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* News / South Dakota Senate approves licensing of Midwives by Bob Mercer by katty: February 19, 2017, 05:21:38 PM
Families who want midwives to deliver their babies in their homes, rather than going to hospitals with doctors, might soon get their way in South Dakota.

The state Senate approved a midwives licensing act Wednesday. The 29-6 tally surprised the prime sponsor, Sen. Brock Greenfield, R-Clark.

The victory came one year after a licensing bill failed in the Senate 16-19 after it had passed in the House of Representatives 54-13.

The current legislation now heads to the House for consideration. The main sponsor there is Lee Qualm, R-Platte.

The legislation last year would have placed midwives under a special committee with the state Board of Nursing.

The current proposal would create a certification system and a five-member board of certified professional midwives under the state Department of Health.

Greenfield thanked Sen. Deb Soholt, R-Sioux Falls, for her support Wednesday. Soholt, a registered nurse, is women’s health director at Avera Medical Group. She opposed the 2016 legislation.

He described Soholt as “the nurse who knows more than anyone on the (Senate) floor.”

Several senators gave credit to Debbie Pease of Centerville, who has lobbied since 2012 for legalizing the use of midwives.

Sen. Kris Langer, R-Dell Rapids, said Wednesday that she wouldn’t use a midwife but knew many people who would. “I think we owe it to the people of South Dakota to give them that chance," she said.

The effort stretches back to the 1990s. “This has been a 23-year gestation period,” said Sen. Phil Jensen, R-Rapid City. “This baby is long overdue."

Sen. Neal Tapio, R-Watertown, said the legislation would bring the state into line with a majority of the nation. “There's not been one effort across those 30 states to rescind this bill,” Tapio said.


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* News / Doctors in public hospitals shouldn’t be allowed to run private clinics – NMA by Idowu Olabode: February 19, 2017, 02:43:33 PM
Doctors in public hospitals shouldn’t be allowed to run private clinics – NMA President

Mike Ogirima, a professor of Orthopaedic and Trauma Surgery, is the President of the Nigerian Medical Association, NMA, and President of Nigeria Orthopaedic Association. He spoke in an exclusive interview with Ayodamola Owoseye, Nike Adebowale and Idris Ibrahim on critical issues in Nigeria’s health sector and doctors’ perspective of the way forward.

PT -What has been your achievements since you got into office since 2016

– Precisely, we came in on 28 April 2016, following a very sad moment where we lost six of our colleagues with the driver. We had to set up an endowment fund to disburse funds for their families, including that of the driver.

We came with an agenda to correct disharmony within the various groups of doctors and between doctors and other professionals in the sector. As we are talking now, there is a lot of trust that has been gained by our junior colleagues versus the senior ones, between doctors in private business and the ones in government hospitals. There is trust that has been built between the doctors who are undergoing specialist training and their consultants. Everybody thinks we are one family now.

And we are trying to discourage government from individual negotiations for remuneration and welfare packages. We have succeeded in making the government negotiate with us as a group of health professionals within the health ministry. The doctors, the nurses, the medical lab scientists are carried along when it comes to issue of negotiations for welfare.

On contributions to various policies, we have advocated that the National Health Act be fully implemented. Of course you are aware that there was a peaceful walkout organised by the NMA in the Federal Capital Territory and all the 36 states of the country.

As I am talking now, certain provisions of the Act are being implemented. For example, committees on various aspects of the Act are being set up by the (health) minister. The minister is everyday shouting about universal health coverage which entails that about 10,000 primary healthcare centres will be rehabilitated and made functional. They have started that with Kunchingoro Primary Healthcare Centre as a model for all the health centres.

The National Health Act says certain provision from the Consolidated Revenue of the federation should be set aside as Basic Health Provision Fund and stated specifically not less than one per cent of the fund. That is the grey area and we are hopeful that in the 2017 budget, if it is finally approved as a law, that provision should be captured. Even if the President has not mentioned it, we are very sure that as we partner with the National Assembly committees on Health, at the end of the day that Basic Health Provision Fund will be set aside as an additional source of fund to the health sector.

That fund, if made available right from 2014, would have gone a long way to tackle a lot of issues, particularly the issues of primary healthcare, because the fund provides about 50 per cent or 45 per cent of that fund to the National Health Insurance Scheme.

For that of the NHIS, it is supposed to be ploughed into vulnerable population of the country. That is the very elderly, the infants and the road traffic injuries as emergencies to our health facilities across the country.

The minister has made a lot of pronouncements on accepting emergencies in our hospitals, particularly public hospitals within the first 24 hours before you start asking for police report and the public hospitals are keying into that.

The immunisation processes are still ongoing, but what we are asking for is that we should include more programmes. Like immunisation against viruses that cause cancer in women, particularly the immunisation against human papilloma virus (HPV), Hepatitis B. It shouldn’t just be ad-hoc arrangements. It should be for adults and children, it should be part of the routine immunisation package, just like the other killer diseases of childhood are being immunised against.

PT – What is NMA doing about doctors’ welfare and hazard of the job as regards deaths due to Lassa fever and other infectious diseases?

– On the public health side, of course Lassa fever is a disease that is perpetuated by rats. We are in the first burner of improved environmental sanitation. But when infection sets in, because the health workers is the first to be infected because of exposure, we have alerted everybody to take seriously the clinical universal precautions against infections. That entails washing of hands, disinfect your environment, don’t leave food and left over open, these are basic things we have been campaigning with relevant ministries of health.

For health workers generally, we have asked them to be on alert. They should report cases that they are suspicious about and be aggressive about confirming those cases. And while they are doing their job, there are personal protective effect that must be available and that we don’t joke about it.

For those who have been affected, there are structures set aside by the government to address their treatment. Of course, the mortality rate from the disease is quite high, about 45 per cent. Because of that, we are in the front burner of making sure that Lassa fever epidemic is not seen again in our country.

PT- A major problem facing the medical sector in Nigeria is brain drain where most of the doctors after completion of study leave the country for greener pastures abroad. What is NMA doing to curtail this, as most hospitals complain of shortage of medical personnel?

– The number one reason why doctors and other health workers run away from the country is the working environment. When you are trained as a specialist in your field and you are left empty handed, there will be frustration. No equipment to work with. There are lots of doctors now roaming the street and there is general embargo on employment of health workers. This is a country that cannot boast of enough number of health workers to manage our system.

For example, the doctors on register in Nigeria are about 35,000. That is doctors registered under the Medical and Dental Council of Nigeria. In total it is 87,000, but practically maybe out of this figure, 5,000 are in the UK, another 10,000 in Saudi Arabia or United States. Then in the Far East, we see Nigerian doctors.

We don’t have enough doctors to patients ratio. It is not enough, yet the ones we are training are not being employed as at when due.

Even when they are employed, they don’t have up to date facilities to work. We all know the situation of our public hospitals.

These are the salient reasons why you have doctors looking for greener pastures.

Apart from that, though the government tried to favour doctors’ entry into the salary scheme. In those days, a graduate will enter at Grade Level 8, while a doctor will enter at grade level 10 or 12, because there was no 11. In as much as there is a structure like that on ground, it is not enough package to turn back the tide of brain drain.

The only thing one as an association can do is to plead with the government to rehabilitate our hospitals. Make the working environment of a doctor conducive. If you enter any doctor’s office in any of these hospitals, you will be shocked by what you see.

You will enter some public hospitals where you don’t even have wash hand basin. It could be as bad as that, where a doctor has to share toilet facilities with so many other people, they have to leave the office for conveniences. That’s how the working environment is.

In places where you have cases of surgery, there is a waiting time. You have to wait until it gets to your turn. You pray it’s not an ailment that will kill the person, but that is the reality on ground.

Government should try and train more, make sure our training institutions are up to date in terms of facilities to train. Make sure the ones you train are engaged and reabsorbed back into the system.

Yes, some fraction will still find a way of looking for greener pastures but if you keep on training, going by global standard I think the brain drain will be there but we will have enough to take care of the population.

PT – Some colleges abroad do not recognise medical certificates of some institutions in the country.

– What I mean by government improving the training facilities, that does not mean the ones available now are not training to international standard. Just last year, two of my students got placements in UK and they are doing very well once exposed to a better working environment.

Yes, some countries have that aversion to Nigerians, but other countries still find our products very useful to them, especially UK and US. If any other country refuses the products then they have other reasons, not because of incompetence of our products.

PT- On cases of medical negligence of patients especially after surgery, how can clients seek redresses and what disciplinary action does the association take on such culprits?

– Every hospital has or should have internal disciplinary measures to tackle issues that boil down to the care of the patients.

Negligence is one and as an association, we have a regulatory body, the Medical and Dental Council of Nigeria, MDCN.  The law setting up that council in Nigeria allows administration to change the composition of that council at any time. Presently, when this administration came into power, that is President Muhammadu Buhari’s administration, there was a general pronouncements that all boards and general parastatals should be dissolved quickly. All the regulatory bodies, not only the one regulating the practice of medicine, all those regulatory bodies in the health sector were dissolved.

MDCN is just like Nigerian Judiciary Council, NJC, for lawyers, or COREN for engineers or NUC for universities. So why MDCN remains moribund for more than 20 months now we don’t know. But that is the organ and council that we liaise with in disciplinary cases such as misconducts and cases of negligence.

In fact, there is a tribunal of that council that has same status as the high court. In fact, there are cases now that are pending because that council has not been constituted.

The MDCN is the organ, and at the state levels there is a committee of the MDCN which is chaired by the Director of Medical Service from each state in connection with NMA. They are supposed to monitor the activities of every doctor and to report same.

Apart from that, the National Health Act provides that there is a certificate of standard for the health institutions. Before you get a certificate of standard in any health facility, you must be able to examine the qualifications of staff working there.

All these things are put in place to make sure the standard of practice is maintained. The law enforcement agencies are also there. If you have a case of negligence, they can actually come in to establish and institute legal procedure on the culprits. Under an oath, the patient’s lawyer can ask for the case file on behalf of the patient.

PT – What is the NMA doing on the issue of quackery How many have been arrested and what has been done with them?

– NMA is not a law enforcement agency but just a professional body that advocates and would cry foul if we find quacks. Quacks are those who are not trained to take care of sick persons, the only person trained to take care of a sick man is the doctor. Every other person in the hospital are allied to the practice of medicine.

So in a situation where I term Nigeria as a confused state, where anybody can set up anything, it is not only in medicine where we have quacks. Engineering, pharmacy, among other professions too suffer from quacks. In a situation where a secondary school certificate holder can open a chemist in this country, with no knowledge of medicine and people will patronise the shop as long as there are drugs there. There is quackery everywhere.

But as an association, anytime we have a case, we report to the law enforcement agents. And we also advise the law enforcement agents that when they catch a quack, they should not label that quack a doctor until they have gone to MDCN to establish whether that person has a licence from MDCN.

We have numbers, I know my file number with MDCN. That is why NMA has a strategic plan which is going to bring a lot of innovations to checkmate a lot of excesses. Every doctor will have his own stamp just like the engineer. One of those things that we are dealing with in our National Youth Service Corps camps is that a lot of corps members brought medical reports and my committee has found out that more than 90 percent of those reports were not written by doctors.

Somebody can just go into the hospital, get a letter head and print something. One of the reports labelled a female patient with prostate cancer! Women don’t have prostate in the first instance.

We are doing a lot, in as much that there is internal discipline among ourselves, we are going to go out fully. I am sure that in the last three months you heard that NMA came heavily on some members. As long as you register with MDCN as a doctor in this country, you are automatically a member of NMA and if you are not obeying our constitution, we will discipline you.

So we will start with house cleaning, then we will extend it outside. Slowly we will get there, quacks will be identified and prosecuted.

PT- Still on quacks, it is a common menace especially in the rural areas where there are shortage of doctors.

– We have been advocating that as government is reactivating the primary healthcare centres, every ward is supposed to have a primary healthcare centre, we are saying a doctor should be employed at that primary healthcare centre.

They should not just leave it to the Kuti’s doctors, (there was a programme during the late Olikoye Ransom Kuti, Minister of Health) who brought in community health workers (CHW). The government should not leave the health of our people 100 per cent to the hand of these cadre of health professionals.

Let them be supervised by a qualified doctor who will diagnosis and treat the patients.

Those set of professionals work with guidelines, but a doctor listens, examines and infers and lays out the laboratory test the patient is meant to do.

We have public health physicians, that is doctors who specialise in public health.

They can be there but what it takes is that there must be incentives to keep them there. Those doctors in the rural areas should be able to send their children to good schools. They should be in connection with the world. The world is a global village so they must have all those things that will link them to the world.

If you have all those things and a doctor still refuses, then something is wrong. Maybe in the first instance he wasn’t called to be a doctor.

We all started practicing from the village, and that is the essence of NYSC. From there you can go for specialisation or start working with the government and pursue a career. With incentives, my members are ready to work in the primary healthcare centres.

PT- It has been noted that consultants refer patients from government hospitals to their own private hospitals.

– It is an abuse of the system. The MDCN allows a consultant to own a clinic. What we mean by clinic is a small place where you can see a patient and recommend treatment plan.

MDCN code of ethics states that if you are working in a public hospital, you cannot manage in-patients in your facility. So you cannot run a hospital.

But the mentality of Nigerians, the people are not knowledgeable to know the difference between a clinic and a hospital. I will support a situation where the government will come out clearly and make directive that those employed under the public hospitals (government services) are not allowed to have a clinic. Then we will work by the rules to curtail excesses.

But I know that there is a law in this country that any civil servant cannot practice outside the working hours except if you have a farm. How many people are obeying that law? You have surveyors, pharmacists, lawyers in the government that have external practices. The government should come out clearly to bring out a law that will ban extra-curricular practice or private practice in all the professions.

PT – Why is there an embargo on employment when the number of doctors in the country is a far cry to what is needed, especially in terms of doctors patients ratio? Ogun State for example lamented having only 150 doctors in the public hospitals.

– Ask the government.  I am not the government, NMA is not the government. But we have also observed and we have been shouting. In my state, I met a doctor in my village of about 200,000 people and he is alone in that general hospital.

I asked him how he has time for his family and when is his weekend, he said he has no weekend. So it’s not only in Ogun State, it is all over the country. The worst hit is the northern part of the country.

There are so many general hospitals without doctors. That is the point we are making; that how can we be in the midst of plenty and we are suffering? There are doctors looking for jobs. Maybe it is the recession. I pray this recession will end fast so that the government should employ more doctors, more nurses, because you go to the hospital in a 40 bedded ward, only one nurse is on duty for shift.

Our doctors are dying, health workers are dying because of fatigue. They are collapsing. The last time we had two episodes in Zaria, a nurse collapsed, a doctor collapsed, they died because of the pressure of work.

So we are using this opportunity to call on government that they must employ health workers to fill up the existing vacancies. A lot of vacancies exist in the hospitals.

PT- Resident doctors have always gone on and off strikes. What is your opinion on this? And what is the association doing about cases of doctors who have passed their primary and have no placement for residency programme until it lapses?

– Agreements were reached between the government and the residents, between the government and professional bodies. In 2014, doctors went on strike for 52 days. The reasons they went on strike then are the same reasons they still go on strike. The last time they went on warning strike and they are back to their duty post. What is happening in their January salary is that there is a shortfall of about 30 to 50 per cent. We are asking the government again, why? And I am seizing this opportunity to ask the government, particularly the Minister of Finance to release that shortfall within one week. Other hospital workers have collected their salary full, 100 per cent. But only doctors, resident doctors particularly have been subjected to only 50 per cent or 70 per cent of their salary.

Is it a punishment because they went on warning strike? I am being forced to believe it is a deliberate attempt. Those are the reasons why a doctor would abandon his patients. If a doctor is hungry and nobody to feed the doctor. I am sure if a doctor and any other professional go to the market to buy any item, for the fact that you introduce yourself as a doctor they will give those products at a very high price.’

In those days, the populace fight for the doctors’ right and that is why we are telling everybody the reasons now. What crime have they committed? They have done their job 100 per cent but they were not paid 100 per cent.

But if they abscond from duty, there will be no work, no pay in the same system. That is injustice. So while I will appeal to my colleagues not to go on strike, they should tell the public the reasons why they go on strike and let the public judge and be the advocate of their plight.

I as an individual, I don’t like going on strike and at my stage, I will never encourage strike from any health worker. With the National Health Act, it is illegal for any health worker to go on strike. As a consultant, I can never go on strike because the law states that as a consultant before you go on strike, look for another consultant to handover the patients to and it is not possible.

For those who can’t get in for residency, it is still the embargo. The residency programme is a temporary stage in the doctor’s career. As you finish, another set of residents are employed. But here we have an embargo. In fact, in most teaching hospitals now, the top cadre of residents of residency programme is congested. People who are already waiting to exit, they don’t have the junior residents as back up to replace the ones that are been trained.

I think it is the embargo or recession, but we are begging the government to please make sure that the specialist cadre in the health sector is not depleted. They must sustain the residency training programme because if you don’t have primaries you cannot be engaged in the residency programme. A lot of doctors are having primaries, yet they are looking for placement.

PT – As an orthopaedic surgeon, you deal with images most of the time. But looking at Nigeria where we have few hospitals with imaging equipment and the private ones either expensive for patients or not functional, how have you been coping?

– As an orthopaedic surgeon, I started without a tray and I wasn’t frustrated because that was my call. I have a passion for orthopaedics. But I had POP (Plaster of Paris) to apply. So we started from non-operative treatment and gradually with my personal efforts I got a tray and I was using it. (Surgeons tray contains all the gadgets they use for surgery).

The medical imaging is a dynamic and revolving field. Whatever x-ray you use today, in the next two years it is obsolete. You need to keep updating.  Yes, a lot of private hospitals are giving the government competition now in that respect. If you look around, private hospitals are coming up, doctors are forming partnership, group practice.

Why are the government hospitals not measuring up with these gadgets? The reason is simple. Governments talk about subsidy in medical care, government will buy an X-ray equipment of, let’s say $100,000, the same X-ray equipment will be bought by a private hospital for $900,000. But the private hospital will have a pricing system that will make the private hospital factor in the price of changing the machine in some few years and also make profit. There is usually sustainable costing of service in the private hospitals.

This is quite the opposite in government hospitals where tests are usually subsidised and done at cheaper rate. They tend to overwork the machine and when it breaks down, they will be going to the Ministry of Health or Ministry of Finance to ask for money to repair or buy a new machine. That is a bad system.

Another reason why people would go abroad for medical care is because you have a building called teaching hospital with non- functional machines because they have broken down and they keep telling people to come back in weeks.

If government has instituted maintenance culture according to our services, that would not be happening. So that you will have a plan maintaining the machine, have enough money to buy a backup. Most MRI (Magnetic Resonance Image) machines we have are just single unit in all teaching hospitals. If they break down, it takes another one year to start budgeting and get a spare part. This is not how to run the medical business.

Yes, some have subsidiary, but is the government providing the deficit in the charge to the operating hospital to maintain the machine? Yet hospital management cannot exceed certain limit in the costing of services to maintain the hospital.

PT – Can you say how much Nigeria has lost to medical tourism?

– There is no study that will harness all the losses we are having for medical tourism abroad. But there was an estimate about three years ago, on a conservative estimate, Nigeria spends about $2 billion looking for health care outside the country.

India takes about 80 per cent of that fund. That is a conservative estimate. The good thing about the economic recession is that there is no money again for those patronising the hospitals outside so they are forced to look inward and patronise the good hospitals around us.

Until there is a study, I challenge our colleagues in the public health department to come up with a study and assess how much Nigerians spend to treat themselves outside the country so that it will be a national figure.

PT – What is your view on the 2017 proposed health budget?

– I am not comfortable with that figure. The money budgeted is a far cry from the15 per cent agreed for health sector by African countries. I don’t think it will solve a lot of problems, but I am hoping and trusting that the National Assembly will pass a budget that will provide extra funds for the health sector, maybe through the operationalisation of that National Health Act.

At least one per cent of the Consolidated Revenue should be set aside for the health sector. If they do that, there will be more funds in the health sector.


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* News / Workload Affects Ability of Hong Kong Psychiatric nurses to care for Patients by katty: February 19, 2017, 01:08:54 PM
The patient care duties taken on by Keith are so great that they are preventing him from providing the best support to mentally ill patients.

As a community psychiatric nurse, Keith, who declined to reveal his full name, also serves as case manager for around 65 patients with mental illnesses in New Territories West. He monitors their recovery and helps them integrate back into society after being discharged from hospital.

“People consider community psychiatric nurses as all-powerful and capable of taking care [of almost everything],” said Keith, who has been working as a psychiatric nurse for 20 years, with the past eight years devoted to community outreach.

As a professionally trained psychiatric nurse, apart from following up on medical needs, Keith also has to assess whether a patient is able to live alone and ensure the children of his patients are properly cared for.

He also has to prepare reports within three days of a visit and adjust care plans if necessary.

But with the massive number of patients on his books, Keith, who usually visits homes alone, can only give each patient around 30 minutes for care, which he thinks is “inadequate”.

“Patients with depression could be talking a lot. We need to build up relationships with patients through chit-chat, before they speak their mind to us.”

Care for patients with mental illnesses is more complex than for those suffering physical injuries as it requires personal life experience and knowledge in handling patients’ needs.

“It is hard for us to take care of patients if they don’t talk,” he said.

Keith said more time could be spent drafting better treatment plans for patients if more medical manpower was available and he took care of fewer people.

According to the latest Hospital Authority figures, each case manager has to take care of 50 patients with mental illnesses on average.

“I would like to identify [training] courses on mental health or cognition offered by NGOs that are suitable for my patients ... but I don’t have time,” Keith said.

A lack of manpower not only limits the provision of better services to patients, but also affects whether the city can introduce compulsory treatment orders for patients who miss appointments, according to the head of a mental health concern group.

Dr Chan Chung-mau, chairman of the Hong Kong Association for the Promotion of Mental Health, questioned whether there would be enough doctors to take care of patients brought for forced treatment.

“We need doctors who are experienced and understand patients well ... or it would be useless even with a compulsory treatment order,” said Chan, adding the system should bring benefits to patients rather than simply catching them.

Source :

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* News / This is how nurses like me will be resisting passport checks on our wards by katty: February 19, 2017, 01:00:40 PM
Jeremy Hunt has announced that from April this year NHS trusts will be legally bound to check the immigration status of patients and charge upfront those who are not eligible for free treatment.

As a nurse this makes me both sad and angry. As a profession we are celebrated for our individual sacrifice, commitment to a job with long hours and low pay, and for the emotional labour we undertake on a daily basis. Soon we nurses will become symbols of fear for people, a barrier to your right to good health.

No longer will we be the safe space, the non-judgemental ear, and the people who hold you in your darkest hour. We will first challenge your legitimacy to be here, challenge your identity, your history and your right to health.

There is a particular brutality to a system that pits nurses against patients, that by design will encourage racial profiling and that will force many migrant nurses to become boarder agents.

I work in a ward that provides elective procedures for around 20 cardiac patients every day. 2011 census data shows that 17 per cent of UK residents do not hold a UK passport, which means almost four patients every day missing their treatment, or being faced with having to prove their eligibility to NHS debt collectors.

That’s four more patients a day who are at high risk of having heart attacks, who need a new battery for their pacemaker, or who desperately need the treatment that will improve their breathing enough so they can walk to the shops again. It means lower quality of life for more people, more A&E admissions, and more families devastated by sudden and avoidable deaths.

Already doctors are publicly refusing to carry out checks and following public involvement there are reports of a GP surgery in East London agreeing that they will never ask to see a passport.

Meanwhile organisations like Docs Not Cops and the Nurses Action Group at Guys and St Thomas’s are starting to stand together against the checks by teaching migrants how to access GP services and producing an information pack to help NHS staff in starting campaigns in their own trusts. 

As nurses we can all help. We can talk to our colleagues and make sure they know about the changes, we can lobby our managers to vocally oppose the scheme and put up posters reassuring patients, and we can make it clear that we will not be checking passports ourselves. There will no doubt be severe backlash from management, but if we support each other they will have to listen.

This isn’t the first time nurses will be standing up for the future of the NHS. In 1983 nurses began a two month occupation that halted the closure of Hayes College Hospital. In 2004 nursery nurses in Scotland went on strike for seven weeks to end their poverty wages, and more recently a long running community campaign saved Lewisham A&E from closure.

For those who don’t work in the NHS you can encourage your GP to boycott passport checks, get involved in your local Clinical Commissioning Group and lobby them to do the same, and always refuse to show your passport on request.

Healthcare is a right not a privilege and we must stand together just like they did in 1983, in 2004 and in the ongoing Lewisham Hospital campaign to make sure it remains that way.

Source :

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* News / Nurse appointed to Kentucky Governor Commission by Derek Dickerson by Idowu Olabode: February 19, 2017, 09:06:22 AM
Amy Fennel, APRN, a nurse practitioner with Baptist Health Medical Group Neurosurgery, has been appointed by Gov. Matt Bevin to the Kentucky Commission on Women.

The Kentucky Commission on Women is dedicated to elevating the status of women and girls in the Commonwealth, empowering them to overcome barriers to equity and expanding opportunities to achieve their fullest potential.

The group is mandated to promote, encourage and provide advisory assistance in the establishment of local volunteer community improvement programs for, and in the interest of, women. It also consults with the Governor on important women’s issues.

Fennel was appointed earlier this month along with Sarah Cameron of Fort Thomas; Brenda Lee Gluck of Foster; Miranda Leigh Aavatsmark of Lexington and Greta Greenwade Jones of Hopkinsville. Their terms expire Jan. 21, 2021.

Danette J. Wilder of Lexington, who is serving a term expiring Jan. 17, 2020, will serve as chairwoman of the commission.

In 2015, Fennel was received the Nurse Practitioner State Award for Excellence from the American Association of Nurse Practitioners.

Source :

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* Upcoming Conference / National Association of Nigeria ORL Nurse Practitioners 2017 National Conference by Idowu Olabode: February 19, 2017, 12:08:23 AM
You are all Invited to the 4th Scientific Conference and Annual General Meeting of OTO-RHINO-LARYNGOLOGICAL NURSE PRACTITIONERS OF NIGERIA to be held in Katsina scheduled to take place as follows:
Date: 26-29 April, 2017
Venue: Katsina Motel, GRA, Katsina.
Ensuring Evidence Based Practice by the ORL Nurse Practitioners in Preventing and Managing Otitis Media.
Before Tuesday 18th April 2017 - N10,000
After Tuesday 18th April 2017 - N15,000
* Non Members - N7000
* Students - N5000
Method of Payment
All payments should be made to:
Bank: Zeneth Bank Plc
Acc name: National Association Of EN & T Nurses of Nigeria
Acc Number: 1013914953
Abstract Submissions:
Clinicians, Researchers, Practitioners and Professionals are invited to submit abstarts related to the theme of the conference using the following format:
. Title of study
. Background
. Aims and objectives
. Methodology
. Results
. Conclusion
All abstracts should not exceed 300 words and must be submitted electronically not later than 6.00pm gmt of march 24th 2017.
Abstracts are to be sent to:

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* News / Hospitals in Iceland are in dire need of Nurses by katty: February 18, 2017, 07:23:25 PM
There is a great lack of nurses in Icelandic hospitals. According to a new report from The Icelandic Nurse's Association, 500 nurses are needed to fulfil the need in Icelandic hospitals.

To man the hospitals right now, 290 nurses are needed. Estimated need calls for 523. Meanwhile around one thousand educated nurses in Iceland are employed in other fields.

The Icelandic Nurse Association have suggested solutions to this problem to the minister of health, Óttar Proppé. They propose raising the salary of nurses, which they claim are lower than the salary of other state employees with similar educational background, better the work environment and the education.

Source : Iceland Monitor

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* News / Remove Pathologists from Medical Lab Now or go Straight to jail Court tells CMDs by MLS: February 18, 2017, 05:24:30 PM
Please help me post this on your forum.

Ruling on the JUTH Chapter contempt of court proceedings against the CMD and the DA was done yesterday.
The Judge queried why the CMD was not present and why the DA was represented by a Chief Admin Officer.
Members of the press were there on our invitation following the advise of Grand Commander Dr. Godswill Okara who waited out with us. The JUTH Management's Lawyer was already on the hot seat and was stuttering seriously because of the furiously angered Judge.
The Judge read the contempt, ruled against the CMD and DA for disobeying the order of the court.
She finds both of them guilty of imposing Pathologists on MLS and refusing to remove all of them from the Laboratory Services departments. She also dismissed the JUTH Management's application for stay of execution on the JUTH case.
Prof. Edmund Bangwas (CMD) and Ali Bitrus (DA) of JUTH were given 30 days grace to remove all Pathologists and all persons not allowed by the MLSCN Act to be in the Medical Laboratory Services department from the Laboratory failing which they shall be committed straight to the prison.
The Judgement for the joint action of FETHA, UNTH, NAUTH and NOHEnugu was read by Hon. Justice M. N. Esowe at the NICN, Abuja.
Every of these chapters are to March to court with contempt.

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* News / Hilarious Picture Of Hospital Billboard Sighted Somewhere In Onitsha, Nigeria by katty: February 18, 2017, 05:01:28 PM
Whatever Adult Peadiatrics means

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* News / Kenya: Embu to give striking nurses pay hike by Idowu Olabode: February 18, 2017, 03:36:24 PM
Embu Governor, Martin Wambora, says the process to pay the striking nurses has been initiated in order to end the industrial action that has paralysed operations in health facilities across the county.

Wambora instructed the county’s finance department to fast track the process of reviewing the salaries and allowances of the nurses as agreed between the county government and the nurses’ union late last year.

He said that the payment will be effected starting February 20.

Wambora said that the Collective Bargaining Agreement (CBA) negotiated between the union and the county government will be honored for resumption of medical services.

He said that he had to recall all the officers working at the payroll department from a seminar to enable them work around the clock to effect the payments.

Wambora said that he was in talks with the nurses’ union officials over the strike adding that they had agreed to effect the vouchers for the nurses’ allowances and salaries that have been a centre of contestation.

The nurses attached to various health facilities across Embu County downed their tools over a week ago over failure by the county government to give them a pay rise as agreed in a previous CBA.

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