NURSING SERVICES DEPARTMENT

 

INTRODUCTION

The Nursing services department comprises of Nurses and Hospital Attendants. It is primarily responsible for offering qualitative and quantitative Mental Health Nursing Services, along with related significant other services, as well as conducting training and research to meet up with the core mandate of the hospital.

 

During the year under review, the department has benefited positively from the Hospital Management after the appointment of Prof. A. Y. Jika as the Medical Director of Federal Neuro-psychiatric Hospital Barnawa Kaduna, in terms of physical infrastructure and also human capacity development all the staff and patients have greatly benefited from the services of the Hospital.

 

DUTIES OF THE UNITS

Nursing services has twelve sub-units:

  • Male Ward A: admits and manages male that are mental and/or neurological patients with various diagnosis such as mania, depression, psychosis, mental and behavioural disorder secondary to multiple psychoactive substances, seizure disorder, bipolar affective disorder, schizophrenia, relapse cases etc.
  • Male Ward B: is the expansion of male ward A, duties and responsibilities are the same with Male Ward A.
  • Female Ward: is for admission and management of female psychiatric and neurological patients with various diagnosis such as neurosis, psychosis, peuperal psychosis, mania, bipolar affective disorder, schizophrenia, seizure disorder, depression etc.
  • DATER Unit: is Drug Addiction Treatment Education and rehabilitation Unit for rehabilitation of individuals with substance use problems. They carried out various psychotherapy sessions, life skills session, intake assessment, alcohol anonymous, group therapy, one on one session, case management etc.
  • Emergency unit, is to admit and manages emergency psychiatric and neurological cases until they are well enough to pass to the main wards. The unit also asses and starts management of new patients after triaging.
  • The Child and Adolescent: accommodates and manages children and adolescent with psychiatric and/or neurological challenges, it also runs out-patient management of these patients on Fridays.
  • The ECT and EEG Suite deals with two services: administration, care and recovery of patients undergoing ECT, and providing EEG services.
  • The Quality Services Improvement Unit (QS1U) ensures and improves the services of the department. It serves as maintaining the nursing practice and the duties and services of the Nursing Services Department by ensuring adequate and proper care is being rendered to the patient including staff uprightness by maintaining standard.
  • The In-Service Training, Research and Continuing Education (ITRCE): the office is responsible for training and conducting research. The office provides continuing education programs and sessions to Nurses and attendant of the hospital, which was not possible during the year due to shortage of staff. The office is also responsible for success of students’ clinical experience program while in the clinical areas. They also prepare psychoeducation topics for the department which meets the day to day needs of the patient and current trends of practice in relation to mental health.
  • General outpatient department (GOPD): This is where patient who comes for follow up are seen except after 4pm and during weekends where new patients will also be seen, various de-escalation techniques/restrain both physical, psychological and chemical are being used by the Nurses in this unit while the patient calm down, also it harbors the injection room where both PRN and long acting medication are served.

 

BED CAPACITY

The department has a total number of 227 beds, the breakdown is as follows:

WARD/UNIT NO. OF BED SPACE
MALE WARD A 64
MALE WARD B 46
FEMALE WARD 37
DATERWARD 38
EMEGENCY WARD 16
CHILD & ADOLESCENT 20
ECT SUITE 6
TOTAL 227

 

STAFF STRENGTH

The staff strength at the end of the year is 101 Nurses and 49 Hospital Attendants in the clinical area. One Nurse is deployed to ECT/EEG Suite and 12 Hospital Attendants were deployed to other offices outside the nursing department.

 

NURSING ADMINISTRATION

The head of the department Mrs Talatu Waziri, presently a Chief Nursing Officer, she is the head of all the units under the department and oversees the activities of the department. He is deputized by the next most senior Nurse, presently a Chief Nursing Officer. The ward and unit heads are other administrative staff of the unit. These people coordinate the activities of the units and the department at large and form the highest decision making body of the department.

 

ACTIVITIES OF THE DEPARTMENT DURING THE YEAR

  • The department has achieved the insurance of the sustenance of cordial relationship and good understanding within and with other members of the therapeutic team.
  • The annual internal posting was done, giving opportunity for rotating staff to have an all-round rotational experience.
  • The annual! leave roster was compiled in January aiming at getting rid of congestion of leave at any period of the year.
  • The yearly Mental Health day was celebrated with the Nursing Services participating with other units and departments of the hospital. The celebration was sponsored by the Hospital Management.
  • The planned psycho-education topics of the year was presented by the Nurses in the wards and units, including GOPD were the experts on the topic were drawn from their departments to present to the out patients.
  • The compilation of the Supervisory Report was done during the year. This reports the activities of the hospital during shifts and public holidays, thus giving opportunity to address events that need attention.
  • Training students: the units of the department train students on clinical experience, both coming from other schools outside the hospital and our post basic students which is part of what awarded them 100% in the final qualifying examination by Nursing and midwifery council of Nigeria.

 

ACHIEVEMENTS TO THE DEPARTMENT

With the improved on human and material resources as well as a conducive work/patient space, including plans for more infrastructure constructions and upgrade also increasing support from the current hospital management especially with resumption of the newly appointed Medical Director Prof. A. Y. Jika, the Nursing Services department has benefited and achieved the followings:

  • Unexpected payment of uniform allowances to Nurses.
  • Procured of new EEG machine.
  • Purchase of oxygen concentrator machine with accessories for various wards/unit.
  • Purchase of blankets, bed sheets and pillow cases for the wards.
  • Repair of sphygmomanometers for the wards/units.
  • Replacement of electricity bulbs in the wards and security lights as need be.
  • Prompt repairs of all damaged working equipment and things in all the units as need be.
  • Showing concern and improvement in the quality and quantity of patient’s food.
  • Provision of a cow and making of special food for the patients during festivity periods.
  • Maintenance of a fairly constant water and electricity supply.
  • Maintenance of adequate supply pharmaceutical products from pharmacy.
  • Availability of ambulance services when needed
  • Fumigation of the wards frequently.
8.0 DATA FROM THE WARDS

WARD Admission Discharge Transfer Abscond Death Termination
MWA 301 205 25 DATER 22 Nil Nil
MWB 175 112 10 10 Nil Nil
FW 167 134 6 Nil Nil Nil
DATER 93 76 2 6 expel Nil 5
C/A 32 14 Nil Nil Nil Nil
EMERG 374 233 135 wards 3 Nil Nil
TOTAL 1,142 774 178 41/6 expel 2 5

 

 

OUT PATIENT CLINICS

UNIT MALE FEMALE TOTAL
GOPD 10,872 9,501 20,373
EMERG. (NEW PTS) 2,910 3,609 6,519
ECT 20 20 40 (6 shots each]
C & A 1,083 1,183 2,266
TOTAL 14,885 14,313 29,198

TRAINING AND STAFF DEVELOPMENT

Bi-Wednesday seminars organized by the ITRCE Unit have been the major source of training in the department. Presently Nurses are undergoing their BNSC part time program in various institutions.


CONCLUSION

The department thanks and appreciates the activities and successes of the Management of the Hospital under the able dynamic leader Prof. A. Y. Jika, and hope to achieve more in the coming years. This is to maintain standard in nursing practice and education.

 

TALATU WAZIRI

Head of Nursing Services