Vision and Mission

Adult Inpatient and Diagnostic (AIP)

Goal:

Provide excellent, efficient healthcare to treat disease and promote preventive health practices using evidence based medicine.

Introduction:

This department, which has the principal admission ward for all adults (save for obstetrics and gynecology cases) , has continued to provide intensive medical management of patient conditions as well as patient education. We aim at provision of the highest quality of services to the patients. The team in this department is led by Dr. Daniel Ranga, with support from a volunteer doctor; Dr. Ritah Sandhu who is from the UK and has greatly strengthened the team.


The adult inpatient ward has 22 beds, 11 female and 11 male, including 2 high dependency beds and we admit on average 100 patients each month aged 15 and above. We provide a 24 hour service with a team of six nurses/nursing assistants, two medical officers and volunteer doctors, and as a team we aspire to provide a high quality service for all our patients. There is comprehensive coverage of disciplines from trauma & orthopaedics, internal medicine, general surgery, psychiatry and more.
The common conditions seen include trauma, respiratory tract infections, gastrointestinal conditions, sepsis, malaria, mental health problems, diabetes, hypertension and HIV related complications.


The ward hosts and trains nursing students from Bwindi nursing school, other nursing schools in the region, and also medical students from Uganda and all over the world, who learn and experience tropical medicine and the management of disease in a low resource setting. All staff are involved in regular teaching sessions, audits and patient education sessions, and we screen and educate all patients admitted for HIV status, alcohol use and family planning needs.


There are many challenges in maintaining a good service for our patients, we ideally would like increased funding to improve staffing levels so that there are two nurses/nursing assistants per shift, improved equipment including oxygen concentrator, blood pressure monitors and suction machines, and more modern hospital beds.


Achievements;

  • Maintained regular audits of patient deaths + case discussions of seriously ill patients.
  • Ensured Ward audits: Family Planning, VCT and Alcohol habits.
  • Acquired a new oxygen concentrator.
  • Daily ward rounds: every patient is reviewed by an MO at least once a day.
  • Continuously hosted volunteer doctors- improve staffing as well as knowledge sharing.
  • Provided effective nursing care to all patients.
  • Ensured timely and proper referral system.

Challenges;

  • Limited space on the ward.
  • Lack of modern hospital beds.
  • Limited human resources.

Aspirations;

  • Acquire modern Hospital Beds- Replacement of the 13 wooden beds + fittings for the new ward under construction.
  • Get a new O2 Concentrator and a Suction Machine.
  • Ensure complex emergency management Protocol.
  • Involve nursing students in ward audits, death audits as well critical patient case discussions.