Ayumi Kuboki, Japanese Nurse Poisoned 20 Patients

A nurse in Japan has been arrested on suspicion of poisoning up to 20 patients so they wouldn’t die on her shift.

 

 

 

 

 

Ayumi Kuboki, 31, allegedly poisoned the elderly people by injecting their IV drips with an antiseptic solution at Oguchi Hospital, around 20 miles south of Tokyo, in 2016.

 

Kuboki told police that she hastened the patients’ deaths so that they died on another nurse’s shift and she didn’t have to break the news to their families, newspaper Asahi Shimbun reports.

 

Nurses at Oguchi Hospital are expected to break the news to families if patients die while they are on duty.

 

‘It would be troublesome if that responsibility fell on me,’ Kuboki allegedly told investigators.

 

Police launched their probe after another nurse spotted bubbles inside the IV drip bag of 88-year-old patient Nobuo Yamaki after he died in September 2016.

 

Bubbles are an indication that a bag has potentially been tampered with.

 

Doctors found a high concentration of an antiseptic solution in Yamaki’s bloodstream and determined that he had died from poisoning.

 

An autopsy was then carried out on another 88-year-old patient, Sozo Nishikawa, who had shared a room with Yamaki.

 

The same antiseptic was also found in his bloodstream, and police opened an investigation at the hospital.

 

Antiseptic was then discovered in the bodies of two further patients, an 89-year-old man and a 78-year-old woman who have not been named.

 

Police also discovered ten unused intravenous drip bags at the nurses’ station tainted with the antiseptic solution.

 

 

Investigators found tiny punctures in the rubber seals of the bags, indicating that the antiseptic had been injected into them.

 

When police investigators checked all uniforms worn by nurses in charge of the patients on the fourth floor, they found the antiseptic on only one uniform – that worn by Kuboki – around the pocket.

 

After her arrest, Kuboki allegedly confessed to killing up to 20 patients, but claimed she targeted only the very sick.

 

However, police have cast doubt on those claims, saying some of the patients who died during that period were not terminally ill.

 

Kuboki qualified as a nurse in 2008 and began working at Oguchi Hospital in 2015, where she was known as a quiet but competent employee.

 

A series of disturbing incidents were then reported on the fourth floor where she worked in 2016, where nurses’ uniforms were ripped and drinks were spiked with a foreign substance.

 

The incidents stopped around August 2016, before the first deaths happened.

 

Kuboki quit the hospital before she was questioned over the deaths in June, before her arrest on July 7. She has not yet entered a plea.

Zimbabwe Nurse on the run after locking up and having sex with a teenage girl for four days

Simbarashe Ndemera (32, pictured above) a nurse at Lutheran Church-run Mnene District Hospital in Mberengwa has disappeared from the face of the earth after the community bayed for blood over his sexual relationship with a teenager.

 

Parents and his bosses need answers as to why he locked up a Lower Sixth female pupil from the nearby Mnene High School.

 

Mnene District Hospital shares a boundary with Mnene Primary and High School all of which are also run by the Lutheran Church.

 

Sources within the church-run institution’s complex said the male nurse had been having an affair with the boarding school girl that he kept at his cottage for four days.

 

“She went missing and the school authorities then sent an SOS after realising that she was not given a pass to leave the school. The Boarding Mistress then got a tip off that Ndemera was having an affair with the girl and could be the one with her,” said the source.

 

The source said the Boarding Mistress only identified as Mrs Shava later teamed up with some teachers and went to Ndemera’s bachelor quarters intending to search his room.

 

 

 

“When they got there, they found the room locked with Ndemera inside. He initially denied them entry and told them to obtain a warrant of search from the police if they wanted access to his room. The hospital authorities were later alerted and used force to gain entry into his room where they then found the missing girl,” said the source.

 

The source said some angry parents later besieged his quarters demanding that he be reported to the police for having an affair with the minor.

 

The school has since suspended the girl and the under fire Ndemera left work without notice.

 

“It’s a hot issue at Mnene Hospital at the moment. Ndemera just went missing, he is not reporting for duty as we speak.”

 

Contacted for comment Ndemera confirmed that he was not at work but denied reports he fled the hospital.

 

“I did not flee, I notified my bosses that I needed to go and see my mother who is not well in Harare. I am in Harare right now but will go back to work,” said Ndemera.

 

Mnene High School headmaster Francis Hove confirmed that the school would discipline the girl who escaped from the school  dormitories without a pass but would not be drawn into commenting further.

 

 

Locking up Patients for Hospital Bill Amounts to False Imprisonment

A High Court of Anambra State presided over by Hon. Justice Okuma, has ruled that the act of Corporate Institutions, especially, Hospitals locking up their customers/clients from exiting their premises on the guise that they must complete payment amounts to false imprisonment.

 

This reasoning was given in the recently decided case of Mrs. Ngozi Osegbo, Mr. Chinonso Osegbo and The Registered Trustees of the Synod of the Diocese on the Niger with Suit No: 0/255/2017.

 

 

 

The plaintiffs had taken their 11months old baby to Iyi Enu Mission Hospital for treatment, but died while undergoing treatment. The Hospital was said to have locked up the plaintiffs and insisted that they would not be allowed to leave the Hospital until all payments had been made. The Hospital thus detained the plaintiff for more than 10 hours despite every plea to allow them put themselves together and sought for fund.

 

The claimant therefore approached the court for the following reliefs to wit:

 

A declaration that the defendants owed the plaintiff’s child (Marvelous Osegbo) a duty of care, and they breached that duty which resulted in his death; A declaration that the action of the defendants’ security men in denying the plaintiffs egress from the defendants’ hospital and threat of grievous bodily harm with gun amounted to false imprisonment and assault and General damages in the sum of five hundred million naira and 35% interest per annum (or prevailing CBN interest rate) of the judgment sum from date of judgment until final liquidation of the judgment debt.

 

Delivering the judgment on the 12th June, 2018, after duly considering the arguments on the parties’ written addresses, the court held that the plaintiffs had proved their case.

 

Giving his verdict on the argument that the plaintiffs were held at gun point, the court held that upon examination of the evidence of PW1 and PW2, it is found that that their evidence in that respect which are consistent with their pleading and not contradictory were not challenged under cross examination by the defendants and therefore accepted by same.

 

The court also frowned at the manner upon which the said hospital bill was recovered, adding that the detention of the plaintiffs for 10 hours resulted to false imprisonment.

 

“The act of the defendants in detaining the 1st plaintiff for ten hours in the circumstance of this case no doubt constitutes acts of false imprisonment. I must deprecate the uncivil and indecent way and manner the defendants recovered the said hospital bill.

 

“It is not expected that the first defendant particularly will engage itself in such uncivil and illegal means of debt recovery. Much as this court recognizes the fear in disappearance of patients when it comes to payment of hospital bills or debts generally, I do not find it sufficient to justify illegality that two wrongs do not make a right,” the court said.

 

The court therefore awarded the sum of N500, 000 (Five Hundred Thousand Naira) against the Registered Trustees of the Synod of the Diocese on the Niger that owns Iyi Enu Mission Hospital together with 35% interest on the judgment sum until final liquidation of same, thus affirming the argument of C. J Okeke Esq (Principal Partner TRULAW CHAMBERS), counsel for the plaintiffs.

 

The judgment by the court has for sure created a landmark precedent on the tort law remedy of false imprisonment.

Hospitals in India Withhold Nurses’ Experience Certificates to Prevent Them from Traveling Out

Nurses in the city do not have it easy while on the job, be it in terms salary or working hours. But now, the latest struggle is getting their experience certificates from the hospital while resigning.

 

For nurses aspiring to go abroad, an experience certificate is the most crucial document, but private hospitals don’t have it easy for them. In fact, while appointing a nurse, these hospitals take a caution deposit of Rs 5,000 to Rs 10,000.

 

On resigning their jobs, the management delays the process of relieving them, nurses allege.

 

Speaking to News Today, Global Nurses Association secretary A Raj says, “Nurses are eligible for getting experience certificate within 10 months of working. It is supposed to be issued by the human resource department of the hospital and by the nursing director or superintendent. But hospitals insist on giving it only if the nurses complete two years of service. This is done to ensure they stay for that period.”

 

Years ago, nurses were made to sign a bond for two or three years. After a huge protest, it was removed, but now the caution deposit and experience certificate are used to hold them back.

 

Nurses have provision of putting in their papers in 24 hours, under which they forgo a month’s salary and leave instead of serving the notice period. But most of the time, they are inconvenienced by not being given their certificates.

 

“Many nurses who have to leave for foreign countries for work compulsorily need their experience certificate or they risk their chance of landing a good job,” Raj says.

 

OTHER SIDE OF COIN

 

IMA Nursing Home Board chairman Dr M Balasubramanian, said, “I agree that the certificates must be given. Both sides (hospital and nurses) must stick to whatever agreement is made. Many nurses join reputed hospitals for a low salary only to get the experience certificate to go abroad eventually. For local hospitals, they do not insist on the certificate: a pay slip would do for the document is important in foreign hospitals.”

 

“The hospitals also see a lot of cases where the staff do not turn up for work after getting a month’s salary. So, hospitals need to take caution deposit from nurses. If any hospital is withholding certificates, the nurses can bring it to our notice,” he said.

Nurses applying for jobs in Germany need not pay anything: POEA

The Philippine Overseas Employment Administration (POEA) on Thursday reiterated that the hiring of 400 Filipino nurses in Germany is a government to government project so applicants are not required to pay anything.

 

In an interview, POEA Administrator Bernard Olalia said: “It’s a government to government employment project, applicants need not pay anything. Private recruitment agencies are not involved in this project.”

 

The POEA is the one supervising the hiring of Filipinos which is under the Triple Win Project, a government-to-government project with the German Federal Republic.

 

Applicants must be a Filipino citizen and permanent resident of the Philippines with Bachelor of Science in Nursing, have active Philippine Nursing License, and at least two years of related professional experience (bedside) in hospitals, rehabilitation centers and/or care institutions.

 

Job seekers must also have German language proficiency or are willing to undergo German language training in the Philippines to attain Level B1 (to be paid by the employer), and must be able to attend the language class in October and November 2018; or with Bl or B2 Language Proficiency Level in accordance with the Common European Framework of Reference for Languages.

 

Once hired, successful candidates are entitled to receive a starting monthly gross salary of €1,900 (PHP118,000) which will be increased to €2,300 (PHP143,000) after recognition as a qualified nurse.

 

The employer will pay the visa and airfare from the Philippines to Germany and will assist the employee to find a suitable accommodation. The selected nurse will bear the expenses in full or in part of the board and lodging.

 

Qualified applicants are asked to register online at www.ereqister. poea.gov. ph and personally submit the required documents (fastened in a folder) under the heading “German Federal Employment Agency RSF No. 180018” at the Manpower Registry Division, Ground Floor, Blas F. Ople Bldg., Ortigas Avenue corner EDSA, Mandaluyong City.

 

“They should first register online and then they have to personally submit required documents to POEA main office and Regional Offices, where they are located,” Olalia said.

 

The documents to be submitted are cover letter and curriculum vitae with colored passport size picture; notarized copies of high school and Nursing diplomas; board certificate and copy of license from the Professional Regulation Commission (PRC); certificates of employment in related field (previous and current, notarized copies); attendance and/or level certificate for German language, if available; and copy of valid passport.

 

Applicants are required to present their original documents for authentication of written information before forwarding the resume to the employer.

 

The deadline for submission of applications at the POEA Central Office and its Cebu office is on Aug. 17, 2018 while applicants in other areas may also submit the required documents at other POEA Regional Offices until Aug. 14, 2018.

 

Interviews are set on September 3 to be held in Manila and Cebu.

POEA Nurses for Germany 2018: Application Guide, Deadline and Interview Date

POEA is now accepting applications from Nurses for the 2018 triple win program.  Below is the application requirements, deadline and interview date

 

The POEA is the one supervising the hiring of Filipinos which is under the Triple Win Project, a government-to-government project with the German Federal Republic.

Application Requirement

Applicants must be a Filipino citizen and permanent resident of the Philippines with Bachelor of Science in Nursing, have active Philippine Nursing License, and at least two years of related professional experience (bedside) in hospitals, rehabilitation centers and/or care institutions.

 

Job seekers must also have German language proficiency or are willing to undergo German language training in the Philippines to attain Level B1 (to be paid by the employer), and must be able to attend the language class in October and November 2018; or with Bl or B2 Language Proficiency Level in accordance with the Common European Framework of Reference for Languages.

 

Once hired, successful candidates are entitled to receive a starting monthly gross salary of €1,900 (PHP118,000) which will be increased to €2,300 (PHP143,000) after recognition as a qualified nurse.

 

The employer will pay the visa and airfare from the Philippines to Germany and will assist the employee to find a suitable accommodation. The selected nurse will bear the expenses in full or in part of the board and lodging.

 

Qualified applicants are asked to register online at www.ereqister. poea.gov. ph and personally submit the required documents (fastened in a folder) under the heading “German Federal Employment Agency RSF No. 180018” at the Manpower Registry Division, Ground Floor, Blas F. Ople Bldg., Ortigas Avenue corner EDSA, Mandaluyong City.

 

“They should first register online and then they have to personally submit required documents to POEA main office and Regional Offices, where they are located,” Olalia said.

 

The documents to be submitted are cover letter and curriculum vitae with colored passport size picture; notarized copies of high school and Nursing diplomas; board certificate and copy of license from the Professional Regulation Commission (PRC); certificates of employment in related field (previous and current, notarized copies); attendance and/or level certificate for German language, if available; and copy of valid passport.

 

Applicants are required to present their original documents for authentication of written information before forwarding the resume to the employer.

Application Deadline

The deadline for submission of applications at the POEA Central Office and its Cebu office is on Aug. 17, 2018 while applicants in other areas may also submit the required documents at other POEA Regional Offices until Aug. 14, 2018.

Interview Date

Interviews are set on September 3 to be held in Manila and Cebu.

Kenyan Nurses Oppose Plan to Introduce HND in Clinical Nursing Course

The Association of Public Health Officers- Kenya has opposed a proposal by the Ministry of Health to introduce a three year Higher National Diploma in Clinical Nursing and Clinical Medicine courses in all Medical Training Colleges across the country.

 

They termed the move ill-advised since the country already have trained nurses and clinical officers who are yet to be employed by the government

 

According to Secretary General Mohammed Bagajo Duba the proposed introduction of the two courses will affect the running of rural health facilities which are manned by nurses and clinical officers once they are transformed into community health workers. Duba further termed the move as a probable way that would waste tax payers’ money

 

 

 

“We would like chairman of the Board Chairman of the Kenya Medical Training Colleges (KMTC), Prof. Philip Kaloki to know that Kenya already have trained professionals in the two proposed fields who graduated at degree, diploma and certificate levels who are experts in hygiene and sanitation. They should be used to drive the government’s Big Four Agenda of Universal Healthcare to Kenyans,”Dubo said.

 

He said that the Ministry of health should instead hire over 2000 trained public health officers and public health technicians who are still jobless many years after they graduated from the same KMTCs.

 

“We have very many public health officers and technicians still in government service and many others tarmacking without jobs who can be absorbed to drive the rolling out of the Universal Health care agenda’, said Duba during a press conference at the Association’s offices in Nairobi Sunday morning.

 

Dubo asserts that Kaloki sidelined the Public Health Officers and Training Council which deals with training for public health officers, technicians and other cadres in the field of promotive and preventive health when making the decision. In this sense, he argues that there is no clarity on which entity will be charge of formulating the syllabus.

 

He swiped at the Ministry for abdicating its role of coming up with tailor-made policies designed to ensure good standards in the public health sector.

 

The Secretary General states that such energy should be redirected elsewhere. One area being  rolling out a training programme for community health workers on community health hygiene since they work closely with PHOs on promotive and preventive health services.

 

This comes two weeks after Prof. Kaloki was quoted by a local daily saying that KMTCs have already introduced two courses to equip health workers in preparation for the government plan to roll out universal health care.

 

Kaloki who was speaking at the Mwingi KMTC in Kitui County further said the two courses have been tailor made to not only address the shortage of highly trained community health practitioners, but also provide skilled medical personnel for realizing the implementation of the universal health coverage agenda.

Source : Standard Digital

Lagos Doctor Who Slapped Nurse Arraigned in Court for Assault

A 35-year-old medical doctor, Emmanuel Okolo, who allegedly slapped a nurse working in his hospital, was on Thursday brought before an Epe Magistrates’ Court in Lagos State.

 

Police Prosecutor Moses Oyekanmi, told the court that the accused committed the offence on Wednesday, at 2 am at Awoyaya hospital in Ibeju-Lekki.

 

The police charged Okolo, who lives at Epe with assault.

 

Oyekanmi said Okolo argued with Dorcas Adeyara, who was a resident nurse in his hospital over the state of a patient’s room and during the course of the argument, he slapped her across her face.

 

“My Lord, the accused caused serious bodily injury to the complainant. He slapped her just because she worked for him. He should be punished for it,” he said.

 

The offence contravened section 172 of the Criminal Law of Lagos State, 2015. (Revised)

 

The offence of assault attracts three years’ jail term.

 

After he pleaded not guilty,  Magistrate O.A. Fowowe-Erusiafe,  admitted him to bail in the sum of N50, 000.

 

She ordered that the sureties must be gainfully employed with evidence of two years tax payment to the Lagos State Government.

 

Fowowe-Erusiafe adjourned the case until Aug. 19 for trial.

 

(NAN)

Credit Punch Newspaper

Dramatic Increase in the Number of Nurses Taking and Passing OET after NMC Approval

A company offering healthcare-specific English language tests for nurses has seen a “phenomenal” increase in candidates since the exam was recognised by the Nursing and Midwifery Council.

The NMC began accepting the Occupational English Test (OET) in November last year as an alternative way to prove language skills.

The move followed concerns that its only previously approved exam – the International English Language Testing System (IELTS) – was hindering recruitment from overseas.

Since then, Cambridge Boxhill Language Assessment, which runs OET, said it had seen a huge surge in people – mainly nurses – taking the exam, which is specifically designed to test language skills in a healthcare context.

“What we have seen in the last few months is a phenomenal increase in the uptake of OET,” the organisation’s chief executive Sujata Stead told Nursing Times.

“The majority of candidates are doing it for nursing and large numbers are going to the UK,” she said in an interview.

From October last year – before the test was recognised by the NMC – to the latest registration for the July test, she said there had been an increase of 250% to 300% in candidates taking the test.

The biggest growth in uptake was coming from South East Asia and countries like the Philippines, South Asia and the Middle East – but numbers had also shot up in the UK.

Around 70% of those taking the test, which covers 12 different healthcare professions in all, were nurses, said Ms Stead.

She said it was too early to say whether or not the test was helping boost international recruitment by NHS trusts desperate to fill nursing vacancies.

However, she said the plan was to carry out some market research in around October next year to assess the impact on staffing.

OET was developed by language specialists at the University of Melbourne in the 1980s, who were commissioned by the government to devise a test in the light of increased demand for foreign healthcare professionals to come and work in Australia.

Ms Stead told Nursing Times that the overall feedback from nurses taking the test had been positive.

“The feedback generally is that they like the test because it is more fit for purpose and more appropriate for their profession, because it is all about communicating in a healthcare context with patients and carers,” she said.

“Typically what nurses are telling us is that they feel more confident taking the test because the content is content they can relate to,” she said.

Creators and supporters said the fact that OET was directly related to healthcare made it more attractive to nurses who were then more likely to practise, prepare and ultimately succeed.

There is also research evidence that preparing for the test helps nurses develop language skills they find useful in practice.

“It has two advantages in that you get through that hoop of NMC registration but also in taking the test you are developing language skills that help you in your profession,” said Ms Stead.

“That is the kind of feedback we often get from candidates – that it is not just a box ticking exercise, but actually the washback effect is quite a positive one,” she said.

She said the test, which was also recognised by the General Medical Council in March this year, continued to evolve and was regularly updated based on feedback from nursing practitioners and educators “because in healthcare things change all the time”.

Changes to be introduced from September this year include new assessment of “clinical communication” skills in the speaking part of the four-element test, which also includes writing, listening and reading.

In particular, these new assessment criteria are designed to assess how well nurses relate to and communicate with patients and carers.

“These are basically the communication skills healthcare practitioners need to have in order to communicate with patients and carers,” said Ms Stead.

“These are simple things like whether you are able to share information effectively with patients and carers, and able to summarise clinical notes and technical language into lay language patients and carers can understand,” she said.

Other changes include the introduction of a wider range of accents to the listening test. Meanwhile, the reading and writing tests will feature more tasks related to “professional-to-professional” communication, such as consulting a colleague.

In addition, candidates will get a more detailed score out of 500 for each sub-test to go alongside their A to E results. Nurses applying to the NMC register are expected to achieve a minimum of grade B.

Ms Stead said her company had a deliberate policy of not publishing “pass” rates, because it was could be “damaging for our candidates” by potentially discouraging thorough preparation.

“How likely you are to achieve a grade B depends on a number of criteria,” she said. “If my level of English is very low then am I going to achieve grade B? Probably not.

“But let’s say that my level of English is around grade C, grade C+, then am I going to achieve grade B with preparation – yes,” she said.

“If my basic level of English is good and I have done some preparation, then my likelihood of getting a grade B is actually quite strong,” she added.

A recent snapshot trial saw the Specialist Language Courses (SLC) test centre in the UK work with nine candidates from a number of trusts to prepare them for OET.

“SLC did OET preparation with a group of nurses across a few NHS trusts – including Addenbrooke’s Hospital in Cambridge,” said Ms Stead. Out of eight nurses, including four working as healthcare assistants at Addenbrookes, six out got four Bs, she said.

She said one of the key messages the organisation was keen to get across was the fact nurses did need to prepare for the test.

“No matter what kind of exam you do, at the end of the day it is taking a test in a timed environment – you should know what you’ll be expected to do in the test and practise your English as well,” she said. “Don’t come in and take the test cold, prepare for your exam.

“We have launched a lot of free resources so you can go straight to our website and download lots of online practice tests and samples and practice as much as possible,” she said.

The test is currently on offer at about 110 test centres across 40 different countries, but Ms Stead said her company was keen to ensure it was accessible to as many people as possible.

“We are regularly monitoring where demand for the test is and making sure that we actually open new centres as soon as possible, so candidates don’t have to travel long distances,” she said.

The company was keen to work closely with NHS trusts and others to raise awareness of the test and was planning to expand its team in the UK, she added.

“One of the things we have been trying to do since November last year is reach out to NHS trusts and NHS England to work with them to improve their understanding of the test so they can make an informed decision as to whether they should go to OET or another English language test,” she said.

Ms Stead said: “This is still a work in progress but our objective is to talk to as many trusts and recruitment agencies as possible.”

She said the forthcoming OET Forum event on 29 August in London was part of the official launch of OET in the UK.

Speakers will include Professor Tim McNamara from the University of Melbourne, the original developer of OET.

Source: https://www.nursingtimes.net/7025304.article

Upcoming Webinar: Expanding Contraceptive Choice – Vasectomy

214 million women of reproductive age in developing regions who want to avoid pregnancy are not using a modern contraceptive method. Evidence suggests that expanding method choice, as well as information about available methods, can improve family planning access for women.

The Advancing Partners & Communities project, in collaboration with Family Planning 2020, the Implementing Best Practices initiative, and USAID’s Office of Population and Reproductive Health, will host a webinar series entitled Expanding Contraceptive Choice to share information about various family planning methods.

Please join us for the fifth webinar in this series: Vasectomy, on Thursday, August 2, 2018, from 9:00–10:00 a.m. EDT.

Roy Jacobstein of IntraHealth; Lynn Van Lith of JHUCCP; and Alfred Twagiramungu of Jhpiego, will discuss vasectomy and their in-country and programmatic experiences.

DATE:

Thursday, August 2, 2018

TIME:

9:00 a.m. to 10:00 a.m. EDT

WHERE:

Adobe Connect

A webinar on tubal ligation will be held in the coming months. View recordings from the four previous webinars in the Expanding Contraceptive Choice series: