Massive Jobs at Tenwek Hospital

• Purposes: Planning, evaluating and implementing one or more of the following specific programs

Duties and responsibilities;

• Breast feeding, growth monitoring and weaning;
• Applied nutrition e.g. micronutrient or macronutrients

Nutrition Training:

• Nutrition information and research.
• Being resource person on nutrition in the health team;
• Developing weaning foods with families using community resources
• Supervising and guiding other staff working under the officer.

Qualifications

• Diploma in food, Nutrition and Dietetics from a recognized University.
• Must be a registered nutrition or dietitian KNDI.
• Minimum 3 years’ work experience in emergency community nutrition and implementation.
• Experience in nutrition survey and assessments.
• Good communication and interpersonal skills.
• Strong report writing and team working skills.
• Knowledge in computer packages and basic analysis skills.
• Flexible and positive personality.
• Strong planning and implementation capacity.
• Confident and capable negotiator, communicator, and networker.

JOB RESPONSIBILITIES

• Instructing individuals, families and communities on nutrition, the planning of diets and preparation of food to maximize health benefits and reduce potential risks to health
• Planning diets and menus, supervising the preparation and serving of meals, and monitoring food intake and quality to provide nutritional care in settings offering food services
• Compiling and assessing data relating to health and nutritional status of individuals and groups based on nutritional values of food served or consumed
• Planning and conducting nutrition assessments, intervention and education and training to improve nutritional levels among individuals.
• Consulting with other health professionals and care providers to manage the dietary and nutritional needs of patients.
• Developing and evaluating food and nutrition products to meet nutritional requirements
• Conducting research on nutrition and disseminating the findings at scientific conferences and in other settings
• Cooperating with the Supply Chain department, propose and procure family nutrition program supplies in accordance to the developed Procurement plans in Integra.
• Support development of  work plans with the clinical teams/Catering teams meetings to improve quality programming.
• Prepare cash forecast in liaison with the other program staff pursuant to the work plans.
• Implement comprehensive maternal infant and young child nutrition program (MIYCN) Baby Friendly Community initiative (BFCI),Family MUAC approaches. \
• Contribute to timely, high quality reports according to Tenwek guidelines.
• Ensure all required documents of all the activities implemented are included.
• Collaborate closely with Supply Chain Department in logistical program supplies procurement and supervise supply control. \
• Attend & represent the Nutrition program in meetings, and Surveys.
• Any other duties as assigned by the supervisor

Qualifications

• Bsc. in food, Nutrition and Dietetics from a recognized University.
• Must be a registered nutrition or dietitian KNDI.
• Minimum 3 years’ work experience in emergency community nutrition and implementation.
• Experience in maternal infant and young nutrition with strong BFHI & BFCI approaches.
• Experience in nutrition survey and assessments.
• Good communication and interpersonal skills.
• Strong report writing and team working skills.
• Knowledge in computer packages and basic analysis skills.
• Passion to work in rural set up.
• Flexible and positive personality.
• Strong planning and implementation capacity.
• Confident and capable negotiator, communicator, and networker.

Purpose:

• To provide intensivist critical care services within the respective department in order that the patient  receives quality care and support in recovery from cardiothoracic surgery or in co-management of critically ill pre-operative cardiothoracic patients.

DUTIES AND RESPONSIBILITIES

• Consult with patients to understand their symptoms and health concerns
• Prescribe tests and treatments and recommend surgery where pre-operative optimization has been achieved for pre-operative critical patients, or help patient recover in the acute peri-operative stage after emergence form cardiothoracic surgery.
• Be able to perform or guide effective cardiopulmonary resuscitation.
• Maintain detailed notes of appointments with patients, including tests, test results and treatment prescribed. This documentation can be done in person or offered in consultation with junior doctors, cardiac MO’s, echo technicians, cardiothoracic fellows or surgeons.
• Perform tests when needed to check health and particular cardiovascular systems and be able to interpret test results to help diagnose and manage the patients.
• Provide support and advice to patients receiving intermediate long-term care as they transition out of the critical care unit.
• Train and provide educational support and mentorship to junior staff. Be willing to supervise (or if certified) help co-ordinate and offer BLS/ ACLS training.
• Safeguard hospital’s and patients’ confidential information and property at all times.
• Be willing to promote cardiothoracic-related research. Identify research topics, construct a research plan, and carry out surveys at the operational level.
• Perform any other responsibilities as may be assigned from time to time by the Director of Cardiothoracic Surgical Services or his/her designate, depending on the need and urgency.
• Promote effective interpersonal and public relations with team.
• Display Christ-like attitude and character both on- and off-duty.
• Abide by the Tenwek Hospital moral code and Kenya Medical and Dental Council regulations.
• Maintain familiarity with the legal implications of clinical practice and ensure that legal requirements are met.

SPECIFIC SKILLS SET

• Good fund of knowledge of cardiovascular medicine, ionotropic and vasopressor support
• Able to perform basic bedside echocardiography and/or interpret results to guide in clinical care
• Can set up ventilator and troubleshoot for proper functioning with overhead consultation of respiratory therapist when need arises
• Basic knowledge of use, management and troubleshooting intra-aortic balloon pump and other cardiac support devises that may be used

SUPERVISION RECEIVED FROM:

• Director of Cardiothoracic Surgical Services or his/her designate (Primary Supervisor)

SUPERVISION GIVEN TO:

• Cardiothoracic fellows, medical and clinical officers, echocardiography technicians, nurses

QUALIFICATIONS                                                     

• Committed Christian
• Medical degree, Masters or fellowship in Adult/Pediatrics Critical care
• Valid medical license and registered with the Kenya Medical and Dental Council
• Two years of relevant work experience in a busy Cardiac Hospital, of which must be after post-basic qualification
• BLS, ACLS Certified
• Excellent interpersonal, supervisory, communication, administrative, and customer care skills
• Mentorship training is an added advantage
• Computer Literate

Job Summary:

• The Anesthetist Technician’s job is to assist the anesthesia health care provider in the provision/delivery of smooth, safe, and quality anesthesia peri-operatively.

DUTIES AND RESPONSIBILITIES

• Stocking and organizing: supply carts, anesthesia machines, cardiac pump machine area, room equipment n (arm boards, ether screen, IV poles x1 (x2 cardiac room).
• Keeping special cardiac equipment (Blood warmers, TEE probes, syringe pumps / Baby warmers etc.…)

Involvement in Cases:
Case set up:

• Before the anesthetist arrives, set up EKG cable, BP cuff, SAT probe, temp probe, IV fluid (spike, with tubing and 1 extension set), pressure bag (when applicable) with 2 pressure transducers, suction with tubing and yankeur.
• Check anesthesia machine: circuit, ambu bag, CO2 line, O2 reserve tank, soda lime check, refill vaporizers.

During the case:

• Assist with positioning of patient and attaching monitors.
• Induction: Assist anesthetist with induction of anesthesia (holding cricoid pressure, tucking arms, etc.)
• Maintenance: Check with assigned anesthetist at least every 30minutes are as case ends.
• Emergence: Be available to help with emergence as case demands. Case ending.

End of Case: 

• Help transfer patient to stretcher and deliver patient to PACU (attaching monitors to patient, hanging fluid up.)
• Go back and set up next case once vital signs (Bp, O2, EKG) show up.

In between cases (Turn-over):

• Change circuits, face masks. Bp cuff soiled, EKG stickers etc.
• Clean anesthesia machine with alcohol.
• Clean Bp cuff, EKG and SAT cable, Temp cable with alcohol.
• Clean bougie / stylet with alcohol solution.
• Clean laryncospe blade with cidezyme solution.
• Hang new IV with tubing and extension.
• Restock anesthesia machine, supply cart, and anesthesia-related room items.
• Replacing the suction canister, yankuer, and tubing.

Follow operating guidelines

• At all times, you are to follow the direction of the anesthetist in the room(s) to which you are assigned.
• At no time are you to perform any procedure on the patient without direct supervision of the responsible anesthetist (IV access, medication administration etc.)

Abide by Moral code of Tenwek Hospital and practices according to the medical ethics and laws of Kenya. These include but not limited to:

• Respect is shown to all human beings and care given without discrimination.
• Chain of command is followed appropriately.
• All assignments given by senior staff are willingly undertaken.
• Arrive to work on time.
• Attends all department meetings as scheduled unless excused by the supervisor.
• Patient confidentiality is maintained at all times.
• Promotes teamwork and cooperates with other co-workers in the department and the hospital at large.

SUPERVISION RECEIVED FROM:

• Primary Supervisor: Cardiac anesthesiologist
• Secondary supervisor: Director of Cardiothoracic Surgical Services or his/her designate (Primary Supervisor)

SUPERVISION GIVEN TO:

• Junior anesthesia assistants, housekeeping staff working around anesthesia equipment

QUALIFICATIONS                                                     

• Committed Christian
• Certificate of completion as a trained anesthesia technician from accredited institution
• KCSE certificate MINIMUM GRADE C-(MINUS) AND ABOVE
• On-the-job trained as anesthesia assistant
• Certificate in Basic Life Support (BLS)
• Computer literacy
• Minimum experience of at least 1 year from a busy institution

Other Skills Required

• Communication skills
• Leadership skills
• Organizational skills
• Observational skills
• Analytical skills
• Compassion
• Supervisory skills
• Ability to work under pressure

Job summary

• The main role of a consultant gastroenterologist is to provide comprehensive, extensive, and high-level care. These include but are not limited to diagnosing and treating stomach and intestinal disorders and diseases and be adept at advising and treating patients with those issues. The role’s key focus will be to investigate, diagnose, treat and research stomach and intestinal-based diseases and support patients to wellness, or to learning to live with lifelong conditions.

DUTIES AND RESPONSIBILITIES

• Consult with patients to understand their symptoms and health concerns.
• Be able to prescribe tests and treatments and recommend surgery where necessary.
• Maintain detailed notes of appointments with patients, including tests, test results and treatment prescribed. This documentation can be done in person or offered in consultation with junior doctors- cardiac MO’s, echo technicians, cardiothoracic fellows.
• Diagnose and treat GI disorders, including Crohn’s disease, ulcerative colitis, irritable bowel syndrome, and other digestive issues.
• Provide advice and support on diet and nutrition changes to patients and refer them to relevant dietitians as required.
• Perform investigative endoscopic procedures, such as ERCPs, colonoscopies, sigmoidoscopies, upper endoscopies, duodenoscopies, gastroscopies, and barium swallows.
• Conduct research to advance knowledge about gastrointestinal diseases, treatments, and industry best practices.
• Prescribe medication to treat digestive disorders and and assist as needed in surgery to remove abnormalities in the colon or rectum.
• Perform diagnostic tests, like blood tests and stool sample tests, to determine the cause of the patient’s symptoms.
• Participate in education activities such as workshops, lectures, and medical conferences to maintain professional certification.
• Provide support and advice to patient receiving long-term care.
• Train and provide educational support and mentorship to junior staff.
• Safeguard hospital’s and patients’ confidential information and property at all times.
• Perform any other responsibilities as may be assigned from time to time by the Director of Cardiothoracic Surgical Services or his/her designate, depending on the need and urgency.
• Promote effective interpersonal and public relations with the team.
• Display Christ-like attitude and character both on- and off-duty.
• Abide by the Tenwek Hospital moral code and Kenya Medical and Dental Council Regulations.
• Maintain familiarity with the legal implications of clinical practice and ensure that legal requirements are met.

SUPERVISION RECEIVED FROM:

• Director of Cardiothoracic Surgical Services or his/her designate (Primary Supervisor)

SUPERVISION GIVEN TO:

• Cardiothoracic and endoscopy fellows, medical and clinical officers, endoscopy nurses and support staff

QUALIFICATIONS                                                     

• Committed Christian
• Medical degree, Masters or fellowship in gastroenterology
• Must have a valid medical license and registered with the Kenya Medical and Dental Council
• 2 years of relevant work experience in a hospital or unit with a busy GI/ endoscopy service, of which must be after post-basic qualification
• Excellent interpersonal, supervisory, communication, administrative & customer care skills
• Mentorship training is an added advantage
• Computer Literate

Job Description
Job Summary:

• The Endoscopist will be involved with reviewing patients with a wide variety of gastrointestinal diseases and will perform endoscopic procedures.

DUTIES AND RESPONSIBILITIES

• Review patients in the endoscopy clinic who present with GI complaints who have been referred for endoscopy, and determine the appropriate studies required for each patient.
• Perform a wide variety of endoscopic procedures:
• Diagnostic upper GI endoscopy
• Esophageal dilation
• Esophageal stenting
• Esophageal chromoendoscopy
• Endoscopic mucosal resection (EMR)
• Endoscopic submucosal dissection (ESD)
• Esophageal variceal banding
• Therapeutic endoscopy for upper GI bleeding
• Endoscopic ultrasound (EUS)
• ERCP
• Diagnostic lower endoscopy
• Endoscopic colonic polypectomy
• Develop treatment and follow-up plans for patients presenting to the endoscopy clinic.
• Take an active role in a variety of clinical research studies.
• Teach the endoscopy fellows-in-training, both in didactic settings and procedures.
• Collaborate with other health care providers to achieve wholistic patient care.
• Perform any other responsibilities as may be assigned from time to time by the Director of Cardiothoracic Surgical Services or his/her designate, depending on the need and urgency.
• Promote effective interpersonal and public relations with team.
• Display Christ-like attitude and character both on- and off-duty.
• Abide by the Tenwek Hospital moral code and Kenya Medical and Dental Council regulations.
• Maintain familiarity with the legal implications of clinical practice and ensure that legal requirements are met.

SUPERVISION RECEIVED FROM:

• Director of Cardiothoracic Surgical Services or his/her designate (Primary Supervisor)

SUPERVISION GIVEN TO:

• Cardiothoracic and Endoscopy fellows, nurses and other health care workers assigned to the endoscopy unit.

QUALIFICATIONS                                                     

• Committed Christian
• Bachelor of Medicine or MD from a recognized institution
• Master of Medicine or equivalent in Surgery or Medicine from a recognized institution
• Completion of specialized endoscopic training
• Valid medical license and registration with the Kenya Medical and Dental Council
• One year of relevant work experience in a busy endoscopy institution

Other Skills Required

• Communication skills
• Leadership skills
• Organizational skills
• Observational skills
• Analytical skills
• Compassion
• Supervisory skills
• Ability to work under pressure

Purpose:

• To provide nursing services within operating theatres, in order that the patient/client receives quality care for the honor and glory of God.

POSITION DUTIES AND RESPONSIBILITIES 

• Perioperative Nurses provide direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of perioperative Nurses include (but are not limited to):
• Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.
• Conducts pre and postoperative education.
• Serves as the communication liaison to family and members of the operating team.
• Takes and monitors patients’ vital signs.
• Ensures that operating on correct patient and the correct procedure is being performed.
• Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse.
• Responds to lifesaving situations based upon nursing standards and protocol.
• Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format, and on the appropriate forms.
• Preps operating room for patient/procedure.
• Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.
• Monitors patients’ physical and emotional wellbeing throughout the care continuum.
• Initiates patient education plan, as prescribed by physician.
• Teaches patients and significant others how to manage their posttreatment home care needs, selfadministration of medication, and rehabilitation where necessary.
• Performs other positionrelated duties as assigned by the supervisor.

During the surgical procedure, Perioperative Nurses can take the role of:

• Circulating Nurse, with the following additional duties:
• Assists in positioning, responding to comfort/safety of patient.
• Provides for accurate care and handling of specimens.
•  Observes and enforces strict standards of asepsis.
• Observes, checks, and monitors all equipment used during surgery to confirm they are running smoothly.
• Handles patient documentation.
•  Inventories all items both pre and postsurgery.
• Scrub Nurse, with the following additional duties:
•  Selects and handles instruments and supplies used for the operation.

OTHER GENERAL DUTIES:

• Organize and coordinate nursing care and medical treatments.
• Provide and ensure appropriate health teaching and counseling to individuals, families, and community.
• Maintain the unit effectively according to hospital policy with minimum supervision.
• Promote effective interpersonal and public relations.
• Maintain infection prevention guidelines and practice.
• Ensure safety in the workplace by maintaining a clean, safe, and pleasant environment.
• Maintain familiarity with the legal implications of nursing practice and ensure that legal requirements are met.
• Identify research topics, construct a research plan, and carry out surveys at the operational level.
• To be punctual and available when on duty.
• Display Christlike attitude and character both on and off duty.
• Abide by the Tenwek Hospital moral code and Nursing Council of Kenya (NCK) regulations.
• Perform other responsibilities as may be assigned from time to time by Unit’s Nursing Officer Incharge or his/her designate.

SUPERVISION RECEIVED FROM:

• Unit Nurse Incharge or his/her designate (Primary Supervisor)
• Head of Units
• Manager Nursing Services

SUPERVISION GIVEN TO:

• Junior Nurses, Scrub technicians Ward Clerks, Cleaners

QUALIFICATIONS

• KRPON
• Committed Christian
• Computer Literate

Job Summary:

• The Anesthetist’s job is to monitor, evaluate, oversee, and provide a continual assessment of the patient’s care before, during and after surgery, to prepare reports, and to participate in research in the area of specialization.

DUTIES AND RESPONSIBILITIES

• Schedule and maintain use of surgical suites, including operating, wash-up, waiting rooms, and anesthetic and sterilizing equipment.
• Review patients’ medical histories and records in order to determine anesthesia procedure before surgical operations and other medical procedures in the anesthesia centers of the hospital.
• Prepare patients for surgical operations and other medical procedures as required in the surgical theatres.
• Examine patient medical history and records and use diagnostic results to determine risk related to surgical operations and other medical procedures.
• Administer anesthesia to patients in order to prepare them for surgical operations and other surgical procedures in the anesthesia centers.
• Administer anesthesia or sedation during medical procedures, using local, intravenous, spinal, or caudal methods.
• Collaborate with other medical professionals to determine type and method of anesthesia or sedation to render patient insensible to pain.
• Monitor patients before, during, and after anesthesia and counteract adverse reactions or complications in the anesthesia centers.
• Record type and amount of anesthesia and patient condition throughout surgical operations and other medical procedure in the surgical theatres.
• Provide and maintain life support and airway management and help prepare patients for emergency surgery.
• Determine when patients have recovered or stabilized enough to be moved from the recovery room or ward or to be discharged following outpatient surgical procedures.
• Provide clinical research and training to students in the anesthesia unit.
• Guide and mentor junior anesthesia staff, interns, and students in the anesthesia centers.
• Provide consultative care for critically ill patients in the ICU or HDU or telemetry units.
• Provide consultative care for inpatients or outpatients regarding pain management.
• Safe-guard hospital’s and patients’ confidential information and property at all times.
• Perform any other responsibilities as may be assigned from time to time by the Director of Cardiothoracic Surgical Services or his/her designate, depending on the need and urgency.
• Promote effective interpersonal and public relations with team.
• Display Christ-like attitude and character both on and off duty.
• Abide by the Tenwek Hospital moral code and Kenya medical and dental council regulations.
• Maintain familiarity with the legal implications of clinical practice and ensure that legal requirements are met.
• Undergo specialized training in cardiothoracic anesthesia provided by Tenwek Hospital.

SUPERVISION RECEIVED FROM:

• Primary Supervisor: Cardiac anesthesiologist
• Secondary supervisor: Director of Cardiothoracic Surgical Services or his/her designate (Primary Supervisor)

SUPERVISION GIVEN TO:

• Junior anesthesia staff, anesthesia assistants, anesthesia students, nurses in ciritical care units

QUALIFICATIONS                                                     

• Committed Christian
• Diploma or Bachelor’s degree in nursing (for KRNA) and Diploma in Clinical Medicine and Surgery (For CRNA)
• Higher Diploma in Anaesthesia (for CO anaesthetist)
• Registration with the Kenya Nursing council (KRNA) or Clinical Officer council (for CRNA)
• Have a valid practicing license
• BLS, ACLS Certified

Other Skills Required

• Communication skills
• Leadership skills
• Organizational skills
• Observational skills
• Analytical skills
• Compassion
• Supervisory skills
• Ability to work under pressure

Job Summary:

• The Anesthesiologist job exists to monitor, evaluate, oversee, and provide a continual assessment of the patient’s care before, during, and after surgery, prepare reports, and participate in research in the area of specialization.

DUTIES AND RESPONSIBILITIES

• Perform comprehensive History and Physical Examinations relevant to clinical practice.
• Rapidly form differential diagnoses in undifferentiated patients.
• Appropriately triage patients who require urgent intervention.
• Safely initiate management plans for the stabilization of critically unwell patients.
• Provide continuous care to patients in Critical Care areas – including ventilated patients.
• Perform relevant procedures required to assess and stabilize patients including, but not limited to:
• Cardiac Ultrasound (ECHO)
• Focused Abdominal Sonography in Trauma (FAST)
• Assessment of IVC volume by Ultrasound
• Arterial Blood Gas sampling and analysis
• Central Line insertion and care (if trained in this procedure)
• Rapid Sequence Induction and Intubation of adults and children
• Conscious Sedation
• Regional Analgesia (as trained)
• Ventilator set up and continuous management of ventilated patients
• Stabilization of open and closed fractures
• Needle decompression and chest tube insertion (if trained in this procedure)
• Administration of IV pressors and anti-hypertensives, as clinically indicated
• ECG Interpretation Basic and Advanced Level
• Work in the Cardiac Emergency / Casualty Department as the primary caregiver for undifferentiated presenting patients, when assigned to the Emergency Department.
• Work as part of a multidisciplinary team as the primary caregiver in the Critical Care areas of the Hospital including Cardiac Intensive Care Units, HDU Units, and the Thoracic and General Ward as needed.
• Teach and supervise other clinicians in the areas of Basic Cardiac Life Support, Advanced Cardiac Life Support, and Advanced Trauma Life Support.
• Lead and participate in ‘rapid response’ teams aimed at quick assessment and stabilization of critically unwell patients, including resuscitation.
• Be actively involved in the ECCCO Training Program and willing to provide a lecture presentation 3-4 times yearly to the ECCCO Trainees. Provide active training and mentoring of the ECCCO Trainees at the bedside and in the clinical areas.
• Perform any other responsibilities as may be assigned from time to time by the Director of Cardiothoracic Surgical Services or his/her designate, depending on the need and urgency.
• Promote effective interpersonal and public relations with team.
• Display Christ-like attitude and character both on- and off-duty
• Abide by the Tenwek Hospital moral code and Kenya Medical and Dental Council regulations.
• Maintain familiarity with the legal implications of clinical practice and ensure that legal requirements are met.

SUPERVISION RECEIVED FROM:

• Director of Cardiothoracic Surgical Services or his/her designate (Primary Supervisor)
• Lead ECCCO Clinical Head, Head of Critical Care ICU, Head of Cardiac Emergency

SUPERVISION GIVEN TO:

• Nursing staff, Patient Assistants, and Clinical teams

QUALIFICATIONS
Minimum Acceptable Qualifications:

• Committed born again Christian with evidence of spiritual maturity and growth.
• Successful completion of a Kenya Clinical Officers Council approved Basic Diploma of Clinical Medicine and Surgery, as well as an approved Internship year program or an  equivalent qualification.
• Successful completion of the Higher Diploma in Clinical Medicine and Surgery
• (Emergency Medicine and Critical Care, or ECCCO).

Desirable Qualifications:

• Two to three years of ECCCO experience.
• Previous experience or training in Basic Cardiac Life Support (BLS), Advanced
• Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and
• Advanced Trauma Life Support (ATLS).
• Previous experience or training in teaching.

Other Skills Required:

• Communication skills
• Leadership skills
• Organizational skills
• Observational skills
• Analytical skills
• Compassion
• Supervisory skills
• Ability to work under pressure
• Mentorship training is an added advantage.