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4th October 2017

Today was Year 2 students clinical practice day on the wards of Lira Hospital. Our American friend Cherie from the Peace Corps who has over 70 Year 2 students to supervise was delighted with our support.

A common sight en route to the hospital is whole families on a motorbike. Sarah spied a pillion toddler who had a huge piece of chapatti stuffed in her mouth. Parts were dropping out and she managed to catch them and stuff back into her mouth.

Dietician happy as she has had breakfast, speech therapist  happy with her oral skills, physio happy with her gross motor skills but not sure what the OT would make of safe transport!

On the children unit as well as the Lira students were up to 10 other students from other nursing colleges, so there was much opportunity for teaching! Today I concentrated on the importance of the nursing assessment before the doctors see on the ward round, covering triage and emergency management. This was followed by a more formal lecture in the afternoon on recognising and treating the sick child.

I was jealous to hear that Judy’s teaching environment was on the lawn under the shade of a tree as there was no possibility of teaching 20+ students in the surgical ward! Her teaching firstly covered managing the fractured femur in the community and then suturing. Judy’s suturing teaching is legend! Here is a photo of some students learning suturing technique on vinyl squares!

Bruce spent his day mainly in the Emergency department teaching management of trauma patients and observations. Later he moved to the out-patient department, where emergency patients also pitch up. By that point there were no trained staff so Bruce had a hairy time when a shocked septic patient arrived and he had to talk second year students through cannula insertion and IV fluid bolus before transfer to the ward! (We can only teach as we don’t have Ugandan medical/nursing registration)

Sarah was teaching again in the Therapeutic feeding centre using an interactive quiz with good effect. She asked me to see a baby with a cleft palate who weighs less than 3kg at 6 months and had an unusual face. Sadly he had features of a severe chromosomal syndrome and will not survive. We still have an ethical dilemma about how to communicate this to mother as doctors rarely visit this ward. A heart-breaking situation!

Misbah had a morning with the sonographer at the hospital. A large number of requests had built up due to a power cut yesterday. Misbah is a rare and precious commodity as there is no radiologist in Lira. She made a solo visit to the university for further ultrasound teaching!

Lastly some really good news! There is now an oxygen plant on the hospital site, so cylinders of oxygen are more freely available!



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