professional autonomy.
The international radiographer is responsible to the Medical Coordinator, who is in charge of the management and organisation of the project.

The departments in which you may be required to work are:

• EMERGENCY DEPARTMENT (only in Afghanistan and Sierra Leone);
• DIAGNOSTICS DEPARTMENT: Radiology; CT Scan and Cath Lab (where present);
• WARDS;
• OPERATING THEATRES.

You will usually be present in the hospital from 8 a.m., 6 days a week, and will always be on-call in case of hospital emergencies. You will be responsible for organising the local staff rota in your department so as to guarantee a service consistent with the clinical and organisational needs of the Centre.

DUTIES AND REPONSIBILITIES

All EMERGENCY international staff is expected to know and follow the hospital admissions criteria, guide lines, 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 X-Ray Technician are:

• the management of diagnostic radiography services, CT scan and imaging in Cath Lab (where present);
• the execution or supervision of diagnostic radiography examinations, in accordance with medical orders;
• assisting in clinical research and record keeping as required by the scientific programmes of the specialist sector of the Medical Division of EMERGENCY.

Clinical activity must always be discussed and shared with the international doctors, nurses and Medical Coordinator of the project.

MANAGEMENT AND ORDERS OF STOCKS AND SUPPLIES

The international X-Ray Technician is responsible for checking that provisions of materials and equipment are always adequate in terms of quantity and quality, informing the Medical Coordinator of any requirements, and assisting in preparing orders of supplies.

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 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.

GENERAL SURGERY, ORTHOPAEDICS AND TRAUMA

SURGICAL CENTRE – Kabul, Afghanistan

The Surgical Centre in Kabul is today the most important centre for war surgery in the Country. Both paediatric and adult patients are treated, often for polytrauma. Around 20% of patients are under 14 years of age, and present with bullet injuries, shrapnel, landmine injuries, stab wounds and burns. The most common injuries are: intracranial haemorrhage; thoracic injuries, pleural effusion and pneumothorax; abdominal injuries with internal organ damage or perforations; open fractures. Most radiographic examinations carried out are of the chest, abdomen and skeletal structures.
Less often, contrast exams may be required (barium enema, barium swallow, urography, fistulography…). CT scans of all regions of the body may be carried out, with or without contrast according to medical orders. Careful supervision of portable X-Ray examinations carried out on the wards will be necessary; in particular in ICU and for orthopaedic patients in traction. You may also be required to work in Operating Theatres, for orthopaedic procedures requiring the C-Arm image intensifier.

SURGICAL CENTRE – Lashkar-gah, Afghanistan

This is the only specialist war surgery centre in the region. The admissions criteria and therefore the caseload are similar to those in Kabul but with a higher prevalence of paediatric patients.

SURGICAL AND PAEDIATRIC CENTRE – Goderich, Sierra Leone

Every day over 130 patients are treated at the Surgical and Paediatric Centre in Goderich.
The admissions criteria have been broadened in response to the needs of the population: today they include traumatology, emergency and elective surgery (emergencies permitting). Many patients are paediatric medical patients, and often need resuscitation due to cerebral malaria, shock resulting from severe anaemia, serious respiratory infections…

In these centres, the main equipment and facilities are:

• fixed X-ray apparatus and mobile apparatus for bedside examinations;
• mobile X-ray apparatus for operating theatres (C-arm image intensifier);
• dark room for manual image development;
• CT-scan (only in Kabul).

CARDIAC SURGERY

“SALAM” CENTRE FOR CARDIAC SURGERY – Khartoum, Sudan

Since 2007 the Salam Centre has been the only completely free cardiac surgery centre in the region. The most common pathologies treated are valvular cardiopathy of rheumatic origin (RHD – Rheumatic Heart Disease), congenital heart disease suitable for surgical treatment and ischaemic heart disease.
The most commonly requested examinations are chest X-rays, and head and chest CT scans.

The diagnostics department of the Centre is equipped with:

• fixed X-ray apparatus and mobile apparatus for bedside examinations;
• Computerised Tomography (CT-scan);
• angiographical imaging equipment (Cath Lab).

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.

SPECIFIC REQUIREMENTS

• Degree in Medical Imaging (Diagnostic Radiography) and current professional registration in your Country of residence;
• at least 3 years’ professional experience in hospital settings;
• experience in Orthopaedic Trauma Surgery and/or Cardiac Surgery departments.

REQUIRED AVAILABILITY

6 months’ overseas stay including a period of leave to be taken at the end of the mission in agreement with the coordinator. Shorter missions may only be considered for specific needs as defined by the organisation.

HOW TO APPLY

For further information and inquiries (not for applications): fo.recruiting@emergency.it. To apply, please complete the on-line application form: applications sent to this e-mail account will not be considered.

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