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* News / India: Nurses observe black day after clash with police leaves 16 injured by katty: September 16, 2017, 07:03:56 PM
Kottayam: Nurses across the state are observing a black day on Saturday after a bunch of agitating nurses suffered injuries during a clash with the police on Friday. Many of the nurses, who were demanding the reinstatement of their colleagues fired by the Bharat Hospital, suffered injuries, with a nurse being admitted to a hospital with a broken leg.

The protest was led by the United Nurses Association (UNA), which staged a march in the town supporting nurses who have been on a sit-in strike in front of the hospital. The march, which started from the Police Parade Ground by 11.30 am, was stopped by the police as it reached the Thirunakkara ground. The nurses then sat down on the road and protested. P.C. George, MLA, inaugurated the strike.

The nurses dispersed later, but some of them went to Bharat Hospital along with the association leaders to declare solidarity with the protesters. The police force who were guarding the hospital, intervened as the number of protesters kept on swelling and the agitating nurses were arrested.

That led to a scuffle between the police and the protesters. Nurse Ninu Purushothaman broke her leg in the melee, while another nurse collapsed. Both have been admitted to the General Hospital. The association said 16 people have sustained injuries.


The Kottayam police have charged 500 people for creating traffic obstruction. Twelve people arrested for staging a strike in front of the hospital were let off on bail.
* News / Canada: Shortage of Nurses Forces Hospital to Close Down 2 Operating Rooms by katty: September 16, 2017, 01:59:28 PM
Two operating rooms are being shut down temporarily at the Royal Victoria Hospital.

The MUHC said it has no choice, blaming a nursing shortage on the closure.

Surgeons at the hospital now have only eight ORs at their disposal instead of 10, they say due to a high number of absences among nurses and some due to pregnancies.



“The OR is a very specific milieu, so the environment is a physical milieu. You stand all day, so as soon as they learn that they're pregnant, they have to be removed,” explained the MUHC Director of Nursing, Andreanne Saucier.

A plan is now in place to try and prevent a backlog of surgeries.

The plan includes actively trying to recruit new nurses. There have been some hires already, but Saucier said it takes three months to train an OR nurse for that highly specialized environment and so it will take time to get them up to speed.

The MUHC has also reviewed the surgical schedule.

“We used to keep some time that we call flex time that was giving you room to manoeuvre but right now we basically moved on to schedule everything, so really, the schedule is full, giving us a little less room for emergency or for patients that get sicker,” said Saucier.
MUHC nurses’ union president Denyse Joseph said she is not surprised by the news.

“There are also nurses that are leaving the OR because they were hired on a position that was two days a week, which we have no choice by our contract, but they were promised to have more hours than just two days a week. And now with the budget cuts, they have to cut all the replacement and extra hours, so they go elsewhere,” she said.

The MUHC acknowledges it's is difficult to find a balance.

“You want to be proactive and have a little bit more and they don't have enough work hours and, you know, this is really a puzzle,” said Saucier.

The hospital maintains that it will continue to offer optimal access to surgery and patient safety.

They hope to be able to reopen the two operating rooms by the end of the year.

Source :Ctv News
* Schools of Nursing / School of Nursing Ado Ekiti 2017/2018 Admission List Has Been Released by katty: September 16, 2017, 12:20:52 PM
The Ekiti State School of Nursing has released the 2017/2018  final admission list. The list of successful applicants was pasted yesterday following last month vigorous exam and screening.

Below is the list of the newly admitted students expected to resume next month.

Congratulations to those who made the list



* Nursing Jobs / Vacancies for Nurses in Lagos 2017 : JRapha Hospital Vacancies for Nurses in Aja by Idowu Olabode: September 16, 2017, 11:56:10 AM
J Rapha Hospital located at No. 40, Addo-Lamgbasa Road, Owode Street, Ajah, Eti Osa, Lagos currently has vacncies for suitably qualified healthcare providers for the following position:
 
Position:
. Nurses
 
Method of application:
Interested applicants should apply in person at the hospitals address;
 
J Rapha Hospital
No. 40, Addo-Lamgbasa Road, Owode Street, Ajah,
Eti Osa, Lagos
* News / Communique Issued at the National Executive Council Meeting of National NANNM by Idowu Olabode: September 16, 2017, 11:48:37 AM
COMMUNIQUE ISSUED AT THE END OF THE NATIONAL EXECUTIVE COUNCIL (NEC) MEETING OF THE NATIONAL ASSOCIATION OF NIGERIA NURSES AND MIDWIVES (NANNM) HELD ON THE 23RD AND 24TH AUGUST 2017 AT HOTEL DE BENTLEY, PLOT 392, NGOZI OKWONJO IWELA STREET, UTAKO DISTRICT, ABUJA.

The National Association of Nigeria Nurses and Mid wives(NANNM) met at her quarterly regular National Executive Council (NEC) meeting comprising of state Chairmen and Secretaries from 36 states and FCT, Specialists groups and representatives of pressure groups from Federal Health Institutions, Local Governments. and Association of Private General Nurses and Midwives Practitioners and discussed exhaustively on issues bordering on Nigeria health care services, state of infrastructure, Nigeria health care policies and management, Nigeria security matters, the Nursing Profession, the welfare of her members and resolved thus:

1. NEC-in-session thanked and appreciated the Hon. Minister of FCT for the provision of a conducive and peaceful environment for the meeting of our noble Professional Association.
 
2. The Association appreciated God for the recovery and the return of President Muhammadu Buhari GCON and prayed God to grant him good health to continue the fight against corruption and related crimes and thereby entre rich the nascent Nigeria democracy.
 
3 Members expressed profound gratitude to the office of the Head of Civil Service of the Federation, Federal Ministry of Health and indeed the Federal Government of Nigeria for the well-deserved Unified Scheme of Services approved for Nurses and Midwives which recognises the professional status of Nursing, Lateral conversion for those that have acquired Bachelor of Nursing Sciences (BN.S) and internship for fresh graduates of Nursing sciences. However, NEC-in-Session urges the government through the Head of Civil Service of the Federation to act promptly in gazetting the scheme without further delay. It is equally noted with concern that the Federal Ministry of Health need to accede to the request of the Association to effect proper placement of Nurses interns.
 
4. The meeting noted with great concern the lack of equipment and tools in all the health facilities in the country that have affected the delivery of quality Health Care to the Nigeria citizens and therefore canon the Federal Ministry of Health (FMOH) and respective managements of Federal Health institutions and by extension States and Local Governments owned health institutions to do the needful in this regard.
 
5. The NEC-in--session rejects in totality the promotion of our members from one grade level to the same grade level amounting to titular promotion, stagnation in some cases demotion and or re-designation in the Federal Health institutions and calls on the -authorities concerned to correct the anomaly with immediate effect.
 
6. Proliferation of quackery in nursing profession The NEC- in- Passion also observed with consternation the high rate of quackery in the health sector most especially among the nursing profession. It may interest the Nigeria populace to know that this singular act is more deadly than AIDS and can only be compared with deadly viral hemorrhagic fever, a lot of innocent souls are being sent to the journey of NO RETURN by the perpetrators of this criminal act. The general public should know that Registered Nurses cannot be trained by medicine stores, private hospitals, Non-Government organisations ( NGO) or any religious 'organization except an accredited and registered training institution It is on this note that NEC in session implores all well-meaning Nigerians to join hands with the Association in pursuing its vigorous anti-quackery campaign in collaboration with the Nursing and Midwifery Council of Nigeria. The general public have the right to know the professional steles of the Nurse attending to them. The general public, government and mass media should be actively involved in campaign to reduce the menace of quackery to the barest minimal as this criminal act has no respect for status, ethnic or religion. We urge the Nigeria law makers to assist in the need for amending the existing anti quackery law as contained in the Nursing and Midwifery amendment Act, CAP 143 (LFN 2004) to address the current threat and tackle headlong the social ill and criminal act of quackery in contrannity with present day reality
 
7. Consultant cadre in Nursing — The NEC-in-Session viewed with great concern that the Federal Ministry of Health is not living up to expectation by appointing Nurse Consultants in accordance with the laid down principles and in line with National Industrial Court of Nigeria (NICN) judgement. The NEC therefore call on Federal government to commence without further delay residency training for Nursing and Midwifery Scientist as applicable in developed and even other countries in Africa.
 
B. Teaching and rural Allowances — The NEC frowned at the non-payment of teaching and rural allowances for our deserving members and urge the Federal Ministry of Health to stop forthwith selective deprivation and injustice against some cadre of Nurses and Midwives.
 
9. Uniform allowance- The members of NEC resolved that the non-payment of uniform allowances to our members running into many months of arrears left unpaid is against the tenets of equity and social justice and is capable of affecting the productivity of the deserving professionals and have negative effects on clinical services. Therefore, a clarion call goes to The FMOH to conduct urgent roll call of the institutions that are affected with the view to direct them to pay without further delay.
 
10. The NEC-in-Session also calls on the Federal Government to intensify more effort in combating the resurgence of lassa fever and other emerging communicable diseases in the country. It is pertinent to mention that there is abundant human resources for preventive, promotive and other aspect of Primary Health Care that are currently underutilized in Public Health Nurses in Nigeria.
 
11. The NEC-in-session condemned and frowned at the hate speeches especially in the social media and call on all Nigerians irrespective of our differences to be each other's brother keeper for unity, peace and progress of Nigeria. Though tribes and tongues may differ, we should continue to stand in brotherhood as a nation.

12. National Executive Council (NEC) in session is worried on the frail state of security in the country, via-a-vis the resurgence of bombings of soft targets and kidnapping and other security challenges across the country and therefore appeals to the Federal government, Nigerians and security agencies to intensify more efforts in combating this ugly trend.
 
13. The NEC members appreciated and commended the vote in favour of local government autonomy by the National Assembly and urge all the state assemblies to do same. This will empower o ur members working relentlessly to deliver professional safe and qualitative services to healthcare consumers in all the rural areas of Nigeria.
 
14. The NEC-in-session calls on all Nurses and Midwives to key into the database of the Association and that of the Nursing and Midwifery Council of Nigeria as it will enhance proper and adequate planning, to sanitise the system from quackery, improves our country human resources development for health and expedite professional growth and development.
 
15. The NEC-in-session is calling on all Nurses and Midwives to demonstrate commitment in discharging their professional responsibilities. However, the Federal Ministry of Health should also protect the Professional Nurses and Midwives in the performance of their professional duties rather than. the undue incursion into Nurses and Midwives professional duties especially in reproductive health care services to stem the tide of maternal and infant mortality in Nigeria.
 
16. The N EC-in-Session concluded that under-budgeting and lack of adequate financing is the bedrock of inadequate quality of care and poor health care services outcome, and urged the executive and legislature at Federal, State and Local Government levels to increase budgetary allocation into Nigeria health care system to at least meet the African agreed standard of 15% budgetary allocation as contained in Abuja declaration of April, 200J by Heads of Stases of African Union. it was equally resolved that the time is now to implement the fund allocation clause as contained in the-Nigeria Health Act to consolidate Primary Health care services.


17. The NEC-in-Session called on dm President and Commander-in-chief of Armed Forces of Nigeria to mobilise resources to transform the International best practices with which the President was treated in the United Kingdom(UK) and as obtainable in developed nations, to be iretractable on our health care system to curb the current trend of capital flight involved in medical tourism, the bane of -under development in our health care system in Nigeria.
 
18. The NEC-in-session also congratulates all Nurses elected or appointed into various political positions   and urge them to perform to the best of their abilities, shun corruption and be good ambassadors of our noble profession. We call on well-meaning Nurses and Midwives to engage in the political activities to further contribute their quota to nation building and development aside our unique service to humanity
 
The NEC-in-session appreciates the Federal Government and Honourable Minister of Health for constituting the Board of the Nursing and Midwifery Council of Nigeria (NMCN). however the NEC-in-session also calls on the Federal Ministry of Health to reconstitute boards of the Federal Health institutions to facilitate effective service delivery in these institutions and curb increasing mal-administration and excesses presently vested in Chief Medical Directors, Medical Directors, Provost of Federal Teaching Hospitals, Federal Medical Centres and Specialist Hospitals respectively.
 
The continuous peace and harmony in the health sector can no longer be guaranteed, if the Federal Ministry and the Federal Government fail to abide by the various agreements reached for the betterment of the Nursing Profession, and the Health Sector.

Signed: Nurse Abdrafiu Adeniji National President
COM T. A. SHETIMA General Secretary
* Exams / Re: HAAD Reviewer: HAAD Exam for Nurses Sample Questions Free Download by jericho143: September 16, 2017, 09:29:15 AM
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* Nursing Jobs / Vacancies for Registered Nurses At Akwa Ibom State College Of Education by Idowu Olabode: September 15, 2017, 05:32:46 PM
Applications are invited from SUITABLY QUALIFIED candidates for the following positions

NURSING OFFICER II

Requirements

Candidates for this post should possess NRN and NRM or good degree in Nursing from recognized institution of higher learning.

METHOD OF APPLICATION
Candidate should submit to the undersigned, Twelve (12) Copies of their application, with copies of their credentials and Curriculum Vitae which should provide information on the following:

Name
Post Applied for Date of Birth Nationality
Permanent Contact Address
Educational Institution Attended with Qualification and Dates Work Experience (Post Held, Duration and Salary)
Names and Address of Three (3) Referees
Candidates should request their referees to write officially to the Registrar, Positions and Department of Interest should be clearly indicated on the left hand corner of the Envelop.

Closing Date: 21 days from the date (2017-09-06) of this Publication Only shortlisted Candidates will be contacted.
Signed

IDORENYIN T. UKO
Registrar
* Articles / Racing the clock to save mothers and protect newborns in Uganda by Idowu Olabode: September 15, 2017, 04:28:01 PM
“We used to think that when the mother has swollen feet she is pregnant with twins, but now we know that when we see a mother with swollen feet, it is important for that mother to go to the health unit.”

In 2015, 19 out of every 1,000 babies born in Uganda died within their first 28 days of life – 30,000 newborns in total. Many mothers also died during childbirth – 438 mothers for every 100,000 births.



What is more tragic is that the majority of these deaths were entirely preventable. In many cases, they were the result of critical delays: delays in seeking care; delays in reaching health facilities; delays in providing quality care for women and newborns already in facilities.

A four-year project led by Uganda’s Makerere University, with technical support from UNICEF, the Future Health Systems Research Consortium and others, has been looking at ways to reduce these delays, getting pregnant mothers and newborns to life-saving care during the most critical moments – and in particular during the 48 hours before, during, and following the time of birth.

Many women in Uganda do not immediately seek care in an emergency because they do not know the signs of danger. For pregnant women, these signs include bleeding, severe headaches and abdominal pain; for newborns, signs of a problem can include a refusal to breastfeed, difficulty with breathing, fever, and general body weakness.

The Makerere intervention used home visits by community health workers, health education through radio spots, talk shows, and quarterly community dialogues to empower women to recognise these signs. Women receiving this information were much more likely to seek care when dangerous situations arose, reducing their own risk of preventable death, as well as the risk for their babies.

Makerere also looked at ways of improving access to transportation, helping pregnant women to reach facilities and lifesaving care more quickly by linking women to local savings groups and transport providers. At the same time, the project brought community health workers and midwives into communities, bringing quality care directly to women and newborns not receiving care through a health facility.

Delays within health facilities are often a symptom of poorly-trained staff with low motivation and a lack of infrastructure and equipment. The Makerere intervention gave health workers the opportunity to refresh their skills and earn new qualifications through training courses, mentorship, and postgraduate diplomas, leading to improved staff capacity and motivation. Incentive schemes to recognize best-performing facilities helped to improve motivation and the overall quality of maternal and newborn care services.

Critical to the success of the intervention overall was the strong participation and leadership of communities and local actors and the inclusion from the start of a research component. The programme aimed to strengthen existing institutions and structures, rather than starting from scratch, and by doing so, to promote sustainability.

While there is no single ‘magic bullet’ solution to addressing the many obstacles that keep mothers and newborns from care, efforts to build and strengthen high-quality health systems are paying off in lives saved. Countries like Uganda are taking important steps towards ending preventable mortality and creating a healthy future for every mother and every newborn.

 Source:https://blogs.unicef.org/blog/save-mothers-protect-newborns-uganda/
* News / Opinion: Kenyan Nurses' strike a stinging Indictment on Politicians by Idowu Olabode: September 15, 2017, 04:22:14 PM
That the health crisis resulting from a national strike by nurses has dragged on for several months is yet another clear and depressing indication of indifference among the country’s political and bureaucratic class to the welfare of ordinary Kenyans.

Since June 5, millions of Kenyans have been unable to access basic and crucial health services in public facilities across the country due to a dispute between nurses and various government agencies over the signing of a collective bargaining agreement.



Critical health services including antenatal, postnatal, outpatient care and vaccination are no longer available to Kenyans in public hospitals, but politicians and bureaucrats in the national and county governments are still strutting around as if nothing is amiss.

In other countries, this lack of access to healthcare by the majority of the population would have been treated as an emergency or a crisis, but in Kenya it is business as usual.

Despite the rhetoric, the political class, which enjoys public-funded generous health insurance covers allowing them access to high-end private facilities both locally and abroad, does not appreciate the suffering that many Kenyans are going through.

On the contrary, the majority of the population relies heavily on public health facilities because they cannot afford healthcare in private facilities.

LARGELY IGNORED

President Uhuru Kenyatta and his deputy William Ruto as well as Opposition leaders have largely ignored the issue and instead focused on political campaigns with their eyes on top public offices. The same attitude is displayed by county leaders.

It is amazing that the absence of healthcare in public hospitals has not featured in the campaigns of the main political blocs as one would ordinarily expect; the matter is being ignored as if it doesn’t exist.

The few public statements by politicians and Government bureaucrats have so far been limited to issuing threats to sack the nurses or urging them to return to work without offering solutions to the sticking points that precipitated the strike in the first place.

The Council of Governors has even advertised some of the nurses' positions, seeking to replace them through one-year contract terms.

The claim that the money demanded by nurses as salaries and allowances (estimated to be Sh10 billion per year) is too much may not be convincing if one considers the intolerable amounts of money lost in Government through waste and outright graft.

The Salaries and Remuneration Commission has also reportedly vetoed some agreements between nurses and county governments, worsening the crisis.

The media on the other hand continues to highlight the healthcare crisis but not adequately enough to push the political class to action to resolve the matter. One of the main TV stations, KTN News, aptly dubbed the strike 'The Forgotten Strike' in a recent report.

ELECTION SEASON

In this election season, the media has understandably focused on politics but the healthcare crisis deserves a big spot in the headlines because of the suffering many are facing.

Similarly, Kenyans who should be united and at the forefront of demanding from politicians a quick resolution of the strike to ease their suffering have unfortunately been distracted by the electioneering fervour.

The strike comes barely months after another one last December that was called off after nurses were lured back to work with promises of the signing of a CBA. And instead of putting heads together to resolve the strike, everyone is busy shifting the blame. This demonstrates the nonchalant attitude in managing the country’s health sector.

Reports indicate that many Kenyans who cannot afford private healthcare are resorting to self-medication at home, while others, especially in border counties, are crossing the Kenyan border for healthcare.

The number of Kenyans who may have died as a result of the unresolved strike has not been documented.

It is well known that nurses are the backbone of the healthcare sector in Kenya and without them, services are effectively paralysed even when the other cadres of health workers are available.

That’s why the resolution of the strike needs more urgent attention and political will. Kenyans are tired of the excuses and buck-passing by politicians and bureaucrats.

Source :https://www.standardmedia.co.ke/article/2001254613/opinion-nurses-strike-a-stinging-indictment-on-politicians
* News / South Australia nurses consider industrial Action by Idowu Olabode: September 15, 2017, 10:10:17 AM
Nurses in four South Australian country hospitals will take industrial action next week unless the state government comes up with a solution to staff shortages.

The Australian Nursing and Midwifery Federation says the situation in hospitals at Port Augusta, Port Pirie, Mt Gambier and Whyalla is a "ticking time bomb".

"Overworking our nurses is not a sustainable solution," federation state secretary Elizabeth Dabars said on Friday.

"It's a practice that is not only taking its toll on the health of nursing staff, it presents a ticking time bomb when it comes to patient safety."

Ms Dabars said unless Country Health SA offered an acceptable solution, nurses across the four regional sites would take industrial action next week.

That would include limiting services to regional patients and staff working only their contracted hours.

Nurses would also limit the number of beds in each hospital to the number of available staff.

Source ': The News
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