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Microsoft word - 2009-02_report.doc2ND QUARTER 2009 NURSING REPORT
Matibi Mission hospital is a 125 bedded hospital situated in Mwenezi District. It
covers ward 3 of the district and serves as a primary center for surrounding
wards within a walkable distance +-10km of Mberengwa and Chivi.
The total catchment population is 8219. This report will cover staffing, staff development, services provided in OPD, FCH, PMTCT, VCT, EPI, Inpatients, achievements, constraints and recommendations to
The period is from April to June 2009.
The establishment of nineteen nurses is filled but we still need more posts to
cover shortage at all times and enable quality care to be rendered. No response
to the applications made on the last 3 years.
INSTITUTIONAL TUTORIAL CONDUCTED
Prevention of Cross Infection
The institution provided the following services despite shortage of staff. Outpatients, Medical, Immunization, PMTCT, Antenatal, Post Natal, Maternity Services, Health Promotions, OI Clinic Services, Rehabilitation and community home based care.
Total New disease/Condition
Comments Total attendance all ages is greater than last quarter by 46 patients due to referrals from other hospitals who are not providing X Ray services. Antenatal and Post Natal Services
Antenatal bookings and repeat visit have increased by double compared to the
last quarter. Rapid Plasma Reaction tests were available hence the reason for increase in the tests done. Post natal cases also doubled as most mothers are coming to stay at Matibi from Mberengwa, Zvishavane and Chivi. EXPANDED PROGRAMME ON IMMUNISATION
There was a national immunization in June and also vaccines were not available
in most clinics so mothers were brining their children to Matibi for immunization.
TOTAL WEIGHED BELOW THE LINE % BELOW LINE
Percentage of malnutrition has reduced from 5% to 4% due to good harvest.
There are more deliveries by 31 compared to 1st quarter. Referrals were mostly complications that needed gynaecologist’s attention. General Information
DILATATION AND CURATAGE
INCISION AND DAINAGE
REDUCTION OF PARAPHYMOSIS
The new eye doctor is not performing operations at Matibi. Maybe he is still
getting used to the system. The admissions increased by 276 cases. More
Patients on cotrimoxazole
Patients on ARVs
Clients tested VCT
HIV registered patients
Services are going on well and patients do appreciate the availability of drugs.
The number of patients on Cotrimoxazole waiting for initiation of ART is large
due to lack of CD4 machine.
1. We continued providing services despite the hardships versus workload.
2. outreach immunization was successful evidence by EPI coverage.
3. Home Based Care programmes are going on satisfactorily. 4. we managed to have a workshop with chloroquine holders on Malaria and its 5. the nutrition gadern is flourishing and providing vegetables. 6. Dr Muchichwa has done the attachment to Muvonde Hospital (Driefontein) to 7. the container has finally arrived in Matibi and we have received all the items
1. We intend to install satellite e-mail dish at Matibi this 3rd quarter for easy
2. To have a palliative care workshop for the trained staff locally in the 3rd
1. Lack of CD4 machine delays initiation of ARVs.
2. Due to the increasing costs of fuel half of our hospital collections is consumed
compounded by electrical power cuts leading delay in repairing other items. Our last supply of coupons was last. 3. Drugs are never in full supply due to financial constraints e.g. suxamethonium, Alcronium, X-Penicillin, Indocid, Ibuprofen, Diclofenac. 4. Trained staff is not yet adequate. More posts needed. Compiled by Sr AC Munyanyi
ISMP’s List of Confused Drug Names his list of confused drug names, which includes look-alike and sound-alikeThe Joint Commission (TJC) established a National Patient Safety Goal T name pairs, consists only of those name pairs that have been involved in that requires each accredited organization to identify a list of look-alike or medication errors published in the ISMP Medicatio