General Overview of the Nursing Department

“The unique function of the Nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge.” …Virginia Henderson

Nursing is a profession guided by ethics and code of conduct. Nursing is both an art and science.

At LIMH, the Nursing Department incorporates both the art and science nature of nursing, the art aspect is the highly valued qualities of care, compassion and communication while the science is the use of theories and evidenced-based practical concepts for improving the care we administer to our patients and clients.

We incorporates the 5-C’s of Caring; Compassion, Competence, Confidence, Conscience and Commitment in educating our patients and their family members about health condition, administer medications and treatment, delivering future leaders alive, assist in reproductive health, give emotional support and advice to our patients and their family members and more.

We also work with healthy people and communities around us by providing preventive healthcare and wellness.

Vision of Nursing Department

To be recognized as a Department of excellence in Nursing care, education, research in maternity and gynaecological services.

 

Mission of Nursing Department

To provide qualitative nursing service and promote the health and well-being of individuals, community and the nation at large through provision of excellent evidenced based nursing services, research, education and leadership skills.

Profile of Key Officers

We have quality registered Graduate Nurses, Midwives, Family Health Provider, Emergency, Theatre, Anaesthetists and Intensive Care Nurses in LIMH, who work on different fields to meet up to the vision and mission statement of the hospital with their various qualifications and experience in their various field of practice.

 All Nurses in LIMH are registered and licensed by Nigeria and Midwifery Council of Nigeria.

Category of Designation Cadre in the Unit

  1. Assistant Director in Nursing ( Apex Nurse in Charge)
  2. Chief Nursing Officers
  3. Assistant Chief Nursing Officers
  4. Principal Nursing Officers
  5. Senior Nursing Officers
  6. Nursing Officers I
  7. Nursing Officers II
  8. Intern Nurses

Section of Nursing Department in LIMH

  • Antenatal Clinic
  • Antenatal Ward
  • Postnatal Ward (this is divided into 2 sections the normal delivery postnatal ward A3 and the surgical unit postnatal ward (C3).
  • Delivery Suite
  • LIMPEM Ward ( Observation and Monitoring of all new surgical cases within the first 24 hours, before transfer to their various sections)
  • Gynaecological Ward
  • Theatre ( which is divided into two suites the gynaecological and obstetric suite)
  • Anaesthetics
  • Neonatal Ward
  • Gynaecological Clinic
  • Family Planning Clinic

 

Function of Nursing Department in LIMH

We are directly involved in almost all aspects of LIMH hospital quality service, because we are the bedrock of the hospital.

  • We are directly responsible for assessing, monitoring and care to patient and performing immediate interventions to reduce risk and prevent medical complications.
  • We help in data collection/reporting and more, example number of birth, death rate, immunization records
  • We assist in surgeries and other major operations example, gynaecological and obstetric surgery
  • We give health education to our patients both outpatients and inpatients for them to make informed decisions
  • We deliver future leaders alive and give psychological care to the entire family
  • We help patients and family members regarding post hospital care before discharge
  • We offer family planning services and child welfare care through immunization, educating mothers on exclusive breastfeeding and adjusting to complementary feed.

Antenatal Clinic: We practice focused antenatal care, we are time conscious, we have what we call fast track, where the pregnant woman come to see her doctor without wasting time. We give health education about pregnancy, diet, signs of labour and red alert which are possible signs of complication. Our antenatal clinic is opened from Monday to Friday and booking of new patients are done every Thursday. We operate in a friendly and therapeutic environment all at affordable charges.

Antenatal Ward: We operate 24hours service in the antenatal ward, we have experienced midwives to care for mothers admitted into the ward through the antenatal clinic either for induction of labour or planned for elective caesarean section for preoperative management or any other condition related to pregnancy for close monitoring and observation.

Postnatal Ward: This is where women and their babies are provided with medical care immediately after delivery. It is divided into two sections (Spontaneous Vagina delivery A3 and Caesarean Section C3) and both run a 24 hours service in a clean and conducive environment.
We give close observation on the neonates and mothers for 24 hours to 48 hours before discharge, this to check for jaundice and other abnormalities and refer to the paediatrician for treatment and we also orients our client on the lookout for jaundice or anything abnormal within them or their neonate after discharge. We make sure all mothers lactate and learn to breastfeed their baby before discharge and we also orientate HIV mothers on choice of feeding for neonates.

We health educate on importance of breastfeeding, personal hygiene, techniques in breastfeeding and also educate CS mother on the importance of early ambulation.

Postnatal Clinic: This is the outpatient clinic for nursing mothers at 6 weeks for normal delivery and 2 weeks for C/S for check up.  We assess the health status of mother and child, counsel mothers on family planning methods and give counseling to mothers on breastfeeding, nutrition, hygiene, rest and infant care.

Labour Ward: The labour room operates 24/7, WE ARE CALLED THE BABIES FACTORY IN AFRICA, with highly competent and experience midwives, we have maximum of 24 neonates per day and minimum of 8 per day, we operate in a therapeutic environment with affordable price to deliver future leaders alive. Our labour ward is divided into two parts

New Ultramodern Birthing Suite: Is a delivery suite where the support person either husband or relative is allow to witness the labour. It is highly equipped with all delivery gadgets at an affordable price.

Regular Delivery Suite: A delivery suite that accommodates more than one client in labour in a therapeutic environment with delivery gadget, qualified staff personnel at affordable price with quick action in birthing process, episiotomy, vacuum delivery, induction and caesarean section if need be to prevent complications.

Neonatal Ward: Our neonatal ward in LIMH is affiliated with Massey Children Hospital; the unit operates 24 hours service with highly skilled personnel. We focus on the care of newborns and infants, specially those who require special medical attention. We have Intensive Care Unit for neonates especially for all premature in which they thrive well.

LIMPEM Ward: This is the ward where all obstetrics and gynaecological surgeries are kept for close observation within the first 24 hours after surgery, to stabilize and monitor their recovery before they are transfer to their various wards.

LIMMCU Ward (Intensive Care Unit): We use specialized skill and extensive knowledge of disease pathology to provide emergency interventions that sustain life.

We work quickly, efficiently, independently and meticulously to deal with critical cases with state-of-the-art equipment to care for our patients in the hospital and referral hospitals. Our services are on 24hours basis.

Emergency Ward: Our emergency department operates 24hours; we take referral from both government and non-government hospital. We only treat cases pertaining to Obstetrics and gynaecological emergency cases. We are very quick to recognize acute problems and able to resolve or stabilize them immediately upon arrival, attending to solve their issues using triage.

Gynaecological Ward: This is the ward where we care for women with gynaecological cases who need to stay for surgery in the hospital, manage postoperative gynecological patients and emergency gynaecological admission.

Gynaecological Department: This is an outpatient department that provides care to women and young teenagers in a sensitive environment that meet their need for privacy and dignity.

 The Unit is divided into two clinic sections; Gynae Clinic runs from (Monday to Friday 8am to 4pm), and the Fertility Clinic.

Anaesthetics Department: We allow patients to tolerate any kind of operations and procedures in comfort and safety. We operate 24 hours in LIMH, we are efficient and dynamic in nature.

Theatre Unit: Our services is 24 hours, we have highly qualified skilled theatre nurses who work with competent gynae and obstetrics surgeons. We operate in a friendly and therapeutic environment, we ensure proper care and handling of surgical instrument to ensure safety of the patients, we maintain sterile field in accordance with competent standard. We prepare timely and accurate records of patient history and recovery chart.

Family Planning Clinic: We operate from Monday to Friday; we attend to all child bearing age, including teenagers and men. Our family planning is available and accessible through our skilled family planning practitioners. We provide counseling and provide the preferred choice of the clients after counseling.

Relationship of Nurses with Patients: We operate in a friendly and therapeutic environment with our client.

Relationship of Nurses with other Professionals: We have interred and cordial professional relationship by working together to achieve the vision and mission of the hospital as one umbrella to give quality care to the patient, increase job satisfaction. We maintain a healthy relationship, avoiding lateral aggression on each other.

Lagos Island Maternity Hospital is a hospital that specializes in caring for women while they are pregnant, effectively monitors the childbirth process, taking care of the newborns and the mothers giving birth and the postpartum period.

There is an Antenatal Clinic for all pregnant women where Antenatal classes and education take place, every weekday. Here also, Antenatal booking, examination by Midwives are done before the patients are seen by Doctors and Consultants.

The Hospital also runs a Gynae Clinic for all female patients with reproductive challenges.

The Gynae Clinic runs through Monday to Friday from 8am to 4pm. Patients are given Health Talk and there are dedicated Medical Officers and Nurses who attend to all the Patients.

WELCOME TO PHARMACY

We oversee medication procurement, storage, dispensing and utilization throughout the hospital. Pharmacy staff play an important role in providing drug information to both health care professionals and patients.

 

Our Staff

The department is professionally equipped with both Pharmacists and Pharmacy Technicians who work together to ensure patients receive the highest quality pharmaceutical care possible.

 

Hours of Operation

in Lagos Island Maternity Hospital, the Pharmacy Department is opened and may be consulted about drugs-related issues 24 hours a day, seven days a week.

 

Services

Our Pharmacy department provides clinical pharmacy services to all patients in the wards by reviewing patients’ medicine prescriptions, monitoring drug therapy and ensuring prompt supply of medications. We assist and work together with other health care professionals in the hospital to ensure positive clinical outcomes of all drugs therapy.

We have the ARV unit where we cater for patients on ART by counseling and dispensing of needed medication. Also provision of ARV prophylaxis for PMTCT, exposed babies and post exposure prophylaxis.

Free health unit:

Where staff medication and health needs are attended to and also, free dispensing of routine drugs and counseling of pregnant women takes place.

 

Our Core Activities

The department carries out the following activities: 

  • Procurement, storage and dispensing of drugs
  • Counseling of patients on drug use.
  • Provision of information on drug related issues to patients and other health workers.

Training of student pharmacist on industrial training and internship.

 

We are here at your service any day, any time you wish to consult us in Pharmaceutical related issues.

: Located on the ground floor of the A wing of the Hospital. It opens for 24 hours, 7 days a week. The Coverage is done in rotation by the Doctors/and Nurses. It has about 8 cubicles, Doctors/Nurses Consulting Rooms a Theatre for Emergency Evaluation and some procedures. It is the 1st point of call in the Hospital and very accessible by a vehicle.

LIMH is currently renovating its main Theatre Complex located in the B wings of the Hospital on the second floor. It has adjourning Anaesthetic Room, Surgeons’ Room, Nurses’ Room, Scrub Room, CSSD Room, and Service Room.  We also have the temporary Theatre see picture below used for both Elective and Emergency Operative Procedures. It opens for 24 hours, 7 days a week.

Lagos Island Maternity Hospital has a real and sector Scanner that caters for our patients. It is located in the out patients vicinity and is done daily Monday to Friday 8.00am till 2.00pm. It is run by our Radiologist in collaboration with an external Staff.

(Strategically located on the ground floor, it has Chief Matron in charge’s office, Consultants Offices, Emergency Department, Antenatal Clinic, Complex Clinical Meeting Room (also turned to Doctors Common Room, Computer Room, Health information system office, complex Medical Records, Laboratory Department, Pharmacy Department, Kitchen Unit, Transport Unit, Security Unit, Domestic Unit, and Ultrasound Room.

Welcome to Lagos Island Maternity Hospital Laboratory department. The laboratory is situated on the ground floor of the hospital just beside the Pharmacy Department. of our B wing,

The laboratory Services run for 24hours of the day with seasoned Scientists and Technicians running all forms of tests and basic investigations such as

Hematology: CBC (5 parts); Hb-Genetype; PCV/Hematocrit
Blood Bank: Grouping A&O; Cross Match; ICT & DCT
Microbiology: MCS-urine, Swabs, ECS, HVS, Wound, Semen, SFA
Chemistry: Glucose, GTT, E/u/Cr, LFT, Lipid Profile, Uric acid, Urine chemistry, BHCG
ANC Screening: HBV/HCV, Syphilis, Hematocrate, A&O Grouping, Hb-Genotype
Paps Smear & Voluntary Blood Donation

Mr. C. Ezuka: HOD Laboratory Services – LIMH

The Laboratory Department on the ground floor is headed by an Assistant Director of Medical Laboratory Scientist.

1) Labour Ward: Created on the B wing of the 1st floor, and readily accessible to patients/and relatives. It has 1st stage, 2nd stage, Eclamptic Rooms, Nurses Rooms etc. It has 22 numbers of Beds.

2) Other wards: Are headed by Assistant Chief Matrons

3) Antenatal Wards (A1): 32 bedded located on the 1st floor

4) Postnatal Wards (A3): 32 bedded located on the 3rd floor

5) Immediate Post-Operative Wards (A2): 32 bedded located on the 2nd floor

6) Gynaecological Wards (A4): 32 bedded located on the 4th floor

We have 8 private Rooms accommodation.

Has 36 number of Cots has 15 numbers of Incubators and 5 numbers of photo-therapy machines located on the 3rd floor. The ward works in collaboration with Massey Street Children Hospital and coverage is done in rotation by Massey Street Children Hospital consultants in collaboration with our consultants at Lagos Island Maternity Hospital.

Lagos Island Maternity Hospital is a satellite Centre for School of Anaesthetic Studies Badagry. Two Consultants in the school Supervise Trainee Diplomat in Training and it is headed by The Director of Clinical Services and Training

The Library and resource Centre is located on the 4th floor. Current Journals, Text books are stocked for Residents and Medical Officers. Internet facilities are also available

Located on the 2nd floor.

Regular weekly Clinical meetings and CME is carried out in Rotation by Consultants in the Hospital at the Doctors’ Conference Room. It is Compulsory for Doctors, Nurses, Laboratory Scientist, Pharmacist to attend, and many times, Medical Officers/House officers present meet and discuss cases with consultants in attendance.

NUTRITION AND DIETETICS DEPARTMENT

The Nutrition and Dietetics department of Lagos Island Maternity Hospital was established to provide Medical nutrition therapy for prophylactic (prevention) and treatment of diet related disease conditions and symptoms in Obstetrics and Gynecological Cases; Maternal overweight/obesity, diabetes, hypertension, nutritional anemia, peptic ulcer, hyperemesis gravidarium, cardiovascular, kidney, liver diseases, etc. The department also aims to help our clients achieve and maintain optimum health at all age and stage of life (especially in pregnancy as it applies in this case).

All medical nutrition therapies adopted are Evidence-based with no side effects and are guaranteed to give optimum result if adhered to strictly.

It is our belief in the Nutrition and Dietetics department that nutrition indeed is the pathway to optimum state of health and we encourage all our clients to work together with us and make these desires and nutritional goals a reality.

OUR SERVICES

DEPARTMENTAL ACTIVITIES

Departmental activities are on Mondays to Fridays at 8:00am to 4:00pm with weekend duty coverage to ensure continuity of nutritional management especially for our in-patients. All patients (either in-patients or out-patients) are eligible for the services provided by the department. Listed below are the current activities of the department;

  • NUTRITION EDUCATION:
    Nutrition education/talks are given at Antenatal clinic, Postnatal/Family planning clinic and Child welfare and Immunization clinic from Mondays to Fridays between 9am-10am as a way of educating mothers in respect of the importance of nutrition at all age and stage of life.

  • DEPARTMENTAL WARD ROUNDS:
    The dietitians’ carryout daily ward round to:
    • Initiate medical nutrition therapy to patients on admission referred or identified as requiring the therapy.
    • Monitor and evaluate patients already on medical nutrition therapy.
  • DEPARTMENTAL CLINIC DAY: Clinic days are on Wednesdays, starting by 9am. The clinic day is for out-patients referred from other clinics in the hospital (Anc, Gynae or Child Welfare) and patients referred from other hospitals. The patients are nutritionally assessed, diagnosed and nutritional intervention initiated. Follow-up appointments are given for continuous monitoring and evaluations of the patient’s condition, patient’s compliance to the prescribed dietary regimen and the effectiveness of the prescribed regimen.
  • FOOD DEMONSTRATION CLASSES (FDCs): The importance of appropriate complementary feeding within 6-23 months of a child’s life is emphasized through our food demonstration classes held in the Department, Antenatal clinic and Child welfare and Immunization clinic. At the Child welfare clinic, mothers are taught by way of practical cooking sessions how to prepare affordable nutritious meals for their infants and toddlers in order to promote adequate growth and development. While the demonstration in the department takes care of referred or identified cases of infants with nutritional challenges. At the Antenatal clinic, expectant mothers are further enlightened about the ease of preparing nutritious meals and healthy snacks in order to nourish not just themselves but also the growing babies in their wombs.

Below is the schedule for the food demonstration classes:

  • Child welfare and Immunization clinic: – 2nd and 4th Wednesdays of the month by 9am
  • Dietetics department: – Thursdays by 11am
  • Antenatal clinic: – 3rd Wednesday of the month

 

We look forward to seeing you not just in the hospital but also at the Nutrition and Dietetics department.

Your nutrition, your health.

The catering department is responsible for the provision of good, nourished and balanced diet meals to patients, relatives, staff and Guest in a friendly & hygienic environment at moderate prices.

The catering department is comprises of two section

 

  1. The Main Kitchen
  2. The Canteen

The Main kitchen is the back bone of the department where varieties of meals is being prepared both for in-patients and staff on call duty. The kitchen is also saddle with other responsibility in relation to preparation of nourished meals to invitees/ visitors from state government.

The patients are provided with balanced diet meals in relation to their dietary requirement. The patients’ choice of meals is always put into consideration and these had really helped in quick recuperate from illness.

There are three cadres in hospital catering unit which includes the catering officers, Catering Assistants and Cooks. All are saddle with the responsibility of providing good meals.

The time scheduled for providing meals to the in-patients is as follows

  1. Breakfast 6am – 7am
  2. Lunch 1pm – 2pm
  3. Dinner 6pm – 7pm

The above service is applicable to both booked & un-booked patient in relation to the diet list & dietary requirement.

The canteen is also saddle with the responsibility of providing varieties of meals prepared with minimum loss of nutrients, presented in an appealing manner at moderate prices.  The canteen operates from 8am to 8pm with variety of delicious meals. (Weekend inclusive).  The staff of catering department are always friendly and ready to put in their best as our professional adage which says “SERVE TO PLEASE”. We ensure customer satisfaction and this has really being one of our aims and objectives in catering.

The Catering department is headed by a qualified & experienced CATERING OFFICER who studied Hotel & Catering Management or Hospitality Industry Management & assisted by an experienced Dietician, Caterers, Cooks & Kitchen Attendant to work as a team for effective health care delivery through the provision of healthy meals.

All activities, processes & the nature of how work should be done are always in line with Catering Department Operational Procedure (SOP)

     

Mr. A. T. GBADAMOSI
Chief Catering Officer