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Nurses Arena Forum / Recent Posts

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* News / Kenyans to access information on NCDs from their phones by katty: November 15, 2018, 12:39:06 PM
Kenyans can now access information on Non-Communicable Diseases (NCDs) directly from their mobile phones.

This follows the launch of an SMS and USSD service called Fafanuka which is Swahili for ‘to be enlightened’ which was announced during the World Diabetes Day celebrations at Emusire primary school in Vihiga County.

The Fafanuka platform which is powered by Safaricom in partnership with the Ministry of Health and the Non-Communicable Diseases Alliance of Kenya (NCDAK) aims to address the information gap on the prevention, management and care of Non-Communicable Diseases.

“Fafanuka will leverage SMS & USSD to educate public, patients, nurses, Community Health Workers and caregivers on how to prevent, screen, diagnose, manage and follow up various non-communicable diseases which include diabetes, cardiovascular diseases, cancer and epilepsy.

To register for the service all one needs to do is dial *215# from their Safaricom line and follow the instructions,” said Dr. Joseph Kibachio, Head of Non Communicable Diseases Division in the Ministry of Health

The content has been developed in partnership with various organisations who are part of NCDAK including Kenya Cardiac Society (KCS), Kenya Network of Cancer Organisations (KENCO), Kenya Welfare of People with Epilepsy (KAWE) and the Kenya Diabetes Management and Information Centre (DMI). The platform’s secretariat is run by the African Institute For Health and Development (AIHD)

According to the World Health Organisation, non-communicable diseases (NCD) contribute to over 50 percent of inpatient cases in Kenya and 40 percent of hospital deaths.

Meanwhile, the Aga Khan University Hospital will offer free diabetes awareness and screening initiatives during this year’s World Diabetes Day to sensitise the public about the disease, its treatment and management.

The hospital will hold a free diabetes awareness and screening open day on Friday November 16, 2018 at the hospital from 9:00 am -3:00 pm.

This year’s World Diabetes Day themed ‘Diabetes and the Family’ focuses on increasing awareness on the impact that diabetes has on the family and social support of those affected and promote the role of the family in the management, care, prevention and education of diabetes.

Screening will include blood sugar, blood pressure, body mass index, waist circumference and advice on nutrition. Adults and children are highly encouraged to attend the public awareness forum and screening for early detection that will ensure better management outcomes of the disease.

A team of specialists including diabetologists, diabetes educators, nurses and dieticians will be available for a one on one free consultation with the specialists.

Source : KBC News
* Inventions / Google Is Making An “AI-Powered Assistant for Nurses and Doctors” by katty: November 14, 2018, 08:16:10 PM
What Google wants, Google gets — and right now, Google wants the Streams app.

Streams is a mobile healthcare app developed by DeepMind Health, a subsidiary of AI research company DeepMind, which, like Google, is a subsidiary of Alphabet.

As part of its efforts to snag a slice of the $3 trillion healthcare pie, Google is absorbing DeepMind Health, and according to a DeepMind blog post, the move could transform Streams into “an AI-powered assistant for nurses and doctors everywhere.”

Streaming Lives
The Streams app is currently helping medical professionals in the U.K. address the problem of “failure to rescue,” a term for what happens when a patient dies from a preventable condition because they didn’t receive the right treatment in time.

The app does this by consolidating all of a patient’s medical data. Everyone treating the patient can enter information into their file directly from the app, and the app can then send alerts to healthcare workers as soon as signs of a potentially life-threatening problem arise.

The Majors
Streams is currently used under very narrow conditions: only by workers at specific U.K. facilities and only for the detection of acute kidney injury. With Google’s full support, though, the app could very well become the go-to medical tool of healthcare professional across the globe. And seemingly nothing would make the DeepMind team happier.

“This is a major milestone for DeepMind! One of the reasons for joining forces with Google in 2014 was the opportunity to use Google’s scale and experience in building billion-user products to bring our breakthroughs more rapidly to the wider world,” they wrote in the blog post. “It’s been amazing to put this into practice in data centre efficiency, Android battery life, text-to-speech applications, and now the work of our Streams team.”

Source :
* News / Botched Exam: Nurses Slam N5m Suit On Enugu Psychiatric Hospital Management by katty: November 14, 2018, 01:05:20 PM
Nurses on special training at the Federal Neuropsy­chiatric Hospital Enugu have slammed a N5 suit on the hospital management.

Orient Daily had reported that the nurses, penultimate Tuesday, carried a mock coffin against the management, a situation that crippled activities in the hospital for several hours.

Trouble started after they could not write their nursing council examinations owing to the management’s alleged in­ability to forward their payment for the requisite accreditation to the nursing council and refusal to refund the alleged 600 thou­sand naira they paid.

As a follow-up to the protest, they have now filed a suit filed before the National Industri­al Court, Enugu Division, with number NICN/E/36/201. It has Obi Chibuike Otito and Amadi Chizoma as claimants, on behalf of other students.

Joined as defendants are the medical director of the hospital, Dr. Jojo Onwukwe and Dr. An­drew Orovwigho. The students are, among other reliefs, praying the court for “general/aggravat­ed damages of five million naira (N5,000,000.00) for loss of time, academic years, strictures and discomfitures.

“An order of this honourable court directing the 1st defen­dant to stay all actions aimed at imposing the 2nd defendant as the Head of Training and Re­search by ousting Dr. Bakare out of office as the current Head of Training and Research, Federal Neuropsychiatric Hospital Enu­gu without due process thereby subverting and destabilising the administration and manage­ment of School of Mental Health Nursing, Federal Neuropsychi­atric Hospital Enugu, pending the hearing and determination of the substantive suit.

“An order of this honourable court directing the defendants, their cohorts, surrogates and other principal/administrative officers of the Federal Neuro­psychiatric Hospital Enugu not to foment any industrial strife, frictions or dissensions capable of causing industrial disharmo­ny or a total collapse of academic and routine labour activities at the School of Nursing, Feder­al Neuropsychiatric Hospital, Enugu, pending the hearing and determination of the substan­tive suit. “An order restraining the defendants acting by them­selves, agents, cohorts or surro­gates from further harassment, intimidation or any sort or vic­timization of any of the plaintiffs, staff and students of the School of Mental Health Nursing, Fed­eral Neuropsychiatric Hospital Enugu, consequent upon this present suit pending the hearing and determination of the sub­stantive suit.”

The claimants told the court that the board of the Federal Neuropsychiatric Hospital Enu­gu or the first defendant “has no right whatsoever under any law or the institution’s organogram to alter, change, or unilaterally modify the system of administra­tion in the school.” No date has been fixed for hearing the matter
* Articles / Increased Investment in Nursing is Key to Achieving Health for All by katty: November 14, 2018, 08:38:07 AM
A new report published today by the World Innovation Summit for Health (WISH) Nursing and UHC 2020 Forum at the WISH Conference 2018 states that countries that invest in and develop their nursing and midwifery workforce can achieve a rapid, cost-effective expansion of high-quality UHC.

The report, co-authored by Lord Nigel Crisp, Co-Chair of Nursing Now, Professor Sharon Brownie, Dean of the School of Nursing at The Aga Khan University, with support from Dr Charlotte Refsum, Lead for Evidence and Research, Nursing Now and Global Healthcare Clinical Manager, KPMG, argues that unless nursing and midwifery is rapidly expanded and developed, there is no possibility of achieving the World Health Assembly goal of a billion more people benefiting from Universal Health Coverage in five years.

Entitled Nursing and Midwifery: The Key to the Rapid and Cost-Effective Expansion of High-Quality Universal Health Coverage, the report includes new data on public perceptions of nurses and midwives in seven countries. The data shows strong public backing for nurses playing a greater role in health services and strengthens the report’s further argument that nurses are in pole position to manage the defining health challenges of modern times.

“The world is facing a shortfall of 18 million health workers needed to deliver and sustain universal health coverage by 2030.” said Dr Tedros Adhanom Ghebreyesus, Director-General of WHO, writing in the foreword of the report. “More than half of that shortfall is nurses and midwives. This report makes a persuasive set of arguments for investing in nursing and midwifery as part of a multidisciplinary, people-centered workforce.”

Speaking at the launch of the report, Lord Nigel Crisp said, “To date, discussions on the delivery of UHC have focused on financing and access to service without sufficient consideration of investment in the health workforce. Our report shows that by redesigning health services at a national level to make better use of nurses and midwives, countries can achieve high quality, cost effective Universal Health Coverage and maximise their existing human resources.”

Building on the success of the Nursing Now campaign, which aims to empower nurses worldwide and has generated support in 67 countries since its launch in February 2018, the report breaks down the argument for investing in nursing and midwifery into the following headlines:

Rapid expansion The report suggests that countries can achieve rapid expansion of Universal Health Coverage by adopting a strategy that combines investment in the workforce with changes in service delivery and practice. In practice, this means enabling nurse and midwives to work to their full potential through the creation of more nurse-led clinics, more specialist nurses and more midwifery services.
Cost-effective expansion Evidence in the report shows that cost-effective expansion of Universal Health Coverage will heavily depend on enabling and training the existing workforce, including nurses and midwives, to work more effectively. In addition to the examples listed in Rapid Expansion, there is enormous potential for nurses to expand their scope of practice through task-sharing. One study cited in the report estimated that advanced practice nurses can complete approximately 70 percent of a GP’s workload.
High quality expansion There is evidence of the impact that nurses and a patient-centered, holistic approach have on quality, including studies that show that physicians and nurses generally achieve equivalent health outcomes for long-term NCD management, though nurses often score higher for patient satisfaction and for treatment adherence. Nurses also often provide more health promotion and disease prevention advice at the same time.
“The research conducted in this report shows that the vast majority of patients do not mind whether they are treated by a nurse or a doctor and hold both professions in equal regard,” said Lord Darzi, Executive Chair of the WISH. “These results suggest that there would be widespread public support for nurses making an even greater contribution to healthcare in the future, so we strongly encourage governments to adapt their national programmes accordingly.”

Commenting on the report, Professor Sharon Brownie said, “Current global policy on UHC barely mentions the workforce, let alone nursing and midwifery. There would be a profound effect on how quickly and effectively UHC could be rolled out if a significant part of the workforce were enabled to work more effectively or to take on new roles.”

"ICN is pleased to welcome this new report on Nursing and Universal Health Coverage," said Annette Kennedy, President of the International Council of Nurses and Commissioner on the WHO High-Level Commission for NCDs. "Several studies have found that midwifery- and nurse-led services are delivering positive and high-quality outcomes for patients, especially those related to non-communicable diseases, and are cost effective for health systems. ICN supports the recommendations of the report and calls for investment in nursing and midwifery for rapid, cost-effective, high quality UHC."

"ICN wholeheartedly supports the recommendations of this report," said Dr Isabelle Skinner, ICN's Chief Executive Officer. "Many nurses already work in advanced and specialist roles, and many midwifery- and nurse-led services are currently providing new and innovative models of care, especially for community-based maternal, child health and adolescent services. ICN believes that midwifery- and nurse-led services should be the foundation for a rapid, cost-effective expansion of high-quality UHC."

This report has been published in coordination with the Nursing Now campaign, which has a three-year mission to promote and empower nurses and midwives worldwide. The campaign will culminate with the Florence Nightingale Conference in 2020, an event marking the 200th birthday of the woman considered to be the founder of modern nursing.
* Articles / Where There is No Doctor: A Clarion Call to All Nigerian Nurses By Williams M by katty: November 14, 2018, 06:25:25 AM
It was a very hot afternoon in one the communities sited in the creeks of Bayelsa state. I just stepped out of the health center in hunt of a chilled drink to quench my thirst. Surprisingly, one of the community members who recognized me as a “corper nurse” posted there, ran towards me alerting me of a friend in the neighboring community who already notified her of their coming to the health center for an emergency. I hurriedly aborted my mission and rushed back.

While still at the entrance, I sensed danger on my sight of drips of blood littered along the entrance of the health centre. It was a case of matchet injury to the hand. The patient reportedly mistakenly cut deep through his hand on an attempt to carry out his routine farming work. The client already laid on a couch, was bleeding profusely as some arteries were affected. The environment was already tensed as the client was obviously anxious and humbly pleading with us to help save his dear life; relatives and well-wishers who accompanied the client were heard calling on their gods and God to intervene. A battle between life and death!

Unfortunately, the doctor on call was temporarily unavoidably absent. Decision-making automatically shifted to we; the nurses on ground. It was a tough choice between “promptly referring the client to a decent hospital in town for expert management by speed boat” which would take about 50 minutes and “instituting emergency treatment to the best of our abilities”. We chose the latter option as it was apparent that the client would give up the ghost from hypovolaemic shock if treatment wasn’t commenced immediately as he has lost so much extracellular fluid. A choice between a greater and lesser evil! We swung into action.

As God may have it, the health center was quite equipped with emergency drugs and supplies. While applying pressure at the bleeding site to control the bleeding, intravenous line was secured and infusion set to boost the fast depleting plasma volume. Within few minutes of attempt to irrigate and suture the injury site, client ran into hypovolaemic shock. Client became unresponsive and pulse rate difficult to palpate. The environment was thrown into chaos as the cry from the relatives tripled which attracted a large crowd which was difficult to disperse. At that point, for the first time in my life I felt helpless and overwhelmed but I struggled to remind myself as I was thought in school, “to always remain calm in an emergency to be able to deliver effectively”.

With the help of my able colleagues, Cardio-pulmonary resuscitation (CPR) was initiated, artificial oxygen apparatus set and emergency drugs administered. To God be the glory, within few seconds, client was revived and was stabilized after some minutes of battling to suture the bleeding site. Client was afterwards, referred for further expert management. Theories learnt from the fore walls of college were put into practice. What would have been a life-time nightmare and post-traumatic stress to me turned out to be a good feeling of accomplishment and source of encouragement to go deeper and learn more.


While waiting for any slightest opportunity to fly out and join our colleagues in the Western world; where the society and government appreciate well our good works; where everyone is recognized and respected for the vital role they play in the society; where the hospital working conditions are health-workers friendly; where there are abundant opportunities for personal and professional growth and advancement, it is pertinent we have these at the back of our minds that:
 You may not always be lucky to have a doctor who by the Nigerian bureaucratic system, is responsible for leading the health team in the medical management of clients. Hence, the need to equip ourselves with the necessary practical skills and knowledge to deliver effectively mostly in an emergency as such. In such situations, your actions and inactions will mean so much in saving a client’s life who may be your loved one, relative, friend etc.

 There is gap between theory and practice and should be bridged. Having being exposed to the theories in courses like Anatomy, Physiology, Med-Surg, Biochemistry, Pharmacology etc. in the course of our training as students, the onus is on us to practice and build on these to boost our competence.

In Nigeria, mortality rate is already very high and life expectancy is low. Your competence and emergency readiness can help checkmate this. As I was taught in “Medical Jurisprudence”, life is sacrosanct and as such, should be conserved and protected at all cost.
I will be quick to suffix that I am victim of Nigerian system but won’t continue to let it negatively affect me in the practice of my vocation and passion.

BY Williams Maduka
* Articles / Nursing Internship in Nigeria-What You Must Know by Princewill Aghedo by Idowu Olabode: November 13, 2018, 10:13:31 PM
On Reception of the circular from the Head of Service of the Federation to the Hon. Minister of Health (Ref.No.HCSF/EPO/EIR/CND/100/ST dated 7th,September 2016), the Nursing and Midwifery Council of Nigeria (NMCN) concluded arrangements for the commencement of the Internship for University Graduates from January 2017.

The Nursing Internship is a paid one year work-in-training programme put together to enable University Graduate Nurses match their theoretical and clinical knowledge with practical Nursing Tasks and practices in a hospital setting.


-provide interns with the chance to use thorough clinical judgement and critical thinking skills throughout patient care process

▪it afford interns the opportunity to implement learned knowledge and behaviours into real -world scenarios

▪To collaborate in care services across multiple healthcare departments.

▪it afford Interns the opportunity for self development through improvement of communication skills, building confidence and gaining new perspectives.

▪Opportunities to partake in quality care initiatives.

▪it helps interns develop delegation and time management abilities

▪provide an insight of what the future jobs entail.
▪Nursing internship enhance leadership skills in management of conflict resolution and ethical issues.


Nursing internship is a Programme specially designed for University graduate nurses for a period of Twelve months to enable them have exposure and opportunity to implement the learnt theoretical knowledge on real life scenarios.
The program afford university graduates an opportunity to gain mastery,gather experience, get exposure to real life scenarios and give them an insight on career path..

Unlike the School of Nursing graduates, the University graduate Nurse must complete this programme before they can have access to a permanent licence to practice. Hence, it is usually advisable for new graduates to take every opportunity of internship openings in the country as there is a stiff competition amongst more than 1000 Graduate nurses for slots usually less than 50 per institutions.



- Application letter or form, depending on the Hospital.
- CV.
- Passport
- First school leaving cert
- Degree cert or testimonial or statement of result or attestation
- License
- Oath (for some institutions)
- Birth cert
- LGA identification
- 3 recommendation letters
- And any other necessary doc.


The duration for internship is twelve months as approved by the Nursing and Midwifery Council of Nigeria.


Only university graduates from January 2017 can can apply for this programme. Hence, those that graduated in November or May 2016,2015,2014 and above are excluded from internship.


"NO". Only university graduates are allowed to apply for internship in Nigeria.
School of Nursing graduates are expected to have gained at least 14 months clinical training as stated on the curriculum of the Nursing and Midwifery Council of Nigeria (NMCN), hence, don't need to go for internship as they have been exposed to majority of the clinical settings and specialty in Nursing practice.


University graduate Nurses can apply for internship in any of the following institutions :
-Federal Medical centers
-Federal teaching hospitals
-State teaching hospitals
-Industrial Organisations
-Military hospitals and many more.


When looking for a BSN nursing internship, it is important to look early because there is often strong competition for a limited amount of spots.

A general rule is to conduct the search at least one semester ahead of time since many deadlines are around August -November. Networking with senior colleagues, professors, and classmates may help students find the right internship. BSN nursing internships are commonly posted on Nursing and medical blogs like MEDICALWORLD.COM, Parcelmedico, and many are seen on bulletin boards,  newspaper,Whatsapp and telegram groups as well as  the employer websites.

-Federal Medical Centre Owo
-Federal Medical Centre Owerri
-University of Benin teaching hospital. (UBTH)
-Federal Teaching Hospital Abakaliki (FETHA)
-Nnamdi Azikiwe university teaching hospital (NAUTH)
-University of Calabar teaching hospital
-FMC keffi.
-University of Uyo teaching hospital
-Enugu State Teaching Hospital
-Bayelsa State Health service


While many Graduate nurses have risked their lives and spent money travelling from one city/State to another, some have successfully secured internship positions from the comfort of their homes without travelling any distance.

There are E-parcel organisations that help submit internship applications to the Applicants desired institution/Organisation  for as low as #2,000.

All these E-parcel service do is ensure you submit the right documents to their various emails and print and submit on your behalf. One of the most trusted organisation offering this service is "Parcelmedico"(+2347069646143).
Parcelmedico is an online platform with over 15,000 medical subscribers that assist Interns,House -officers and Residents to submit their applications.


--Poor and wrong placement of graduate Nurses as compared to other healthcare professionals.

-Exclusion of Nurse interns from Many internship Advert.
-Non -provision of accommodation for Nurse interns when they finally get a place to do their internship.

-Corrupt practices in selecting Applicants for internship


-Proper placement of Intern and already employed graduate Nurses who entered service with first degree in Nursing should be the major focus of stakeholders

-Nursing Associations such as NANNM, UGONSA,NUNSA,MINAN should ensure that any organization/institution that ommited Nursing in a medical internship advert should be corrected and given a deadline to revert
-Federal and state NANNM Executives should ensure that the hospital management provide a living quarters that is comfortable for the Nurse interns.

-Measures should be put in place to check corrupt practices in selecting Applicants because of their financial strength to pay for Internship slots as Internship slots should only be given based on merit.
-A good number of Nurse intern should be engaged in comparison with best international ratio of Nurses to other health care professional. A case of employing 10 nurses when other health care professional are employed in their 50s'  should be resisted.
However, worthy of commendation are the Chief Medical Directors that have commenced internship in line with federal ministry of health directives. Indeed they are doing a great service to our Nation.

Also to University graduate of Nursing Science Association (UGONSA).who have been in the fore front with NUNSA(Nigeria University Nursing student Association) to ensure the commencement of internship in Nigeria and fighting against the wrong placement of Graduate Nurses in Nigeria.

Nursing is a profession of high repute both nationally and internationally and it's our responsibility to foster interdisciplinary collaboration with all the relevant stakeholders in education and health sectors in other to take the profession to the highest pedestal of excellence. Thank you.

Princewill Aghedo (RN, DNI)



To join a platform where you can get help with internship, kindly click on the link below. INTERNSHIP IN NIGERIA - What You Must Know

* News / Nurse Under Fire After Taking Selfie With Unclad Pregnant Lady In The Background by katty: November 13, 2018, 08:16:53 AM
A nurse has sparked outrage among internet users following a viral picture which is making the rounds on social media for obvious reason.

The yet-to-be identified nurse took a selfie in the ward of a general hospital as she also captured a Unclad pregnant woman who was laying down on a bed.

The controversial picture was posted on a social media platform - causing outrage among netizens who feel it's disrespectful for the patient and unethical for the health personnel to have taken the picture with the pregnant lady in the background.

A Facebook user identified as James Moses shared the picture and didn't give the exact location where it was taken as he called for the nurse's sack.
* News / 61 Denosa members withdrawn from Ekurhuleni clinic after attack on nurse by katty: November 12, 2018, 06:54:07 PM
South Africa: The Democratic Nursing Organisation of SA (Denosa) has withdrawn its members from Ramokonopi clinic in Ekurhuleni over safety concerns.

Denosa withdrew its nurses following alleged attacks on its members by community members, with little or no intervention from management.

In the latest incident, Denosa alleges one of its members was physically and verbally assaulted by the relatives of a patient over the weekend.

According to Denosa Ekurhuleni regional secretary Lebohang Khumalo, the midwife was attacked three times, despite police intervention, and even had to be escorted home following her shift.

"Over the weekend, a midwife at Ramokonopi was physically assaulted and verbally insulted by relatives of a patient during a delivery while security personnel sat and watched without any assistance.

"12 people walked into the centre and assaulted her three times, at some point demanding the patient's files. The member was afraid to go home and had to be escorted."

Following this, Khumalo said 61 of the 76 nurses working there were withdrawn from Ramokonopi and deployed to surrounding health facilities until the safety issues are resolved.

Khumalo confirmed that Denosa had engaged the hospital's management and Ekurhuleni Health District on the ongoing issue for more than two years, yet despite this, attacks on members continued, particularly at night.

"Safety of workers has been an agenda item in the district multilateral for the past two years and the security manager has proven to be incompetent as he has failed to put proper security measures in place, and has failed to provide new means that ensures safety of staff.

"The security company has failed to render the required services to the staff which is a gross indication that they are incapable of providing and ensuring safety of members.

Khumalo further said: "The community of Ramokonopi section in Katlehong has a responsibility to protect the services provided to them. It is unfortunate that they have also contributed to the security problems in the facility as it is the very community members that assault staff members."

She confirmed that engagements with management continued but that nurses would not return to Ramokonopi until their grievances had been resolved.

* News / Preterm Deaths: Paediatric nurses seek newborn units in hospitals by katty: November 12, 2018, 05:08:07 PM
The National Association of Nigeria Paediatric Nurses (NANPAN) has called for the establishment of special newborn units in all secondary health institutions in the country to curb the rate of preterm deaths.

Mrs Olubunmi Lawal, National President of NANPAN, made the appeal on Monday in Abuja.

Lawal fielded questions ahead of the association’s annual general conference and commemoration of International Day of Prematurity.

The association’s conference is scheduled for Nov. 13 to 17 in Owerri, while the International Day of Prematurity is billed for Nov. 17.

The conference theme is: “Innovative process of policy and politics to improving nursing/midwifery profession for a healthy nation”.

Lawal, who frowned at the rate of preterm death in the country, attributed it to lack of proper care and necessary equipment that could fast-track the resuscitation of children born before time in most hospitals.

The president identified preterm as the leading cause of neonatal death globally, urging governments to adopt measures that will curb the prevalence in the country and restore the lives of “our future leaders”.

Preterm birth is also known as premature birth is the birth of a baby at fewer than 37 weeks gestational age.

Lawal specifically noted that the association has adopted prematurity as the thrust of the conference focusing on five preterm steps campaign that would ensure the survival of babies born preterm.

She identified the establishment of newborn corners in all hospitals as one of the steps.

Other steps are sustainable policies, capacity building for nurses to ensure increase and well-skilled personnel in the field, promotion of Kangaroo Mother Care (KMC) and science.

KMC, sometimes called skin-to-skin care, is a technique of newborn care where babies are kept skin-to-skin with a parent, typically their mother.

She, however, explained that if all maternities in the country have new bone corners as soon as such baby is delivered and unable to breathe the paediatric nurses could easily take the child to that corner, push some air into his noise to aid his breathing.

“Most secondary health facilities do not have newborn units as such they refer some of these babies to tertiary health facilities in the process some of the children will die and when the few ones eventually get to tertiary they are cold.

“If most of the secondary facilities have newborn unit equipped with incubators especially for the very preterm that has respiratory distress such baby can be kept there till he is stable then later place on mother to mother skin continuously.

“Establishing newborn corners in our localities will aid in resuscitating babies born preterm that cannot breath and after resuscitation you administer antibiotics, place such child on skin to skin which will assist in his survival before referral,” she noted.

The International Day of Prematurity is observed on Nov. 17 each year to raise awareness of preterm birth and the concerns of preterm babies and their families worldwide.
According to the WHO, approximately 15 million babies are born preterm each year, accounting for about one in 10 of all babies born worldwide.

Source: PM News
* Nursing Heroes / How Nurses in World War I Helped Change Ideas About What Women Could Accomplish by katty: November 12, 2018, 10:20:08 AM
Before Florence Nightingale reorganized the care of wounded soldiers during the Crimean War in 1854, it had been the task of camp followers — wives and prostitutes — to treat them with whatever primitive medical help was available. Nightingale insisted that conditions for the wounded were killing men as fast as the enemy. She demanded clean bandages and bedding, fresh air, nourishing food and decent trained care. A few years later and across the world, Clara Barton fought for the same principles in the American Civil War. Both women, and those they inspired to serve, saved countless lives. They attended to the wounded while there was still a chance of treating them, and forever changed how the war-wounded were perceived by the military — no longer as collateral damage in battle, but as lives that could be saved.

And yet, though both are remembered today as heroes, they were often at loggerheads with their governments before they got their way. And even years later, well into the First World War, which came to an end a century ago on Nov. 11, 1918, some officers still felt that women didn’t belong on the battlefield. As I learned while researching a novel with a battlefield nurse protagonist, many women had to prove themselves all over again as competent assets to the army, able to fend for themselves and provide skilled care that returned wounded men to regiments hungry to replace casualties. They were not just a higher class of camp followers.

By 1914, medical care had come a long way. The various combatants approached medical care in different ways. The French were far behind, their mindsets still almost medieval. Some accounts of the cellars and barns and railway cars where the wounded were housed are harrowing. Indeed, decades earlier, they’d decided, as part of a program separating church and state, to prevent nuns, historically the healers in war and peace, from serving with the Army hospitals. A few nuns did work independently of the Army to open hospitals wherever they could. There is also the story of French noblewomen who rushed to sign up for French hospital nursing, only to discover that they must treat the ranks as well as officers. Conversely, the Germans had decent male-only hospitals in their deep, multilayered trenches, so unlike the shallow ones the Allies dug. Even surgery could be done in some of these facilities. Meanwhile, St. Louis sent a unit of nurses and doctors — and an early X-ray machine — to Rouen, long before the U.S. entered the war.

For the British, the declaration of war in 1914 meant that women took over the work of men wherever possible. Postmasters became postmistresses. Women learned to drive omnibuses or to take over desks wherever men could be spared. Others dug up gardens and fallow land to grow needed foodstuffs for the home front, after U-boats attacked convoys coming in from the Empire and the U.S. British farmers were desperate for help. Many women went into factories, and were very good at setting fuses in shells and bullets. It was dangerous work, and the chemicals they dealt with made many ill.

And, on the battlefield, the nurses stepped in. What they would experience over nearly five years of war was horror, privation, exhaustion and danger. Their reward was the satisfaction of saving lives.

For our fictional take on the nurse’s situation, we made protagonist Bess Crawford the daughter of an officer in the British Army, giving her a less Victorian upbringing as well as parents who were more likely to agree that she could train, but it was not uncommon for families to refuse permission, feeling that this would be too shocking.

The women who did volunteer went through several layers of medical training as well. For the Queen Alexandra’s Imperial Military Nursing Service, training was mandatory. There were other volunteer nursing groups, like the VADs (Voluntary Aid Detachments) — with whom Agatha Christie trained — with less strict training, who helped in the wards at secondary nursing tasks.

The regulated nursing groups like the Queen Alexandra’s were given the rank of officer in order to protect them and give them some standing when dealing with doctors, other ranks and high command. These women were expected to uphold the integrity of their service. Their relationships with the men under their care had to be completely professional. They could be expelled if they had affairs or even became engaged. And yet these young women who had never seen a man in his underclothes were expected to work with the mutilated bodies of wounded fresh from the trenches. All of which they did with great courage and dedication, often staying with their patients as the Germans overran a sector. Indeed, the British nurse Edith Cavell not only stayed with her wounded in Belgium, but was accused by the Germans of helping the local underground. She was executed by firing squad on Oct. 12, 1915.

How did a grateful nation reward all those women who had come to its defense? Rather stingily, considering their service and the losses they’d suffered as a generation of fathers, husbands, and sons died for King and Country.

Some women finally gained the vote in 1918 — at war’s end — as promised earlier in the war when the Suffragettes had agreed to halt their civil protests for the duration. But the franchise was only extended to women who were 35, the head of household or the owner of property. The war nurses were not eligible unless they fit into one of these categories. Nor were those who worked on the land or drove the buses or set the fuse in all those shells. Even so, there were men who went on record predicting dire consequences to the nation arising from women being allowed to vote or stand for Parliament, because they were as a sex emotionally unsteady.

Britain didn’t collapse. Still, it was not until 1928 that all women over 21 received the same rights as men, in the Representation of the People (Equal Franchise) Act. American women were granted that right in 1920, in the 19th Amendment.

Less than a hundred years ago… I wonder sometimes how many women today understand what a hard-won right that was. Certainly nursing was a high-profile example of what women could achieve, although their sisters in other positions were the backbone of England’s work force and clearly visible on an almost daily basis. This was repeated in WWII and, in both instances, these women were expected to quietly return home and resume their places as wives and mothers.

After World War I, however, that wasn’t always possible. Britain had lost a generation of men, and many women had to find work to support themselves and their children. At the same time, many employers had to swallow their feelings about hiring women, and fill vacancies where they could. Still, in the hundred years since the Armistice, we have really not made a hundred years of progress in how women are viewed in many workplaces. The nursing profession is thus perhaps the best example of one in which the work of women in the Great War had a proud and lasting impact on the future. Contrary to what some hoped at the time, that war did not end all wars — and in those that followed, nurses carried on the tradition of duty and service begun by Florence Nightingale and so faithfully embodied by the courageous women of World War I.

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