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Read on to find what is happening at Vaatsalya!
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ANOMALYA deviation from common rule, type or form.
Eg: The genetic anomaly caused the mouse to have three legs instead of four.
Learn an English WordNutritional Facts� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �� � � � � � � � � � � � � � � � �� � ! " ! # $ �VAATSALYA TIMES JULY - AUGUST 2013% ! & &' & ( ) $ ! � * ! +, - & . / 0 1 )" * ! � & 2 $ * !, $ � $ 3 & 2 (4 5 & 6 4 5 & 7 4 5 & 8 4 5 & 8 4 5 & 8
It is a great privilege
for me to share with
all of you the critical
contribution of
nurses at Vaatsalya
hospitals, on the
belated occasion
are the key to achievement of
Millennium Development Goals.
Nurses are often the only health
professionals accessible to
many people in their lifetime.
They are particularly well placed
and often the most innovative
in reaching underserved and
disadvantaged populations of society.
They are educated to understand
the complex nature of maintaining
health and wellness, and the
impact of psychosocial and
socio-economic factors such as
poverty, and unemployment.
They see the context for wellbeing
and accordingly act to reach beyond
the immediate presenting problems.
9 : 9; < = < > ? @ > A B A = C @ < > B @ C @ D E E E F B G G D C G ? H G F I < J
K L M L N O M P Q � 1 R S T 1Vaatsalya and Nova Shake Our Nurses: Backbone of Vaatsalya
U R + $ 2 � - &V $ " & * " W # ! ( & X � ( Y + Z V & [ $ 2 5\ 2 2 * ] � $ * 2 X * $ . & * "W # ! ( & ( �X � ( Y +
We Dare to Care and Cure
Mrs. Pasivaralaxmi, wife of P.
Suribabu gave birth to a baby boy with
exomphalos (congenital anomalies).
The family was in deep shock and
despair at the condition of the first
child born in the family. Coming
from a modest background, the
family lost hope of getting the baby
treated at a multi-speciality hospital
until one of the villagers suggested
rarity of the anomaly, especially in
a new-born. However, Dr.Golivi
Mohan and his team took the case
as a challenge and performed high
risk surgery for the one-hour old
baby. This was the first of its kind
occurrence in Narasannapeta area.
The baby is now recovering very well.
The patient attenders and villagers
appreciated Vaatsalya services. The
incident was covered widely in the
local newspapers.
^ _ ` _ a b c Q d L _ e _ f f cg h i < = = A C j < > k A > D l m G = G C G > > G j A D GVaatsalya Hospital. The hospital
casualty team received the patient
with fear and doubt, considering the
Hands to Lead Medical
In a bid to further its mission of
taking expert medical service to
small towns, Vaatsalya Hospital,
Hubli tied hands with Nova
Specialty, Bangalore at Vaatsalya
Hubli hospital. Vasantha Kamat,
Director, Karnataka Institute of
Medical Sciences inaugurated the
ceremony. The partnership will result
in specialty surgeons from Nova
providing high end surgical service to
patients at Vaatsalya Hubli, at twenty
percent lower costs than those at
existing hospitals in the city.
of International Nurses day.
The theme for this year is
œCLOSING THE GAP:
Millennium Development GoalsB.
1.)Eradicate extreme poverty and
hunger.
2.)Achieve universal primary
education.
3.)Promote gender equality and
empower women.
4.)Reduce child mortality.
5.)Improve maternal health.
6.)Combat HIV/Aids, malaria and
other diseases.
7.)Ensure environmental
sustainability.
8.)A Global Partnership for
development.
As the largest health care
profession in the world, nurses
Expertise in Remote India
Vasantha Kamat (centre), Director, Karnataka Institute of Medical Sciences lighting the lamp.
For nurses to make an effective
contribution, they need to know what
to do and how to do it. This requires
a wide range of knowledge, skills
and competencies including skills in
clinical practice and management;
education and training; for which in-
service training has been identified
and rolled out to all our nurses.
Nurses in Vaatsalya are doing a
commendable job apart from their
call of duty. Some of our nurses have
shown phenomenal commitment
to the service they have chosen by
a few occurrences which have been
captured. A day at the hospital is
always full of challenges and we are
prepared for the same.
In a special
feature this
month, we share
what our nurses
think œBeing a nurse is�...B
@NursesTweet. Turn to Page 4
to find out!
Snapshots of Change
Health Talk and Check-Up at School
VAATSALYA TIMES JULY AUGUST 2013
n o np q r q s t u s v w v r x u q s w u x u y z z z { w | | y x | t } | { ~ q �
Vizianagaram: Vaatsalya Hospital
Vizianagaram conducted
Aarogysri Mega Health Camp at
Jagannadhapuram. As a part of the
outreach effort, Dr. Vamsikrishna,
paediatrician, talked to 120
school children about adolescence
issues and how to deal with them.
The children also underwent
a head to foot body checkup.
Prevent Dengue: Timely Vigilance
Shimoga: In a bid to create timely
awareness towards prevention of
dengue fever, Vaatsalya Hospital
Help Line Program at Singupuram
Narasannapeta: On the event of
Yendala Mallana Jatha, Vaatsalya
Hospital Narasannapeta conducted a
free helpline program at Singupuram
in Srikakulam district. Eighty
persons sought the helpline for
various check-ups and diagnoses.
Prevention is better than Cure
Mysore : Vaatsalya Hospital Mysore
conducted free health camp in
Annuru Gundulpet. Dr. Manasa,
staff nurses Chandrakala, and
Sowmya treated eighty two patients
who attended the camp. The camp
was organized as an effort to reach
out to the under-served communities.
The staff was presented by a token
of thanks by the community
General Health Camp at Mysore
International Nurses’ Day Celebrated Across Vaatsalya
Vaatsalya celebrated International
Nurses’ Day across its 17 hospitals
on 12th May 2013, paying a tribute
to over 750 nurses who form a
Doctors’ CME at Huzurabad
Shilpa ManiVT Correspondent, Bangalore
solid backbone of the Vaatsalya
fraternity. Celebrations across units
in Karnataka were a mix of fun,
frolic and serious pledging to provide
excellent care to all patients. Hospital
staff and doctors joined hands to
congratulate nurses for their hard-
work and patience by recognizing
nurses who have shown excellence in
performance over the last one year.
School children at Vizianagaram Camp
Shimoga has put up twelve large
information boards across the city and
Shimoga rural district. The boards
will be visible to over 20,000 people
in the city helping generate public
vigilance in individual homes. The
drive aimed at spreading little known
facts such as - Dengue Hemorrhagic
fever can cause death, especially in
children and elderly. Vaatsalya staff
nurses were also engaged in a medical
talk about the seriousness of the fever.
Dengue Prevention Drive at Shimoga
Hanamkonda: As a part of Vaatsalya’s
eforts to continuously engage with
and reach out to doctors, Vaatsalya
Hospital, Hanamkonda organised a
special Conitnued Medical Education
CME at Huzurabad, Hanamkonda
Doctor Engagement at Huzurabad
(CME) session at Huzurabad. The
session saw participation from thirty
three specialists from the town.
Respiratory Camp for Senior Citizens
Gadag: Vaatsalya Hospital Gadag
held a free respiratory check-up
camp for senior citizens in the town.
Pulmonary Function tests were done
free of cost for all . Tests involved
patients to blow air forcefully
in a tight fitting mouth-piece.
The test was done to diag-
nose for asthma, bronchitis and
other possible lung diseases.
Patient at Gadag During Pulmonary Test
Vaatsalya Nurse Checks Daily Wage Worker
During the Helpline Program
Patients at Vaatsalya Helpline
VAATSALYA TIMES JULY - AUGUST 2013
11:00 AM: I call the CT sca
-nner for patient-1 to set up a time
for her scan. They say that they have
a patient on the table, but I can start
getting her ready - start assembling
several people: 2 Respiratory Thera-
pists (RT’s) # a nurse to accompany
the patient, as she is critically ill and
needs monitoring. I cannot go my
self because I have another pa-
tient. I get a portable monitor and
the nurse shows up. The nurse
and I transfer all of the monitor-
ing boxes from the bedside monitor
to the portable. I stop the patient’s
tube feeding and flush the tube. We
disconnect other tubes and wires.
11:30 AM: I sit down for 3 min-
utes and catch up on writing the pa-
tients’ vitals.
11:33 AM: The nurse informs the
transporter of which room to come to.
11:38 AM: Transporter shows
up. The patient is ready to leave.
11:40 AM: Sit down to chart my
assessments (yes, at some point I
did manage to listen to lung and
heart sounds, etc. on both patients).
11:45 AM: Patient-2 puts light
on. His urinal needs to be emptied.
12:15 PM: Patient-1 is back from
the scanner. Although the head of
her bed is up, she is purple. Very,
very purple, with blood shot eyes that
are bulging out of their sockets. Still
comatose, she’d had her eyes open
for days. Every hour or so, I’d put
artificial tear drops in to keep them
moist. Gave her Paracetamol and
had the nurse do her blood sugar.
1:00 PM: I have finished chart-
ing now. My charge nurse tells
me that I have to transfer the pa-
tient that I have just exchanged for
patient-1 to the telemetry floor. I
get his belonging sheet checked off
and get him in a wheelchair and
get him to the other unit after call-
ing report. Not before giving him
his 1 PM medicines, of course.
1:30 PM: I have just one patient
now. I go into her room and find that
her temperature has reduced. The
patient remains stable rest of the day.
2:00 PM : I go to lunch.
The rest of the day was fairly uneven
ful; certainly nothing like the morning.
This is a very long
post. It details the
first 5 hours of a 12
hour shift. Things
were especially
frustrating for
me on this day.
A Day in the Life of a Nurse in an ICU
from the EKG
leads, BP
cuff, oxygen
probe and
IV; and ask
him to move
over to the
wheelchair. I
get distracted
with other
things and for-
get altogether.
9:07 AM: I
get to the phar-
macy. I tell the
and wait a few minutes. Transporters
in our hospital are very busy and in
demand. They usually won’t wait
more than a minute or so. If you
aren’t ready, they leave and you have
to call them again. This can take up
to thirty more minutes. I don’t want
my patient to be late for his test, so
I tell her it will only be 3 minutes,
hoping that he can finish fast.
8:41 AM: I check for patient-
1!’s medicine in the tube delivery
system. I find that the delivery
system is not working right
now. This will need some work.
8:43 AM: I check on patient-2.
Urine voided. I quickly unhook him
Disclaimer: The below is a real-life account shared by a senior nurse on condition of anonymity. The account is an independent opinion bearing no relation to Vaatsalya Hospitals. The account is meant to share with the readers the everyday difficulties faced by a nurse and is not aimed at any person, profession or organization as a subject of offense.
� � � � � � � � � �I have two patients, both of whom
were admitted the day before.
Patient-1 is a 96 kg woman, 48 years
old, with multiple medical problems.
She was on a ventilator, in a coma
and had a history of hyperpyrexia
(abnormally high fever of 104
degrees Celsius). Patient-2 was a
man in his 50!s with an infected toe.
He came to us in critical care unit
because he had high temperature
and looked very toxic, which made
the doctors worry about sepsis.
7:45 AM: I have 10 medications
due for patient-1 at 8 a.m. Today I
check early. One of the 10 medicines
is not there. I go to the computer and
re-order the medication. I mount my
patient’s EKG (electrocardiogram)
strips and organize my day.
8:00 AM: I administer the other
9 medicines. This takes me 1/2 hour
as the tablets need to be crushed
and dissolved, other drugs need to
be drawn up and pushed slowly, etc.
8:30 AM: I call the pharmacy and
ask where my drug is. They say that
it’s a once-a-day drug. Yes, I know
this. It’s due once a day at 8 a.m. I
tell them that this is the second day
in a row that the medication has not
been available for me when it was
due. They say they’ll make a note of
it, and they’ll mix it up right now.
8:35 AM: I get a call that nuclear
medicine is ready for patient 2. I get
the wheelchair to get the patient
on it to go down for this test, after
I’ve contacted the doctor (twice) on
phone to get orders for him to go
unmonitored (he’s very stable). I do
this because I know that the nurse
that must go with monitored patients
is very busy and it will take much
longer to arrange for her to come.
8:40 AM: Transporter is waiting
here for my second patient, who has
decided that he has to use the urinal
right now. I beg the transporter to stay
am trying to be fast.
8:45 AM : I tell the transporter that
patient-2 is ready for his test. She asks
where the transport sheet is. I hur-
riedly fill one out and tell a cowork-
er that I am going to the pharmacy
to get the medication for patient-1.
8:53 AM: I return and hang my
8 a.m. medicine one hour late. This
means that my 9 a.m. medicine
will be late, which means that my
whole morning’s IV medicines will
be off. I get patient-2’!s breakfast off
the cart and put it in his room be-
fore someone takes the cart back to
the kitchen with the food still on it.
9:00 AM: Patient-1 has an insulin
shot due. I check the fridge for in-
sulin. Right now, there is no soluble
insulin to be found. Re-order solu-
ble insulin from pharmacy. Patient’s
blood sugar is over 300. Check with
other nurses to see if they’ve used
soluble insulin recently. None have.
9:05 AM:Second trip to pharmacy to
-day. Why do I go myself? Well,
it’s true that the pharmacy can call
transporters. Transporters, as I said,
are very busy and it can take 30
minutes for them to bring something
over from pharmacy. I’m already
feeling behind my schedule and don’t
want to wait that long, as I might
person helping me that I ordered sol-
uble insulin and am here to pick it up.
9:10 AM: I give the insulin. Patient-
1’!s temperature is about 103, and I
give her hydrotherapy. The moment
I lowered her head position she be-
came blue (cyanosed). I repositioned
her and her bluish tinge improved.
9:15 AM: Patient-2 is back. I get
him back into bed and hook him back
up to everything (EKG monitor, Ox-
ygen probe, BP cuff, IV) and take his
temperature. I set him up for break-
fast, give his medicines and insulin.
9:35 AM: I manage to find 2 other
nurses to help me roll the patient over
so that I can change the bed linen.
9:37 AM: Continue hydrotherapy.
9:40 AM: I give rest of the 9 a.m.
medicines.
10:00 AM: Time for patient-2!’s
pain medicine. He’s been asking for
it for an hour, but it wasn’t due until
now. I had no time to call the doc-
tor and ask for more frequent dosing.
Patient-2 was not in that much dis-
tress; he said his toe only hurt when
he moved it. I give the medicine.
10:15 AM: Doctor decides he wants
a CAT scan of patient-1!’s head. I tell
him that when we laid her flat to give
her hydrotherapy she turned a bit
purple. He wants me to show him.
I put the head of her bed flat again,
she turns a not-as-dark shade of blu-
ish. He tells me to get the scan. (You
have to be completely flat for sev-
eral minutes to get a head CT scan.)
10:30 AM: Put in order for CT
of the head. Get potassium results
back# level is very low. Start re-
placing potassium via IV. Check
on patient-2, as he has put his light
on. He wants the dressing on his
toe changed. I take off the band-
aid and put another one on it.
10:45 AM: Return with towels,
dressing materials. Take off band aid,
clean wound with saline, dry it gently
with sterile gauze, and apply dressing. � � �� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �
SUDOKU
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VAATSALYA TIMES JULY AUGUST 2013
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Vaatsalya was recently profiled in
a book on innovation - 8 steps to
Innovation. The book has been co-
authored by Vinay Dabholkar and
Rishikesha T Krishnan. The book
sets Vaatsalya as
an example in the
Indian industry
of methodically
leading innovation to
excellence in business.
Vinay Dabholkar, also
joined the Vaatsalya
team on 10th May
on the occasion of Employee of the
Month celebrations
and interacted
with the team at
Bangalore on how innovation can
be inspired, streamlined and up-
scaled within an organization.
œ�... nourishing, cherishing and fostering good health.B -
Sunil Patil, Vaatsalya Chikmagalur
œ�... having an understanding relation with your patient, a
relation that stands foreverB # Vidya Ravondra, Vaatsalya
Chikmagalur
œ�... always having challenges around you and dealing
with them positively and lovinglyB. - Mahadevi Hallikeri,
Vaatsalya Gadag
œ�... providing social and health service.B -Shivkumar N.
Vaatsalya Gadag
œ�... being trained to provide care to those in need of health service. The
training eventually becomes a thread of your persona.B - Anupama A. N,
Vaatsalya Gadag
œ�... being the back bone of a hospital and providing psychological support to
the patient.B # Promod, Vaatsalya Gulbarga
œ�... to be focused on the care of individuals, families and communities so
they may attain a healthy life and maintain the quality of their life.B - Md
Khusro Saud, Vaatsalya Gulbarga
œ�... doing the best I can to care # give a hug, prepare, teach or just listen to
my patient.B # Antony Mary, Vaatsalya Hassan
œ�... the act of worshiping and providing care for the sick and the infirm.B
- Mailari, Vaatsalya Hubli
œ�... doing what nobody else will do, in a way
that nobody else will do, inspite of all that
you go through.B # Subhashini, Vaatsalya
Hubli
œ�... caring for the sick with true dedication.B
# Shylaja Shivanna, Vaatsalya Malur
œ�... being a symbol of patient care.B #
Deepa, Vaatsalya Mandya
œ�...dutifully taking care of each patient with patience and kindness.B #
Kumari K, Vaatsalya Mandya
œ�... always being service oriented, no matter what the patient’s condition is.B
# Francina, Vaatsalya Mysore
œ�... more than a profession. It is a calling and I am grateful to be a part of
this service.B - Hemagirish, Vaatsalya Mysore
œ�... one of the sweetest service to the society.B # Lakshmi C, Vaatsalya
Mysore
œ�... the art of caring for people.B # Mahadevashankara M, Vaatsalya
Mysore
œ�... utmost care for a patient from the bottom of your heart.B # Shankar B.S,
Vaatsalya Mysore
1400 people work day
in and day out across
Vaatsalya hospitals
to keep the wheel of
medical care running
Did You Know ?
Sudoku isn’t a
Japanese game at all.
It was invented by an
A me r i c a n .Howa r d
Garns created it as
Number Place in
1979 but died in 1989.
Japanese publisher
Nikoli got a hold
of it. The game
took only in 2004,
when Wayne Gould
convinced The Times
in London to publish it.
From the Editor’s Desk
# with vigilance, patience and
care. A staggering 750 of these are
nurses. In our previous editions,
we have shared many stories where
people have lived because a nurse
was present in time, on duty to
make a critical decision and provide
an indispensable timely medical
routine. Hats off to their dedication!
This month our nurses from
Chikmagalur, Gadag, Gulbarga,
Hassan, Hubli, Malur, Mandya
and Mysore shared their two bytes
on how being a nurse is much
more than a regular 4job’ to them.
Watch out this space next month
for what our nurses from Bijapur,
Hanamkonda, Narasannapeta,
Pandavpura, Shimoga, Tarikere
and Vizianagram say. Through this
edition and those to follow, we will
continue to reach out to our readers,
patients and doctors to share how they
live life with an indomitable spirit.
Wish you a hearty and
healthy month ahead!
Authors Vinay and
Rishikesha