The Aga Khan Health Service, Tanzania (AKHST); an institution of The Aga Khan Development Network, completed a major phase of the Aga Khan Hospital, Dar es Salaam 2018 expansion of the Aga Khan Hospital.

This expansion aimed at improving the Hospital’s quality of facilities and infrastructure to become an ultramodern 170 bed facility to increase its capacity to become a provider of high-quality medical care leading to a tertiary care, referral and teaching hospital.

The Phase II development hospital focused on expanding key clinical services including a comprehensive cardiology programme, oncology services and neurosciences, as well as the expansion of Orthopaedics and Trauma, Diagnostic Imaging, Critical Care and Women and Child Health programmes.

The Hospital is JCI Accredited (achieved a level of quality and patient service that is equal to the best hospitals in the world) and the teaching site for The Aga Khan University, which offers Postgraduate Medical Education programs leading to Master of Medicine in Family Medicine, Internal Medicine, Surgery, Obstetrics and Gynaecology, Paediatrics and Child Health.

It is also an accredited internship site. As part of integrated health systems approach, AKHST plans to establish 35 outreach health facilities across Tanzania. Currently, 26 such clinics have been established across the country and linked to the main hospital in Dar es Salaam.

AKHST is seeking for enthusiastic, qualified and experienced personnel as described below:

Responsibilities or duties

• Directs and coordinates nursing service activities of the Operating Theatre.
• Provides day to day clinical supervision, support and leadership for clinical and nonclinical staff working in the Operating Theatre.
• Counsels nursing staff in case of remedial performance issues and provides opportunities for remedial activities.
• Demonstrates and maintains competency in conducting performance appraisal and anecdotal records for use in summative and formative performance appraisals.
• Manages inventory of solutions, supplies, medicines, narcotics, procedures, and equipment according to hospital policies, procedures, and regulations.
• Evaluates Operating Theatre staff performance and quality of service.
• Functions as a resource person for staff members and assists in necessary education of individual members of the nursing staff.
• Assumes responsibility for the overall quality of nursing care provided in the Operating Theatre.
• Makes decisions regarding activities within the Unit based on Hospital Standards, Department Standards, Nursing Resource Standards in collaboration with the Head of Nursing Services in unusual situations.
• Implements and monitors compliance to patient care and professional standards established by the department of nursing and other regulatory authorities.
• Evaluates the nursing care delivery system utilizing a variety of techniques such as: consultation with patients and health care providers, efficient use of resources and perceived satisfaction of patients/families.
• Enforces regulatory standards in areas of supervision and implements in-service programs to support and comply with these standards.
• Works in collaboration with the surgeons and maintain their practice, clinical requirements and effectively manage the surgeon practice needs.
• Assures the availability of necessary equipment, supplies, and instrumentation is established and continually managed.
• Lead the team in developing, implementing, and evaluating innovative models of clinical care based on contemporary knowledge and practice in the areas of accountability.
• Manage cost control for cost center budget within the designated area of accountability.
• Participates in program planning for new projects.
• Manage designated services with the other activity performance targets. Work with the other managers to achieve performance targets and implementation of Clinical Services redesign strategies to improve services.
• Ensure that staff working in the designation areas of accountability practice within the requirements of the the AKHD and all legislative requirements, including medication management and Nurses standards.
• Manage FTE, workloads, and rostering systems to achieve FTE performance targets and high efficiency.
• Achieve simple performance complaints, grievances, disputes and disciplinary measures within the area of accountability in accordance with Institution policy and procedures.
• Ensure compliance with Policies, Guidelines, Quality Standards and Protocols within the area of accountability.
• Attend and contribute to institution committees as required by the institution.
• Participate in the Accreditation process and ensure systems are in place to meet all required standards in operating theatres.
• Establishes unit-based standards, goals, objectives and priorities, monitors performance against the same and takes corrective measures and prepares quarterly/biannually reports.
• Define quarterly/biannual indicators, monitor its trends and takes corrective action.
• Reports clinical incidences and implement lessons learnt.
• Takes initiative in preparing unit specific policies and procedures to guide nursing practice.
• Actively participates in the follow up of audit recommendations.
• Attends relevant Mortality and Morbidity meetings and ensures that active follow-up is done with the recommendations and conclusion from therein.
• Pursue institutional mandates of quality improvement and patient safety in the unit.
• Ensure compliance with Ministry of Health Policy, quality standards and Procedures.
• Ensure compliance with AKHD Policy, quality standards.
• Ensure monthly Operating Theatre KPIs are prepared and submit report to relevant Committee.

Qualifications or requirements (e.g., education, skills)

• Minimum Diploma in Nursing from recognized College or School of Nursing
• Current registration with Tanzania Nursing and Midwifery Council (TNMC)
• Maintains a Valid Nursing License in the United Republic of Tanzania

Experience needed

Minimum of 8 years of experience in Nursing practice in 2 of which should be in the Operating Theatre.

Any other provided details (e.g., benefits, work environment, team info, or additional notes)

The Operating Theatre Nurse Manager assumes the responsibility for planning, supervising, ensuring efficient and good utilization of the Operating Theatre; evaluating the care of patients to ensure safe, continuous care for each patient/family in the Operating Theatre, which this position requires in-depth productivity management, knowledge of management principles, communication, teaching/learning principles, nursing practice, and the ability to apply nursing theories.

He/she promotes day-to-day management and restores patients’ health by embracing day-to-day management and long-term planning of the patient care area; directing and developing staff; collaborating with surgeons and multidisciplinary professional staffs; providing physical and psychological support for patients and relatives.

• Directs and coordinates nursing service activities of the Operating Theatre.
• Provides day to day clinical supervision, support and leadership for clinical and nonclinical staff working in the Operating Theatre.
• Counsels nursing staff in case of remedial performance issues and provides opportunities for remedial activities.
• Demonstrates and maintains competency in conducting performance appraisal and anecdotal records for use in summative and formative performance appraisals.
• Manages inventory of solutions, supplies, medicines, narcotics, procedures, and equipment according to hospital policies, procedures, and regulations.
• Evaluates Operating Theatre staff performance and quality of service.
• Functions as a resource person for staff members and assists in necessary education of individual members of the nursing staff.
• Assumes responsibility for the overall quality of nursing care provided in the Operating Theatre.
• Makes decisions regarding activities within the Unit based on Hospital Standards, Department Standards, Nursing Resource Standards in collaboration with the Head of Nursing Services in unusual situations.
• Implements and monitors compliance to patient care and professional standards established by the department of nursing and other regulatory authorities.
• Evaluates the nursing care delivery system utilizing a variety of techniques such as: consultation with patients and health care providers, efficient use of resources and perceived satisfaction of patients/families.
• Enforces regulatory standards in areas of supervision and implements in-service programs to support and comply with these standards.
• Works in collaboration with the surgeons and maintain their practice, clinical requirements and effectively manage the surgeon practice needs.
• Assures the availability of necessary equipment, supplies, and instrumentation is established and continually managed.
• Lead the team in developing, implementing, and evaluating innovative models of clinical care based on contemporary knowledge and practice in the areas of accountability.
• Manage cost control for cost center budget within the designated area of accountability.
• Participates in program planning for new projects.
• Manage designated services with the other activity performance targets. Work with the other managers to achieve performance targets and implementation of Clinical Services redesign strategies to improve services.
• Ensure that staff working in the designation areas of accountability practice within the requirements of the the AKHD and all legislative requirements, including medication management and Nurses standards.
• Manage FTE, workloads, and rostering systems to achieve FTE performance targets and high efficiency.
• Achieve simple performance complaints, grievances, disputes and disciplinary measures within the area of accountability in accordance with Institution policy and procedures.
• Ensure compliance with Policies, Guidelines, Quality Standards and Protocols within the area of accountability.
• Attend and contribute to institution committees as required by the institution.
• Participate in the Accreditation process and ensure systems are in place to meet all required standards in operating theatres.
• Establishes unit-based standards, goals, objectives and priorities, monitors performance against the same and takes corrective measures and prepares quarterly/biannually reports.
• Define quarterly/biannual indicators, monitor its trends and takes corrective action.
• Reports clinical incidences and implement lessons learnt.
• Takes initiative in preparing unit specific policies and procedures to guide nursing practice.
• Actively participates in the follow up of audit recommendations.
• Attends relevant Mortality and Morbidity meetings and ensures that active follow-up is done with the recommendations and conclusion from therein.
• Pursue institutional mandates of quality improvement and patient safety in the unit.
• Ensure compliance with Ministry of Health Policy, quality standards and Procedures.
• Ensure compliance with AKHD Policy, quality standards.
• Ensure monthly Operating Theatre KPIs are prepared and submit report to relevant Committee.

• Minimum Diploma in Nursing from recognized College or School of Nursing
• Current registration with Tanzania Nursing and Midwifery Council (TNMC)
• Maintains a Valid Nursing License in the United Republic of Tanzania