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* News / #NursesTakeDC : Nurses Take Fight Against Understaffing to Washington DC by katty: Today at 12:50:34 PM
Understaffing is a chronic problem in medical institutions, particularly among the nursing staff. Nurses are often asked to cover more patients than they should be handling in a shift, which leads to medical errors and nurse burnout. On April 25-26, almost 2000 nurses will descend on Washington DC to fight for legislation that would establish fair nurse-to-patient ratios.

Laura Gasparis Vonfrolio, RN, PhD, ran the first march with 35,000 nurses in 1995. The event was revived last year by the organization Show Me Your Stethoscope, and drew roughly 1000 attendees.

After a day of legislative education and networking, the #NursesTakeDC Safe Staffing Rally will be held on April 26 at the US Capitol Building between 10:30 am to 2:30 pm. The rally supports House Bill 2392 & Senate Bill 1063, the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017, which is designed to establish federally mandated requirements for nurse-to-patient staffing ratios in acute care hospitals. After the rally, attendees will meet with their local legislators and staff to present their cause.

A Congressional Research Service summary of the bill explains that it “amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit.” Hospitals would be required to post a notice about ratios in each unit and maintain records of actual ratios for each shift in each unit. In addition, the bill proposes that Medicare cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with these ratios.

The bill cites numerous studies that have shown that patient outcomes are directly correlated to direct care registered nurse staffing levels. Specifically, a 2010 Health Services Research study concluded that implementation of minimum nurse-to-patient staffing ratios in California has led to improved patient outcomes and nurse retention. A 2014 Agency for Healthcare Research and Quality study concluded that increases in nurse staffing and skill mix would lead to improved quality and reduced length of stay at no additional cost.

According to a study published in BJM in 2016, researchers at Johns Hopkins Medical Center determined that, if the coding system used by Centers for Disease Control required death certificate data to capture communication breakdowns, diagnostic errors, and poor judgment that cost lives, then medical errors would rank as the third leading cause of death in the United States.
Oncology Nursing News
* News / Lagos JOHESU Notifies Lagos Government, to Join National Strike on 9th of May. by katty: Today at 12:44:23 PM
-Implementation of Nursing Internship
-Implementation of unified scheme of service
-Implementation of circular on HND
-Implementation of Uniform allowance among others

The Head of Service
Public Service Office

The Joint Health Sector Unions (JOHESU) is a coalition/collaboration of five (5) Registered Trade Unions within the health Sector federally as well as in the 36 States of the Federal Republic of Nigeria These Unions are:
1. Medical and Health Workers' Union of Nigeria (MHWUN).
2. National Association of Nigerian Nurses and Midwives (NANNM),
3. Nigeria Union of Allied Health Professionals (NUAHP)
4. Non-Academic Staff Union (NASU)
5. Senior Staff Association of Universities, Tertiary Health Research Institute an d Allied Institutions (SSAUTHRIAI).
With respect to Lagos State, the first three (3) of the above named Registered Trade Unions operate within the State Health Sector.

The coalition/collaboration was born out of the inalienable desire of the concerned Registered Trade Unions to forge a common front on issues of common interests. It is also a convenient option for collective bargaining as supported by the extant Trade Unions Act. 2004 (as amended) and the Fundamental Human Rights to Peaceful Assembly and Freedom of Association enshrined in Chapter IV of the Constitution of the Federal Republic of Nigeria, 1999 (as amended).
JOHESU is also a coalition recognised by the Federal Ministry of Health (FMoH), Federal Ministry of Labour, Employment and Productivity, the National Industrial Court of Nigeria (NICN), the National Assembly and the Presidency.
Kindly recall that on the 30th of September, 2017, the National Strike Action that was called by the Joint Health Sector Unions (JOHESU) was suspended nine (9) days aFter it begun to afford the Federal Government the opportunity of working within the mutually agreed five (5) weeks to honour the agreement it freely entered into with JOHESU.
Recall also that JOHESU Lagos State was amply magnanimous in reconsidering its decision to join the National Strike Action called in September. 2017. The not to join was borne out of our commitment to industrial peace and harmony, compassion for the patient as well as the need to provide the platform for continuous engagement with the Lagos State Government with respect to our agitations for better welfare and career packages for our members.
Unfortunately, no single item of the agreement and resolutions that were reached in the wake of the Suspended September 2017 National Strike Action at the meeting anchored by the immediate past Head of Service on the 29th September 2017 as well as that which was held with the Hon. Commissioner for Health on the 15th January, 2018 had been implemented up till the present moment (ANNEXURE "A").
More worrisome and saddening however, is the fact that every item of negotiations with the Medical Doctors. including the implementation of the Corrected Consolidated Medical Salary Structure (Corrected CONMESS) was done with utmost despatch.
We wish to view this lackadaisical attitude of the Lagos State Government to the agitations of our members as playing double standards.
JOHESU Lagos State wishes to formally mike the Lagos State Government aware of the resumption of the Suspended National Strike Action at the Federal Public licalth Institutions. This National Strike Action became inevitable after exhausting, to no avail, all avenues for meaningful dialogue with the Federal Government.

The Suspended National Strike Action resumed midnight of Tuesday the 17th April, 2018 to press home the demand for:
1. Upward adjustment of the Consolidated Health Salary Structure (Corrected CONHESS) as was done for the Consolidated Medical Salary Structure (Corrected CONMESS)
2. Implementation of Court Judgements and Gazetted Government Circulars
3. Employment of additional Health Care Professionals
4. Arrears of Skipping of CONHESS 10
5. Upward review of retirement age from 60-65 years.
All the State Chapters of JOHESU nationwide have been placed on RED ALERT to join the National Strike Action within 15 days of the recommencement of the National Strike Action if the Federal Government failed to accede to the above requests by honouring the agreement it freely entered into with JOHESU on the 30th September, 2017 (ANNEX URE "B"). JOHESU Lagos State Chapter therefore demands the immediate implementation of all the items of resolutions reached at the meetings held with the following Lagos State Government personalities:
1. Head of Service on the 29th September, 2017
2. The Chief Medical Director LASUTH on the 3rd October, 2017
3. The Hon. Commissioner for Health on the 15th January, 2018.
Additionally, we are by this letter demanding the implementation of the following long standing issues which are subjects of the National Council on Establishments (NCE) Circulars:
• Unified Scheme of Service for Nurses as approved by the National Council on Establishments in 2016.
• Internship for graduates of Nursing Services as approved by the National Council on Establishments in 2016.
• Uniform Allowance for Nurses as stipulated in the Lagos State Public Service Rules.
• Implementation of Circular on Clarification on the Review of Salary Entry Point for holders of the Higher National Diploma (HND).
In the light of the foregoing, the Lagos State Govemment is hereby put on notice that unless all the outstanding issues as mentioned above are speedily implemented, JOHESU Lagos State Chapter shall be left with no other option than to join the National Strike Action in the next fifteen (15) days with effect from today the 25th April, 2018.
In effect, this notice terminates on the midnight of Wednesday 9th May, 2018.
JOHESU Lagos State Chapter hereby assures the Lagos state Government of our co-operation in maintaining Industrial concord in the State.
Aluta Continua, Victoria Ascerta.
Comrade Tajudeen Olatunji
State Chairman NUAHP
Comrade Sode W. Adegbenro
State Secretary NUAHP
Comrade Rasaq A. Falade
State Chairman MHWUN
Comrade Oluwasanmi Lawrence A.
State Secretary MHWUN
Comrade Julius o. Awojide
State Chairman NANNM
Comrade (Elder) Otaru S. Daniel
State Secretary NANNM
1. The Speaker Lagos state house of assembly
2. The chirman, lagos state house of assembly
3. The chief of staff to his excellence
4. The Hon. commissioner for health
5. The Hon. commissionet for Establishments Training and pensions
6. The Special Adviser, Primary Health Care
7. The Senior Special Assistant on Labour Matters
8. The chairman, Lagos State Health Servoce Commission
9. The Permanent Secretary, Primary Health Care Board
10. The Chief Medical Director, LASUTH
11. The Chairman, Joint Negotiating Council (Trade Union)
12. The Chairman, Nigeria Labour Congress (Lagos State)
13. The Chairman, Trade Union Congress (Lagos State)
14. The Director, Department of State Security (Lagos State)
15. The Commissioner of Police (Lagos State)
* News / #JOHESUStrike2018 : UCTH can’t implement ‘no work, no pay’ policy – CMD by katty: April 25, 2018, 11:15:16 PM
Chief Medical Director of the University of Calabar Teaching Hospital (UCTH), Professor Thomas Agan, has said that the management of the hospital cannot implement government’s “no-work, no pay” policy because the striking workers are employed by the government itself and their salaries are paid by the Federal Ministry of Finance.

Professor Agan made this known in Calabar while speaking on the impact the strike has had on patients in the hospital as well as the issues that conduced to the strike.

“The employer of labour is the government itself and I agree that the ministry wrote a letter where they said we should apply the no work no pay rule and we should make an alternative arrangement.

“All those things boil down to money and I don’t know where we will get the money to employ. The government is a major employer of labour so like I tell people, no work no pay should actually be applied by the government itself because salaries are paid from the ministry of finance and not the hospital so government has the right to suspend payment of all salaries until people return to work”, the CMD said.

He decried the industrial unrest that has bedevilled the health sector in recent time stressing that the health sector has been virtually paralyzed because of intermittent strike actions.

Professor Agan who is also the Chairman of the Committee of Chief Medical Directors in the Country said the committee is distressed by the frequent strike actions and called on all to have respect for human lives.

“At my own level which is the committee of CMD’S, we feel pained that this matter is still lingering because, at the end of it, we are the ones who are sitting at the border. At the end of the day, the government will ask us what did you do, how did you manage the situation and what happened.

“We will continue to work with the government to ensure that all lingering issues in the health sector are handled. All we need to do is to trust one another, have respect for one another and also for the human life. The life we are protecting may be our own lives and like I always tell people, the death of one person may mean zero percent to the nation but it can mean 100 percent to the family directly involved”.

Source : Oracle Newspaper
* News / Nurses Plead With Nigerian Govt To Declare State Of Emergency In Health Sector by katty: April 25, 2018, 09:30:15 PM
The National Association of Nigerian Nurses and Midwives (NANNM) on Wednesday pleaded with the Federal Government to declare a state of emergency in the health sector.

Mr Wale Olatunde, Chairman, NANNM Public Health Institutions Sector, made the call at the on-going annual labour workshop in Abuja with the theme, “Harmonious Trade Dispute Resolution: A Panacea for Healthy Industrial Relationship”.

Olatunde said that such measure would purge the sector of inefficiency and corruption.

He said there was need to liberate the administration of health care system from doctors, who, he claimed, were ruining the public health institutions “through privatisation.”

He urged the Federal Government to ensure full and urgent implementation of the terms of agreement it entered into with the Joint Health Sector Union (JOHESU) on Sept. 30, 2017.

Olatunde said that urgent implementation of the said agreement would save Nigerians further pains and untimely death.

According to him, the agreement was supposed to have been fully implemented five weeks after but almost seven months after, nothing had been done.

He claimed that medical doctors were deliberately ruining the health sector and ensuring industrial disharmony for pecuniary gains.

“This is to promote their private practices that are often the beneficiaries of industrial crisis in the health sector.

“By so doing they make the vast majority of poor Nigerians who cannot afford their private facilities to suffer and die unnecessarily.

“Their allegiance and loyalty is more to their medical profession than to the good people of this country.

“Countries with best health indices within and outside Africa do not leave the administration of health care system in the hands of medical doctors as a birth-right.

“They rather depend on the best hands from within and outside the health sector, ” Olatunde said.

He said the workshop was aimed at exposing the union’s executives at the national and the local levels to the rudiments of trade union practice for efficiency.
Source : PM News
* News / We had no agreement with striking JOHESU Members, FG says by katty: April 25, 2018, 09:16:09 PM
The Minister of Health, Prof. Isaac Adewole, on Wednesday said the Federal Government said no agreement with the striking members of the Joint Health Sector Union.

Adewole said this in an interview with State House correspondents at the end of the weekly meeting of the Federal Executive Council held at the Presidential Villa, Abuja.

The minister said the only documents the striking union had presented to the present administration were minutes of meetings its leadership had with the last administration.

He said the government could not implement minutes of meetings which could not be said to be an agreement.

He said, “When we came on board, they (JOHESU) only presented to us minutes of previous meetings with the past government and we said we can’t implement minutes of meetings.”

Adewole also claimed that the government had implemented 14 out of 15 demands made by the union.
Source : Punch Newspaper
* News / #JOHESUStrike2018: JOHESU Directs Members in States to Begin Strike 9th of May by katty: April 25, 2018, 08:03:36 PM
Nurses and other JOHESU members in the employment service of state government are to begin indefinite strike on 9th of May, 2018 according to a directive from johesu national body

The National President
ALL NAC Members
ALL State Chairmen/Secretaries
Chairman/Secretary Federal Health Institution Sector
Dear Comrades,
I am directed to inform you that the nationwide indefinite Industrial Action by the Joint Health Sector Unions (JOHESU) at Federal Health Institutions has commenced and is effective.
That what the Federal Ministry of Health has done is to roll out draconian threat to our members and directing Chief Medical Directors (CMDs) and Medical Directors (MDs) of the Federal Health Institutions to apply NO WORK NO PAY, and employ locum staff instead of doing the needful to end the strike as soon as possible.

In the light of the above, State Councils are directed to give their State Governments fourteen (14) days ultimatum and solicit for their intervention without which, the strike will commence at the expiration of the ultimatum 8th May 2018. State Councils are requested to hold their emergency State Executive Council (SEC) and Unit Branch meetings in final preparation to join the strike on 9th May 2018 if Federal Government fails to meet our demands.
All Nurses and Midwives are to note that the effectiveness of this strike will determine the survival or otherwise of the Nursing profession in Nigeria.
Nurses and Midwives at the States and Local Government level are by this letter directed to mobilize all our members to be at red alert to join the strike on 9th May 2018 at 12 midnight.
The National Secretariat of our union and JOHESU appreciate the courage and loyalty of our members Nationwide and called on them to persevere until our aim is achieved.
Please accept the warm regards and assurances of National Secretariat.
Nuhu Philip
Deputy General Secretary
For General Secretary
* News / Give Graduate Nurses Opportunity to Specialize at Postgraduate Level by Constanc by katty: April 25, 2018, 03:58:58 PM
I feel that generic graduate nurses with no specialization area should be given d opportunities to do postgraduate degree programmes in the different areas of specialization in nursing then afterwards proceed for residency in that field.
For instance Anaesthesia should be offered in the postgraduate degree level in the various universities offering nursing in affiliation with the post basic school of anaesthesia. This is because this area is gradually slipping off the hand of the nurses as such nurses should make hay while the sun shines and do something drastic about this, besides most hospitals in Nigeria no longer employ our nurse anaesthetists instead they prefer to use the Doctors even when they both have the same diploma, or rather use them as recovery nurses.

Beccalaureate nursing should qualify one to specialize on a higher degree instead of post basics so as to keep them at the same level with their counterparts from the other medical and paramedical professions. You might have noticed that many nurses after graduation prefer to go for lecturing rather than practising because of the stagnation they feel may be facing them in the course of their practice, even when they go for masters degree it has no relevance in their nursing practice.
I am by this message calling on well meaning NNigerians and our great nurses all over the world especially the management of the nursing and midwifery council of Nigeria to please look into this matter and come to the aid of the future nurses because if all of us venture into lecturing without any impact in the clinical sector this goal of taking nursing to the next level may be frustrated by our "You Know Who" counterparts.
I remain commited to leaving nursing better than i met it, and i hope to be a nurse consultant some day, so help me God.
Thanks and remain blessed.
By Nurse Constance Anukwuocha Njideka
* News / Federal Hospitals Recruiting Quacks as Replacement to Striking Workers by katty: April 25, 2018, 03:55:16 PM
As the strike action by the Joint Health Sector Union, JOHESU comes to a week, members of the union have accused the chief executive officers of Federal Medical Centres, FMCs and other tertiary hospitals of recruiting ‘quacks and charlatans’ to work in the healthcare facilities under their control in their absence.
JOHESU spokesperson, Dr. Godswill Okara, who raised the alarm said the following:
“We are further worried and therefore we want to warn members of the public to be wary of seeking healthcare services in all the tertiary health institutions in the country while the strike lasts. This is because, in compliance with the obnoxious circular, chief executives of these health institutions have now gone ahead to recruit charlatans and quacks who are mainly their cronies and relatives to hold out as healthcare professionals attending to patients in these hospitals.

“As we speak to you now we have discovered such cases in some FMCs including in the FCT and Owerri where these quacks are now holding sway and maiming patients in the process. In one instance, an HIV negative patient has been issued with a positive result.
“And we have also been reliably informed that one Medical Director, in violation of extant rules on Public Private Partnership (PPP), brought into the hospital premises his relations to help him divert patients to his private hospital and equally stationed some other quacks to help him take patients’ specimens to questionable places for analyses.
‘We urge the DSS to beam its investigative searchlights on all the tertiary hospitals where JOHESU members are currently on strike with a view to unraveling more of these corrupt practices, criminal acts and atrocities.
“In the same vein, it has become very imperative for us as professional associations to warn our members, especially the interns and corpers in these hospitals, to ensure that they do not work without the requisite supervision by the appropriate professionals as the consequence of doing so may be incalculable.
“Furthermore, our members across the country are urged to resist the temptation and lure by our detractors to take up any form of employment, locum or otherwise. Those found culpable shall be severely dealt with in accordance with the statutory provisions of our various professional bodies.
“Notwithstanding the draconian directives by the Federal Ministry of Health, FMoH, we are quick to say that our members will not be cowed by the threat to introduce attendance register and enforce ‘no-work-no-pay’ rule as neither the FMoH nor Dr. Amedu is the right authority to invoke that section of the law.”
You would recall that the union had last week gone on strike over the government’s failure to fulfill agreement it signed with the union since September last year.
* Nursing Jobs / Vacancies For Nurses And Midwives In Portharcourt Private Hospital by katty: April 25, 2018, 03:51:24 PM
A reputable private hospital in Port Harcourt is urgently in need of suitably qualified individuals to work with in the following position:
. Registered Nurses,
. Registered Midwives or
. Double Qualified Candidates (RN/RM)
. Be registered and licensed with all necessary bodies
. Must possess at least 1 year experience.
Accommodation available.
Method Of Application:
Interested candidates can forward their CVs to the email:
For enquiries please call: 08033167396, 07039455023 or 08171 31790.
* Research / American Academy Of Nursing Examines How Sleep Deprivation Affects Work by katty: April 25, 2018, 02:30:59 PM
"Nurses Group Wants More, Better Sleep"

The people who take care of us when we're ill may not be getting the care they need to do a good job, and some are sending a wake-up call.

The American Academy of Nursing is urging health care providers to make changes to prevent a tired workforce.

A position paper in a health care journal says nurse fatigue poses a triple threat: danger to patients because of increased risk of error; the health and safety of nurses themselves; and car accidents when commuting.

The paper was co-authored by the dean of the University of Wisconsin-Madison’s School of Nursing, Linda Scott, who is also part of the American Academy of Nursing.

The paper cites a AAA Foundation study showing the risk of vehicle crashes is linked to how much sleep the driver does or does not get. Less than four hours of sleep increases the risk of a crash 11.5 times; four to five hours of sleep increases risk 4.3 times.

Scott has been researching work fatigue since 2002. She says it's prevalent among many health care providers, including nurses who often work 12-hour shifts.

"The more consecutive wake hours that a person has, the more likely they are to make errors during patient care; not having the level of alertness and vigilance that one needs," Scott said.

One recommendation is napping at work, something that is often frowned upon. 

"Most institutions still have human resource policies in place that say if an employee is caught napping, it's grounds for termination. Yet we know that a very effective fatigue management strategy are naps," said Scott.

Research shows a 20-minute nap allows the body to gain several hours of alertness, Scott said, and would be especially helpful for those working the night shift when a person’s circadian rhythms are urging the body to rest.

"We have that strong drive to sleep between 2 a.m. and 5 a.m.," explained Scott. "So how can we structure the environment so that those individuals can rest and how can we change our own personal practices having obtained a sufficient amount of sleep?"

The position paper does not explicitly call for an end to 12-hour nursing shift. But Scott says cutting the work day in half may help if it’s feasible. But she says there’s a reluctance to change because some nurses like working fewer days with longer shifts.

Extended work shifts first began in critical care units and then spread to other departments. They are intended to minimize hand-offs, when patient care is transferred from one nurse to another.

Scott says reducing the number of times a nurse has to switch from day to night shifts and vice versa can also help.

By Shamane Mills
Wisconsin Public Radio
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