Anesthesiologist at Jhpiego - John Hopkins University

Purpose of the CEmONC Health Facility Assessment

• This intervention aims to bridge existing gaps in the identified competencies of healthcare workers to provide quality CEmONC services during the recently concluded CEmONC health facility assessment in at least one CEmONC public facility per LGA in the selected states to improve quality services for women during pregnancy, labour, childbirth and postnatal period.

Specific Objectives

• By the end of each 2-day safe obstetric anaesthesia training session, learners will demonstrate competency at a minimum standard in the following areas:
• Evidence-based management of anaesthesia and analgesia for planned/emergency Caesareans and emergency Caesarean hysterectomies, including pre-operative assessment, planning and care, anaesthesia management and monitoring during surgery and post-operative care
• Evidence-based management of anaesthesia for women with specific obstetric complications including pre-eclampsia/eclampsia and severe obstetric haemorrhage.
• Appropriate use of Lignocaine and Ketamine in obstetric analgesia and anaesthesia resp.

Appropriate technique for the following clinical procedures:

• High and total spinal anaesthesia.
• Difficult airway management, including failed intubation.
• Maternal life support.

Use of Lignocaine with or without adrenaline in obstetrics.

• Preparation of lignocaine.
• Prevention of complications.
• Diagnosis of lignocaine allergy and toxicity.
• Management of lignocaine allergy.
• Management of lignocaine toxicity.

General principles of analgesia and anesthesia in obstetrics, including:

• Team-based pre-operative assessment and care.
• Anesthesia management and monitoring during surgery and postoperative care

Anaesthetic considerations in special obstetrics conditions:

• Pre-eclampsia/Eclampsia
• Major obstetrics haemorrhage
• High and total spinal anaesthesia.
• Difficult airway management, including failed intubation.
• Maternal life support.

Responsibilities

• Each adhoc will participate in a one day skills standardization workshop to be organize by Jhpiego.
• Conduct an on-site capacity building of an average of 4 healthcare care workers, which would include doctors, nurses and midwives.
• Conduct follow up mentoring of the trained healthcare workers to strengthen their confidence and competence in using the newly acquired knowledge and skills.
• Conduct pre- and post-test assessment for each of the modules of the training package.
• Compile and submit a comprehensive report of the training within 5 working days after completion of the training.
• Participate in a one day post-training debrief meeting with key stakeholders in the state.

Deliverables:

• Detailed and analysed pre- and post- training scores for each of the trainee for each module of the training package.
• Detail report of the training to be submitted within 5 working days of completion of the training.

Required Qualifications

• Registered and practicing anaesthesiologist with at least 5 years post-qualification working experience.
• Evidence of previous and ongoing work experience providing anaesthesia services for obstetric conditions in a facility delivering CEmONC services.
• Evidence of previous experience conducting training on anaesthesia component of CEmONC or a similar training especially within the last 24 months or current/recent faculty member/trainer in an obstetric and/or anaesthesiology residency or nurse anaesthetist training program
• Evidence of having up-to-date annual practicing license with Medical and Dental Council of Nigeria.
• Evidence of strong coaching, mentoring and facilitation skills
• Evidence of strong analytical and communication skills.
• Travel: Ability to travel 70, particularly to Facilities in the work location.
• Evidence of having up-to-date annual practicing license with Medical and Dental Council of Nigeria.
• Evidence of strong coaching, mentoring and facilitation skills.
• Evidence of strong analytical and communication skills.