Tag: Lagos University Teaching Hospital (LUTH)

  • Vaccines: Nurses want resuscitation of research centers

    The National Association of Nigeria Nurses and Midwives (NANNM), have urged the Federal Government to equip health facilities with adequate vaccines to help increase the rate of immunisation against vaccine-preventable diseases.

    The association also advocated for compulsory immunisation of all health workers.

    Mrs Oluyemisi Adelaja, Chairman, NANNM, Lagos University Teaching Hospital (LUTH) Chapter, made the call in an interview with the News Agency of Nigeria (NAN) on Monday in Lagos.

    She spoke against the backdrop of the 2017 World Immunisation Week which ended on April 28.

    NAN reports that World Immunisation Week takes place annually during the last week of April.

    It is a global public health campaign aimed at raising awareness on the importance of immunisation against vaccine-preventable diseases and its role in achieving the 2030 Sustainable Development Goals.

    The week, which is also aimed at increasing the rates of immunisation has the theme for 2017 as “Vaccines Work’’.

    Adelaja said: “Some of the vaccines used in the country are expensive because they are imported.

    “Government should resuscitate our research centers and fund them adequately; this way, they can do more research by using plants that are available in the country to invent vaccines.

    “Such invented vaccines can be available, affordable and effective in combating these diseases.

    “The funds allocated for vaccines by governments are not enough and the funds donated by NGOs are mismanaged by the people in charge; either by diverting the fund or procuring the ones that are almost expiring.

    “Also, government at all levels should provide adequate protective medical consumables and gadgets to both federal and state hospitals, as well as primary health centres’’.

    She said there was need to sensitise health officers on vaccines and immunisation, as well as get them to be immunised.

    “Health workers should be adequately sensitised and be given necessary vaccination as at when due to protect them, their families and all citizens.

    “They are on the field and are at risk of contracting diseases.

    “Most of the health officers engaged for immunisation do not have adequate knowledge about the cold chain system and the importance of vaccines.

    “They also lack the knowledge of maintenance of proper cold chain, thereby reducing the potency of the vaccines; this is majorly because quacks or incompetent staffs are recruited to administer the vaccines.’’

    Adelaja condemned some unwholesome practices by some health officers.

    “There are also sharp practices that need to be stopped; some health officers collect vaccines from health centres and sell to private hospitals.

    “Some even hide somewhere to fill the forms with fake names and information which they present as the report or statistics.

    “These have to be identified and addressed,’’ she said.

    Also speaking, Mr Olurotimi Awojide, Chairman of NANNM, Lagos State Chapter, said that the major challenges facing immunisation in Nigeria were misconceptions in some parts of the country.
    According to him, most people were not well educated on the importance and need to be immunised.

    He condemned the practice where parents withheld their children and did not present them for immunisation.

    “The aim of the immunisation is to ensure a global infection-free society, especially in children.

    “Immunisation is a process of ensuring that children become resistant to infection agents which is usually achieved through the use of vaccines.

    “Governments, especially our donors are trying their best to ensure that children are immunised against all childhood killer diseases.

    “We still need more funds for the vaccines, competent staff and more awareness on the benefits of immunisation , especially in children.’’

    Awojide appealed to health workers in charge of vaccination to always be guided by the ethics of the profession to achieve an infection-free society.

    “I am appealing for this, based on unconfirmed anti-professional activities of some health workers.

    “The outbreak of meningitis and its attendant loss of lives should be a great lesson for all of us.

    “ People should seek medical attention on time for prompt treatment and to prevent the spread of diseases.

    “Apart from immunisation, we should also maintain good environmental and personal hygiene,’’ Awojide said.

  • Paediatrician cautions against using palm oil as poison antidote

    Dr Gbemisola Boyede, a consultant paediatrician at the Lagos University Teaching Hospital (LUTH), has cautioned against the practice of using palm oil as an antidote for poison.

    Boyede told the News Agency of Nigeria (NAN) on Wednesday in Ilorin that the use of palm oil as antidote against poisoning could be a dangerous practice in some instances.

    According to her, contrary to the popular belief, palm oil is not an agent to induce vomiting.

    ”Most people believe that once someone ingest poison, the best thing to do is to induce vomiting to get the poison out of the system or give an antidote that can neutralise the effects of the poison.

    ”In Nigeria, the most commonly used agents, either to initiate vomiting or neutralise the effects of poison, is the red palm oil.

    ”This is, however, dangerous for two reasons; inducing vomiting only works if the poisoning has occurred less than one hour before.

    ”Secondly, there are certain poisons whose effects actually become worse by inducing vomiting, so vomiting  should never be induced in such instances.

    ”Using palm oil to induce vomiting has its own health risk, as its inhalation into the lungs can lead to a complication of pneumonia, where the child actually develops breathing problems.

    “This is due to the inhalation of the oil fumes into the lungs,” Boyede said.

    She added that inducing vomiting should not be done in cases of swallowing hydrocarbons such as kerosene, petrol etc.

    ”This will cause serious breathing problems. So in all cases of poisoning, get the bottle of the poison, if you can, and go to the hospital immediately,” she added.

    The pediatrician explained that the best thing to do is to go to any hospital’s children’s emergency room immediately for evaluation by the doctors.

    Inducing vomiting, according to her, means giving something or doing anything to make the person, who has just ingested a poisonous substance to vomit, so that the person will vomit the poison before it is absorbed into the system.

    She said that this could, however, only be done for certain types of poisons “and only if the poisoning has not been ingested for more than one hour.

    “For example, a child, who has swallowed some iron tablets (blood tonic tablets), if seen before one hour, can be induced to vomit out the tablets,” Boyede said.

    Boyode, who described the use of palm oil for inducing vomiting as a myth, however, noted that not all myths have health implications, “but the dangerous ones should be avoided”.

     

  • Vendor needs N3.4million for surgery in India

    Vendor needs N3.4million for surgery in India

    A newspaper vendor, Patrick Utomi is in dire need of $9,000 for a surgery on complex urethral stricture at Saket City Hospital, New Delhi, India.

    Utomi had gone from one hospital to the other, seeking solution to the urethral dysfunction he sustained from an accident in 2002.

    Since then, excretion through natural channels became impossible as his urinary system were damaged.

    He was initially salvaged by the Lagos University Teaching Hospital (LUTH) where a makeshift passage was made by his abdomen, but it stopped working.

    He proceeded to India through a financial assistance by former Akwa-Ibom State Governor Godswill Akpabio.

    After visiting India thrice, his system normalised until recently, when he began to experience complications from implant in his body following a Ray-surgery conducted on him.

    According to him, the complications have become terrible that he can no longer pass urine naturally.

    His doctor, Shalabh Agarwat, has invited him to come for removal of the implant.

    The doctor’s statement reads: “This patient has complex urethral stricture with stent related complications. In case the symptoms of frequency and bleeding are very bothersome then I would advice for Cystoscopy and removal of Mammocath. After removal, we will have to give about six months’ time for healing and then revise Urethroplasty.”

    Pleading for assistance, Patrick said: “My present state of health is the history of a failed multiple urethroplasty surgeries. The 15-year of medical predicament has cost over N30 million. Please help me not to die this time. What they are demanding now is bigger. Please, I beseech good Nigerians in the name of God to help me. My health is in jeopardy and I am homeless after five surgeries in Nigeria and four surgeries in India. I really need kind hearted Nigerians to come to my aid. I don’t want to be a mendicant of parasite to people. I want to live a normal life again.”

    His account details are: Patrick Tommy Utomi, 0224572760, Guarantee Trust Bank. He can be reached on 08125443866 and 08038178199.

  • Why we embarked on strike – LUTH nurses

    Why we embarked on strike – LUTH nurses

    There seem to be no end soon for a truce between the striking nurses at Lagos University Teaching Hospital (LUTH) and the management of the institution.
    At a meeting on Wednesday called by the State chapter of the Nigerian Association of Nigerian Nurses and Midwives (NANNM) with the striking nurses, the State NANNM Chairman, Comrade Olurotimi Awojide said he has been reliably informed that the LUTH management may not be able to hold any meeting with the executives of Lagos NANNM because the Chief Medical Director (CMD) Prof Chris Bode and some of the hospital’s top management officials have travelled.
    Comrade Awojide said the hospital should watch it because some other members of the association are watching with keen interest what is unfolding at LUTH, hence the Psychiatry Hospital, Aro, Abeokuta has commenced on a strike for similar demands.
    He explained that LUTH management should understand the nifty gritty of Civil Service Commission, especially as it relates with engagement/employment and promotion.
    Comrade Awojide said it is an embarrassment for a  54 year old tertiary institution not to have regular supply of water and light. “These are very important to any hospital environment. And you know the importance of water in prevention of spread of infections, as witnessed during the Ebola outbreak. It is highly important for the safety of patient and staff, especially nurses. Nurses use their personal money to purchase consumables such as gloves, syringes o attend to patients, either because they are not enough or totally unavailable. That is how bad the whole system is, here at LUTH. Allowances for nurses are not paid, for instance, teaching allowance and uniform allowance. The annoying part is that professionals that are not captured or entitled when the circular was being presented are being paid, thereby robbing legitimate professionals like nurses from being paid, for example administrative officer collecting teaching allowance. We are not asking the management to stop that, but to give us our legitimate due.”
    On the issue of promotion of nurses without First degree, as maintained by the hospital, Comrade Awojide explained, “Nurses that are at Assistant Chief Nursing officer post awaiting promotion to the position of Chief Nursing officer are already on CONHESS 12, and LUTH management is still ‘promoting’ them to CONHESS 12, By saying CONHESS 13 is for Assistant Director. That is wrong. We gave the Management the necessary papers/document to support what is right and for simpler understanding, to no avail. Chief Nursing Officer is on CONHESS 13, the Directorate cadre starts from CONHESS 14 and above. So promotion starts from CONHESS 12 to 13 as Chief Nursing officer. That is what obtains among other federal health hospitals, so why should LUTH be any different? We brought copies of promotion letters from other hospitals to convince the LUTH management to no avail.
    “In the Scheme of Service for Civil service of the Federation, when nurses are employed, they start on Level 7 which is equivalent to CONHESS 6 with their single qualification. Followed by Nursing Sister Grade level 6, CONHESS 7, Senior Nursing Sister Grade level 9, CONHESS 8, Senior principal Nursing officer on Grade Level 10 CONHESS 9. There is nothing like Grade 11. Once on Grace 10, one moves to Level 12. We were at Industrial High Court on Skipping and CONHESS and we won. The Court wrote the Ministry of Health that the Skipping is legal, that it means automatic moving from 10 to 12. The equivalent of 11 under CONHESS is CONHESS 10. Meaning that nurses will move from CONHESS 9 to 11.”
    He added, “That will translate to Principal Nursing officer 1, Assistant Chief Nursing officer will now be on CONHESS 12, Chief Nursing officer will now be CONHESS 13, then Assistant Director, Deputy Director and the Director. That is the structure. So now, instead of promoting Assistant Chief Nursing Officer CONHESS 12 to Chief Nursing officer CONHESS 13, LUTH management is claiming that CONHESS 13 is for Assistant Director, not taking note of the skipping Grade level which is CONHESS 11. Head of Service has also written the hospital. In civil service, once an HND holder gets to Level 14, you stagnate. It is only Degree holders that can get to Level 15 upwards. Nurses are not asking to be promoted to level 14 without First Degree, we are saying CONHESS 13 is not for Assistant Director but for Chief Nursing Officer. It is when we want to go beyond Level 14, CONHESS 13 that First Degree is required. Our members should not be denied of their legitimate right. Our members that are interested in moving up beyond Level 14 are already pursuing First Degree. The LUTH Management should not ascribe to our regulatory body- The Nursing and Midwifery Council what it does not say, please.”
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  • LUTH nurses clarify reasons for on-going strike

    LUTH nurses clarify reasons for on-going strike

    There seem to be no end soon for a truce between the striking nurses at Lagos University Teaching Hospital (LUTH) and the management of the institution.

    At a meeting on Tuesday called by the State chapter of the Nigerian Association of Nigerian Nurses and Midwives (NANNM) with the striking nurses, the State NANNM Chairman, Comrade Olurotimi Awojide said he has been reliably informed that the LUTH management may not be able to hold any meeting with the executives of Lagos NANNM because the Chief Medical Director (CMD) Prof Chris Bode and some of the hospital’s top management officials have travelled.

    Comrade Awojide said the hospital should watch it because some other members of the association are watching with keen interest what is unfolding at LUTH, hence the Psychiatry Hospital, Aro, Abeokuta has commenced on a strike for similar demands.

    He explained that LUTH management should understand the nitty gritty of Civil Service Commission, especially as it relates with engagement/employment and promotion.

    Comrade Awojide said it is an embarrassment for a 54 year old tertiary institution not to have regular supply of water and light. “These are very important to any hospital environment. And you know the importance of water in prevention of spread of infections, as witnessed during the Ebola outbreak. It is highly important for the safety of patient and staff, especially nurses. Nurses use their personal money to purchase consumables such as gloves, syringes o attend to patients, either because they are not enough or totally unavailable. That is how bad the whole system is, here at LUTH. Allowances for nurses are not paid, for instance, teaching allowance and uniform allowance. The annoying part is that professionals that are not captured or entitled when the circular was being presented are being paid, thereby robbing legitimate professionals like nurses from being paid, for example administrative officer collecting teaching allowance. We are not asking the management to stop that, but to give us our legitimate due.”

    On the issue of promotion of nurses without First degree, as maintained by the hospital, Comrade Awojide explained, “Nurses that are at Assistant Chief Nursing officer post awaiting promotion to the position of Chief Nursing officer are already on CONHESS 12, and LUTH management is still ‘promoting’ them to CONHESS 12, By saying CONHESS 13 is for Assistant Director. That is wrong. We gave the Management the necessary papers/document to support what is right and for simpler understanding, to no avail. Chief Nursing Officer is on CONHESS 13, the Directorate cadre starts from CONHESS 14 and above. So promotion starts from CONHESS 12 to 13 as Chief Nursing officer. That is what obtains among other federal health hospitals, so why should LUTH be any different? We brought copies of promotion letters from other hospitals to convince the LUTH management to no avail.

    “In the Scheme of Service for Civil service of the Federation, when nurses are employed, they start on Level 7 which is equivalent to CONHESS 6 with their single qualification. Followed by Nursing Sister Grade level 6, CONHESS 7, Senior Nursing Sister Grade level 9, CONHESS 8, Senior principal Nursing officer on Grade Level 10 CONHESS 9. There is nothing like Grade 11. Once on Grace 10, one moves to Level 12. We were at Industrial High Court on Skipping and CONHESS and we won. The Court wrote the Ministry of Health that the Skipping is legal, that it means automatic moving from 10 to 12. The equivalent of 11 under CONHESS is CONHESS 10. Meaning that nurses will move from CONHESS 9 to 11.”

    He added, “That will translate to Principal Nursing officer 1, Assistant Chief Nursing officer will now be on CONHESS 12, Chief Nursing officer will now be CONHESS 13, then Assistant Director, Deputy Director and the Director. That is the structure. So now, instead of promoting Assistant Chief Nursing Officer CONHESS 12 to Chief Nursing officer CONHESS 13, LUTH management is claiming that CONHESS 13 is for Assistant Director, not taking note of the skipping Grade level which is CONHESS 11. Head of Service has also written the hospital. In civil service, once an HND holder gets to Level 14, you stagnate. It is only Degree holders that can get to Level 15 upwards. Nurses are not asking to be promoted to level 14 without First Degree, we are saying CONHESS 13 is not for Assistant Director but for Chief Nursing Officer. It is when we want to go beyond Level 14, CONHESS 13 that First Degree is required. Our members should not be denied of their legitimate right. Our members that are interested in moving up beyond Level 14 are already pursuing First Degree. The LUTH Management should not ascribe to our regulatory body- The Nursing and Midwifery Council what it does not say, please.”

  • LUTH striking nurses, management yet to meet

    LUTH striking nurses, management yet to meet

     

     

    The Lagos University Teaching Hospital (LUTH) is a ghost of its bubbly activities as its striking nurses are yet to call off the strike embarked on since June 10.

    Patients that come into the hospital are either for medical/clinical diagnostic services or ignorant that nurses are on strike in the 54 year old tertiary institution.

    Aside Wards E8 and C7 that are run on Private-Public-Partnership (PPP) and the Linear Accelerator centre, Department of Radiotherapy and Oncology where cancer patients are being attended to, the entire hospital cuts the picture of a ghost town. Security operatives manned entrances to the wards, just as the wards are in darkness.

    The Nation witnessed a patient was who was brought to the Accident and Emergency unit but could not be taken in. The medics told the relatives that they have the option of the Spillover Ward, which is a PPP, because no admission can be taken into the general ward, as a result of the nurses’ strike. Or they could opt for private hospitals or a state tertiary hospital.

    The Nation gathered that LUTH management and the Lagos state body of the Nigerian Association of Nigerian Nurses and Midwives (NANNM) that called the strike on behalf of the nurses are yet to have any meeting to resolve the impasse because the state NANNM executives has its week fully booked with meetings with other units under its umbrella.

    The Nation gathered that the LUTH NANNM executives have scheduled a meeting with the striking nurses for today by 10:30am to brief and diffuse the “propaganda being circulated by the LUTH management and being circulated to the Media,” stated the association’s LUTH Chairperson, Mrs. Yemisi Adelaja.

    Mrs Adelaja said nurses are dedicated and hard working, “but the management is not addressing the issues raised by the state chapter of NANNM on behalf of its members at LUTH, and LUTH management is asking us the unit chapter to hold a meeting with it. That is not possible. It is the state NANNM, under the directive of the national that called the strike so it is the excos of state that can hold the meeting with the management. Many issues such as lack of power and under staffing of nursing unit are just not being addressed for instance, yet the LUTH management is putting forward media releases twisting the facts,” said Mrs Adelaja.

    In its reaction, Chairman, Medical Advisory Committee, LUTH, Prof Olufemi Fasanmade said Nurses at the Lagos University Teaching Hospital embarked on an industrial action five weeks ago, bringing to a standstill almost all activities at the tertiary healthcare institution.

    “Abruptly, over 550 ill Nigerians were abandoned to their fates on hospital beds, with many seeking quick, unplanned discharge to private hospitals. Part of the issues raised is non-payment of Teaching Allowance to LUTH Nurses

    Prof Fasanmade said, “Sometime last year, the Abuja office of the Integrated Payroll and Personal Information System (IPPIS) stopped the payment of Teaching Allowance nationwide because it was alleged many persons (not only nurses) who did not qualify were benefiting from the allowance. Series of complaints were made to LUTH Management about the stoppage and a fresh list of eligible LUTH workers was submitted and followed up at the IPPIS office. The IPPIS office had promised to re-commence the payment of this allowance to the affected workers even before the ongoing strike and this was made known to the Nurses’ union. The payment has since been paid along with June 2016 salaries.

    “It should be pointed out yet again that the complaint was misdirected at LUTH Management as LUTH does not pay nurses’ salaries and allowances. The IPPIS platform does. LUTH does not interfere in the monthly payment of salaries on the IPPIS platform which requires no authorisation from Lagos before payment is made directly from the CBN to each person’s bank account. It is therefore wrong to stick the blame on LUTH. LUTH Management did not stop the payment of Teaching Allowance. The IPPIS platform did so from Abuja. It was not at the instigation of the Hospital. The resolution of the problem was partly because of the efforts made by LUTH Management but it came as promised by IPPIS, not because of the ongoing strike action. LUTH Management had listened to the suggestion of the nurses’ union and incorporated their requests into what was submitted to IPPIS.”

    Prof Fasanmade said other complaints include power and water supply, “The reality, to quote from a recent article is as follows. ‘Nigeria presently generates less than two percent of the 140,000 megawatts of electricity required to make us self sufficient in electricity. In the month of April 2016, LUTH received a total power supply of 11.2 days, representing 36.6 percent of our monthly requirement. In May, we got only six days of electricity from the national grid, representing 20 percent of our monthly round-the-clock need for our priority status. Most of this paltry supply comes at odd hours that challenge any meaningful planning of scheduled procedures and manpower deployment, making us rely unduly on over-flogged, aged generators. Diesel suppliers would rather sell on a cash-and-carry basis because it is a sellers’ market. All these therefore have compelled LUTH (and most public hospitals) to restrict uninterrupted power supply to only critical areas such as Operation Suites, the Intensive Care Units, Labour Wards, Neonatal Units, the Mortuary, Blood Bank, the IVF Centre, the Private Wings, water supply and some critical laboratories.  Other less critical areas have had to bear with the reality of load shedding and intermittent power rationing to prevent overused generators form packing up altogether, especially in the face of depleted internally generated revenues.”

    He said, “The truth therefore is that the Lagos University Teaching Hospital too experiences power outages. Everyone and every home in Nigeria do.  However, this has not deterred us from performing our duties to the best of our abilities in these tough times. We are determined to do better as soon as our power plant is commissioned. We are confident that this rough phase wont last. If you happen to see that picture of a nurse with a torch light strapped to her forehead purporting to work in LUTH, please delete it. The picture was taken elsewhere. Not in LUTH.”

    The CMAC said the CMAC said the strike has cost the hospital a lot, “ As the nation has lost untold number of lives who could have been saved if our Hospital had remained opened. As of the last count, seven members of staff or their immediate family members have had to seek emergency treatment from our Emergency Services alone. Four of these were nurses. Many more still attend the outpatient departments for direly needed treatments while we deny the public of these same services. It is said that when you throw a stone into the market place, invariably, someone from your own compound will get bruised. Lesson? Don’t throw stones.

    “Also, the Hospital has lost millions in Internally Generated Revenue (IGR) . With this present Government’s firm stand on the strict implementation of the No-Work-No-Pay policy, many of us may lose much more to unearned pay simply because we sympathise with a group of persons whose case is already receiving attention at the Ministry.  Training of medical students, postgraduate doctors, student nurses, post basic nurses and many other cadres is at a standstill, held to ransom by this industrial action. Commitments to various international training partners suffers while our institution is on strike, eroding the advantage our Institution has over many others in matters of training. The profession’s integrity and the Hospital’s brand are at stake.”

    Prof Fasanmade said “It is therefore imperative to implore all concerned to eschew strike actions as a means of conflict resolution. Be assured that the LUTH Management holds every worker in high esteem and works assiduously to prevent any perceived or real hardship brought upon anybody or group through policy changes. This has been true in the ongoing industrial action embarked upon by LUTH nurses. We are therefore implored to consider the plight of suffering Nigerians, end this unwarranted strike and join Management in elevating the standards of this great Institution so we may leave an enviable legacy for generations to come.”