ADELINE FELICITY OLIVER

• Scrub Nurse
• Gynaecological Obstetrics (emergency and elective surgeries)
• Paediatric surgeries (Orthopaedics, ENT, Plastic surgery)
• Acted as mentor to student nurses and midwifery students allocated to theatres where I was allocated
• Participated in general meetings and educational meetings
• Provided direct support to surgical team during procedures.
• Boosted efficiency during surgical procedures, anticipating surgeon needs and preparing necessary instruments for seamless transitions throughout each case.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Supported positive patient experiences by establishing trust and rapport pre-operatively, addressing concerns and answering questions.
• Improved operational efficiency by regularly examining, restocking, and replenishing surgical supply inventory.
• Prepared OR by ensuring it met asepsis standards, as well as setting out, organizing and counting tools and equipment for each procedure.
• Assisted in emergency situations promptly, employing critical thinking skills under pressure to deliver quality patient care.
• Enhanced teamwork among multidisciplinary medical staff by fostering open communication, creating an environment conducive to high-quality patient care.

• Company Overview: Project: Kenema Project Sierra Leone
• Theatres running 24/7 catering for emergency operations...C-Sections, Ectopic ruptures, DNC's Hysterectomy
• According to job description - Staff Supervision
• Data Collection and ensuring correct information entries into respective registers
• Pharmacy organization and maintenance
• OT general and specific procedures
• Strong focus on Infection Control
• Training of dedicated Hygienists for OT
• Attending meetings
• Good collaboration with all other vital departments to ensure smooth running of OT
• Assisting with Wound Care procedure in ICU, Maternity and Children’s. Wards
• Staff empowerment and collaborating with Academy programs for theatre specific Trainings
• Project: Kenema Project Sierra Leone
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Performed routine wound care and dressing changes on schedule.
• Educated patients on disease management, self-care techniques, and wellness strategies to improve long-term health outcomes.
• Implemented infection control measures that significantly reduced hospital-acquired infections.
• Provided emotional support to patients'' family members during critical incidents, strengthening overall trust in the healthcare team.
• Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
• Provided instruction to patients and family members before and after surgical procedures.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Assisted physicians in operating room by providing necessary supplies and equipment.

• Company Overview: Project: Ethiopia, Gambela
• Ensured the implementation, supervision and improvement of all OT and sterilization related activities in close collaboration with the expat surgeon and OT national staff, attention for the organization of the OT, proper planning of, utilizing the OT 24/7 and the management of HR
• Set up and implemented proper sterilization circuit and quality control of sterilization according to MSF protocols, supervised and trained OR and sterilization staff to the new set up.
• Identified, trained and empowered NS OT nurse supervisor to ensure continuity in management of the OT (in case of expat gaps) including improvement of pharmacy and stock management in the OT according to MSF standards.
• Organisation of OT and improving OR Practice and Sterilization
• Participation in Surgical IPD, doctor rounds
• Supporting and Training Nurses with regard to operating room procedures and Infection Control measures
• Working with all team players to ensure safe and smooth running of medical activities
• Ensuring meticulous Data Collection on weekly basis
• Instilling and promoting MSF values in the workplace
• Supporting the MSF IPC Supervisor
• Management of the CCU (Critical Care Unit) and training of the staff
• Improved patient satisfaction ratings by delivering compassionate and personalized care.
• Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.

• Company Overview: Project: Cameroon, St. Mary’s Hospital, Bamenda
• Project: Cameroon, St. Mary’s Hospital, Bamenda
• Streamlined activity scheduling and logistics, resulting in improved efficiency and reduced operational costs.
• Championed a culture of continuous learning, fostering an environment where staff felt encouraged to seek professional development opportunities.
• Assigned work to staff, set schedules, and motivated strong performance in key areas.
• Created and maintained detailed reports of daily, weekly and monthly operations.
• Trained and supervised staff to consistently meet performance goals and customer service standards.
• Inspected equipment and facilities for signs of wear or damage impacting safety.
• Partnered across departments to run smooth, professional events and activities.
• Developed strong rapport with patients, building trust and facilitating open communication during therapy sessions.

• Company Overview: Project: Palestine, Gaza
• Setting up dressing rooms
• Training of wound care
• Sterilization
• Training Scrub nurses
• Project: Palestine, Gaza

• Company Overview: Project: Mosul, Iraq
• Setting up dressing rooms
• Training of wound care
• Sterilization
• Training Scrub nurses
• Hospital Infection Control
• Project: Mosul, Iraq

• Company Overview: Project: Yemen Al Ghoumory MOH
• Responsible for OT and CSSD as well as setting up Post Anaesthesia Unit
• Recruiting and training of staff & supporting Anaesthesia Technicians
• Busy OT, 4 operating rooms, performing 20-30 surgeries on a daily basis
• Ortho paediatric and adult trauma, Neuro, General Surgery emergency Caesarian Section and Gynae
• Support and trainings for MALE (60 beds) and FEMALE (20beds) IPD
• ER Triage Resuscitation and Pharmacy support
• Trainings Infection Control for all MSF national staff
• Assist setting up committee in collaboration with MOH
• Project: Yemen Al Ghoumory MOH

• Company Overview: Project: Emergency Fuel Tanker Explosion Mission, Mozambique, Tete
• Assisted with trainings for Burns Patients - mass casualties
• Project: Emergency Fuel Tanker Explosion Mission, Mozambique, Tete
• Administered medications safely in accordance with physician orders and clinical guidelines, preventing adverse drug events.
• Mentored new nurses, sharing clinical expertise and fostering a supportive learning environment.
• Conducted comprehensive patient assessments to identify medical issues and promptly develop appropriate care plans.
• Promoted infection control practices by maintaining strict adherence to sanitation standards and protocols throughout the unit.
• Collaborated with interdisciplinary teams for optimal patient care and efficient resource utilization.
• Educated nurses about self-care techniques enabling them to manage their conditions effectively after discharge.

• Company Overview: Project: Yemen, Taiz Mother and Child Hospital
• Organizing OT and Sterilization
• Recruiting nurses for OT and Training in Scrub, Circulating, Recovery Procedure
• Supporting and improving Sterilization Department
• Organization of new neonate department- Implementing of strict infection control measures
• Staff support
• Supporting staff, organizing and also improving Laundry Services
• Training staff re hazards and safety standards- importance of using protective clothing.
• Assisting and supporting staff with implementation of Infection Control measures
• Formal and informal training organized for all staff members as well as cleaners
• Project: Yemen, Taiz Mother and Child Hospital
• Participated in quality improvement initiatives to optimize efficiency within the operating room setting.
• Increased patient satisfaction with thorough pre-and post-operative education on care plans and expectations.

• Company Overview: Project: Emergency Xenophobia Mission, Kwazulu Natal
• Main goal was to support the Ministry of Health during the ongoing violence of xenophobic attacks on foreigners.
• 3 shelters were identified where people were given refuge. Approximately 8000 people fled to the different venues.
• To render medical care to the inhabitants of these shelters. This was done from the MSF Mobile Clinic which we could bring onto the premises.
• Attending meetings with MOH to offer our support and make recommendations for water and sanitation.
• Health profiling- targets were children under five (5), pregnant mothers, lactating mothers.
• Collection of daily statistics.
• Project: Emergency Xenophobia Mission, Kwazulu Natal
• Increased patient satisfaction scores by consistently prioritizing exceptional customer service and compassionate care.
• Contributed to the overall success of the healthcare organization by actively participating in strategic planning sessions and collaborating with other department leaders.

• Company Overview: Project: Kunduz Trauma Hospital Afghanistan
• 80 bed hospital is the only trauma facility in north Afghanistan catering for Kunduz city and surrounding areas.
• The OT-3 operating rooms. One OR is dedicated for routine specialized Internal Fixation procedures such as Intra-Medullary Nailing, Plating and Screwing, Dynamic Hip Screws and also Pin Fixation.
• The other two OR's are used for emergency trauma general Surgeries.
• We did up to 15 -20 surgeries on daily basis which include between 5-10 new Emergency surgeries included neuro vascular, general and maxillo facial. All ages were admitted.
• Types of trauma- bomb blasts, motor accidents; falls from buildings or walls collapsing; gunshots; knife stabs and other violent traumas.
• A Post - Anaesthesia room where most patients were recovered. Only critical patients sent directly to ICU.
• Supervising 25 nurses and 1 national supervisor.
• Doing daily bedside training and weekly training for empowerment of National Staff in my department.
• Responsible for six (6) cleaners and five (5) Stretcher Bearers.
• Overseeing of the Sterilization Department.
• Worked in close collaboration with surgeons to ensure that daily activities were carried out safely and efficiently by discussing daily operation lists and scheduling patients correctly.
• Ensured that all requirements for specific surgeries are met. This is vital for the smooth running of the department.
• Did training with nurses on the usage and caring of sensitive equipment and instruments as well as in the Sterilization area on cleaning, packaging and sterilization of instruments.
• Kept up to date inventories for all equipment and instruments and electronic devices.
• Initiated the use of logbooks for nursing staff to ensure the knowledge of Infectious Control is maintained and followed through, thus creating an environment for continuous learning and execution of tasks for safe treatment and to standardize and benchmark OT nursing procedures.
• Delegated tasks to the National Supervisor and team leaders such as day to day administration preparation, drafting of monthly rosters and ordering of OT stock on a weekly basis.
• Project: Kunduz Trauma Hospital Afghanistan
• Assessed patients'' medical histories to anticipate potential complications during surgery, ensuring proper preparation and risk mitigation.
• Performed critical patient assessments during pre-operative phase, identifying potential risks and collaborating with the surgical team to address concerns.

• Company Overview: Project: Dorain in Jong lei Province South Sudan
• The Dorain Health Clinic was catering for the local population and patient load increased from 80 to 150 on a daily basis.
• Cases treated ranged from common colds malaria, parasitosis, burns and injuries and more serious cases that needed hospitalisation were referred to ICRC facility IPD.
• In the absence of ICRC expat staff we took care of patients admitted during nights and our referrals.
• Also the running of malnutrition programs.
• Weekly inventory and ordering of pharmacy items and medications.
• Supervision and training of local staff regarding pharmacy operations and dispensing of medication.
• Assisting with triaging, patient control and registration.

Activities

· Running of pharmacy

· Weekly inventory and ordering of pharmacy items and medication

· Assistance and training of local staff re pharmacy and dispensing of medicines in the medical clinic

· Assisting the medical doctor with consultation and prescribing medication for patients

· In addition I undertook and improved and trained two local staff in the wound dressing procedures and the administration of injections

JUBA-UNMISS camp between 20,000 and 30,000 accommodated refugees

· I assisted the team with the setting up of health clinic to provide Emergency care to the displaced people

· Assistance and training of local staff in pharmacy dispensing and procedures

· I also assisted in running and setting up of IPD and wound dressings.

· Checking of inventory and ordering of medication for daily consumption

• Company Overview: Project: Kunduz Trauma Centre, Afghanistan
• The OT has two operation rooms of which one was a dedicated strictly for IF procedures and the 2nd room for all emergency and general surgery.
• I was supervising 20 nursing staff which included the national supervisor.
• The Sterilization Room was also under my supervision and was staffed with 10 steri technicians and a supervisor.
• Two months later Advanced Dressing Room setup and management was added to my duties.
• This area proved very useful as many of our small procedure which required local anaesthesia was done here.
• All rules as for OT applied here. Plus minus 300 procedures were carried out on monthly basis.
• The main operations done in IF were Nailings, Platings and Screws Tension Band Wirings of upper and lower limb fractures.
• In the 2nd Operating Room all emergency and soft tissue injuries and external fixations were done.
• In IF room34procedures were done on a daily basis and in the second room between 8-10 procedures.
• Project: Kunduz Trauma Centre, Afghanistan
• Continually updated knowledge of current trends in OT nursing through attending conferences, workshops, and engaging in professional development opportunities.
• Evaluated patient progress throughout recovery stages, adjusting care plans as necessary to achieve desired outcomes.

• Company Overview: Project: Syria, The Cave Hospital
• Tasks assigned to me as OT Nurse include the following: Assisted the surgeons with operations.
• Teaching nationals operating room procedure.
• Supervising and also setting up sterilization area.
• Monitoring pre-disinfection, cleaning, packaging and sterilization of instruments.
• Also given the task to organise and manage the pharmacy supplies.
• The medical facility was housed in a cave which was always damp and dusty and this proved very challenging especially to maintain sterility.
• A well-equipped Operating Room where emergency surgeries were performed such as Laparotomy, gunshot injuries, debridement of burns and bullet wounds, application of exfix to fractures.
• Project: Syria, The Cave Hospital
• Served as an advocate for patients'' needs while collaborating with other healthcare professionals to ensure comprehensive care delivery.
• Promoted a culture of safety within the operating room by enforcing policies and guidelines consistently.
• Assisted surgeons in complex surgeries, ensuring optimal patient outcomes with attention to detail and precision.
• Contributed to positive working relationships among surgical team members with effective communication skills and collaborative problem-solving efforts.
• Improved surgical team communication through clear, concise, and timely updates during procedures.
• Provided emotional support for patients experiencing anxiety or fear prior to surgery, resulting in improved trust between nurse and patient.
• Mentored and trained new OT nursing staff, fostering a supportive learning environment focused on best practices.
• Reduced infection rates by maintaining a sterile environment and adhering to strict hygiene protocols.
• Managed inventory of surgical supplies, minimizing waste and ensuring availability for all procedures.

• Company Overview: Project: Lashkargah, Afghanistan
• Daily planning of operation lists.
• Project: Lashkargah, Afghanistan

Tasks assigned to me as OT Nurse include the following:

OPERATING THEATRE

Daily planning of operation lists

Enforcing aseptic techniques

Supervising sterility techniques for nurse anesthetists in the absence of anesthetist

Planning of monthly rosters and annual leave of nurses

Overseeing infection control of theatres

Planned mass circumcision drive for approximately 600 patients

Supervising recovery room and implementing safety measures

CENTRAL STERILIZATION DEPARTMENT

Planning monthly rosters and annual leave

Ensuring steps of decontamination and sterilization

Maintaining and keeping of sterility records of autoclaves

Supervising, caring, packaging and repair of broken instruments

Ordering and replacement of instruments

ICU & FEMALE MEDICAL & SURGICAL WARDS

Implementing of protocols and guidelines for patient care

Enforcing and overseeing cleanliness and hygiene of the departments

Planning informal teaching and bedside training for nurses

Assist supervisors with controlling of ward stock and ordering of ward medication

Planning of individual and specific patient care of supervisors and nurses. Patients include Cardiac patients, CVA’s Patients with unknown coma, burns, head injuries, severe eclamptic patients, diabetics and post-operative patients

Planning of monthly rosters and annual leave for staff

Participating in weekly medical meeting s for improvement of hospital and patient care

Empowering and building capacity of staff

• Streamlined the documentation process for accurate record-keeping and improved information sharing among team members.
• Demonstrated commitment to patient safety by consistently adhering to established protocols and reporting any discrepancies or concerns promptly.

• Enhanced patient care by developing and implementing efficient OT nursing procedures.
• Collaborated with interdisciplinary teams to create individualized patient care plans, resulting in enhanced recovery rates.
• Performed pre-operative assessments to prepare patients for surgery.
• Utilized sterile techniques and infection-control guidelines to maintain clean and safe environment.
• Sanitized, selected and organizing instruments, equipment and supplies according to surgeon preferences.
• Prepped operating rooms to comply with environmental asepsis standards.
• Coordinated with surgeons and staff to deliver safe patient care during operations.
• Provided effective bedside care to patients before and after procedures to deliver comfort.
• Collaborated with members of patients' healthcare team to deliver appropriate level of care.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Provided emotional support for patients experiencing anxiety or fear prior to surgery, resulting in improved trust between nurse and patient.
• Demonstrated commitment to patient safety by consistently adhering to established protocols and reporting any discrepancies or concerns promptly.

• Mentored junior staff members, fostering professional growth and development within the team.
• Monitored nursing care, patient assessment processes, and treatment implementations.
• Built rapport with patients and family members to deliver exceptional care.
• Consistently met regulatory requirements through meticulous record-keeping and timely reporting of incidents.
• Promoted a culture of continuous improvement by encouraging staff participation in quality improvement projects.
• Evaluated staff performance regularly, identifying areas for growth and providing constructive feedback when necessary.
• Successfully managed high-stress situations during emergency cases and mass casualty incidents, providing critical leadership and decision-making skills.
• Developed comprehensive training programs for new nurses, ensuring a smooth onboarding process.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Led multidisciplinary team meetings to review patient progress, adjust care plans as needed, and ensure optimal collaboration among healthcare providers.
• Coordinated seamless patient transfers between departments, ensuring continuity of care at all times.
• Streamlined communication between interdisciplinary teams to optimize patient outcomes.
• Managed 40 nurses and nursing activities in 8 operating theatres by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
• Established and continuously optimized unit schedules and individual work assignments.

• Consistently maintained accurate records of surgical procedures, ensuring proper documentation for patient care.
• Reduced surgery preparation time through efficient coordination with surgical team members and proper organization of equipment.
• Contributed to successful surgeries by meticulously maintaining a sterile environment during procedures.
• Ensured timely availability of essential equipment by proactively coordinating instrument sterilization processes prior to surgeries.
• Enhanced patient safety by diligently performing pre-operative preparations and effectively organizing surgical instruments.
• Provided compassionate post-operative care for patients, monitoring their recovery and reporting critical observations to medical professionals as needed.
• Demonstrated adaptability in assisting various surgical specialties, expanding knowledge base and skill set across multiple disciplines.
• Promoted a culture of safety in the operating room by actively participating in regular risk assessments and implementing corrective actions as needed.
• Maintained up-to-date knowledge on emerging and updated surgical procedures to select correct instruments for specific surgeries.
• Supported positive patient experiences by establishing trust and rapport pre-operatively, addressing concerns and answering questions.
• Prepared OT by ensuring it met asepsis standards, as well as setting out, organizing and counting tools and equipment for each procedure.

• Scrub nurse at various hospitals in Central London
• John Radcliffe Hospital ± 1 year in Oxford
• Royal Hospital Margate (South East England)
• Royal Victoria Hospital in Northern Ireland ±10 months

• Report to F-Grade Nurse
• Assist with the day to day task of theatre
• Prepare theatre for operations
• Informal teaching of junior staff in theatre
• Drafting of duty roster

• Manage staff in theatre ± 30 people
• Oversee anaesthetics, recovery and TSSU
• Procurement of theatre stock
• Maintain theatre equipment
• Staff training and development (Internal & External)
• Liaise with the consultants and support staff
• Drafting duty roster on monthly basis and leave authorisation

• Managed 2 gynae wards of 60 beds
• Supervise nursing staff in wards
• General and specific nursing care to patients
• Administrative duties
• Hospital duties after hours and weekends
• Promoted to Chief Professional Nurse

• Professional nurse at various hospitals in Johannesburg
• Handled emergency situations calmly while implementing appropriate interventions, stabilizing patients and preventing further complications.
• Improved patient outcomes by consistently providing high-quality nursing care and timely interventions.
• Assisted physicians during examinations and procedures, ensuring smooth workflows and positive patient experiences.
• Implemented evidence-based practices in daily nursing activities, promoting best patient outcomes.

• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.