1
Ezase Dormerton
KING GEORGE V HOSPITAL
PO DORMERTON, 4015
75 STANLEY COPLEY DRIVE, SYDENHAM, DURBAN
Tel: 031 242 6000: Fax: 031 2099586
http://www.kznhealth.gov.za/kinggeorgevhospital.htm
[email protected]
Issue 7
July 2011
Special points of interest:
•
Identity document
•
Pension card
•
Medical aid card
next of kin contact details
•
Referral letter
•
Under 18 must
be accompanied
by parent .
•
all patient are
requested to pay
fees on admission.
•
Visiting hours
•
12H00 14H00
•
17H00—19H00
Inside this issue:
Ethekwini most affected
1
Departmental reports
2
C.E.O report
3
Relocation
3
Oral Health
4
Our New hospital
5
Medical Report
6
Ethekwini most affected
Durban is the TB
can detect 98perepicenter with a
cent smear positive
total of 4500 inTB while microsfected with the discopy detect 60 perease in the eThekcent of smear posiwini metro the
tive TB compared
highest number for
to standard culture
any municipality in
and even less with
the country. But
HIV positive pawith the unveiling
tients. Nine MDR
of the TB diagnoscenters are being
tics machine the
built throughout
GeneXpert health
the country includauthorities are hoping Catherine
ing to stem, these
Booth which will
tide against TB.
alleviate the backThe GeneXpert relog. Between Febsults will be availruary and March
able in
this
within The caseous necrosis is extensive, and cavitation is prominent. year
Such patients can be highly infectious
two
hours.
TB sufferers would
health care workers in
and it is also signifireceive the vital treatthe eThekwini region
cantly more accurate
ment immediately.
had screened 4390for
than the currently
Also this machine fast
TB 1837 were considused microscopy. A
ered TB suspects.
single GeneXpert test
The new technology
which uses smart
phone to trace and
monitor people with
TB has been developed. The University
Research Cooperation
has partnered with
Department of health
in the fight against
tuberculosis. The two
have designed satellite
location software
which would be used
through smart phone
to help in tracing and
monitoring people infected with TB. The
technology would give
detailed information of
the area and the individual profile. They
will go into homes of
patients who tested
positive for TB and
find out how many
have been exposed in
that house hold.
Health care workers
will also check if patients are taking
medication correctly.
All the information
will be gathered and
saved using an electronic register.
2
PAGE 2
K I NG GE ORGE V HOSP ITAL
IS SUE 7
Human Resource
Occupational category
Vacant post
Filled posts
Total no of post
Vacancy rates
Management
0
5
5
0%
Doctors
11
20
31
35%
Nurses
91
459
550
16%
Supplementary
5
46
51
9%
Admin support
5
81
86
5%
General support
3
185
188
1%
Artisan
0
8
8
0%
Handyman
0
7
7
0%
Total
115
809
924
12%
Challenge: Abolishing of post by
head office
Moratorium on non clinical post
Nursing
Medical wards we have managed
to relocate ward MS4&MS5 to star
shape 1 &2 within the first quarter
of this year. Patients are happy as
these are lower ground floor buildings. The installation of air conditioner system in MSB has been delay due to tender appeals, the opening of star shape ward 1&2 will increase the TB beds FROM 192 TO
224 TB beds.
STAFF DEVELOPMENT
Twenty Four (24) Staff Nurses have
completed Bridging Course to Pro-
Finance
CURRENT
Compensation
of employees
Use of goods
and services
Medicine
Maintenance
Households
Provincial &
Local Government
Total current
Achievements::decentalization of
authority to unfreeze and fill critical post
fessional Nurse have been translated
on the 1st March 2011 to occupy post
for Professional Nurses Grade 1.
Thirty Four (34) Nursing Assistants
completed Bridging Course to be
Staff Nurses also translated in
March 2011. Four (4) Professional
Nurses on Study Leave for Basic
Diploma in Midwifery. Two Staff
Nurses, 2 Nursing Assistants are on
Study Leave for 4 Year Diploma
Course.
Six (6) Community Service Professional Nurses allocated to us
by Head Office with funding:Six (6) Staff Nurses allocated to
us by District Office and Twelve
(12) Nursing Assistants.
PROMOTIONS
Professional Nurses promoted to
Operational manager.
Assist Nursing Manager Specialty
for Pediatric Section and 1 Assistant, 1 Nursing Manager General for
T.B. and HIV Clinic
One Professional Nurse on Study
Leave for Critical Care and one for
Orthopaedic Nursing Science.
NEW APPOINTMENTS
Actual
APRIL 2011
Proj Expend
End Of Financial Year
13,773,399
13,773,399
165,280,788
13,773,399
171,700,000
157,926,601
91.98
729,368
3,759,714
114,059
0
729,368
3,759,714
114,059
0
8,752,416
4,101,506
1,368,703
0
729,368
3,759,714
114,059
0
30,690,000
50,630,000
2,670,000
780,000
29,960,632
46,870,286
2,555,941
780,000
97.62
92.57
95.73
100.00
0
0
0
0
0
#DIV/0!
18,376,540
179,503,413
18,376,540
Apr
18,376,540
Expend. To
Date
ANNUAL
BUDGET
256,470,000
Balance
Ann.Budget
0
238,093,460
% Balance
Ann.
Budget
92.83
3
IS SUE 7
C.E.O
The winds of change
are blowing across King
George V Hospital.
Arising from the rubble
of demolished buildings, we
have seen the emergence of
new buildings, amongst them
the impressive structure of
the District Hospital.
KGVH will in the near future
be functioning as a complex
providing the following services viz:Specialized Services
(MDR/XDR TB
Unit)
Selected Tertiary
Services
(Thoracic Surgery, Spinal Orthopaedic Sur-
PAGE 3
K I NG GE ORGE V HOSP ITAL
gery and Psychiatry)
Oral & Dental Services
District Hospital Services (possibility
October 2011)
The Executive Management, Nursing Administration, Supply Chain Management, the Pharmacy, Human
Resource and Finance & Systems Departments have now
moved into the new District
Hospital. This relocation of
Departments has brought
with it a myriad of challenges for our Staff. However, thanks to the dedication and commitment of our
Staff, we have managed to
overcome these obstacles and
staff are slowly settling in.
The TB Surgical Services
will be relocating from Wen-
tworth Hospital to King
George V Hospital during the
weekend of the 22/07/2011 to
the 24/07/2011. There will be
minor interruptions of the
aforementioned services but
I am certain that both our
staff and patients will be
glad to be back at KGVH.
In the interim, we are planning for the commissioning of
the new District Hospital.
This will be done in phases
possibly commencing on the
17/11/2011 if we have the
requisite Human Resources
and the Operational Budget.
We look forward to this exciting era in the history of King
George V Hospital
Ruben Naidu
CEO
Welcome back ….. From Wentworth.
It was my first experience to be
in Wentworth hospital, We were
happy to see how they work in
general hospital and we also
Meet new friends during our
stay. At first they thought were
going to infect them with TB as
time goes on they accepted us.
We were not allowed to use their
wellness clinic when we are sick.
It was far from King George to
Wentworth but our management
provided transport. The atmosphere in Wentworth hospital was
warm. We lost 5 staff members
and eleven staff members’ retired while in exile.
XRAYS
The Radiographers recently attended the SORSA-RSSA Radiology Congress in Durban, where we
were exposed to National and International experts in the radiology world. The Congress was an
interesting and exciting experience, especially in light of being
exposed to the new technologies
and techniques. The event was
memorable and we were able to
gain insight into different prac-
tices and how to better our service
delivery to patients.
The X-Ray department will greatly
miss Mrs Theodora Ngidi who retires this month after 38 years of
service at King George V Hospital.
Theodora worked in the wards and
relieved in x-ray and Physio for
2years.She was appointed full time
in the X-ray department 36 years
ago. She has given faithful, excellent and reliable service. We wish
Theodora all the best for her retirement, and with her future endeavors.
On a rather refreshing note, we are
all looking forward to moving into
the Level 1 Hospital. The new radiology department and updated
equipment, is really going to update
the radiological services at King
George
4
PAGE 4
K I NG GE ORGE V HOSP ITAL
IS SUE 7
sleep with bottles in their mouths.
Oral health
Oral health in children
The Department of Health is concerned
about the health of our children’s mouths.
Why is that?
Our experience from visits by children at the
dental clinics, and findings of the studies we
conduct inform us that there are a lot of children who experience tooth decay, which is a
condition that can be prevented. In most parts
of the country, children experience tooth decay,
and in some instances decay of the whole set of
teeth, which make them unable to eat properly.
Children with tooth decay lose school days due
to pain, discomfort and visits to dental clinics
for treatment.
What could be causing tooth decay in
children?
Tooth decay in children is related to their feeding. Children found to have a lot of dental
decay are found to be those that are fed a lot of
food containing sugar. The most common
causes of early tooth decay in infants and babies are sweetened and sugary drinks given in
the bottle.
Mothers and caregivers also let babies go to
sleep with feeding bottles in their mouths,
which is very bad for children’s teeth. The milk
or the sweetened drink in the bottle is turned
into acid by the germs in the mouth, and this
acid then attacks the enamel of the teeth, lead-
ing to
tooth
decay.
Foods
like
cakes,
sweets, ice cream and other drinks containing
sugar also contribute to tooth decay, especially
if eaten right through the day, instead of during meals only.
What advice can be given to parents and
caregivers about the right food for babies
to help them prevent tooth decay?
Good eating habits for children should start as
soon as they are born. First of all, the Department encourages breast feeding for children,
especially if the mother is healthy to do so.
However, if mothers cannot breastfeed their
babies, they must make sure to prepare bottle
feeds correctly to ensure that the babies get the
right amount of milk. It is important that
mothers or caregivers do not let babies go to
Mental illness Signs && Facts on
Babies and infants should also be given nutritious food to help them grow and to prevent
diseases, including oral diseases.
It is not easy to deprive children of sweet
things completely, but the more often the sweet
and sugary foods are eaten the more harm they
will do to the teeth. It is therefore better that
these sugary foods are eaten during mealtimes,
and not right through the day. Children can be
taught to develop a taste for healthy foods. For
example, for snacking during the day, children
can be given fruit or other food like potato
chips.
How soon should children start brushing
their teeth?
When a child is still without teeth or is less
than a year old, parents can use a piece of
cotton wool or clean cloth to wipe the mouth
clean. When a child is a year old, a small
toothbrush made for children can be used. At
this stage, warm water can be used to brush
the teeth to let the child get used to brushing.
As soon as the child gets used to brushing,
toothpaste containing fluoride can be introduced; use a small amount of toothpaste, the
size of a pea. Brushing should be done at least
twice a day, particularly during bathing, so
that children can develop a habit of washing
their bodies and brushing their teeth.
• Inability to cope with daily problems and activities
• Changes in sleeping and/or eating habits
• Excessive complaints of physical problems
Mental Illness Signs
• Strong feelings of anger
Mental illness signs or symptoms vary depending on
the type and severity of the condition. Some general
signs and symptoms that may suggest a mental illness
include:
• Delusions (false impressions) or hallucinations
(seeing or hearing things that
In adults
• Confused thinking
• Long-lasting sadness or irritability
• Extreme highs and lows in mood
• Excessive fear, worry, or anxiety
• Social withdrawal
• Dramatic changes in eating or sleeping habits
are not really there)
• Increasing inability to cope with daily problems and
activities
• Defying authority, skipping school, stealing, or damaging property
• Intense fear of gaining weight
• Long-lasting negative mood, often along with poor
appetite and thoughts of death
• Frequent outbursts of anger
• Thoughts of suicide
In younger children
• Denial of obvious problems
Changes in school performance
• Many unexplained physical problems
Poor grades despite strong efforts• Excessive worry or
anxiety• Hyperactivity•
• Abuse of drugs and/or alcohol
In older children and pre-teens
Persistent nightmares• Persistent disobedience and/or
aggressive behavior• Frequent temper tantrums
• Abuse of drugs and/or alcohol
Mental illness is often misunderstood regarding the
causes, diagnosis, and treatment. Here are some common myths that surround mental illnesses, and the
correct facts about each.
Myth 1: Mental illness is the same as intellectual disability.
Fact: These are two different disorders; intellectual
disability is generally associated with a limitation in
mental functioning as well as difficulties with certain
daily living activities. With persons who suffer from
mental illnesses/ psychiatric disabilities, the limitations
in intellectual functioning vary as it does across the
general public.
Myth 2: Mental illness is a figment of one's imagination.
Fact: Mental illness is real. Mental illnesses and brain
disorders cause suffering, disability and can even
shorten life (this is evident from episodes of depression
after a heart attack, liver disease due to alcohol abuse
and attempted suicide). Mental illness can be diagnosed
and treated before it is too late. The symptoms are a sign
of real illness. Myth 3: Mental illness is caused by a weakness in character.
Fact: Mental illness is caused by biological, psychological
and social factors. Research has shown genetic and biological factors are associated with schizophrenia, depression
and alcoholism. Social influences such as loss of a job or
loved one can contribute to various illnesses/ conditions.
Myth 4: Recovery from mental illness is not possible.
Fact: Persons with mental illness can recover and improve
over time and lead stable lives. There are many treatments
available to individuals who suffer from mental illness
such as medication, therapy and rehabilitation. Myth 5:
Mental illness only affects people in rich countries.
Fact: Mental and brain disorders are a concern for people
in developed countries as well as those in developing
nations. In a study of 27 countries conducted by the WHO
(World Health Organization) no country was found to be
free of schizophrenia. Alcohol abuse is another commonly
found disorder.
Myth 6: Mentally ill individuals are dangerous and
violent.
Fact: The vast majority of individuals with mental
illnesses are not dangerous or violent. Statistics show
that violence in people who have a brain disorder is not
much higher than in the general population. People
with psychotic illnesses like schizophrenia are far more
frequently frightened, confused and despairing than
violent. This myth is reinforced by portrayals in the
media of people with mental illness as frequently
violent. It is important to eliminate discrimination and
replace it with positive images and messages and a
greater awareness of what mental illness really is.
Myth 8: Schizophrenia is multiple personality disorder.
Fact: Schizophrenia is a serious mental illness, often
confused with multiple personality disorder. In fact, it
is a condition that blurs the distinction between what
is real and what is imagined. Schizophrenia robs people
of their ability to think clearly and logically People
with schizophrenia have symptoms ranging from social
5
IS SUE 7
K I NG GE ORGE V HOSP ITAL
PAGE 5
Glimpse
6
PAGE 6
K I NG GE ORGE V HOSP ITAL
IS SUE 7
Medical Manager– Dr. S. Maharaj
The level 1 Hospital consisting of
400 beds has been handed over
to the Hospital for Commissioning. This will be done in phases.
The obstacles to commissioning
of this Hospital are the connection of the Bulk Oxygen Tank.
The other constraints are the
authority for the Outsourcing of
the Cleaning Services and the
approval of the Post Establishment and the Operational Costs.
The two Star-Shape wards consisting of 30 beds each were commissioned in March 2011. The
Pharmacy in the Multi-Storey
building has relocated to the
Level 1 Hospital and this ward
will be temporarily utilized for
physiotherapy for the Multistorey building and a school for the
paediatric patients, whilst the
school is being renovated. Thereafter the ward will revert to a
ward for MDR TB Patients.
The Multi-storey building basement is to be converted into a TB
Administration area for the
Nursing Management. This area
will has been decommissioned
and the site handed over to the
contractors. In addition another
contract will handle the Air conditioning to the wards, the tiling
and revamping of the ablution
facilities for patients, the cough
booths for patients and the two
Schindler lifts in the Multi-
Staff update
Dr .S.Chotoo resigned Medical
officer resigned
Dr. A Chunilala specialist resigned
Dr . M. Popis specialist resigned
Dr G Naidoo Medical officer died
Mr S Govindasamy died
Ms F.C Banda ENA retired
storey building are to be replaced.
The Executive Management, Finance and Human Resources
Departments have moved out of
the Park Homes and the old revite building into the Level 1
Hospital. This will allow the
park homes to be relocated to
Ngwelezana for another revite
project. The waste management
project at KGVH is to be located
in the vicinity of the old Park
Homes.
The site hand over for the renovations of the Psychiatric closed
unit together with the refurbishment of the old Moth Hall has
occured . This project will be
completed in 12 Months and occur in two Phases. This will impact on other Psychiatric Hospitals in the Ethekwini District
and Town hill Hospital.
The contractors have been advised to complete this project
timeously with good quality furnishes. KGVH staff are undergoing Meditech training at Addington Hospital and developing dictionaries for its use. There is a
plan to do the Meditech training
on site at KGVH.
staff have returned to the Level
One Hospital at KGVH, until the
completion of the T.B Surgical
Unit. The phase one of the landscaping is complete and will be
maintained for a period of 3
years. This has improved the
appearance of the Hospital and
is appreciated by staff and patients.
The anesthetic Department has
appointed a specialist Dr Reddy
and two principal medical officers Dr Goga and Dr Moodley
resulting in better utilization of
Theatre time.
Dr Poppis who has been in
charge of the Family planning
has retired after many years of
sterling service and is replace by
Dr Panday.
We are saddened by the passing
away of Dr Johnny Naidoo who
was a sessional Doctor in the
ARV, VCT clinic for MDR TB
patients. Dr Nalini Singh is in
charge of this clinic for MDR TB
patients and staff at King George
V Hospital. Ten Doctors were
trained in the Basic and Advanced Cardiac Life Support in
2011.
The T.B Thoracic Surgical and
Spinal Orthopedic patients and
Mrs. N.G Msabalala EN retired
Mrs E.N Bhengu clinical programme retired
Mrs G.T. Ngidi coordinator retired
Shinga PN Staff Nurse Translation
Hlongwane MM Staff Nurse
Transfer
Ms S Chetty retired
Anyafulu PT Staff Nurse Transfer
Ngwenya Clinical Nurse 01-062011 New Appointment
Khuzwayo NI Staff Nurse Transfer
Nasha SB Professional Nurse Community Service TransferPillay K
Professional Nurse Community
service Transfer
Goga S Med officer New Appointment
7
EZASE DORMERTON
KING GEORGE V HOSPITAL
PO DORMERTON, 4015
75 STANLEY COPLEY DRIVE, SYDENHAM,
DURBAN
[email protected]
:www.kznhealth.gov.za/kinggeorgevhospital.htm
[email protected]
031 242 6025 Fax 031 2099 586
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