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Clinical Nursing

HISTORICAL BACKGROUND OF THE DEPARTMENT

The University College Hospital Clinical Nursing Department started from Adeoyo State Hospital, Yemetu, Ibadan in 1948 when the hospital was an appendage of the University of London. The physical development of the hospital commenced in 1953 in its present site and was formally commissioned after completion in November 20th, 1957. The Hospital admitted its first set of patients in April 1957.

Clinical Nursing is a term which describes the functions and responsibilities of a nurse engaged in providing direct services to people as opposed to the nurse whose functions and responsibilities relate to administration, education or research.

The origin of the word “Clinical” derived from a word called “clinicus”, (meaning, bedridden person) has become more broadly defined as having to do with observation and treatment of disease(s) in patient. The designation of patients also originates from a latin term meaning “to suffer”.

The nurse clinician therefore provides services designed to prevent or alleviate suffering in person(s) having potential or actual disease(s); whether or not the disease is the cause of suffering. Clinical Nursing is about the nursing of persons whose problems are associated with pathophysiology.

MISSION OF THE DEPARTMENT:

The Mission of the Clinical Nursing Department is to provide quality, prompt, effective, efficient and acceptable care for all the clients coming into UCH - a therapeutic environment that promotes healing, hope and dignity, unconditionally, irrespective of their creed, status or religion. The Department also reaches out to clients, students and carries out researches relevant to nursing care.

OBJECTIVES OF THE DEPARTMENT

  • To provide the highest possible quality Nursing Care which is professionally planned and directed, individualized and given without discrimination
  • To appraise all factors contributing to the nursing care of patients.
  • To be actively involved in making appropriate application of ideals in practice of nursing relative to new and changing concepts in patient care.
  • To promote satisfactory communication and productive working relationship with other health workers both within the hospital and in the community
  • To uphold and promote all hospital policies and practices as much as possible
  • To support and contribute to teaching programmes for students of Nursing, Medicine, allied profession and others
  • To participate in and support activities of education and investigation conducted in the hospital which involve nursing service activities
  • To promote studies and research in nursing practices, reporting and utilizing findings as appropriate and to effect maximum utilization of personnel
  • To promote the welfare of nursing staff through provision of reasonable institutional policies so that each employee may reach his potential to give high quality patient care
  • To provide atmosphere conducive to participation in activities of professional association

QUALITY IMPROVEMENT UNITS: This includes:

(A) Continuing/In-service Education and Training Unit:

This unit is an extension of the office of the Clinical Nursing Department of the University College Hospital, Ibadan. The Unit is headed by an Assistant Director of Nursing and a dynamic and articulate team of Chief Nursing Officers and Principal Nursing Officers. The Services rendered by the Unit is directed towards improving standardization of Nursing Practice and effective patient care through a number of activities aimed at keeping the professional practicing nurse abreast of ethical and related issues involved in the nursing profession. The Unit ensures progression in educational excellence of nursing by her involvement in training and retraining of staff.

Activities:
  • Promotes continuing for professional learning in practicing nurses CE programs
  • Organizes Workshop/Seminars on contemporary Nursing.
  • Organizes training to build skills in the utilization of Nursing Process – a framework for practice.
  • Organizes quarterly Scientific Sessions for Senior Cadres of Nurses
  • Promotes Research –Participation in interdisciplinary researches to promote practice.
  • Facilitates orientation programmes for newly employed nurses to enable them carry out their duties efficiently on the ward
  • Facilitates training of nursing students (BNSC, State School of Nursing) and other learners of allied professions
  • Facilitates clinical posting/placement of nursing students from the Colleges of Nursing and the Universities at local and international levels.
  • Organizes practical sessions for newly employed nurses
  • Reviews and updates job descriptions and nursing procedures
  • Participation in nursing staff assessments
  • Participation in nursing students practical assessments
  • Promotes discipline, comportment and Nursing Image
  • Advocates for attitudinal change through education to promote a positive work culture.

(B) ACTIVITIES OF THE NURSING AUDIT UNIT:

  • Monitoring patient care and patient satisfaction
  • Checking documentation/records of care for patients
  • Interpreting and promoting all hospital policies
  • Monitoring the wards to promote therapeutic environment in the Clinical Nursing Division
  • Guidance and Counseling of Nursing and domestic staff to maintain discipline and excellent performance
  • Ensures handing/taking over of patients, using prescribed nursing language and standard.
  • Increasing nursing awareness on the medico-legal implications of nursing practice
  • Maintaining good interpersonal relationship within all health workers, clients and their relations
  • Collates statistical data concerning human resources and material utilization
  • Receiving and auditing requests from other health workers, patients and relations for improved corrective measures.
  • Close monitoring of nursing and domestic staff on weekends to maintain discipline, carriage/comportment of practicing nurses in the hospital.

(C) ACTIVITIES OF THE PROCEDURE UNIT:

Daily monitoring of nursing staff at ward level to ensure that some of the basic nursing procedures are effectively carried out during each shift. Where there are deficits, the unit organizes demonstration sessions for the ward nurses to promote proficiency in basic nursing procedures. Their activities include the following:

  • Bed bathing procedure (i.e total or assisted) is properly carried out.
  • Patients are duly turned.
  • Ensure that oral care is carried out for ill and unconscious patients.
  • Ensure procedures are followed when making beds, giving injections and administration of controlled drugs of addiction (DDA)
  • Teaching nursing procedures to maintain standard and effective patients care
  • Setting of observation and/or vene puncture trays, basic dressing trolley and wound care.
  • Ensuring proper wound dressing techniques.
  • Monitoring of patients on blood transfusion.
  • Proper administration of oxygen, adequate care of gauge and humidifier.
  • Demonstration of body mechanics, movement and lifting techniques.
  • Explain the implications of various therapeutic positions.
  • Proper sequence of vulva toileting.
  • Note areas of deficiency and correct omissions as necessary.

INFECTION CONTROL UNIT

Infection Control unit has been involved daily activities; ensuring that good standard of patient care practices are carried out to minimize infections in hospitalized patients. This will reduce long hospital stay that may be due to infections and subsequently reduce the cost to the patients and the hospital.

Activities include:

  • Daily visit to the wards and high risks areas to ensure ward hygiene and aseptic procedures are carried out in accordance with the hospital policy.
  • Identifying and compiling records of infected patients, arranging prompt isolation of infected patients.
  • Analyzing of nosocomial infections and dissemination of information on infection rate to the hospital authority and health care professionals.
  • Participation in orientation of newly employed nursing staff on infection control and involved in the training of Ward Assistants and Porters in various departments. The unit delivered the first scientific session lecture on Infection Control and Hospital Acquired Infections organized by In-service Education Unit this year.
  • Overseeing the environmental personnel to ensure hospital wastes are promptly collected from the clinical areas for incineration.
  • Participation in research within the department and seminars if co-opted by any department.
  • Annual training on Infection Control between for health workers from different health institutions in the Country.

Outstanding Achievement Recorded in 2011

  • Production of duty roster electronically as opposed to the manual format used since inception of the department.
  • Interactive sessions with various units and department in UCH to promote team spirit and positive work environment.
  • Special In-service Education programme where all cadre of Nurses had the same lectures to promote attitudinal, quality improvement in Nursing Practice and patient’s bill of rights in relation to nursing practice.
  • First-ever Guest Lecture organized since the inception of the department titled “The Role of Nursing in Qualitative Health Care”; presented by the Number I nurse at the federal level – the Director of Nursing Services, Federal Ministry of Health, Abuja.

THE PAST AND PRESENT NURSE LEADERS IN CLINICAL NURSING DEPARTMENT

The Foundational Head of the Nursing Services (then called Matron) was Miss Irene Morrison (1951 – 1960). She was followed by Miss L.E.R. Richmond (1960 – 1964). Miss Kofoworola Pratt (1964 – 1965) was the first Nigerian Matron of the Hospital.

The Leaders are listed as follows:

  • Miss Irene Morrison 1951 - 1960 Chief Matron (Nursing Services) – Substantive HOD
  • Miss L.E.R. Richmond 1960 - 1964 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. K.A. Pratt 1964 - 1965 Chief Matron (Nursing Services) – Substantive HOD(Deceased)
  • Miss Noel Smith 1965 - 1967 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. A.O. Ogunlana 1967 - 1977 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. R.O. Sofenwa 1977 - 1982 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. E.O. Sofekun 1982 - 1990 Asst. Director (Clinical Nursing) – Substantive HOD
  • Mrs. C.O. Sanu 1990 - 1992 Ag. Asst. Director (Clinical Nursing) – Acting HOD
  • Mrs. C.A. Ejumotan 1993 - 1999 Asst. Director (Clinical Nursing) – Substantive HOD
  • Mrs. T.C. Ibeziako 1999 - 2000 Ag. Asst. Director (Clinical Nursing) – Acting HOD
  • Mrs. T.O. Oyekan 2000 - 2001 Asst. Director (Clinical Nursing) – Substantive HOD(Deceased)
  • Mrs. B.M. Akinrelere 2001 - 2002 Ag. Asst. Director (Clinical Nursing) – Acting HOD
  • Mrs. C.S. Williams 4/4/2002 - 13/8/2002 Asst. Director (Clinical Nursing) – Substantive HOD
  • Mrs. E.A. Awoseyi 2002 - 2007 Deputy Director (Clinical Nursing) – Substantive HOD
  • Mrs. M.O. Green 2007 - 2009 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. E.O. Adeitan 2009 - 2010 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. O.B. Ogunnubi 20/1/2010 - 15/6/2010 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. C.A. Oluwole 16/6/2010 - to Date Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. E.B. Oke 2010- 2011 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Dr.Patricia O Onianwa 2011-to Date Deputy Director – Substantive HOD

Vision

To be the flagship tertiary health care institution in the West Africa sub-region, offering world-class training, research and services.

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