Update and Plans, May 3rd
2013.Wi-Fi Access in Holy Spirit Hospital.
The visit from the Internet Technology team from Don Gnocchi Foundation in April has resulted in the successful completion of Wi-FiÂ access to some departments in the Holy Spirit Hospital.
The departments connected are Dr Turay’s OfficeÂ Administration Office and Resurge Office, Telemedicine and Ultrasound department.This work completed the programme which was commenced by Mr Paul Drake of Resurge Africa when he visited in February.
Wi-fi connection enables access to E-learning programmes for Nursing and medical staff. This access will greatly increase the knowledge available for treatment and care of conditions and illnesses which we meet in the hospital daily.
I am looking forward to accessing E-learning programmes for the Nurse Refresher course workshops in the Holy Spirit hospital.
Don Gnocchi Foundation Project Coordinator. Â Ms. Esther Zappata has arrived to take up the position of Project Coordinator for Don Gnocchi. She will replace Mr. Sandros Greblo.Ms Zappata is here untill end of July to finalize the Don Gnocchi project. I am looking forward to working with her.
Medical and Surgical Skills Institute (MSSI) Ghana.
MSSI tutors visited the Holy Spirit hospital from 17th April to 23rd April Â and carried out three workshops for Nursing staff. These were two dayÂ workshops and the topics covered were Surgical Wound Techniques, Ward Management and Infection Prevention and Control (I.P.and C.)
MSSI tutors return on May 15th for a workshop on Basic Surgical Skills to complete the programme. Overall thirty five nursing staff from Holy SpiritÂ benefited from these workshops.Â Feedback from participants confirmed thatÂ the workshops were a great success influencing clinical skills and nursing attitudes in a positive manner.
Don Gnocchi Foundation funded this training.
Infection Prevention and Control (I.P.andC.) Committee.
One of the outcomes from the workshops is a plan to set up an I.P. and C. committee. Nursing staff will form this committee and the overall aim will be to strengthen and reinforce the importance of Prevention and Control of Infection within the hospital and to highlight areas which need improvement.
Matron, Nursing staff and myself are looking forward to developing this plan for the hospital in the near future.
Educational CDâs and Staff Library.
In the consignment that the Don Gnocchi Foundation sent recently I received very good CDâs in Topics in International Health like Malaria and Sickle Cell and Acute Respiratory Infection. These are very useful for teaching purposes in my nurse refresher courses.
Rainbow for Africa (RforA) has supplied a number of books for use by medical and nursing staff. We have received other books from other sources also and Mr Allen BurnsÂ from Resurge Africa has included books in the next shipment.
While a staff library is included in the longer term plan for the hospital, at the moment we are hoping to open a library on a small scale.Â This would aim to give access to the books to all nursing and medical staff while ensuring that books are returned and cared for.
Esther and I are hoping to get this up and running this month.
Rainbow for Africa. Training and Outreach.
RforA are returning from May 20th to May 31st.Â to complete the training programme for the trauma unit.
This training will be in the form of short snaps of training which will fit in with the nursingÂ ward cover and not disrupt that schedule to much.
Matron, Esther and I will work on that rota this week and the programme will be forwarded to the RforA team before arrival.
Sandros has assured me that there is a small budget available from Don Gnocchi Foundation to facilitate an outreach programmeÂ prior to the visiting missions in June and July.
These missions are RforA Orthopaedic team who visit from June 17thÂ to June 28th.Â and the Resurge team from Accra Ghana who visit from July 9th to 19th 2013.
RforA training team will be involved in this outreach and it is hoped to carry it out for two days in week 20th to the 24th May.
We are also planning to involve Burns awareness raising in this outreach also.
Esther, John Kanu, Jocasta and myself will work on these plans.
Hospital Incinerator and Bleach Programme.
Antonia Cittadino from Don Gnocchi Foundation has completed the above programme at the hospital. It involved supervising and training the hospital cleaning and laundry staff. Thanks to him the hospital incinerator is working again.
These members ofÂ staff are more aware of the importance of safe disposal of hospital waste and infected linens, and the hospital grounds are better cared for.
Nurse Led Diabetic Clinic.
This clinic has been opened now since Wensday 10th of April.
It is a weekly clinic every Wensday from 1000 hrs. to 1300 hrs.
The service involves Blood Glucose monitoring, Urinalysis, Body Mass Index, Eye examination and lower limb examination and Diet advice and general health care advice regarding Diabetes Care. A Diabetes Register is kept of all confirmed Diabetics and clients requiring medical treatment are referred to Dr. Turay.
The first clinic saw a large attendance because Registration, Examination and medicines were provided free of charge.
The last few weeks the clinic has been quieter however there is evidence that Diabetes is quite common within the community.
We keep Dr. Veronica Sawicki from London who carried out the original training informed of developments of the clinic.
A case of suspected Lassa Fever.
We have had a recent case of what was very suspicious of Lassa Fever. The laboratory tests were taken and sent to the treatment unit in Kenema district but to date the case has not been confirmed.
The young man was very ill and transferring him to the treatment unit in Kenema was considered but it was decided he would not survive the journey. He died within 48 hours of admission.
It was a sad and scary experience. However we were pleased that he was isolated quickly and all Standard Precautions and use of Personal Protective Equipment was initiated quickly by all staff involved.
So from that point of view it was a good learning experience.
A list has been recorded of all staff who were involved in his care and we were requested to monitor our temperatures for two weeks following the case. To date there have been no suspects among hospital staff.
Burns Case. Unfortunately there has been a recent burns case of a two months old child who did not survive.
The child received burns to the face and chest from an accident with hot water but the family did not seek medical assistance immediately.
When the case presented at the hospital the respiratory rate and temperature of the infant was increased. Examination and treatment was carried out by Dr Kamara the paediatrician and dressings were done under aseptic technique. However it did not survive the first twenty four hours of admission.
The Staff Bus.
This service is up and running at the hospital and most staff are pleased with the service. However it will only be when the rainy season really kicks in that we will know the real benefit of the bus assisting staff to get to work.
The Rains and the Staff and Residents at the Guesthouse.
Michael and all the staff at the guesthouse are fine.
Esther is getting settled in we will all miss Sandros when he leaves.Jocasta and I are
Everyone is waiting on the rains they have started but only in short bouts, it is still very hot, but what else can we expect we are in Makeni Sierra Leone.
Bye for now,
Rose Mc Daid.