Onder Ons 1

Onder Ons June 2009

•TYGERBERGACADEMICHOSPITALNEWSLETTER •NUUSBRIEFVANTYGERBERGAKADEMIESEHOSPITAAL

On 12 May 2009 the nursing profession internationally honored

the memory of the Pioneer of Modern Nursing, Florence Nightingale. At Tygerberg Hospital we had the privilege to partake in commemorating this exceptional nursing leader. The sponsored cup of tea, cake and glossy magazines made this day a special one for the TBH nurses. Nursing personnel from emergency services lit candles while they were singing their special song for the day.

“Nursing is an art; and if it is to be made an art, it requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work; for what is the having to do with dead canvas or cold marble, compared with having to do with the living body – the temple of God’s spirit? It is one of the Fine Arts; I had almost said the finest of the Fine Arts.”

Florence Nightingale

Obstetrics Nursing Team & Doctors enjoying lunch in the Cafeteria

Above far left: Nursing Managers: Mrs Andrea Jacobs, Mrs Jennifer Sapto and Nursing SchoolPrincipal, Ms Helena Loubser serving the Nurses

Above: The Emergency Service Team

Above: The A5 & A2 Nurses

Above: Chief Professional Nurses of A5 & A1

(Burns Unit)

Internasionale Verpleegsters Dag

Die opgewondenheid was reeds van vroeg die oggend van 12 Mei 2009

In Tygerberg hospitaal tasbaar. Treffende motiverende boodskappies was tussen kollegas uitgeruil, wat spesiale betekenis aan die dag verleen het.

Verpleegbestuur in samewerking met Openbare betrekkinge het een van verpleging se doelwitte “Celebrate staff” weer beklemtoon op die tasbare manier waarop die personeel op A-grond getrakteer was. Borge van verplegingskool, nagbestuur, eenheids bestuurders, arbeidsterapeute, konsultant van verloskunde en ginekologie het dit moonlik gemaak dat die Dag en Nagpersoneel hierby baat gevind het.

Die area bestuurders van die verskillende Module het hul personeel op die dag beloon op verskillende wyse.Elke verpleegster het die dag met ‘n lied in die hart hul pasiente verpleeg. Die sagte weerklank van “Ek is trots om’n verpleegster te wees en my medemens te kan dien” moet altyd hoorbaar wees.

Above: Professional Nurses of A5 & A2

INTERNATIONAL NURSES DAY

2 Onder Ons

Rolstoel - At let iekdag

The Communications Department ran a Mother’s Day Competition in celebration of Mother’s Day which was on Sunday, May 10. The winner of the competition , Mrs Jennifer Sapto , won a R200 Checkers voucher.

Moedersdag GedigMammie my maatjie, my vertrouelingAs ek tussen al die ma’s moes kies sou ek oor en oor vir jou uitkiesJou volgetroue strewe om vir ons net die beste in die lewe te gee is bekroon met die suksesse wat ons in die lewe bereik het.

Ons kon nie altyd die streng dissipline in die huis verstaan, ja ons vriende het ons uitgelag ons het gerebelleer daaroor, maar julle het geweet waarna julle strewe!

Mammie jou onwrikbare geloof en vertroue in die Meester – Baie dankie vir die gebede wat oor die

jare gestoor word vir die gebruik vir jou

kinders en kleinkinders. Ons bou daarop voort weet net ons gebedsrakkies bly ook vol. Jy is my beste vriendin, die lekker huil ; lag , dans en sing!!!!! Die raadgewer wat net weet wat om te sê en dit werk elke keer.

Mammie jy is eenvoudig onoortreflik spesiaal.

Jennifer SaptoAD: Verpleging

P.S. A big thank you to Ms Helena Loubser for sponsoring our Mother’s Day Competition

Far left: The winner Mrs Jennifer Sapto receiving her price from Mr Khulile Dyamara (PR Department)

Mother’s Day Competition Winner !!!

Onder Ons 3

HIV WORKPLACE PROGRAMMEThe Tygerberg Hospital HIV Workplace Programme was launched on Thursday 30 April 2009 in the Disa Hall. The launch was attended by TBH Senior management, invited guests, hospital staff members and members of the local community.

Senior Hospital Manager, Dr Muller fulfilled the role of master of ceremonies and Mrs Basson delivered the welcoming address. In his presentation of the purpose of the HIV workplace programme, Dr Alfred Mukosi the Chairman of the committee made it very clear that organizations wishing to remain efficient and viable would have to address HIV in the workplace. “HIV is more than a health issue it has socio-economic implications with employers and employees either affected or infected by

HIV.”

Guest speaker Ms B Smuts from the Western Cape’s HIV and TB Directorate reported that nationally approximately 1500 people are infected daily with HIV. In the Western Cape, where HIV prevalence is the lowest, the provincial strategic plan is to reduce new HIV infections by 50%. She stressed that prevention programmes in the workplace are crucial in the fight against HIV as these increase staff awareness and access to information.

Representatives from the Medical Profession, Infection Control, Occupational Health and Safety, Clinical Psychology and Social Work presented their contributions to the TBH Workplace programme whilst the other disciplines engaged with staff members on a more informal basis at the respective information stalls.

The workplace programme for all staff members includes services provided by the Voluntary Counselling and Testing (VCT) programme (as highlighted in the March

edition of Onder Ons) as well as training and skills development by the Clinical Psychology Department.

The clinical Psychology Services are as follows:

Peer/ Counselor Support GroupsVenue: Seminar room, Medical Psychology Unit (Room 56), A-Lower GroundTime: 1st & 3rd Wednesday of every month12h00 – 13h00 Dates:May 6th & 20th June 3rd & 17th July 1st & 15th August 5th & 15th September 2nd & 16th October 7th & 21st November 4th & 18th December 2nd

Contact Person: Johan Piek Senior Clinical PsychologistTel: 021 - 938 5674

Monthly Staff TrainingVenue: R4 Lecture Room, Tygerberg HospitalTime: 1st Monday of every month - 12h00 – 13h00Dates Topics:June 1st: Basic Counselling skillsJuly 6th: Group Facilitation skillsAugust 3rd: Pre-and Post test

CounsellingSeptember 7th: Bereavement and LossOctober 5th: Counselling families affected by HIVNovember 2nd: Counselling pregnant womenDecember 7th: Adherence counselling

Contact person: Johan Piek Senior Clinical PsychologistTel: 021 - 938 5674 Medical Psychology Unit, A-Lower Ground, Tygerberg Hospital

Dr AlexanderPrincipal Psychologist

Staff visiting the various stalls to obtain more information

4 Onder Ons

EVENTSCleft lip And pAlAte Workshop

The Cleft Lip and Palate Unit at Tygerberg Hospital together with the Smile Foundation have been very active lately in providing care for children born with facial anomalies. On 15 May 2009 this service was extended by presenting a workshop to parents of children with cleft lip and palate.

Dr Alexander Zuhlke gave information to the parents on the medical aspects and showed in detail how the surgical procedures are carried out. Ms Hayley Elliot, speech therapist, taught parents how to develop the child’s speech and encourage the children to develop self esteem. Ms M Schulman Davies a psychologist from the Smile Foundation addressed the emotional reactions that parents may experience when their child is born with a cleft lip and palate, and the stress that goes with surgical treatment. Dr. Ina Steenkamp, Social Worker at Tygerberg hospital, addressed parenting skills and the care of the child.

The parents reported that many of their questions were answered and that they benefitted from the support of other parents in the same situation. They also enjoyed the refreshments!

Dr Ina Steenkamp

From left: Ms Sandy Green, Ms Haley Elliot, Dr Ina Steenkamp, Dr Alexander Zuhlke and Mrs Marilyn Davids Shulman

Ms Zoliswa Khakhaza with baby Hlomla

Below: Parents who attended the Smile Foundation workshop

“A Visit By the Queen”

On the 9th May 2009 it was “English only” in Disa Hall. The Nursing Club held a fundraising with invited guests and confectionary. The table hosts opened their sideboards and show cabinets to lay their tables with fine linen and show-piece fine china. The decorations and extras created a festive atmosphere.The guests were all dressed up in “Sunday’s best” and glitz to match the occasion. In real English tradition, ladies arrived with hats to match and gentlemen all collard and tied with top hat in fine style.

Ms June Saunderson with Mr Raymond VisagieSeveral sponsors joined the event by sponsoring a “tata ma chance” for a lucky draw. The main sponsors were Zone Fitness, Honey and Tupperware.

The singing by Miss K Sapto and dancing by the “Fountain Spiritual Dancers” lifted the spirits. His “Royal Highness” Dr. T

Carter and the honorable Mrs Carter were tabled with Miss A de Witt, the guest speaker. The message for the day was ‘Slow down and dance to the music of your heart’. Enjoy life in the moment.

“Carpe Diem” – life is precious.

Dr Terence Carter with Mrs Carter

Mrs Felicia Smith with Ms Sonia Viola

Onder Ons 5

HAEMOPHILIA EXHIBITIONWorld Haemophilia Day (17 April 2009) put the spotlight on this disease, strengthening the continuous drive to promote awareness and increase the rate of diagnosis. On 14 May an exhibition about Haemophilia was held in Tygerberg Hospital to increase awareness about Haemophilia amongst the public and personnel. Two mothers of affected boys also attended and talked to people about their experience of the condition.

Haemophilia A (factor VIII deficiency), Haemophilia B (factor IX deficiency) and Haemophilia C (factor XI deficiency) are inherited bleeding disorders; Haemophilia A being the most common by far (1 in 10 000 males) and Haemophilia C uncommon in SA. Haemophilia A and B are inherited in a recessive X-linked pattern, thus mainly boys are affected and girls have carrier status. It can also occur smultaneously. In South Africa, there are 1442 people with Haemophilia A and 264 with Haemophilia B registered on the National Registry.Disease severity is classified as mild, moderate or severe depending on the level

of the missing factor. Bleeding episodes are classified as minor or major. Interestingly, bleeding patterns differ and infants and young boys with haemophilia often only have mucosal and soft tissue bleeding (often nose bleeds) and develop the classical bleeding pattern of haemarthroses (bleeding into joints) and haematomas (bleeding into muscle) only when they are older. Treatment is to replace the missing factor by giving factor VIII or IX intravenously as soon as possible after the patient has developed a bleed. All patients are supplied with a Medical Alert disk to identify them.The acronym for treatment of bleeds is:P – Pain relief (avoid aspirin and NSAIMs)R – Rest (immobilization of joint)I – Ice application (5 minutes on, 10 minutes off)C – Factor Concentrate (replace deficient clotting factor immediately; 20u/ kg for minor bleeds and 40u/ kg for major bleeds)E- Elevation of the affected limb

Management of these patients should be at or under the supervision of a Haemophilia

Comprehensive Treatment Centre (Tygerberg Hospital, Red Cross Children’s Hospital and Groote Schuur Hospital). Serious complications can occur, i.e. development of antibodies (inhibitors) against the factor replacement which renders the usual treatment ineffective and chronic synovitis/haemophilic arthropathy. Patients must be carefully monitored for these. Head injury is also an emergency situation which necessitates immediate administration of high dose factor replacement. Treatment guidelines for Haemophilia in South Africa booklets are available from the Paediatric Oncology/Haematology Unit, ward G3.

Dr Ina Dippenaar

historiCAl MoMent in neonAtAl CAre

Ward G8 opened on 15 September 2008 with 16 incubators. The increase in the number of babies led to the opening of more incubators and beds.

On 2 June 2009 the ward opened it’s first 24 hour Kangaroo Mother Care (KMC) room with 5 beds. The mothers were educated on how to take care of their babies in the KMC position.

The incubators increased to 30. The mothers practice intermittent KMC, while sitting next to the incubators. By the end of the day all incubators and beds were filled with patients. There are many advantages to both the mother and baby in practicing 24 hours KMC.

Some of the Advantages of KMCStay as warm as in an incubator•Are more psychologically stable•Bond better with mothers•

Fewer serious infections•Go home sooner•Breastfeeding better and longer•

GeskiedkundiGe GeBeurtenis in neonAtAle sorG

Op 15 September 2008 het Saal G8 met 16 broeikaste geopen Die toename in lae gewig geboorte massa babas het gelei to die gebruik van meer broeikaste en beddens.

Op 2 Junie 2009 het die saal sy eerste 24 uur Kangaroe Moeder Sorg (KMS) kamer met 5 beddens geopen. Die moeders is geleer hoe om hul eie babas in die KMS posisie te versorg.

Die broeikaste is vermeerder na 30. Die moeders pas tussentydse KMS toe terwyl hulle langs die broeikaste sit. Teen die einde van die dag was al die beddens en broeikaste deur pasiente beset.

Sommige van KMS se voordele:Babas bly net so warm as in ‘n •broeikasDit is psigologies meer stabiel•Die babas se band met hul •moeders is sterkerMinder ernstige ontstekings•Gaan vroeër huis toe •Borsvoed beter en vir langer •periodes

From left: Ms M Franken, Ms Z Adams,Ms S Msuthu, Ms R Goss, Ms C vd Westhuizen, Ms J Williams, Ms Gertsem, Sitting: Ms S van Roof, Ms SN Williams

6 Onder Ons

old MutuAl CAreer eXhiBitionOn Friday, 3rd April 2009, Tygerberg Hospital (TBH)

representing the Department of Health in conjunction with Stellenbosch University took part in the Old Mutual Career

Exhibition, held at Mutual Park. Learners from Maitland High and Pinelands High were amongst those who attended the

exhibition. The TBH stands were made up of; Social work, Nursing, EMS, Stellenbosch University’s Student Recruitment

Department, US Physiotherapy and Pharmacy (DOH).

The learners kept the TBH team busy as they

flocked to the stands with their enquiring minds. The TBH and the Department of Health received

invaluable exposure due to

the promotional items that were handed out to the learners. Items included bags,T shirts etcetera

Some of the organisations which were also part of the exhibition were; Kelly, Umsobomvu Youth Fund, South

African Navy and Quest. The learners were assisted in every way possible in their quest for a brighter future. It was

agreed by all present that the day was a huge success. The TBH Public Relations team would like to thank everyone who

helped make this day possible.

Ms Denise (Williams) Lynch with Sister Ellie Warrington

Ms Feroza Parker at the Social Work stand

speaking to some of the learners

From the 11th to the 15th May 2009 highlighted Occupational Therapy (OT) week. In honor of this, the OT department hosted a stall on lower ground. We displayed information, booklets and assistive devices representing various areas in OT Informative pamphlets were handed out and posters hung to help create awareness of the type of services that is being rendered.Our new Marketing emblem and unique catch phrase was also presented to visitors at the stall. The phrase was “OT, unlocking your world.” This phrase was reflected at the stall and a phenomenal response was received as a result of this. The majority of people were interested and fascinated by the great magical impact of our profession, hence, a whole new world was discovered by them during this informative week.We thank all of those who visited the stall and provided us with their support throughout this knowledgeable week. Hopefully, we have given you the key to unlocking your world.

Zahira Vallie

Kuthe kutshanje kwadaleka imbali kwiSibhedlele iTygerberg ngenxa yokuba uMnu Neil Ryneveltd uye wanyuselwa kwisikhundla sokuba nguMphathi ( isuphavayiza): kwicandelo lokucoca. UNeil ngumntu wokuqala ngqa oyindoda kuqeshwa njengomsebenzi kwesi sikhundla kwiimbali ezakha zakho zeSibhedlele iTygerberg. Waqala ukusebenza

eTygerberg ngo-2007 esebenza ekhitshini apho wayenguMncedisi kwezokuTya . Kuthe ngenxa yomnqweno wakhe wokufuna ikamva

eliqaqambileyo nangokholo lwakhe kuMvelingqangi, uNeil waye wafaka isicelo sokuba kwisikhundla sokulawula abeke iliso kuzo

zonke izinto ezidibene nokucoca. Wathi nakuba esifakile nje isicelo wothuka noko

xa ewufumana loo msebenzi.

TBH first male Housekeeper, Mr Neil Ryneveldt was promoted to Supervisor: Housekeeping in J2 & J5

oCCupAtionAl therApy WeekisiBhedlele ityGerBerG iQeshe intloko yABACoCi

Onder Ons 7

PACS & RIS UPDATE: GOING FILMLESSNew equipmeNt

All of the new digital imaging equipment has been installed. This means all X-rays generated at Tygerberg Hospital are now digital. Both on 4th floor and 6th floor we have installed three new rooms. Please come and have a look at the new facilities.

ClosiNg of the last film proCessor

On Tuesday the 26th of May we turned off the last film processor. Dr Carter with Mrs. Hazel Dreyer (the longest serving radiographer in TBH) ceremonially turned off the last film processor. The CPUT Radiography School still maintains one film processor so that the students can receive training in both the film-based and the digital environments.

philips maNagemeNt team Visit

The Philips management team visited Tygerberg Hospital on the 14th of May. We discussed the progress made to date as well as the way forward. Philips has also requested that we become an international reference site for them with regards to the PACS & RIS implementation. The Philips team was also interested in how we aim to reach the rural areas and increase medical support to these areas.

isite usage statistiCs

During the month of May the hospital staff used iSite to view a total of 19,100 cases. This is remarkable if we think that only 3 months ago in February we only viewed 2,000 cases using iSite. Please refer to the attached diagram to see the dramatic increase in usage.

stop the press

There are still some areas that print film which will stop this within the next few weeks. It is important to realize that we will always retain the ability to print as a contingency measure and under special circumstances.

DistributioN to referriNg hospitals

We are in the process of establishing a procedure of distributing CDs to the referring hospitals that do not have access to our system yet. This is a short term measure until all the hospitals have access. At this stage we are waiting for feedback from the referring hospitals that they agree to this procedure.

Dr Otto Schulze

8 Onder Ons

proMotions

Mrs Amanda Stephens was pro-

moted to an Ad-ministration Officer (Administration &

Technical Staff)

Mr Faiez Adams has been promoted to Administration Officer (Personnel: Nursing)

Winner of CreChe rAffle !!!

Above: Creche committee members: Mrs Alfreda Cupido & Ms Amanda Stephens handing over the prize to Ms Joyce Mabandza. The prize was a whole lamb.

ChoC Also hAnds out eAster eGGs Far right (from left) Mr O Romer, Ms T Stander,

Ms D van Zyl, Mr B Campbell, Sr M MorganIn front: Ms S Ollewagen handing out some Easter Eggs

donAsiesOp Donderdag 21 Mei 2009 was die Afdeling Oogheelkunde die gelukkige ontvangers van ‘n reuse skenking. ‘n Moderne fako-emulsifikasie masjien ter waarde van R750 000 is aan ons geskenk deur die firma ALCON Laboratories (SA). Hierdie apparaat word gebruik om deur middel van ‘n baie klein insnyding katarakte te verwyder selfs al is hulle reeds ver gevorderd. Geen voorwaardes is aan hierdie ruim skenking gestel nie en dit sal baie bydrae tot die chirurgiese opleiding van kliniese assistente en diens aan ons katarak pasiente.

AutopAGe hAnds out eAster eGGs

SNIPPETS

Please feel free to forward your comments to the editor, Laticia Pienaar, at Lcpienaa@pgwc.gov.za or contact the

Communications Office at 021 938 5454 / 5608.

Op die foto neem Prof Meyer ontvangs van die apparaat by Mnr Kelvyn Els en Me Nelda Hart verteenwoordigers van Alcon.