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
- Clinical services – the department provides routine specialist services in
- general surgery, neurosurgery, urological surgery, cardio-thoracic surgery, plastic and reconstructive surgery as well as paediatric surgery
- emergency services covering the surgical emergency spectrum.
- 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
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