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* News / Eastern Cape Warns Nurses Against Fake Nursing Advertisements by katty: Today at 01:31:20 PM
South Africa: The Eastern Cape department of health has warned against falling victim to job scams.

A scam calling for emergency medical services staff based at the Nelson Mandela Academic Hospital in Mthatha is doing the rounds on social media.

The fake job advert was on a website without the official health department logo.



The “ad” says the department is looking for 300 nursing assistants and 200 staff nurses.

The name of the hospital is written in small capitals.

It lists a Mr Makana as the contact person for applicants. Provincial health spokesperson Lwandile Sicwetsha said there was no such person in their employ.

“When there are government posts available they will be advertised on the correct channels,” he said. “If anyone has a doubt they can feel free to contact our call centre on 0800-032364 and they will be given the right information.”

● The department of health is hiring though: they are looking for a host of people including directors, deputy directors, assistant directors, a chief artisan, engineering technician and administration officers. Applications close on Friday.
Source : Dispatch Live
* News / 80 Indian Nurses Stranded in Kuwait Without Work, Residency by katty: Today at 01:22:07 PM
KUWAIT: Eighty Indian nurses promised jobs in Kuwait have been stuck here for more than two years due to paperwork and red tape. The group of nurses, all with nursing qualifications from India and recruited by health ministry officials, are living in government housing, but are unable to work because their certifications and licensing have been held up. “We are a group of 80 Indian nurses who came directly from India (Bangalore, Cochin, Delhi and Mumbai) and were hired directly by health ministry representatives after they held interviews from February to April 2015,” said Akhila Kumar, a 29-year-old certified nurse who is acting as the group’s spokesperson.

She said those who passed the written and oral exams – around 1,500 nurses in total – were hired and issued temporary visas that allowed them to enter Kuwait. The 80 nurses were part of that batch. Despite having a legal visa to enter Kuwait, the nurses were prevented from working due to a delay in paperwork. Placed in the nursing accommodation from March 2016, they were initially told to wait while their papers and documents were being processed.

In a few months, many of them got appointment papers. Other waited for a few more months, some a year, but these 80 nurses were left without being appointed. In the nurses’ accommodation, they are fed daily and have no complaints about this, but they need jobs. “Many of those interviewed with us are already working in the ministry. We, the unfortunate 80, are patiently waiting. We are stuck without jobs for the past 2.5 years now,” Akhila lamented.

The nurses allege that the problem stems from corruption in the recruitment process, according to a Kuwait Times source. The source claimed that the jobs of these 80 nurses were taken by another batch of nurses recruited through Dubai. In April 2015, the Indian government banned the recruitment of nurses through private agencies in a bid to stop massive fee requirements and corruption. Working with the Kuwait government, it established six approved agencies that could recruit nurses for Kuwait. But at the same time, some private agencies rerouted recruitment through Dubai. That recruitment process however was not recognized by the Indian and Kuwait governments, but those nurses still bagged jobs in Kuwait.

“We were hired legally in India but because of the hiring in Dubai (which was conducted without the knowledge of the Indian government), some of us who were recruited legally were affected. The corruption issue was exposed, so the government of India and Kuwait immediately blocked the recruitment of the nurses,” the source said. “When that scandal broke out, we were the last few remaining nurses waiting for the final appointment papers. We hope that the government helps us in this time of need,” Akhila appealed.

Another complicating factor that has added to the wait is the new certification rules from the Civil Service Commission. Previously, nurses recruited from abroad could start work while their qualifications went through the certification and licensing process. But in March this year, the CSC changed the rules. New hires must submit transcripts of overall grades of educational qualifications, attest work experience certificates from the foreign affairs ministry in Kuwait and verify certificates from India’s higher education authorities.

Nurses recruited from abroad cannot work in Kuwait for the ministry until all procedures and paperwork are completed. Akhila said the new rules have placed an additional burden on them. “To have degrees verified is a very tedious process because it takes time – at least two or three years – because it will pass through several major authorities: Kuwait’s health, education and foreign ministries. In India we have to submit the papers to the Kuwaiti Embassy, and from there it goes to our respective universities. After that it will be back to the same process to authenticate these certificates,” she explained.

“We are here for the last 2.5 years without work and now because of this new regulation, we are going to start the procedure all over again. We are not earning any money. We were hired in 2015, but are deprived from working and our families,” she added. The nurses have appealed to Kuwaiti and Indian authorities for help, but so far little has been done. “We filed complaints at the Indian Embassy on November 12, 2017 (labor complaint no. 3407), then to the Kuwait Nursing Association. They said they are looking for a rightful solution of our case. But time flies – we are now waiting for 2.5 years; this is injustice,” Akhila said.

A partial reprieve seemed near when more than half of the nurses learned in January that they had been approved for work visas from the health ministry. “Unfortunately, it was blocked by the Civil Service Commission pending some more documentation, which they said is necessary. The CSC wants us to provide documents that are not supposed to apply to us because we were hired in 2015,” Akhila said.

Joby Joseph, another complainant, said most of them are working mothers and need to provide for their families. Many paid recruiters to get a job in Kuwait or will pay out of their first few months’ salaries, an illegal practice that continues despite the Indian government’s efforts to reroute nurses’ recruitment through official government agencies.

“We have families to feed back in India, but we are stuck here for years. We have stayed because we need the job,” Joby said. “This is why we don’t say anything. We want this ordeal to end soon. We are exhausted and in an extreme situation, struggling and in deep frustration. If someone is ill, we cannot go to hospitals because we do not have civil IDs.” Despite arriving legally in the country with visas issued by the ministry, many of the nurses are now ‘illegal’ as they have not received work permits and have not had their visit visas renewed.

The nurses are asking to be appointed as soon as possible and compensated for the years they’ve been stuck without employment in Kuwait. “I am the eldest in my family of four. I told my fiance to wait for me because I wanted to resolve the financial problems of my parents first. If they are okay, then we can get married. That plan is on hold for more than 2.5 years now,” said one of the nurses who didn’t want to give her name for fear of more trouble. “I cannot even provide for myself. I don’t have even one dinar in my pocket. I am really very disappointed to the extent that I cry almost daily and pray that God ends this predicament,” she sobbed.

By Ben Garcia
http://news.kuwaittimes.net/website/80-indian-nurses-in-limbo-without-work-residency/
* Articles / Opinion : The Fertiliser Nurses And The Bumper Harvest by katty: Today at 01:17:20 PM
Ghana: We have degree nurses; their employment is their own headache just like any other university student. The ones that were given assurance of employment, even before they entered their various institutions of learning, are the ones giving the tune for my fingers to be dancing gracefully on the keyboard today. They prefer to call themselves bonded nurses, but I call them political fertilisers. We all know that when we have a bumper harvest, we credit it to our hard work, forgetting the humble fertiliser that sacrificed its life for the plants to grow well. Just as the fertiliser is only remembered during farming seasons, so are the political fertilisers that are only regarded during election seasons.



During the 2016 elections, it was pretty sexy watching the student nurses with their kalypo in one hand, while twisting their bodies like snakes in postures that seemed to heighten their swag than the vertebrae and spinal cord lessons they were taught. These nurses could not just understand why the very allowance that baited most of them to choose the nursing training college over the university, could be taken away from them just like that. Just like the penis, these nurses transferred their anger to the NDC in blue balls and they suffered the most excruciating pain of defeat. Luckily, the party that gave them more assurances and promises won and took over the mantle of leadership. The expectation was that, diploma nurses were going to be pampered with goodies like the way a baby last is treated. But the sad reality is that, if Ghana Water Company could connect these nurses' tears into their tanks, our pipes would never run dry.

Yes, it is a known secret that the nursing training allowance has been restored. It is also a public knowledge that, the twin sister of the allowance, that is the quota system, has also been restored. Sadly however, the cry of the new graduates from the various nursing training colleges is not their allowance anymore. Their cry is that, they are not being posted as their policy document demands. Their cry is that, those undertaking their mandatory national service have not been paid a penny for about five months now –let me stop underestimating, they have not been paid a penny since they started their service. Their anger is no more to the Mahama government. Their anger is that, after being trained to heal patients, they do not want to heal Ghana by enrolling in the NABCO Heal Ghana employment option. They say they disagree with the political parasites that kept this Ghana on its sick bed despite all the vast antibodies of natural resources. They say this Ghana can die but they will not heal it. But the most sympathetic ones have already applied to heal this sick Ghana at a sympathetic monthly motivation.

The Heal Ghana is enough attestation that the country needs more nurses at the various health facilities. When the Minister for Information said the government could employ 27,000 nurses in the 2018 budget, he did not lie but only revealed the reality on the ground. The unemployed nurses were however not privy to the ulterior approach the government was going to use and therefore misunderstood the Minister. No wonder most of these unemployed graduate nurses are still anticipating they will be given financial clearance to enjoy same salaries on the payroll like their colleagues. The government will still acquire the services of the over 27,000 as communicated by the Information Minister, just that they will achieve that through NABCO Heal Ghana. We have all been praying for a smart government. Sarcastically, what is smarter than obtaining the same labour force with same competence at a cheaper cost through a program that they can still use to boast of giving jobs to Ghanaians? Until the Ghanaian youth understands that the politician that is promising them jobs and honey is also looking for same job and honey through their votes, they will never gain freedom from their miserable lives. They will tell you they are doing you a favor by employing you to give health care to the impoverished electorates, but they will never let you know you have done them a favor by employing them to take home fat salaries through your vote.

The most convulsive of the shocks is that, the potbellied leaders of the Nursing and Midwifery Council, who despite enjoying normal salaries have gone on multiple strikes to demand salary increment, are advising their younger colleagues to accept a meagre salary on a NABCO Heal Ghana employment scheme. The leadership of these nurses has been permeated by the political class. So you still don't believe government has the perchance of muting conscious voices in leadership at all front by infiltrating the top hierarchy with party loyalist? The Nursing and Midwifery leadership loyalty is no more to the nurses and midwives. Their loyalty is to a certain political party and government. Whoever does not know this is either not in this country or is a member of the Jehovah Witness – the only group with little or no knowledge in the politics of this country.

The secret and most worrying fact is that, the over 30,000 nurses do not know their power. They simply do not know they can drown the voice of their corrupted leadership. They do not know they can continually ignite public discussion about their fate through nationwide demos and press conferences. They simply do not know they can keep the media talking about them. They do not know when they are crying in their hideouts, the politicians do not care. They do not know the politicians hate being talked about negatively in the media. The reality is that, Ghanaians know you are employed because our Minister told us so in the 2018 budget. If you are not employed, then you have to come out in your numbers and tell Ghanaians you are not employed as stated by the government gongo beater. The bonded nurses are not like any other graduate. They have been assured legally of their employment before they took the nursing training program. Their case is therefore special and that is why they ought to resist government's attempt of adding them to other graduates and enrolling them on NABCO. NABCO is good for those of us who were brazen enough to ignore the juicy employment assurance at the Colleges and enroll in the University –I'm not by this saying the university student does not deserve better employment.

Anyway, what is my business not minding my own business? I am a university student, and government does not owe me employment. But why should I not empathise with my bonded nurse friends who divert every conversation to their fate?Being a friend to these nurses is even becoming boring 'koraa'. They are even fertiliser nurses waiting to nourish the 2020 election for another political party to have a bumper harvest of votes, and I am also here wasting my time writing plenty. I bore 'sef'. Full stop.

The writer is a 5th year Doctor of Optometry student at the University of Cape Coast.

Source :https://www.modernghana.com/news/876833/the-fertiliser-nurses-and-the-bumper-harvest.html
* News / 27,000 Unemployed Nurses in Ghana to Embark on Massive Protest by katty: Today at 01:10:38 PM
Some 27,000 unemployed nurses and midwives will be embarking on a mass demonstration if the government fails to give financial clearance for employment at the end of August 2018.

In June, reports indicated that the unemployed nurses have been cleared financially enabling them to start their permanent employment in various public health facilities.



But the unemployed nurses and midwives have denied receiving financial clearance for employment from the finance ministry.

The National Executive Board (NEB) of the Ghana Nurses-Midwives Trainees Association (GNMTA) said they have had a series of engagements with the Ministry of Health to enquire about their financial clearance since 2017 but to no avail.

In a statement, the leadership of GNMTA said they were assured of financial clearance, since the government planned recruiting over 27,000 nurses and midwives in the 2018 budget.

According to them, the Minister of Health, Kwaku Agyeman-Manu, gave the assurance and stated that the clearance would be ready by mid-July but “we are in August and nothing credible and tangible has happened".

"What is preventing the government of the day from releasing financial clearance for the employment of these nurses and midwives if actually they have been budgeted for?" GNMTA quizzed.

The unemployed nurses and midwifes added: "As part of this demonstration, we are calling on our parents, trainee nurses and midwives, rotation nurses and all graduate unemployment nurses and midwives (GRNMA), national, regional and district executives, our senior colleagues (staff, nurses and midwives), sympathisers, opinion leaders and members of the general public to join us in this massive demonstration to register our displeasure as unemployed nurses and midwives to the government due to the manner in which they have pitifully handled the unemployment issues of graduate nurses and midwives, which, in the end, will have adverse effect on society at large.

"Secondly, we shall embark on what we call, ‘One Million Walk’ through the principal streets of the capital, Accra, to the Jubilee House. The group will come out with this One Million Walk to inform the government that since they are not ready to post us, we shall definitely advise ourselves when the right time comes because the false pretence has gotten to its peak and we can no longer bear it."

Source : Pulse
* News / Ghana FDA Prohibits Companies/Individuals from Advertising Cure for 44 Diseases by katty: August 19, 2018, 09:49:41 PM
Ghana’s Food and Drugs Authority (FDA), has listed more than 44 diseases for which advertisement for treatment, prevention or cure are prohibited in the country.

The FDA has directed that no media house or a person should advertise a drug, a herbal medicinal product, cosmetic, medical device or household chemical substance to the public as a treatment for a disease, disorder or an abnormal physical state unless the authority has approved the advertisement.



The diseases include alcoholism, amenorrhoea, appendicitis, arteriosclerosis, asthma, bladder stones, blindness, cancer, convulsion, deafness, diabetes, and diphtheria, diseases of the reproductive organ, dropsy, epilepsy, and erysipelas.

Others are; fibroid, gallstones, goitre, heart disease, hernia or rupture, hypertension, infertility, kidney failure, kidney stones, leprosy, leukemia, locomotory, systemic lupus erythematosus, mental disorders, nephritis or Bright’s disease, and obesity.
The rest cover; paralysis, pleurisy, pneumonia, poliomyelitis, prostate diseases, scarlet fever, septicemia, sexual impotence, smallpox, tetanus or lock-jaw, trachoma, and tuberculosis.

Mr. Emmanuel Nkrumah, the Head of Cosmetics and Household Chemical Substance Department at FDA, who made the revelation during sensitization training in Wa said: “They shall not be advertised either in a Live Presenter Mention (LPM) or in any form of advertisement.”

He said the FDA would crack the whip on anyone or media house that violated the law.

“No one shall advertise food unless the advertisement has been approved by the authority,” he stressed.

Mr. James Lartey, the Head of Communications at FDA, said many people were hiding behind social media and doing unapproved advertisement and those who contravened provisions of the law would be prosecuted and if found guilty could be liable to a conviction and or a fine not less than 7500 penalty Units.

“All media houses and advertisers are therefore urged to treat as important and comply in the interest of public health and safety,” he said.

He encouraged the public and the media to provide the FDA with information on activities likely to endanger public health and safety.



Source: GNA
* News / Picture Of Hospital Staff Honoring Organ Donor Set Social Media on Fire by katty: August 19, 2018, 09:29:29 PM
A picture post by a woman  Carrie Schnieders on facebook page about the honor walk given to her and her deceased husband who donated his organ has gone viral . The post had almost 2,000 likes and had been shared over 600 times as at writing this report. Below is the post and the picture:


Today was the worse day of my life. My amazing husband was pronounced brain dead around 9:30. He signed up to be an organ donor which made this day even more heartbreaking with all of the tests and pokes they had to do on my love. I know due to his bravery he will give the life to many people. (I should know how many tomorrow morning). Selfishly I cant see that far ahead and can only go with what I witnessed was done to Clete today. If they are able to use any organs he will be 1 of 100 people that are actually able to- which means Clete will live on through others.



The honor walk was so overwhelming with all of the people who came out to support Clete. I cant believe how many people care about us. The nurses said this is the biggest crowd they have ever seen. I am happy I took a picture (although it may not do justice) to show Cletey and Sam (and remind trent) and show them how brave and strong he is. Clete is the kind of man I want our boys to become and the kind of man I want our daughter to marry.

Continued prayers are greatly appreciated. Clete will technically stay in surgery to remove his organs until midnight-2am.

Special thanks to all friends and families who were here or sent prayers to us. Trent is having a difficult time understanding and unfortunately all of this fell just 3 days before his 9th birthday. He told me tonight all he wanted for his birthday was his daddy. I wish more than anything I could give that to him. He is excited to spend the day swimming with his friends from school. My heart absolutely melted when Trent and I came to the cafeteria and every kid gave Trent a big hug. These kids have such great hearts. Thank you to St. Al's amazing teachers and parents who are raising them with such love.

Also thank you to everyone who has donated time and effort into making our new life a little easier on us.
* Research / NursingNow Survey on Opinion Of Nigerian Nurses On Nursing Practice in Nigeria by katty: August 19, 2018, 08:58:16 PM
NursingNow Nigeria requests your participation in a brief survey on the opinion of Nigerian nurses on nursing practice in Nigeria.

This poll was designed to capture experiences of Nigerian nurses as the result will be used as a tool for implementing some of its campaign strategies.

Nursing Now is a three-year global campaign run in collaboration with International Council of Nurses and World Health Organization in a bid to empower nurses to take their place at the heart of tackling 21st century health challenges.



The survey is very short and will require approximately 3minutes to complete
 
To complete this survey click https://docs.google.com/forms/d/e/1FAIpQLSeuqL7_FrlIBexZByWmDbUtClPdlpgw9KwxGbDFFz0vW55mvw/viewform
* News / Nigerian Nurses Tasked On Respect For Professional Ethics by katty: August 18, 2018, 08:28:59 PM
Nigeria’s nurses have been advised to be more creatively determined to take the profession to the next level.

This was part of the Keynote address delivered at the Inaugural ceremony of the Retired Nurses Administrators Heathcare Initiative in Lagos.

Health Correspondent, Jacqueline Ogoh, reports that it was a gathering of retired nurses, but not tired as they said and apex nurses of the 26 General Hospitals, under the Lagos Health Service Commission, as well as top government officials.

The retired nurses who maintained they still have a lot they can contribute to government policies and programmes through consultations and official appointments, had, yet more guiding words, for younger nurses.

Asked if there are adequate penalties for nurses who divert hospital drugs for sale to make personal gains, Government representatives spared no word, on disciplinary actions, against culprits.

Relatives of patients, undergoing treatment, were advised to stick to visitation rules to avoid the disruption of healthcare administration..and the nursing were advised to get more determined to influence legislative decisions, that will ensure the profession, operates on the appropriate pedestal always.
Source : TVC News
* News / My Neonatal Story – From A Novice To Advanced Neonatal Nurse Specialist by katty: August 18, 2018, 08:22:36 PM
My story started seven years ago when I graduated from nursing school as a general nurse at the University of Rwanda in 2011. Shortly afterwards, I was appointed by Ministry of Health to work at the Rwanda Military Hospital (RMH) and when I arrived at the hospital I was allocated to work in the Neonatal Unit. It was not my choice to work in the Neonatal Unit. My preference was to work with adults and not neonates, but it was an order and I had to follow it.

I was terrified to work in the neonatal unit! I did not have any prior knowledge or skills to care for neonates. I did not get any neonatal training course during my nursing studies and it was my first time to enter a neonatal unit. So when I entered the neonatal unit, every thing was new to me. There was no identified person in charge of my orientation or an orientation program for new graduates. Instead, I was given the task to read the National Neonatal Guidelines; though I could not understand all the content. The senior nurses on the unit were too busy and did not have time to train me. However, I did my best to learn some neonatal skills from senior nurses, though due to the staff shortage I only had two weeks orienting to the neonatal unit.
Consequently, every single day spent on the neonatal unit was filled of worries, as my lack of neonatal knowledge and skills made me fearful to be alone monitoring the neonates. I hated lunchtimes as someone had to stay on the unit mentoring neonates and I did not like being that one nurse left behind by myself.
After one year of working in the neonatal unit, I had the first opportunity to be trained in neonatal resuscitation, though the expression, “the more you know, the more you fear” suddenly applied to me. After the training, I realized that my skills were harmful to neonates rather than helpful. I was saddened to realize that I had spent the whole year on neonatal unit without knowing how to hold the Ambubag and mask, and to provide positive pressure ventilation to the neonate. I could not stop blaming myself, thinking about all the neonates I had seen dying and perhaps with good skills I may have been able to save them.

A few months later in 2012, I had the opportunity to meet a neonatal nurse from the USA who came as a mentor at RMH as part of the Human Resources for Health (HRH) program. I was most fortunate to work with Vicky Albit a neonatal nurse. It was through her mentorship that enhanced my abilities and confidence to care for neonates. Since then, caring for neonates has become my passion!

My hospital organized a critical care workshop for nurses who wanted to work in neonatal and adult intensive care units, which were new services to the hospital. Selected nurses had intensive care courses and neonatal courses during a three-week period. After the workshop, only five nurses were interested in working in the Neonatal Intensive care unit (NICU) and they were sent for four-weeks training at King Faisal Hospital (KFH), the only hospital in Rwanda with a NICU. For the first time, I saw a neonate on mechanical ventilation. I was afraid to touch the baby, but through help with my mentor, I was taught how to care for a neonate on mechanical ventilation. Even though the clinical placement was brief, I gained the knowledge and skills to care for very sick neonates.

After the clinical placement at KFH, we were ready to open our NICU at RMH. We had more training sessions on medical equipment to use in our NICU including monitors, incubators, radiant warmers, CPAP machines, ventilator machines, syringe pumps, infusions pumps, ABG machine and others. At the opening of our NICU, I was given the hard task of unit manager of the new service and worked with my mentor to create clinical guidelines, protocols and policies. I faced many challenges to mange our new four- bed capacity NICU with shortages of trained staff, and lack of essential consumables and drugs. In addition, it was hard for the hospital administration to understand the needs of the new NICU in terms of nurses, consumables and drugs.
I remember how we prepared to receive our first NICU patient; we were ready with the medical equipment, drugs, nursing team and doctors. After many efforts to save the first patient – who was in septic shock with severe neonatal sepsis – the patient died. I remember how disappointed and discouraged I felt after that first attempt ended in failure. I was wrong to think that by having a NICU we would be able to provide life-saving care to all babies.

After the opening of our NICU, I worked with the neonatal nurse for another two months and I did my best to learn as much as I could, as I was the one now mentoring my colleagues. I could not imagine how we would be able to take care of the very sick neonates without our mentor. I had to take hold and control of everything; supervising and mentoring both the experienced and new nurses on the unit. A few days after our mentor had left RMH, a nurse who was caring for a sick neonate on mechanical ventilation called me, “Chief, please come and help me with the endo-tracheal tube as it is not well fixed and may displace easily.” I responded to the nurse, but I was terrified as I was not good at taping the ETT. But I said to myself, I have done this with my mentor, so I have to do it. I helped the nurse secure the ETT and we did it well. I was forced to do many skills because I was the assigned leader.

Even though I was considered to be the one with knowledge and skills in our NICU, I felt a gap in my training and I wished I could go to university to study neonatology. I had a role model in mind; I wanted to be like Vicky Albit the HRH neonatal nurse that I had met. After two years of leading our NICU, I finally had the opportunity to be in the first cohort of the Master’s of Science of Nursing – neonatology track – at the University of Rwanda.
It was not easy to study in the masters program; as I had to go to school three days a week and work four days a week. Though I was now a bedside nurse taking care of neonates in the NICU and no longer dealing with unit manager responsibilities. It was difficult balancing the demands of school, work, and family, but nothing could stop me! I was truly committed and I wanted to become a neonatal nurse. After two years of working hard, I graduated with a Master’s of Science in Nursing, in the specialty track of Neonatology. I am proud to be a neonatal nurse; I have gained a lot of knowledge and skills from school and the experiences of working in the NICU.

I have returned to the NICU unit manager position at RMH, where we still have the four- bed capacity due to limited medical equipment, with only two working CPAP machines and two ventilator machines. Our NICU is always full and we have a high demand for NICU services.

We face many challenges including lack of trained health care providers. There is only one neonatologist in the country; unfortunately he does not work at RMH, though I wish I could work with him.

The care that we provide to our neonates is limited as many times we have low or lack resources in our clinical settings. I see babies who could have been saved with surgical interventions, if we had more surgical resources. I see babies who died after surgery because of poor post-surgical management, such as lack of total parenteral nutrition. I see many preterm babies who died because they needed advanced therapy like surfactant. I see babies who died because they needed antibiotics that were not available or the family could not afford them. I see babies who died because of limited medical equipment such as ventilators or CPAP machines.

To work and manage a NICU in a resource-limited country is not easy; each day we struggle to give the best care we can to our neonates. The flowing is an example of our on-going situation.

A preterm baby who recovered well in the NICU post CPAP progressed to Kangaroo Mother Care (KMC). All of the NICU team was happy for such an achievement and I was happy to see the mother holding the baby in KMC. The following morning I entered the unit to see the nurses doing resuscitation and I was shocked to see that the baby that they were resuscitating was our KMC baby. I remained calm and quiet, and did not ask how the baby had gone in to respiratory failure. I was busy thinking ahead about the possibility of a ventilator machine, as we only had two and they were being used.

Neonates are amazing. The baby was moving the limbs, but without any spontaneous breathing needed intubation, as well as a ventilator machine. When I looked around I saw the baby’s mother in tears and I remembered how happy she was the previous day holding her baby. Then the on-call pediatrician notified me that King Faisal Hospital, the other hospital with ventilator machines, had no available machines for our KMC baby. The pediatrician advised me to inform the family that we did not have a ventilator machine and that we were going to discontinue positive pressure ventilation. It was a very sad situation to let a baby die because we did not have a ventilator machine. I told the pediatrician that we would find a ventilator machine for our baby. We had two machines in our NICU that were not in use because they were lacking spare parts. I was thinking that with the help of a biomedical technician we could find a working machine. I was trying to assemble the necessary equipment, when I saw the baby’s mother in tears. I did not want to face her, but I did, and I told her that we were doing everything possible to find a ventilator machine that could help her baby breathe. During that time of comfort, she wiped her tears and told me that she trusts us.

While we waited for the biomedical technician to come, I instructed the resident Pediatrician to intubate the baby for better ventilation. I was confident that we would have a working ventilator machine soon. The nurses on the ward alternated doing hand ventilation. After two hours the biomedical technician had repaired one machine and we put the baby on. The baby was doing well on the ventilator machine and all the team was happy. Unfortunately, the machine only worked for about four hours, when a nurse told me, “Your machine crashed,

it’s no longer ventilating the baby.” I was very sad as the nurse said, “YOUR machine crashed;” it was my responsibility to find another machine. The remaining machine was missing some spare parts that had been requested, but not yet delivered. In the meantime, I pushed the chief of biomedical services to do all he could to get the missing spare parts; it took more hours to get the spare parts and to repair the machine. Finally, the machine was repaired, and the baby was put on the machine again. The day was full of stress with many ups and downs, but finally ended well with success. The following days, I was happy to see the baby improving and to see the mother joyful once again. The baby had a quick recovery; was discharged from the NICU and is now doing well in KMC.

To be a neonatal nurse is not only delivering routine nursing care to sick neonates, it is going that extra mile (kilometer) and being present for babies and their families in NICU. In my daily activities, I am supportive of families that are worried about the outcome of their sick babies and I grief with families when we cannot save a baby. I feel happy when a baby recovers and graduates from the NICU; by either going to KMC in neonatal unit or going home. I work with a formidable team of nurses and midwives, who have not had the same opportunities as me to study neonatal, but they work hard day and night, and are dedicated to the care of neonates.

They are enthusiastic and willing to learn and I wish that they could all have an advanced neonatal course.
We have many challenges as nurses and midwives trying to establish a professional neonatal career path as it is still under development in Rwanda; there is no clear scope of practice, and even the MScN neonatal degree is not yet recognized by all Rwanda institutions. I am a member of the newly formed Rwanda Association of Neonatal Nurses (RANN). It is a new association, but I have a strong conviction that it will go far to promote a neonatal professional career and will undoubtedly improve neonatal outcomes in Rwanda.

I am working at a national referral hospital in Rwanda, one of the best neonatal units in the country, though our level of care is limited. I know the evidence based practice and I wish I could see and learn from other NICUs, both in resource-limited countries and high-income countries, where they use advanced technologies and practice. I will never be discouraged because I know that one day neonatal care will be a priority in my country and that we will have a high standardized NICU with well-trained health care providers and enough advanced medical equipment to save more lives.

Source : https://coinnurses.org/my-neonatal-story-from-a-novice-to-advanced-neonatal-nurse-specialist/
* News / South Africa: Gauteng Nurses Refuse To Wear Uniform Over Money Dispute by katty: August 18, 2018, 06:48:36 AM
Some Gauteng nurses reported for duty on Friday morning without their pristine uniforms after their union made a call that they not wear it.

This follows a dispute between the Democratic Nursing Organisation of South Africa (DENOSA) and the Gauteng Department of  Health over uniform allowance. Denosa said  they notified the department about this decision for nurses not to wear uniform until they are paid their allowance.



Any effort to give nurses a warning or send them home will be tackled aggressively by Denosa as this is the department of health's fault by not respecting collective bargaining, the union said.

"We have been asking for this money since April and the Money is around R2700 to R2800 and increases every year based on CPI for that current year. This is a resolution that was signed in 2005, Simphiwe Gada said.

"Denosa in Gauteng condemns the department’s unwillingness to pay nurses their uniform allowance despite the Department of Public Service and Administrations issuing a directive for it to pay uniform allowance to nurses. The matter of uniform allowance is a concluded collective bargaining matter and doesn’t need to be negotiated but implemented.

DENOSA has made many attempts to get this allowance paid without any cooperation from the Gauteng. We then referred the matter to the chamber which is a collective bargaining platform to compel Gauteng Health to give us a date to pay this. Again the employer came without any mandate to pay, this is despite also interventions from DENOSA to make the HOD of the department aware of the matter and asking him to solve it.

"These actions by the department of health are attempts to undermine collective bargaining and we will never allow that to happen. DENOSA Gauteng therefore calls on all nurses in Gauteng to stop wearing uniform until the employer pays uniform to all nurses in the province.

"DENOSA also calls on government to conclude on the matter of uniform and start providing nurses with uniform just like they provide other public servants with uniform like the police, soldiers etc.  It is our view that this small amount allocated for uniform doesn’t even cover all the needs of nurses as far as uniform is concerned.

The department of health was sent questions but had not responded at the time of publication.
Source :https://www.iol.co.za/the-star/gauteng-nurses-refuse-to-don-uniform-over-money-dispute-16612909
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