Onder Ons December 2008

• ACADEMIC HOSPITAL NEWSLETTER • NUUSBRIEF VAN TYGERBERG AKADEMIESE HOSPITAAL

WELL WISHES FROM DR CARTER CEO BALL - TBH’S SOCIAL HIGHLIGHT OF THE YEAR!

Below from left to right: 2008 on balance has been a fairly Mr & Mrs B Kriger (MS Paarl Hospital; good year. Dr T Carter& Mrs Carter (CEO TBH) , Dr J Cupido & Mrs Cupido We have a lot to be thankful (DDG:DHS & Programmes.) for. Our patients have expressed thanks and appreciation for good services rendered. We have been able to expand services through the implementation of policy options such as additional beds in Neonatology, Obsterics, High Care and access to emergency theatre services. We have also improved our working environment through infrastructure upgrades in many areas. Below: Dr S Kariem & Mrs Kariem We firmly believe that these gains will be consolidated in 2009. I (CEO: GSH) want to thank all of our staff for contributing to making 2008 a succesful year often under very difficult circumstances.

Your commitment and dedication is appreciated. I want to wish you all a Merry Christmas and Season Greetings. I also wish you and your families a prosperous new year .

Below: CEO Ball Committee Members EMIRITUS ARCHBISHOP DESMOND TUTU WITH LOCAL COMMUNITY MEMBERS AT THE ANNUAL INTERFAITH SERVICE ON 6 NOVEMBER 2008

Onder Ons 1 A MESSAGE FROM PASTORAL CARE

We have reason to be thankful. So, on work behind the scenes. Most of the time Wednesday the 3rd and Thursday, the th4 we never see them. They are the ones who we had a very impressive time when we keep the administrative machinery afloat joined together to sing joyfully Christmas and well oiled and working smoothly to Carols, hear some very moving words read keep us afloat as well. and preached. These wonderful teams work side by side We were reminded of the birth of Jesus with the professionals; the doctors; nurses; Christ and what this time of the year the therapists; the kitchen staff; the clean- means to us. We had time to thank the ers; the voluntary workers; the radio room various communities who worked so hard staf;, the security officials, the gardeners; to help our Hospital. the electricians; plumbers and a whole host

Reverend September at the Thanksgiving Service of people diligently slaving away, day by There are so many persons working day to provide a friendly atmosphere for passionately to provide the wonderful our patients - day in and day out. atmosphere we enjoy daily. There is Dr NOTHER year has come T Carter a man of great love and com- We at Pastoral Care are so fortunate to daily and gone… 2008 has been passion, our CEO, working tirelessly to see the wonderfully work being done at Ty- provide leadership in administering the gerberg Hospital. We are thankful that the A a wonderful year. We had hospital. Around him we have a wonder- Pastoral Carers can daily be part of a won- many challenges and many joyful ful and highly skilled and specialised team derful place of healing for so many. We serve pleasing and happy times. A year of Clinical Executives, Directors, Deputy with you and we are privileged to be here of great achievements and a year Directors, Managers and Administrators with you. We wish you and yours a Blessed of many miracles in the wards. ensuring that this hospital is well managed Christmas and a Prosperous New Year. and maintained. Peace , Joy and Love. We are thankful to God our Creator for In support of this team we have a skill- blessing us at TBH so immensely. We have ful team of Administrative professionals Arthur D September so many very skillful people that work on a diligently doing clerical work. They are daily basis at our Hospital. the nerve centre of this Hospital. They

These professional nurses made a tremen- applaud your music. We wish you well. OUR “FIRST BORNS” dous difference in the nursing care given H. W. Loubser The year 2008 kicked off with 27 “new at during 2008. borns” reporting to the nursing family of They came quietly and they touched the Tygerberg Academic hospital. lives of hundrends of patients knowing that This was the first year for the implemen- this is a compulsory year of public commu- tation of Article 40 of the Nursing Act, nity service. For some, Tygerberg hospital Act no33 of 2005. Everything about our was a place of hardship because of their first borns was new. They arrived here student years; for others a Google search without us knowing their needs, wishes was needed to introduce them to Tygerberg and most of all their fears. hospital.

Twelve months later our newborns are We saw these professionals implementing running on their own steady legs, they their skills, advancing their own abilities talk the professional talk and they walk and most of all; they served their passion for with the stride of a focused leader. Many nursing with commitment and enthusiasm. The nursing “newborns” : Dorothy Meyer, Abigail a day this was a Kilimanjaro, but they No one however, leaves this hospital un- conquered Mount Kilimanjaro and there Smith, Henrietta Messiah, Audrey Sauls, Feucia touched. Their lives were shaped and directed Small, Leticia Radloff , Sandra Kitshoff, Carine Kit- is no fear for what might be, because by the people and circumstances they were shoff, Marli Lombard, Adel Goosen, Patel Saulegga, they know what is. The community exposed to. For some it was very painful for Reginald Abrahams , Magrieta Adams, Vincent Mavva, Sherion Davis, Anne-mi Ebersohn, Rileen service year is done. This historical year is others it was a year of goodwill. We are proud embedded in the scrapbook of each one’s Jordaan, Olga Thaunissen, Leonie le Roux, Elanie of our first borns – they have set the tune!!! Wagner and Audrey Sauls memories. We thank you for the song you sung. We

2 Onder Ons WORLD AIDS DAY n Monday the 1st of December an aware- ness workshop was held by the Infectious ODiseases clinic staff in collaboration with the PEPFAR project. Teenagers from grades 9 to 11 were invited from schools in the TBH drainage areas.

Adolescence is a time of enormous emotional, intellectual and physical change. These changes have an impact on their values, sexual behaviour and disregard for parental authority. This group is also at risk for pregnancy, HIV/Aids and drug abuse. The aim of the workshop was to provide information regarding values, HIV/Aids, as well as drug abuse. Schools who attended At the workshop from left: Mrs Sonja Aberbolge and Mrs Yvonne Gezongo with the were High; Ravensmead High; Elsies High; St Andrews children doing a presentation to the rest of the group. - Elsies Rivier; Khayamnandi High; Manzomthombo High - ; Malibu High - Eersterivier; Scottsdene; Scottsville; Eben Donges and Watsonia in . This workshop will be extended in 2009, whereby staff will support these children at there schools if they need guidance during HIV/Aids workshops in their communities.

From left: Severe Lewendal, Helen Petersen, Joseph Barnard, Diane Fortuin, Gloria Mhlola, In front from left: Clare Edson, Elizabeth Gooste, Morlene Jooste, Beauty Swartbooi, Ann Ferreira, Sonja Aberbolge, Yvonne Gozongo. Mrs Momay and Mrs Mary Mojoboyi In front: Nolitha Sheleni and Sister Vivienne O’Brien.

A workshop and Christmas lunch was held on World Aids Day for the parents and carers of HIV infected children who attend the clinic. The focus of the workshop was bereavement and deal- ing with loss. The aim was to emotionally empower these cares in order for them to support and effectively cope with their children.

From left: Mrs Julius Pauline Juliu, Mrs April, Mary Oosthuizen, Vivian Masiza, Mrs Fickster, Julia Sihle, Margeret J, Mrs Momay. Kneeling: Beauty Swartbooi

Onder Ons 3 AWARDS CECILIA MAKIWANE AWARDS (NOMINEES) THE HARTMAN LECTURE AWARDS

From left to right: Dr T Carter (TBH CEO); Mrs J Sapto;Mr A Alexander; Mrs L Wynand; Mr T Mabuda (Director of Nursing); Mrs D Irreira Above: Mr S. Raubenheimer and Emergency Services Team.

NURSING PLEDGE CEREMONY

Above: Ms S. Henry and Internal Medicine Team.

ELSA REINER AWARD RECIPIENT

Above: From left back row: Sister Sophia Kleinsmith with the Special Award winners: Alice Abrahams, Geralinde, from the nursing school Felicia Smith, Mrs Elizabeth Barnard, Senovia Windwaai, Heinrich Paulsen, Alice Sauls, Bridgete Loubscher and Bula. Seated: Dr Revere Thomson - Senior Clinical Executive, Mr Mabuda - Director of Nursing Services Western Cape and Rachel Basson - Deputy Director: Nursing Services

NASIONALE BANDANA DAG BY STRALINGSONKOLOGIE

Mrs Shireen Bredekamp (Operational Manager: Paediatrics)

4 Onder Ons Will the PACS / RIS solution go down? PACS / RIS at Tygerberg Hospital example, it is more important that the Archive: There will be quadruple redun- server is functioning correctly (as it will dancy in the archive. This means there Project Feedback affect a large number of users) compared will be two physically separate archives • Philip Healthcare has been awarded to a single workstation (which will only (located in different floors within TBH) the PACS / RIS tender for Tygerberg affect one user). Thus, certain components that will each contain a hot spare. Hospital. will have a single point of failure (e.g. the workstation) while other components will Workstations: There will be no redun- • Within the next few days / weeks you have double redundancy (e.g. the network- dancy within the workstation, but there will see a large amount of information, ing switches) and other components will will be more than one workstation per informational sessions and demonstra- have triple or more redundancy (e.g. the area. Most workstations will be connected tions sessions becoming available to you. servers) to emergency power.

• The additional computers and net work Different elements of redundancy Printing: Within the solution there will points are in the process of being in- Redundancy refers not only to the com- always be the ability to print. puter that must remain working; it also stalled throughout Tygerberg Hospital Upgrades: Upgrades to the solution will refers to the networking connecting the first be done on a test server to ensure that • A large amount of work is also being computers, the air conditioning cooling there are no conflicts, before it is installed done to upgrade the existing networking the servers and the power supply to all the on the solution. and to address all the problems currently components. being experienced. Power: The solution will be connected to Acceptable risk Eskom power. If Eskom power fails it will Redundancy Similar to home security you can add more be connected to two generators (thus if and more measures to improve the redun- Introduction the one generator fails the other will kick dancy but each measure added comes at an The short and uncomfortable answer to in). It will also be connected to a UPS additional cost. Similar to home security the question above is, YES. It would be (Uninterruptible Power Supply) Farm, this there is no way to guarantee that the illogical to say that the solution will never means multiple UPS’s connected to each system will NEVER be down, but you can be down; there is always something that other. The UPS Farm will eliminate power reduce the risk of it happening. can go wrong – our dear friend, Murphy. fluctuations and will keep the entire system Redundancy is the ability to maintain In view of all the aspects described above, up and running for 30 minutes after functionality despite a fault in one or it is clear that Tygerberg Hospital must Eskom and both generators have failed. more of components of the solution. This apply redundancy measures. Differ- Performance level agreement: The means that despite things going wrong the ent levels of redundancy to different solution is subject to a performance level solution will still work. components, but even within a world of agreement between the DoH and Philips. unlimited resources there will always be This article aims to explain to the reader This means that if all users access the a risk. Thus, Tygerberg Hospital must the different principles involved, and the system simultaneously imaging should be establish a level of acceptable risk, based implementation of these principles in available in less than 3 seconds. If this is upon international standards, availability Tygerberg Hospital solution. not the case, then the system is regarded of resources and business requirement. It as “down” – even if it is only slow. The Single point of failure is important to remember that the amount solution has to meet this criterion 99.9% The solution must prevent single points of redundancy is not fixed and that when of the time (24 hours, 7 days a week); this of failure. A single point of failure the system is up and running and the comes to 44 minutes per month. If the implies that if one thing fails then the amount of downtime exceeds the business solution exceeds the 44 minutes threshold entire system will be down. You can add expectations, Tygerberg Hospital will be Philips will receive a deduction from their a second and if the first fails the second able to increase the redundancy to reach an monthly payment. The onus is on them to automatically takes over the job. This is acceptable risk. ensure that there is no downtime. referred to in the IT environment as a “hot spare”. Obviously, two things can break The Tygerberg Solution Dr Otto Schultz at the same time; one could add a third Network: There will be double redundan- “hot spare” but then three things can break cy in all of the networks utilized. at the same time; one could add a fourth Servers “hot spare” but even four things can break : There will be quadruple redun- at the same time, etc. dancy in the servers. This means there will be two physically separate servers (located Different levels of redundancy in differe nt floors within TBH) that will Certain components of the solution are each contain a hot spare. more crucial than other components. For

Onder Ons 5 EVENTS

OPENING OF CHILL ROOM OPENING OF G10 PLAYROOM

Mrs Shiobhan Wedgwood (Sponsor) talking to the HIV / AIDS adolescents at the opening. Mrs Shiobhan Wedgwood (Sponsor) talking to the HIV / AIDS adolescents at the opening.

Back: Mrs S Wedgwood, Mrs C Riley (Sponsors) Front: Mrs A Jacobs (Assistant Dir. Nursing), Mrs LC Pienaar (Principle Communicatons Officer), Mrs Shumani (CPN)

From left to right: Dr M Mkosi, Dr T Carter (cutting the cake) Mrs S Wedgwood, Mrs M Majiedt and Mrs R Basson IPC DAY NASIONALE BOOM PLANTINGS DAG

TBH Senior Management with Dr Beth Engelbrecht and IPC Department

‘n Trichelia Emetica boom was geplant op Oktober as ‘n spanbou poging van die Verlosku-de en Ginekologoe Departemet. Groen en wit balonne was ook vrygelaat met die personnel se mense wat hulle vir die module het (simbolies)

OUR NAMIBIAN VISITORS- 8 OCTOBER 2008

Also attending the IPC Day Above: Mrs E Alexander (Magnolia Ward - Lentegeur) and Ms E Moses (GF Jooste Hospital)

6 Onder Ons DIABETIESE DAG

November maand is Diabetiese was 5 mense se bloedsuiker of te bewusmakings maand wat jaarliks hoog of te laag en het ons hulle na geskied waar mense landwyd kan die verskillende instansies verwys vasstel deur n eenvoudige glukose- en of daghospitaal of na privaat toets (vingerprik) of hulle diabete geneesheer. Volgende jaar beoog ons is of nie. Dit is ook om pasiente om ons Diabetiese dag meer inter- wat wel diabete is bewus te maak essanter te maak deur n spesiifieke en te herinner dat hulle moet hou teiken groep te betrek. by gesonde eetgewoontes, gereelde Sr. Z. Norman. oefeninge, sowel as daaglikse neem Suster Zelda Norman met Dr Almarie de Kock van medikasie en of insulien en om komplikasies en gevare van diabetes te verminder en of te voorkom. Hi- erdie jaar was ons as Endokrien Ee- nheid [Saal A10 Wes] in samewerk- ing met Mej. Henry se eerste poging om ‘n diabetiese Opedag te hou. Ons het die publiek van ‘n gratis vingerprik voorsien asook advies Van links: Staf verpleegsters Marjiry Damons, Angel- oor gesonde eetgewoontes. Uit die ique Daars, Mev Rachel Basson, Suster Zelda Norman en meer as 200 mense wie gekom het, Mej Sylvia Henry OPENING OF WARD G8

On Wednesday, 22nd October 2008, Basson for being a CEO with a dif- was the official opening of the ference. newly renovated G8. Present at the opening were Professor Househam Professor Kirsten expressed grati- - Head of Health; Tygerberg’s CEO tude for the 30 new beds which - Dr Carter; Head of Neonatology were added to his department. He - Professor Kirsten; Dr Engelbrecht - thanked the nurses and the ap- Deputy Director General proachable doctors who worked in (Tertiary Hospitals and EMS); Mrs his ward. Head of Health, Professor Basson - Head of Nursing; Mrs An- Househam, said he believes com- drea Jacobs - Matron of Paediatrics; munity ownership of public health From left: Professor Kirsten - Head of Neonatology, Tyger- Father September; Dr Andre Muller; facilities should be encouraged and berg Hospital, CEO - Dr Terence Carter, Mr Hein Els from Mr Hein Els - it is for this reason that he thanked Fuchs Foundation, Ms Alistene October - Die Burger Journal- ist and Dr Beth Engelbrecht - DDG representative of the the Fuchs the Fuchs Foundation for their Foundation. generous donation of R1 million for renovation of G8. Father September opened the af- ternoon’s proceedings with a prayer Mr H Els, Fuchs Representative and Dr Muller was the Master of said that he was proud to be as- Ceremonies. Dr Carter welcomed sociated with Tygerberg Hospital. all the VIP guests, he said “even He commended the nursing staff for though we have acquired a lot so their hard work and said “we can

far, we still have along way to go”. never count on our success without Vanessa Williams and baby Aneesha Dr Carter was commended by Mrs the nursing staff”.

Onder Ons 7 OPENING OF TYGERBEAR CARE CENTRE

On Saturday 06 December special, safe and cared for. wishes our children well and 2008 the TygerBear Unit cel- re-affirmed how special they ebrated in style!! During the past 10 years, the are. The activities included the TygerBear Unit has proven to Elizabeth Arden Toddler’s Park be a Sanctuary for many bro- with a Barney Ball Pond and ken children, who with loving Jumping Castle, the Nedbank care, therapy and support were Kids Park with Spiderman and enabled to return to the in- Princess Castles, and a ride on nocence of Childhood, and in the TygerBear Express. They doing so we have attempted.... were treated to cupcakes and to give back the magic. pizza’s and each received a Our theme this year focussed The reason for this celebra- lunch box filled with goodies on “I am your child”, reinforc- tion was clear to each of our Premier Lynne Brown offici- ing the message of our Pink supporters, contributors and ated the ceremony with the and Blue Child Awareness TygerBear Family members cutting of the ribbon and we Campaign which was launched who had been part of the long were privilege with her partici- at Ratanga Junction on the and arduous journey to make pation in the opening of the 12th of August, that we as a the dream of the TygerBear Tyger Bear Care. community and nation need to Care Centre come true. take responsibility for each of Survivors can usually be stabilized medically within a short period of time and are then ready for discharge from to take home. the hospital. However, due to For the children the highlight the complexity of this trauma of the day was the arrival of the the psychosocial circumstances, 2 ambulances, light flashes and with the accent on safety and sirens ringing, to announce therapy, needs more time and their very special guests, attention. The impact of such Our VIP Guests, celebrities TygerBear and Santa Clause. our children, be aware of them trauma may need more inten- and sponsors were entertained The children watched in awe as and care for them as though sive therapy than just trauma in the Disa Hall by the South Santa and TygerBear jumped they were our own. counselling, for example, play African Pavarotti, Mr Kevin off and continued to hand out The celebration included an therapy for children, family Leo, visual presentations of the a gift to each of the little ones. entertainment programme by therapy and parental guidance TygerBear Foundation and the Even some of the grown ups LeLue, winner of the Burger etc. Besides therapy the survi- Sponsors who made it possible amongst us restored their faith Plusster competition and well vors will also be cared for in a and a heartfelt address by the in the magic of Santa and the known singer, now turned safe and homely atmosphere. Premier of the Western Cape. wonder of childhood. actor, Antonie Bougas. Our During the past 10 years, the master of Ceremonies Mr TygerBear aims to put a human Our goal with this celebration TygerBear Unit has proven Pedro Camara, better known face to the horrific trauma is to give those challenged by to be a Sanctuary for many as Carlos from 7de Laan, that our vulnerable children trauma an opportunity to cel- broken children, who with lov- entertained the children in suffer by offering wide-ranging ebrate their courage. We want ing care, therapy and support his own unique manner and therapy in an appropriately to return the magic of child- were enabled to return to the finally Premier Lynne brown equipped and child friendly hood to them, for after all, a innocence of Childhood, and environment where they feel child only wants to be a child. in doing so we have succeeded ..... in giving back the magic.

8 Please feel free to forward your comments to theOnder editor, Ons Laticia Pienaar, at [email protected] or contact the Communications/PR Office at 021 938 5454 / 5608.