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* Articles / Nursing and the Law: Legal Scope and Issues in Nursing by Idowu Olabode: October 23, 2018, 12:49:25 PM
 Good day my professional colleagues, I feel honored to deliver a paper to like minds in this group. You will all agree with me that, since the inception of this group, the group has impacted positively on most of its members. At the end of this presentation,  the audience will be able to gain knowledge on the types, sources, principles of laws, The legal role of the nurse, Tort law, Common causes of malpractice, Expected conduct of a nurse in court And ways of minimizing litigations
 
INTRODUCTION
Nursing is a caring profession, which has its relevance and direct impact on the life, health, and well-being of individual, families and communities. It is therefore important to regulate the practice of nursing to ensure that standards are maintained to achieve safe practice. The regulation of nursing is achieved though credentialing, and standard of practice. Nursing practice is governed by legal concepts, knowledge of which helps the nurse to make decisions and take actions that are consistent with legal principles and thereby protecting the nurse from liability.
 


I am very much in no doubt that; we all know who a nurse is? What it takes to be a nurse, the act establishing NMCN, duties and functions of the council? As such, I will not stress you with all that…. Therefore, Law on the other hand is define as those rules made by humans that regulate social conduct in a formally prescribed and legally binding manner. It could be said to refer to some written and unwritten rules derived from customs and as formal enactment, which are recognized by the people as binding on them and could be imposed upon them by some appropriate sanctions. The implication of the above is that when you do not keep to these rules, the law will punish you.
 
 
According to a new report by the Nurses Service Organization, there has been a significant increase in malpractice claims against nurses in recent years. Furthermore, Between January 1st, 2010 and December 31st, 2014, over $90 million was paid in malpractice claims against registered nurses. Report by the Nurses Service Organization, stated that, there has been a significant increase in malpractice claims against nurses in recent years. Furthermore, Between January 1st, 2010 and December 31st, 2014, over $90 million was paid in malpractice claims against registered nurses According to the report, 85% of claims filed against nurses were against nurses with at least 16 years of practice, but the largest indemnity payments involved nurses with experience of no more than 5 years.
 
Functions of Law in Nursing

The law serves a number of functions in nursing which are to:
- Provides a framework for establishing which nursing actions in the care of clients are legal
- Differentiates the nurses’ responsibilities from those of other health professionals
- Helps establish the boundaries of independent nursing action
- Assists in maintaining standard of nursing practice by making nurses accountable under the law.
 
SOURCES OF LAW
There are several sources of Law which are as follows ;
- Legislative (Statutes) –this law is enacted by statute or Acts of parliament or the legislature is known as statutory law. Statutory laws can be made at the federal, state or local government levels. When federal and state laws conflict, federal laws supersedes, likewise state laws supersede local laws.
- Customs and Traditions - Laws that derive from customs and tradition of the people over the years but which are recognized by the constitution is known as customary laws. Examples include marriage rights, property ownership etc.
- Courts cases– Laws that evolve from court decisions are referred to as common laws or decisional laws. In addition to interpreting and applying constitutional or statutory laws, courts are also asked to resolve disputes between two parties. In the process of doing this, decisions are made and this result in common laws.
 Common laws are continually being adapted and expanded. In deciding specific controversies, courts generally adhere to the doctrine of “to stand by things decided”, which usually refer to following precedence. In other words, to arrive at a ruling in a particular case, the court applies the same rules and principles applied in previous similar cases until it is either modified or overruled.
- Constitution- The constitution of a country is the supreme law of the country. It establishes the general organization of the federal governments, grants certain powers to them, and places limits on what federal and state governments may do. Constitutions create legal right and responsibilities and are the foundation for a system of Justice.
- Administrative authorities –In most cases, the process of law making follow some basic steps but occasionally, some administrative authorities such as the president, governors, ministers or
Commissioners make some general rules. Since such rules are not made by legislatures they are simply referred to as regulation or ordinances. An ordinance may simply be defined as the statement of general norms made by a chief executive of government without passing through the parliament.
 
TYPES OF LAW
Laws are categorized base on the type of relationship that it is supposed to govern. That is, whether it governs the relationship of private individuals with government and or with each other. This implies that there are two main types of law, PUBLIC and PRIVATE law.
 
What is public law?
Public law refers to the body of law that deals with relationships between individuals and government agency. It includes constitutional, international, criminal laws and other numerous regulations designed to enhance societal objectives. Failure to comply with such laws might lead to criminal legal actions and penalties. Criminal law is an important aspect of public law and it deals with actions against the safety and welfare of the public. Examples of such actions include; homicide, manslaughter, theft, arson, rape, and illegal possession of controlled drugs or arms. The implication is that if you commit a crime, you have committed an offense against society.
 
PRIVATE LAW OR CIVIL LAW

Is the body of law that deals with relationships between private individuals. It is categorized as contract law and tort law.
 
Contract law: This involves enforcement of agreement among private individuals or payment of compensation for failure to fulfill the agreements.

PRINCIPLES OF LAW

According to Anarado (2002), the system of law rests on four principles that include: Law is based on a concern for justice and fairness. The purpose of law is to protect the rights of one party from the transgressions of another by setting guidelines for conduct and mechanisms to enforce those guidelines. Law uses punishment to inhibit antisocial behaviour and to apply a just measure of retribution. This may be in form of a fine or a period of time in prison. However for claims of damages for negligence, financial reparation are regarded as compensation for injury sustained and not as a punishment for wrong inflicted. The court relies on the evidence before it in order to pass judgment. Actions are judged based on a universal standard of what a similarly educated, reasonable and prudent person would have done under similar circumstances. Legal rules are flexible: The law sets the parameters for adjudication, leaving room for the courts to interpret it further. For the sake of time, I will limit this presentation to tort law

TORT LAW
Tort Law is designed to protect individuals and organisations from civil wrongs other than breach of contract. Knowledge of the law of tort is important for all because most of the civil cases that resulted from nursing activities belong to the category of tort. Examples of such laws include malpractice, invasion of privacy, assault, battery, libel, slander, and false imprisonment. Assault and battery give rise to criminal and civil liability.
 
Malpractice is a broad term that is use to incorporate negligence, misconduct, or breach of duty by a professional that results in injury/damage to a patient (Reising & Allen, 2007). According to Reising and Allen, common malpractice claims arise against nurses when nurses fail to:
Assess and monitor.
Follow standards of care.
Use equipment in a responsible manner.
Communicate.
Kindly note that there are two types of tort law which are intentional and non intentional tort law
 
The Civil Judicial Process
The judicial process primarily functions to settle disputes peacefully and in accordance with the law: In other words, this is a process of filing a law suit against a defender. A lawsuit has strict procedural rules.
 
There are generally five steps in the process viz.
- A document known as complaint is filed by a person referred to as the plaintiff, who claims that his/her legal rights have been infringed upon by one or more persons, referred to as defendant(s)
- A written response, called an answer, is made by the defendant(s)
- Both parties engage in pre-trial activities referred to as discovery in an effort to gain all the facts of the situation.
- In the final of the case, all the relevant facts are presented to a jury or a judge.
- The judge renders a decision, or the jury renders a verdict. If the outcome is not acceptable to one of the parties, an appeal can be made for another trial.
 
During a trial, a plaintiff must offer evidence of the defendant’s wrongdoing. This duty of proving an assertion is called the burden of proof. As a nurse may be called to testify in a legal action for a variety of reasons. You may be a defendant in a malpractice or negligence action or may have been a member of the health team that provided care to plaintiff. It is advisable that any time you are asked to testify in such a situation to seek the advice of an attorney before providing testimony. In most cases the attorney for the employer will provide support and counsel during the legal case. If you are the defendant, however, it is advisable that you retain an attorney to protect your own interests.
Again, you may be asked to provide testimony as an expert witness. An expert witness is one who has special training, experience or skill in a relevant area and is allowed by the court to offer an opinion on some issues within the nurse’s area of expertise. Such a witness is usually called to help a judge or jury understand the evidence pertaining to the extent of damage or the standard of care.
 
LEGAL CONSIDERATION INVOLVING NURSING PRACTICE
Aside the regulation of nursing practice and standard, each hospital has their rules and codes of practice laid down to ensure safety and wellbeing of the patients. Any nurse, who do not oblige to these rules, codes of the hospital, and causes harm or injury to any patient, may be liable. Certainly, not all rules or policies covers every eventuality, hence the need for the nurse to ensure that the right patient gets the right treatment, use her professional judgment while caring  for patients, do not attempt anything beyond her competence and should not exceed the limits of nursing procedures laid down…The laws governing nursing profession oblige nurses to perform their duties and responsibilities within the scope of nursing practice. Nurses have the duty to care for patients and should be cared for in the process of carrying out their lawful duties.

WHAT IS LITIGATION?

Litigation Is an act of being involved in a court case to defend a charge against a person or an organization. As a nurse, you can be invited to a court for any kind of professional misconduct, which the court often refers to as malpractice or negligence arising from her action.
 
COMMON CAUSES OF MALPRACTICE
According to Reising and Allen, common malpractice claims arise against nurses when nurses fail to:
Assess and monitor.
Follow standards of care.
Use equipment in a responsible manner.
Communicate.
Document.
 
WAYS OF MINIMIZING THE RISK OF MALPRACTICE

Nurses should be cognizant of legal risks in providing care. Reising (2012) suggests that the following actions can help minimize a nurse's risk of being sued for malpractice:
. Know and follow your state's nurse practice act and your facility's policies and Stay up to date in your field of practice
. Assess your patients in accordance with policy and their physicians' orders and, more frequently, if indicated by your nursing judgment
. Promptly report abnormal assessments, including laboratory data, and document what was reported and any follow-up
. Follow up on assessments or care delegated to others
. Communicate openly and factually with patients and their families and other health care providers
. Document all nursing care factually and thoroughly and ensure that the documentation reflects the nursing process; never chart ahead of time
. Promptly report and file appropriate incident reports for deviations in care.
 
EXPECTATIONS OF THE NURSE DURING LIGATION
Should the unfortunate occur, and the nurse discovers herself in the midst of a legal entanglement. The first step to take is to share your observation with your immediate superior, who will in turn notify her manager or advice you on what to do immediately. It is worthy to note that you should relay information factually and accurately to your confider. It’s also necessary to observed and complete all institutional procedural requirements. For instance, if your facility policy stipulated that an incident form be completed and forwarded, please endeavor to do so. Furthermore,  contact your facility legal department/unit, which will assign an attorney to guide you through the case. Do not discuss the case with anyone other than your supervisor, employer, or legal representative.
 
EXPECTATIONS OF EMPLOYER DURING LIGATION PROCESS INVOLVING A NURSE

The nurse is a staff of the hospital and therefore, she cannot be disclaimed according to the doctrine of respondent superior (let the master answer)
The employer will notify the legal unit of the hospital for onward action
Set up an investigation panel to find out the truth
If possible, the hospital may employ the service of a lawyer to face the court etc.
 
EXPECTATIONS OF THE PROFESSIONAL BODIES DURING LIGATION OF ITS MEMBERS
Contact her lawyer
Set up investigation panel
Follow the accused to the court
Give necessary moral and financial support to the accused provided the nurse practice within her professional boundaries.
 
IMPLICATION OF LIGATION ON THE ACCUSED NURSE

If a nurse was found guilty, she may lose her job or be suspended from work
She may be fined or be made to pay compensation
Her license may be revoked
Litigations serve as lesson to others
If the nurse was NOT FOUND GUILTY:
She may be compensated adequately
She will be a public figure
The image of the nurses will improve etc.
 
THE NURSE AS A WITNESS IN THE COURT
A nurse may be require in the course of his professional duties to give account (evidence) of something he did or saw during his clinical duties in court as a professional witness or expert witness.

EXPECTED CONDUCT OF A NURSE IN COURT

The nurse should be punctual to court on the day he was ask to appear
He should be corporately dressed
His conduct should portray the image of nursing profession The nurse should listen thoughtfully to all the questions put to him
He should think before he gives his answers or opinions
His answers should be audible clear and firm and addressed to the judge and not to the counsel
The nurse should be courteous when answering questions.
 
He should be avoid temptation to be rude or hostile especially when being deliberately provoked during cross examination by the adverse counsel. Notably, the law allows the provocation, therefore a tit for tat policy maybe counterproductive. When it’s necessary to give a point to enable the court to understand the true state of affairs, the nurse should resist answering yes or no  as may be demanded by the adverse counsel, It is expected that the nurse should use simple and clear language when responding to questions The nurse should always stand up when addressing the court to show respect to whom respect is due.
 
In conclusion
Ethico-legal issues are far less common in developing countries compared with developed countries. This is partly because the populaces in developing countries are less well informed of their rights and because of fatalistic and religious beliefs in many societies in developing countries. With more awareness of the people, ethico-legal issues are likely to increase even in the developing nations.
 
It is therefore worthy of mention that, it is imperative for the Nurses to imbibe the characteristics of the profession and scope of practice as listed out by the ICN and by by NMCN; these would help a lot in the practice of nursing in Nigeria.
 
Thank you all for your attention
Source: Nurse Halliru LKabeer
* News / Filipino Nurse wins P1.18-billion lotto jackpot by katty: October 23, 2018, 06:12:59 AM
Philippine Charity Sweepstakes Office (PCSO) said that the other winner in the record-high P1.18-billion lotto jackpot prize is a male nurse and has already claimed his share of the winnings.

Florante Solmerin, PCSO deputy spokesman, said the winner claimed the prize yesterday at the PCSO main office in Mandaluyong City.

The winner, a 30-year-old male nurse, bought the winning ticket from a newly opened SM City mall in Legazpi City, Albay.

“He is married and has no kids. He said they are still trying to have one,” Solmerin told The STAR, referring to the winner.

The winner considers himself poor, noting nurses are among the low-paid workers in the country.

“He is a contractual worker and works part-time,” Solmerin said.

Although he still has no plans on what to do with the windfall, the winner said he would prioritize paying all his debts.

PCSO general manager Alexander Balutan, who personally turned over the cheque amounting to P472 million net of taxes, advised the winner to spend the money wisely and be careful of his safety and security.

“Like his advice to all past lotto winners, Balutan told the winner to spend the money wisely and find ways to make it grow,” Solmerin said.

The PCSO’s record-high lotto jackpot amounting to P1.8 billion was won by two winners during the 6/58 Ultra Lotto draw on Oct. 14.

The other winner – from Borongan, Eastern Samar – claimed the prize last week.

Source : Rainier Allan Ronda, The Philippine Star
* News / Meet Kenyan Nurse Wangui Waweru Who was with Kenyatta when he took last Breath by katty: October 22, 2018, 01:20:39 PM
Isabella Wangui Waweru, 71 shows her Moran of Burning Spear (MBS) medal given to her by former president Daniel Arap Moi in 1979 in recognition for her service to the first head of state. She was appointed to work as former President Mzee Jomo Kenyatta's nurse at the age of 28 in 1974.

The events of the night the “Burning Spear” fought his last battle with mortality is etched deeply in Isabella Wangui Waweru, Kenya’s first President Mzee Jomo Kenyatta’s official nurse.



She was among a team of six medics that frantically attempted to save the life of Mzee Kenyatta at Mombasa State Lodge on the night he kicked his last.

That was a night, she gasped, when the Saturday Standard caught up with her at her retirement home in Rongai, Nakuru.

The events of the day in Msambweni had given them indications of a tumultuous night ahead but they had missed it all. On that day, Mzee looked weak and took a long break during an entertainment session.

“He walked slowly back to the podium,” Wangui recalls.

Shortly, the entourage left Msambweni for State House Mombasa where more entertainment was lined up but Mzee never came out.

At around 2am, Wangui was called in by Mama Ngina Kenyatta to check on the old man. Though his condition had deteriorated, he maintained that he was strong and sent her away.

Unconvinced, Wangui contacted Dr Eric Mugola, Mzee’s physician, who came along with a team of four doctors and a nurse. They attended to Mzee but in the process, he got restless, developed hiccups and collapsed in quick succession.

“We tried our best to save Mzee Kenyatta’s life. We resuscitated him for about 15 minutes but he would not get better. He died at around 3am as I watched in deep pain,” she recalls.

I never injected him

Wangui was then left to play her nursing roles and in pain she covered Kenyatta’s body after she informed Coast Provincial Commissioner about the sudden death.

The team was asked to travel back to Nairobi and Kenyatta’s body would later be transported to Nairobi for burial arrangements.

To the retired nurse, Kenyatta was a ‘healthy well-built man’ who rarely fell sick and she could tell whenever he was disturbed.

She was however always armed with a medical kit that had drugs for various ailments, syringes and antibiotics.

“It was rare for him to get sick. He was a strong man and I never injected him. But I was always armed with emergency drugs,” she said.

Wangui, 71, had been Kenyatta’s nurse since 1975. She was 28 when she was appointed a presidential nurse. At first reluctant, she gave in after a chat with her father. “I was enjoying my leave days when a man in police uniform visited our home, he was carrying a letter that he handed to me. In fear I slowly opened it and learnt that I had been appointed to be a presidential nurse despite being young in the profession,” she recalls.

Before the appointment, Wangui had worked for a year at Kakamega General Hospital before she went back to college and specialised in midwifery. Upon graduating she was posted to Machakos Hospital.

“Working with Kenyatta made me disciplined and had to keep time. While in the country we used to travel by road to state functions, while during his holiday he mostly spent time in Mombasa,” she recalled.

Her wish now is to meet President Uhuru Kenyatta and Mama Ngina. “My wish is to meet Uhuru and his mother who is friendly, jovial and generous woman. We used to live together as a family,” she says

Source: https://www.standardmedia.co.ke/article/2001299718/nurse-i-saw-kenyatta-take-his-last-breath-that-night
* News / UGONSA Letter to Nurse Interns on their financial Obligations to the Association by katty: October 22, 2018, 01:04:15 PM
To all nurse interns,

Sirs/Madams


NURSE INTERNS FINANCIAL CONTRIBUTION TO THE ONGOING STRUGGLE FOR ENHANCED PROFESSIONAL DEVELOPMENT OF NURSING IN NIGERIA

Fraternal greetings to all nurse interns (currently serving, past and future interns).



2. The national leadership of the University Graduates of Nursing Science Association (UGONSA), the professional association of nurses with a minimum qualification of first degree in nursing, wishes to bring to your esteemed attention that the association, in her stakeholders' meeting held on Saturday 3rdJune, 2017 at Cabrini centre, New Haven Enugu, resolved that all nurse interns should pay monthly dues of N1000 (one thousand naira only) to UGONSA to support the ongoing campaign to change the face of the Nursing profession for better in Nigeria.

3. For the entire twelve months duration of internship training, this shall amount to a total of N12, 000 (twelve thousand naira only) per intern. This money can be paid once or twice or as deemed more convenient.

4. Payment of this professional development due is compulsory as evidence of payment shall form the basis of future relations of the association with any of its members that had participated in internship training.

5. A special register has been opened to that effect to be managed by Nur. Eteng Philip Okori of our Audit and Account unit (+2348063477661) and Nur. Ojo Opeyemi Idowu of our ICT and research unit (+2348038358107).

6. You are to contact them as soon as you make any payment to ensure prompt and accurate updates of your records and status, as your certificate of professional good standing with UGONSA, which you shall receive upon completion of your internship training, shall only be issued upon your presentation of a clearance letter from their office.

7. Payment shall be made into UGONSA National account with details as follows:
Account name: University Graduates of Nursing Science Association
Account number: 3089525712
Bank: First Bank of Nigeria PLC

Accept the assurances of our esteemed regards.

                                                                      Signed:
 

CHIEF (HON.) S.E.O. EGWUENU                                                 NURSE G.I. NSHI
           National President                                                                      National Secretary
* News / Zimbabwe: Govt appreciates nurses' work despite challenges by katty: October 22, 2018, 09:18:33 AM
The government appreciates the works of nurses despite challenges associated with their work which they face, The Minister of Health and Child Care Dr Obadiah Moyo has said.

This came to light recently when Minister Moyo was officiating at the 60th nurses graduation ceremony for Harare Central Hospital.


 
Moyo said despite the challenges faced by nurses such as shortages of resources like medicines, nurses immensely play an important part in the nation's health sector.

"I am also pleased to inform you that the government is aware of the critical role nurses play in our health delivery system, especially given the challenges of shortages of resources...," he said.

Moyo said nurses have really helped in the treating of current diseases such as cholera which have emerged.

"... the emerging new diseases and the upsurge of Non Communicable Diseases which are being treated in our health institutions country wide," said Moyo.

The minister also said people must join hands in order to meet the goals of the millennium development which was supposed to be a done deal by now.

"However, there is need for multisectoral collaboration and commitment to achieve the millenium development goals which were supposed to have been achieved by the year 2015," he said.

Moyo said the goals can only be fulfilled by well trained and obligated nurses.

"I am appealing to these graduands to play a pivotal role in achieving these long awaited for goals because they can only be achieved by well trained, knowledgeable committed and skilled nurses and midwives," he said.

The School of Nursing at Harare Central Hospital has four programmes which include Registered General Nurses, Intensive and Coronary Care Nurses, Operating Theatre Nurses and an Advanced Diploma in Neonatal Intensive and Paediatric Care Nurses.

Credit: Bulawayo24
* News / Ernest James Grant: First Male President of The American Nurses Association by katty: October 22, 2018, 09:16:08 AM
A nurse from North Carolina's Jaycee Burn Center at UNC Hospitals in Chapel Hill will make history when he takes over as the president of the American Nurses Association in January. He is the first man to ever hold the position.
 
"This is an extreme personal honor," said Ernest Grant who has a Ph.D. in nursing. "I feel very privileged, very blessed. I know that I stand on the shoulders of giants, people who have come before me."
 
Grant ran for the position and was elected, overwhelmingly, by his colleagues after serving as vice president of the organization, which represents the interests of more than 4 million nurses nationwide.
 
"It only seemed natural to take the next step and essentially break the glass ceiling," he said.
 
Grant will use his term to try to solve many issues he feels are hurting the nursing profession, including a potential nursing shortage.
 
"One of the things is getting them to see the nursing profession as a professional career," Grant said. "I think in the past people viewed nursing not necessarily as a profession."
 
He is also hoping to break stereotypes associated with being a male in nursing. He wants people to refer to him as a nurse, not as a "male nurse."
 
"I know that there will be a lot of eyes on me just to see how will the first male president of ANA, how successful will he be?" he said.
 
Grant is a recognized expert on burn care and is in charge of burn-care training for doctors, nurses and other health care professionals at the Jaycee Burn Center. He also teaches at the UNC-Chapel Hill School of Nursing.
 
In 2002, President George W. Bush gave Grant a Nurse of the Year Award for his work treating burn victims from the 2001 terrorist attack on the World Trade Center in New York.
 
He received his bachelor's degree from North Carolina Central University and his master's and doctorate from UNC-Greensboro.
 
BIOGRAPHY: Ernest J. Grant
Ernest Grant, RN, MSN first African American male president of the North Carolina Nurse Association -  2010-2011.
It's challenging and rewarding to make a difference in someone's life every day, even if it's a transition from this life to the next.  I read once that 'nursing is the foundation of health care,' and it truly is. We are there 24 hours a day, seven days a week. We're the ones the family remembers. We're making a difference.   
Ernest Grant, RN, MSN,  Nursing Leader and Fire Safety Expert
Ernest James Grant was born on October 6, 1958 in Swannanoa, NC, a small rural town in the Blue Ridge Mountains.  When Ernest was a boy, segregation ruled in education, housing and employment.  However, Grant recalls his childhood warmly.
 
It was a great town – like the fictional Mayberry – where you could leave your home unlocked and your keys in the car ….It also was a town that epitomized the saying, “It takes a village to raise a child,” My mother worked in the post office, and she knew everyone. I couldn’t get in trouble without her finding out. It was worse than being the preacher’s kid,

The youngest of seven children, Grant was 5 years old when his father died, leaving his mother as the sole parent.  The Grant family and local community provided strong emotional and spiritual support, but had little money for his education.  In high school, Grant became interested in a career in health care so his high school guidance counselor urged him to start out in an LPN program.  Grant heeded her advice and in the fall of 1976, began his long and illustrious career in nursing as a student at the Asheville Buncombe Technical Community College’s (A-B Tech) Licensed Practical Nursing program.  Grant may have been the first African American male to graduate from this program.
 
If it wasn’t for the community college system, I would not be where I am today. It was a leg up to continue my education. I went to one-year nursing program and decided that I really loved nursing.
 
Grant moved to Chapel Hill in the early 1980s and began work at the JayCee Burn Center at North Carolina Memorial Hospital. He found his life’s calling.
 
Even in his first months as a burn nurse, he was struck by the need for prevention. He remembers one toddler in particular who was about the same age as his nephew. The child had been underfoot in the kitchen as his mother prepared dinner — chicken fried in a pot of hot oil. When she turned away for a moment, the child pulled the pot of hot grease down on top of himself, sustaining deep, life-threatening burns. Most burn nurses will tell you that for almost every burn injury, they can clearly see the possibility of prevention. Grant became a man with a mission.  http://www2.nursingspectrum.com/articles/article.cfm?aid=6517
 
Knowing he wanted to provide more services than his LPN credential would allow, Grant returned to school earning a Bachelor of Science in Nursing degree from North Carolina Central University in 1985 and a Master’s of Science in Nursing degree from UNC-Greensboro in 1993.
 
While provide excellent clinical care for burn victims, Grant knew more could be done to prevent burn injuries and deaths.  He became a statewide, and later national and international leader in burn prevention education and policy advocacy.  An article in the Nurseweek Magazine (2002)  http://www2.nursingspectrum.com/articles/print.html?AID=6517 )  listed Grant’s achievements in fire safety in North Carolina up to that time:
 
Grant lobbied the state legislature, citing data from a five-year study, for the revision of a law passed in 1993 that allowed the sale of fireworks to all people of all ages. The law now restricts sale to those age 16 and older, and Grant continues to work on tighter restrictions.
Grant successfully lobbied the North Carolina Legislature to pass a bill mandating that hot water heaters be preset to 120 F and labeled with information about preventing scalds.
He piloted and widely disseminated the LNTB program throughout North Carolina and other areas of the Southeast.
Grant helped design and implemented the “Remember-ing When” program for seniors, a fall and fire prevention initiative that uses games and group work to teach safety to senior citizens.
He developed a long-term National Burn Awareness Campaign that focuses on different burn prevention topics each year, such as prevention of camping and recreational burns, gasoline injuries, and scald injuries.
 
Grant led the effort to pass the Fire-Safe Cigarette Act in 2007, which requires that only “fire-safe” cigarettes be sold in North Carolina. Grant, at 6 feet, five inches, is best known to young school children in North Carolina when he dresses up as Sparky the Fire Dog and gives fire safety lesson in their classroom.
         
For over twenty years, Grant has coordinated the nationally acclaimed burn prevention outreach programs at the JayCee Burn Center in Chapel Hill. Each year he personally educates several thousand citizens.  Grant is on the road most of the week, bringing awareness to burn prevention through fire safety seminars, health fairs, visits to civic organizations and coalitions with fire safety professionals at the state, national and international levels. He is invited to give upwards of 150 presentations this year.  As full as his schedule is today Grant still maintains his skill as an expert clinician and arranges and supervises learning experiences for student nurses, first responders, and paramedics from across the state.  In addition to his clinical, educational and public policy work in burn prevention in North Carolina, Grant regularly teaches burn management to the military at Ft. Sam Huston, TX. Following Sept. 11, 2001, he volunteered in the burn center at The Burn Center, New York Weill Cornell Medical Center-New York Presbyterian Hospital and cared for patients injured during the attacks on the World Trade Center. For 10 days straight, he worked 12-hour night shifts.  For over a decade Grant has served as a consultant to the government in South Africa preparing fire safety curricula for children, adults and senior citizens and advising the Congress on burn prevention law and policies.     
 
Grant’s passion for fire safety is rivaled by his passion for professional nursing.  He has been active in a variety of professional nursing organizations at the local, state, and national level.  Grant has served on almost every committee and held almost every office in the North Carolina Nurses Association including becoming the first African American male President in 2010.  His leadership involvement at the national level includes his tenure on the American Nurses Association Board of Directors, 2004 – 2008 and the Board of Directors of the American Nurses Credentialing Center from 2004 -2007.  He has been an active member of the American Association of Men in Nursing, serving as a role model for young men of color entering the profession.  In 2011 he was inducted into the prestigious Fellowship of the American Academy in Nursing. 
 
Grant is a sought after speaker, and has written several articles for professional journals. In addition to his nursing activities, Grant is also busy in fire safety organizations.  In 2012 he served as the First Vice Chair of the National Fire Protection Association Board of Directors.  He is also involved in several church ministries and sings in an award-winning gospel choir.
 
Grant has earned numerous awards during his career including:     
 
2001 -  Nurse of the Year Award from President George W. Bush for his work treating burn victims at the Cornell Burn Center near the World Trade Center site.
 
2002  - American Nurses Association (ANA) Honorary Nursing Practice Award
 
2002-  Nursing Spectrum’s Nurse of the Year
 
2003 – UNC-Greensboro Alumnus of the Year Award
 
2011-   Inducted into the Fellowship of the American Academy of Nursing
 
Grant has many aspirations for the future.  He is enrolled in a doctoral program in nursing at UNC-Greensboro and is considering both more involvement in politics and seeking the Presidency of the American Nurse Association.  Wherever the future takes him, his priorities will remain the health and well being of all people.  When asked to describe himself for a recent magazine article, he modestly replied “I consider myself a preventionist”.
 
Source: http://www.aacc.nche.edu/About/Awards/oaa/Pages/egrant.as
* News / Harare Hospital To Enrol Only 35 Trainee Nurses As Tutors Quit Nursing School by katty: October 21, 2018, 09:19:10 PM
Zimbabwe: Harare Central Hospital has cut its student nurse intake numbers in half from 72 to 35 and will now take students with passes in a single sitting as the hospital is facing a shortage of tutors, an official has said.

Speaking at the Harare Hospital school of nursing and midwifery graduation and prize giving ceremony, Harare Hospital Chief Executive Officer Nyasha Masuka said the shortage of tutors has resulted in change of policy.

“One of the major issues that I would like everyone to know is that we have a shortage of tutors which has opted a change in policy in terms of recruitment of nurse trainees.

For Harare Hospital, for example, we will be selecting those with at least two advanced levels and passes in ordinary levels.”

Masuka said the Zimbabwe Nurse’s Council did investigations and discovered that qualifications might have been compromised.

Masuka however said the country was facing a shortage of nurses.

“But as you know we have a serious shortage of nurses in this country and our nurse population ratio is very low so we need more numbers of these nurses especially for care of children and maternity.”

Speaking at the same occasion, Health and Child Care Minister Moyo concurred with Msuka saying the change in policy would help bring well qualified nurses.

A total of 276 students from different categories ranging from registered general nurses, intensive and coronary care nurses, midwifes, theatre nurses and pediatric nurses graduated.

Zimbabwe Eye
* News / Driving Instructor Tries to Rape Sleeping Nurse in Dubai by katty: October 21, 2018, 07:21:14 AM
A driving instructor has been accused of luring his co-worker out of his house and then trespassing into the latter’s residence where he attempted to rape his wife.

An Indian electrician, who works at a driving school, was said to have received a phone call from his countryman, a 46-year-old driving instructor, who asked him to come over for a driving lesson in July.

The electrician, who had been scheduled to sit for a driving test soon, agreed and went out to meet the instructor, according to records, for a lesson at night.

The instructor asked the electrician to pull over after 200 meters and pardoned himself to go for prayer.

The electrician drove on his own for a period before his wife, a nurse called him up and alleged that the driving instructor had trespassed into the house and tried to have sex with her.

The Indian couple reported the matter to the police who apprehended the instructor.

Prosecutors accused the suspect of trespassing into the nurse’s bedroom, getting undressed and attempting to rape her.

According to the charge sheet, prosecutors said the nurse foiled the suspect’s bid to rape her when she outsmarted him and resisted him.

The suspect pleaded not guilty and refuted his charges when he appeared before the Dubai Court of First Instance on Thursday.

“No I did not,” he told presiding judge Habib Awad.

The nurse testified to prosecutors that the incident happened around 3.30am in her bedroom.

“I was sleeping when I felt someone slipping into bed and then sleeping over me. At first I thought it was my husband. The person started removing my dress but when I opened my eyes, I realised that it was the suspect. I pushed him off me instantly. When I tried to shout and he put his hand on my mouth to muzzle me, I bit his palm and pushed him away. I asked him to give me a chance to breathe and I would do what he wanted as he stayed in the bedroom. As he sat on the side of the bed, I asked him to allow me to drink water but he refused and pinned me down on the bed. When he tried to undress me, I shouted and resisted him. He ran away and I called my husband. The suspect had removed his shirt when he trespassed into the room,” she claimed to prosecutors.

The electrician confirmed his wife’s statement and testified to prosecutors: “The suspect told me to meet him for a driving lesson then he asked me to drop him near a mosque when he claimed that he had to pray. Later my wife called me and told me what had happened.”

The court will appoint a lawyer to defend the suspect when it reconvenes on October 29.
Source:https://m.gulfnews.com/news/uae/courts/driving-instructor-tries-to-rape-sleeping-nurse-1.2291765
* News / Killing of Aid Workers in Nigeria is a Sickening Situation for Humanity by katty: October 20, 2018, 08:23:52 PM
MANY have died at the hands of their abductors, but not many were young, female medical workers.

The International Committee of the Red Cross has had personnel present in nearly every conflict zone for decades but never before has it had two of its young healthcare workers killed execution-style back-to-back.

It’s a sickening situation for humanity and a crippling blow for healthcare in conflict zones.

Hauwa Mohammed Liman, 24, worked in a hospital supported by the International Committee of the Red Cross (ICRC) when she was abducted March 1 in Rann, Nigeria. She appears to have been killed by her captors on Monday.


 
The slaying follows a similar execution-style killing last month of Saifura Hussaini Ahmed Khorsa, a 25-year-old ICRC midwife, also by ISWAP, or Islamic State’s West African province group.

I am ICRC’s director for Africa, and I understand the tension that exists between different belief systems. I am part Nigerian and part Swiss, and though I am not Muslim, some of my family members in Nigeria are.

What I can’t understand is an ideology that can justify the execution of young, female healthcare workers. They were midwives, bringing new life into the world. They were daughters and sisters, and one was a wife and mother. They have no part in the conflict.

When women choose to work in the healthcare field in rural northern Nigeria, it’s not a simple decision. The entire family– especially husbands and fathers — would have had to agree, and this is an important point for both the families and the wider communities.

Saifura was a devoted mother and midwife. Those who knew her said she adored her two children, a two-year-old boy, and a five-year-old girl, who have not been able to comprehend their mother’s absence. Hauwa, also a dedicated professional, made the personal sacrifice to move away from her family and help the community in Rann.

We often see health workers choose the relative safety of large cities. But that leaves rural areas — like Rann — with lean medical expertise. So when health personnel such as Hauwa and Saifura choose to work in a rural region, they deserve our gratitude and everyone’s respect.


 
Violence against healthcare is a trend the ICRC has kept a worried eye on in conflicts globally.

Nigeria isn’t even the only country in Africa where the ICRC faces a hostage situation; one of our nurses, a German national, was kidnapped in Somalia in May.

More broadly, health facilities in conflict zones like South Sudan, Yemen and Syria have been directly attacked, cutting off communities from the care they desperately need.

As a humanitarian professional, I’m good at focusing on the work that needs to be done, but I sometimes can’t help but wonder: How would I behave as a hostage? What was Hauwa going through in her final days, knowing Saifura had already been killed? Did she know we were doing everything we could to win her release?

I think about other victims in Nigeria, the Chibok girls, and abducted women and girls forced into carrying out suicide bombings. Some hostages have come back pregnant — will their communities accept them?


 
I am heartbroken by the deaths of these two women. But I also wonder where this intense anger comes from that would allow someone to kill a young midwife. To fight and kill an enemy is one thing, but why stage an execution to kill women helping the community? What can humanitarian organizations do in the face of such anger?

The laws of war exist to prevent or keep to a minimum atrocities and cycles of violence. Even when the laws of war fail an individual, we must insist on their value and continue to work to advance adherence to them.

Without the laws of war, we could face violence without end. We need to collectively stand for these and give humanity a chance.

I cling to the hope that the world will do better in the future.

Source: https://www.icirnigeria.org/killing-of-aid-workers-in-nigeria-is-a-sickening-situation-for-humanity/
* News / Nurses and Midwives in Ghana Undergo Fire-fighting Training by katty: October 20, 2018, 05:59:31 PM
A total of 120 staff of the Ghana Nursing and Midwifery Council (N&MC) in addition to scores of National Service Personnel have undergone a day’s fire training exercise as part of measures to equip them on some fire safety measures.

The training was facilitated by personnel from the Legon Station Ghana National Fire Service (GNFS), in Accra and covered the theory and practical rudiments of fighting fire.



Speaking on the rational for the exercise, Mr Felix Nyonte, the Registrar N&MC explained that the training was to equip Staff with the basic fire prevention methods especially at the work place and fire outbreaks could be prevented with adequate training.

Mr Nyonte praised the facilitators for the practical way they educated the Staff and requested the GNFS to regularly make such training programmes available for staff, to secure life and property.

The Divisional Officer One (DO1) Madam Harriet Anyeley Nunoo, District Fire Officer of the University of Ghana Fire Station, Legon, advised that every home and workplace should have an appropriate fire extinguisher.

She said that the extinguisher could be used at the initial stages of fire to avoid escalation and subsequent damage to lives and property.

DO1 Nunoo explained that although an extinguisher may be seen as expensive, it was a good investment considering the cost of damage caused by fire outbreak.Other officials of the GNFS also advised Staff to avoid overloading their main sockets and extension boards as that could cause overheating and subsequently trigger a fire outbreak, adding that although extension boards may have spaces to plug in enough appliances, it was not always safe to do so.

Staff of the Council who took part in the training expressed gratitude to the authorities of the Fire Service and Management of the Council for providing the training programme.

They noted that it was important everyone remained vigilant to ensure that their emergency exits were clear of any obstruction at all times for a safe and quick evacuation in case of any emergency.

Source : GNA
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