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Third week in Papua New Guinea

Third week in Papua New Guinea

Michał Tracz gives a coverage of another week of his work and Paweł Pudełko’ work:

‘It was a busy week and we managed to do a lot.

Summary of Paweł’s work:
- he provided 20 typically urological consultations during his work at the outpatient clinic and during ward rounds at Dr Jaworski’s wards;
- he performed procedures of: hypospadias in a 6-year-old boy, urethrectomy in a patient with urethral stenosis, cystoscopy (as a training);
- he started a bipolar electro-resectoscope; 
- every day he takes part in ward rounds at at Dr Jaworski’s two wards and at the special ward for treating tuberculosis. 

For me, this week meant collecting information and auditing the individual organisational units, i.e. the medical statistics, the hospital pharmacy, the surgery wards 1 and 2, the gynaecological and obstetrics ward, the delivery room, the central sterilisation unit, the operating theatre, the medical waste incinerator, the storeroom where medicines are stored, expired drugs, the special purpose food, the broken medical equipment and many other things. During the rounds I paid attention to the existing or rather non-existent procedures, the epidemiological safety, movement of patients, frequency, work organisation, assigned duties and responsibility. I met up with the Director of Nursing Services, Director of Facility Services and the Infection Safety Officer, together with whom I checked cleanness in the hospital, the operating theatre, wards, toiles, storm drains and the medical waste incinerator.

Unfortunately, the conclusions for the time being are appalling: lack of control tools, lack of work organisation that would ensure and epidemiological and medical safety of patients. 

Water at the hospital is only available twice a day; therefore, the view of the toilets got imprinted on my memory and will remain there as a horrible memory.

During the day electricity is cut off about 10 times, aggregates start producing electricity after 2 minutes – there is no battery system so everything stops and starts working after 3 minutes (e.g. the operating theatre equipment, diagnostic devices).

In the corridor there is a damaged X ray arm, even digital X ray! The cables have been eaten by rats.

Waste from the cesspool is pumped to the storm drains, which are uncovered in the hospital. Waste is not segregated into medical and ordinary, everything is burnt in one inefficient furnace. Expired drugs are burnt on a meadow or dissolved in water and poured out.

As can be seen, there are lots of things to fix – I am going to present my audit results at a meeting of the directors.’