Subjects Required for Nursing: Requirements to Study Nursing in South Africa

Nursing as a profession is regulated in South Africa just like in most countries the world over

South Africa has three categories of Nurses which are:

  • Registered Nurses or Nursing Sisters

Who are responsible for the supervision of enrolled and enrolled auxiliary nurses and perform other nursing responsibilities just like their counterparts  in other countries.

  • Enrolled Nurses

They perform functions within their scope of practice which is limited in nature and are supervised by registered nurses.

  • Enrolled Nursing Auxiliaries

This categories of nurses perform basic ward procedures usually non technical ones like bed bathing a patient.

 

What are the Subjects Required for Nursing or Requirements to Study Nursing in South Africa?

You can take any of the following routes to become a nurse so requirements differs as per the route chosen:

  • a four-year bachelor degree in nursing
  • a three-year diploma
  • a one-year higher certificate in auxiliary nursing
  • one-year postgraduate advanced diploma in nursing and midwifery on top of your degree or diploma.

 

Bachelor Degree in Nursing Sciences (BCur)

The bachelor degree in nursing is generally a four-year-long course

Entry Requirements:

Entry requirements include: Mathematics, Physical Sciences and Life Sciences, but this is not compulsory at all institutions. You will need a National Senior Certificate (NSC) or equivalent qualification at exit level 4, with the following grades:

  • English (50-59%)
  • First additional or home language (50-59%)
  • Life Sciences (50-59%)
  • Maths Literacy (50-59%)
  • Life Orientation (50-59%)

Diploma in Nursing

Entry Requirements

You need to have a National Senior Certificate (NSC) or equivalent qualification at exit level 3 or 4, depending on the institution applying to. The score has to be:

  • English (50-59%)
  • First additional or home language (50-59%)
  • Four other subjects (50-59%)
  • Life Orientation (50-59%)

 

Higher Certificate in Auxillary Nursing

Entry Requirements: You generally  need a National Senior Certificate (NSC) or equivalent qualification at exit level 3 or 4, depending on the institution, to qualify to study this course which must have the following grades:

  • English (50-59%)
  • First additional or home language (50-59%)
  • Four other subjects (50-59%)
  • Life Orientation (50-59%)

Postgraduate Advanced Diploma in Nursing

This course is designed to strengthen and deepen your knowledge in nursing and midwifery. During this course, you will specialise as a nurse or midwife (or accoucheur). This course is also only one year long and can only be completed after you have received a diploma or degree in nursing. Unlike the other courses, this course is mostly theoretical. This qualification will also be helpful if you wish to pursue a career in nursing management. This is the postgraduate course for an individual who has a diploma in nursing, will have to complete in order to work as a nursing sister in South African Hospitals.

Entry Requirements

In order to enroll in a course like this you have to have completed:

  • Bachelor in Nursing Sciences (or equivalent) or a degree and comprehensive diploma
  • Diplomas in nursing and midwifery
  • Advanced diploma in midwifery, staff nurse and advanced diploma

You also have to have some experience to apply to this course – excluding your community service year. You have to have two years of experience as a Professional Nurse and/or Midwife (including at least one year in the field of speciality within the last five years).

 

UKWAZI School of Nursing Application Form for 2019 Intake

QUALIFICATIONS

 

The old (legacy) auxiliary nurse and enrolled nurse qualifications have been phased out by the SOUTH AFRICAN NURSING COUNCIL.

The following new nursing qualifications are being phased in

  • the HIGHER CERTIFICATE in AUXILIARY NURSING to commence in January 2018 – a 1 year programme; and
  • the DIPLOMA IN NURSING: STAFF NURSE (GENERAL NURSE) to commence in January 2019 – a 3 year programme.

UKWAZI SCHOOL OF NURSING has already been accredited by the COUNCIL ON HIGHER EDUCATION for both new qualifications and it is also registered by the SOUTH AFRICAN QUALIFICATIONS AUTHORITY for these qualifications. The SCHOOL has been inspected by the SOUTH AFRICAN NURSING COUNCIL for the new qualifications and the main campus (Roodepoort) has been accredited for the new Auxiliary Nurse qualification – accreditation of our Potchefstroom sub-campus is expected shortly.

Our sister company (UKWAZI SKILLS CAMPUS PTY LTD) offers a programme for the training of health care assistants which is accredited by the HEALTH & WELFARE SETA (it is not regulated by the SOUTH AFRICAN NURSING COUNCIL).  This programme will aid prospective nursing students who  do not have LIFE SCIENCES as a subject on their National Senior Certificate (or whose mark in Life Sciences is too low) in applying for admission to the new nursing qualifications as it includes foundational Anatomy and Physiology.  The course will still equip students with the required skills and competencies to find employment in the health care industry.

HOW TO APPLY FOR ADMISSION:  APPLICATION FORM

The School will commence admission procdures for the first intake of students for the January 2018 intake of the Higher Cerificate in Auxiliary Nursing at its ROODEPOORT CAMPUS soon. Students wishing to have their details recorded on a waiting list are invited to complete the prescribed form and to contact the School in that regard.  Admission procedures for our POTCEFSTROOM SUB-CAMPUS will follow as soon as the South African Nursing Council has finalised its accreditation processes.

Details for the 2019 intakes of the Diploma in Nursing will be finalised later.  However, students intending to apply for admission can request the School to record their names on a waiting list so long.

An Information Brochure which explains the dates of all intakes; fees payable; course content; etc will be available from our offices in due course.  It will be available by fax; email; or personal collection.  You are invited to contact your campus of choice – Roodepoort or Potchefstroom (see tabs at the top of this page) for further information in this regard.

ADMISSION AND SELECTION REQUIREMENTS

GENERAL

The decision to admit a student to higher education study is the right, responsibility and prerogative of UKWAZI SCHOOL OF NURSING (the SCHOOL”) in terms of section 37 (1) of the Higher Education Act, 1997.

ADMISSION POINTS SCORE (“APS”)

Each learning programme (qualification) offered by the SCHOOL requires a minimum APS (apart from programme specific requirements) for an applicant to become eligible for selection to that programme.  Applicants with the highest APS receive preference in the selection process.

The table below contains the APS points for subjects achieved in the various SCHOOL leaving certificates and for converting non- National Senior Certificate (“NSC”) qualifications to NSC achievement levels:

*          Independent Examinations Board

**         National Certificate (Vocational)

An APS is calculated by adding up the points for an applicant’s best 6 (six) subjects as reflected in the applicant’s SCHOOL leaving certificate.  Life Orientation is excluded for purposes of the calculation of an APS (and thus does not form part of an applicant’s 6 (six) best subjects).

ADMISSION REQUIREMENTS FOR HIGHER CERTIFICATE IN AUXILIARY NURSING

The following are the admission criteria for the HIGHER CERTIFICATE:

An applicant without Life Sciences / Biology in matric or whose mark is below the minimum achievement level of NSC 4 can still achieve eligibility by successfully completing the SCHOOL’s bridging course (currently the HEALTH CARE ASSISTANT COURSE offered by UKWAZI SKILLS CAMPUS)

  • with an average mark of 75%; and
  • with a minimum mark of 50% (fifty percent) in the ANATOMY and PHYSIOLOGY module thereof.

ADMISSION REQUIREMENTS FOR DIPLOMA IN NURSING (STAFF NURSE)

The minimum requirements for holders of a National Senior Certificate to become eligible for selection for admission to the Diploma in Nursing (Staff Nurse) are as follows:

An applicant without Life Sciences / Biology in matric or whose mark is below the minimum achievement level of NSC 5 can still achieve eligibility by successfully completing the SCHOOL’s bridging course

·         with an average mark of 80%; and

·         with a minimum mark of 60% (sixty percent) in the ANATOMY and PHYSIOLOGY module thereof.

SELECTION

An applicant who meets the admission criteria for a qualification is entered into a selection process.  The selection process is aimed at admitting the best candidates to the SCHOOL’s learning programmes.

The selection process consists of selecting those candidates

i.        with the highest APS for the qualification

ii.        who meet the admission criteria of the qualification as prescribed by the rules of the qualification, by legislation and by                 the School’s internal admission criteria

iii.        whose admission is supported the School’s selection panel based on an interview conducted with the candidate

iv.        who have previously undergone health care or similar education and training at the School.

The SCHOOL is entitled to change its selection criteria at any given time e.g. SCHOOL might consider introducing the National Benchmark Tests as a selection tool in future.

(PLEASE OBTAIN A COPY OF THE FULL ADMISSION CRITERIA FROM THE SCHOOL)

South Africa : Nurses march to KZN Legislature

KWAZULU-NATAL Nurses Forum organiser Bheki Gumbi has accused the Department of Health in KwaZulu-Natal of spending an exorbitant amount of money on outreach programs like circumcision instead of hiring nurses. Gumbi said this on Monday when nurses marched to the KwaZulu-Natal Legislature where they submitted a memorandum of demands.

IN THE MEMORANDUM THE NURSES DEMANDED THE FOLLOWING :

•Filling of all vacant posts;

•Students nurses to be hired full time;

•Nurses to be paid extra money for doing other jobs that are not in their job description; and

•Closure of all private nursing colleges and moving nursing training to Technical and Vocational Educational and Training (Tvet) colleges to allow everyone to get a funding from National Student Financial Aid System (Nsfas).

This is the second time in two months that the nurses have submitted the memorandum to the Department of Health. The first one was submitted at Natalia in May.

Gumbi said they are tired of being ill-treated by the Minister of Health, Dr Sibongiseni Dhlomo, and his department.

He also accused the department of not caring about the community.

“Dhlomo is turning [the] community against nurses because the community blame us [ nurses] if they do not get help at the clinics or if they have to spend their whole day in the queues in hospitals. The community deserves to know that it is not our fault that we are short staffed. We are the ones who have to turn people away without helping them because clinics are closing,” he said.

He said they want the department [of health] to fill all vacant nursing posts. He also said that they are tired of being overworked by the department.

“Three nurses have to attend to 60 patients in a ward because we are short staffed. In attending to those patients they also need to translate languages for doctors which is not part of their job. If the department wants nurses to translate for doctors they must pay them for that because it means they are working two different jobs now.

“The department promised to hire nurses in 2007 but now they [department] want to bring back retired nurses to fill up all the vacant posts because they do not want to hire students nurses full-time. We want government students to be hired full-time and get all the benefits,” he said.

Gumbi said they are giving the department two weeks to respond to their demands.

Legislature’s chief operating officer, Zethembiso Nzuza, said they will keep an eye on the department to check if they are dealing with the issues stated in the memorandum. He said they are aware that this is not the first time that the nurses are voicing their concerns.
Source : https://m.news24.com/SouthAfrica/Local/Maritzburg-Fever/nurses-march-to-kzn-legislature-20180718

Doctor Who was Jailed for Attacking Nurses Could be Struck off.

A DOCTOR who battered police and hospital workers in a drunken rampage faces being struck off.

Dr Karen Clark punched a nurse in the head, kicked another and dug her nails into a third after being taken to hospital for treatment.

The 36-year-old also attacked cops and was found drunk behind the wheel of her car and was jailed last year for eight months for breaching community payback orders.

She now faces being struck off if she doesn’t change her behaviour after being banned from returning to work for a year by the Medical Practitioner Tribunal Service.

The hearing was told Clark, who failed to show up for the tribunal, has not been in touch with her solicitors for three months.

Marianne O’Kane, the tribunal chairwomen, said: “In the absence of any evidence that Dr Clark has expressed remorse or gained any insight into the circumstances that led to her convictions and indeed with evidence of re-offending, there remains a risk of recurrence.

“The tribunal considers that in light of the lack of new information, Dr Clark would be a risk to patients if she was permitted to practise medicine and public confidence would be undermined.”

Troubled Clark  turned to theft and violence after spiralling into alcoholism and has served two prison sentences.

The medic, worked at Glasgow Royal Infirmary, wrote about her battle with the booze in a blog where she revealed how she became addicted to alcohol in her 20s.

She said: “I am Karen. I am an alcoholic and most likely an addict. My substance of choice is alcohol. It has taken me to a place that I can only describe as hell.

“I am a medical doctor (emergency medicine). I discovered alcohol when I was 15. I can only describe taking that first sip as the most amazing euphoric feeling I thought was possible.

“My alcoholism really took off in my 20’s. I functioned for a long time. In the past year I have been in accidents, horribly compromising situations, I have had countless hospital detoxes.”

Clark was working as a senior registrar in the emergency department at Glasgow Royal Infirmary when she started drinking

She was jailed for a total of nine months at Kilmarnock Sheriff Court in April 2015 for the attack on the four nurses and four police officers.

Clark also admitted breaking into a hair salon in Ardrossan, Ayrshire, and stealing money, a set of straighteners and hair products in February 2016.

Sheriff Iona McDonald gave her 18 months supervision with an alcohol treatment requirement and told her: “If you don’t deal with the alcohol issue you’ll end up dead.”

Source : https://www.thesun.co.uk/news/6861931/ae-doctor-who-battered-hospital-nurses-and-four-cops-in-violent-drunk-rages-faces-being-struck-off/

Uganda Public health facilities Infested With Quack Medics – Monitoring Unit

…2 quacks who forged Nursing Certificates arrested

A big number of local government public health facilities are infested with quack health workers who find their way on the government pay roll, according to preliminary findings by the Health Monitoring Unit (HMU).

Dr Jackson Ojera Abusu, the director HMU, said this has come as a result of complacency to vet health workers especially medical doctors, nurses and laboratory personnel.

He revealed that the unit has launched a crackdown to eliminate imposters who are putting the life of unsuspecting patients at risk.

“The crackdown has started with Buikwe District [in the central region], where imposters masquerading as enrolled nurses were detained and are currently held at Kira Road Police Station. They have been on the Buikwe District pay roll since 2013,” Dr Abusu said.

He was speaking yesterday during a press conference held at the HMU offices in Kampala after the arrest of the two quack nurses who were apprehended last week in Buikwe District. This was after preliminary investigations revealed they accessed the pay roll using fraudulent academic documents.

The two nurses, Sarah Nakigozi and Justine Nzukidwa, currently detained at Kira Police station were masquerading as enrolled nurses.

“They went on to forge registration certificates from Uganda Nurses and Midwives Council. HMU has confirmed from Mulago School of Nursing and Uganda Nurses and Midwives Council (UNMC) that the above nurses are fictitious and highly fraudulent,” Dr Abusu said.

In their July 23 letter responding to HMU’s request to verify the duo’s professional documents, the Nurses’ Council confirmed that “Nakigozi Sarah and Nzukidwa Justine are not nurses or midwives duly registered or licensed with the UNMC and directly under its mandate and are not allowed to practice nursing or midwifery.”

However Dr Ekwaro Obuku, the president of the Uganda Medical Association (UMA) said the best way to get rid of quack health workers would be channeling the resources to the respective professional bodies that have the mandate to perform the role.

“It is not clear what role this body [HMU] is going to play. For us we cannot work with them because they do not exist in the laws of Uganda,” Dr Obuku in telephone interview.

Dr Abusu, however, said that HMU which was set up by President Museveni in 2009 would be working directly with districts and health facilities to verify and ventilate health workers’ transcripts in the next three months after which they will release a report.
Source : Uganda Monitor

India : Tamil Nadu Nurses’ Salary Raised From Rs 7,700 To Rs 14,000 Per Month

Nearly nine months after more than 3,000 contract nurses struck work demanding higher pay scale, the state on Tuesday cleared the decks to nearly double their salary from a consolidated pay of Rs 7,700 per month to a take-home salary of Rs 14,000 per month.

State health minister C Vijayabaskar said salary revision was cleared by chief minister Edappadi Palaniswami and the payment will be with effect from April 2018.

“In addition to take-home pay, nurses will get benefits such as ESIC. They will also get a yearly hike of Rs 500,” he said. The hike will benefit more than 12,000 nurses, he said.

In 2017, more than 3,000 government nurses struck work and gathered at the office of the directorate of medical and rural health services demanding better salary, working hours and permanent employment. Services at several government hospitals were affected for nearly a week. Until 2015, the state hired nurses with a diploma in nursing from government hospitals on contract before being moved into regular government employment. In 2015, for the first time, the Tamil Nadu Medical Services Recruitment Board conducted a competitive exam to recruit nurses. The exam was open to nurses trained in private colleges and hospitals.

The state had appointed more than 11,000 nurses, mostly nursing graduates, on a contract basis through the recruitment board under the National Health Mission programme for a consolidated pay. Senior officials in the health department made a formal request for immediate pay hike, but said these nurses will be eligible for permanent employment only after two years of service.

“They will be absorbed on the basis of seniority whenever vacancy arises,” a senior official said.
Source : Times of India

2018 ncpc medical team List of Selected Successful Candidates

LIST OF SELECTED SUCCESSFUL FEDERAL MEDICAL TEAM FOR THE 2018 CHRISTIAN PILGRIMAGE

 

S/NO NAMES PROFESSION STATE SCORE EXAM

NO.

REMARKS
1 Dr Mbalaso Okechi Doctor ABIA 74% 1532 M
2 Dr Ejeagba Okezie Doctor Abia 73% 1513 M
3 Nduka Chika Peace Nurse Abia 60% 1903 F
4 Ikechukwu Onyinyechi Lovelyn Nurse Abia 59% 1038 F
5 Nwabugwu Oluchi Happiness Nurse Abia 58% 1928 F
                                                                                   ADAMAWA
6 Dr Fashie Andrew Patrick Doctor Adamawa 66% 1115 M
7 Dr Joel Zwabragi Doctor Adamawa 64% 1502 M
8 Paul Mighty Nurse Adamawa 57% 1737 M
9 Haniel Asabe Madai Nurse Adamawa 56% 1763 F
10 Bitrus Zacharia Nurse Adamawa 55% 1477 M
                                                                                  AKWA IBOM
11 Dr Umana Ifiok Doctor Akwa Ibom 76% 1167 M
12 Dr Uduehe Enono Doctor Akwa Ibom 73% 1648 M
13 Etuk Uduak Nurse 60% 1883 F
14 Eyibio Ikemesit Nurse 55% 1717 F
15 Udoeka Praise Nurse 52% 1668 F
                                                                                 ANAMBRA
16 Dr Onwugamba Christopher Doctor Anambra 74% 220 M
17 Dr Okoye Eloka Doctor Anambra 74% 1806 M
18 Dr Oguanuo Ifechi Doctor Anambra 71% 166 F
19 Okeke Aloysius Ogochukwu Nurse 66% 258 M
20 Chukwuka Henry Nurse 65% 1938 M
21 Ekweani Daisy Nurse 60% 1044 F
                                                                  BAUCHI
22 Bitrus Lawas Nurse Bauchi 54% 973 M
23 Yakubu Bukata Nurse Bauchi 52% 1724 M
24 Jerry Ishaya Nurse Bauchi 49% 1017 M
                                                                  BAYELSA
25 Dr Ayoko Utavie Doctor Bayelsa 64% 1939 M
26 Dr Okatubo Geoffrey Doctor Bayelsa 58% 1170 M
27 Orubo Tamar Nurse Bayelsa 57% 1239 F
28 Wanatoi Doris O. Nurse Bayelsa 48% 936 F
                                                                   BENUE
29 Dr Yahaya Adaiah Doctor Benue 68% 339 M
30 Dr Samuel Mamu Barnabas Terlumun Doctor Benue 68% 1188 M
31 Dr Akaangee Lucas De-Jesus Doctor Benue 65% 1866 M
32 Tyongi Bridget Nurse Benue 62% 373 F
33 Ochigbo Eneh Cordelia Nurse Benue 52% 1686 F
34 Ameh Ada Nurse Benue 51% 894 F
35 Anyoko Juliana Nurse Benue 51% 1573 F
36 Obilikwu Esther Nurse Benue 51% 1657 F
                                                                  BORNO
37 Dr Musa Emmanuel Doctor Borno 67% 1865 M
38 Dr Musa Nuhu Doctor Borno 63% 856 M
39 Hassan Emmanuel Nurse Borno 55% 1973 M
40 Adamu Habiba Nurse 53% 415 F
41 Hassan Dahaltu Nurse 52% 338 M
                                                               CROSS RIVER
42 Dr Edem Kevin Doctor Cross River 74% 1376 M
43 Dr Debua Ayi Doctor Cross River 69% 1658 M
44 Edet Glory Nurse 58% 1145 F
45 Akesa Solomon Nurse 46% 646 M
                                                                  DELTA
46 Dr Eboma John Doctor Delta 70% 1039 M
47 Dr Okonye Clinton Doctor 64% 780 M
48 Orumana Lilian Nurse 64% 1034 F
49 Omoyibo Eguono Esther Nurse 55% 831 F
50 Stephen-Edjere Beauty Nurse Delta 55% 1652 F
                                                                 EBONYI
51 Dr Alobu Walter Emeka Doctor Ebonyi 74% 1312 M
52 Dr Obaji Obinna Victory Doctor 73% 1691 M
53 Chukwuma Gozie Oru Nurse Ebonyi 60% 1708 F
54 Odaa Timothy Chidinma Nurse 57% 674 M
55 Ogboji Chinedu Nurse 53% 1696 M
                                                                    EDO
56 Dr Okoh Emmanuel Doctor Edo 72% 553 M
57 Dr Ige-Orhionkpaibima Sunday Fred Doctor 71% 1337 M
58 Osigbeme Augustine Etseilena Nurse Edo 60% 1828 M
59 Elijah Isoken Nurse Edo 60% 829 F
60 Uhumesi Joseph Ehis Nurse Edo 59% 622 M
                                                                 EKITI
61 Dr Ogidi Samuel Doctor Ekiti 74% 1462 M
62 Dr Ojo Ademola Doctor 74% 1537 M
63 Dr Akerele Opeyemi Doctor Ekiti 74% 73 M
64 Akinyemi Victor Olubunmi Nurse 57% 1814 M
65 Popoola Tolulope Nurse 55% 1538 M
66 Afolabi Olajumoke Nurse Ekiti 54% 987 F
67 Atewologun (Nee Ogunbiyi) Damilola Nurse Ekiti 54% 266 F
                                                                   ENUGU
68 Dr Anih Eze Doctor Enugu 74% 978 M
69 Dr Madu victor Doctor 73% 86 M
70 Eze Ernest Nurse Enugu 63% 777 M
71 Eze Jude Ugochukwu Nurse 57% 1321 M
72 Ogbo-Omale Simon Nurse Enugu 57% 1523 M
                                                                    FCT
73 Gimba Daniel Nurse FCT 54% 1498 F
                                                                    GOMBE
74 Dr Maikenti Yalwe Onesimus Doctor Gombe 68% 351 M
75 Dr Maina Daniel Doctor Gombe 61% 65 M
76 John Rebecca Nurse Gombe 52% 1030 F
77 Omale Tiphonas Moses Nurse Gombe 51% 1592 F
                                                                    IMO
78 Dr Onyeze Chigozie Doctor Imo 76% 1638 M
79 Dr Madu Nwokedi Doctor 74% 742 M
80 Okafor Onyinye Nurse Imo 65% 685 F
81 Anunobi Tochi Anthonia Nurse Imo 63% 857 F
82 Ike Chinonye Nurse Imo 61% 1078 F
                                                                 JIGAWA
83 Ado Musa Nurse Jigawa 50% 1302 M
                                                                 KADUNA
84 Dr Danboyi Timothy Doctor Kaduna 66% 1339 M
85 Dr Bakut John Maiganga Doctor Kaduna 65% 1244 M
86 Juris Thomas Nurse 53% 898 M
87 Bako Anangha Nurse Kaduna 49% 1021 M
88 Haruna Alheri Nurse 48% 1151 F
                                                                  KANO
89 Ibrahim Bebeji Bilkisu Nurse Kano 55% 85 F
90 Muhtar Binta Nurse 53% 681 F
91 Bala Marka Nurse 50% 1800 F
                                                                  KATSINA
92 Dr Mamman Ibrahim Garba Doctor Katsina 59% 1178 M
93 Adamu Zarah Nurse Katsina 50% 1410 F
                                                                    KEBBI
94 Dr Shehu Nasiru Doctor Kebbi 65% 1849 M
95 Dr Michael Augustine Doctor Kebbi 60% 960 M
96 Ahmadu Grace Nurse Kebbi 60% 1066 F
97 Nenge Ibrahim Nurse 55% 183 M
98 Kure Abigail Stephanie Nurse Kebbi 52% 1234 F
                                                                   KOGI
99 Dr Aiyemowa Femi Doctor Kogi 71% 1650 M
100 Dr Obaitor Anthony Simpa Doctor Kogi 69% 1844 M
101 Adelabu Oluwatoyin Nurse Kogi 60% 1175 F
102 Awe Promise Nurse 59% 1624 M
103 Joseph Joel Nurse Kogi 56% 249 M
                                                                KWARA
104 Dr Gana Victor Gana Doctor Kwara 75% 1556 M
105 Dr Oladapo-Shittu Opeyemi Doctor Kwara 68% 185 F
106 Adegoke Olawumi Emmanuel Nurse Kwara 66% 421 M
107 Adeyemi Oluwaseye Nurse 60% 1767 F
108 Olayiwola Elizabeth Nurse Kwara 55% 1222 F
                                                               LAGOS
109 Dr Iroha Ugochukwu Doctor Lagos 65% 1049 M
110 Dr Babatunde Gabriel Doctor 64% 694 M
111 Owotomo Hannah Nurse Lagos 45% 1383 F
                                                               NASARAWA
112 Dr Enjugu Esla Jephthah Doctor Nasarawa 71% 1356 M
113 Dr Moses Alexander Doctor 61% 1403 M
114 Maku Ari Nurse Nasarawa 64% 271 M
115 Asufi Joyce Nurse 57% 1716 F
116 Ishaya Victor Tama Nurse Nasarawa 56% 629 M
                                                                  NIGER
117 Dr Dogo Joy Doctor Niger 55% 182 F
118 Ibrahim Juliana Nurse 55% 49 F
119 Goge Silas Nurse Niger 50% 1002 M
120 Saba Josiah Nurse Niger 49% 1509 M
                                                                         OGUN
121 Dr Osibowale Bamikole Doctor Ogun 75% 5 M
122 Dr Afuwape Ibidolapo Doctor 70% 1032 F
123 Lasisi Abiola Nurse Ogun 58% 1794 F
124 Afolabi Deborah Nurse 56% 595 F
125 Oyefeso Rebecca Nurse Ogun 54% 1786 F
                                                                         ONDO
126 Dr Ojo Rufus Doctor Ondo 66% 1780 M
127 Dr Arikan Samson Doctor 63% 1470 M
128 Dr Olagbe Kehinde Timothy Doctor Ondo 63% 311 M
129 Akinboluji Felix Nurse Ondo 66% 188 M
130 Ernest Agadigha Nurse 58% 571 F
131 Gbadegesin Elizabeth Nurse 55% 1074 F
132 Oloruntoba Helen Nurse Ondo 55% 1313 F
                                                                     OSUN
133 Dr Olulode Olufemi Doctor Osun 72% 507 M
134 Dr Oluwajulugbe Philip Doctor 70% 1529 M
135 Ojo Abimbola Nurse 70% 77 F
136 Oluwole Samuel Olurotimi Nurse Osun 62% 71 M
137 Aduragbemi Tunde Jeremiah Nurse Osun 54% 1212 M
                                                                       OYO
138 Dr Adetimehin Omobolanle Doctor Oyo 70% 16 F
139 Dr Adedeji Opeyemi Doctor 68% 1413 M
140 Adesina Comfort Nurse Oyo 62% 370 F
141 Adeleke Oluseyi Nurse 58% 1766 M
142 Solomon Victoria Nurse 55% 792 F
143 Omonayin Rachael Nurse Oyo 55% 1956 F
                                                                     PLATEAU
144 Dr Chun-Gyang Shadrack Doctor Plateau 68% 662 M
145 Dr Fabong Jemchang Yildam Doctor 66% 480 M
146 Danat Innocent Nurse Plateau 56% 1905 M
147 Longsha Emmanuel Nurse 54% 1365 M
148 Jones Gakso Goyol Nurse 53% 1598 M
149 Njakhar Micah Nurse Plateau 53% 62 M
                                                                    RIVERS
150 Dr Pepple Erinma Doctor Rivers 64% 1524 F
151 Dr Okpan-Omo Elizabeth Doctor 63% 1658 F
152 Omokaro Stella Nurse Rivers 56% 1799 F
153 Nwanguma Georgina Nurse 55% 129 F
154 Enyindah Frank D. Nurse Rivers 51% 1878 M
155 Kpalap Priscilla Nurse Rivers 51% 1147 F
                                                                  SOKOTO
156 Onah Ifeyinwa Nurse Sokoto 48% 1135 F
                                                                  TARABA
157 Dr Ukandu Joshua Doctor Taraba 69% 1577 M
158 Dr Daniel Ezra Garbeya Doctor 66% 1271 M
159 Dr Iyua Kuleve Doctor 66% 1432 M
160 Dr Chuto Samaila Doctor Taraba 66% 349 M
161 Samuel Abel Karawa Nurse 59% 939 M
162 Kaigama Galeya Nidi Nurse 47% 1817 F
163 Magayaki Polycarp Nurse Taraba 47% 1791 M
                                                                    YOBE
164 Dr Turaki Ishaku Doctor Yobe 63% 947 M
165 Aje Ishaya Gwadi Nurse Yobe 58% 1720 M
166 Jonah Manasseh Nurse Yobe 50% 1205 M
                                                                   ZAMFARA
167 Isyaku Zaharau Nurse Zamfara 46% 1907 F
                                 

                                                       MEDICAL LABORATORY SCIENTISTS (MLS)

168 Ononuju Ikechukwu MLS Anambra 55% 1664 M (SE)
169 Okonji Charity Uzonwanne MLS Delta 62% 1034 F (SS)
170 Ojerinde Olakunle MLS Oyo 61% 924 M (SW)
171 Isah Isaac MLS Kebbi 64% 1747 M (NW)
172 Danbaki Andokari MLS Taraba 54% 522 M (NE)
                                                              PHARMACISTS
173 Uronnachi Emmanuel Pharmacist Ebonyi 67% 1309 M (SE)
174 Omede Deborah Pharmacist Delta 65% 1460 F (SS)
175 Sonuga Yetunde Pharmacist Ogun 61% 1927 F (SW)
176 Stephen Chabula Mota’a Adamawa 66% 617 F (NE)
177 Odoh Theresa Benue 58% 1478 F (NC)
178 Dayol Meshak Plateau 58% 393 M (NC)
179 Stephen Chubiyojo Pharmacist Kogi 58% 26 M (NC)
180 Waziri Ashia Pharmacist Kaduna 60% 1486 F (NW)
                                                    OTHERS (CHEWs)
181 Auta Wasa Silas CHEW Kaduna 51% 1862 M
182 Sambo Sunday CHEW Gombe 46% 1168 M
183 Daniel Asabe Matta CHEW Plateau 45% 1493 F

 

Summary

DOCTORS                  =   65

NURSES                     = 102

PHARMACISTS          =  8

MLS                            = 5

CHEWs/OTHERS        = 3     

TOTAL                        = 183

CRITERIA FOR SELECTION OF FMT

  1. Pass mark = 45% and above
  2. Cut off mark for Doctors = 55%
  3. Cut off mark for Pharmacists = 50%
  4. Cut off mark for Nurses = 45%
  5. Cut off mark for others(CHEWs) = 40%
  6. Two (2) DOCTORS and three (3) NURSES who passed and obtained the highest scores above their respective cut off marks from each STATE (as applicable) are selected.
  7. One Pharmacist and one MLS who passed and obtained the highest score above their respective cut-off marks from each of the GEOPOLITICAL ZONES are selected.
  8. Any two or more candidates who obtained the same highest score as above in a STATE are BOTH selected

Three OTHER HealthCare Professionals including CHEWs who made the cut-off mark for their cadre were selected from across the geopolitical zones. 

General Nursing Council of Zambia Set to Release June/July 2018 Examination Results

GNCZ is set to release the June/july 2018 examination. Below is the news and other critical events shared by the organization

CRITICAL EVENTS AND DATES:

1. RENEWAL OF 2019 PROFESSIONAL PRACTICING LICENCES: Renewal of the 2019 nursing and midwifery practicing licence exercise commences on 1st August 2018 and ends on 31st December 2018. Therefore, all nurse and midwifery practitioners are encouraged to take advantage of the starting date for the renewals for 2019 licence which is earlier (1st August 2018) than ussual (1st September of each year), and start paying now in order to avoid last minute panic taking into account the fact that there will be NO GRACE PERIOD or amnesty granted after 31st December 2018.

2. RELEASE OF JUNE/JULY 2018 GNCZ QUALIFYING AND LICENSURE EXAMINATION RESULTS: Release of the June/July 2018 GNCZ Qualifying and Licensure Examination results is Scheduled to take place in the first week of August 2018; preferably on 2nd August 2018 anytime from 14:00 hours. Therefore, be on the look out to check the GNCZ Online Examination Portal by using individual student’s Index Number.

3. REGISTRATION AND LICENCING OF THE JUNE/JULY 2018 GNCZ QUALIFYING AND LICENSURE EXAMINATION GRADUATES: Registration and Licencing of all June/July 2018 GNCZ Qualifying and Licensure Examination Graduates is scheduled to start on 9th August 2018. Registration process details, including dates allocated to each school/eligible candidate will be communicated to respective Schools from 3rd August 2018. Therefore, all eligible candidates are advised to contact their respective Colleges and Universities of Nursing for information and/or guidance, thereafter.

4. AUGUST 2018 LICENSURE EXAMINATION. Application for August 2018 Licensure Examinations commences this Friday 27th July 2018 and closes on 20th August 2018. Licensure Examinations are scheduled to take place on 22nd August 2018 (Theory) and 23rd August 2018 (Practicals). Therefore, eligible candidates are advised to apply now in order to avoid last minute panic and consequently be caught up in the congestion at GNCZ offices.

5. Further announcements will be made in due course, but before 6th August 2018.

Thank you.

Issued by

Thom D. Yung’ana

MANAGER REGULATION AND COMPLIANCE

&

SPOKESPERSON

For/THE REGISTRAR

GENERAL NURSING COUNCIL OF ZAMBIA

 

Evidence Based Review: Why Are vital-signs Observations Missed At Night?

Vital-signs observations in hospital patients are missed or delayed at night, but the reasons for this have not been established. Interviews with 17 nursing staff shed light on the question

Abstract

Observations of the vital signs of hospitalised patients are missed at night and it is not clear why this happens. Even when the frequency of observations increases in line with the severity of a patient’s condition – based on early warning scores – observations are still missed. This article describes findings from interviews with nursing staff about why they take or miss scheduled vital-signs observations at night.

Citation: Hope J, Ball J (2018) Why are vital-signs observations missed at night? Nursing Times  [online]; 114: 8, 34-35.

Authors: Jo Hope is research fellow; Jane Ball is principal research fellow; both at NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton.

Introduction

Checking patients’ vital signs is crucial to prevent avoidable deaths in hospital (Smith, 2010) and a fundamental part of nurses’ work (Kitson et al, 2010). However, patients are less often monitored at night, even when observation frequency increases in line with illness severity based on early warning scores (EWSs) (Hands et al, 2013; National Patient Safety Agency, 2007).

Research shows that nurses use EWSs to support their clinical intuition, and use the recognition of deterioration patterns and family concerns to guide the timing of vital-signs checks (Odell, 2015). Relationships with other professionals, equipment problems and the clinical environment affect when observations are done, but we do not fully understand why scheduled observations are less likely to be made at night (Buist and Stevens, 2013). Research shows cardiac-arrest calls peak at 6am, after the night shift (Nolan et al, 2014) and survival after cardiac arrest in hospital is worse when the arrest occurs at night (Robinson et al, 2016); this could be related to reduced observations.

This article is a summary of recent qualitative research that used interviews with nursing staff in a general acute hospital to find out why vital-signs observations were missed or delayed at night (Hope et al, 2017).

What did we do?

Nursing staff were recruited through a survey undertaken as part of a larger mixed-methods project, the Night Surveillance Study,
Seventeen members of staff from a single general acute hospital completed semi-structured interviews over the telephone or face to face. We recruited a maximum variation sample of 13 registered nurses, two student nurses and two support workers from wards with low (n = 3), medium (n = 8) and high (n = 6) levels of adherence to the hospital’s early warning protocol at night. Staff came from medical, emergency, surgical, trauma, rehabilitation, oncology and gynaecology wards, and their experience on hospital wards ranged from <1 year to >30 years.

Findings

We analysed the interviews using a thematic approach. Three key findings emerged:

The difficulties of balancing sleep with taking vital signs at night;
The importance of clinical judgements and ward expectations;
Potential under- and over-monitoring of specific patient groups.
Balancing sleep and night-time checks

Supporting sleep was seen as central to night-time care. Some interviewees argued that sleep was integral to recovery:

“Most healing takes place when you’re in a deep sleep and if you’re breaking that, all the good work … has been broken.” (Registered nurse 8, medium-adherence ward)

However, taking vital signs was also seen as a key part of nursing work:

“That’s our baseline, how to treat you or assess how stable you are.” (Registered nurse 1, high-adherence ward)

Night time was when these two tasks clashed. Interviewees told us about their struggles to provide a “solid block of undisturbed sleep”. Some used strategies to maximise the period of undisturbed sleep by, for example, taking vital signs just before “settling down” patients for sleep

Interviewees also considered whether taking observations for one patient might awaken others, which could happen when patients shared a room. They said that, during the day, they would carry out scheduled observations even if they judged them to be “unnecessary”, because this did not affect sleep. However, this changed at night. Interviewees talked about deciding when they felt it was “necessary” to carry out vital-signs observations at night, versus when they felt these could be delayed or even missed to protect sleep.

Clinical judgements and ward expectations

Both nurses and healthcare assistants told us they used their “clinical judgement” to decide whether it was worth waking a patient to take their vital signs when scheduled. This could be based on clinical judgements and expertise about their patient group, or on “gut feeling”.

However, it became clear that other factors were influencing when vital signs were taken at night. On some wards, post-operative protocols requiring observations to be taken at certain intervals overrode the early warning protocol. Some interviewees told us doctors expected observations at the end of the night shift, which could be in addition to those scheduled in the early warning protocol; this could lead to night-time observations being skipped to protect sleep.

“So if you do them again at 4 o’clock, there are chances that I have to do it again at seven, because the consultant wants a fresh set of obs.”  (Registered nurse 13, medium-adherence ward)

When the hospital used adherence to scheduled vital-signs observations as a measure of ward performance, interviewees said this made them more likely to take observations when scheduled. However, it also made nurses feel their professional autonomy was being threatened:

“There is no clinical judgement on our part … You’ve got a black mark against your name.”  (Registered nurse 8, medium-adherence ward).

Under- and over-monitoring

Interviewees told us that people with chronic obstructive pulmonary disease always gained high EWSs (and hence frequent scheduled night-time observations) because certain vital signs like oxygen saturation were always high. For some interviewees, this meant skipping vital-signs observations at night – with or without written advice from a doctor – or taking fewer vital signs instead of the full set required by the protocol.

Patients with dementia could become agitated when woken up, which could mean other patients would also wake. Attitudes to managing this varied: some teams modified how they took observations – such as taking oxygen saturation readings on patients’ toes instead of their fingers; some deliberately avoided observations in those with dementia to avoid disturbing other patients.

“When a demented patient… – so noisy – refused to have the blood pressure checked, and then eventually went to sleep … If I check it she’ll wake up, and then the rest of the patients will be annoyed too … during the time it wasn’t compulsory … I leave it as it is.” (Registered nurse 13, medium-adherence ward)

Although patients on a formal end-of-life care pathway could have their night-time observations overridden, nurses identified a group of patients judged to be nearing that stage in whom observations were expected as usual under the protocol; the nurses did not undertake observations for these patients.

“We just refuse to do it.” (Registered nurse 13, medium-adherence ward)

Conclusions

The evidence from the study led us to suggest several improvements to how night-time observations are managed

References:

Buist M, Stevens S (2013) Patient bedside observations: what could be simpler? BMJ Quality and Safety; 22: 9, 699-701.
Hands C et al (2013) Patterns in the recording of vital signs and early warning scores: compliance with a clinical escalation protocol. BMJ Quality and Safety; 22: 9, 719-726.
Hope J et al (2017) A fundamental conflict of care: nurses’ accounts of balancing patients’ sleep with taking vital sign observations at night. Journal of Clinical Nursing; 00:12
Kitson A et al (2010) Defining the fundamentals of care. International Journal of Nursing Practice; 16: 4, 423-434.
National Patient Safety Agency (2007) Recognising and Responding Appropriately to Early Signs of Deterioration in Hospitalised Patients. London: NPSA.
Nolan JP et al (2014) Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation; 85: 8, 987-992.
Odell M (2015) Detection and management of the deteriorating ward patient: an evaluation of nursing practice. Journal of Clinical Nursing; 24: 1-2, 173-182.
Robinson EJ et al (2016) Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. BMJ Quality and Safety; 25: 11, 832-841.
Smith GB (2010) In-hospital cardiac arrest: Is it time for an in-hospital “chain of prevention”? Resuscitation;  81: 9, 1209-1211.

Kweku to Nurses : “Stop Wearing your uniform Home After Work”

President of the Ghana Registered Nurses and Midwives Association (GRNMA) Kweku Asante Krobea has stated that though not a written policy, it is always advisable for nurses to wear their uniforms only when they are carrying out their duties.

According to him, the uniforms may likely contain agents from the wards that may be passed on to persons who come into contact with the nurses.

“In our parlance, we call it the nosocomial infection, the likelihood that they pick these infections from the ward and can take it to the public.”

Mr Asante Krobea said even those who sit in a trotro or taxi have the highest rate to transfer infections to members of the public.

“That is why it will make a lot of sense to say that you may have to put it off you, when you finish working in the ward.”

Some nurses wear ordinary clothes to work while others stick to their official uniforms.

Speaking on TV3, some nurses said they wear ordinary clothes because they think there are infections in the world and would not want to carry it to the hospital.

Others said when they are late they wouldn’t want to go home and change before going to work so they prefer wearing the uniform all the time.

But speaking on TV3’s Midday Live, Mr Asante Krobea added that when nurses wear their uniform, they are to take away the infections from it.

“And so while the nurse goes into her apron, and even her cap as well, she is supposed to take away a considerable amount of infection-causing agents.”

By Lily Kakra Owusu|3news.com|Ghana