Orthopedics & Trauma

DEPARTMENT OF ORTHOPAEDICS

QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES

NHA/CD/QOCP/ORT/001

DR UMARU HABILA

HEAD OF DEPARTMENT

1.0    INTRODUCTION

The department was created to offer specialist Orthopaedics and Trauma care to patients of all ages. The department also offers undergraduate and postgraduate training in Orthopaedics and related fields.

Vision Statement

To be the topnotch orthopaedics/trauma department of international repute

1.2       Mission Statement

To render top quality, prompt and efficient services to our teeming patients in a clinic and serene environment.

2.0       QUALITY ASSURANCE POLICY

The department maintains and sustains quality services through

• Regular accreditation by the West African College of Physicians (in progress).
• Regular accreditation by the National Post-graduate Medical College of Nigeria
• Consultants/Specialists driven clinical quality services guided by surgery standard practice via
• Mandatory Surgery check list
• Regular Surgical audit
• Routine Discharge summaries, Mortality and morbidity reviews
•  

3.0    STRENGTH OF THE DEPARTMENT

The department is the major stake holder in managing muscloskeletal traumas at the level one national trauma centre

The department is domiciled in a c1entre with various specialties needed for multidisciplinary trauma care

The department has up to date state of the art well equipped functional and dedicated orthopaedics/trauma theatre.

Services Provided

1.      Clinical services (The Orthopaedics /Trauma outpatient clinic runs Thursday morning and afternoon session, while emergency services are for 24hrs seven days a week).

• Preoperative out- patient counselling clinic
• Post-operative follow up
• Musculoskeletal disorders management
• Emergency orthopaedics /trauma services

• Treatment options available
• Open reduction and internal fixations of fractures
• Close Reduction and internal fixations of fractures
• External fixation of open fractures
• Arthroplasties (Total Hip Replacement, Total Knee Replacement) for severe osteoarthritis and joint disorders
• Arthroscopy
• Deformity corrections
• Pain management

2.      Training:-

• Training of Residents from within and outside the hospital
• Other health workers

4.0 Operational Guidelines:

Operatively the department is divided into

• Orthopaedics services
• Orthopaedic trauma services

Orthopaedics patients are received via the outpatient’s Orthopaedic clinic, other specialist on the ward, other hospitals or emergency department with Xray images and referral letter signed by a consultant. Patient is evaluated and appropriate treatment plans outlined.

Orthopaedic Trauma: Operates more of emergencies from the National trauma side of the hospital. Acute musculoskeletal injuries are evaluated and treated on emergency bases sometimes on multidisciplinary bases. The Trauma cases are operated and managed till discharge at the trauma centre and followed up in the surgical outpatient clinic

            Patients are received as cases

1. Patients brought by relatives
2. Patients brought by law enforcement (Road safety,Police, Civil defence etc)
3. Referrals from other hospitals
4. Self-presentation
5. Referral from other department

5.0    DEPARTMENTAL ACTIVITIES

Weekly Activities and Schedules

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 and continue to upgrade with changing trends.

LIST OF STAFF

..

	NAME	QUALIFICATION	DESIGNATION	SPECIALTY
CONSULTANTS
	Dr. Habila Umaru	MBBS,FWACS,FACS	Chief Consultant	Arthroplasty / Paediatric Ortho / Trauma
	Dr. C. C. Madubueze	MBBS,FWACS, FMCS	Chief Consultant	Arthroscopy / Deformity Correction
	Dr. Abdulrazak Alada	MBBS, FWACS	Senior Consultant	Arthroplasty / Paediatric Ortho / Trauma
MEDICAL OFFICERS/REGISTRARS
	Dr. Eric Anyanwu	MBBS, FMCS	Post-part II fellow
	Dr. Hamza D. S	MBBS	Senior registrar
	Dr. Ntunde Henry N.	MBBS	Senior registrar
	Dr. Kenneth Ugwoke	MBBS	Senior registrar
	Dr. Igenegbai Cyprian O.	MBBS	Senior registrar
	Dr. Dzong M. Byat	MBBS	Senior registrar
	Dr. Omaonu Victor Musa	MBBS	Senior registrar
	Dr. Chibuzo C. Ogbugo	MBBS	Senior registrar
	Dr. Abdulmajid Sherif	MBBS	Registrar
	Dr. Obak Louis Obak	MBBS	Registrar
	**Dr. Pirfa Shindang	MBBS	Registrar
	**Dr. Famuyiwa Joseph Agboola	MBBS	Registrar
	**Dr. Maruf Olawale	MBBS	Registrar
PLASTER TECHNICIANS
	Bamidele S. Ojo		Senior Plaster Technician
	Uche Ikechukwu		Chief Plaster Assistant
	Patrick Boyibi		Chief Plaster Assistant
	Akingbemishile Tayo		Hospital Assistant

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