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ANOMALY A deviation from common rule, type or form.
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Eg: The genetic anomaly caused the mouse to have three legs instead of four.
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VAATSALYA TIMES
JULY - AUGUST 2013 !
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Our Nurses: Backbone of Vaatsalya It is a great privilege for me to share with all of you the critical contribution of nurses at Vaatsalya hospitals, on the belated occasion of International Nurses day. The theme for this year is Ĺ“CLOSING THE GAP: Millennium Development GoalsB.
are the key to achievement of Millennium Development Goals. Nurses are often the only health professionals accessible to many people in their lifetime. They are particularly well placed and often the most innovative in reaching underserved and disadvantaged populations of society. They are educated to understand the complex nature of maintaining 1.)Eradicate extreme poverty and health and wellness, and the impact of psychosocial and hunger. 2.)Achieve universal primary socio-economic factors such as poverty, and unemployment. education. They see the context for wellbeing 3.)Promote gender equality and and accordingly act to reach beyond empower women. the immediate presenting problems. 4.)Reduce child mortality. 5.)Improve maternal health. 6.)Combat HIV/Aids, malaria and other diseases. 7.)Ensure environmental sustainability. 8.)A Global Partnership for development. As the largest health care profession in the world, nurses
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month, we share what our nurses think Ĺ“Being a nurse isÂ…...B @NursesTweet. Turn to Page 4 to find out! ;
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For nurses to make an effective contribution, they need to know what
to do and how to do it. This requires a wide range of knowledge, skills and competencies including skills in clinical practice and management; education and training; for which inservice training has been identified and rolled out to all our nurses. Nurses in Vaatsalya are doing a commendable job apart from their call of duty. Some of our nurses have shown phenomenal commitment to the service they have chosen by a few occurrences which have been captured. A day at the hospital is always full of challenges and we are prepared for the same.
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Vaatsalya and Nova Shake Hands to Lead Medical Expertise in Remote India
Vasantha Kamat (centre), Director, Karnataka Institute of Medical Sciences lighting the lamp.
In a bid to further its mission of taking expert medical service to small towns, Vaatsalya Hospital, Hubli tied hands with Nova Specialty, Bangalore at Vaatsalya Hubli hospital. Vasantha Kamat, Director, Karnataka Institute of Medical Sciences inaugurated the ceremony. The partnership will result in specialty surgeons from Nova providing high end surgical service to patients at Vaatsalya Hubli, at twenty percent lower costs than those at existing hospitals in the city.
We Dare to Care and Cure
In a special feature this
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Mrs. Pasivaralaxmi, wife of P. Suribabu gave birth to a baby boy with exomphalos (congenital anomalies). The family was in deep shock and despair at the condition of the first child born in the family. Coming from a modest background, the family lost hope of getting the baby treated at a multi-speciality hospital until one of the villagers suggested
rarity of the anomaly, especially in a new-born. However, Dr.Golivi Mohan and his team took the case as a challenge and performed high risk surgery for the one-hour old baby. This was the first of its kind occurrence in Narasannapeta area. The baby is now recovering very well. The patient attenders and villagers Vaatsalya Hospital. The hospital appreciated Vaatsalya services. The casualty team received the patient incident was covered widely in the with fear and doubt, considering the local newspapers.
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VAATSALYA TIMES
JULY AUGUST 2013
Snapshots of Change Shilpa Mani
VT Correspondent, Bangalore
School children at Vizianagaram Camp
Health Talk and Check-Up at School Vizianagaram: Vaatsalya Hospital Vizianagaram conducted Aarogysri Mega Health Camp at Jagannadhapuram. As a part of the outreach effort, Dr. Vamsikrishna, paediatrician, talked to 120 school children about adolescence issues and how to deal with them. The children also underwent a head to foot body checkup.
Shimoga has put up twelve large information boards across the city and Shimoga rural district. The boards will be visible to over 20,000 people in the city helping generate public vigilance in individual homes. The drive aimed at spreading little known facts such as - Dengue Hemorrhagic fever can cause death, especially in children and elderly. Vaatsalya staff nurses were also engaged in a medical talk about the seriousness of the fever.
(CME) session at Huzurabad. The session saw participation from thirty three specialists from the town.
Respiratory Camp for Senior Citizens Vaatsalya Nurse Checks Daily Wage Worker During the Helpline Program
Doctor Engagement at Huzurabad Patient at Gadag During Pulmonary Test
Doctors’ CME at Huzurabad
Hanamkonda: As a part of Vaatsalya’s eforts to continuously engage with and reach out to doctors, Vaatsalya Hospital, Hanamkonda organised a special Conitnued Medical Education
Gadag: Vaatsalya Hospital Gadag held a free respiratory check-up camp for senior citizens in the town. Pulmonary Function tests were done free of cost for all . Tests involved patients to blow air forcefully in a tight fitting mouth-piece. The test was done to diagnose for asthma, bronchitis and other possible lung diseases.
Help Line Program at Singupuram
Dengue Prevention Drive at Shimoga
Prevent Dengue: Timely Vigilance Shimoga: In a bid to create timely awareness towards prevention of dengue fever, Vaatsalya Hospital
CME at Huzurabad, Hanamkonda
Patients at Vaatsalya Helpline
Narasannapeta: On the event of Yendala Mallana Jatha, Vaatsalya Hospital Narasannapeta conducted a free helpline program at Singupuram in Srikakulam district. Eighty persons sought the helpline for various check-ups and diagnoses.
Prevention is better than Cure
General Health Camp at Mysore
Mysore : Vaatsalya Hospital Mysore conducted free health camp in Annuru Gundulpet. Dr. Manasa, staff nurses Chandrakala, and Sowmya treated eighty two patients who attended the camp. The camp was organized as an effort to reach out to the under-served communities. The staff was presented by a token of thanks by the community
International Nurses’ Day Celebrated Across Vaatsalya
Vaatsalya celebrated International Nurses’ Day across its 17 hospitals solid backbone of the Vaatsalya on 12th May 2013, paying a tribute fraternity. Celebrations across units to over 750 nurses who form a in Karnataka were a mix of fun, p
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frolic and serious pledging to provide excellent care to all patients. Hospital staff and doctors joined hands to
congratulate nurses for their hardwork and patience by recognizing nurses who have shown excellence in performance over the last one year.
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VAATSALYA TIMES
JULY - AUGUST 2013
A Day in the Life of a Nurse in an ICU
Disclaimer: The below is a real-life account shared by a senior nurse on condition of anonymity. The account is an independent opinion bearing no relation to Vaatsalya Hospitals. The account is meant to share with the readers the everyday difficulties faced by a nurse and is not aimed at any person, profession or organization as a subject of offense.
This is a very long post. It details the first 5 hours of a 12 hour shift. Things were especially frustrating for me on this day. I have two patients, both of whom were admitted the day before. Patient-1 is a 96 kg woman, 48 years old, with multiple medical problems. She was on a ventilator, in a coma and had a history of hyperpyrexia (abnormally high fever of 104 degrees Celsius). Patient-2 was a man in his 50!s with an infected toe. He came to us in critical care unit because he had high temperature and looked very toxic, which made the doctors worry about sepsis. 7:45 AM: I have 10 medications due for patient-1 at 8 a.m. Today I check early. One of the 10 medicines is not there. I go to the computer and re-order the medication. I mount my patient’s EKG (electrocardiogram) strips and organize my day. 8:00 AM: I administer the other 9 medicines. This takes me 1/2 hour as the tablets need to be crushed and dissolved, other drugs need to be drawn up and pushed slowly, etc. 8:30 AM: I call the pharmacy and ask where my drug is. They say that it’s a once-a-day drug. Yes, I know this. It’s due once a day at 8 a.m. I tell them that this is the second day in a row that the medication has not been available for me when it was due. They say they’ll make a note of it, and they’ll mix it up right now. 8:35 AM: I get a call that nuclear medicine is ready for patient 2. I get the wheelchair to get the patient on it to go down for this test, after I’ve contacted the doctor (twice) on phone to get orders for him to go unmonitored (he’s very stable). I do this because I know that the nurse that must go with monitored patients is very busy and it will take much longer to arrange for her to come. 8:40 AM: Transporter is waiting here for my second patient, who has decided that he has to use the urinal right now. I beg the transporter to stay
and wait a few minutes. Transporters in our hospital are very busy and in demand. They usually won’t wait more than a minute or so. If you aren’t ready, they leave and you have to call them again. This can take up to thirty more minutes. I don’t want my patient to be late for his test, so I tell her it will only be 3 minutes, hoping that he can finish fast. 8:41 AM: I check for patient1!’s medicine in the tube delivery system. I find that the delivery system is not working right now. This will need some work. 8:43 AM: I check on patient-2. Urine voided. I quickly unhook him from the EKG leads, BP cuff, oxygen probe and IV; and ask him to move over to the wheelchair. I am trying to be fast. 8:45 AM : I tell the transporter that patient-2 is ready for his test. She asks where the transport sheet is. I hurriedly fill one out and tell a coworker that I am going to the pharmacy to get the medication for patient-1. 8:53 AM: I return and hang my 8 a.m. medicine one hour late. This means that my 9 a.m. medicine will be late, which means that my whole morning’s IV medicines will be off. I get patient-2’!s breakfast off the cart and put it in his room before someone takes the cart back to the kitchen with the food still on it. 9:00 AM: Patient-1 has an insulin shot due. I check the fridge for insulin. Right now, there is no soluble insulin to be found. Re-order soluble insulin from pharmacy. Patient’s blood sugar is over 300. Check with other nurses to see if they’ve used soluble insulin recently. None have. 9:05 AM:Second trip to pharmacy to -day. Why do I go myself? Well, it’s true that the pharmacy can call transporters. Transporters, as I said, are very busy and it can take 30 minutes for them to bring something over from pharmacy. I’m already feeling behind my schedule and don’t want to wait that long, as I might
get distracted with other things and forget altogether. 9:07 AM: I get to the pharmacy. I tell the person helping me that I ordered soluble insulin and am here to pick it up. 9:10 AM: I give the insulin. Patient1’!s temperature is about 103, and I give her hydrotherapy. The moment I lowered her head position she became blue (cyanosed). I repositioned her and her bluish tinge improved. 9:15 AM: Patient-2 is back. I get him back into bed and hook him back up to everything (EKG monitor, Oxygen probe, BP cuff, IV) and take his temperature. I set him up for breakfast, give his medicines and insulin. 9:35 AM: I manage to find 2 other nurses to help me roll the patient over so that I can change the bed linen. 9:37 AM: Continue hydrotherapy. 9:40 AM: I give rest of the 9 a.m. medicines. 10:00 AM: Time for patient-2!’s pain medicine. He’s been asking for it for an hour, but it wasn’t due until now. I had no time to call the doctor and ask for more frequent dosing. Patient-2 was not in that much distress; he said his toe only hurt when he moved it. I give the medicine. 10:15 AM: Doctor decides he wants a CAT scan of patient-1!’s head. I tell him that when we laid her flat to give her hydrotherapy she turned a bit purple. He wants me to show him. I put the head of her bed flat again, she turns a not-as-dark shade of bluish. He tells me to get the scan. (You have to be completely flat for several minutes to get a head CT scan.) 10:30 AM: Put in order for CT of the head. Get potassium results back# level is very low. Start replacing potassium via IV. Check on patient-2, as he has put his light on. He wants the dressing on his toe changed. I take off the bandaid and put another one on it. 10:45 AM: Return with towels, dressing materials. Take off band aid, clean wound with saline, dry it gently with sterile gauze, and apply dressing.
11:00 AM: I call the CT sca -nner for patient-1 to set up a time for her scan. They say that they have a patient on the table, but I can start getting her ready - start assembling several people: 2 Respiratory Therapists (RT’s) # a nurse to accompany the patient, as she is critically ill and needs monitoring. I cannot go my self because I have another patient. I get a portable monitor and the nurse shows up. The nurse and I transfer all of the monitoring boxes from the bedside monitor to the portable. I stop the patient’s tube feeding and flush the tube. We disconnect other tubes and wires. 11:30 AM: I sit down for 3 minutes and catch up on writing the patients’ vitals. 11:33 AM: The nurse informs the transporter of which room to come to. 11:38 AM: Transporter shows up. The patient is ready to leave. 11:40 AM: Sit down to chart my assessments (yes, at some point I did manage to listen to lung and heart sounds, etc. on both patients). 11:45 AM: Patient-2 puts light on. His urinal needs to be emptied. 12:15 PM: Patient-1 is back from the scanner. Although the head of her bed is up, she is purple. Very, very purple, with blood shot eyes that are bulging out of their sockets. Still comatose, she’d had her eyes open for days. Every hour or so, I’d put artificial tear drops in to keep them moist. Gave her Paracetamol and had the nurse do her blood sugar. 1:00 PM: I have finished charting now. My charge nurse tells me that I have to transfer the patient that I have just exchanged for patient-1 to the telemetry floor. I get his belonging sheet checked off and get him in a wheelchair and get him to the other unit after calling report. Not before giving him his 1 PM medicines, of course. 1:30 PM: I have just one patient now. I go into her room and find that her temperature has reduced. The patient remains stable rest of the day. 2:00 PM : I go to lunch. The rest of the day was fairly uneven ful; certainly nothing like the morning.
VAATSALYA TIMES
JULY AUGUST 2013
œ ... nourishing, cherishing and fostering good health.B Sunil Patil, Vaatsalya Chikmagalur œ ... having an understanding relation with your patient, a relation that stands foreverB # Vidya Ravondra, Vaatsalya Chikmagalur
Vaatsalya was recently profiled in a book on innovation - 8 steps to Innovation. The book has been coauthored by Vinay Dabholkar and Rishikesha T Krishnan. The book
œ ... always having challenges around you and dealing with them positively and lovinglyB. - Mahadevi Hallikeri, Vaatsalya Gadag œ ... providing social and health service.B -Shivkumar N. Vaatsalya Gadag œ ... being trained to provide care to those in need of health service. The training eventually becomes a thread of your persona.B - Anupama A. N, Vaatsalya Gadag
sets Vaatsalya as an example in the Indian industry of methodically leading innovation to excellence in business. Vinay Dabholkar, also joined the Vaatsalya team on 10th May on the occasion of Employee of the Month celebrations and interacted Authors Vinay and with the team at Rishikesha Bangalore on how innovation can be inspired, streamlined and upscaled within an organization.
SUDOKU Did
œ ... being the back bone of a hospital and providing psychological support to the patient.B # Promod, Vaatsalya Gulbarga
Sudoku isn’t a Japanese game at all. It was invented by an A mer ican.Howard Garns created it as Number Place in 1979 but died in 1989. Japanese publisher Nikoli got a hold of it. The game took only in 2004, when Wayne Gould convinced The Times in London to publish it.
œ ... to be focused on the care of individuals, families and communities so they may attain a healthy life and maintain the quality of their life.B - Md Khusro Saud, Vaatsalya Gulbarga œ ... doing the best I can to care # give a hug, prepare, teach or just listen to my patient.B # Antony Mary, Vaatsalya Hassan œ ... the act of worshiping and providing care for the sick and the infirm.B - Mailari, Vaatsalya Hubli œ ... doing what nobody else will do, in a way that nobody else will do, inspite of all that you go through.B # Subhashini, Vaatsalya Hubli œ ... caring for the sick with true dedication.B # Shylaja Shivanna, Vaatsalya Malur œ ... being a symbol of patient care.B # Deepa, Vaatsalya Mandya œ ...dutifully taking care of each patient with patience and kindness.B # Kumari K, Vaatsalya Mandya œ ... always being service oriented, no matter what the patient’s condition is.B # Francina, Vaatsalya Mysore œ ... more than a profession. It is a calling and I am grateful to be a part of this service.B - Hemagirish, Vaatsalya Mysore œ ... one of the sweetest service to the society.B # Lakshmi C, Vaatsalya Mysore œ ... the art of caring for people.B # Mahadevashankara M, Vaatsalya Mysore œ ... utmost care for a patient from the bottom of your heart.B # Shankar B.S, Vaatsalya Mysore
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You Know ?
From the Editor’s Desk 1400 people work day in and day out across Vaatsalya hospitals to keep the wheel of medical care running # with vigilance, patience and care. A staggering 750 of these are nurses. In our previous editions, we have shared many stories where people have lived because a nurse was present in time, on duty to make a critical decision and provide an indispensable timely medical routine. Hats off to their dedication! This month our nurses from Chikmagalur, Gadag, Gulbarga, Hassan, Hubli, Malur, Mandya and Mysore shared their two bytes on how being a nurse is much more than a regular 4job’ to them. Watch out this space next month for what our nurses from Bijapur, Hanamkonda, Narasannapeta,
Pandavpura, Shimoga, Tarikere and Vizianagram say. Through this edition and those to follow, we will continue to reach out to our readers, patients and doctors to share how they live life with an indomitable spirit. Wish you a hearty and healthy month ahead!
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