Department of Haematology

DEPARTMENT OF HAEMATOLOGY AND BLOOD TRANSFUSION

Quality of Care Policy and Operational Guidelines

NHA/CD/QOCP/HEM/001

Dr. DAVID.E

HEAD OF DEPARTMENT

INTRODUCTION

The Department of Haematology National Hospital, Abuja has an established tradition of delivery of quality and efficient clinical/laboratory services to our clients.

It started as a unit of the hospital’s combined pathology departments (Chemical Pathology, Haematology, Histopathology and Medical Microbiology) and by 2002 had developed into an independent specialised department with its own sub-specialities and units.

The department is fully accredited for residency training by the West African College of Physicians (WACP) and National Postgraduate Medical College of Nigeria (NPMCN).

The department is actively involved in training of resident doctors and other postgraduate medical officers, house officers, medical laboratory scientist interns, corps members as well as students on industrial attachment. It also conducts research in haematological pathologies and related fields.

1.1    Vision Statement

The department of haematology and blood transfusion is aligned with NHA’s mission and vision of excellent service delivery to all our clients. This is achieved by the combined efforts of doctors, nurses, laboratory scientists and other health care workers in the haematology department.

1.2    Mission Statement.

The department will continue to strive to meet the clinical/laboratory needs of its clients and look towards increasing the scope of its services in the near future.

2.0    QUALITY ASSURANCE POLICY

The Department of Haematology constantly ensures adherence to the principles of quality management system. The department strives to do this by:

• training and retraining of our staff and regular servicing of all our equipment as required
• reviewing our standard operating procedures (SOPs)
• adequate record keeping
• regular calibration and re-calibration of our equipment
• ensuring work place safety
• internal and external quality control and assurance
• reduction in turnaround-time (TAT)
• frequent client feedbacks by customer satisfaction survey

3.0    STRENGTH OF THE DEPARTMENT

The department has well trained personnel including Consultant Haematologists, Resident doctors, Medical laboratory scientists, Medical laboratory technicians as well supportive clinical staff who provide knowledgeable diagnosis and experienced care. Other staff are Medical Laboratory Assistants, Scientific Officers and Administrative Officers.

The Head of Department is a Consultant Haematologist, a medical doctor who holds a postgraduate fellowship of the WACP, NPMCN or its equivalent.

Specialised services offered by the department include:

Laboratory services

• General haematology
• Coagulation
• Immunohaematocytology
• Blood transfusion services
• Blood products

Clinical services

• Inherited disease clinic – covers haematological inherited conditions
• Haematological malignancies clinic
• General haematology clinic
• Inpatient care and ward consultations
• Outpatient procedures
  • Diagnostic – Bone marrow aspiration/biopsy
  • Therapeutic – Haematology day-care including chemotherapy

Training

• Training of haematology resident doctors, residents from other medical specialties as well as medical students.
• Provision of internship training for medical laboratory scientists.
• Provision of in-training industrial attachment for undergraduate students.

Research

• Conducting and providing support for research in haematology and related areas.
• Collaboration with other researchers in related clinical and laboratory fields.
• Conduct peer-reviewed research to meet the key priorities of the department and clients.

4.0 OPERATIONAL GUIDELINES

Consultation hours

• Clinic consultation hours: 8:00am – 4:00pm
• Emergency hours: 4:00pm – 8:00am

Clinical consultations

• Patients may come to the clinic via referral or walk-in.
• Department sees all follow-up patients strictly by appointment.
• At all times, care given is under the supervision of a Consultant.
• All consultations are subject to the laid down hospital procedures.

Emergency consultations

• All emergencies will be attended to either as they arrive or based on the severity of the clinical condition.

In-patient care

• In-patient case are under the care of a consultant and take the form of
  • Two Consultant ward rounds in a week
  • Two Senior Registrar’s wards rounds in a week
  • One Junior Registrar’s ward round in a week

5.0   WEEKLY ACTIVITIES AND SCHEDULES

5.1       Clinical Weekly Activities

TIME	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY
8.00 – 9.00am	Slide Review / Pre-Consultant Summaries	Slide Review	Slide Review	Slide Review	Slide Review / Pre-Consultant Summaries
9.00am – 12.30pm	Consultant Ward Rounds	Postgraduate Seminar	Bone Marrow Slides Review	General Haematology Clinic	Senior Reg. Ward Rounds	Consultant Ward Rounds
Sickle Cell / Haemophilia Clinic	Senior Reg. Ward Rounds	Dissertation Book Presenta–tion / Journal Club	Junior Registar Ward Rounds
1.00pm – 4.00pm	Hematology DayCare – Chemotherapy, Blood Transfusion/ Bone Marrow Procedures	Hematology DayCare – Chemotherapy, Blood Transfusion/ Bone Marrow Procedure	Joint Hemato-Histopathology Meeting	Hematology DayCare – Chemotherapy, Blood Transfusion/ Bone Marrow Procedure	Hematology DayCare – Chemotherapy, Blood Transfusion/ Bone Marrow Procedure
2.00pm – 4.00pm			Hospital Grand Rounds

Hospital grand rounds occur once a month and are arranged by CME committee usually on a Wednesday afternoon. Venue of the meetings Hospital Trauma Centre.

	8:00AM- 9:00AM	9:00AM-11:00AM	11:00AM-12:30PM	12:30PM-4:00PM	4:00PM-8:00AM
MONDAY	IQC HAND OVER’S	REPORTS REVIEWS SPECIMEN COLLECTION CUSTOMER SERVICES BLOOD DONATIONS/COMPONENT PREP TRANSFUSION SERVVICES	ROUTINES AS PREVIOUS	REPORTS REVIEWS CUSTOMER SERVICES   DAYS ROUTINE COMPILATION BLOOD DONATION/ COMPONENT PREPARATION	ON-CALL SERVICES
TUESDAY
WEDNESDAY	IQC HAND OVER’S
THURSDAY	LABORATORY SEMINARS
FRIDAY	TRAININGS
SATURDAY SUNDAY PUBLIC HOLIDAYS	EMERGENCY PLANNED PROJECTS CLEANING/ SPECIALIZED HOUSEKEEPING AS NEEDED

6.0 ORGANISATIONAL CHART OF THE  DEPARTMENT OF HAEMATOLOGY, NATIONAL HOSPITAL ABUJA

ORGANOGRAM

7.0 HEALTH AND SAFETY POLICY

The Department ensures Standard Precautions and minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where health care is delivered.  The department in this facility has this document which guides staff on how to protect themselves while in the workplace.

Universal precautions are designed for doctors, laboratory staff, nurses, patients and health care workers who were required to come into contact with patients or bodily fluids such as blood and blood products and other fluids that are infectious.

The Precautions include:

• Hand hygiene.
• Use of personal protective equipment
• Sharps safety
• Cleaning and disinfection of environmental surfaces. 
• Proper disposal of waste/ waste specimen
• Hepatitis B vaccination.
• In addition, fire extinguishers and fire blankets are fixed at strategic points in the laboratory and the working environment in addition to fire alarm systems.

1.  Policy of Minimum Standards: Haematology Laboratory has been able to put in place internal quality control (IQC) programme. Our Haematology laboratory is a grade three (3) WHO/CDC/NIMR strengthening laboratory quality management toward accreditation (SLMTA). Two phases of the assessment have been carried out.

In terms of clinical services we ensure prompt attention/care are given to our clients both inpatient and outpatients during daily ward rounds, day care services or when they come for their clinic appointments. In cases of emergency patients can be attended to at any time when they present to the emergency unit.

• List of staff and Qualifications:

S/N	CURRENT STAFF	QUALIFICATION	DESIGNATION
CONSULTANTS (3)
1	DR O.P OGBE	MBBS, FWACP	CHIEF CONSUTLTANT
2	DR E. I DAVID	MBBS, MSc., FMC(Path)	CONSULTANT
3	DR. C. E UDO	MBBS, FMC (Path)	CONSULTANT, HOD
RESIDENTS DOCTORS (9)
1	DR. B OJETUNDE	MBBS	SNR REGISTRAR I
2	DR. I.U BELLO	MBBS	SNR REGISTRAR I
3	DR. O OJO	MBBS	SNR REGISTRAR I
4	DR. B OJIKA	MBBS	SNR REGISTRAR I
5	DR. A OKWU	MBBS	SNR REGISTRAR I
6	DR. U EZERONYE	MBBS	SNR REGISTRAR I
7	DR. F BALA	MBBS	SNR REGISTRAR II
8	DR. M ALAO	MBBS	SNR REGISTRAR II
9	DR. A ADEOSUN	MBBS	SNR REGISTRAR II
	NURSES
1.	IBER BRIDGET T	BSc. Nursing	CNO
2.	MIRI – EBIPADE V.	BSc. Nursing	ACNO
3.	AYUBA ALICE A.	Diploma in Nursing	SCNO
	HOSPITAL ASSISTANT (1)
1.	NNAWUAKA BETHEL	SSCE	HA
MEDICAL LAB SCIENTIST (13)
1	MRS. ANOKE U. R	AMLSCN, MSc	AD, MLS
2	MRS. ATURAMU F. O	AMLSCN, MSc	AD, MLS
3	MR. DOGO A. M	AMLSCN, MSc	AD, MLS
4	MR IDIKA C	AMLSCN, MSc	AD, MLS
5	DR. NUHU Y. A	AMLSCN, MSc, Ph.D.	AD, MLS
6	MRS OJUADE Y. A	AMLSCN, MSc	CMLS
7	MRS. OGBUJU N. E	BMLS	CMLS
8	MR. VAMPARIOUS M	BMLS	PMLS
9	MR. OMOGAH P	BMLS	PMLS
10	MISS TOMMY E	BMLS	PMLS
11	ENEJA ADAORA	BMLS, MPH	PMLS
12	MR. SIDI I	BMLS	MLS I
13	MOKUNTADE D	BMLS	MLS I
	LABORATORY/HOSPITAL ASSISTANTS AND TECHNOLOGISTS
1	ABDULKARIM RIZKAT	HND, MHSO	CHIEF LAB. TECH ASST.
2	AGWULONU MAGDALENE	WASCE	CHIEF HOSP. ASST
3	TUNDE AFOLAYAN	HND, PGD	CHIEF LAB ASST
4	OJEKA REGINA	HND	CHIEF LAB ASST
5	MARYAM MUHAMMED TAAHA	WASCE	CHIEF HOSP. ASST
6	CHRISTIANA RECTOR GUKAS	WASCE	LAB ASST
7	ABUBU FLORENCE  AGOR	OND	LAB ASST
8	YUSUF ABDULKAREEM	OND	LAB ASST
9	BABANGIDA S. LABARAN	OND	LAB TECH
10	MERCY OCHOLO	WASCE	LAB ASST
11	PHILIP AKHAMIE	OND	MED LAB TECH
12	GARBA H. MOHAMMED	WASCE	MED LAB ASST
13	DAWAM THOMAS MARK	WASCE	MED LAB ASST

CONTACT EMAIL: hod.haematology@nationalhospital.gov.ng