DESCRIPTION: The Anesthesiologist is overall responsible for providing anesthetic management to all patients undergoing surgical procedures, both emergency and elective, at Kismayo General. Hospital maternity.

KEY RESPONSIBILITIES:

PRE, INTRA AND POST OPERATIVE ROLES:

• Conducting pre-operative anesthetic score/ review of patient and determine whether the patient is fit for surgery.
• Conduct post-operative anesthetic review and follow up of patients at the recovery and until she is stable in the ward.
• Order necessary blood work up like Hb, FHG, UECrs, etc. for mothers or clients who are due for surgery and review.
• Should conduct proper documentation of anesthesia review using the checklist with full systemic review of the patients pre-operatively.
• Should be able to competently administer all types of anesthesia, to include general anesthesia, regional anesthesia, monitored anesthesia and local anesthesia. He should particularly have special skills in obstetric anesthesia or be specialized in the same.
• Efficiently operate different anesthetic machines preferably the WATO type when managing the patient intra operatively.
• Should clearly understand the different airway management techniques, both simple and advanced. This should include efficient intubation techniques and performing/ assisting surgeon in performing invasive airway procedures like tracheostomy in case of acute airway obstruction.
• Competently manage a patient intra operatively during surgery. He should properly connect patient to the machines, ensure airway is secured, monitor blood loss and generally ensure all parameters are within acceptable standards.
• He should be able to prepare a comprehensive anesthetic report after the operation clearly explaining all anesthetic interventions done on the patient.
• Should have advanced skills in pain management and be the pain management physician. Having skills in procedures like epidural and local block will be an added advantage.
• Ensure use of standard operating procedures, protocols and guidelines in management of patients is followed.
• Responsible for quantifying and ordering anesthetic supplies required in the operating theatre.
• Keep complete and accurate inventory of anesthetic medicines and supplies located at the theatre and monitor their usage.
• Should assist in resuscitation of the baby in the theatre in case of need and should have great skills in neonatal resuscitation.

OTHER DUTIES/ COMPTENCIES:

• Be part of the hospital’s emergency response team and assist in management of very critical patients either in outpatient or admitted in the ward when contacted e.g. patients who need urgent resuscitation, patients in mass casualty etc.
• Should be able to competently assist in admission of patients in critical care departments and assisting in airway management and respiratory support.
• Conduct on-job training of staff through clinical mentoring and demonstrations.
• Perform other assigned clinical work as required by the supervisor.
• Ensure the anesthetic machine and operating table are well maintained and report any fault, need for repair or maintenance in good time.

REPORTING AND COORDINATION:

• Ensure proper documentation of all anesthetic procedures, and condition of the patient including vital signs and medication given
• Submit weekly theatre reports to the HIS officer
• Ensure quality anesthetic management for all patients undergoing surgical interventions

QUALIFICATIONS FOR THIS ROLE:

• Registered Medical officer officer with Master of Medicine(M.Med) in Anesthesiology from a recognized university. Alternatively, a medical doctor with advanced diploma in anesthesia management would be considered.
• Should be specialized in obstetric anesthesia or have great experience in obstetric anesthesia.
• Registration by the relevant statutory anesthesia body and valid practice license.
• At least 5 years’ experience as an Anesthetist in a busy hospital setup, special experience with obstetric and gynecology experience is essential.
• Ability to make quick decisions in a highly stressful environment.
• Proven leadership, communication, interpersonal, decision making skills
• Good team player
• Excellent oral and written communication skills (English and Somali)
• Ability to work and deliver results with minimum supervision