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Overview: The following position descriptions give an overview of roles and responsibilities for outreaches on board our YWAM Ships.

ROLES AND RESPONSIBILITIES

 

 

OptometryVolunteer

Clinic Leader

  • Accountable to the outreach medical coordinator.
  • Delegate team member roles.
  • Train team members in roles.
  • Support and facilitate team members in their roles.
  • Oversee the smooth running of the optometry clinic.
  • Responsible for safe transport of team members, glasses and equipment.
  • Liaise with local health personnel regarding outreach clinic location, transport, etc.
  • Liaise with local health personnel or village leaders regarding follow-up of referrals made by optometrist
  • Responsible for referring patients to the ophthalmologist
  • Distribute sunglasses to selected individuals (e.g. those with untreatable severe visual impairment or blindness).
  • Ensure holistic care is provided with prayer offered to patients (where appropriate).
  • Observe cultural morals and practice with cultural sensitivity.
  • Respect and maintain patient confidentiality.
  • Encourage and cultivate unity within the team.
  • Debrief team regularly and as necessary (e.g. after first day, throughout outreach, and at completion of outreach).
  • Record statistics at the end of each day.
  • Collect stories to share and encourage the team.
  • Put together an outreach report at completion of outreach.

Optometrist

  • Liaise with and support the clinic leader.
  • Safely work within his/her scope of practice.
  • Work with an interpreter where necessary (if possible).
  • Adapt to practice in varying locations e.g. local clinic, community centre, or under a tree.
  • Conduct patient consultations to diagnose the presenting eye condition, and overall medical condition in case referral for eye surgery is required.
  • Address the patient’s need by treating eye condition through providing spectacles, medication and/or referral to secondary/tertiary care or local ophthalmologist
  • Provide sunglasses to patients with Pterygiums.
  • If comfortable, conduct group educational session for patients and/or team members (10 -15 minutes) on a topic concerning optometry (i.e. Presbyopia).
  • Observe cultural morals and practice with cultural sensitivity.
  • Respect and maintain patient confidentiality.
  • Practice within limited resources and lack of availability of diagnostic technologies.
  • Lead and promote a spirit of unity within the optometry team.
  • Charge retinoscope and opthalmoscope at the end of each day.

Translator

  • Accountable to the clinic leader.
  • Work with optometrist, optician, and any other personnel in the team.
  • Respect and maintain patient confidentiality.
  • Participate in the spirit of unity within the optometry team

Registration

  • Accountable to the clinic leader.
  • Patient’s first point of contact.
  • Registration should preferably be done in conjunction with local health personnel/


Translator (they can assist in writing names etc accurately on the registration form).

  • Record patient’s details on optometry registration form
  • Refer patient to visual acuity station.
  • Keep clinic leader up to date with waiting list etc.
  • Observe cultural morals and practice with cultural sensitivity.
  • Respect and maintain patient confidentiality.
  • Enter data into e-data sheet for statistics daily.
  • Ensure Registration Box is stocked up daily.
  • Chat, pray, entertain patient as time allows.

Visual Acuity Station (2 people)

  • Accountable to the clinic leader.
  • Work with a translator or local health personnel where possible.
  • Use the 6 metre eye chart; test each eye separately, read to the
    smallest possible line on the chart – this determines the patient’s visual acuity.
  • If vision is poor test eyes with ‘pinhole’ to determine if vision improves.
  • If vision is good but there is difficulty reading refer patient to reading station.
  • If vision is good reassure patient and send them home.
  • Document on registration form whether vision improves with pinhole and send patient to optometrist.

Reading Station (2 people)

  • Accountable to the clinic leader.
  • Work with a translator or local health personnel where possible.
  • Patients who do not require eye surgery, have good distance vision, but have difficulty reading should have a reading test.
  • Check if patient is able to see clearly using reading card.
  • Use trial reading glasses (+1.00, +1.75, +2.25, and +3.00) to determine required lens strength.
  • If vision is good reassure patient and send them home.
  • Whenever uncertain ask clinic leader or refer patient to optometrist.
  • Document on registration form if vision does not improve with reading glasses and send patient to optometrist.

Database manager

  • Accountable to clinic leader
  • Responsible for database and laptop, including maintenance i.e. charging daily & back up daily
  • Responsible for stock of prescription glasses
  • Works in collaboration with optometrist and clinic leader
  • Uses database to find prescription glasses prescribed by optometrist.
  • Determines if prescribed glasses are ‘a right fit’ for patient.
  • If applicable explain bifocal glasses. If no suitable bifocals can be found, and the prescription is straightforward (same in both eyes, without a strong cylinder) refer patient to reading station; in this case patient may receive two pairs of glasses.
  • Document on the registration form the bin number of the glasses given out.
  • Collect registration forms at the end of each day and give to clinic leader.
  • For troubleshooting refer to optometry database manual or ask clinic leader.

Prayer

  • We encourage everyone who is willing, to pray for each patient and encourage them spiritually.
  • Listen to the patient.
  • Share your faith.
  • Offer prayer.
  • Work alongside local church pastors/members where possible.
  • Encourage and ensure follow-up with local church.
  • Respect and maintain patient confidentiality.
  • Observe cultural morals and practice with cultural sensitivity.

Primary Health CareVolunteer

Registration


This is the entry point for all patients into the clinic. It is important for this team member to liaise with the clinic leaders about how many patients to register throughout the day.

Paperwork

Register patients on the appropriate paperwork according to their presentation at the clinic. The registration/triage personnel sets up and packs up the registration area each day.

  • WHITE General registration form – outpatients, wound care, family planning, women’s & men’s health, children not for immunisations
  • BLUE Immunization registration form – immunizations, healthy child checks
  • PINK Antenatal registration form – antenatal assessment


Process

  • Obtain patients name, age, gender, and village of current residence. If a patient has a clinic book, this info is often helpful.
  • Obtain vital signs & weight
  • Record the presenting complaint
  • Recognize the critically ill patient and make a clinic leader aware of your concern.
  • Direct patient on to appropriate team member
  • CHILDREN – look at the child’s clinic book to check immunization status and what is still required.
  • CHILDREN – Fill out growth chart for all children 5 years and under.
  • WOMEN – Offer all women, 16 years and older, family planning.


General

General hygiene practices apply. Clean thermometers between patients, discard used ear probes, wipe down equipment such as scales and blood pressure cuffs.

Don’t feel pressured to rush registering patients. Although there is often a big crowd, there are also periods of down time, particularly towards the end of the day. Take advantage of these times and share an education flip chart with the remaining patients.

Doctor

  • Ensure that patients are supported holistically.
  • When seeing children, ensure that any family present are made aware of the treatment, prior to invasive examination or treatment.
  • Conduct patient consultations to provide basic diagnosis for the presenting medical condition/s.
  • Address the patient’s need by treating immediate health issues through education, pharmaceutical management, referral to secondary/tertiary care and/or minor surgical intervention.
  • Ensure paperwork is filled out for each patient, clearly indicating the diagnosis, treatment, medication supplied, etc.
  • Work in accordance with the PNG Standard Treatment Manuals for adults, pediatrics, obstetrics and gynecology.

Treatment Nurse/ “See and Treat”

  • Perform a thorough patient assessment with initial presentation and review vital signs.
  • Conduct patient consultations to provide basic diagnosis for the presenting medical condition(s).
  • When seeing children, ensure that any family present are made aware of the treatment, prior to invasive examination or treatment.
  • Ensure paperwork is filled out for each patient, clearly indicating the diagnosis, treatment, medication supplied, etc.
  • Work in accordance with the PNG Standard Treatment Manuals for adults, pediatrics, obstetrics and gynecology.

Wound Care Nurse

  • Use aseptic technique – sterile technique is only required in limited circumstances, check with the doctor or clinic leader if unsure.
  • Provide education to the patient on how to care for the wound.
  • Whenever possible, provide an extra dressing for patients to continue caring for wound at home.
  • Refer to the doctor or clinic leaders if you suspect a wound is infected, as it may require antibiotics.
  • Ensure paperwork is filled out for each patient, clearly indicating the diagnosis, treatment, medication supplied, etc.

Immunization Station

  • Review the vital signs already taken and double check the immunization’s required.
  • Chart the weight on weight-for-age chart. If they do not have a chart, please provide one.
  • All children receiving immunizations require a healthy child check prior to receiving immunizations. This ensures that any other health issues are identified, and any contraindications to immunization are discovered.
  • Administer vaccines using standard technique and advising parent/guardian in appropriate restraint of the child.
  • Ensure all immunizations are recorded on the child health tally sheet, YWAM registration form and in the patient’s clinic book.
  • Advise parents & children to stay close to clinic for 30 minutes after vaccinations and to voice any concerns during this time.
  • It is imperative that unused vaccines are returned to the on board immunization fridge as soon as possible at the end of the day.
  • Discard appropriate vaccines and ensure those opened (and dated) are returned to the fridge for use the following day.


For more information, please see the 2015 YWAM Ships Immunizations Manual.

Pharmacy Station

  • Ensure paperwork is completed for each patient and record medications given in the patient’s clinic book.
  • Each patient must be educated on correct handling, storage and administration of their medication/treatment.
  • Take time to do this and have patients repeat the instructions you have given them in their own words to confirm understanding (allow time to practice opening child-proof bottles).
  • Sign/initial YWAM registration form once medication has been dispensed.
  • Separate carbon copies of YWAM registration form and give patient the carbon copy, keep original copy for our YWAM records.

Family Planning Station

  • Provide education to individuals and groups on the various types of family planning available
  • Provide information, risks, benefits and advise men and women on which family planning option is best suited for them
  • Administer family planning in an appropriate manner (See Family Planning Manual for more details).

Allied Health / Physical Therapist

  • The allied health personnel see and treat patients with musculoskeletal complaints.
  • Educate individuals and groups on correct manual handling, stretching and strengthening techniques.
  • YWAM Back and Knee Exercise sheets are available to assist in these education sessions.
  • Ensure paperwork is filled out with each patient and record any prescribed medications in the patient’s clinic book.
  • Individual consultations require a WHITE registration form
  • Group classes do not require registration forms, however please record the number of male and female participants per session.

Midwife

  • Complete a thorough antenatal check up for each patient
  • Provide maternal assessment, fetal assessment, provide education and mosquito net and prophylactic medications.
  • Ensure paperwork is filled out and treatment information recorded in the patient’s clinic/antenatal book.
  • Where possible, carry out individual and group education sessions for pregnant mothers.
  • Work alongside the village health care workers, midwives and traditional birth attendants.

Educators

  • Organize group education sessions for the general public, patients, and local health care workers. Sometimes this means physically seeking out people who are sitting under trees or waiting for family members.
  • Confirm with the Clinic Leader which education topics are a priority for that village or day.
  • Be familiar with the various flip charts and education topics
  • Engage with and get to know your audience.
  • Take record of which education flip charts were used and the number of men and women attendees at each session and give this to Clinic Leader at end of the day.

Responsibilities for all team members:

  • Work alongside local translators as needed.
  • If local doctors, nurses or community health workers are present and willing to learn, you are encouraged to train and share your healthcare knowledge.
  • Abide by standard cultural sensitivity, privacy, confidentiality and informed consent principles.
  • Maintain no tolerance standard of violence in the workplace.
  • Maintain infection control throughout the day.
  • Take note of what stock is running low in the backpacks and what needs to be restocked at the end of the day.
  • Assist with pack down, clean up and any restocking required at the end of each clinic day.
  • Report any concerns regarding equipment/systems/supplies to the clinic leader.
  • Correct disposal of sharps and contaminated waste.
  • Any equipment requiring sterilization must be referred to the sterilization technician in the dental clinic.

DentalVolunteer

Responsibilities for all team members

  • Support patients holistically
  • Maintain clear communication with patients to help ensure they remain comfortable and relaxed
  • Ensure appropriate and adequate care is given to each patient to the highest standard possible
  • Work alongside local translators as needed
  • Be familiar with the layout of the clinic and its equipment/supplies
  • If dentists or community dental workers are present and willing to learn, you are encouraged to train and share your medical knowledge (applies to medical professionals only)
  • Maintain cultural sensitivity and patient confidentiality
  • Maintain infection control procedures throughout the day
  • Take note of what stock is running low and inform the clinic leader as needed
  • Assist with pack down, clean up and any restocking required at the end of each clinic day
  • Report any concerns regarding equipment/systems/supplies to the clinic leader

Dental Clinic Leader


The dental clinic leader is accountable to the medical coordinator.

Logistics

  • Oversee and ensure smooth running of the dental clinic
  • Ensure needed equipment and supplies are available for each day’s procedures
  • Trouble shooting equipment problems and communicating to the engineers as necessary
  • Liaise with the Captain, medical coordinator, and the ship manager regarding the transport of patients to and from the ship
  • Communicate to the head cook if patients require food over lunch
  • Responsible for the dispensing of medication to patients as directed by the dentist
  • Responsible for the general care of the dental clinic and that it is cleaned at the end of each day
  • Ensure all stats are recorded at the end of each day


Team

  • Assigns roles and responsibilities to each member of their team
  • Ensures that each team member feels heard and cared for
  • Ensures that team members are trained appropriately for their role.
  • Ensures that all team members understand the standard operating procedures of the dental clinic
  • Creates team and encourages team unity (when appropriate praying for each other and the patients)


Local contacts

  • Liaise with local health care personnel regarding follow up care and transport for patients as needed
  • Find translators as needed
  • Communicate with local personnel about clinic operating times and when last patients can be brought to the ship each day

Post outreach

  • Facilitate debrief time at the end of each outreach, and during the outreach if needed
  • Write up end of outreach clinic report
  • Ensure all paperwork is collected and filled out (ie. Outreach evaluations, stats, stories, and supplies used)

Dentist


The dentist is accountable to the dental clinic leader.

Patients

  • If the family is accompanying the patient, help ensure that the family understands the treatment being given
  • Ensure an adequate and correct amount of pain medication is given
  • Advise the dental clinic leader if further medication is required or if the patient needs further care
  • Ensure paper work is properly filled out for each patient, indicating what treatment is given
  • Help with pre-screening patients and dental education for the public when able

Infection control

  • Communicate with the sterilisation technician if certain instruments need priority over others

Dental Assistant


The dental assistant is accountable to dental clinic leader and works closely with the dentist.

Patients

  • If the family is accompanying the patient, help ensure that the family understands the treatment being given
  • Give Post-op education and extraction packs when required
  • Ensure paperwork is properly filled out for each patient

Infection control

  • Communicate with the sterilisation technician if certain instruments need priority over others

Sterilization Technician


The sterilisation technician is accountable to the dental clinic leader.

Equipment

  • Monitor and ensure the sterilizer(s) has the appropriate water levels
  • Report any concerns regarding chemicals or the sterilizer to the dental clinic leader


Infection control

  • To be trained by the dental clinic leader or someone whom they have approved
  • Ask questions when unsure how to clean pieces of equipment that are abnormal
  • Communicate with the dentist and dental assistant on the priority of instruments for processing
  • Maintain the sterilizer log books for every cycle, using chemical indicator strips as needed
  • Shut down sterilizers at the end of each clinic day

Registration/’Pre-Op’


The person assigned to registration/aft deck is accountable to dental clinic leader.

Logistics

  • Register patients according to the clinic paper work
  • Liaise with the clinic leader about how many patients to register in the day
  • Liaise with the clinic leader about when to do oral health education
  • Set up the registration area at the beginning of each clinic day

Patients

  • Report post-op concerns to the dental clinic leader (ie. extended bleeding, pain, etc)
  • Create a fun and comfortable waiting environment for the patients (ie. games, song, food and drinks, colouring, stories, and prayer)


Education

  • Provide training on oral health
  • Support post-op education by reminding patients of post-op oral care (ie. no spitting, etc)
  • Check on patients that have excessive bleeding and refer to the post-op person for new gauze if needed

Infection Control

  • Ensure that the registration area remains clean throughout the day
  • Clean all surfaces of the aft deck with hospital grade cleaner

Post-Op Role


The post-op person is accountable to the dental clinic leader.

Logistics

  • Provide post-op education and extraction packs to patients who have had teeth extracted
  • Distribute toothbrushes and toothpaste to each patient
  • Communicate with the registration person to take patients to the clinic in the order they have been registered
  • Advise the registration person on post-op patients that require monitoring for extended bleeding, pain, etc
  • Ensure all details have been filled out properly on the registration form

Education

  • Support the registration/pre-op person with education
  • Provide training on oral health, including how to properly brush your teeth
  • Provide post-op education to each patient

Extra helpersVolunteer


Any extra helpers are accountable to the dental clinic leader.

  • Extra helpers may assist in any of the above areas where needed
  • May offer extra support to patients through prayer, listening, and getting to know them