Paediatrics Department

 

  

PAEDIATRICS DEPARTMENT

QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES

NHA/CD/QOCP/PAE/001

                                                                      Dr. C. Ulonnam

HEAD OF DEPARTMENT

 

 

 

 

 

• Introduction:

 

The Department of Paediatrics National Hospital Abuja, which deals comprehensively with the health and well-being of infants, children and adolescents was inaugurated in July, 1999.

We offer high level medical care by well trained and competent medical staff using available modern diagnostic facilities, training and research has continued to be the key pursuit of the department.

We are fully accredited to train residents in Paediatrics by both the National Postgraduate Medical College (NPGMCN) and the West African College of Physicians (WACP). The Department of Paediatrics National Hospital Abuja has, for the past 3 years, successfully hosted 6 (six) Membership and Fellowship examinations events of the West African College of Physicians.

• Vision Statement:

The Department of Paediatrics National Hospital Abuja is poised to serve as an apex referral paediatric care facility for the specialized care of children.

• Mission Statement:

Our objective is to provide high quality health care services in a friendly atmosphere for the care of all discerning patients without discrimination.

2.0 Quality assurance policy: 

The Department of Paediatrics has promoted and nurtured excellence in patient care, training and research.

• Standard protocols and operating procedures (SOPs) for different arms and activities.
• Our policies are designed to interrogate and prescribe mandatory standards of health care delivery requirements.
• Part of these are regular audits and quality improvement processes.

3.0 Strength of the Unit:

 

1. Our services are child and adolescent focused care by specialist with knowledge and skills to diagnose and manage paediatric diseases.
2. Patient care services cover both inpatients and outpatient care as well as training and research.
3. Dedicated support structure like wards, emergency room, neonatal intensive care,e.t.c.
4. Paediatrics department is located in a hospital with comprehensive support services.

 

SERVICES PROVIDED.

1. Emergency Services are run round the clock at emergency Paediatric Unit (EPU)
2. In-patient Services is provided at;
3. In-patient Paediatric Unit (IPP) – children > 28 days old
4. Inborn Neonatal Intensive care unit (Inborn NICU 1 and 2) –  < 28 days old requiring intensive care and born within the facility.

• Outborn Neonatal Intensive Care Unit (Outborn NICU) – < 28 days old requiring intensive care and born outside the facility.

1. Special Care Baby Unit (SCBU) – term babies requiring inpatient care
2. Paediatric Outpatient Care Services: Our Outpatient care services provide care to a wide range of diseases in children through a variety of Paediatric subspecialties as follow:
3. Neonatology Clinic
4. Cardiology Clinic

• Endocrine clinic

1. Infectious disease clinic
2. Respiratory clinic
3. Gastroenterology clinic

• Haemato-oncology clinic
• Nephrology Clinic

1. Neurology clinic
2. Childhood Developmental Clinic
3. specialist services

• Specialised care of low birth weight babies and varying degrees of prematurity
• Respiratory support (CPAP)
• Exchange Blood Transfusion (Single and Double volume)
• Partial Exchange
• Heamo and Peritoneal dialysis
• Femoral and Peritoneal Catheter insertion
• Renal Biopsy
• Care of infectious diseases in children
• Diagnosis and specialized care of various Paediatric oncologic conditions
• Paediatric Echocardiograph and Electrocardiography
• Electroencephalograph interpretation.
• Evaluation and care of Childhood developmental aberrations
• Paediatric Spirometry

1. Training and Research.

• Training for resident doctors and house officers.
• Trainings in paediatrics related disciplines for other allied health workers within and without this facility.
• Host observership opportunities for Medical students and remedial tutorials for foreign trained medical and dental graduates.
• We also regularly conduct research activities in various Paediatric subspecialties, including collaboration with other centers within and outside Nigeria.
• Operational Guidelines:

 

4.1 Paediatric outpatient Care (POPD)

1. Our Outpatient unit is fully computerized and patients are seen on appointment (may be subject to exigencies).
2. Patients are batched into morning or afternoon clinics.

• The clinics runs between 9am to 12noon for the morning clinics and 12noon to 2pm for the afternoon clinics on every week day. Each clinic is supervised by the relevant Consultant of the subspecialty.

1. All doctor-patient encounters are conducted according to hospital protocols/procedures.
   • In-patient care
2. We run a 24hour emergency services.

• 1^st on call – The team registrar(s)/intern(s)
• 2^nd on call – The team Senior Registrar(s).
• 3^rd on call – The Team consultant(s)

1. All emergencies are attended as they present or based on severity based on clinical triaging.

• There are 2 consultant ward rounds per week.

1. Senior Registrars’ ward rounds are scheduled twice a week.
2. Registrars’ ward rounds once a week.
3. All rounds are supervised/reviewed by the team consultant(s).

• Suspected and proven cases of epidemic infectious diseases are managed in the Hospital’s isolation unit.
• Paediatricians will communicate and engage effectively with patients, their family and other healthcare professionals in managing cases.

5.0 WEEKLY ACTIVITIES AND SCHEDULE: 

Clinic schedule;

	DAYS	MORNING (9am – 12pm)	AFTERNOON 12pm – 4pm
1	MONDAY	Haematology / Oncology clinics	Endocrine clinic
2	TUESDAY	Respiratory /  Neonatal clinics	Neonatal / Neuro-developmental clinics
3	WEDNESDAY	ART / Cardiology clinics	Follow-up clinic
4	THURSDAY	Neurology / Neonatal clinics	Neurology /Nephrology clinics
5	FRIDAY	Gastroenterology / follow-up clinic

 

Academic activities;

Day	Week 1	Week 2	Week 3	Week 4
Mon 2:00pm	Journal Club	House officers’ presentation	Journal Club	Proposal/Dissertation presentation
Tue. 8:15am	Morbidity & Mortality	Morbidity & Mortality	Morbidity & Mortality	Morbidity & Mortality
Wed. 8:15am	Bedside presentation	–	Bedside presentation	–
Wed. 2:00pm	IPNA Meeting	Deductive Reasoning	IPNA Meeting	Deductive Reasoning
Thur. 8:15am	Seminars/

Tutorials

Seminars/

Tutorials

Seminars/

Tutorials

Grand roundsThur. 3:00pm—Radiology meetingFri. 9:00am–Joint Perinatal meeting-

 

 

6.0 ORGANIZATIONAL CHART OF THE DEPARTMENT

 

 

 7.0 Health and Safety Policy:

 

• All staff and care givers must adhere to universal safety precaution ALWAYS (Proper use of facemasks, use of hand-sanitisers or hand washing as appropriate, avoid recapping of needles).
• Work-related Hazards should be promptly reported to the supervisory staff.
• Post-exposure prophylaxis will be offered, as appropriate, in case of exposure to highly infectious disease.
• Members of staff who are ill and unable to work should report to the staff clinic for proper assessment and care.
• Ensure prompt adverse events reporting to the Hospital management through the A.I.R form.
• To ensure appropriate patient labelling
• Sharp-waste disposal must always be available on procedure trolleys and every patient bed.
• Ensure use of procedure trolley always.
• Work area must be well-lighted.
• Ensure daily patient update on care.

 

 

 Policy on Minimum Standard:

• Our Paediatric practice is characterized by professionalism, strict adherence to ethical principles and adaptability to the varying needs of our patients.
• All staff in the department of Paediatrics are expected to adhere to these minimum standards
  • Dressing: All staff should be appropriately dressed.
  • Punctuality: All staff should be at their duty post at 8:00am
• All staff must ensure they adhere to privacy and principle of confidentiality
• All staff must follow the department’s Standard Operating procedures ALWAYS.
• Patient must be cared for with utmost sensitivity and empathy. Care must be patient-centred.

 

 9.0 List of Staff:

LIST OF CONSULTANTS (14)

S.N	Name	Qualifications	Specialty
1.	Dr. A T. Otuneye (HOD)	FWACP	Neonatology
2.	Dr. L. I Audu	FMCPaed	Neonatology
3.	Dr. O. Oniyangi	FWACP	Haematology/ Nephrology
4.	Dr. D. R. Shatima	FWACP	Neurology
5.	Dr. M. Mukhtar –Yola	FMCPaed, FWACP	Neonatology
6.	Dr. A.B. Oyesakin	FMCPaed	Oncology/ Infectious disease
7.	Dr. A. B. Mairami	FMCPaed	Neonatology
8.	Dr. C. C. Ulonnam	FMCPaed, FWACP	Pulmonology/ Gastroenterology
9.	Dr. N. Y. Papka	FMCPaed	Cardiology
10.	Dr. G. O. Ezeh	FMCPaed	Haematology/ Nephrology
11.	Dr. E. J. Okon	FWACP	Endocrinology
12.	Dr. Otubelu ECU	FWACP	Haematology/Oncology
13.	Prof. W. N. Ogala  (Locum Consultant)	FMCPaed, FWACP	Neonatology
14.	Dr. P. A. Ahmed    (Locum Consultant)	FMCPaed	Pulmonology/ Gastroenterology

POST PART 2 FELLOWS

S/NO	NAMES	DESIGNATION	COLLEGE
1		Full Time	NPMCN

 

LIST OF SENIOR RESIDENTS (18)

S/NO	NAMES	DESIGNATION	QUALIFICATIONS
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

Dr. Mshelia Lauretta

Dr. Ukpai Ukpai. N

Dr. Emechebe Obianuju.

Dr. Tochi-Onyia  Chioma J.

Dr. Maidamma Samira, U

Dr. Ozioko Obianulamma H.

Dr. Kure Hajara I

Dr. Iliyasu Zainab I

Dr. Uno Maureen G.

Dr. Zhema Ekhakpo T.

Dr. Enyong Edoama E

Dr. Major Winifred

Dr. Adeoti-Lawani Angela E.

Dr. Okoro Chinwe C

Dr. Shehu Rumaisa M.

Dr. Igoche Patricia. O.

Dr. Okonkwo Favour M.

Dr. Ipinlaiye Yetunde

Post part II fellow

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

Senior Resident

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LIST OF JUNIOR RESIDENTS

S/NO	NAMES	DESIGNATION	QUALIFICATION
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Dr. Minna Ahmad Y.

Dr. Fadahunsi Elizabeth

Dr. Bagshaw Idoniboye B.

Dr. Ipinlaiye Yetunde

Dr. Anani Esther

Dr. Onah Jovita

Dr. Edionwele Ikhianosen

Dr. Akwukwaegbu Chinwe C.

Dr. Oganto Yambwe C.

Dr. Okpala N. Juliet

Dr. Usoro  Mmenieobong

Dr. Usoro Ememobong E.

Dr. Akanni Oluwakemi M

Dr. Ibrahim Fatima H

Dr. Abdu Fatima-Zarah

Dr. Raji Maryam A

Resident

Resident

Resident

Resident

Resident

Resident

Resident

Resident

Resident

Resident

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Resident

Resident

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SUPPORTING DEPARTMENTS

1. Medical records
2. Dietetics

• Physiotherapy

1. Radiodiagnostic Services
2. Laboratory: Chemical pathology, Haematology, Medical Microbiology, Morbid Anatomy and Molecular biology.
3. Clinical Oncology, Chemotherapy and radiotherapy

• • Diagnostic and therapeutic Nuclear medicine
  • Integrated Accounting system.

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