Newsletter

Issue No.12 April 2014

Opening of the New Emergency Centre at Karl Bremer Hospital

Months of building have rolled by, and the the building. A final snag now needs to be completed. finishing touches have been put on the new EC Thereafter walks through can be organised. Do you have a question regarding how things will work or what your building. Very soon we will commission this role will be? Please ask either Dr. Sue le Roux on ext 1907 state-of-the-art facility and we will expand or Sr. Ida Carolus on ext 1476. We would be happy to the service that we offer to our community. provide an answer. Not long now…. And the Karl Bremer Up to now, Karl Bremer Hospital has provided Emergency Center becomes a reality. Yet another reason, a medical emergency service but we expect for us to be proud of the service our hospital offers to the community. this to change with the addition of limited trauma cases.

What exactly does this mean for us? The direct referral system for serious trauma remains unchanged, although we will occasionally be required to stabilise a seriously injured patient prior to transfer on to Hospital. The vast majority of the trauma that will be treated at Karl Bremer will be problems such as broken limbs, sprains & strains, lacerations and minor head injuries. The management of trauma can be challenging at times because injuries are not always isolated and patients who sustain trauma, often have other underlying diseases. The management of trauma is very logical and the approach is systematic. With the right equipment in the room and the right staff in the EC, managing trauma does not have to be a terribly daunting task. As with most areas of medicine, the management of emergencies of any kind is best done when working as a team. One helps the other and we all bring our individual areas of expertise together for the benefit of the patient and for the growth of every team member. Already, one of the standout features of the staff in Medical Emergency is a vibrant team spirit! And so there is now great excitement building… All the doctors appointed to the EC have started work and they are busy learning the ropes down in MES. The EC doctors will each spend 2 weeks at District and Mitchell’s Plain District hospitals, to improve their trauma management skills. Sr. Carolus continues to introduce emergency medicine concepts to the MES, where up till now, no trauma has been accepted. The procurement department is going to great lengths to ensure the best equipment for the EC and the senior management team is maintaining oversight of the process. Practical completion of the building happened on 23 March 2014 with Karl Bremer Hospital accepting the keys to

By Dr Sue Le Roux

www.westerncape.gov.zaNewsletter April 2014 1 THE HOW’S AND WHY’S OF:

What If you have missed out on the on boarding opportunities with regards to this challenge, herewith (in a nutshell) what it is about:

C2AIR2 is the abbreviation for the Department of Health’s Core values, namely: C2 A I R2 Caring Competence Accountability Integrity Responsiveness Respect

We went through a process to select a club name and we are now proudly known as Club Bremer.

The ultimate goal, which we are striving towards by means of living these core values, consistently, on a daily basis, is to promote a positive patient experience at and through our facility. To promote the entrenchment of these core values into our daily way of doing things,it was decided to implement this in the form of an inter-facility yearlong challenge. We are competing against 6 other hospitals.

Refer to our progress thus far (in Figure 1)

There is a R60 000 cash prize up for grabs for the winning hospital. Karl Bremer (aka CLUB BREMER) therefore needs to keep the momentum we have gained thus far and focus on continual improvement. At the moment we are only 5 points behind Khayelitsha Hospital and we are ahead of the pack as far as Team spirit is concerned. It will take each and every one of you to maintain our position and to kick Khayelitsha off the leader board.

Over the next few months “ghost patients” will be moving about in our facility to see if what we have been reporting, is in fact occurring and maintained on a daily basis. So please be alert and ALWAYS on your best behaviour.

2 Newsletter April 2014 how You may ask how points are allocated. As you can see in Figure 1, there are 15 measurable metrics which management has to report to Head office on a monthly basis. There are points allocated according to certain criteria based on the metrics indicated.

How can YOU make a difference in the outcome of this challenge? Take responsibility for your actions, including limiting absenteeism Live the Core Values daily with a positive attitude (Manager visibility is encouraged and you could be awarded with a Golden C2AIR2 slip) Encourage patients to channel both Compliments and complaints Limit waiting times Accurate billing and coding Managers are encouraged to gage Team morale on a regular basis and encourage transparency and open communication

CLUB BREMER is OUR proud hospital team, capable of making a difference in the experience of why our patients in and through our facility. Let us use this challenge as an opportunity to even further strengthen and improve our systems to ultimately prove our worth by winning this challenge!

CLUB BREMER STAFF “MOOD BOARD” INVITATION

Please be invited to come and have a look at why the content of the Mood board at the Main entrance of KBH (updated regularly by the KBH C2AIR2 champs)

Monthly progress reports will also be displayed on this board, to keep all staff informed of Club Bremer’s progress.

Any staff member is welcome to send who departmental event photos (with the consent of their Managers) to [email protected] or [email protected].

We are looking for electronic photos what The Staff Mood board will be updated when of department specific events, staff on an on-going basis and we would farewells, kitchen teas, stork parties like to keep the board as interactive or anything newsworthy to display on as possible, so keep those photos coming! the CLUB BREMER Staff Mood board.

Newsletter April 2014 3 EDITORIAL NOTE By Sr C Pekeur

EDITOR`S NOTES Welcome to the first edition of the KBH TIMES FOR 2014, the year of the horse, for the Chinese, characterised by strengths such as warm- heartedness energy and brightness.Here at KBH it is however the year for new beginnings. An anonymous author once wrote that although no one can go back and make a brand new start, anyone can start from now and make a brand new end. With the construction and opening of the Trauma Centre and the C2AIR2 Challenge well on the way, add to that the nursing staff dressed in an all-white uniform ,who can ignore the involuntary feeling of excitement, pride and the hint of anticipation in the air? According to research, the early Christian church adopted the Roman symbolism of white as the colour of purity, sacrifice and virtue. White is also symbolic of healing, hope and new beginnings. The proposal of an all-white uniform for the nursing team provoked a lot of diverse comments, interest and views. Some feel it is impractical,while others say it displays a unified professional look. Amid all these mixed emotions and reactions, the nursing staff of KBH, proudly stepped out in style and shone bright in white.

HOW IS THAT FOR NEW BEGINNINGS?

what’s happening at KARL BREMER HOSPITAL

CT SCANNER AT KBH IS OPERATIONAL DRS are SLOWLY,GETTING USED TO THE INHOUSE FACILITY . DIGITAL IMAGING/ PACS WILL BE COMING SOON

VALENTINE’S DAY 2014 AT KARL BREMER HOSPITAL

4 Newsletter April 2014 Healthy Recipe RAAI WIE?

Greg’s GAZPACHO Soup Recipe Die dame in die vorige uitgawe is A fat free version of the classic recipe. If desired, Mev Rentia Van Heerden van Personeelkantoor. olive oil may be added. Makes 4 large servings at Nog net so sprankelend soos altyd. only 50 calories each

Ingredients

• 2 cups tomatoes, peeled, seeded chopped • 1 cup cucumber, peeled, seeded, chopped • 1 cup red peppers, seeded, chopped • 1/4 cup onion, red, chopped • 2 cloves garlic • 2 cups tomato juice • 1/4 cup vinegar, red wine • 1/4 cup fresh parsley • 1 peppers, jalapeno (optional)

Directions: place half the vegetables and all the garlic & parsley in a blender with the tomato juice & vineger & puree.

Add the rest of the chopped vegetables. If a thicker soup is desired, add some cubes of crusty bread before pureeing. Chill before serving

Nutrition Facts Serving Size 279.7g

Amount Per Serving Calories 50Calories from Fat 3 % Daily Value* Total Fat 0.3g (0%) Cholesterol 0mg (0%) Sodium 20mg (1%) Total Carbohydrates 11.4g (4%) Dietary Fiber 2.3g (9%) Sugars 7.7g Protein 2.2g

Vitamin A 32% • Vitamin C 98% Calcium 4% • Iron 6%

* Based on a 2000 calorie diet Kan julle raai wie

Good points die is? No saturated fat No cholesterol Low in sodium High in dietary fiber High in iron High in manganese High in magnesium High in niacin High in phosphorus Very high in potassium High in thiamin Very high in vitamin A Very high in vitamin B6 Very high in vitamin C

Newsletter April 2014 5 ETIQUETTE By Louisa du Toit

I was asked to present this skill to a few staff members here at KBH, after I attended this course in August 2013 at PTI. The feedback from the staff attending was overwhelming. Now, if your reaction was like mine: “Etiquette? In our modern day and age?” this article is for you.

Did you know that etiquette, as practised today, have a very deep and rich history and is of a background, which is embedded in almost all cultures and traditions in ? These traditions are used internationally and are obeyed and recognised by the present South African Administration.

So what is etiquette? Etiquette can be defined as “Rules governing socially acceptable behaviour” Rules for proper behaviour in the office, home, social events etc. and that is where etiquette is learned. Respect for others, that naturally flow from positive and thoughtful attitude will help you avoid conflict with colleagues and clients and enhance your reputation within the workplace.

Here are some examples of general good etiquette:

Greet properly: Good morning/ afternoon/good night Eye contact is the norm, not staring, after initial eye contact is established, intermittent contact is best. Always be polite, use “please” and “thank you” - treat everyone with respect from the senior to the cleaner. Few people can afford designer clothes. Taking care of oneself, is more important than wearing smart clothes. Dress appropriately for the office. Be clean, take care of personal hygiene. Keep conflicts as quiet as possible. A loud talker can cause frustration, talk quietly when on the phone. It is important to learn how to apologise. Respect differences and conduct communication accordingly. Try not to get caught up in office politics and gossip. Knock before you enter anyone’s workspace. Wait until you are invited to sit down before doing so. Respect others when they are busy – don’t barge in and start talking and make an appointment!!! (wherever possible) A tidy desk leads to increased organisation! Return borrowed items in a clean working condition for eg: a stapler – with staples in and do not abandon jammed equipment such as printers, copiers etc.

Etiquette is a very important aspect in the life of an employee. It shapes you into becoming a professional employee that others can look up to. It also assures that you are a person of integrity that others can respect and learn from. If you show respect for your co-workers, you would definitely be building relationships that are good for the overall wellness of the employees and employer. This would ultimately also contribute to overall effectiveness and productivity.

References: Department of Foreign Affairs: Diplomatic Academy: Facilitator’s Guide on Stats Protocol & Etiquette, Western Cape Provincial Administration Booklet: Basic Guidelines for Professional Conduct in the workplace & Google: http://www.salga.org.za/app/webroot/assets/files/MPAC/PROTOCOL%20TRAINING%20MANUAL.pdf And others

6 Newsletter April 2014 OCCUPATIONAL HEALTH NURSING By Sr T Mathias

“OCCUPATIONAL HEALTH NURSING IS POSSIBLY ONE OF THE EASIEST JOBS IN THE NURSING PROFESSION TO DO BADLY AND ONE OF THE HARDEST AND MOST SATISFYING TO DO WELL”-J.F Copplestone Almost any occupation can affect a person’s health; some occupations present more risks and hazards than others: Responsibilities of Occupational Health Nurse: Baseline Medical Assessments, Periodic Medical Assessments, First Aid Training, Sickness, Absence Monitoring, Post illness Rehabilitation, Employee Assistance Programme, Occupational Hygiene Surveys, Ergonomic Evaluations, Health Risk Assessments

We at Karl Bremer Hospital are proud to announce that our new Health and Safety Committee are already selected. They will be sent on training in due course. Together with management, the chairperson and vice chairperson feel optimistic that the team will take us safely through their reign of 2 years.

POSITIEWE ENERGIE IN 2B CHIRURGIE

Onder leiding van Sr Coetzee, Operasionele Bestuurder van 2B funksioneer `n gedugte span met een doel voor oë en dit is om uitstekende pasiëntsorg te lewer. `n Tipiese dag begin na oorgee rondte, om seweuur, wanneer die voorbereiding vir teater begin, want reeds om 07H30 word die eerste pasiënte gehaal vir die oggend lys.

Die roetine bestaan uit `n medikasie rondte, vol wasse en hulpwasse, wondsorg asook Dr’s rondtes, maar tussen al hierdie take deur word tyd ingeruim vir personeel aansporing en onwikkeling. Aan suksesse in 2B is daar weinig tekort. Me. Metabo het haar matriek suksesvol voltooi en sy was ook genomineer vir die KBH personeel uitmuntendheids teokenning. ENA E.Adams en Sr.M .v/d Linde was ook onder die genomineerde personeel. Srs. Williams en v/d Linde het die Werkswinkel bygewoon aangebied deur Mev. Baartman.

Op die 2 Mei 2013 is saal 5B geopen .Slegs 9 beddens was beskikbaar en dit was nog dieseselfde dag beset.Almal het die spreekwoordelike skouer aan die wiel gesit om die diens suksesvol te lewer.Goeie spanwerk was deurlopend te bespeur ten spyte van erge moeë voete. Almal was dit eens dat werksbevrediging ,goeie pasiëntverhoudings en uitstekende kommunikasie tussen Dokters en personeel bydraend was tot “a job well done” soos die Engelsman sou sê.

Ons kan met trots sê ons onderneem `n reis, dikwels met pasiënte die ene senuwees en vat hulle suksesvol deur Chirurgie.

Personeel van sale 2B en 5B saam met OB COETZEE F. in hul wit univorm.

Newsletter April 2014 7 OCCUPATIONAL THERAPY LAUNCHING OF THE WHITE By Rina Hartzenberg UNIFORMS

The role of the OT at Karl Bremer On the 7th February 2014 the nurses of Karl Bremer Hospital started wearing all white uniforms as per Before we can discuss the importance of OT in a Hospital, Internal Policy. The atmosphere in the hospital was let’s look at the definition of rehabilitation: jubilating and the sense of professionalism and belonging were present. A lot of positive feedback was received via “Rehabilitation is a process aimed at enabling a patient social network, as well as from the public. WELL DONE to reach and maintain their optimal physical, sensory, NURSES!! intellectual, psychological and social functional levels. Rehabilitation provides people with the tools they need to attain independence and self-determination.”

The above mentioned definition is the main goal of theO T Department, with all in- patient and out-patient referrals.

It is also important to note that the OT plays a huge role as a team member and to set goals with the rest of the team for the patient, in term of levels of functioning and possible further rehabilitation at other institutions or centres.

8 Newsletter April 2014 KBH is die Skoonste!!! housekeeping YEAR END

In die Rapport van 2 Februarie 2014 is KBH aangewys as FUNCTION 2013 die skoonste hospitaal in die Wes-Kaap! Sien uitknipsel hierlangs Baie dankie aan die Huishoudings personeel! Ons Housekeeping staff of Karl Bremer Hospital had a year end is baie trots op julle!! Baie dankie aan die Huishoudings function with an African theme. personeel! Ons is trots op julle!!

AFSKEID van ANNA THEBEN

Anna Theben was vir 29 jaar werksaam by KBH. Ons wens haar alle voorspoed vir die toekoms.

Newsletter April 2014 9 Classifieds / Geklassifiseerd Appointments & Resignations

November 2013 Appointments Resignations

Department/Ward Rank Name & Surname Department/Ward Rank Name & Surname

Ward 3A SN PE Moloi Ward 3C SN ME Roman Ward 4A ENA N Mlanjeni Radiology Radiographer S Syster Ward 4A ENA NM Mgushelo Ward 3C ENA NV Manci Theater 2C ENA J v/d Heever Ward 4C PN HR Adams Radiology Radiographer SL Rossouw Ward 1D PN IEA Joubert Infection Control PN N Bizo Ward 3C PN M Adams Ward 4C PN GC Claasen Radiology Radiologist Dr. S Fayker Ward 3C ENA P Nkatsha December 2013 Stores AK MJ Bruiners Ward 2B ENA SFS Basson Finance AK NB Gona Radiology Chief Radio Y Rajendra Ward 2B ENA B Mbali Ward 1B/D MO Dr JK Pingo Ward 1A/1B PN MI Dayse January 2014 1A/1B PN LE Snyman 3E PN LI Visagie Anaesthetics Intern CY Chu 3B SN PE van Wyk Int. Medicine Intern R Gerber HR AC JR Polansky Int. Medicine Intern L Molala 6A ENA A Nqwili Paediatrics Intern SR Hendricks 3C PN N Mzanywa M Claas- Int. Medicine Intern MC Lucas 2C ENA sen(oorlede) Surgical Intern Mugjenka Ward 5A MO MR Mkhwanazi Int. Medicine COSMO PB Kotze MES HH J Peppin Obs & Gynae COSMO NS Muruvan OPD MO Y Barnard EC/Maternity COSMO F Mohammed POW PN R Bailey Physio Therapy COSMO E Gilliomee Paediatrics Intern AJ Payne Radiology Comm Radio N Gwanya Obs & Gynae Intern ML Botha Comm Sonog- Radiology A Ackerman Family Medicine Intern MT Groenewald rapher Radiology Sonographer LR Du Toit Family Medicine Intern LK Venter Pharmacy Int Pharmacy JM Charles Obs & Gynae Intern NS Muruvan EC MO R Naidoo Surgical Intern KL Comins

KBH Times Editorial Team KBH Contact Details

Louisa du Toit ext 1251 (Tel) 021 918 1911 | (Fax) 021 949 0296 Sr Chrystal Pekeur ext 1451 E-mail: [email protected] Jacqueline Diedericks Ext 1685 Private Bag XX1, Bellville, 7535 Ella Vermeulen Ext 1903 Olivia Collins Ext 1337 Daniel v.d. Ventel Ext 1423

10 Newsletter April 2014