Department of Surgery

DEPARTMENT OF SURGERY

NATIONAL HOSPITAL ABUJA

QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES

NHA/CD/QOCP/SUR/001

Dr. IGOCHE M.

HEAD OF DEPARTMENT

1.0    INTRODUCTION

The department of surgery was established in 1999. It is currently made up of multiple surgical subspecialties rendering both elective and emergency services across the field of general surgery, neurosurgery, urological surgery, cardio-thoracic surgery, plastic and reconstructive surgery as paediatric surgery high quality and state-of-the-art equipment. By extension we also cover the trauma centre and offer training of residents to international standards.

We are currently accredited to train residents up to Part II Fellowship in general surgery, neurosurgery, paediatric surgery in the West African College of Surgery and the National Postgraduate College while we have part accreditation in urology and burns and  plastics in the both colleges.

Vision statement

To provide prompt and standardized care of the surgical patients using the best available, verifiable, modern and holistic surgical facilities and skills to achieve the best possible outcome by a well-trained and motivated workforce.

Mission statement

To train competent, confident and highly qualified surgeons to render patient centred efficient service and to conduct standard research that will advance the course of knowledge and safety.

2.0    QUALITY ASSURANCE POLICY

  • We ensure daily review of all in-patient by the consultants.
  • The senior registrars on-call review patients’ clinical progress daily and during call hours as need arises.
  • We ensure clear documentation of patient’s clinical progress by team on-call and the managing team.
  •  
  • Each sub subspecialty is responsible for designing their standard operating procedures.
  • There is weekly review of unit discharge summaries and a monthly departmental morbidity and mortality meeting.
  • The body of consultants meets every 1st Friday of the month to review departmental activities and proffer solutions to identified lapses and ensure maintenance of standard quality practice.

 

3.0    STRENGTH OF THE DEPARTMENT

  • The department can boost of consultants in all relevant subspecialties of surgery.
  • We are blessed with modern equipment and supported with equipment quality adjuncts to facilitate the best possible outcome.
  • Our fellows are top notched professionals who are board certified examiners in the regional postgraduate colleges.
  • Our practice is subjected to weekly peer review at the morbidity meetings as well as multidisciplinary team approach to patient management.
  • We are abreast of the current research and we give attention to training and research in the various subspecialties of surgery.
  • Our treatment is prompt and efficient and we have feedback mechanism to review patient satisfaction.

Services Provided

  1. Clinical services – the department provides routine specialist services in
    1. general surgery, neurosurgery, urological surgery, cardio-thoracic surgery, plastic and reconstructive surgery as well as paediatric surgery
    2. emergency services covering the surgical emergency spectrum.
    3. Training:-
  • Training of Residents from within and outside the hospital
  • Other health workers

4.0 Operational Guidelines:

 

The department operates 24 hours services across all subspecialties.

Operating Hours  –    8.00am to 4.00pm – elective hours

  • 00pm –  8.00am  –  call hours
  •  

There is a call duty roster submitted at all patient entry point with the contact telephone number of the doctors for ease of communication.

All patient admitted to the department shall be by written referral and all communications across department shall be by written referrals.

 

Emergency Services

  • All emergency consult shall be attended by the unit registrars within 15mins of collection and by the senior registrar within 45mins of receipt.
  • The consultant shall make a documented input within two (2) hours of the receipt of all written consults.
  • There shall be casualty officer at the surgical accident and emergency unit and trauma unit who shall be available to review patients within five (5) minutes of triage and commence resuscitation and consult to the necessary subspecialties.
  • Emergency communication can be by a direct telephone call to the unit registrar to be followed by the written consult. Unanswered call be escalated by calling the unit senior registrar up to the unit consultant as the need arises.  Text messages shall not be accepted as a means of communication in the department.
  • All patients admitted through the emergency unit shall be through the express permission of the unit consultant. Consults across department shall be with the documented permission of the consultant.
  • All emergency surgeries shall be with the documented permission of the unit consultant. There shall be documented post-operative review of post-operative emergency cases within one hour of the arrival on the ward.

 

Elective Services

  • Each subspecialty shall hold consultant led outpatient clinic once a week.
  • Each consultant shall be seen through a written referral.
  • All patient admissions from the outpatient clinic shall be with the documented permission of the consultant.
  • All patients for elective surgery shall be admitted not later than 24 hours before surgery.
  • All admitted patients shall be clerked by the unit registrars within one hour of admission
  • All elective surgical patient shall be reviewed by the consultant the day before surgery.
  • Elective operation list shall arrive in the operating theatre before 2pm the day before surgery.
  • The unit consultant shall draw up a checklist for preoperative work up of the unit patients which shall be ticked and accompany the patient to the theatre.
  • Informed consent shall be obtained by not less than a senior registrar for all elective cases and not later than 24 hours before surgery.
  • The site of surgery shall be clearly marked by the senior registrar the night before the surgery.
  • All patient for elective surgery shall make payment for surgery before admission and the sighting of surgery fee receipt shall be part of all unit pre-operative checklist.
  • All elective operation shall be within the documented permission of the unit consultant
  • The order of running the elective list shall be the prerogative of the managing consultant.
  • No case shall be cancelled without the documented permission of the unit consultant
  • Documentation of operative procedures shall be done by the unit senior registrar
  • There shall be postoperative ward round by the senior registrar at the end of every elective list
  • All patients discharge shall be by the documented permission of the consultant
  • All discharge summaries shall be written within one hour of patient discharge and included in the patient folder

5.0    DEPARTMENTAL ACTIVITIES

Weekly Activities and Schedules

Academic Activities

Day

Activity

Time

Monday

Departmental Seminar

8.00 am  –  9.30 am

Tuesday

Bedside Presentation

3.00 pm –  4.00 pm

Thursday

Surgical / Radiological Meeting

3.00 pm –  4.00 pm

Friday

Journal Review / Discharge Summary/

Morbidity / Mortality Meeting

3.00 pm –  4.00 pm

Saturday

Essay Writing / OSCE Practical

8.30 am 

Outpatient Clinic

Day

Team

Time

Monday

General Surgery II

9.30 am  –  1.00 pm

Cardiothoracic Surgery

9.30 am  –  1.00 pm

Burns & Plastic Surgery

12noon  –  4.00 pm

Tuesday

General Surgery I

9.30 am  –  1.00 pm

Neurosurgery II

12noon   –  4.00 pm

Wednesday 

Paediatric Surgery

9.30 am  –  1.00 pm

Urology

12noon  –  4.00 pm

Thursday

Neurosurgery I

9.30 am  –  1.00 pm

Operation Days

Day                       Team                    Time                               Venue

Day

Team

Time

Venue

Monday

Urology

8.00am   –  4.00 pm

Main Theatre

Paediatrics

8.00am   –  4.00 pm

Kids OR

Tuesday

General Surgery II

12noon  –  3.00 pm

Radiology dept

Paediatrics

8.00am   –  4.00 pm

Kids OR

Wednesday 

General Surgery II

8.00am   –  4.00 pm

Main Theatre

Cardiothoracic

8.00am   –  4.00 pm

Main Theatre

Neurosurgery 

8.00am   –  4.00 pm

Main Theatre

General Surgery I

12noon  –  4.00 pm

Endoscopy

Thursday

General Surgery I

8.00am   –  4.00 pm

Main Theatre

General Surgery II

10am –  2pm

Endoscopy

Cardiothoracic

10am –  2pm

Endoscopy

Paediatrics

8.00am   –  4.00 pm

Kids OR

Friday

Neurosurgery

11am  –  4pm

Main Theatre

BPU

11am  –  4pm

Main Theatre

Urology

11am  –  4pm

Main Theatre

 

Ward Rounds

  • Both units review their patients daily with a consultant led teaching round once weekly.
  • All patients are reviewed daily by the Senior Registrar
  • Call hours are covered by the units on call
  • We operate unit call duty with a registrar and senior registrar in each unit sleeping in.

6.0 ORGANOGRAM

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7.0 HEALTH AND SAFETY POLICY

 

  • All staff are expected to practice universal precautions and to make use of basis PPE available at every service point in the hospital.
  • All staff are encouraged to report all health challenges to the staff clinic and incase 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 Units to HOD for report to management.

8.0 POLICY ON MINIMUM STANDARDS

 

We shall practice internationally acceptable standard based on current evidences which can change from time to time.

9.0 LIST OF STAFF

 

S/N

NAME

QUALIFICATIONS

SUBSPECIALTY

Designation

Consultants (18)

1.

Dr. O. A. Badejo

MBBS, FWACS

Gen Surgery

Consultant

2.

Dr. O. O. Olaomi

B.Sc, MBBCh, FWACS, FICS

Gen Surgery /  Trauma

Consultant

3.

Dr. C. S. Batta

MBBS, FWACS

Gen Surgery

Consultant

4.

Dr. Yau A. G

MBBS, FWACS, MSc, LaparascopicSurgeon

Gen. Surgery

Consultant

5.

Dr. Usman Gwaram

MBBS, FMCS

Gen Surgery / Trauma

Consultant

6.

Dr. O. G. Okoye

MBBS, FWACS, FMCS, Postgraduate fellowship in Trauma

Gen Surgery / Trauma

Consultant

7.

Dr. Apollo K. D.

MBBS, FWACS, Postgraduate fellowship in Trauma

Trauma / Ortho Surgeon

Consultant

8.

Prof. E. A. Ameh

MBBS, FWACS, FICS

Pead Surgery

Consultant

9.

Dr. P. A. Anyanwu

MBBS, FWACS

Paed Surgery

Consultant

10.

Dr. M. I. Ighoche

MBBS, FWACS

Paed Surgery

Consultant

11

Dr. Y. B. Adamu

MBBS, FWACS

Cardiothoracic

Consultant

12.

Dr. N. Anumenechi

MBBS, FWACS

Cardiothoracic

Consultant

13.

Dr. C. U. Ugwuanyi

MD, FMCS, FNIMC

Neurosurgery

Consultant

14.

Dr. Yusuf Salman

MBBS, FWACS, FMCS

Neurosurgery

Consultant

15.

Dr. I. O. Lawal

MBCh.B, FWACS

Urology

Consultant

16.

Dr. O. Omukhudu

MBBS, FWACS

Urology

Consultant

17.

Dr. Edith Terna-Yawe

MBBS, FWACS

Burns & Plastic

Consultant

18.

Dr. OikehOjeamen

MBBS, FWACS

Burns & Plastic

Consultant

Registrars/Medical officers (43)

1.             

Dr. Nweke Clinton

MBBS, FWACS, FMCS

Urology

Post-part II fellow

2.             

Dr. Mansur Idris

MBBS, FWACS

Neurosurgery

Post-part II fellow

3.             

Dr. Omeke C. J

MBBS, FWACS

General Surgery

Post-part II fellow

4.             

Dr. Irowa O. O.

MBBS, FWACS

General Surgery

Post-part II fellow

5.             

Dr. JamiuAdebiyi

MBBS, FWACS

Neurosurgery

Post-part II fellow

6.             

Dr. OladeleShittu O.

MBBS

Gen Surgery 1

Senior registrar

7.             

Dr. Echebiri Promise

MBBS

Gen Surgery

Senior registrar

8.             

Dr. AjibolaOluwatosin

MBBS

Gen Surgery

Senior registrar

9.             

Dr. OnuhChibuike M.

MBBS

Pead Surgery

Senior registrar

10.          

Dr. Ibrahim Salamatu H.

MBBS

Paed Surgery

Senior registrar

11.          

Dr. Oghenekaro E.

MBBS

***Paed Surgery

Senior registrar

12.          

Dr. OlubunmiMajekodunmi

MBBS

Paed Surgery

Senior registrar

13.          

Dr. UdeigweChisom Rachael

MBBS

Paed Surgery

Senior registrar

14.          

Dr. OlatunjiBoluTejesun

MBBS

Paed Surgery

Senior registrar

15.          

Dr. Udoh Robert Ibibio

MBBS

Cardiothoracic

Senior registrar

16.          

Dr. Suleiman KehindeAyuba

MBBS

Cardiothoracic

Senior registrar

17.          

Dr. Olayiwola Ibrahim

MBBS

Cardiothoracic

Senior registrar

18.          

Dr. Okpata Cyril

MBBS

Neurosurgery

Senior registrar

19.          

Dr. BabalolaTemitope

MBBS

Neurosurgery

Senior registrar

20.          

Dr. AyoguObinna M.

MBBS

Neurosurgery

Senior registrar

21.          

Dr. Kpoduwei Selekeowei

MBBS

***Neurosurgery

Senior registrar

22.          

Dr. Ikechi Ekpendu

MBBS

***Neurosurgery

Senior registrar

23.          

Dr. UthmanUthman

MBBS

Neurosurgery

Senior registrar

24.          

Dr. Essien Ubong

MBBS

Neurosurgery

Senior registrar

25.          

Dr. Kassim Jabir

MBBS

Neurosurgery

Senior registrar

26.          

Dr. AtinkoIkeyah Sunday

MBBS

Urology

Senior registrar

27.          

Dr. ObuhIkenna

MBBS

Urology

Senior registrar

28.          

Dr. Osilama Kelvin Orbih

MBBS

Urology

Senior registrar

29.          

Dr. Bello Abdulkarim

MBBS

Urology

Senior registrar

30.          

Dr.BrownUgobongOwoh

MBBS

Urology

Senior registrar

31.          

Dr. Udosen Utobong M.

MBBS

Urology

Senior registrar

32.          

Dr. Ukaegbu Oji Uduma

MBBS

***Urology

Senior registrar

33.          

Dr. AshomsYakubu Iliya

MBBS

Burns & Plastic

Senior registrar

34.          

Dr. Onuh Eunice

MBBS

Burns & Plastic

Senior registrar

35.          

Dr. Felix Avwovwoughe

MBBS

Not applicable

Registrar

36.          

**Dr. Daniel Boukeregha

MBBS

Not applicable

Registrar

37.          

Dr. P. Inedu

MBBS

Not applicable

Registrar

38.          

Dr. Naomi Musa

MBBS

Not applicable

Registrar

39.          

Dr. Victor Gana

MBBS

Not applicable

Registrar

40.          

Dr. Moses M.

MBBS

Not applicable

Registrar

41.          

Dr. Bello KarimatuKatagum

MBBS

Not applicable

Registrar

42.          

**Dr. Famuyiwa Joseph Agboola

MBBS

Not applicable

Registrar

43.          

**Dr. Epepe

MBBS

Not applicable

Registrar

             

 contact email: hod.surgery@nationalhospital.gov.ng