Department Of Anaesthesia Intensive Care
DEPARTMENT OF ANAESTHESIA
NATIONAL HOSPITAL ABUJA
QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES
NHA/CD/QOCP/ANA/001
Dr. OBISESAN ADERONKE
HEAD OF DEPARTMENT
1.0 INTRODUCTION
The department was created since the inception of the hospital in 1999 and is involved in the day to day provision of anaesthesia and analgesia for all surgical operations performed in the hospital. The department also takes charge of the intensive care unit where critically ill patients with single or multiple organs failure are monitored (both invasively and non-invasively) and treated. Resuscitative and pain management is also provided to other departments and units of the hospital.
1.1 Vision Statement
To deliver efficient, safe and prompt anaesthetic services in all surgical theatres, pain relief service to all post-operative patients and highest standard of critical care and resuscitation services expected of international standard.
1.2 Mission Statement
To be the best in service delivery, training and development in subspecialties; and engage in sound medical research with findings declared in professional conferences and publications.
2.0 QUALITY ASSURANCE POLICY
- Regular accreditation by the West African College of Surgeons (WACS)
- Regular accreditation by the National Post-graduate Medical College of Nigeria
- Consultants/Specialists driven clinical quality services guided by surgery standard practice.
- The department maintains and sustains quality services by ensuring pre-anaesthetic/pre-operative review of all patients scheduled for elective / emergency surgeries and all procedures requiring exposure of patients to anaesthesia.
- We have monthly periodic morbidity and mortality reviews.
3.0 STRENGTH OF THE DEPARTMENT
The Department plays a central role in resuscitation and management of emergencies and critical care in the hospital. The Department is endowed with highly skilled staff of various anaesthesia sub-specialties who are motivated in providing quality service round-the-clock with state-of-the-art medical equipment.
Services Provided
Provision of general and regional anaesthesia for a variety of elective and emergency surgical operations. Surgeries carried out include General Surgery, Obstetric and Gynaecological surgeries, Paediatric surgeries including neonatal surgeries, Neurosurgeries, Cardiothoracic and vascular surgeries, Urology, Otorhinolaryngology, Maxillofacial, Burns and Plastic, Ophthalmology and Oncology surgeries. All above specialties are also involved in Trauma surgeries in Trauma Centre.
- Resuscitation of patients in the wards, A&E Unit, Trauma Centre and other locations within the hospital.
- Sedation of selected patients for radiological procedures such as CT scans, MRI scans as well as for radiotherapeutic procedures for oncology.
- Labour analgesia services. We provide epidural analgesia services for women in labour.
- Transfer of critically ill patients from one facility to another and within the hospital.
- Management of critically ill patients in the Main Intensive Care Unit, Trauma ICU and isolation ICU
- Training of Resident Doctors, Anaesthetic Technicians and Nurses (who rotate through the ICU).
- Chronic Pain Management Clinic and Palliative Care outpatient are coordinated by the department.
- Full anaesthetic services in the newly commissioned Trauma centre which includes triage and resuscitation, anaesthesia for surgical operations as well as running the Trauma Centre ICU and Burns ICU.
- Full anaesthetic services at Kids OR (Children Operating Room).
- Setting up of clinical protocols and guidelines.
- Pain management
- Training:-
- Training of the Hospital staff in Basic Life Support.
- Training of Departmental staff : Residency Training and Skill Acquisition for doctors,
- School of Anaesthetic technician for a minimum period of 3 years before graduation after fulfilling minimum requirements
4.0 Operational Guidelines:
- Call duty Rosters and Contacts of members of the department available in the ICU and Operating Theatres and Accident / Emergency Department for quick access.
- All patients shall be admitted into the ICUs following written consult which shall be attended to promptly to establish eligibility.
- Elective and emergency cases shall be reviewed following formal list / bookings.
- All consults to the department and other communication shall be in the form of written consults.
- The Consultant on-call participates during the call hours and ensures a Consultant led discussion and audit of all activities in the past 24 hours during the morning reviews.
- Senior registrars are always within the hospital and available to attend to all emergencies during call duties
5.0 DEPARTMENTAL ACTIVITIES
Weekly Activities and Schedules
Work Schedule:
|
Day |
Activity |
Time |
|
Mondays – Thursdays |
24 hours coverage of the ICU, operating theatre and on standby to attend to consults from other departments |
24 hrs |
|
Review of activities: The Team on Call in the last 24 hours.
|
8.00-8:30 am |
|
|
Fridays |
Academic presentations/Journal Club/Morbidity and Mortality Reviews |
9.00 – 11.00 am |
|
24 hours coverage of the ICU, operating theatre and on standby to attend to consults from other departments |
24 hrs |
|
|
Saturday/Sunday |
24 hours coverage of the ICU, operating theatre and on standby to attend to consults from other departments |
24 hrs |
Ward Rounds
- Daily review of ICU patients (both Main and Trauma ICU) with a consultant led teaching.
- All patients are reviewed daily by the Senior Registrar
- Call hours are covered by the Team on call
- We operate call duty with registrar(s) and senior registrar(s) in each team sleeping in.
6.0 ORGANOGRAM
7.0 HEALTH AND SAFETY POLICY
- All staff are expected to practice universal precautions and to make use of basic and full PPE available at every service point in the hospital when necessary.
- All staff are encouraged to report all health challenges to the staff clinic and in case of contact with patients infected body fluid and fomites. They shall call the HOD for upward escalation to the hospital Infection Control Unit
- All cases of assaults should be reported from Teams to HOD via the Consultant in-charge of the Team for report further necessary action.
- The department limits access of caregivers and visitors to patient care areas.
- Note: Standard precautions is enforced for caregivers and visitors.
- Intensive Care areas are off-limits to staff and non-staff who have no official reason or permission to be there..
8.0 POLICY ON MINIMUM STANDARDS
We shall practice internationally acceptable standard based on Nigerian Society of Anaesthetists and Association of Anaesthetists of Great Britain and Ireland. (AAGBI).
Our standards of care will be based on current evidence and continue to upgrade with changing trends.
- All emergencies will be attended to promptly dependent on order of arrival and severity of the case.
- A multidisciplinary approach will be used in managing ICU cases.
9.0 LIST OF STAFF AND QUALIFICATIONS
CONSULTANTS: 9
|
S/N |
NAME |
QUALIFICATION |
SPECIALTY |
DESIGNATION |
|
1 |
DR. MORAYO SALAWU |
MBBS, FMCA |
NEURO/ TRAUMA ANAES |
CONSULTANT |
|
2 |
DR OBASI EKUMANKAMA |
MBBS, FWACS |
NEURO ANAES |
CONSULTANT |
|
3 |
DR. ALFRED D. FOM |
MBBS, FMCA |
OBSTETRICS ANAES |
CONSULTANT |
|
4 |
DR MARYROSE OSAZUWA |
MBBS, FWACS. FMCA |
PAEDIATRIC ANAES |
CONSULTANT |
|
5 |
DR. AFFIONG V. ELUMELU |
MBBS, FWACS |
ICU ANAES |
CONSULTANT |
|
6 |
DR. KYRIAN ONWUEGBUSI |
MBBS, FMCA |
CARDIOTHORACIC ANAES |
CONSULTANT |
|
7 |
DR. ADERONKE OBISESAN |
MBBS, FWACS |
TRAUMA ANAES & TRAUMA ICU |
CONSULTANT |
|
8 |
DR. HASHIM J. IBRAHIM |
MBBS, FMCA |
NEURO, PAIN AND UROLOGY ANAES |
CONSULTANT |
|
9 |
DR. JOSEPH M. OKPALA |
MBBS, FWACS |
PAEDIATRIC ANAES |
CONSULTANT |
SENIOR REGISTRARS
|
S/N |
NAME |
QUALIFICATION |
DESIGNATION |
|
1. |
DR. SOMKENECHUKWU C. ABONE |
MBBS, FWACS |
POST PART II FELLOW |
|
2. |
DR. UDOCHU IHUNANYA |
MBBS, FMCA |
POST PART II FELLOW |
|
3. |
DR. AGU CHRISTIAN CHINEDU |
MBBS, FMCA |
POST PART II FELLOW |
|
4. |
DR. OBINNA ANIAKU |
MBBS, FWACS |
POST PART II FELLOW |
|
5. |
DR. FRANK E. NWANODU |
MBBS |
SENIOR REGISTRAR |
|
6. |
DR. K. ENYI-NWAFOR |
MBBS |
SENIOR REGISTRAR |
|
7. |
DR. EGOT ROBERT |
MBBS |
SENIOR REGISTRAR |
|
8. |
DR. CHARLES LAWRENCE NWANKWO |
MBBS |
SENIOR REGISTRAR |
|
9. |
DR. CHARLES I. APEH |
MBBS |
SENIOR REGISTRAR |
|
10. |
DR. UZOMA DAMAIN UCHENNA |
MBBS |
SENIOR REGISTRAR |
|
11. |
DR. NGILARI USIJU |
MBBS |
SENIOR REGISTRAR |
|
12. |
DR. NWOGU HARRISON |
MBBS |
SENIOR REGISTRAR |
|
13. |
DR. AMIEYE BIYEYANA IBIM |
MBBS |
SENIOR REGISTRAR |
|
14. |
DR. AMASIKE SANDRA |
MBBS |
SENIOR REGISTRAR |
|
15. |
DR. JOSEPH NZABYGYIA |
MBBS |
SENIOR REGISTRAR |
|
16. |
DR EKON UDEME LINUS |
MBBS |
SENIOR REGISTRAR |
|
17. |
DR. MOCHU MICHAEL |
MBBS |
SENIOR REGISTRAR |
|
18. |
DR. AGBAWN DAVID |
MBBS |
SENIOR REGISTRAR |
|
19. |
DR. ONWUCHEKWA UGOCHUKWU L. |
MBBS |
SENIOR REGISTRAR |
REGISTRARS
|
S/N |
NAME |
QUALIFICATION |
DESIGNATION |
|
1 |
DR NNAEMEKA UGWU BENSON |
MBBS |
REGISTRAR |
|
2 |
DR. UZOWULU ROSEMARY |
MBBS |
REGISTRAR |
|
3 |
DR AGIM MARYLYN O. |
MBBS |
REGISTRAR |
|
4 |
DR. JULEO T. KARR |
MBBS |
REGISTRAR |
|
5 |
DR. UDODI JOHNSON EJIKE |
MBBS |
REGISTRAR |
|
6 |
DR. BITRUS ANJIKWI BDILA |
MBBS |
REGISTRAR |
ANAESTHESIA TECHNICIANS
|
S/N |
NAME |
QUALIFICATION |
|
|
1 |
FRANCIS EKEOGBEDE |
Higher Anaesthetic Technician |
|
|
2 |
CHIBUZOR DOMINIC |
Higher Anaesthetic Technician |
|
|
3 |
FUNMILAYO OLADOGBA |
Higher. Anaesthetic Technician |
|
|
4 |
TIJANI SULE |
Higher Anaesthesia Technician |
|
|
5 |
ANINI AHMED MICHIKA |
Higher Anaesthetic Technician |
|
|
6 |
DAVID KAASE |
Higher Anaesthetic Technician |
|
|
7 |
CHIDIEBERE OBASI |
Higher Anaesthetic Technician |
|
|
8 |
ABDULMALIK IBRAHIM |
Anaesthetic Technician |
|
|
9 |
ADIUKU CHINWE |
Anaesthetic Technician |
|
|
10 |
ALIYU IBRAHIM |
Anaesthetic Technician |
|
|
11 |
ATERE E. KAYODE |
Anaesthetic Technician |
|
|
12 |
AZUBUIKE HYACINTH |
Anaesthetic Technician |
|
|
13 |
DANIEL SALOME |
Anaesthetic Technician |
|
|
14 |
MAMUDU MOMOH JIMOH |
Anaesthetic Technician |
|
|
15 |
MGBONYEBI PROSPER |
Anaesthetic Technician |
|
|
16 |
NWADIKE GLORIA |
Anaesthetic Technician |
|
|
17 |
OLUKOJU HELEN OLUNIKE |
Anaesthetic Technician |
|
|
18 |
RILWANU YA’U |
Anaesthetic Technician |
|
|
19 |
YUSUF MISHEBWA ABDULRAHMAN |
Anaesthetic Technician |
SECRETARIAT
|
S/N |
NAME |
QUALIFICATION |
DESIGNATION |
|
1 |
ATAKUBI, PETER SHAIBU |
HND SEC STUDIES |
CHIEF SECRETARIAL OFFICER |
Contact email : hod.anaesthesia@nationalhospital.gov.ng