Saturday, January 12, five Mercy staff attended the "Helping Babies Breathe" training held in the Great Hall at the CRC. The training, arranged by Carol Nelson of Rural Health Initiative was led by neonatologist Dr. Sulaiman Sannoh. Dr. Sannoh, a native of Bo, is currently working in New Jersey. Helping Babies Breathe teaches the initial steps of neonatal resuscitation to be accomplished within the first few moments after birth. The practice saves lives and gives a much better start to many babies who struggle to breathe at birth. The HBB curriculum was designed to specifically meet the needs of resource limited environments. HBB neonatal resuscitation techniques that have been shown to reduce neonatal mortality by up to 47% and fresh stillbirths by 24%. Mercy's lead midwife, Hawa Koroma, found the training highly effective. "We were taught how to help babies breathe in case you deliver a baby that has a heartbeat, but is not breathing. We were able to practice using a NeoNatalie newborn simulator, which was very much like a real newborn. Mercy was able to keep three of these simulators as well as a wide variety of face masks and supplies we did not have in the maternity unit. Most of us had learned these techniques, but this was good practice, and we love having the new equipment."
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The CRC welcomed all of the children in its program to their annual Sponsor-A-Child Christmas parties on December 20 and 21st. This included the 20 children from Fengehun Village. CRC case managers also visited Pujehun village to bring gifts and a small celebration to the CRC students there. Each student was presented with an inflatable solar light, a wristband and some toiletries. Students also enjoyed food and drinks, and a nativity play performed by students in the CRC program. HCW Missioner, Chris Davis was able to attend one of these parties and offer his services in assisting with the party. For the first time, parents were encouraged to attend and assist with serving food and drink. The staff entertained parents and their CRC students with a skit designed to teach them how to form stronger attachments with each other. On Friday, January 18, Mercy Hospital officially launched its Electronic Medical Information System (EMIS) - a database which will enable the hospital to use electronic medical records to track patient data. The first electronic records management system in the country, the database will have a positive impact on patient care as it will be much easier to access a patient's history and chart. Hospital Administrator, Jinnah Lahai, is thrilled about this new addition to Mercy. “It has added more value to Mercy in comparison to other facilities. It will lead to greater transparency and data security." Joseph Lamin and the Mercy Laboratory team, has led the effort in creating the software that will be used. District Medical Officer, Dr. Roland Carshon-Marsh, is working closely with Mercy to supervise compliance with standards for medical records management and confidentiality. While paper will no longer be used for data entry, communication, or analysis, every electronic medical records system maintains redundant electronic and paper record back up copies - and Mercy's EMIS is no exception. Once the electronic information system is fully operational, all units of the hospital will contribute to it, enabling all patient information to be stored electronically. The EMIS also tracks drug and supply inventory and staff shift time logs. EMIS produces valid research data on diagnosis as well as effective interventions and treatments. Under the current system, patients are tracked by a patient number, but if they forget or lose that number, the staff is forced to either sort through thousands of patient cards or start a new chart. Starting a new chart is easier, but it means the loss of all patient history that preceded it. The new system will make communication between units instantaneous which will mean that patients are able to receive input on their care from a variety of Mercy staff in real time. Registration of patients will include fingerprint identification as an element to permit accurately matching patient charts with medical histories. Sierra Leone has a high rate of illiteracy and poor records in villages. Patients often do not know how to spell their names or have current address information or know their date of birth. Paper records often become damaged and unreadable or lost. Fingerprint identification mitigates against all of these challenges. Creating reports based on the data will be much easier and more accurate. The database will greatly reduce the chances of error and leave more time for analyzing data and refining programs instead of painstakingly gathering numbers. Data will also be collected from the outreach programs, which will help Mercy identify trends in who is seeking care at Mercy or its outreach, what are the most concerning diseases, and how programs can be altered to best suit the needs of the community. Lamin projects that the Mercy staff will be comfortable using the system within two weeks of its mid-January launch, and adept by week six. Mercy Dr. Sao Amara, is looking forward to the system becoming fully operational, “it will help with tracking patients, increase financial accountability, reduce patient wait times, assure patient confidentiality and and allow staff to be informed about patient status quickly.” |
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