Thursday 17th October 2019

What a successful day! This was the first day of the freshly trained Lira PTC staff running the course. It started on time and all the team were delivering their lectures with great skill and clear understanding. The skills labs went very well – there was one very narrow miss when the application of sticky tape over the face for a cervical immobilisation on a volunteer nearly removed his beard.

Extra candidates trickled in to boost the numbers to well over maximum, great except for the catering- samosas cannot feed the 5,000. What impressed us in particular was the confidence that grew throughout the day, and the fact that some of the faculty were not fully trained medics but managed to run informative workshops effectively. The goats’ ribs had their second run for chest drains and might be someone’s supper tonight. The candidates were a mixed group of third year midwifery students, interns and a few others.

We have had no water here in the hotel for two days so we are experts at micro showers, or so we think. The hospitals too have no water, but manage to produce a bucketful here and there to get by with – the resilience of the Ugandans is impressive.

Freyja headed to the referral hospital this morning to find that a patient had bled out overnight from an upper GI bleed. They had started a blood transfusion at 6 am but she died 30 minutes later. The ward doctor was keen to discuss, what had happened. Not much going on on the wards medically so I used this opportunity to pop over to the university and meet various people with regards to the drug chart. Managed to talk to the pharmacist, and some of the nurses and after a few last minute tweaks presented it to the hospital director. He recognised the problems with the current management of IV fluids and bloods, and agreed that this was a step in the right direction to a clearer, safer method of drug prescription on the ward. He was eager for students studying at the university to be exposed to best practice examples and recognised that this was a step in the right direction.

Carmen headed to diabetic outpatients, and Anita spent the morning pro viding manual handling and observations training to the nursing students on the medical ward. The students were eager to learn manual handling and found the experience of practising manual handling techniques to be rather fun. Carmen found the diabetic clinic to be very interesting and enjoyed participating in the treatment plans for patients.

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