Background

Yemen is currently a critical and complex context. We need urgently an international Paramedic/Nurse who has to implement an annual work plan under the technical supervision of the UN Physician according to the activities described below

Duties and Responsibilities

• Provide daily 24 hours emergency medical coverage for UN staff;
• Accompany United Nations VIP and his /her protections team into an insecure environment and, if required, provide emergency medical intervention for casualties in the event of injury or illness of the VIP or his/her team.
• Support the development of the emergency medicine capacity of medical facilities within the duty station and abroad, as required;
• Conduct assessment of the medical facilities in Sanaa and other cities, as required.
• Produce a report outlining recommendations on medical support for future UN missions to Yemen.
• Develop emergency medical contingency plans and assist with UNCT/UNDSS’s planning for response to a mass casualty incident and medical evacuation.
• Provide on-going emergency first aid training to the staff * Perform medical briefing and training for incoming staff.

Competencies

Functional  Competencies:   

Professionalism:

• Expert knowledge in the field of nursing; demonstrated adaptability and ability to work in austere, insecure environments and to adjust rapidly to varying social, organizational and geographic settings;
• Good conceptual skills in public health;
• Candidate also shows pride in work and in achievements;
• Demonstrates professional competence and mastery of subject matter;
• Is conscientious and efficient in meeting commitments, observes deadlines and achieving results;
• Motivated by professional rather than personal concerns;
• Shows persistence when faced with difficult problems or challenges;
• Remains calm in stressful situations;.

Teamwork:

• Works collaboratively with colleagues to achieve organizational goals;
• Solicits input by genuinely valuing others' ideas and expertise;
• Is willing to learn from others;
• Places team agenda before personal agenda;
• Supports and acts in accordance with final group decision, even when such decisions may not entirely reflect own position;
• Shares credit for team accomplishments and accepts joint responsibility for team shortcomings.

Planning & Organizing:

• Develops clear goals that are consistent with agreed strategies;
• Identifies priority activities and assignments;
• Adjusts priorities as required; allocates appropriate amount of time and resources for completing work;
• Foresees risks and allows for contingencies when planning; monitors and adjusts plans and actions as necessary;
• Uses time efficiently.

Job Knowledge/Technical Skills

• ValidPro-Hospital Trauma Life Support (PHTLS) and Advanced Cardiac Life Support (ACLS) certificates or equivalent (authorizing body of the certificates also must be mentioned);
• Basic understanding of adult learning concepts and the development and delivery of emergency medical / training courses (including scenario based training);

Ability to wok unassisted in remote locations and perform the following interventions without supervision, including: 

• Use of basic airway adjuncts such as OPA, NPA.
• Provide airway suctioning. 
• Perform emergency endotracheal intubation and manual (or mechanical) ventilation (IPPV and APPV).
• Perform pharmacologically assisted intubation. 
• Provide on-going monitoring using ECG, SpO2 and End tidal CO2 monitoring equipment.
• Pharmacologically treat medical emergencies - hypoglycemia, anaphylaxis, continuous recurrent seizures, overdose of narcotic drugs, pulmonary edema, conscious / altered conscious asthma. 
• Administer narcotic analgesia. 
• Manage chest pain of cardiac nature using appropriate pharmacological intervention.
• Provide appropriate intervention (including pharmacological intervention) for unstable symptomatic patients the following dysrhythmias: ventricular fibrillation, ventricular tachycardia, electromechanical dissociation, asystole, bradycardia, supra ventricular tachycardia, atrial fibrillation / flutter with rapid ventricular response, premature ventricular complexes, accelerated idioventricular rhythms, bizarre / unknown rhythms. 
• Provide appropriate intervention for patient with inadequate perfusion associated with cardiac chest pain. 
• Manage a casualty with hypo perfusion associated with hypovolemia / non-hypovolemia causes.
• Provide intravenous and intra-osseous infusion. 
• Emergency airway-needle crichothyrotomy.
• Needle chest decompression.
• Spinal immobilization using C-collar, head blocks, spinal board. 
• Apply traction splint for lower limb closed fractures.
• Use of Asherman chest dressing (or similar) for open pneumothorax injury.
• Appropriately manage Traumatic Brain injury with evidence of raised intracranial pressure. 
• Appropriately manage casualty with large surface area burns for protracted period.
• Appropriately manage casualties with traumatic injuries including fractures, blast injury, crush injury, drowning / near drowning, open abdominal injuries, etc.
• Monitoring and Progress Controls will provide the DO and MSD with a weekly and monthly report which will include the following information:

• Training Activities Conducted: at least four sessions per month;
• Upcoming Training Activities;
• Update on Equipment and Supplies, maintenance program and disposable/waste management;
• Update on oxygen tanks refilling and blood availability for transfusion;
• Road Missions;
• Medical Evacuations by Air, by Road, by location, by destination, … (according to theUN rules and regulation);
• Patient Assessments Conducted;
• Drafting and updating mass casualty and medical evacuation plans;
• Incident report /adverse events;
• Challenges difficulties and possibilities for continuous quality of care and patient safety.

Required Skills and Experience

Education:

• Professionally Licensed Nurse / Paramedics (authorizing body must be cited);
• Valid certification in Advanced Trauma Life support;
• Advanced cardiac Life support OR Pre hospital trauma life support is desirable;
• Valid certificate as a trainer for BLS, ACLS or PHTLS.

Experience:

• At least 5 years of experience working in an emergency medical setting in an advanced life support (ALS) role;
• Previous UN medical system/international medical experience is desirable.  

Language Requirements:

• For the post advertised fluency in oral and written English is required;
• Arabic is highly desirable.