V O L U M E 2 6 , N O V E M B E RV O L U M E 2 6 , N O V E M B E RV O L U M E 2 6 , N O V E M B E RV O L U M E 2 6 , N O V E M B E R 2 0 1 1 2 0 1 1 2 0 1 1 2 0 1 1

Inside this Is-Inside this Is-Inside this Is-Inside this Is-

sue sue sue sue

Meeting per-Meeting per-Meeting per-Meeting per-sons who make sons who make sons who make sons who make Woodlands tick Woodlands tick Woodlands tick Woodlands tick

---- Bond Bond Bond Bond

Hospital New Hospital New Hospital New Hospital New

LookLookLookLook

News in briefNews in briefNews in briefNews in brief Something to Something to Something to Something to think aboutthink aboutthink aboutthink about Health CornerHealth CornerHealth CornerHealth Corner–––– Hypertension Hypertension Hypertension Hypertension

contd.contd.contd.contd. VacanciesVacanciesVacanciesVacancies MilestonesMilestonesMilestonesMilestones

BondBondBondBond The goal and objective of the Bond/Procurement department is to ensure the appropriate use of high quality and cost-effective supplies for Woodlands Hospital. All hospital supplies and pharmaceuticals are issued thorough the bond. It comprises of a stock intake area, re-sponsible for all entries; this is the check point which is the premise of our inven-tory management as all issuing of sup-plies is based on information recorded at this point. The objective of the bond is to maintain

adequate supplies through proper ‘supply chain’ management; through procurement inventory control diver-sion prevention, distribution policies

and the disposal of expired items. Our goal is to ensure that essential sup-plies are always available. Drug storage is another key area in our inventory control as all medications must be stored at the required temperature in keeping with the Standard Operating Pro-cedures for storage of hospital supplies. The receiving and issuing of hospital items is done through written hospital procedures which is audited by a control personnel and the internal audit depart-ment. Our bond policy is to always maintain Good Warehouse Practices through main-taining suitable lighting, ventilation, secu-rity, temperature and humidity control, sanitation, receipt of incoming supplies and issuing of hospital supplies and stock rotation.

In and effort of main optimum drug sup-

plies for hospital we will be embarking on

a project of developing and maintaining a

drug formulary for hospital. This will be

done by a Pharmaceutical and Therapeu-

tics Committee. The drug management

guidelines for this formulary will be based

on safe, timely effective, equitable, effi-

cient and patient centered.

Meeting persons who make WOODLANDS ‘tick’Meeting persons who make WOODLANDS ‘tick’Meeting persons who make WOODLANDS ‘tick’Meeting persons who make WOODLANDS ‘tick’–––– BONDBONDBONDBOND

TIME FOR “WOODLANDS CHILDRENS CHRISTMAS CHEER” IS HERE TIME FOR “WOODLANDS CHILDRENS CHRISTMAS CHEER” IS HERE TIME FOR “WOODLANDS CHILDRENS CHRISTMAS CHEER” IS HERE TIME FOR “WOODLANDS CHILDRENS CHRISTMAS CHEER” IS HERE

AGAIN. WE LOOK FORWARD TO YOUR CONTINUED SUPPORT IN AGAIN. WE LOOK FORWARD TO YOUR CONTINUED SUPPORT IN AGAIN. WE LOOK FORWARD TO YOUR CONTINUED SUPPORT IN AGAIN. WE LOOK FORWARD TO YOUR CONTINUED SUPPORT IN CASH , CASH , CASH , CASH ,

KIND AND WITH LIST OF CHILDREN WE CAN INVITE.KIND AND WITH LIST OF CHILDREN WE CAN INVITE.KIND AND WITH LIST OF CHILDREN WE CAN INVITE.KIND AND WITH LIST OF CHILDREN WE CAN INVITE.

Management requests the presence of ALL STAFF ALL STAFF ALL STAFF ALL STAFF at its annual

Christmas party on December 17th, 2011.

Come and party in true Woodlands Style

SOME STATISTICS FOR SOME STATISTICS FOR SOME STATISTICS FOR SOME STATISTICS FOR

October 2011October 2011October 2011October 2011

SurgerySurgerySurgerySurgery — 150

Emergency Room Emergency Room Emergency Room Emergency Room

Patients Seen ---- 2498249824982498

Admissions ---- 121121121121

Maternity Maternity Maternity Maternity

Total Deliveries - 73

Males - 31

Females - 42

Normal Delivery - 49

Caesarean Sections ----

24242424

Neonatal Death– 0

Twins - 0

Premature– 4

I.C.U. I.C.U. I.C.U. I.C.U.

Admission - 33

Deaths - 5

RadiologyRadiologyRadiologyRadiology

Xray – 1103

CT - 115

Ultrasound –1936

ECHO- 98

Stress Test –11

PharmacyPharmacyPharmacyPharmacy

Prescriptions Sold –

3777

Winners of the Winners of the Winners of the Winners of the Kaieteur RaffleKaieteur RaffleKaieteur RaffleKaieteur Raffle R/N N.Mingo and R/N N.Mingo and R/N N.Mingo and R/N N.Mingo and R/N R/M Samuels..R/N R/M Samuels..R/N R/M Samuels..R/N R/M Samuels.. To the othersTo the othersTo the othersTo the others---- Better luck next Better luck next Better luck next Better luck next time!time!time!time!

Nurses MeetingsNurses MeetingsNurses MeetingsNurses Meetings----

N/AN/AN/AN/A–––– Cold ApplicationCold ApplicationCold ApplicationCold Application–––– N/A RahimN/A RahimN/A RahimN/A Rahim

R/N PrematurityR/N PrematurityR/N PrematurityR/N Prematurity–––– R/N SoumYa JosephR/N SoumYa JosephR/N SoumYa JosephR/N SoumYa Joseph

NEWS IN BRIEF Manager in Charge Manager in Charge Manager in Charge Manager in Charge for Octoberfor Octoberfor Octoberfor October

Mrs.A.Mustopha

Irish Medical Dictionary

The Irish have the lowest stress rate

because they do not take medical termi-

nology seriously ... Artery - The study of paintings

Bacteria -Back door to cafeteria

Barium -What doctors do when patients die

Benign -What you be, after you be eight

Caesarean Section -A neighbourhood in Rome

Cat scan -Searching for Kitty

Cauterize -Made eye contact with her

Colic -A sheep dog

Coma- A punctuation mark

Dilate -To live long

Enema- Not a friend

Fester- Quicker than someone else

Impotent -Distinguished, well known

Labour Pain -Getting hurt at work

Medical Staff -A Doctor's cane

Morbid -A higher offer

Nitrates - Rates of Pay for Working at Night,

Normally more money than Days

Node -I knew it

Outpatient- A person who has fainted

Pelvis- Second cousin to Elvis

Post Operative- A letter carrier

Recovery Room- Place to do upholstery

Rectum- Nearly killed him

Secretion- Hiding something

Seizure- Roman Emperor

Tablet- A small table

Terminal Illness- Getting sick at the airport

Tumour- One plus one more

Urine- Opposite of you're out

NEW BEDS IN PLACENEW BEDS IN PLACENEW BEDS IN PLACENEW BEDS IN PLACE----

WE LIKE THE NEW-WE LIKE THE NEW-WE LIKE THE NEW-WE LIKE THE NEW-

LOOK !LOOK !LOOK !LOOK !

HEALTH CORNER

Hypertension (HTN) contd. Approximately 30% of cases of essential hyperten-sion are attributable to genetic factors. For example, in the United States, the incidence of high blood pres-sure is greater among African Americans than among Caucasians or Asians. Also, in individuals who have one or two parents with hypertension, high blood pressure is twice as common as in the general popu-lation. Rarely, certain unusual genetic disorders af-fecting the hormones of the adrenal glands may lead to hypertension. (These identified genetic disorders are considered secondary hypertension.) The vast majority of patients with essential hyperten-sion have in common a particular abnormality of the arteries: an increased resistance (stiffness or lack of elasticity) in the tiny arteries that are most distant from the heart (peripheral arteries or arterioles). The arterioles supply oxygen-containing blood and nutri-ents to all of the tissues of the body. The arterioles are connected by capillaries in the tissues to the veins (the venous system), which returns the blood to the heart and lungs. Just what makes the peripheral arteries become stiff is not known. Yet, this increased peripheral arteriolar stiffness is present in those indi-viduals whose essential hypertension is associated with genetic factors, obesity, lack of exercise, over-use of salt, and aging. Inflammation also may play a role in hypertension since a predictor of the develop-ment of hypertension is the presence of an elevated C reactive protein level (a blood test marker of inflam-mation) in some individuals. What are the causes of secondary high blood pressure? As mentioned previously, 5% of people with hyper-tension have what is called secondary hypertension. This means that the hypertension in these individuals is secondary to (caused by) a specific disorder of a particular organ or blood vessel, such as the kidney, adrenal gland, or aortic artery. Renal (kidney) hypertension Diseases of the kidneys can cause secondary hyper-tension. This type of secondary hypertension is called renal hypertension because it is caused by a problem in the kidneys. One important cause of renal hyper-tension is narrowing (stenosis) of the artery that sup-plies blood to the kidneys (renal artery). In younger individuals, usually women, the narrowing is caused by a thickening of the muscular wall of the arteries going to the kidney (fibromuscular hyperplasia). In older individuals, the narrowing generally is due to hard, fat-containing (atherosclerotic) plaques that are blocking the renal artery. How does narrowing of the renal artery cause hyper-

tension? First, the narrowed renal artery impairs the circulation of blood to the affected kidney. This depri-vation of blood then stimulates the kidney to produce the hormones, renin and angiotensin. These hor-mones, along with aldosterone from the adrenal gland, cause a constriction and increased stiffness (resistance) in the peripheral arteries throughout the body, which results in high blood pressure. Renal hypertension is usually first suspected when high blood pressure is found in a young individual or a new onset of high blood pressure is discovered in an older person. Screening for renal artery narrowing then may include renal isotope (radioactive) imaging, ultrasonographic (sound wave) imaging, or magnetic resonance imaging (MRI) of the renal arteries. The purpose of these tests is to determine whether there is a restricted blood flow to the kidney and whether angioplasty (removal of the restriction in the renal ar-teries) is likely to be beneficial. However, if the ultra-sonic assessment indicates a high resistive index within the kidney (high resistance to blood flow), an-gioplasty may not improve the blood pressure be-cause chronic damage in the kidney from long-standing hypertension already exists. If any of these tests are abnormal or the doctor's suspicion of renal artery narrowing is high enough, renal angiography (an X-ray study in which dye is injected into the renal artery) is done. Angiography is the ultimate test to actually visualize the narrowed renal artery. A narrowing of the renal artery may be treated by bal-loon angioplasty. In this procedure, the physician threads a long narrow tube (catheter) into the renal artery. Once the catheter is there, the renal artery is widened by inflating a balloon at the end of the cathe-ter and placing a permanent stent (a device that stretches the narrowing) in the artery at the site of the narrowing. This procedure usually results in an im-proved blood flow to the kidneys and lower blood pressure. Moreover, the procedure also preserves the function of the kidney that was partially deprived of its normal blood supply. Only rarely is surgery needed these days to open up the narrowing of the renal artery. Any of the other types of chronic kidney disease that reduces the function of the kidneys can also cause hypertension due to hormonal disturbances and/or retention of salt. It is important to remember that not only can kidney disease cause hypertension, but hypertension can also cause kidney disease. Therefore, all patients with high blood pressure should be evaluated for the presence of kidney disease so they can be treated appropriately.

. .

WWWW oodlands Needy Children’s oodlands Needy Children’s oodlands Needy Children’s oodlands Needy Children’s

Party will be held on 18th December at the Party will be held on 18th December at the Party will be held on 18th December at the Party will be held on 18th December at the

Hospital compound for approximately one Hospital compound for approximately one Hospital compound for approximately one Hospital compound for approximately one

hundred children. Persons are asked to donate hundred children. Persons are asked to donate hundred children. Persons are asked to donate hundred children. Persons are asked to donate

in cash, and kind. Also to assist in the planning in cash, and kind. Also to assist in the planning in cash, and kind. Also to assist in the planning in cash, and kind. Also to assist in the planning

of this event.of this event.of this event.of this event.

ResignationResignationResignationResignation

Mr. Kamana BurnhamMr. Kamana BurnhamMr. Kamana BurnhamMr. Kamana Burnham———— Registered NurseRegistered NurseRegistered NurseRegistered Nurse

WWWW elcomeelcomeelcomeelcome new employeesnew employeesnew employeesnew employees

Mr. Salesh Augustine – Registered Nurse(O.T)

Ms Daliah Higgins– Registered Nurse

Mrs Oronda Saul Lewis— Medical Technolo-

gist

Ms. Romola Braithwaite– Medical Technologist

VVVV acancies acancies acancies acancies

Assistant Pastry MakerAssistant Pastry MakerAssistant Pastry MakerAssistant Pastry Maker

AttendantAttendantAttendantAttendant

CookCookCookCook

Customers Service RepresentativeCustomers Service RepresentativeCustomers Service RepresentativeCustomers Service Representative

Medical TechnologistMedical TechnologistMedical TechnologistMedical Technologist

Office AssistantOffice AssistantOffice AssistantOffice Assistant

Security GuardSecurity GuardSecurity GuardSecurity Guard

Management and Staff wish to congratulate the follow-Management and Staff wish to congratulate the follow-Management and Staff wish to congratulate the follow-Management and Staff wish to congratulate the follow-ing persons on their birth anniversary for Novem-ing persons on their birth anniversary for Novem-ing persons on their birth anniversary for Novem-ing persons on their birth anniversary for Novem-ber2011ber2011ber2011ber2011

TAKING A BREAK FROM Woodlsds hospitalTAKING A BREAK FROM Woodlsds hospitalTAKING A BREAK FROM Woodlsds hospitalTAKING A BREAK FROM Woodlsds hospital

We can now be perused on our Web Site We can now be perused on our Web Site We can now be perused on our Web Site We can now be perused on our Web Site

www.woodlandshospital.comwww.woodlandshospital.comwww.woodlandshospital.comwww.woodlandshospital.com

JACQELINE WHITE PHILLIPS Nov 1st—14th

SIMONE GILES Nov 7th —20th

HEMLATA UMROW Nov 11th 17th

ANDREA DUNCAN Nov 13th —26th

GAITRI RAMNAUTH Nov 24th —30th

RUSSHEL CRAWFORD Nov 25th—Dec 8th

SHERMIN BLAIR Nov 27th—Dec 10th

RHONDA SPRINGER Nov 28th —Dec 12th

Percy Assanah 4th

JasmattieChumandath 4th

Theona English 7th

Sean Sydney 8th

Yonette Washington 12th

Tina Mohamed 13th

Stacey Hyman 16th

Samantha Petai 16th

Binsu Varughese 19th

Kayshena Bethel 22nd

Veronica Rahim 23rd