Anaesthetist Nurse at Médecins Sans Frontières MSF – Spain

About Medecins Sans Frontières MSF – Belgium 

Medecins Sans Frontieres/Doctor without Borders (MSF), founded in 1971, is an international humanitarian. organization that provides emergency medical assistance to population in danger in more than 60 countries. MSF has been present in Nigeria for 20 years. Médecins Sans Frontières is an international independent medical-humanitarian organization, which helps populations in distress, to victims of natural or man-made disasters and to victims of armed conflict, without discrimination and irrespective of race, religion, creed, or political affiliation.

MSF is a civil society initiative that brings together individuals committed to the assistance of other human beings in crisis. As such MSF is by choice an association. Each individual working with MSF does it out of conviction and is ready to uphold the values and principles of MSF.

Job Title: Anaesthetist Nurse

Location: Based in Zurmi, Zamfara 

Job Schedule:  Fixed Term Contract Starting With 6 Months/level 7)

Main Purpose:

Performing all anaesthetic medical activities according to MSF policies, protocols and universal hygiene standards, in order to ensure the quality of pre, during and post-operative care of patients.

Job Description

• Performing consultations to patients due for surgery, evaluating of the risks of operating (in collaboration with the surgeon), obtaining patient’s written authorization for their operation, providing patients with appropriate information on their illness and treatments, and deciding on what type of anaesthetics to be used
• According to set procedures, carrying out all nursing anaesthetics related activities during surgery in order to collaborate in patient’s adequate anaesthetized state and safety during the process. Preparing the drugs, material, and equipment required for the surgery. Monitoring patients throughout the whole intervention and administering and maintaining anaesthetics following the rules of hygiene and asepsis in force.
• Providing post-operative care, including immediate post-operative surveillance in the recovery room and special patients present in the intensive care unit, in order to adapt the prescriptions, with special focus on patient’s pain relief, during the stabilization and recovery process. Does round consultations with the Surgeon Doctor once or twice a day, discussing therapeutic orientations with the department manager, renewing prescriptions and ensuring they are followed. Systematically evaluating patients’ pain to adapt prescriptions and/or therapies for their relief.
• Respecting, promoting and ensuring medical confidentiality and implementing and following hygiene rules, procedures and protocols at all times as well as looking after the integrity of anaesthesia material (decontamination, sterilisation, storage conditions, etc.) and other equipment, in order to ensure the safety and protection of patients and other staff. Knowing accidental blood exposure policy and procedure and implementing them when necessary.
• Ensuring that all staff using medical devices are qualified and trained. Ensuring cleaning and minor maintenance tasks are performed according to the protocols. Reporting any malfunction to the project biomedical service.
• Carrying out all pharmacy related activities (stock control, station’s re-stocking, inventories, expired drugs, etc.) and other equipment of anaesthetic ward, doing special follow-up of narcotics and sedatives (register, consumptions, empty phials, etc.), ensuring enough stock-up and the good functioning to carry-out the medical activities. Drawing up pharmacy orders according to needs.
• Collaborating with other departments and supporting other medical services in order to support the overall MSF project with his/her expertise and capabilities. Training other medical staff when applicable and working particularly in close collaboration with t with the accident and emergency department and midwifery and obstetrics team in the maternity department (especially to resuscitate new-boms)

Carrying out administrative procedures and documents (fill in of patient’s files, forms, statistics, data base, etc.), in order to have updated and correct information about the day-to-day activities.

In collaboration with the Surgeon Doctor, carrying out quantitative surgical-anaesthesia data collection, drawing up and sending out reports for the monthly follow up of peri-surgical mortality and for the quality of anaesthesia/pain management and informing the direct supervisor immediately in the event of medical error.

MSF Section/Context Specific Accountabilities

Anaesthesia Technique & Case Mix

• Selects and administers the appropriate technique: spinal/regional, ketamine-based GA, volatile agent GA with intubation, or local anaesthesia support, across a mixed caseload of trauma, obstetric emergencies, general surgery and paediatric cases.
• Applies spinal anaesthesia as first-line for C-sections and lower limb trauma; monitors for haemodynamic compromise and converts to GA when required.

Dual OT Room Coverage

• Operates as sole anaesthetist nurse for one OT room with full accountability for induction, maintenance, monitoring and emergence.
• Coordinates with the parallel room anaesthetist nurse on case status, concurrent emergencies and shared decision-making during simultaneous critical situations.
• Communicates proactively with the OT supervisor and surgeon on case sequencing to ensure safe single-handed theatre day management.

High-Risk Clinical Scenarios

Manages obstetric anaesthesia for emergency and elective C-sections including spinal administration, haemodynamic monitoring and response to complications (spinal hypotension, failed block, intra-operative eclampsia).

Provides anaesthesia for haemorrhagic shock including rapid sequence induction, fluid resuscitation coordination and continuous haemodynamic monitoring.

Adapts technique for paediatric patients across ages and weights; ensures appropriate drug dosing, airway management and temperature maintenance.

Responds to eclampsia and severe pre-eclampsia alongside the obstetric team: magnesium sulphate administration, seizure management and safe anaesthesia induction for emergency delivery.

Neonatal Resuscitation

Attends all high-risk deliveries and emergency C-sections as designated neonatal resuscitation responder; performs airway management, ventilation support and escalation per MSF protocol.

Ensures neonatal resuscitation equipment is checked and immediately accessible at every delivery.

Post-Operative Care & Recovery Room

Hands over all post-operative patients to the recovery room with structured verbal and written handover covering technique used, intra-operative events, current medications and monitoring requirements.

Conducts post-operative rounds; systematically assesses pain using validated tools and adapts analgesia prescriptions accordingly.

Defines and enforces recovery room discharge criteria to the surgical ward.

Training & Capacity Building

• Trains matemity staff in neonatal resuscitation (bag-mask ventilation, stimulation, warmth chain, escalationcriteria) with regular refresher drills.
• Trains OT nurses and ward staff in anaesthesia support roles: patient positioning, airway adjunct preparation,monitoring interpretation and recognition of complications requiring escalation.
• Documents training delivered and competencies assessed, reports gaps to direct supervisor.

Requirements:

Education

Nursing diploma with specialisation as anaesthetics nurse is essential).

Experience

Essential 1 year of previous supervised work experience as an anaesthetist nurse

Experience in other NGO’s and/or developing countries is desirable Knowledge

 

Languages

Mission language and local language essential

Knowledge

Desirable basic computer skills

Competencies

• Desirable basic computer skills
• Results and Quality Orientation L2
• Teamwork and Cooperation 1.2
• Behavioural Flexibility L2
• Commitment to MSF Principles L2
• Stress Management L3

Contract

208 working hours per month

Remuneration

As per MSF salary scale (National contract)

 

 

Application Deadline:19th June 2026, at 5:00 PM

METHOD OF APPLICATION

Interested and Qualified candidates should use link below to Apply.

CLICK HERE TO APPLY

 

NOTE

• MSF is committed to achieving workforce diversity in terms of gender, race, nationality, and culture. Individuals from minority groups, indigenous groups and persons with disabilities are encouraged to apply. We are committed to achieving a balanced gender distribution and therefore encourage women to apply. All applications will be treated with the strictest confidence.
• MSF provides a work environment that reflects the values of gender equality, teamwork, integrity and a healthy balance of work and life. MSF does not tolerate sexual exploitation and abuse, any kind of harassment, including sexual harassment and discrimination.

 

Women and People with Disabilities are encouraged to Apply.