C O D E B L U E E V A L U A T I O NC O D E B L U E E V A L U A T I O NC O D E B L U E E V A L U A T I O NC O D E B L U E E V A L U A T I O N

WOODLANDS

HOSPITAL

LTD

V O L U M E 1 5 , O C T O B E R V O L U M E 1 5 , O C T O B E R V O L U M E 1 5 , O C T O B E R V O L U M E 1 5 , O C T O B E R 2 0 1 0 2 0 1 0 2 0 1 0 2 0 1 0

N E W S W O R T H Y P I C T U R E S E T C .

Inside this Issue

• Code Blue Evalua-Code Blue Evalua-Code Blue Evalua-Code Blue Evalua-tiontiontiontion

• News worthy Pic-News worthy Pic-News worthy Pic-News worthy Pic-

tures etc.tures etc.tures etc.tures etc. • Humour in ScrubsHumour in ScrubsHumour in ScrubsHumour in Scrubs • Health Corner Re-Health Corner Re-Health Corner Re-Health Corner Re-

nal Failure contd.nal Failure contd.nal Failure contd.nal Failure contd. • Acknowledge-Acknowledge-Acknowledge-Acknowledge-

mentsmentsmentsments • VacanciesVacanciesVacanciesVacancies • MilestonesMilestonesMilestonesMilestones

The Code Blue system has been in practise

at Woodlands Hospital for a month.

We thought it wise to review it and see what

adjustments need to be made to better the

system. To this end we asked for comments

from the key players in the system.

Switch Board Operator Ms. Karen Dundas Switch Board Operator Ms. Karen Dundas Switch Board Operator Ms. Karen Dundas Switch Board Operator Ms. Karen Dundas

had this to sayhad this to sayhad this to sayhad this to say

‘ The system is beneficial as it can help save

lives. However she has these recommenda-

tions to better the system

Each Department should be informed about

Code Blue and its use. Notices should be

placed around the Hospital explaining the

purpose of the system.

After the Operator has announced Code Blue

alert she feels that the Staff should then

alert patients, relatives and other Staff not to

panic as it is just a procedure in the Hospital

She also felt that the Staff in the Areas

should be aware of the location of the

switches in their Area and not accidentally

trigger off the Alarm’

Matron John Matron John Matron John Matron John feels that ,

‘the Alarm should only have 1 beep to pre-

vent panic.

Announcement by Operator should identify

the Area by name not number.

Announcement should be repeated

ICU Staff should take responsibility for docu-

mentation

Patient must be properly resuscitated before

transferring to ICU.

Once all this is in place she feels that we can

save lives’

S/N Vanie ThomasS/N Vanie ThomasS/N Vanie ThomasS/N Vanie Thomas, Female Ward In charge

feels that

‘the Crash Cart needs an ECG machine’

S/N KwangS/N KwangS/N KwangS/N Kwang, Male Ward In charge stated that

his Area used it 3 times . The first time it was

still disorganized as the different people in-

volved seemed not to be certain of their

roles in the process. The other 2 times were

much better.

His recommendations are that the ICU

Nurses who are in charge of bringing the

crash cart should know where the drugs/

items are.

He also feels that it needs a better suction

machine.

The PA system should make an announce-

ment to let persons know what is happening

as the Alarm is very loud and could cause a

panic response.

Also as the Alarm can be used for Evacua-

tion, Fire etc. he feels that rehearsals for

such occurrences should also be held.

All in all he feels that it is a beneficial system

as at least one life has been saved.

Code Blue was activated at least 6 times

with two favourable outcomes

THE FOUR CODE THE FOUR CODE THE FOUR CODE THE FOUR CODE

COLOURS & COLOURS & COLOURS & COLOURS &

BEEPS USEDBEEPS USEDBEEPS USEDBEEPS USED

1:BLUE Medi-cal emergency

–1 beep

2: YELLOW Mass Casual-ties– 2 beeps

3: ORANGE Mass evacua-tion– 3 beeps

4:RED Fire– 4 beeps

Monthly Meetings For September

1.DOCTORS-Gas Gangrene was presented by Dr F. Jeffrey

2: RM ,R.N &RN/RM- CVA BY R/N JAYS JAMES

3 : LPN,NA– HAIR CARE BY N/A D. MILNER

TEACHING SESSIONS ARE BEING CONDUCTED FOR DIREC-

TORS, MANAGERS, SUPERVISORS AND ACTING SUPERVISORS

KAIETEUR TRIP RAFFLE WINNERS FOR OCTOBER R/N NIJU,

AND N/A NEDD

A FEW STATISTICS FOR SEPTEMBER

PATIENTS SEEN IN SEPTEMBER IN A & E 2235

DELIVERIES 77

Subject: FW: The Importance of Preparing a Good LieSubject: FW: The Importance of Preparing a Good LieSubject: FW: The Importance of Preparing a Good LieSubject: FW: The Importance of Preparing a Good Lie

One night 4 college students were partying until late and did not study for a test which was scheduled for the next

day.

In the morning, they thought of a plan.

They made themselves look as dirty as possible, with grease and dirt.

They then went to the teacher and said that they had gone to a wedding last night and on their return, a tire burst

on their car and they had to push the car all the way back home and that they were in no condition to do the test.

The teacher kindly allowed them to do a re-test after 3 days.

They thanked him and said they would be ready by that time.

On the third day, they went for their test.

The teacher said that as this was a Special Condition Test, all four were required to sit in separate classrooms.

They all agreed as they had prepared well in the last 3 days...

The test consisted of 1 single question, worth a total of 100 Marks.......

Q. 1. Which tire?

a) Front Left b) Front Right c) Back Left d) Back Right

HUMOUR IN SCRUBSHUMOUR IN SCRUBSHUMOUR IN SCRUBSHUMOUR IN SCRUBS

H Y D R O P S F O E T A L I S

F O E T U S W I T H O O M P H A L O C O E L E

& M E N I N G O C O E L E

UNTIDY BINS/AREA SEPTEMBER 15 AND THE SAME CON-

DITION OCTOBER 5– CAN WE MAKE IT BETTER MR. AD-

MINISTRATOR ?

ABNORMAL FOETUSES DELIVERED IN SEPTEMBER

N E W S W O R T H Y P I C T U R E S

HEALTH CORNER HEALTH CORNER HEALTH CORNER HEALTH CORNER

Complications

Potential complications of acute kidney failure include:

Permanent kidney damage. Occasionally, acute kidney

failure causes permanent loss of kidney function, or end-

stage renal disease. People with end-stage renal disease

require either permanent dialysis — a mechanical filtration

process used to remove toxins and waste from your body

— or a kidney transplant to survive.

Death. Acute kidney failure can lead to loss of kidney

function and, ultimately, death. The risk of death is high-

est in people who had kidney problems before experienc-

ing acute kidney failure.

Tests and diagnosis

If your signs and symptoms suggest you may have acute

kidney failure, your doctor may recommend tests and pro-

cedures to verify your diagnosis. Tests and procedures

may include:

Urine output measurements. The amount of urine you

excrete in one day may help your doctor determine the

cause of your kidney failure.

Urine tests. Analyzing a sample of your urine, a proce-

dure called urinalysis, may reveal abnormalities that sug-

gest kidney failure.

Blood tests. A sample of your blood may reveal rapidly

rising levels of urea and creatinine — two substances used

to measure kidney function.

Imaging tests. Imaging tests such as ultrasound and

computerized tomography (CT) may be used to help your

doctor see your kidneys.

Removing a sample of kidney tissue for testing. In

certain situations, your doctor may recommend a kidney

biopsy to remove a small sample of kidney tissue for labo-

ratory testing. To remove a sample of kidney tissue, your

doctor may insert a thin needle through your skin and into

your kidney.

Treatments and drugs

Treatment for acute kidney failure typically requires a hos-

pital stay. Most people with acute kidney failure are al-

ready hospitalized. How long you'll stay in the hospital de-

pends on the reason for your acute kidney failure and how

quickly your kidneys recover.

Treating the underlying cause of your kidney failure

Treatment for acute kidney failure involves identifying the

illness or injury that originally damaged your kidneys. Your

treatment options will depend on what's causing your kid-

ney failure.

Treating complications until your kidneys recover

Your doctor will also work to prevent complications and

allow your kidneys time to heal. Treatments that help pre-

vent complications include:

Treatments to balance the amount of fluids in your

blood. Acute kidney failure is sometimes caused by a lack

of fluids in your blood. In this case, your doctor may rec-

ommend intravenous fluids. In other cases, acute kidney

failure may cause you to have too much body fluid, lead-

ing to swelling in your arms and legs. In these cases, your

doctor may recommend medications (diuretics) to cause

your body to expel extra fluids.

Medications to control blood potassium. If your kid-

neys aren't properly filtering potassium from your blood,

your doctor may prescribe calcium, glucose or sodium

polystyrene sulfonate (Kayexalate) to prevent the accumu-

lation of high levels of potassium in your blood. Too much

potassium in the blood can cause dangerous irregular

heartbeats (arrhythmias).

Medications to restore blood calcium levels. If the

levels of calcium in your blood drop too low, your doctor

may recommend an infusion of calcium.

Dialysis to remove toxins from your blood. If toxins

build up in your blood, you may need to undergo tempo-

rary hemodialysis — often referred to simply as dialysis —

to help remove toxins and excess fluids from your body

while your kidneys heal. Dialysis may also help remove

excess potassium from your body. During dialysis, a ma-

chine pumps blood out of your body through an artificial

kidney (dialyzer) that filters out waste. The blood is then

returned to your body.

Lifestyle and home remedies

During your recovery from acute kidney failure, your doc-

tor may recommend a special diet to help support your

kidneys and limit the work they must do. Your doctor may

refer you to a dietitian who can analyze your current diet

and suggest ways to make your diet easier on your kid-

neys.

Depending on your situation, your dietitian may recom-

mend that you:

Choose lower potassium foods. Your dietitian may rec-

ommend that you choose lower potassium foods at each

meal. High-potassium foods include bananas, oranges,

potatoes, spinach and tomatoes. Low-potassium foods in-

clude apples, cabbage, carrots, green beans, grapes and

strawberries.

Avoid products with added salt. Lower the amount of

sodium you eat each day by avoiding products with added

salt, including many convenience foods, such as frozen

dinners, canned soups and fast foods. Other foods with

added salt include salty snack foods, canned vegetables,

and processed meats and cheeses.

As your kidneys recover, you may no longer need to eat a

special diet

Preparing for your appointment

Most people are already hospitalized when they develop

acute kidney failure and symptoms that worry you, bring

bring up your concerns with the doctor or nurse .

WWWW elcome to the following persons whoelcome to the following persons whoelcome to the following persons whoelcome to the following persons who

have joined the staffhave joined the staffhave joined the staffhave joined the staff

Ms. Rowana JonesMs. Rowana JonesMs. Rowana JonesMs. Rowana Jones---- ———— NurseNurseNurseNurse

Ms. Divya Chakochan Ms. Divya Chakochan Ms. Divya Chakochan Ms. Divya Chakochan ———— NurseNurseNurseNurse

Mr. Anoop Bhaska Mr. Anoop Bhaska Mr. Anoop Bhaska Mr. Anoop Bhaska ———— NurseNurseNurseNurse

Ms Lois Fredricks Ms Lois Fredricks Ms Lois Fredricks Ms Lois Fredricks ———— Data Entry clerkData Entry clerkData Entry clerkData Entry clerk

Ms Hemlata Umrow Ms Hemlata Umrow Ms Hemlata Umrow Ms Hemlata Umrow ———— Pharmacy TechnicianPharmacy TechnicianPharmacy TechnicianPharmacy Technician

CCCC ongratulations ongratulations ongratulations ongratulations to Nurse Nedd and Nurse to Nurse Nedd and Nurse to Nurse Nedd and Nurse to Nurse Nedd and Nurse

NijuNijuNijuNiju whose names were drawn for the whose names were drawn for the whose names were drawn for the whose names were drawn for the

Kaieteur Falls Trip scheduled for the 10th OctoberKaieteur Falls Trip scheduled for the 10th OctoberKaieteur Falls Trip scheduled for the 10th OctoberKaieteur Falls Trip scheduled for the 10th October

VVVV acanciesacanciesacanciesacancies

Security GuardsSecurity GuardsSecurity GuardsSecurity Guards

Customer Service RepresentativeCustomer Service RepresentativeCustomer Service RepresentativeCustomer Service Representative————CanteenCanteenCanteenCanteen

RRRR esignationesignationesignationesignation

Richard BrydenRichard BrydenRichard BrydenRichard Bryden————---- Dispensary ClerkDispensary ClerkDispensary ClerkDispensary Clerk

We can now be perused on our Web Site We can now be perused on our Web Site We can now be perused on our Web Site We can now be perused on our Web Site

www.woodlandshospital.comwww.woodlandshospital.comwww.woodlandshospital.comwww.woodlandshospital.com

Management and staff wish to congratulate Management and staff wish to congratulate Management and staff wish to congratulate Management and staff wish to congratulate the following persons on their birth anniver-the following persons on their birth anniver-the following persons on their birth anniver-the following persons on their birth anniver-sary for the months of Octobersary for the months of Octobersary for the months of Octobersary for the months of October

TAKING A BREAK FROM Woodlsds hos-TAKING A BREAK FROM Woodlsds hos-TAKING A BREAK FROM Woodlsds hos-TAKING A BREAK FROM Woodlsds hos-

pita l are :pita l are :pita l are :pita l are :

Alison Mostapher 02– October

Desraj Poonia 02– October

Simone Giles 04– October

James Peters 09– October

James Joseph 09– October

Candace Rowe 11– October

Saumya Joseph 16– October

Russhel Crawford 16 October

Amanda Greene 17– October

Annesa Madramootoo 17– October

Celeste Patterson 17– October

Keveina Adams 02-20October

Meenakme Baldeo 20– October

Sattie Persaud 20– October

Melisa Lall 23– October

Ambika Lorrimer October1—October 14

Cindy Persaud

October 3—October 16

Sherrry Ann Narine October 4— October 9

Jasmattie Chumandath October 8—October 18