lower umfolozi district war memoiral hospital … 2nd quarter issue - 2011 official newsletter of...

BAMBINO NEWS

2nd Quarter Issue - 2011

Official Newsletter of

LOWER

UMFOLOZI

DISTRICT

WAR

MEMORIAL

HOSPITAL

National Core Standards & Make Me Look Like a Hospital

2

Editor’s Message 3

LUDWMH in the Community 3

Revite on Schedule 4

Human Resource News 7

Post-Natal Team 8

Health Awareness Days 10

Medical Corner 11

Blood Donor Clinic 5

INSIDE THIS EDITION

WELCOME TO LOWER UMFOLOZI HOSPITAL

Bambino News 2nd issue—2011 2

LOWER UMFOLOZI DISTRICT WAR MEMORIAL HOSPITAL Official Newsletter of

NATIONAL CORE STANDARDS By: Mrs D Paliam - Quality Assurance Manager National core standards - Implementation

National Core Standards is a National certification process, aiming at improving the quality of care for patients. An implementation plan was compiled by the Quality Assurance Manager to commence roll out of National Core Standards at LUDWMH. A training conducted for Management Teams also included Quality Improvement methodologies. The baseline survey was conducted at all operational areas and the compliance from departments is commendable. The Quality Steering team will be championing the process to ensure that gaps are closed to comply with standards. Action plans will be expected to be implemented by Heads of Departments to correct deficiencies identified during the survey. Emphasis is also placed on the supporting evidence to be in place for all criteria listed in the National Core Standards. IDENTIFYING THE QUALITY GAP

PROBLEM OR OPPORTUNITY FOR IMPROVEMENT

The exercise will prove to be a valuable learning experience with continued commitment and support.

MAKE ME LOOK LIKE A HOSPITAL 6 PRIORITIES ENSHRINED IN THE NATIONAL CORE STANDARDS AND MAKE ME LOOK LIKE A HOSPITAL PROJECT.

Improving Staff values and attitudes

Waiting times

Cleanliness

Patient Safety and Security

Infection Prevention and Control

Availability of medicines and Supplies

The Make Me Look Like A Hospital Project is geared

towards shaping and improving Service delivery, in a

manner that enables patients to feel like they are a

“home away from home” with a back to basics approach.

PROGRESS THUS FAR:

Client Satisfaction survey conducted.

Monthly reporting on implementation of action

plans.

Management walkabouts (planned and unplanned).

QIP‟s on decreasing waiting times and triaging of

low risk cases.

Radiology Department has embarked on analysing the 6

priorities and identifying ways of strengthening

compliance. Their innovative ideas were showcased to all

departments as a Quality Improvement Project; other

departments were challenged to adopt the same

approach and to benchmark best practices internally and

externally.

Desired

state GAP

Current

State

3

EDITOR’S VOICE I feel honoured again to be afforded this opportunity to write on behalf of the editorial team in communicating our different activities that we‟ve been engaged in this quarter. We congratulate our out-reach team of Doctors for achieving the milestone in successfully launching the Vusizwe Project which is co-ordinated by the LUDWMH outreach team in collaboration with the Ngwelezane Hospital Primary Healthcare team. A warm welcome to all our staff members and interns who joined us this quarter, hope your stay with the institution will be a fruitful one. Condolences to all who lost their loved ones, may the Almighty continue to be your strength. As we all know by now that we are triaging all our patients that are coming into our labour ward, The patients that are low risk and not in labour are checked and referred back to their clinics for deliveries. Below is a little stats of deliveries from April: APRIL MAY JUNE DELIVERIES 839 904 798 TWINS 25 19 24 TEENAGERS LESS 18 YRS 70 85 66 PATIENTS OLDER 34 YRS 69 81 63

Dropping-off the collected clothes & blankets to D.I.C.E. are Gugu Mpanza (Left) & Zodwa Zikalala (right), received by Linda Zeelie, DICE Rep (Middle) .

More Boxes of Clothes and Blankets were donated to Women Like These Community Care, a very needy orphanage in Ndabayakhe. Little ones there are in need of even simple school uniforms.

WINTER WARMTH COLLECTION

THANK YOU!! We requested you LUDWM Family to extend a hand this winter and give those who are less privileged, we are very grateful for what you have done responding to that call; clothes, blankets, shoes etc. came and the big box in Reception is still kept full. With your generosity, we were able to give to D.I.C.E and Women Like These Community Care Centre and few more boxes were sent to Head Office for Nongoma Outreach that was organized from there. It is because of people like you that other people see the reason to live another day without pessimism. Ningakhathali... Only those who risk going too far can possibly find out how far one

can go!! -T.S Eliot -

LUDWM HOSPITAL

IN THE COMMUNITY

MEET YOUR EDITORIAL TEAM: Sr. A. Mouton, Mrs D. Paliam, Mr B Mhlon-go, Mrs Z. Zikalala and Mrs M. Hlophe. ABSENT: Dr N. Mayat/ Dr J Turner and Mrs C. Fourie.

Enjoy the reading… and look out for

the evaluation form (to be e-mailed),

where we value your comments &

suggestions about this Bulletin!!

Mrs Zodwa Zikalala - PRO



THE REVITE Project is still on schedule and is going according to plan. It is very exciting to report that safety of workers on site is of utmost importance, and thus no injuries have been incurred, said Bobby – The Site Manager The development comprises construction of a new „four floor‟ building adjacent to the existing building with a new Mothers‟ Lodge and parking area, upgrading of the helipad, new ARV Clinic, Staff Wellness Centre et cetera.

SWEET EASTER FOR OUR PATIENTS

Trelique Models

paid our patients

a visit on Easter

M o n d a y t o

celebrate the day

with them. They

brought them

sweet Easter

e g g s a n d

chocolate.

Above left: The Mothers‟ Lodge section on the left wing is on its completion phase. It should be completed around the end of August. Left: the four-storey wing on the right side is also progressively coming up.

5

GIVING IS IN OUR BLOOD!! Our big-hearted staff again participated in Blood Donor Clinic that was held on the 13th of May 2011, to donate in this quarter‟s Blood Donor Clinic. SANBS have sent a letter of appreciation and on their behalf, I am relaying their gratitude to all who donated!

OMAMA BOMANYANO BESILETHELE UMKHULEKO.

There are no traffic jams along the “Extra Mile” Roger Staubach.

Bekuculwa kumnandi, kwadliwa namazwi okuphila, baze bakhohlwa nayizinkinga abebenazo ngesikhathi kufike oMama Bomanyano base Methodist Church of Southern Africa, bezolethela iziguli Zethu umkhuleko. Omama laba bebephathele iziguli zethu izipho ezizidingayo kakhulu uma zilaliswe

esibhedlela ezifana nensipho yokuhlamba, okokugcoba okokwesula ubuso kanjalo kanjalo. Sedlulisa ukubonga okukhulu ngalokhu, njengoba injabulo ibibhalwe ubusweni beziguli Zethu.



CANSA RELAY FOR LIFE – A GREAT SUCCESS!

LOWER UMFOLOZI HOSPITAL took part in this year’s CANSA Relay For Life. The event took place on the 7th to 8th of May 2011 and it proved to be a huge success, packed with loads of fun and laughter. It was the first time the Hospital took part, but you could not see that. The Siyayinqoba Team was working together as one, and the night was enjoyed by all, tiring as it was, but because we were doing it for a good cause, not even the rainy conditions could stop us. Well done team, you really made the Hospital proud!! Salwyn, Zethu & the team, Thanks for the meals you prepared!!

THE FALLS

We were Visible enough…

Marketing at its best !!!

The Cross-Dress!! ‘Sihle was a He’

THE TEAM!!!

Danie and Zinhle from Maintenance busy working on our Ambulance, doing their bit for

Cardboard car race!!

7

HR NEWS

Appointments: April – June 2011

Welcome on board!! Hope your stay with us will be fruitful to you and

the Hospital at large...

NEW APPOINTMENTS Mr. NTT Mbuyazi Driver

Mr. SL Bhengu Driver Ms. S. O Mnqayi Out-reach Midwife

PROMOTION Dr. S Samjowan Clinical Manager : Medical

Ms. BZ Dube Telecom Operator

TRANSFERS IN Ms. HC Mkhize Prof Nurse General Grade 1

Ms. NE Maduna Prof Nurse General Grade 1

Mrs. NB Ndaba General Orderly Mr. TS Ndwandwe Transport Officer (on promotion) RESIGNATIONS Dr. BS Mhlongo Sessional Medical Officer

Ms. ZN Buthelezi Staff Nurse

Mrs. SPG Mpanza Social Worker : Supervisor

Ms. MT Mngomezulu Staff Nurse

Ms. MHF Banda Staff Nurse

Ms. NS Mnyandu Staff Nurse

Ms. GN Zakuza Staff Nurse

Ms. NN Ncamphalala Staff Nurse

Ms. BF Madonsela Radiographer

Mr. C Mhlongo Driver

During the months between April and June we were joined by new staff members and we wish them a warm welcome. We also bade farewell to our loyal employees who were going for retirement. wishing them a good rest. To the promoted: Congratulations!

APPOINTMENTS AND RETIREMENTS

RETIREMENTS

Ms. PA Ndwandwe General Ordery

Mr. WJ Fourie Finance Man. Officer

Ms. TE Zitha Nursing Assistant

ADMIN STAFF - In their beautiful Outfits.

Crazy Corner...!! Bayazetha abanye abazali izingane

zabo… have you seen the latest names:

Facebook B. Thwala

Twitter V. Khuzwayo

My Space Z. Mntungwa

You Tube K. Dlamini

Blackberry-red N. Buthelezi

Call-per-second S. Mabaso

MTN-Zone S. Mncube

Skype-to-Skype N. Mvubu

Subscription Z. Ndwandwe

Off-Peak N. Mbatha

Our Admin staff have decided to beautify themselves with these beautiful outfits, looking stunning from Admission up to HR. They look so professional in their lovely uniform. L - R: V. Mkhwanazi (Admissions-Repeat), S. Ntombela (Finance), B. Masikane (Admissions - First Visit), N. Myeni (Admissions-First Visit), N. Mthethwa (Receptionist X-Ray), Z. Khoza (Finance).

DEATHS Ms. DG Mthembu Linen Orderly 01 06 2011



WE VISITED “BEHIND THE SCENES” AT POST-NATAL WARD What exactly is happening at Post-Natal ward…!!!

DESCRIPTION AND LAYOUT OF POST NATAL WARD

Postnatal ward is an 86-bedded ward. It is divided into 2 sections, which are the Normal vaginal delivery

section and the caesarean section.

The structure is made up of 4 wings:-

Wing 1 on the north is for normal delivery section patients. It has 1x 3 bedded rooms which is our High

dependency area. In this room we admit patients from HCU, Special care unit and those patients who

require close monitoring. The high dependency area is also used as our resuscitation room for adults and

neonates. We also have 1 x 7 bedded rooms in which we admit im-

mediate post normal delivery mothers from the labour ward. These

patients are monitored ½ x 2 hours and then 6 hourly. We also have

1 x 2 bedded rooms in which patients with infectious diseases e.g.

chicken pox, TB etc. are kept in isolation. We also have 1 x 7 bed-

ded rooms where the normal delivery patients are nursed until they are discharged.

Wing 2 on the south is for post caesarean section patients. Rooms 3 and 4 are presently used by

psychotic patients. We have 1 x 8 bedded rooms for immediate Caesar patients from the Operating thea-

tre. Here patients are closely monitored ½ hourly x 2 hours and then 6 hourly. Caesar section patients

stay in for 3 days depending on their condition. We have 2x2 bedded rooms which accommodates day 0

and day 1 patients. We have 1 x 1 room which is used by the counsellor when counselling patients in the

ward.

Wing 3 on the east has 10 x 3 bedded rooms, which is used for the Caesar patients from day 0 to day 3.

Sometimes we also accommodate day 0 in theses rooms seeing

that the admission room is full. 1X room is allocated for social

worker, psychologist and social worker. 1 X room is used by the

Family planning. 1 x Room is used by the social worker.

Wing 4 on the west has 1x4

bedded rooms, which is utilized

by Caesar section mothers.

Our Vision

To see happy mothers and

healthy babies in this unit

with stable health status

Our Mission

To Provide a safe therapeutic

environment for both mother

and child after delivery.

Outside Passage at the entrance of Post Natal Ward This is an extension of the post natal ward normal delivery section. This area has 1 x 12 beds. This room is used by normal delivery mothers and also mothers who have lost their babies.

Sister Mkhize

Operational Manager,

Post-Natal Ward

9

Our Procedure Post Natal Ward receives patients internally from L/W, HCU, SCU and Mothers lodge. On

admission the patient is monitored, given Health education, Baby immunized, Mother given

family planning, HIV counselling. Rooming in is being practiced where mother and baby stay

together until discharged? Mother is taught to exclusive breastfeed her new born baby. After all

these procedures mother and baby are discharged by a Doctor. A discharge summary is completed

and given to the mother

which she produces at

the local clinic. The nurse

collects TTO for the

patient from the Pharma-

cy, signs mother and ba-

by in a discharge register

thereafter collects her

files and refer her to the

clerks to have her

im m un i za t i o n ca r d

stamped.

Our Challenges are: Staff shortage -Vacant posts

not filled due to staff

transfers, deaths and pension.

Patient privacy- not properly maintained due to shortage of dividing curtains.

Beds - beds from re-vitalization are of poor quality and not safe for mother and baby.

Isolation rooms-We don‟t have proper isolation rooms for infectious cases e.g. TB, chicken poxes.

We are presently using Rooms 11, 12 and 13 to care for these patients.

Lack of space-there is a lack of space in the unit. We presently have 3 beds in some of 2 bedded

rooms. Patients do complain of not having to move around comfortably.

Our Strengths Despite our staff shortages we have developed good team spirit with each other for the effective

functioning of the unit. Post Natal ward is involved in assisting the community by providing baby attire

for the newborn baby on discharge in the event that the mother doesn‟t have. We also assist the

mother financially in the event that the mother doesn‟t have transport fee to go back home.

Making a change: “When you don’t do anything about your own life, Your life will never change.

So, when you want to make the world a better place, Take a look at yourself and then

make a change from within you”. Mammy!

THE HARD WORKING TEAM OF POST-NATAL WARD!!



World No Tobacco Day - 31 May 2011 SANCA ZULULAND had a table and display in our foyer to educate our staff about the

dangers of smoking and how they can

assist people who want to stop smoking.

The event was coordinated by

Occupational Health Clinic and Health

and Safety department and it proved to

be a great success. Staff and patients as

well as visitors were given informative

talks and those in a rush were free to take

flyers for reading at their own time.

w as also com-memorated i n o u r hospital.

What is substance abuse? Substance abuse is the abuse of a drug or chemical which changes or affects our behav-ior, actions and which leads to severe distress. This in-cludes the abuse of medica-tion, alcohol or other illegal substances. This can affect a

person’s physical health and personal or social behaviour.

Signs of substance abuse: • Failure to work, attend school, or general strange behaviour at home • Repeat-ed absences or poor work performance • Neglecting the house or children • Driving or operating a machine while under the influence of a substance. www.kznhealth.gov.za

CHILD PROTECTION WEEK

SANCA DRUG AWARENESS WEEK 20 - 26 JUNE

Working with Social Services department

and the events committee, the reception

foyer was given another look with the posters

and information display for much needed

awareness. We were also selling the blue

ribbons on behalf of Reaching out (the NPO

Centre that gives support to the victims of

domestic violence). Much appreciation to all

staff for all your support.

11

MEDICAL CORNER AREA 3 OUTREACH

LUDWMH as a level 2 hospital is

responsible for 16 hospitals and

160 Clinics in Area 3. the support

is given to these hospitals and

clinics through outreach by O & G

Specialists and Midwife. Through

audit meetings, the outreach team

ident i f y areas of t ra in ing

(in-service) and mentoring support.

Whenever possible, not all cases

are referred to LUDWMH but the

specialist consultants go out to

attend to difficult clients and would even do operation if equipment and environment allows at the

peripheral hospital. The support is also given through telephonic ward rounds, discussing about the

patients that they may have in these facilities and the potential of some being high risk patients to be

referred to LUDWMH. There are six Targeted Maternal Interventions (TMI‟s) identified for 2011-2012 to

improve maternal & perinatal outcomes, that is, PHC: 1. HIV in Pregnancy; 2. Hypertension in Pregnancy,

and 3. Intra-uterine growth restriction.

Midwife Obstetric Unit (MOU) training: 1. Obstetric hemorrhage; 2. Intrapantum Care and 3. Neonatal

resuscitation. Most of area 3 hospitals and clinics have already been trained as from April 2011 on HIV in

Pregnancy (Vusizwe project) and using PEPET gab register to monitor the PMTCT efficiency for all

patients with HIV in pregnancy. The launch of this project was at Khandisa Clinic on the 30th May 2011.

The training, which is ongoing until July 2011 is underway, and all hospitals & clinics in area 3 will be

trained on PHC targeted maternal interventions. The MOU TMI‟s will commence in August 2011.

The monitoring of the project will be continuous until March 2012 whereby an evaluation will be conducted

and results will be disseminated at the perinatal priorities conference in March 2012.

By: Sr. S. O Mnqayi - Outreach Midwife

THE OUTREACH TEAM: Dr Ismail; Dr Mayat; Sr Mnqayi; Dr Akpan; Dr Wessels; Dr Batchelder and Dr Kambaran.

NURSES’ DAY COMPETITION WINNER!!

We took part in the Bio-oil regional competition that was looking for shining Nurses that are living the values displayed by Florence Nightingale. The overall regional winner that took home R5000 cash was from Entabeni Hospital. The consolation prizes for our local outstanding Nurse went to Sr P.P Ndlovu from Ante-Natal Ward. She was nominated by quite a number of our colleagues but the winning letter was the one written by Thokozani Mncwango, thus he also got the prize. Well done and congratulations to both of them!!


PICTURES TELLING THE STORY ABOUT THE CANSA RELAY FOR LIFE!!

Can you recognize

them..??

STROLLING are: Zinhle Gumede, Lucky Mlondo, Sifiso Sithole, Zodwa Zikalala and behind is Nathi Mtshali, during the Cross Dress Lap… then, everybody had a great

time!

Above: This was During the „C‟ Lap, thanks to Sihle, we took part in this one as well!! Below: Man-power that ensured set-up on time… well done team!!

SPOTTED WORKING

HARD ARE THESE TWO

GENTS FROM ASSETS

Clement Nyandeni (Left) and

Phillip Khumalo work at assets

department and they were seen

here busy moving some assets

from their section to the new

office.

13

RBCT CHARITY RELAY RUN 23 JULY

SANCA WALK 13 AUG

BREASTFEEDING WEEK 1-7 AUG

NATIONAL IMMUNISATION 1-7 AUG

PHARMACY WEEK 5-11 SEPT

INT’L FOETAL ALCH SYNDR 9 SEPT

WHAT’S UP!!

With June having the Drug

Awareness Week, check this

Poem out!

DRUGS CHANGING STORY

Tiny smoking joint is where we reside we are unstoppable like

Ocean waves but lately I can‟t breathe properly nor think of

anything without my cannabis I hardly keep it together when I‟m not Stoned

or drunk.

When I‟m in action all is Just loose & I feel my head for

Reaching for the clouds up high since we‟ve been on this

Marijuana struggle from the early Hours of sunrise

Mind you this is my daily routine I am a living proof of drug abuse I‟m sure if you were to look close

&Deep right in the center of my iris You‟d somehow notice my pupils

never really return to normal. I‟m high on crack every minute

I hit my stress levels or when I‟m Broke, dagga is the best option

Since It‟s easy to find & affordable My parents were somehow

concerned of this sudden change of character because I was rather quiet for cancerian. Sadly Like any other

habit grows I eventually got more hooked & as Asthmatic as I was I couldn‟t put

Down the pipe. I ran out of money but my home

Furniture seemed convenient to feed My hunger for a fix I sold all portables

My clothes included but when my best friend overdosed on morphine and kicked the bucket I lost hope in

this mission alone.

I was shaken & said to myself I‟m next if I don‟t tread carefully It was there & then I made a choice & my

choice was to live clean drug free as hard as it was like a snake I had to

shed off that old skin

It was hard to allow myself to say I have a problem because the drug life

seemed sane & worth It. Admitting myself to a drug

clinic was my first step to normal, my second step was the hardest

challenge faced because the cravings were ten times greater than when I

was using in the past

I‟m proud to say I‟ve beaten drugs at their best, I'm proud of myself for not giving in as they were driving me to

my grave I'm now picking up the pieces of my life that I wasted on smoke & molecules, on fun & not seriousness but in this moment &

time I‟m a hero to my community for shaping a formless being into an

asset. “DONT DO DRUGS THERE ARE

BETTER WAYS”

By: T-Eyes

FOLLOW US ON: www.kznhealth.gov.za/luwmhospital.htm

No 29 Union Street, Empangeni

Private Bag X 20005 Empangeni 3880

Tel: (035) 907 7000 Fax: (035) 792 2596 E-mail: [email protected]

LOL…!! Danger of Changing Jobs: A passenger in a taxi tapped the driver on the shoulder to hand him the money. The driver screamed, lost control of the cab, nearly hit a bus, drove up over the curb and stopped just inches from a large plate glass window. For a few moments everything was silent in

the cab, then the driver said, "Please, don't ever do that again. You scared the daylights out of me." The passenger, who was also frightened, apologized and said he didn't realize that a tap on the

shoulder could frighten him so much, to which the driver replied, "I'm sorry, it's really not your fault at all… “Today is my first day driving a cab. I have been driving a hearse for the last 25

years."

lower umfolozi district war memoiral hospital … 2nd quarter issue - 2011 official newsletter of...

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