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Interventions at Mulago Hospital, Summer 2010

Raisa A.Gutierrez

Andrea Monter

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Mulago Hospital, Kampala, Uganda

  • Mulago is the largest public and only referral hospital in Uganda.
  • As a government hospital, Mulago serves all Ugandans to the best of its abilities, regardless of their ability to pay.
  • Resources are however scarce – including healthcare workers.

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Jeliffe Ward (Medical Pediatrics)

  • Major medical problems addressed were malaria and meningitis.
  • Since nurses were in short supply, parents were responsible for much of the care.
  • Resources needed included better organization to maximize patient time for the doctors and nurses on the unit.
  • There was also a strong need for universal policies on procedures like fluid administration and resuscitation.

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� The Casualty Department

  • Medical emergencies both locally and from across the country
  • Most common: Road Traffic Accidents, Assaults, Malaria and TB
  • Resources such as Oxygen, Glucometer strips and Medications are in short supply but the staff works diligently and creatively in order to ensure the best treatment possible

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Casualty: Intervention

  • When patients arrive, they often don’t know where to go
  • The charge nurse of the floor asked us to help create a project that would facilitate patient flow
  • Two posters with accompanied signs were created
  • Also created was a new medical form which will be presented to Hospital Administration

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Casualty Poster Project

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Mulago Kids Kard

  • Pediatricians and pediatric nurses at Mulago have standards they must rely on, but those standards are not easy to access.
  • Emergencies can have added stress as a result, especially if the emergency trolley is not well organized.
  • In the US, health care workers at most pediatric units carry small cards like the JHH “Kids Kards” with pediatric norms, emergency protocols & drug dosing, and other information that may change by age, weight, and developmental stage.
  • Putting this “Kids Kard” information on the emergency trolley, including a sheet for emergency equipment and organizing the trolley, made sure all information was standardized and in one place.

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The Kids Kard included five sheets:

- Pediatric Norms and Parameters

- Fluid administration and protocols

- Emergency Medication dosage

- General Emergency protocols (shown)

- Trolley Organization Sheet (for all needed equipment).

All were taped to the trolleys on each side of the ward.

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�Thank You�M’weebale Nnyo

Mary Donnelly-Strozzo

Sara Groves

Scovia

Rose

Everyone at Mulago Hospital

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