Department Of Otorhinolaryngology/Head and Neck Surgery

 

 

 

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DEPARTMENT OF OTORHINOLARYNGOLOGY/HEAD AND NECK SURGERY (formerly Ear, Nose and Throat department)

QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES

NHA/CD/QOCP/ORL/001

 

 

 

 

 

 

DR EMMANUEL OPALUWAH

HEAD OF DEPARTMENT ORLHNS

 

 

 

1.0    INTRODUCTION

The ORLHNS department is responsible for the medical and surgical management of patients with diseases and disorders of the ear, nose, throat, and related structures of the head and neck, including the sinuses, larynx (voice box), pharynx, salivary glands and thyroid.

1.1    Vision Statement

To be the preeminent destination for all Ear, Nose, Throat, Head and Neck cases in the West African sub-region.

1.2    Mission Statement

To provide prompt, innovative, high quality and affordable care to all our patients while maintaining empathy and professionalism.

 

2.0    QUALITY ASSURANCE POLICY

The department maintains and sustains quality services through

  • Regular accreditation by the West African College of Surgeons.
  • Regular accreditation by the National Post-graduate Medical College of Nigeria
  • Ensuring standard medical and surgical practice via
    • Mandatory Surgery check list
    • Regular Surgical audit
    • Routine clinical meetings to review all cases for the week and tracheostomies.

3.0    STRENGTH OF THE DEPARTMENT

3.1 Services Provided

We render a wide range of services which include management of hearing loss, tinnitus, vertigo, ear infections, facial nerve disorders, upper airway allergy, sinusitis, smell disorders, adenoid and tonsillar diseases, voice and swallowing disorders, foreign bodies in the ear, nose or throat, speech disorders, congenital ENT disorders, benign and malignant head & neck tumors etc.                                                                                                                                                                                

The ORLHNS of NHA carry out specialized ear surgeries such as cochlear implantation, Bone Anchored Hearing Aid (BAHA) implantation and Endoscopic Surgeries.

We also render audiological services such as hearing and speech rehabilitation, neonatal hearing screening etc.

The department serves as a referral center for primary, secondary and tertiary centers nationwide thus and significant Internally Generated Revenue (IGR). It is also a very active member of the Theatre Users Committee with 2 operating days in the Main theatre and one operating day in the Kids OR every week.

 

 

OUR SPECIALISED SERVICES INCLUDE

  1. Screening and Diagnostic Auditory Brain Response (ABR) Audiometry
  2. Neonatal Hearing Assessment
  3. Pure Tone Audiometry (PTA)
  4. Tympanometry
  5. Speech therapy with a multi-sensory lab
  6. Vestibular assessment including caloric testing
  7. Cochlear implant
  8. Bone Anchored Hearing Aid (BAHA) implantation.
  9. Ear Surgeries (tympanoplasty, mastoidectomy, myringostomy etc.)
  10. Nose and Sinus Surgeries (Endoscopic sinus surgery, Maxillectomy, Polypectomy etc.)
  11. Head & Neck and Throat Surgeries (salivary gland surgeries, thyroidectomy, total laryngectomy, vocal cord surgeries etc.)
  12. Pediatric Otorhinolaryngology (including adenotonsillectomy, foreign body removal etc.)
  13. N.T endoscopic surgeries (FESS, nasopharyngoscopy, laryngoscopy, esophagoscopy, bronchoscopy etc.)
  14. Hearing loss and vertigo clinic
  15. N.T Allergy clinic
  16. Head and Neck Oncology Clinic

3.2.   Training

The ORLHNS department of NHA provides high quality and intensive residency training for doctors who intend to specialize in this area. This department has produced multiple award winning residents including 4 best candidate award winners in the National Post Graduate Medical College of Nigeria (NPCMN) and West African College of Surgeons (WACS) examinations within the past 6 years, Erasmus Medical school of Netherlands award for Best Candidate in the Head and Neck dissection course, Best Resident presentation at the Pan African Federation of Otolaryngological Society (PAFOS) Conference and multiple 100% pass rates amongst residents going for Part 1 or 2 NPCMN and WACS exams.

 

3.3    MAN POWER

The ORLHNS Department of National Hospital has the following manpower strength:
Five (5) Consultants (4 Permanent; 1 Visiting)

One Principal Medical Officer
Eight (8) Senior registrars
Four (4) Registrars 

One (1) medical officer (Youth Corper)
One (1) Speech Therapist
One (1) Audiologist
Six (6) E. N. T Trained Specialist Nurses

 

3.4    DEPARTMENTAL STRUCTURE

3.4.1 OUT-PATIENT ENT CLINIC

  1. Three (3) Consulting Rooms – each equipped with an ENT Otopront Unit, with two (2) additional spaces for consultation
    b. One mobile Microscope for Otomicroscopy
    c. Five (5) Computers – 4 for consultation, one at the nurse’s station.
    d. An Endoscopy Room
    e. Temporal Bone Room with 2 Wall Mounted Microscopes for Temporal Bone Dissection.
    f. An Audiometry Room Equipped with the following:
    –   A Sound Booth
    –   Clinical Audiometers
    –   Tympanometers
    –   Auditory Brain Response (ABR) machine

–   Handheld screening Otoacoustic emission (OAE) machine

 

3.4.2 IN-PATIENT WARDS
A 20 Bedded ENT Ward.  We also admit patients to or are invited to see patients in other wards.

3.4.3     FACILITIES
i           ENT CLINIC FACILITIES
a)        Three (3) ENT Otopront Units
b)        An Electrocautery Unit
c)         Audiometer and Sound Booth
d)        Tympanometer

  1. e) Auditory Brain Response (ABR) machine
    f)    Handheld Otoacoustic emission (OAE) machine
  2. g)   3 Otomicroscopes – One mobile, two wall mounted microscopes.
    h)       Sterilization Unit for ENT Instruments
    i)        Three (3) Light Sources For ENT Examination
    j)        An Endoscopy Room
    k)       Three ENT Examination Chairs
    l)        One Mobile Suctioning Machine
    m)      One Wheel Chair
    n)       Two Examination Couches
    o)        Many Basic ENT Clinic Instruments
  3. p) Three (3) flexible endoscopes (faulty)
  1. ii)        ENT FACILITIES IN THE MAIN THEATRE
    a)        Adenotonsillectomy Set
    b)        Tracheostomy Set
    c)         Nasal Surgery Set
    d)        Middle Ear and Mastoid Set
    e)        Rigid Endoscopic Sets Containing Laryngoscopes, Bronchoscopes and Oesophagoscopes for Adult and Children (faulty)
    f)        Access to both Unipolar and Bipolar Diathermy Kits
    g)        Operating microscope [faulty]
    h)        Suspension Set for Microlaryngoscopy
    i)         Basic Minor Surgical Tray
    j)        ENT Microsurgical Drill [faulty]

iii)        OTHER FACILITIES

Multi-Sensory Speech Laboratory facility (The first in West Africa)

 

4.0 Operational Guidelines:

 

ORLHNS department of NHA is a referral centre, thus we receive referrals from departments within the hospital and also from other hospitals nationwide and outside the country. We carter for both elective and emergency ENT cases. 

The Elective cases are seen in the clinic and managed by different cadres of resident doctors and consultants. Non-surgical cases are managed accordingly whereas patients for elective surgeries are seen on Mondays, Tuesdays and Wednesdays for Pre-operative assessment and admission.

Emergencies are seen after hours and also during the clinic hours. For emergencies that present during clinic hours, we have a team on call dedicated to attend to such emergencies. Investigations are ordered and patients are sent either to the ward, or straight to the theatre.

  • Consults received from the Trauma Centre and the Intensive Care Units (Main ICU, Trauma ICU and Neonatal ICU), which may include performing/managing tracheostomies, all forms of Ear, Nose and Laryngotracheal injuries and upper airway emergencies etc. are handled on emergency basis.
  • Patients admitted to the wards are seen daily by resident doctors and reviewed regularly by the consultants.
  • Follow up schedule are given to them at discharge.
  • Other Supporting staff may be called in to carry out certain procedures like wound dressing, ear syringing etc.

5.0    DEPARTMENTAL ACTIVITIES

WEEKLY ACTIVITIES AND SCHEDULES

 

ENT NHA is made up of 2 teams – Team A and Team B

 

 

 

 

 

6.0 ORGANISATIONAL CHART OF THE DEPARTMENT

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7.0 HEALTH AND SAFETY POLICY

The department endeavours to ensure utmost safety of all patients and doctors through the following means:

  • All COVID 19 protocols are strictly ob
  • Vital signs of all patients are taken at first point of contact, and those with unstable vitals are appropriately managed or referred.
  • Universal precautions are adhered to by all medical personnel including wearing protective items, proper decontamination of equipment and devices, proper disposal of sharps etc.
  • All patients for surgery are reviewed with the WHO checklist prior to start of procedure to ensure we are operating on the right patient and right organ.
  • 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

 

8.0 POLICY ON MINIMUM STANDARDS

Our minimum standards are developed along (and supersedes) that of the Federal Ministry of Health’s Standard Operating Procedures, in line with the checklist for minimum standards.

We shall endeavour to practice internationally acceptable standard based on current evidences and continue to upgrade with changing trends.

 

 

 

9.0 LIST OF STAFF

 

1.    

NAME

QUALIFICATION

DESIGNATION

SPECIALTY

CONSULTANTS

1.    

Dr. A.O. Imogu  

MBBS,

FWACS(ORL), FMCORL, FMCEM, FICS

Visiting Consultant

Rhinology

2.    

Dr. A.D. Olusesi

MBBS, FWACS (ORL), FMCORL, MD

Chief Consultant

Otology

3.    

Dr. Mrs. N.B. Undie    

MBBS,FWACS (ORL),FMCORL, FICS

Chief Consultant

Pediatric ORL

4.    

Dr. I.O Owoicho (currently on leave of absence)

MBBS,FWACS (ORL), Dip. ORL

Chief Consultant

Head & Neck Oncology

5.    

Dr. E.A. Opaluwah

MBBS, FWACS, ND Sc. Tech.

Senior Consultant

Rhinology

 

MEDICAL OFFICERS/REGISTRARS

6.    

Dr. Bude Alifa    

MBBS, MWACS

Principal Medical Officer

 

7.    

Dr. Ifeoma Edevbie

MBBS, MWACS

Senior registrar

 

8.    

Dr. Omezikam Mbanaso

MBBS, MWACS

Senior registrar

 

9.    

Dr. David Fadare        

MBBS, MWACS

Senior registrar

 

10.        

Dr. Harry Ekhosuehi   

MBBS, MWACS

Senior registrar

 

11.        

Dr. Chinwe Okorafor  

MBBS, MWACS

Senior registrar

 

12.        

Dr. Kopdimma Botpoweh

MBBS, MWACS

Senior registrar

 

13.        

Dr. Isaac Oyinloye

MBBS, MWACS

Senior registrar

 

14.        

Dr. Oluchi Ugwu

MBBS

Registrar

 

15.        

Dr. Bitrus Shallangwa

MBBS

Registrar

 

16.        

Dr. Rumaisah Aminu  

MBBS

Registrar

 

17.        

Dr. Abel Ariyo

MBBS

Registrar

 

18.        

Dr. Paul Emmanuel

MBBS

Registrar

 

 

NURSES

19.        

Olubamidele Ashade

RN, RM, ORLN, BNSC, MSC, PHD (in view)

Assistant Director

 

20.        

Kate Oyibo

RN, RM, ORLN, BNSC, MPH (in view)

Assistant Director

 

21.        

Nora Isaac

RN, RM, ORLN, BNSC (in view)

Chief Nursing Officer

 

22.        

Grace Yahaya   

RN, RM, ORLN, BNSC

 

Assistant Chief Nursing Officer

 

23.        

Khalid Saliu

RN, ORLN, BNSC

Principal Nursing Officer

 

24.        

Tosin Atolani     

RN, PSY, ORLN, BNSC (in view)

Principal Nursing Officer

 

Audiologist

25.

Dr. A. Ojetoyinbo

BSC, MSC, PHD (SPECIAL EDU)

 

 

Speech therapist

26.

Mrs O. Agboola 

  BSC, MSC (SPECIAL EDU)

 

 

Hospital assistants  

27.

Grace Adebayo

HND (Banking

& Finance)      

SHHA

 

28.

Bright Isaac

BSC

SHHA

 

29.

Goodness Ebotta

SSCE

SHHA

 

30.

Aminu Kinasi

SSCE

PHHA

 

31.

Moses Zagbayi

SSCE

PHHA

 

32.

Precious Oyinlimba

SSCE

HA

 

 Contact email:  hod.ent@nationalhospital.gov.ng