ORTHOPEDIC SURGEON

Role summary In close collaboration with medical staff in the emergency, intensive wards and operation theatre, organizing and carrying out orthopaedic surgery activities, ensuring pre- and post-operative surgical care, in accordance with MSF procedures, protocols, and universal hygiene standards in order to improve patients’ health conditions Duties and responsibilities • Strictly following and applying the treatment of the orthopaedic patients, according to MSF protocols and guidelines in orthopaedic surgery set by the project and by the MSF referents. Applying the principles of war surgery in treating war wounded (internal fixation in closed fractures only). Ensuring that the overall management decision for each orthopaedic patient is known by all - including local staff - doctors and nurses. • Undertaking pre-operative consultations, evaluating the surgical risks with the anaesthetist and/or other medical staff involved, and obtaining the patient's consent to operate. • Performing orthopaedic surgical interventions on MSF patients in accordance with MSF admission criteria, protocols, and standards. • Performing daily pre op and post op rounds, assessing the orthopaedic patient needs and managing problems accordingly. Ensuring proper follow up of patients in the OPD and following up all post op complications and referring accordingly to the hospital managers/technical referent on how to best manage these complications following MSF protocols, standards and procedures • Performing traction, splinting and casting of majority of closed fractures, and external fixation on open or pelvic fractures only • Supervising the proper follow up of the OT register, the register for internal fixations and the register for surgical infections. Filling in all the related documentation (the technique of operation after every operation and the patient order sheets) • Following up with the nurses that medicines and other orders are being fulfilled. Using the supplied MSF materials and equipment in orthopaedics aptly for each patient and avoiding requests for non-standard materials not available in the country nor within MSF projects. Responsible for the radiologic equipment used in orthopaedics and supervising that others do the same • Planning, evaluating, and supervising the training of the staff (emergency and the out-patient teams) in order to ensure the amount of knowledge required and to improve people diagnosing, triage, and early detection capabilities. • Supporting other medical teams/wards when needed ______________________________________________________________________________________________________________ MSF Section/Context Specific Accountabilities Patient care § Provide direct good quality medical and surgical plans and care to the patient in the emergency room, observation room, IPD, OPD, operation theatre and ICU. o Conduct assessment of patients that requires surgical opinion in ER and collaborate with medical team about the treatment plan o Regular rounds and follow-up of patient admitted in IPD and ICU that falls under their area of experties. o Medical consultation conducted in OPD patients during their follow-up. § Be assured that pre-op, intra-op and post-op surgical plans are followed properly. § Always check Xray after surgery, before discharge and during OPD follow up. § Visit and provide support for patient care in the emergency department. (Eg- discussion about the patient for care plan/admission, etc) § Maintain clear documentation and up-to-date patient notes for all patients. § Discuss clinical cases with the supervisor/line manager and colleagues to improve the quality of care. § Strictly follow the MSF SOP, protocols, procedures, guidelines, and checklist to provide good quality of care. o Ensure with OT Team that Instruments used during surgical intervention is properly counted and complete. o Coordinate with different OT team members about the procedure and plans to ensure patient safety – Before, During and After the surgical interventions. o Collaborate with different medical team about the treatment plans in ED, OT, IPD, ICU and OPD. § Inform the family and patients about the diagnosis, prognosis, medical treatments and decisions. Ask for consent when necessary. § Strictly adhere to IPC measures and participate in the promotion activities. § Maintain good and fluent communication with the medical staff (other doctors, surgeons, nurses, nurse assistants, mental health, anesthetists, physiotherapists, health promoters) and other staff (stretcher barriers, cleaners, crowd controllers) to improve the quality of care. § Maintain respectful behaviour with the patients, their families, and the MSF medical/non-medical team. § Ensure proper handover for the shift changes and patient transfer process (IPD, ER observation, ICU, etc) § Provide medical consultation of patients and collaborate with supervisor or IMS (and team) about the changes in management plan. § Actively participate in regular meetings and trainings Documentation and Epidemiological data § Complete the patient information in the file and EMR to ensure proper documentation of the clinical findings, vital signs monitoring, diagnosis and treatment. § Proper registering patients (eg – OT schedule, OPD appointment schedule, Truelock, etc) and reporting (Eg – SSI, incident report, patient safety incident, discharge checklist, etc) § Inform about difficulties regarding documentation to avoid missing information or the persistence of an error. § Present the daily patient data from the surgical department in morning medical meetings. Training § Participate and organize training sessions based on MSF protocols. § Coaching and training the new MD national staff (Induction sessions) Multidisciplinary team § Actively participate in the necessary meetings– monthly meetings, case studies, MMR, and mortality audits meetings, etc § Present, discuss and provide suggestions for the complicated cases from IPD, OPD, night/day shift, daily operation plan cases, and operated cases with the surgical team § Participate in amputation committee meetings and true lock case discussion meeting § Ensure multidisciplinary team discussion (including family meetings)and decision is taken for complicated/critical cases § Ensure good teamwork with other medical staff and observe the schedule of their activities including: o Physiotherapy Department – discussion of treatment and rehabilitation/discharge plan. o Involvement and collaborate with AMS doctor to ensure that ATB protocol is been implemented and followed. § Provide feedback and suggestions to supervisors for the improvement in patient care management Infection Prevention and Control § Observe standard precautions and 3 Pillars of IPC “Hand Hygiene, Disinfection and Transmission Based precaution” accordingly. § Provide support to IPC and related activities, including active participation in implementing MSF IPC guidelines. § Address concerns related to IPC in collaboration with the supervisor/line manager and IPC supervisor Others § Follow and support MSF medical strategy including strict implementation of Admission Criteria. Job requirements Minimum Requirements and Competencies Education Essential: Orthopedic Surgeon diploma, documented with a valid AMC card . Desirable diploma in Trauma and Emergency Medicine Experience Essential: minimum 2-year specialized orthopedic surgical experience Desirable : working experience in trauma care. Desirable : working experience in an international NGO Languages Essential : Local language (Pashto and Dari). Essential: Good level of spoken and written English. Knowledge Competencies Essential computer literacy (word, excel, internet) People Management and Development L2 Commitment to MSF Principles L2 Behavioural Flexibility L3 Results and Quality Orientation L3 Teamwork and Cooperation L3