Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES 2016 November 30 1. Name of Nursing Education Institution (NEI) GANDHI MANDELA NURSING ACADEMY- S1688 2. Name of Clinical Facility JMH GROUP : CITY HOSPITAL 3. Programme/s applied for HWSETA QUALIFICATIONS FET: Community development: HIV/AIDS – SAQA ID:76986 FET: Community Health work – SAQA ID: 64697 GET: Ancillary Health Care: SAQA: 49606 4.1 Specific clinical placement disciplines 4.2 Proposed number of learners Medical Surgical Paediatric Trauma Mental Health Midwifery Operating Theatres 10 5. Geographical location Suburb/town/city/province: Durban Central 5.1 Distance between NEI and Clinical facility Less than 20km 5.2.1 Physical Address 83 Ismail C Meer , Durban 4001 5.2.2 Postal Address 83 Ismail C Meer , Durban ,4001 5.2.3 Email Address jamila.chellan@jmh.co.za 5.3.1 Telephone number 031 314 3150 5.3.2 Fax number 031 3093785 5.4. Particulars of the Nurse Manager 5.4.1 Full Names Mrs Jamila Chellan 5.4.2 SANC reference number 12137642 6. Catchment area/areas served 6.1 Name/s of areas served Umlazi, Lamontville, Isipingo to Port Edward, Merebank, bluff/Montclair/, Queensburg, Mayville, Umbilo, Greenwood, Central Durban, Point to Umgeni, Newlands, Overport, Sringfield Park, Phoenix, Greenwood Park, Red Hill, Verulam, Kwamashu, Inanda, Chesterville, Pinewtown, Durban North, Chatsworth, Shallcross, Transkei, Eastern cape, Overport,Sydenam,KwaMashu,Umhlanga/Ethekwini/ Merebank/Wentworth 1 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES 6.2 Population size/number MORE THAN 200,000 PER ANNUM 7. UNITS OF THE FACILITY/SERVICES RENDERED E.G. MEDICAL UNIT 7.1 Number of beds per unit: 242 For period Jan 2015 to Dec 2015 UNIT (Type of discipline e.g. Medical unit) MEDICAL- GEN 7TH FLOOR MEDICAL-FEMALE-9TH FLOOR MEDICAL MALE-10TH FLOOR SURGICAL WARD PSYCHIATRY OPERATING THEATRES INFECTIOUS WARD MATERNITY/LABOUR UNIT PAEDIATRICS ICU NICU NUMBER OF BEDS PER UNIT 25 25 25 26 22 6 OT’S 24 36+ 4 14+2PICU 25 ADULT 8 ICU NUMBER OF BEDS OCCUPIED PER UNIT (Average for the recent past 12 months) Jan-Mar 90% 92% 90% 92% 85% 750 80% 45% 90% 80% 90% Apr-Jun 92% 97% 92% 90% 90% 800 84% 48% 95% 85% 80% Jul-Sep 95% 98% 95% 94% 95% 850 77% 49% 95% 90% 80% 7.2 Total number of beds in the facility : 242 TOTAL NUMBER OF BEDS IN THE FACILITY (disciplines where students are placed) TOTAL NUMBER OF BEDS IN THE ENTIRE FACILITY (includes disciplines where students are not placed) 242/maternity 36+4 NICU:8/Infectious 24 -/SICU 11 /MICU 14 242 2 Oct-Dec 90% 95% 93% 80% 80% 800 74% 40% 85% 90% 85% Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES 8. AVERAGE PATIENTS’ STATISTICS FOR THE RECENT PAST 12 MONTHS For period ___________________Jan__________to____________DEC________________, UNIT 8.1 Casualty/Trauma/ER 8.2 Outpatient Department (OPD) 8.3 Theatre 8.4 Maternity 8.4 1 Normal deliveries 8.4.2 Abnormal deliveries –C/S 8.4.3 Antenatal clinic (normal & abnormal 8.4.4 Postnatal services (normal & abnormal) 8.4.5 Neonatal services (normal & abnormal) Jan-Mar Apr-Jun Jul-Sep Oct -Dec 2258 2339 415 121 294 - 2276 2440 470 128 342 - 2146 2354 378 100 278 - 2057 1975 314 97 217 - 415 470 378 314 189 232 157 140 9. DISEASE PROFILE 9.1 Common/prevalent diseases Tuberculosis , HIV,HIV/TB,MDR,XDR ,Measles, Gastro, Pneumonia, 9.2 General Diabetes,hypertension,pneumonia,gastro,Burns,Trauma,Neuro,obstetrics,gynaecology, general surgery,plastics,urology,cardiac-thoracic,dentalcases,facio-maxilla Orthopedics ,theatre cases, out patients, minor theatre, Endoscopic procedures, Oncology 10. REFERRALS 10.1 Referrals to Provincial Hospitals/other private hospitals –lifehealthcare,Netcare Hospital, Lenmed hospitals,frailcare 10.2 Referrals from Provincial Hospitals/other private hospitals –lifehealthcare,Netcare Hospital,Lenmed hospitals,Umtata hospital,GP practices Umlazi, Lamontville, Isipingo to Port Edward, Merebank, bluff/Montclair/, 3 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES Queensburg, Mayville, Umbilo, Greenwood, Central Durban, Point to Umgeni, Newlands, Overport, Sringfield Park, Phoenix, Greenwood Park, Red Hill, Verulam, Kwamashu, Inanda, Chesterville, Pinewtown, Durban North, Chatsworth, Shallcross, Transkei, Eastern cape. 11. HUMAN RESOURCES 11.1 Total number of nurses at facility CATEGORY OF NURSING STAFF POSTS APPROVED POSTS FILLED VACANT POSTS Professional nurse 135 122 13 Enrolled Nurse 140 124 16 Enrolled Nursing Auxiliary 100 90 10 11.2 Total number of nurses per unit UNIT PROFESSIONAL NURSE (Specify qualification of each e.g. RN, Midwife, Critical care RN) ENROLLED NURSE Medical- gen 7th floor Medical-female-9th floor Medical male-10th floor 6 RN 6 RN 6 RN Surgical MICU SICU RN-6 RN 13- ICU Trained: 4 RN 13-IC U Trained: 2 RN 13 NICU training Courses: 2 RN 21 15 with midwifery (Advanced Midwife) 1 RN 6 RN 15 5- OT trained RN 6 RN 6 1 psychiatry trained RN 5 7 7 6 16 12 12 ENROLLED NURSING AUXILIARY 7 7 6 16 4 4 9 10 4 10 8 13 8 8 8 6 9 6 6 5 NICU Maternity Infectious Ward OT Paeds Psychiatry Trauma 11.3 Number of Medical personnel and Applied Health Professionals (Private Service providers) and General support staff Type General Practitioner General Physician General Surgeon MEDICAL PERSONNEL Full time Part time 20 20 70 ALLIED HEALTH PROFESSIONALS 4 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES 2 10 1 31 Dietician Physiotherapist Occupational Therapist Paramedic GENERAL SUPPORT STAFF 20 10 15(Outsourced) 10 60 Ward clerks Admission staff Security staff Hospitality attendants Cleaning staff 12. OTHER NURSING EDUCATION INSTITUTION (NEI) PLACING STUDENTS AT THE FACILITY NAME OF CITY PROGRAMME HOSPITAL R 683 R2175 12 20 DURDOC HOSPITAL 8 10 ASCOT PARK HOSPITAL 5 10 ISIPINGO HOSPITAL PERIOD OF PLACEMENT 5 10 2 YEARS 2 YEARS 13. AVAILABLE CLINICAL LEARNING OPPORTUNITIES PER UNIT FOR SPECIFIC PROGRAMME APPLIED FOR UNITS Medical Units Do students get the opportunity to nurse the following? Patients with the following problems: Yes Cardiac √ Respiratory √ Neurological √ Endocrine √ √ √ √ √ √ √ √ √ √ √ Gastrointestinal Gynaecological Obstetric Renal/Urological Paediatric Mental health Integumentary Geriatric Rehabilitation Unit Management Other not listed above: Infectious Diseases √ 5 No Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES Surgical Units Patients who have had surgical procedures related to the following: Cardiac Respiratory Neurological Endocrine Gynaecological Gastrointestinal Renal/Urological Orthopaedic Paediatric Trauma Obstetric Other not listed above: Cardio/Thoracic Plastic Yes No x √ √ √ √ √ √ √ √ √ √ √ √ 14. PERSON RESPONSIBLE FOR CLINICAL FACILITATION: NAME SANC REFERENCE NUMBER QUALIFICATIONS Mrs S.Odayar 13412986 RN-Theatre trained Mrs S. Theeruth 14046205 RN –Theatre Trained Sr D. Perumal 13112453 RN –Theatre Trained Mrs A. Marimuthoo 12277331 RN-ICU Trained Ms K. Mohammed 12272019 RN-ICU Trained Mrs S. Stephens 14438436 RN-ICU Trained Mrs J.S. Govender 14242507 RN-Psychiatry Trained Mrs Kantha Naidoo 13934153 Midwifery Trained Mrs P. Marie 13940887 Midwifery Trained Mrs IE Mundree 11531613 Midwifery Trained Mrs N. Pillay 13047329 Neonatal experienced Mrs S. Dorasamy 12938957 RN-Infectious Diseases-experienced Mrs N. Poonsamy 12561791 General Nursing Mrs S. Pillay 14573398 General Nursing Mrs A. Naidoo 12892196 General Nursing Mrs R. Premjith 14364764 General Nursing Mrs.F. Alli 14147342 General Nursing Mr R.Raju 13044052 General Nursing Mrs S. Naidoo 14570337 General Nursing Ms.R.Hassan 15447998 General Nursing 6 Sign ed at Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES Durban this 30 November 2016. Signature __________________________ STAMP Mrs J Chellan Group Nursing Services Manager(City Hospital) Signature __________________________ Mrs P Somoloo Principal ( Gandhi Mandela Nursing academy) Signature ___________________________ Mr V Rampartab Group General Manager STAMP STAMP 7 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES ADDENDUM TO SITUATIONAL ANALYSIS [FOR OFFICIAL USE ONLY] 16. PATIENT LENGTH OF STAY IN HOSPITAL DISCIPLINE MAJOR CONDITIONS/PROCUDURES GYNAECOLOGY MYOMECTOMY TAH LAPAROTOMY FOR GYNAE PROCEDURES LAPAROSCOPY OVARIAN CYSTECTOMY MINOR PROCEDURES/CONDITIONS LAPAROSCOPIES FOR GYNAE PROCEDURES SUCTION EVACUATION OF THE UTERUS TUBAL LIGATIONS CONE BIOPSY/COLPOSCPY POLYPECTOMY CAUTERY WARTS HYSETROCOPY 8 LENGTH OF STAY MINIMAL NUMBER OF MAXIMUM NUMBER DAYS OF DAYS 3 5 3 5 3 5 3 5 LENGTH OF STAY MINIMAL NUMBER OF MINIMAL NUMBER DAYS OF DAYS 0.5 2 0.5 1 0.5 0.5 0.5 0.5 1 3 1 1 1 1 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES DISCIPLINE MEDICAL/RENAL MAJOR CONDITIONS/PROCUDURES CRYPTOCCCAL MENINGITIS TB MENINGITIS CVA CCF RENAL FAILURE/DIALYSIS MINOR PROCEDURES/CONDITIONS PNEUMONIA BRONCHITIS/ASTHMA DIABETES HYPERTENSION DISCIPLINE SURGERY MAJOR CONDITIONS/PROCUDURES LAPAROTOMY FOR GENERAL SURGERY HERNIA REPAIR MINOR PROCEDURES/CONDITIONS APPENDISECTOMY SCOPES DEBRIDEMENTS 9 LENGTH OF STAY MINIMAL NUMBER OF MAXIMUM NUMBER DAYS OF DAYS 21 26 5 14 14 30 5 10 10 20 LENGTH OF STAY MINIMAL NUMBER OF MINIMAL NUMBER DAYS OF DAYS 5 7 5 7 3 5 3 5 LENGTH OF STAY MINIMAL NUMBER OF MAXIMUM NUMBER DAYS OF DAYS 3 5 3 5 LENGTH OF STAY MINIMAL NUMBER OF MINIMAL NUMBER DAYS OF DAYS 1.5 2 0.5 1 0.5 2 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES ABSCESSES 0.5 BIOPSIES 0.5 DISCIPLINE UROLOGY MAJOR CONDITIONS/PROCUDURES TURP MINOR PROCEDURES/CONDITIONS DISCIPLINE OPTHALMIC CYSTOCOPIES CYSTECTOMIES STONE BLASTING +LITHOTRIPSY AND ESWL MAJOR CONDITIONS/PROCUDURES ANTERIOR /POSTERIOR VITREOUS SURGERY MINOR PROCEDURES/CONDITIONS CATARACT EXTRACTIONS PTERYGIUM EXCISION 10 2 2 LENGTH OF STAY MINIMAL NUMBER OF MAXIMUM NUMBER DAYS OF DAYS 5 7 LENGTH OF STAY MINIMAL NUMBER OF MINIMAL NUMBER DAYS OF DAYS 0.5 1.5 0.5 1.5 2 3 LENGTH OF STAY MINIMAL NUMBER OF MAXIMUM NUMBER DAYS OF DAYS 3 5 LENGTH OF STAY MINIMAL NUMBER OF MINIMAL NUMBER DAYS OF DAYS 0.5 1.5 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES DISCIPLINE ENT MAJOR CONDITIONS/PROCUDURES LENGTH OF STAY MINIMAL NUMBER OF MAXIMUM NUMBER DAYS OF DAYS MINOR PROCEDURES/CONDITIONS LENGTH OF STAY MINIMAL NUMBER OF MINIMAL NUMBER DAYS OF DAYS 0.5 1.5 TONSILLECTOMY DISCIPLINE ORTHOPEADIC MAJOR CONDITIONS/PROCUDURES ORIF TOTAL HIP REPLACEMENT TOTAL KNEE REPLACEMENTS LAMINECTOMY/SPINAL FUSIONS MINOR PROCEDURES/CONDITIONS TENDON RELEASE EXCISION GANGLION DISCIPLINE MAJOR CONDITIONS/PROCUDURES 11 LENGTH OF STAY MINIMAL NUMBER OF MAXIMUM NUMBER DAYS OF DAYS 1.5 3 5 10 5 7 5 7 LENGTH OF STAY MINIMAL NUMBER OF MINIMAL NUMBER DAYS OF DAYS 0.5 1 0.5 1 LENGTH OF STAY Annexure G GANDHI MANDELA NURSING ACADEMY ORTHOPEADIC SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES MINIMAL NUMBER OF DAYS NEURO SURGERY CRANIOTOMY 10 BURRHOLES 7 VP SHUNTS 10 17. CLINICAL PRECEPTORS/CLINICAL TRAINING SPECIALISTS TYPE OF DISCIPLINE GENERAL UNITS OPERATING THEATRE CRITICAL CARE PAEDIATRIC UNIT TRAUMA UNIT MATERNITY UNIT NUMBER OF SPECIALISTS 6 4 4 1 1 3 12 MAXIMUM NUMBER OF DAYS 20 10 20 Annexure G GANDHI MANDELA NURSING ACADEMY SITUATIONAL ANALYSIS OF CLINICAL LEARNING FACILITIES 13