CLINICAL

ACCESSING IN-PATIENT CARE

The University College Hospital has over 30 wards and more then 800 beds.  Most of the wards are identifiable by a descriptive terminology derived from the Wing [East, West, South-East, South-West, West-West and North-West] and the floor [Ground, first, second, third and fourth]on which the ward is situated.  For example, South-East 3 [SE3] means the is located in the South-East Wing on the third floor.

Entry into the Wards: Following assessment in the clinics or any of our emergency points, you will be admitted into the ward as directed by the doctor, if the nature of you illness sp indicates.  Also those who have undergone surgical operation in our theatres or delivered of babies in the Labour Ward are transferred directly to the wards often after a period of recuperation in the Recovery Room/Intensive Care Unit.

Ward Admission: After the doctor recommends admission, the nurse is informed of this and he/she in turn informs the nurses in the assigned ward so they can prepare to receive you.  Thereafter you are expected to pay the necessary fees as detailed out to you by the nurse at the point of admission, following which you will be taken to the ward accompanied by a nurse and a porter.  Again, all fees can be paid at any pay-point closest to you. In addition, we have facility for Fixed Admission Deposit in which you can deposit certain amount of money to cover care for a period of 1 day or 1 week or w weeks.  With this facility, relatives do not necessarily have to be disturbed for the needs of the patient during the coverage period of the amount deposited.  Please enquire further details from the nurse, if you are interested in this facility.

When admitted:  A few essential things are necessary for in-patient admission such as change of clothes, toiletries, etc.  We strongly encourage patients to leave valuables at home since UCH will not be held responsible for loss of any item while on an admission.  To avoid accidental disposal, do not leave personal items on the food or medicine tray.  Self-administered medications are not allowed while on admission.  Hand over all your medications to the nurses who will then administer them and document as instructed by the doctors.

Meals: It is against the hospital policy to bring food from home part of the fees to be paid at the point of entry is for meal tickets.  Meals are prepared for patients under strict hygienic conditions to ensure that only health and appropriate foods are served to each patient as recommended.

Visiting Hours: General visiting hours are normally from 11.am to 12 noon and 5 p.m to 6p.m everyday. Please note that only two persons per patient are give visiting tallies and by these are allowed at any particular time into the hospital premises.  Visitors are discouraged from loitering around or sleeping on the staircase.  If any relation desires to rest or sleep overnight, there are rented rooms within the hospital at very affordable price please comply strictly with our visiting policy in order to avoid embarrassment.

While on admission on the ward:

• Follow the instructions of the managing team.
• Check with the nurse before using any electrical appliance.
• If you need to get out of bed and you feel weak, ask for help if your relatives is not available.
• When using he convenience, do not throw any materials other than tissue paper into the toilet.  The sinks and  sluices are meant for liquid materials only. Do not drop any solid object into the sluice or sinks to avoids blockage.
• Your rights and responsibilities as a patient are displayed on our wards.  Please familiarize yourself with them.
• Chaplaincy service is available if you think you need spiritual counseling and support.  Let your managing team be aware of you desire.

Be rest assured that management and staff of the hospital will do our best to ensure your comfort and speedy recovery during your stay.

History of Public Health Nursing Department U.C.H. Ibadan.

One of the decided cardinal programmes of the Board of management of the University College Hospital, Ibadan was the promotion of Public Health Nursing as a co-ordinate department and as one arm of Nursing together with Clinical Nursing Services and Nursing Education.

In line with this decision, the Nursing Advisory Committee of the University College Hospital, Ibadan in November 1993, received proposals from the Assistant Director (Nursing) and coordinator of Nursing Affairs, in person of Mrs. C.A Ejumotan, which articulated the current status with regard to the provision of Public Health Nursing Services in the hospital.  After detailed discussion, the committee agreed to recommend to the Board of management the creation of Public Health Nursing as a Department in the hospital.

The Committee believed that this unit will provide a more effective linkage with the Primary Health Care Development Agency and other International Agencies.  The Nursing Advisory Committee further recommended that Management be empowered to work-out the modus operandi for the take off of the Department, all the Practising Health Nurses (Public Health Nurses and Health Educators) attached to Clinical areas in the  hospital and the U.C.H. satellite stations at Okuku and Sepeteri were pooled together to form the nucleus/foundation staff of the department bearing in mind that the pooling together of the various components of this unit will provide efficiency and ultimate effectiveness.

The department eventually took-off in January 1995 with Mrs. Patience E. Onalaja as the first departmental head and has since been waxing stronger and stronger, recording successes and rendering preventive, promotive, protective, rehabilitative and comprehensive health care to clients and their families in the University College Hospital, Community, rural and urban areas, thereby realizing the vision and mission of the University College Hospital, Ibadan.

Departmental Vision

To deliver optimal care through Health-Promotion, disease Prevention and Rehabilitation while ensuring full participation by community members through effective education, counseling and communication as well as treatment of clients.

Departmental Mission

To extend health promotion activities to all nooks and crannies of the community within and outside Oyo State and undertake necessary actions that will strengthen the National Health system.

Departmental Goals

• To support the University College Hospital Ibadan in the training of personnel for national health industry.
• To conduct research in order to find solutions to identified health problems
• To render qualitative health care services to our immediate and extended communities through the philosophy of National Primary Health Care approach.
• To implement all federal government policies on preventive health.

Activities

The Department is engaged in both hospital and community based practices. There are 26 units in the Hospital Based Segment and 29 units in the Community Based segment and the community segment (Primary Health Care Centres ) forms the link between the University College Hospital and the Community.

Activities of the Public Health Nursing Department

• Identifies health needs of the community within UCH and Outreach stations.
• Health Education./Health information using appropriate language and visual aids.
• Individual and group counseling – to encourage health behavioral and positive attitudinal change.
• Routing and Nor-Routine Immunization Programmes for Children and Adults
• Organizes and executes nutritional education sessions.
• Prevention and Control of Communicable and Non Communicable Diseases.
• Contact Tracing of clients/Relatives
• Referral Services
• Routine ward visits/follow up visits
• Home visiting/Home based care.
• Collects data from clinics & outreach centres for health planning and research projects
• Record Keeping
• School Health Programmes
• Training Students on Community Health Programmes
• Identifie common health problems of adolescents and human sexuality and offers counseling services.
• Identifies & counsels on problems associated with ageing and how to prevent and control them among others.
• Quality Reports Writing in compliance with Total Quality Management Department standard. 

NAMES OF PAST HEADS OF DEPARTMENT TILL DATE.

• P.E. Onalaja – January 1995 – April 1999
• C.A.U Ofodile – May 1999 – June, 2004
• F.A. Olusanya – June, 2004 – February, 2006
• L.E. Olatoye – March, 2006 – May , 2007
• T.B. Babalola – May, 2007 – January 2010
• V.O.A. Taiwo – January, 2010 – 30^th July, 2013
• Modupe A. AINA – till date.

OUTSTANDING ACHIEVEMENTS OF THE DEPARTMENT

• Community sensitization leading to community participation in Primary Health Care services in all UCH Community Based Primary Health Care Centres that ensure acceptance and sustainability of Primary Health Care services.

• Used of bulk SMS to remind the mothers about their babies immunization appointment days helped a lot to track babies for immunization especially in immunization clinics like UCH Centralized Immunization Clinic, Kola Daisi Foundation Primary Health Care Centre (under UCH), Idikan Primary Health Care Centre etc to the extent that most of the immunization clinics need another bigger immunization building to accommodate the numbers of mothers and babies for immunization and infant welfare clinics e.g UCH Centralized Immunization Clinic.

• Successful joint development of Public Health Nursing Department Strategic Plan for the period of year 2016-2020 by the Public Health Nurses.

• Promotion of Community ownership of Primary Health Care activities with Advocacy visits and sensitization of Traditional leaders, opinion leaders and use of Community Health Committees with technical support from Public Health Nurses in UCH Primary Health Care Centres and outreach clinics e.g. Eye outreach and Psychiatric Outreach Clinics among others.

• Adequate training of Public Health Nurses through Public Health Nursing Departmental Monthly Scientific Presentations to train and to give update on Public Health issues/diseases i.e both communicable and non communicable. Also members of staff are being released / sponsored by UCH management for various courses within and outside the country to enhance their professional competence.

• Procurement of Solar freezer, solar fridge and solar energy power by the Management of University College Hospital at Centralized Immunization Clinic has ensure constant power supply to maintain cold chain system which has greatly enhanced good vaccine (both Routine and Non-Routine) storage system for the use of UCH Centralized Immunization Clinic and all UCH Primary Health Care Centres to attain regular immunization of both children and adults especially the children to promote child survival strategies.

• Formation and regular supervision of Health Associations such as Diabetes Association, Asthma Association, Glaucoma Association by Public Health Nurses to assist patients to attain optimal Health.

• Active involvement and participation of Public Health Nurses in sensitization/awareness programme during World Health Notable Days/Week e.g World Asthma Day, World Breast Feeding Week etc.

• Continue collaboration of media houses with Public Health Nursing Department especially NTA, BCOS, Mitv, Radio Nigeria, Splash F.M. and Diamond F.M. stations in Oyo State on Educative Health talks or discussions.

GOOD PRACTICES AND INNOVATIVE EXAMPLES

• Airing of jingle on EBOLA composed in English and Yoruba by one of the Public Health Nurses from the department is on-going in UCH Community Primary Health Care Centres to remind the public about preventive measures on Ebola Virus Disease and Viral Heamorrhagic Fever.

• Accurate monthly report with the use of standard reporting forms jointly designed by Public Health Nursing Department in collaboration with Total Quality Management Department and which was produced by UCH Management to ensure good representation of activities in all UCH Primary Health Care Centres and Hospital Based Units of Public Health Nursing Department to include data analysis, interpretation and graphs of the monthly reports.

PROJECTION FOR THE FUTURE

The department has successfully developed a Strategic Plan for the period of year 2016 – 2020.

AINA, Modupe A. (Mrs.)

Deputy Director & Head, Public Health Nursing

DEPARTMENT OF MEDICAL MICROBIOLOGY & PARASITOLOGY

UNIVERSITY COLLEGE HOSPITAL,

IBADAN

HISTORY OF THE DEPARTMENT

The Department was created as one of the foundation Departments of the University College Hospital, Ibadan in 1957. The virology and mycology units were added in 1960 with the help from the World Health Organization.

In those days, the Department was manned by few staff made up of two clinicians, a resident doctor and three technical staff.

Vision STATEMENT

To be a world-class Centre for academic excellence in the field of Medical Microbiology and Parasitology geared towards meeting societal needs.

Mission STATEMENT

To continue to offer medical services to the community,

To train students at both undergraduate and Post-graduate levels,

To conduct standard research that will contribute to knowledge in science.

To curtail infections within and outside the hospital.

At present, the Department is made up of the following units:

• Bacteriology;
• Parasitology;
• Venereology;
• Mycobacteriology;
• Mycology;
• Control of Infection and
• Clinical virology.

Each of these units has its own Laboratory. In addition, the Special Treatment Clinic houses a clinic and two laboratories (Culture and Serology) for the management of Sexually Transmitted Infections (STIs).

Bacteriology– Has six sections (benches) consisting of Urine, Cerebrospinal fluid (CSF), Blood Culture, Stool, Routine and Media. Each of these sections has qualified Medical Laboratory Scientists. The core responsibilities is to carry out diagnostic tests on clinical specimens of patients from wards and clinics. Microscopy, culture and sensitivity are carried out on clinical specimens for diagnosis.

Parasitology   – This is where various parasites are isolated from clinical specimens. The core responsibilities are to carry out diagnostic tests on specimens such as faeces, blood, skin-snip to identify parasites like Plasmodium species, ova of helminthes, trophozoites and cysts of protozoan.

Venereology   – This is a subunit where STIs are managed. It has four sections; clinics, health education, culture and serology laboratories. The core responsibility is the diagnosis of STIs including HIV/AIDS. The activities in this unit involve clinical examination and treatment of patients, Health education and contact tracing while urethral cervical; high vagina swabs, blood are collected from patients for investigation.

Mycobacteriology      – This include the tuberculosis (TB) laboratory and the core responsibility is the diagnosis of TB. This is carried out from specimens such as sputum and other clinical specimens by microscopy, culture and sensitivity.

Mycology– This deals with the diagnosis of fungal infections. The specimens are skin, ear swabs and corneal scrapping, etc being processed for diagnosis of fungi infection like dermatophytosis, lactophenol blue preparations for microscopy and culture in Sabauroud Dextrose Agar.

Clinical Virology– This unit offers clinical consultation and laboratory diagnostic services (viral serology). Tests that are carried out in the unit include Hepatitis B profiling (HBsAg, HBcAg 1gM, HBeAg, antibody to HBeAg), Hepatitis C antibody, Cytomegalovirus and Herpes Simplex Virus I and II serology. The unit also serves as a collection center for Hepatitis B DNA viral load detection in the South West.

Control of Infection – This unit comprises of Infection Control Chairman (Head of Department who is a clinical microbiologist, Infection Control Nurse and other members). It is established to carry out surveillance of infection within the hospital, so as to prevent hospital population, patients, visitors and employees from acquiring hospital associated infections. The unit adheres to the scheme of Infection Control Programme established to prevent and control infections, involved in formulation of infection control policies and its implementation.

The unit conducts prospective surveillance and control of infections in patients and personnel. The unit keeps records of infections and those of patients. Collection of data of infected patients, interpret and analysis of surveillance data, distribute surveillance report to Infection Control Committee and Heads of Departments on monthly basis and identify significant outbreaks of infections within the hospital and its control.

LIST OF HODS TILL DATE

1. P.I. Collard –           October 1954 – March 1962
2. A.M.M. Wilson             –           January 1963 – September 1965
3. D.G. Montefiore –           November, 1965- October 1979
4. E.O. Ogunba –           October 1979 – July 1982
5. A.O. Osoba –           August 1982 – July 1986
6. J. O. Ashiru –           1986 – 1991
7. (Mrs.) E.A.E. Imohiosen –           1991- 1994
8. R.A. Bakare –           1994 – 1999; 2004 – 2011
9. A.A. Oni                       –           2000 – 2002; 2011 – 2015
10. (Mrs.) A.O. Okesola –           2002 – 2004
11. A. O. Kehinde –           2015 – till date

OUTSTANDING ACHIEVEMENT RECORDED

VenereologyUnit –

• Microbicide clinical trials (Savvy Project) – Principal Investigator (Prof. R. A. Bakare)

Bacteriology Unit –

• Acquisition of Automated Blood Culture System (BACTEC)
• Streptococcus pneumonia (ADIP) project (Co-investigator ) Prof. R. A. Bakare
• SOAR: Study by GSK- Prof Bakare (PI)
• SETA (Severe Typhoid in Africa Program) Project, Dr. Kehinde. Co – PI

Mycobacteriology Unit –

• A new building for TB was donated by The National TBLCP (Tuberculosis Leprosy Control Programed) & Global fund. Also, a new Molecular Laboratory for TB was donated by DAMIEN to the department.
• TB Laboratory was upgraded to a Zonal Reference Laboratory with support from Institute for Human Virology Nigeria (IHVN)
• We now have Molecular facility for some of our tests for example Mycobacterium tuberculosis.
• PEPFAR (President Bush Emergency Fund for AIDS Relief) Co-Investigator Dr. S.A. Fayemiwo
• WANETAM Project – Dr A O Kehinde PI
• DIAMA (Diagnostics of MDR – TB in Africa) Project – Dr. Kehinde – Co PI

Parasitology Unit –

• OxibendazoleVsMebendazole Clinical trials Co-Investigator Dr. H.O. Dada-Adegbola
• Coartem (Artemether-Lumefantrine) six dose regimen clinical trial Co-Investigator

Dr. H.O. Dada-Adegbola

Infection Control Unit –

• Annual Infection Control Course where health care workers from different states are trained on Infection Control Policies.

Residency programme –

• Residency programme is accredited by both the National Postgraduate Medical College of Nigeria and West African College of Physicians.
• We are actively involved in various collaborative research projects including, but not limited to SAVVY, DIAMA, APIN, SETA, Invasive Fungal Disease (IFD), RDT, IDEA Project, WANETAM and NCDC Antimicrobial Resistance surveillance study.

Capacity building –

• The department has recently been chosen as the interim National Reference Laboratory for Antimicrobial Resistance Surveillance by the Nigeria Centre for Disease Prevention and Control (NCDC)

Accessing Out-Patient Services

Emergency Services: When coming with emergency conditions, adults should go to our emergency Department while children should be taken to the Otunba Tunwase Children Emergency Ward.  Pregnant women with Emergency Ward. Pregnant women with Emergency conditions presenting between 8am and 5pmshould be taken to the emergency room in the Antenatal Clinic but after 5pm, pregnant women needing emergency attention will be treated at the Emergency Department

Routine Medical Services: All non-emergency conditions with referral letters, [depending on the cases], should go to the appropriate clinic you are referred to namely: Surgical Outpatient [SOP], Eye Clinic, Ear Nose and Throat [ENT], Children Out-Patient [MOP], Antenatal Clinic [ANC], Sexual Transmitted Disease [STD], Haematology Day Care [HDC], Radiotherapy, Dental Center and CTAGC, Most of our clinics are located close to the main gate of the hospital.

If you do not have a referral letter, please go to the Family Medicine Department where initial assessment will be carried out and, if necessary, you will be referred to a specialist clinic in the hospital.

Registration: if this is your first time, please approach the nursing staff at the desk who will give necessary direction and information to enable you register at the Central Health Records Department Payment for registration is done inside the Central Health Records where the registration is carried out.  Thereafter a Records officer will lead you back to your clinic with your new case file.  All you then need to do is to wait for the Nurse [or her assistant] to carry our some preliminary assessment like your weight, height, vital signs, after which you will be led to sit close to the consulting room of your doctor and be invited into the room once it is your turn.  Please be patient and cooperate with our staff.

Follow-up Visit: Follow-up patients ,i.e. those that have been seen before and given appointments need not be register again but should simply submit their blue [appointment] cards to the record officer in the clinics they attend and wait to be called, first by records officer who then hands them over to the nurse and the process continues as above.  Please ensure you arrive at lease 30 minutes before the appointment time written on your blue card.

At the end of your consultation, please go back to the nursing desk again to be directed appropriately.  Proceeding from here depends on any or a combination of the following activities you would have been directed to do by your doctor: [1] carry out laboratory tests [2] go for a procedure including surgery [3] procure medications/drugs at pharmacy or/and [4] be admitted into the wards.  The nurse will furnish you with initial costs of any of the aforementioned activities if they are available to him or her.

Payment for Services: There are several pay po9intws around the hospital to make the settling of your bills as convenient as possible.  Please obtain the costing of any of the services [apart from medications/drugs] from the nurse or any other designated official in the clinic and proceed to pay at the closet pay point.  For medication/drugs, you need to obtain the actual costing from the pharmacist’s desk in the clinic [or Central Pharmacy] before you proceed to pay.  Please ensure you obtain receipts of payment after which you can proceed to access the services, e.g. go back to collect medicines in pharmacy or do tests in laboratories. Our staff, including doctors, nurses, service development officers other clinic assistants are available for guidance and description to various points you may need to visit.  Also you can call the Servicom Officers through numbers displayed in conspicuous places in the hospital if you have complaints regarding any issue about our services.  Before leaving the clinic, please remember to present a slip of your next appointment [which your doctor would have given you] at the records office at the clinic where you were attended to so that your appointment can be appropriately documented.

PATIENT’S RIGHTS AND RESPONSIBILITIES

Patients have the right to the following:

• Considerate and respectful care
• Be treated with dignity and respect
• Obtain complete and current information concerning his/her diagnosis, treatment and prognosis in terms that patients can reasonably understand.
• Obtain copies of their medical reports by applying through the appropriate channels
• Seek second opinion about their disease or treatment from another Practitioner
• Necessary information to give informed consent prior to the start of any procedure.
• Refuse treatment to the extent permitted by law, and to be informed of the medical consequences of his/her actions according to the law.
• Privacy. The health worker has a duty to sensitise the patient when others are involved. e.g trainees
• Expect that all communications concerning him/her shall be treated confidentially.
• Expect that within its capacity, a hospital must make reasonable response to the request of the patient.
• Reasonable continuity of care.
• Has the right to receive an explanation on his/her bill regardless of who is paying
• Know what hospital rules and regulations apply to his/her conduct as a patient.
• Be informed about what to do in the event of an emergency
• Freedom of choice except in the case of emergency care
• Obtain any information as to the relationship of his/her hospital to other health care and educational institutions as far as his/her health is concerned.
• Know if the hospital proposes to engage in or perform human experimentation affecting his/her treatment.
• Withdraw their consent and terminate care at any point or get this done on their behalf by the recognized legal guardian or next of kin

Patients have the following responsibilities:

• To treat all hospital staff with respect and dignity
• To faithfully undergo the AGREED treatment
• To follow the health worker’s instructions diligently
• To take necessary preventive measures in case of infectious disease according to doctor’s instructions
• To be aware that health workers would endeavour to always act in their best interests. However, being human beings, are susceptible to occasional mistakes and lapses
• To be aware that ALL procedures and treatment modalities carry varying levels of risk for which health workers are not liable
• To make payment for the treatment, wherever applicable, to the hospital promptly
• To respect the competence of the health workers to make professional decisions on patients’ care
• To be punctual at clinics/hospitals for treatment at the given time
• To preserve all the records of their illness
• To keep the Hospital Management informed if change of doctors/hospital is desirable/desired.

Mamography

Specialized X-rays of the breast to aid in the early detection of breast cancer. A yearly mammogram is recommended for women age 40 and older.

Reproductive Endocrinology

Care and treatment for couples having difficulties conceiving a child. Conventional therapies such as medication and surgery can help your dreams of parenthood come true. Our partnership with Mayo Clinic allows us to provide referrals when advanced reproductive techniques are required.

Integrative Medicine

Alternative therapies stemming from the premise the mind, body and spirit function as one and addressing all promotes healing.

Chemical Dependency Treatment

Care for people with alcohol and other drug addictions. All treatment plans are individualized, ensuring that each person’s unique needs are met to promote healing and recovery. Dignity and respect are foundational values that guide our work.

Physical Therapy

Therapeutic care to restore movement and function to people disabled by disease or injury. Care may include exercise, training in activities of daily living and education. Our team works in collaboration with other specialties to offer comprehensive care and quickly restore you to your optimal health.

DATA PROTECTION & CONFIDENTIALITY