FCD insight For a Healthier Future VOLUME #1 ISSUE NO#1 JUNE 2016 HAPPENINGS IN THE WORLD OF FORTIS CLINIQUE DARNÉ Innovative Lab – Page 5 Biolitic laser for high anal fistula, a first for the clinic – Page 7 First in Pediatric Urology in Mauritius Page 9 FC D I GH T 1 I NS FCD Milestones 1953 In 1972, following Dr Darné’s appointment by the Mauritian Government as ambassador of Mauritius to France, the clinique was taken over by a private company and started trading as ’THE MEDICAL AND SURGICAL CENTRE LTD ’ 1972 Founded in 1953 by Dr. Francois Darné, a highly respected surgeon, the clinique initially had a capacity of 12 rooms and one operating theatre. In 1996, renovation work was carried out and the facility reverted to its former trade name, Clinique Darné. The Emergency Department and the pharmacy were both renovated in October 2009. The Nest for Newborns, was also launched. It comprises the Well-Baby Unit and the Neonatal Intensive Care Unit (NICU) which consists of two levels of care NICU Level I, Level II, Level III Official launch of the Dentistry Department. The launch ceremony was conducted by the Minister of Health and Quality of Life, Lormus Bundhoo. The new dental clinic is headed by Dr Jerome Bhunjun, senior dental surgeon. Launch of PHC Lounge/ Vaccination Centre Upgradation: Launch of state-of-the art Cath Lab Launching of 60 years and beyond for FCD 60 years anniversary First Bioresorbable Vascular Scaffold (BVS) implant in Mauritius done at FCD. 1996 2009 2009 In January 2009, CIEL Group joined hands with Fortis Healthcare Ltd. and was renamed Fortis Clinique Darné. In November 2009, Fortis Clinique Darné introduced its new cardiac surgery team, that was further strengthened with the expertise of Fortis-Escorts Cardiac Program from the Fortis network. 2009 2009 2011 2011 Physiotherapy and Rehabilitation Centre 2011 www.fortiscliniquedarne.com 2012 2013 2013 2013 2012 2013 2013 Launch of the new FCD Websitewww.fortiscliniquedarne.com Launch of Endoscopy Suite Renovation and relocation of 6-bedded Dialysis Centre. Expansion of services – North Satellite Centre 2014 Introduction of Lasik Laser Surgery Unit New training centre at Duval house Inaugurated by Mr. Ashish Bhatia, the Executive Director of Fortis Clinique Darné. 2014 2015 Upgradation of 13 Bedded ICU 2015 Launch of Vascular & Thoracic Surgery Unit FC D I GH T 2 I NS IN THIS ISSUE From the COO’S Desk • • Page What’s new • • Page Infection Control • • Page Clinical Excellence • • 4 5-7 6 Page 7 Doctor Connect • Code Blue Management Training • Featured Article • A day in the life of a Nurse • • Page 8 Floor Coordinators • Team Networking • • Page 9 Cancer Screening in collaboration with CANMA • Special feature • • Page 10 In the limelight • We are what we eat • • Page 11 Patient’s Voice • Best Patient Feedback • FC D I GH T 3 I NS From the COO Desk Dear Friends of Fortis, It gives me great pleasure to share with you my thoughts for this inaugural issue of ‘FCD Insight’. This quarterly newsletter will be your window to the world of Fortis Clinique Darné. I invite you to flip through the pages to find out more about the recent progress we’ve been making across the organization with your invaluable contribution. Our clinicians, paramedical, administrative and support services team have not stopped working assiduously for the past months to cater for the high occupancy while ensuring that our patients receive the best possible care. You will also be able to browse through new campaigns we have launched across the year and patient testimonials which pay tribute to your hard work and commitment. The past year has been a formidable one for the organization. The challenges we have faced together made us realise there is a lot more to achieve and many more opportunities to deliver quality healthcare. I am certain that we will be working collectively to continue to strengthen our position this year. Thank you for your unrelenting determination and dedication. Happy reading! Unnati Negi Chief Operating Officer Our Management Team Mrs. Unnati Negi Dr. Ashish Sharma Mr. Dhiraj Buruth Chief Operating Officer Head Medical Services Head of Finance Mr. Andy Hau Head Marketing Ms.Yajna Seewooruthun Human Resource Manager Head of Patient Care Services Mr. Arun Sethi 4 Head of Support Services FC D I GH T Mr. Vikram Dookayka I NS What’s New 2015 was a year filled with developments for the Clinic: new services, new treatments and regional exposure were the major accomplishments. Here is our year in review: International Accreditation Since 2015, our lab has started working towards ISO15189: 2012 accredition. It is used by Medical Laboratories to assess, review and develop their quality management systems for competence. This international accreditation ensures that FCD effectively delivers and support patient care through the quality and competence assessment. It is an important milestone for FCD to be ISO 15189:2012 accredited. Innovative Lab In the fast-changing environment of lab tests, we strive to ensure that our patients always get the latest technology available. Here is a list of the new tests which have recently started in our lab: • C-Peptide test for the diagnosis and treatment of patients with abnormal insulin secretion • Blood Culture test for the detection of micro-organisms in blood • Homocysteine blood test for heart disease, stroke, arterial and venous thrombosis as well as atherosclerosis • RA33 test for early detection of Rheumatoid Arthritis • Auto Immune Antibodies Screening for detection of 17 autoimmune antibodies • ENA profile for the diagnosis of connective tissue diseases • C3 and C4 for the diagnosis and monitoring of acute rheumatic fever • Urea Breath Test for detection of H Pylori • Thin Prep Pap Test (pap smear) for cervical cancer 6 Urodynamics Our Urodynamic Lab is available for a series of specialised tests that help diagnose the functional problems of the urinary system. The urodynamic evaluation is recommended when a disorder of the function of the urinary bladder or the controls of urine is expected. The urodynamic test include one or more of the following procedures: •Uroflowmetry •Cystometry • Electromyography (EMG) for sphincters • Pressure flow studies FC D I GH T 5 I NS Insurance Desk Launch of Vascular & Thoracic Surgery Clinic Our “Insurance Desk” was implemented in 2015. This new concept consists of a dedicated area where insurance companies’ representatives can interact with the insured who receive a personalised service from their insurer. It includes assistance throughout the admission and discharge process as well as advice on the level of coverage available. ONE VISIT DENTISTRY! Patients suffering from thoracic and vascular conditions can now benefit from our brand new department, the Vascular & Thoracic Surgery Clinic. This new service provides care for patients suffering from trauma or disease within the chest walls or with vascular deficiencies and will cover all related surgical activities. A talented panel of senior consultants support Dr. Veerapen to ensure a proper follow up post surgery. Infection Control Esthetic ceramic crowns or partial crowns in a single visit. Ask me about CEREC. NO UNPLEASANT IMPRESSION MATERIAL NO BOTHERSOME TEMPORARY PROSTHESIS THE MEDICAL & SURGICAL CENTRE LTD HEAD OFFICE: Georges Guibert Street, Floréal 74111, Mauritius Tel: (230) 601 2300 | Fax: (230) 696 3612 (Administration) / (230) 696 1209 (Medical) FCD NORTH: Office C, C0 – 05A & C2 – 204, La Croisette Mall, Grand Bay, Mauritius Tel: (230) 601 2300 | Fax: (230) 269 6224 Email: [email protected] | www.fortiscliniquedarne.com | www.facebook.com/fortiscliniquedarne 24/7 Emergency and Ambulance Services: Dial 118 CEREC, a new smile in one visit! Our latest service is the launch of the CEREC (Chairside Economical Restoration of Esthetic Ceramics) method within the clinic. This longwaited-for method of CAD/CAM dentistry provides amazing single tooth restorations to the patient who gets results and a new smile in only one visit! Infection control training provided to FCD employees. An infection control committee was set up at FCD where infection control training was provided to FCD staffs from the 24th to the 26th of August 2015 to improve hand hygiene practices among health care workers and improve compliance with recommended barrier precautions. On this occasion, FCD was delighted to welcome Dr Murali Chakravarthy, Chairman of the Central Infection Prevention and Control Committee of Fortis Hospitals in Bangalore and also Director, Clinical Affaire Director, Department of Anaesthesia, Critical Care & Pain Relief to conduct the training. Topics covered during the training were: Composition of HIPAC Team, universal precautions, hand hygiene, biomedical waste disposal, isolation and quarantine, prevention of HAIs, environmental disinfection and cleaning, blood and body fluid exposure (including sharp injuries), CSSD, operation theatre, benchmarking and QIP in infection control. 6 FC D I GH T For appointments, please call on 601 2300 on weekdays from 09 00hrs to 17 00hrs I NS Clinical Excellence Doctor connect 2015 was a year where we had many “firsts” for our Clinic. An innovative dysfunction treatment for erectile Dr Balbir Verma, Urologist at FCD provided a new treatment to a patient suffering from sexual dysfunction. Previously treated by medication, the patient was proposed vacuum erection device which is a prostatic implant. The surgery was a success and the patient is now able to reverse the issue of erectile dysfunction at will. Biolitec laser for high anal fistula Much to the relief and benefit of patients, FCD introduced Biolitic Laser for treatment of hemorrhoids and fistulas. This treatment is very safe as it prevents the damage of the sphincter with gentle removal of fistulas. Implemented by Dr Abbasakoor, Consultant General & Colorectal Surgeon, this successful treatment is the most recent and innovative one at FCD concerning Coloproctology. Keeping up to date with medical advances and progress. With the aim to keep our doctors from different faculties updated about the constant changes in medical practice, a series of clinical meetings are held at the clinic on a monthly basis. The doctors’ talks include an introduction on the latest innovation/case and a presentation on the chosen theme or technique. The latest talk, a presentation on “Normal Pressure Hydrocephalus – a treatable cause of altered neurological status” was held on the 5th May, presented by Dr Vikash Rambhujun (Resident Medical Officer) and moderated by Dr Hemraz Boodhoo (Neuro Surgeon). Bariatric Surgery EP Support program for cardiac patients Those suffering from heart failure now have their own support group where they can share their experience and the everyday life challenges that these conditions imply. The group that was launched in October is superheaded by Dr Aparna Jaswal, Electrophysiologist from the Fortis Escort Heart Institute in New Delhi – who travels regularly to our clinic for pacemaker surgeries and consultations. Code Blue Management Training FCD implemented Code Blue Management Training in March 2016. The aim of this training is to provide standard guidelines to Code Blue Team members for an organized efficient response, to a cardio pulmonary arrest situation within the clinic. As at date, approximately 33 nurses have already been trained. Staffs are required to understand the protocols and procedures where they can effectively intervene in case an emergency situation arises. After 3 weeks a procedure performance check list is distributed amongst those who have undergone the training to ensure that they have grasped the whole concept of Code Blue Management. This evaluation ensures that each member manages the situation efficiently on site and are well aware of the procedures and protocols. To ensure quality care during Emergency situations, every 3 months a session on Code Blue Management is provided to all Code Blue Team members. Featured article The Emergency Room : On the alert 24 hours a day (The expression is “on the alert”) Working in the ER requires physical endurance, mental acuity and the ability to maintain a clear head in stressful situations. Fortis Clinique Darné Emergency Department can become a hectic place very rapidly. The department is operational 24 hours a day, all year round. Mr. Izaad Pondor, Ambulance in Charge of this extremely busy place; works with 46 staff members ranging from qualified ER nurses, ambulance nurses to drivers and porters. With as much as 2200 patients per month, ER can be a chaotic place where effectiveness and rigour are key success indicators. The need to prioritise During a shift, the staff on duty sees dozens of patients with wide range of symptoms and injuries. They need to be able to identify serious or life-threatening symptoms, for example heart attacks, strokes, road traffic accidents and act promptly. Priority is given to patients with the most serious conditions - a process called triage. The facilities and services Patients may attend the Emergency Department on their own or in ambulance. FCD provides an Advanced Cardiac Life Support MercedesBenz ambulance that is equipped with state-of-the-art facilities. The ambulance is always on standby to meet any emergency situations. On average, the FCD ambulance conducts up to 7 emergency trips per day. three Ambulances – two at Floréal and one at Fortis Clinique Darné North. ER has a crucial role to play in saving lives during emergency situations. The department comprises of a plaster room, a procedure room and 3 observation rooms. The premises are equipped with “state of the art” equipment for an emergency intervention. 7 FC D I GH T Dr Aashish Shah, Bariatric surgeon at Fortis Health India, delivered a presentation on Obesity - A surgical perspective in October. Our patients presenting with severe obesity will now have a new option for treatment (Bariatric Surgery) and management of this life-threatening condition. We are in the process of setting up a unit at FCD. I NS Floor Cordinators Izzad Pondor Ambulance in charge My Role My role cannot be defined in one word, as I do so many different things. As Ambulance in Charge, I am responsible of the overall supervisory work for ambulance, driver and ER nurses, as well as clinical supervision on weekends. I oversee the proper operations of the clinic in the absence of the Chief Nursing and Deputy Chief Nursing. I am also in charge of the international patient repatriation by ambulance. In addition to these, I help out with Marketing for events coverage, the validation of medical supplies, as well as the catering for staff. How I got there? I was recruited as a student nurse in 2003 where I worked on Level 4. Three years later, I got my registration as general nurse and worked in Operation Theatre, Level 2 and Level 3 until mid 2009. From there, I shifted to ER where in 2014 I was promoted to Deputy Head of Department and in charge of the Ambulance. Since 2015, I have been promoted as Head of the Department. My typical day at work A new service to enhance patients’ experience at FCD Your Comfort, Our Priority We understand that no one likes or chooses to spend time in a clinic. To ensure that all the needs of the patients are taken care of; FCD introduced Floor Coordinators on each ward in August 2015. Acting as the link between the patient and all services of the hospital, the floor coordinators attend to all the queries of our patients to ensure that all their concerns are addressed promptly. For example, they liaise with the Billing Team for an efficient discharge process along with the Medical Team for any medical issues or with the Dietetics Department for any concerns on food. Floor Coordinators are a recent addition to the Patient Welfare Team; all part of Patient Care Services. The position was implemented in 2015 and the service is provided by: • Brinda Taukoordass - Floor Coordinator Level 2 • Sara-Jane Rouget - Floor Coordinator Level 3 • Neelam Babooram - Patient Coordinator Level 1 • Caroline Marie - Patient Welfare Officer Level 4 There is no really such thing as a typical day in the ER. My day starts with planning and organisation of the day’s schedules. I make sure to welcome each patient individually to understand their concerns, which in turn helps me to proceed to triage and deal with all the procedures of admission and discharge. With my busy schedule, I always find time for meetings, trainings, counselling my staffs, as well as replying to patients’ queries. The moment I will always remember New Empanelment Dr Shiv Anand Hemun Seegobin Internal Medicine Specialist/Geriatrician Dr Reuben Pillay Veerapen Thoracic & Vascular Surgeon After 11 years of dedicated work, I was extremely happy to be nominated Nurse of The Year 2014. Dr Krisma Gowrydoss - Nangu Radiologist One thing I would like to change about my work Dr Jhugroo Vishan Paediatrician It would be great if the cold cases and the Emergencies could be separated to provide better care and service to the patients. Dr Dharamraj Luchmun General Surgeon What I love most about what I do Dr Ledesma Robert Endocrinologist Dr Aruna Ramdaursingh Dermatologist 8 FC D I GH T Our long shifts and the number of patients do make my experience in ER one of the most challenging in health care. However, I really enjoy the direct contact I have with patients and the diversity of the cases. I must admit I like the adrenaline rush I get when I tackle an emergency. I NS Team Networking From left to Right : Mr Jean Pierre Dalais (Executive Director at Ciel Ltd), Mr Bhavdeep Singh (CEO, Fortis Healthcare Limited), Mr Jérôme De Chasteauneuf (Non-Executive Director & Head-Finance at Ciel Ltd.), Mrs Unnati Negi (COO, Fortis Clinique Darné), Mr Sukhmeet Singh Sandhu (Director, Fortis Healthcare (North)) An evening of sharing Reputed for its tradition of providing personal and dedicated care, Fortis Clinique Darné has been the market leader in the private healthcare sector in Mauritius for the last decades. With its association with Fortis Healthcare, India’s largest healthcare chains, it continues to further strengthen its leadership position by reinventing itself to provide the best of healthcare in Mauritius, by combining ‘Clinical Excellence’ with ‘Compassionate Patient Care’. In 2016 we had the opportunity to welcome Mr Bhavdeep Singh, CEO, Fortis Healthcare Limited & Mr. Sukhmeet Singh Sandhu, Director, Fortis Healthcare (North). They were at FCD from 21st to 27th Feb 2016. Fortis Clinique Darné offered a platform of interaction for our renowned specialists through a Networking Cocktail held on the 25th February 2016 at La Clef des Champs, Floréal. This initiative is a testament to the continuum of care provided by Fortis Clinique Darné and to our continuous endeavour in raising the level of care on the island. The Networking Cocktail was attended by over 50 guests of which the majority were the finest family of experienced healthcare professionals, our FCD doctors, FCD Board Members and FCD Management Team to share their vision for FCD’s progress towards excellence. Cancer Screening In Collaboration with CANMA Fortis Clinique Darné in collaboration with Cancer Association of Mauritius (CANMA) organized a screening for the general population on the occasion of World Cancer Day at Mauritius Gymkhana Club, Vacoas. The event had as objective to create awareness on Cancer and motivate the general public to adopt a preventive approach to their health. FCD’s team comprising of doctors and nurses ensured the screening of all those who were present. The event was highly successful earning the biggest crowd at FCD’s stall with more than 200 citizens from all over the island within only 5 hours while many of our competitors were also present. FC D I GH T 9 I NS Special Feature First in Pediatric Urology in Mauritius Dr. Kevin Teerovengadum, Pediatric Surgeon at Fortis Clinique Darné recently performed two complex interventions in pediatric urology that were carried out for the first time in Mauritius. The first intervention was on the ‘urethra posterior valve’ on a baby of 40 days that weighed only 3kg. The condition is an irregularity of the canal transferring urine from the bladder outside the body, which is usually obstructed at birth. Babies with this condition were diagnosed after a prolonged time and this normally resulted in damaged kidneys. A ‘vesicostomy’ was carried out where the canal was unblocked during the first intervention itself. Our little patient spent only 2 days at FCD after the surgery and he is absolutely fine. Another First in Mauritius, this second innovative surgery was carried out on a girl of 6 years diagnosed with vesicoureteral reflux. It is an abnormality where the urine returns to the kidney, causing urinary infections. Previously considered as a complex surgery, the patient was required to stay at the clinic for several days. With the ambulatory surgery where an ‘endoscopic technique’ was used, the child was able to return home on the same day after her intervention. The surgery lasted only for half an hour and it was a success. Since the surgery, the child not contracted any urinary infection. Current Campaign In the Limelight A new concept was launched by the Marketing Department: “A nu mett enn dialog”. Created in a spirit of information sharing and awareness, the concept includes public and free talks by our doctors once a month on different themes. All the editions were positively received by the public and the concept is already very popular. Clinical Excellence and Compassionate Care, Our Ethos OWN IT, LIKE IT & SHARE IT www.facebook.com/fortiscliniquedarne O ur Facebook Fan page has been totally revamped to make it more dynamic and attractive! The page now features posts published daily providing general information about our clinic, marketing campaigns and health tips. Visit our brand new page here: (www.facebook.com/fortiscliniquedarne) New Communication Platform A series of screens can now be seen around strategic areas of the clinic. These screens act as a new platform to communicate the services of the clinic - Marketing Campaigns, PHC Packages amongst others. 10 FC D I GH T Reputed for its tradition of providing personal and dedicated care, Fortis Clinique Darné has been the market leader in the private healthcare sector in Mauritius for the last few decades. For more than 60 years Fortis Clinique Darne has been the trusted partner of Mauritians. With its association with Fortis Healthcare, India’s largest healthcare chains, it continues to further strengthen its leadership position by reinventing itself to provide the best of healthcare in Mauritius, by combining ‘Clinical Excellence’ with ‘Compassionate Patient Care’. I NS We are what we eat Patient’s Voice IL ON GUÉRIE MON MARIE VOAHIRANA RAHIMALY One serving of papaya will provide you all the vitamin C that you need in one day Papayas, “The fruit of the angels”. TROP TOP CETTE CLINIQUE FORTIS DARNÉ MICHAEL PASCAL The sweet and butter-like consistency ripe fruit is eaten raw, without skin or seeds while cooked in curries or jams when unripe. A 100 gram serving of papaya will provide you all the vitamin C that you need in one day, around 43 calories and a moderate source of folate. Otherwise, it has negligible content of nutrients! UN GRAND MERCI POUR TOUTE L’ÉQUIPE DE LA CLINIQUE! MIREILLE RAJAO But did you know that: • The black seeds in the center of a papaya are edible and have a spicy, peppery taste • Papaya plants are not trees, but giant herbs • Papaya contains an enzyme, papain that can be used as a meat tenderizer. Papaya seeds and leaves have been used for medicine in traditional medicine in tropical cultures Best Patient Feedback Validated by Faheema Korumtollee, Dietician “The Truth About…” Aphasia Aphasia is a condition that affects a person’s ability to communicate (express and understand language, both verbal and written). Aphasia typically occurs suddenly after a stroke or a head injury. But it can also result from a slowly growing brain tumour or a degenerative disease. The severity of communication handicap depends on the site and extent of brain damage. Once the underlying cause has been treated, the primary treatment for aphasia is speech and language therapy that focuses on relearning and practicing speech and language skills and using alternative or supplementary communication methods. DID YOU KNOW? Family members often participate in the therapy process and function as communication partners of the person with aphasia. World Head Injury Awareness Day is celebrated on 20th March. Name: Mathew Prasanth Date Joined: 27/09/2014 Years of Service: 1 year of service Job Title: Nursing Officer Nominated as nurse of the Year 2015 for the excellent feedback FCD received from several patients. He shows good commitment and dedication towards patients and Doctors. His work on Level 2 focuses a lot on delighting our clients and ensuring that all their needs are met. Validated by Dr Rachna Gopal, Speech Therapist Contact us on ext 643 11 FC D I GH T Suggestions to improve our FCD Experience I NS THE MEDICAL & SURGICAL CENTRE LTD HEAD OFFICE: Georges Guibert Street, Floréal, 74111, Mauritius Tel: (230) 601 2300 | Fax (230) 696 3612 (Administration) / (230) 696 1209 (Medical) Email: [email protected] | www.fortiscliniquedarne.com | www.facebook.com/fortiscliniquedarne 24/7 Emergency and Ambulance Services: Dial 118 12 FC D I GH T FCD NORTH: Office C, C0 - 05A& C2 - 204, La Croisette Mall, Grand Bay, Mauritius Tel: (230) 601 2300 | Fax: (230) 269 6224 I NS
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