Department of Ophthalmology
DEPARTMENT OF OPHTHALMOLOGY
QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES
NHA/CD/QOCP/OPT/001
ZAILANI ABUBAKAR ISA
HEAD OF DEPARTMENT
- Introduction
Ophthalmology Department has been in existence since the inception of the hospital in 1999 and continuously provides efficient medical and surgical Ophthalmic care and high-quality optical services.
- Vision Statement:
To provide a world – class and comprehensive ophthalmic care to all with empathy, efficiency and professionalism.
- Mission Statement
To employ best standard of practice in the provision of all services and to serve as the last point of referral for all forms of ophthalmic cases.
2.0 QUALITY ASSURANCE POLICY:
We also provide varying functions both at secondary and tertiary levels and 24- hour emergency eye care services. The department ensures consistent
provision of high-quality services and continuous improvement of its standard of care through:
- Regular calibration and servicing of ophthalmic equipment.
- Provision of a dedicated hot air oven in the eye theatre and clinic to ensure sterility of ophthalmic instruments for surgeries and clinic procedures.
- Participation of all members of the department in clinical meetings and in house training on the use of ophthalmic equipment to ensure rendering of up-to-date, consistent, and reliable services.
- Enforcing a smooth referral process to prevent lapses in patient care.
- Monitoring and acting on feedback from referring physicians and patients.
3.0 STRENGTHS OF THE DEPARTMENT
- Dedicated, efficient and well-trained ophthalmologists, optometrists, nurses, and other supporting staff with a wealth of experience.
- Existence of 4 sub-specialty clinics providing specialized eye care services to patients.
- Active collaboration in training, research, and community eye care.
- Multi-disciplinary team approach to patient management and care
OPD Services provided:
- We run outpatient clinics in general ophthalmology, paediatric ophthalmology, oculoplastic, glaucoma, medical retina as well as surgical sessions. E.t.c
- We also do refractions, low vision clinic,
- Basic ophthalmic assessments viz a viz: Visual Acuity, Slit lamp examination, Tonometry and direct fundoscopy irrespective of their presenting complaints. This helps to detect glaucoma suspects
- Patients being evaluated for Glaucoma in addition to the above, also have Gonioscopy or Fundus Examination under mydriasis (FEUM)
- Central Visual Field (CVF) testing, Pachymetry, Optical Coherence Tomography (OCT),
- Intraocular pressure phasing, Refraction and fundus photography as indicated.
Surgical services:
Cataract Extraction, Trabeculectomy, Pterygium Excision, Excision Biopsies, Eyelid Surgeries, Evisceration, Enucleation, Exenteration, Corneo-Scleral Repair, Paracentesis, Peripheral Iridectomy, etc.
Non-surgical theatre procedures:
Intravitreal Injections, Lacrimal Probing & Syringing, EUA & Refraction etc.
Clinic procedures:
ND-Yag Laser Posterior Capsulotomy, Epilation, Chalazion treatment, Foreign Body Removal, Sub-Conjunctival Injections, Suture Removal, Irrigation etc.
Clinical examination:
Gonioscopy, Dilated Fundoscopy, Tonometry, Slit Lamp Exam, Direct Ophthalmoscopy, Color Vision Testing, Schirmer’s Testing, Fluorescein Staining, etc.
Special investigations:
Biometry, B-Scan Ultrasonography, Pachymetry, Fundus photography, Optical Coherence tomography etc.
Optometry services:
Autorefraction, Manual Refraction, Cycloplegic Refraction, Central Visual Field Testing, School Visual Assessment, low vision evaluation, etc.
4.0 OPERATIONAL GUIDELINES
- The department runs as a specialist clinic; hence patients are referred from: GOPD, Trauma Centre, Accident & Emergency, Wards, various clinics, or other external facilities where they would have received primary care necessitating specialist attention.
- Following proper referral, patients are triaged, emergencies are seen immediately, and cold cases given appointments accordingly.
- Patients with cases requiring oculoplastic reviews are referred to the Oculoplastic Subspecialty Clinic which holds weekly.
- Patients with Ametropia or Refractive errors undergo Refraction and spectacle correction initiated after reviewing their Refraction results, follow up visits scheduled accordingly.
- Patients with corneal pathologies are managed appropriately and undergo frequent reviews for as long as necessary.
- Patients with ocular manifestations of Systemic diseases like Diabetes Mellitus, Hypertension, Carotid artery diseases, Thyroid disorders, HIV/AIDS, Sickle Cell Disease, Toxoplasmosis, Steven Johnson’s Syndrome, Retinoblastoma, raised intracranial pressure, etc. are referred to the appropriate Clinic and co-managed with them (where multidisciplinary approach is indicated).
- Emergencies requiring surgical intervention are operated immediately whereas elective surgical cases are scheduled appropriately.
5.0 WEEKLY ACTIVITIES AND SCHEDULE:
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Ophthalmology general outpatient Clinic (Work Hours) |
8:00am – 4:00pm (Mon –Thurs) Covered by Teams comprising of Consultants, Residents, nurses, and optometrists. |
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SUB-SPECIALITY CLINICS Glaucoma and Medical Retina Paediatric Ophthalmology Oculoplastics |
Alternate Fridays (11am to 3pm) Thursdays (8am to 12pm) Mondays (12pm to 3pm) Covered by Teams comprising of Consultants, Residents and nurses. |
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Ophthalmic Medical and Surgical Emergencies |
24hours (Mon-Sun/Public Holidays) covered by the team on call comprising Consultant, Senior & Junior Registrars. |
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Ophthalmology Surgical services |
8:00am – 4:00pm (Wednesdays and Thursdays) – Fri) Ophthalmic nurses, residents and consultants
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Optometry services |
8:00am – 4:00pm (Mon – Fri) covered by team of optometrists. |
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Pachymetry and Optical Coherence tomography |
11:00am (Fridays) Supervising consultants and Residents |
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Central visual field testing |
8:00am – 4:00pm (Thursdays) covered by optometrists. |
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Clinical Meetings |
Fridays (9.30am to 11am) |
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Monthly departmental meetings |
Every last Friday of the month (10 am to 11am) |
6.0 DEPARTMENT OF OPHTHALMOLOGY ORGANOGRAM
7.0 Health and Safety Policy:
The department endeavors to ensure utmost safety of all patients and doctors through the following means:
- All COVID 19 protocols are strictly observed.
- 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 appropriate eye.
- 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 consultant for upward escalation to the hospital Infection Control Unit
8.0 Minimum standard Policy:
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 Staff List
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S/N |
NAME |
RANK |
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CONSULTANTS |
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15. |
DR. M. MUSTAPHA |
REGISTRAR |
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16. |
DR. H. JIMETA |
REGISTRAR |
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17. |
DR. L ANAZODO |
REGISTRAR |
OPTOMETRISTS
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18. |
DR. F.F OGIATA |
SNR OPTOMETRIST |
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19. |
DR. J.P EZE |
SNR OPTOMETRIST |
OPHTHALMIC NURSES
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20. |
MRS C. DIKKOS |
CNO |
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21. |
MRS M. HOLO |
PNO |
OPTICAL STAFF
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22. |
MRS. E. AMANYI |
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