Vacant position

Function: Nurse/ Paramedic/ Midwife within CADUS EMT Type 1 mobile and fixed operations or Trauma Stabilisation Point (TSP)
Place of deployment: Sudan (Port Sudan and other feasible areas)
Contract Type: Short-term paid consultancy or fixed-term deployment (3–6 months, renewable)

Since April 2023, Sudan has been facing one of the world’s most severe humanitarian crises. A violent conflict between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) has led to a nationwide collapse of infrastructure and massive displacement. Over 10 million people have fled their homes, the health system has largely broken down, and outbreaks of cholera, dengue, measles, and malaria are spreading rapidly. Access to safe water, food, and medical care is critically limited.

In response, CADUS is deploying an International Nurse/ Paramedic/ Midwife.

Nurses/ Paramedics/ Midwifes (from here on “Medics”) are vital members of the EMT making up a large proportion of the team and carrying out vital medical care. Medics may be a registered nurse, paramedic or midwife and assume diverse and crucial roles in providing life-saving medical care during emergency response operations. While they may often work in close conjunction with a medical doctor, and always as part of the wider EMT, they will be expected to take on autonomous roles within the CADUS facility and use any specialist knowledge or skills they possess to support the team.

Requirements:

• Medical qualifications: Possess a nursing or midwifery degree or a paramedic certification from recognized institutions, with valid licence to practise nursing/midwifery/paramedicine. Up to date BLS certification required. ALS/PALS/ATLS desirable. A diploma in Tropical Nursing, or equivalent training, is desirable. Have up-to-date criminal record checks and have no current limitations to their right to practise.
• Work experience: At least 2 years post qualification experience in their field of work required. Desired: demonstrated experience in emergency/trauma nursing or paramedic care, or in the case of midwives experience in emergency obstetric and neonatal care, confidence in providing urgent medical assistance and interventions. Experience or specialisation in paediatrics is also a benefit.
• Adaptable and resilient: Ability to work effectively in high-pressure and resource-limited environments, adapting to the challenges of crisis situations. Experience in humanitarian context is desired.
• Team player: Collaborative approach in working with diverse teams, including medical personnel, logisticians, and support staff, to ensure coordinated patient care.
• Compassion and empathy: Demonstrated empathy and cultural sensitivity when providing medical care to patients during distressing circumstances.
• Language: Fluent spoken and written English. Other languages, especially those spoken in the deployment region, are desirable.

Responsibilities:
Medics should be capable and prepared to take on various roles within the EMT depending on whether it is functioning in a fixed or mobile mode, needs of the beneficiaries and the staff skill mix.

• Registration: Responsible for registering patients as they arrive at the facility. They must gather the basic patient information, screen for any obvious initial critical clinical condition, vulnerability or infection risk and communicate clearly with the Triage Medic.
• Triage: Responsible for the initial triage and clinical vital signs of patients at the CADUS facility. They should decide if a patient is considered Red, Yellow or Green and allocate them to the designated clinic area accordingly. They must communicate clearly with the rest of the team regarding patient flow. They should flag any vulnerabilities (deterioration, pregnancy, SGBV, unaccompanied minor, safeguarding concerns etc) to the treating Medical Doctor.
• Management: Responsible for the patient flow throughout the clinic and should allocate patients to the clinic doctors and medics. They provide the link between the triage and clinic and should be the most experienced medics in emergency care. They are responsible for communicating concerns from the Triage Medic and any vulnerabilities identified to the assigned Medical Doctor.
• Treatment: Supporting the clinical care of patients once they have been initially triaged. This may involve working as a unit with a Medical Doctor, performing certain procedures such as wound care, administering medications and fluids, attending in the emergency room, taking vital signs and supporting more complex procedures such as resuscitations.
• Infection prevention and control (IPC) focal point: Should an infectious patient requiring isolation be identified, one medic is required to coordinate and support their care, with support from medical doctors when needed, in order to minimise infection risk to the rest of the team and patients. They need to be clear on the isolation precautions in place, communicate to the rest of the team about the risks and precautions and manage the patients basic clinical needs. The IPC focal point is also responsible for maintaining and monitoring IPC practices within the clinic.
• Transport: Medics may be required to accompany patients during referral transportations. They may be accompanied by a Medical Doctor depending on the clinical needs of the patient. This will be organised by the HoM in liaison with the Medical Lead and referral facility, and will depend on the team’s resource capacity, the acuity of the patient, the medic’s skill set and the overall safety and security situation.

Specialist Medics:
Medics who have specialist training such as paediatric nurses, midwives, trauma nurses etc. are expected to use their specialised knowledge to support the team should it be required. It is possible they will be the most experienced in their team in their area of specialisation (i.e. a midwife) and need to be prepared to be the point of contact for these cases should no more qualified professionals be present. When not acting within their specialist role they should assist the team in other areas of responsibility as listed above.

Scope of clinical responsibilities:
Medics are expected to work within their scope of skill and knowledge and follow SOPs and guidelines when providing care. Due to the diverse CADUS pool, with staff and volunteers coming from all over the world, basic limits have been set on the clinical scope of the Medic role:

• Controlled drugs of any kind, IV medication and IV fluid administration may only be given under instructions of a medical doctor
• If necessary: non-controlled oral medications and oxygen may be given without instruction from a medical doctor if within the scope of competency of practice for the medic
• Medics are expected to be confident and competent in placing IV lines and cannulation
• Medics are expected to autonomously provide basic wound/burn cleaning and dressing
• Provide malnutrition screening using MUAC
• Recognise and respond appropriately to deterioration
• Support actively in resuscitations and ventilation procedures

Training:
All Medics in the CADUS EMT pool must have successfully completed the mandatory Core Humanitarian and Core Clinical training pathways, as well specific pre-deployment briefings, prior to going on deployment.

Reporting line:

• Clinical management: Medics work closely with the Medical Doctors in the EMT, often working as a unit and must communicate clearly and coherently between each other in order to manage a patient and their needs. A Medic’s first point of call should therefore be directly to the treating Medical Doctor about the patient’s care/condition.
• Organisational management: Medics, as with all the clinical members of the team, ultimately report to the Medical Lead for all clinical aspects of the mission that cannot be managed by treating Medical Doctors including daily role allocation. When working within the mobile clinic (i.e. away from the Base of Operations), the Medics report to the designated Team Lead. Medics report to the Head of Mission for all operational procedures.

Guiding Principles
All activities are based on the Humanitarian Imperative and the Code of Conduct in Disaster Relief. The position is subject to CADUS policies, guidelines, and legal frameworks. CADUS maintains a strict no-weapons policy, and staff are expected to represent the organization with professionalism, neutrality, and respect at all times.

What we offer

• Competitive, market-standard compensation
• Travel, accommodation, and per diem fully covered
• Direct line management in-country, with close support from the Berlin back office
• Regular security checks and thorough deployment preparation
• Psychological and wellbeing support throughout the mission, including fatigue management
• Work in a highly qualified and motivated international team on a meaningful humanitarian mission
• Pre-deployment briefing and training, with post-deployment debriefing
• Context sensitive operational and living conditions
• Opportunities for professional development and on-the-job learning