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* News / Ebola outbreak: Nine confirmed dead in Congo by katty: August 08, 2018, 08:19:11 PM
Nine confirmed Ebola victims have died since the virus resurfaced in the Democratic Republic of Congo this month, the country’s health ministry said Tuesday.

The previous official toll was seven dead, with the two latest victims — like all the others — registered in the Beni region in North Kivu province, an eastern region with deep security problems which shares borders with Uganda and Rwanda.

The health ministry on August 1 announced that the country was facing its 10th outbreak of Ebola since 1976.

Thirty-three people died in an outbreak in the northwest which was only declared over at the end of July.

“In total, 43 cases of haemorrhagic fever have been reported in the (Beni) region, including 16 confirmed and 27 probable, and 46 suspected cases are under investigation,” the ministry said Tuesday.

Almost 1,000 people who have had “contact” with the virus have been registered in health zones under surveillance, it said.

Ebola causes serious illness including vomiting, diarrhoea and in some cases internal and external bleeding. It is often fatal if untreated.

Targeted vaccinations are expected to begin on Wednesday.

“Twelve teams of vaccinators will be deployed in different affected areas,” the ministry said, adding that teams had arrived in Beni.

The World Health Organization has said the “deterioration of the security situation” in affected area was expected to hinder the response to the outbreak.

The Red Cross announced that it was rushing a “multidisciplinary” team of 19 people to Beni.

Punch Newspaper
* News / Nurses Threaten to Ditch Uniform for Pyjamas over unpaid Uniform Allowances by katty: August 08, 2018, 05:55:57 PM
South Africa : Nurses uniforms may soon be replaced by less conventional outfits such as pyjamas and traditional regalia.

This was the warning issued by the Democratic Nursing Organisation of South Africa (Denosa) after six of the nine provincial health departments failed to pay nurses their uniform allowance.

Denosa on Wednesday accused provincial health departments of “prolonging the non-payment of uniform allowance to nurses, which should have been paid in April this year”.

“The uniform allowance was long agreed upon and is a collective bargaining agreement. Each year, however, government continues to drag its feet in implementing payments until nurses either come to work wearing pyjamas or embark on a protest action because they are tired of wearing torn uniforms,” said Denosa president Simon Hlungwani.

According to Hlungwani, only three provincial health departments – KwaZulu-Natal, Eastern Cape, and Western Cape – have paid nurses their R2 500 uniform allowance.

“We are warning the rest of the provincial health departments of looming chaos in hospitals and clinics should they prolong the non-payment of allowance to nurses.

“As things stand we are left with no choice but to call on affected nurses to resort to a pyjama strike or wearing traditional clothing to work until such a time as the departments comply and pay the outstanding allowances,” said Hlungwani.

He also added that this allowance did not cover the full cost of a nurses’ uniform.

“As it is [R2500] is a mere fraction of what government should actually be paying towards nurses’ complement and quality uniform,” said Hlungwani.

Denosa acting general-secretary, Cassim Lekhoathi, warned of nurses’ unhappiness over the matter and reminded the Gauteng health department that “it is not long ago that chaos erupted at Charlotte Maxeke Academic Hospital over non-payment of bonuses”.

“It looks like the unrest at the hospital has not been a lesson to the department, just as the Life Esidimeni disaster was never a lesson for them,” said Lekhoathi.

Lekhoathi said Denosa had raised this issue “sharply” at the South African Human Rights Commission dialogue on balancing the rights or health workers to strike with the right of patients to healthcare that was held early in July.

Lekhoathi said the failure to respect collective agreements by the employer was often the cause of chaos and strikes in many facilities and this instance was no different.

Hlungwani also added that currently most of the provincial health departments who have not made the payments were “using the excuse” that the national health department and Treasury had not given them the directive to make such payments”.

“This argument does not hold water as three other provinces have already paid. If they could make payments the rest of the provinces should also follow suit.”

The health department’s director of media relations, Foster Mohale, confirmed that non-payment of uniform allowances “affected some provinces and was not caused by any wrongdoing within the national health department”.

“It is not true that a directive was not given by the national department, the directive was given and delays in payment are at provincial levels,” said Mohale.

At the time of publication, the Gauteng health department had not responded to questions from City Press on the failure to pay the allowance.

Since nurses are classified as essential service workers, they are required to wear uniforms by law. Until now, nurses uniforms have not been provided, let alone as a pilot, despite the country’s nursing strategy of 2011-2017 having promised that this would be done by 2018.
Source : 24 News
* News / How radiology nurses can advocate for patient safety—even when radiologists can’ by katty: August 07, 2018, 08:07:37 PM
Overburdened imaging departments and staff shortages are compromising the efficiency—and communicative abilities—of U.S. radiologists, one clinician wrote in the Journal of Radiology Nursing this month. But radiology nurses might be undervalued as resources in the fight to ensure quality care.

Communication errors aren’t limited to supporting staff, Shawna Butler, DNP, JD, RN, wrote, but malpractice claims that cite communication breakdown account for one-third of all nursing-related cases. A 2015 malpractice case analysis report found specific weaknesses within a healthcare team’s chain of communication ultimately affect patient safety, and more than 200,000 patient deaths a year are attributed to medical errors.

“Many of these errors can be prevented if solid communication systems are in place,” Butler, a clinical assistant professor and patient safety specialist at Massachusetts General Hospital, wrote. “For communication to be effective, it must include shared responsibility and accountability among the team members involved in care along with the patient.”

To be effective, healthcare systems should lean toward processes and a culture that encourages staffers across the institution to communicate risks and concerns, Butler said, and that includes nurses. Since patients sometimes confide in nurses what they fail to disclose to their doctors, radiology nurses are uniquely positioned to detect and communicate any red flags before a procedure is underway.

“This is where nurses can advocate for their patient and speak up before the procedure,” Butler wrote, noting nurses are also instrumental in assessing whether patients fully understand the risks associated with any given procedure and are therefore a key part of the informed consent process. “Nurses can be a strong voice to remind the team to follow the safety protocols if it is identified that they are not being followed.”

Apart from consent procedures, nurses can help spot inconsistencies in safety protocols that Butler says are vulnerable to distraction. They can aid in eliminating certain liabilities, like wrong patient, wrong site, wrong test or wrong procedure, but in an environment where the attending radiologist is prone to distraction or concurrent emergencies.

Communication obligations don’t end after the procedure, either, Butler wrote. Radiology nurses can ensure any post-op issues, like unexpected vital sign changes, are communicated to patients and their other care providers.

These cautionary steps and what may seem like over-vigilance is actually necessary to ensure top-of-the-line care, Butler said. Health institutions need to have effective communication networks and policies, as well as the ability to escalate urgent matters if necessary and disseminate all vital patient information. And breaking the chain of communication doesn’t just mean poorer care for patients, she said—it also opens physicians themselves up to lawsuits, board complaints and malpractice allegations.

“The necessity to include validated communication strategies in system processes cannot be stressed enough,” she wrote. “Healthcare teams that are able to successfully integrate both conveying and receiving information related to patient care create a model for clinicians across disciplines in healthcare which promotes optimal patient outcomes.”
Source :
* News / Lassa Fever – How To Avoid Getting Killed By A Rat in Your Own Home by katty: August 07, 2018, 11:41:07 AM
Lassa fever was first discovered in the town of Lassa Borno state in 1969 and is named after the town. It is an acute viral haermorrhagic fever that lasts from 2- 21 days and is caused by a single strand of RNA virus belonging to the family Arenaviridae.

It is commonly transmitted to humans by rats through food or household items contaminated with saliva, faeces or urine of rats.

About 80 percent of infected individuals often show no symptoms of Lassa fever while a severe case of the disease adversely affects the kidney, liver and spleen in the human body.

Symptoms of Lassa fever include, high fever, vomiting, and hearing loss, continuous stooling, bleeding from the mouth, nose and vagina as well as tremors.

Lassa fever affects up to 500, 000 people yearly and is a disease common to West Africa.

There is a current epidemic of Lassa fever in the country with the states in the middle-belt often being the most affected. One person was confirmed dead as a result of Lassa fever in Enugu state yesterday.

Due to the prevalence of rodents in our environment and the apparent resurgence of the disease, it has become quite necessary to give out tips in order to avoid an epidemic and beat back Lassa fever in the country.

Listed below are several tips on how to avoid getting killed by a rat in your own home;


1. Avoid Eating Rats – While many people in the rural areas may disagree, rodents are not a viable and safe source of food and nourishment. Avoiding rodents as a food source is the most effective way of not contracting Lassa fever.

2. Control/Eliminate Rat Population in Your Home – do this to avoid rats gaining access to your home in the first place. This can be achieved by placing rat traps, buying a cat or employing the services of a professional exterminator if you can afford one.

3. Empty Your Trash Regularly – clean spaces are an anathema to rats and as such it is difficult to find rats in squeaky clean spaces. The first port of call for an invading rat is the waste bin. Endeavour to empty your waste bins before bed every night if you want to avoid Lassa fever.

4. Store Your Food Properly – food should be properly stored in containers; especially raw food. Rats have an excellent sense of smell and can trace a food source from a mile away. Proper storage of food and water can help you avoid a rat infestation.

5. Proper Hygiene is Key to a Healthy Life – Health is wealth, even rats know this. When your environment is always clean it becomes difficult for disease vectors to thrive in it. Keep a clean environment today and live a healthy life.

6. Avoid Contact with Infected Persons – Lassa fever can easily be transmitted through body fluids and as such unnecessary contact with an already infected person exposes you to a 100 percent risk. Contact should only be made when putting on protective gear like masks, goggles, gloves and hospital gowns.

7. Always Stay Updated – Be conversant with the news especially in periods of epidemics. This will inform you better on steps to take to save yourself and your loved ones.
Source : Herald Newspaper
* News / Lassa fever kills one in Enugu by katty: August 07, 2018, 11:35:51 AM
The Enugu State Government on Monday confirmed the death of one person from Lassa fever in a health facility within Enugu metropolis.

The Permanent Secretary, in the state Ministry of Health, Dr Ifeanyi Agujiobi, made the confirmation to the News Agency of Nigeria in Enugu

He said that the health providers at the health facility tried to manage the patient but lost him.

Agujiobi revealed that the ministry’s epidemiology officials had commenced massive contact-tracing of those people that had contact with the patient.

He said that it was only one person, whose case was confirmed by Lassa fever test centre that died in the state.

He said the state has had no other suspected or confirmed case of Lassa fever.

“We have already done massive deployment of experts in epidemiology and other health professionals to start contact-tracing of the doctors, nurses and other health workers in the hospital that attended to the patient.

“The ministry will take the contact-tracing to the family members and friends as well as even the food vendors patronised by the deceased,’’ the permanent secretary said

Agujiobi noted that the state would also commence a massive sensitisation against the disease in local media using native languages.

Source : Punch Newspaper
* News / Trinidad and Tobago: Male Patient Attacks Two Nurses by katty: August 07, 2018, 11:11:28 AM
Two nurses on Ward 32 at the Port of Spain General Hospital have been attacked by a 23-year-old male patient.

President of the Registered Nurses Association Idi Stewart told Newsday the association condemns yet again another act of violence against the association’s mermbers, which is becoming a weekly scenario.

Stewart said last month at the San Fernando Hospital a nurse was almost raped in a similar incident. He said at around 11 pm on Sunday the patient entered the nurses’ station.
“One of the nurses managed to escape out of the station. However, the second nurse was trapped, which resulted in the patient (grabbing) hold of the nurse by her shoulder and threw her to the floor. The patient then proceeded to hold her down on the floor, attempting to raise up her clothes while trying to subdue her.

“The other nurse ran screaming for help from the other wards, as there were no security guards on duty that secure the wards.”
He said fortunately, another patient on the medical ward came to assist and began wrestling with the patient.
“With the diversion, the nurse managed to escape and ran to Accident and Emergency for treatment.
“The patient was eventually restrained by other staff and his father, who was actually allowed to stay on the ward to keep his son from becoming violent, as he had shown signs of violence since being on the ward.”

Stewart said the association is calling for the poorly trained, unmotivated, and absent private security firms to be removed from all public healthcare facilities, and be replaced by MTS guards or estate police, as the association no longer has faith in the firms.
He said after the incident Wendy Ali, CEO of the North West Regional Authority (NWRA), spoke with staff members and assured all their needs would be treated with.

When contacted, Ali said the NWRHA is awaiting a report, after which she would be in a better position to say what recommendations would be implemented.
* News / Nurse Donates A Kidney To Another Nurse by katty: August 07, 2018, 06:12:43 AM
When a Minneapolis nurse needed a kidney transplant, he didn’t have to look far.

Saaid Nur found help right by his side, from another nurse at University of Minnesota Masonic Children’s Hospital.

“Pretty much when he told me his kidneys were failing and at some point he'd need a transplant, I thought, ‘Why not me?’” Rosemary Manion said. “I just felt it was the right thing to do.

Nur and Manion have worked together for 13 years in the pediatric cardiac cath lab.

“I really appreciate what she did for me,” Nur said. “She's been a friend and she'll be a friend forever.”

After offering her kidney, Manion learned she wasn’t a match. So, she volunteered for a paired kidney exchange. Manion’s donated kidney went to another recipient in the Twin Cities, while Nur received a kidney from a donor in Atlanta.

The practice has become common at University of Minnesota Medical Center, where Nur and Manion both had their surgeries.

“It increases the number of people who are brought into the system as live donors,” said Timothy Pruett M.D., Executive Medical Director of Transplant Care at University of Minnesota Health.

If Manion hadn’t stepped forward, at least one other nurse in the cath lab had decided to do the same.

As it was, all the nurses and other lab staff worked extra hours to cover the shifts of Nur and Manion.

“I think we all just love each other like family and step up when we need to,” said Melissa Fetterley, another registered nurse in the lab.

Source :
* News / Kenya: Court Declares KNH Workers' Strike Illegal, Nurses Teargassed by katty: August 06, 2018, 08:03:27 PM
Police fired teargas to disperse Kenyatta National Hospital nurses who had staged a strike in push for health workers' service allowance.

The health workers vowed not to continue with the strike despite pleas by KNH CEO Thomas Mutie.

Mutie had a letter from the President's office which was read to the nurses explaining the increment in house allowances.

But the striking nurses argued that the letter has not addressed all their needs and issues to do with the welfare of health workers.

Services at KNH were not affected by the stand-off which lasted several hours on Monday.

The union secretary general Albert Njeru had condemned the police for using teargas at the hospital.

"We urge the police officers to maintain security and not throw teargas at striking nurses," he told reporters at the scene.

Moments later, the Labour and Employment Relations court declared the strike illegal.

Lady Justice Maureen Onyango issued the order following a successful application by the hospital.

KNH, through lawyer Wilfred Mutubwa, says a majority of the persons invited by the union to go on strike are medical professionals who are already earning the health workers service allowance.

The hospital further argued that the strike is illegal. The case will be heard on September 20.
Source : The Star
* News / Etihad Airways Adds In-Flight Nurses for Travelers With Medical Conditions by katty: August 06, 2018, 06:10:34 PM
The inconvenience of flying is enough to keep some people with pre-existing medical conditions permanently grounded. Etihad Airways, the national airline of the United Arab Emirates, is introducing two new services in an effort to reach those potential passengers. As Condé Nast Traveler  reports, the airline now offers evaluations prior to trips and in-flight nurses that will pick up guests at their homes and accompany them to their destinations.

The new medical services are the first of their kind from an airline, according to Etihad. Many people with pre-existing illnesses, injuries, and chronic conditions need to check with a health professional before making travel plans to see if they're fit to fly. And even when they do get their doctor's blessing, an airline still has the right to kick them off the plane if the crew suspects their health issues will complicate the flight.

Etihad Airways promises a much less anxiety-inducing experience. Passengers are cleared for flight by a visit from an Etihad staff doctor in their homes long before their departure date. And when it's time to drive to the airport and get through security (which is stressful enough without a pre-existing condition), they'll have assistance. Perhaps most importantly, they'll continue to have that medical resource in the air, when it could take hours to land and reach a hospital in the event of an emergency.

The services are only available to passengers flying from United Arab Emirates, and they cost upwards of $408. Passengers can apply for the special treatment by downloading  Etihad's Medical Information for Fitness to Travel or Special Assistance forms and submitting them through email.
Source : mentalfloss
* News / Israeli Nurses Begin Indefinite Strike over Violence Against Nurses by katty: August 06, 2018, 06:03:13 PM
The National Association of Nurses in Israel will launch a nation-wide strike on Tuesday that will last until further notice in protest of rising violence against health care personnel.

The strike will take place across all hospitals, clinics, and family health centers in Israel.
The nurses' union blamed the government for failing to deal with the violence against health care personnel and implement the recommendations of the Committee for the Elimination of Violence in the Health System, which were given last December.

The committee's conclusions, which include a recommendation to add security and police units at hospitals across the country, install security cameras in the public areas of all medical facilities and provide distress signal apps for every employee in the field.
In an interview with Ynet, Ilana Cohen, the Chairwoman of the National Association of Nurses in Israel, said that despite the fact that several months have passed since the publication of the committee's "nothing has been done."
"If there is no effective solution, the nurses will abandon their stations," she said.

"Until immediate action is taken to resolve the unbearable overcrowdedness in the hospitals system and protect the medical teams and health care employees—the nurses will not stand down," Cohen added.

"It is inconceivable that nurses go to work, take care of patients, and end up at the emergency room themselves. It is inconceivable that the Israeli government stands by as the health system becomes a war zone—and the nurses, medical teams, and health care personnel serve as a punching bag for displeased patients," Cohen stressed.
"The nurses in Israel have decided that their blood is not cheap...It is unthinkable that nurses fight for their lives in intensive care while the ministers of Israel keep quiet," she concluded.
According to the chairman of the Histadrut Labor Federation, Avi Nissenkorn, the government "cannot stand idly by while nurses and medical teams, who dedicate themselves to saving lives, are attacked on a daily basis at their place of work."

As part of the strike, all health system nurses throughout the country will offer limited-service only: operating rooms and intensive care departments will offer limited services, Epidemiology offices will treat urgent cases only, immunization clinics for persons travelling overseas will be closed, and nurses will not provide ambulatory services in clinics, health institutes, and day care centers.

Only one station for family health in each city will operate and treat premature babies and pregnant women at risk.
Blood samples—including infant screening tests and blood tests—will be taken at the health bureaus by an on-call nurse.
In addition, doctors in all area of expertise will not perform routine tests, and no reception services will be given.
In recent months there has been an increase in violence acts committed against helath-care personnel.
The most serious incident took place last month when Oscar Bahit, 31, an asylum seeker from Eritrea, stabbed a nurse in the abdomen at the Shmuel Harofe Geriatric Medical Center in the central city of Beer Yaakov.

Police investigation revealed that Bahit, who was a patient in the tuberculosis ward, arrived at the medical facility holding a large knife. According to the police, the man passed through the hospital's guards and did not obey their order to stop.
Bahit then entered the ward where he was hospitalized, ran into a security guard, and pointed the knife at him. In response, the security guard left the area running, leaving Bahit free to approach the staff.
The Eritrean man then approached nurse Rahel Kobo, who was standing nearby, and stabbed her in the abdomen. The security guard returned to the scene, drew his handgun, fired at Bahit, and missed.
A medical team and several security guards took over the situation, and detained the perpetrator until the police arrived.

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