St. John of God Hospital |
Today another doctor showed me how patients were
being safely triaged at St. John of God Hospital in Lunsar. The triaging area has been carefully
partitioned into safe area and red zone and patient and staff flow is carefully
drawn out so that the traffic is always in the direction of clean to
contaminated areas. Staff is either in
scrubs, partial or full PPE according to where they are working. There are designated rooms for wet, dry and
pregnant women, all very organized and carefully thought out. The patients who are deemed to go to the ETC
will be shepherded through a separate gate where the ambulance waits. There are also areas for donning and doffing. As always the bottoms of our shoes had to be sprayed with 0.5% chlorine and we washed our hands with 0.05% chlorine.
When we arrived, we learned that the hospital does
not open for triaging on Sundays.
However it continues to see emergency cases which will require triaging
if the patients do come in, so I stayed on.
St. John of God triages around 30 to 40 patients a
day. Any suspected patients for Ebola
are then sent to the ETC. The hospital
outpatient department is open six days a week.
The inpatient is still not open yet because of a lack of staff and
patients are still afraid to come to be seen but today they had a surgical
case, a pregnant woman who arrived with her baby dead in utero. A C-section had been performed. The hospital is painted in two different
shades of green, quite pleasing to the eyes.
This was where 69-year old Brother Manuel GarcĂa Viejo, the hospital
medical director contracted Ebola and died in Spain.
All was quiet in the hospital ground except for a
few dogs making a cool spot in the dirt for a long nap as the heat built up. Near the hospital canteen, several young
women were cooking outdoors in several big pots; a delicious concoction of
onions, peppers in a curry sauce and rice.
One of them told me that for 20,000 Le, I could have lunch whenever I
come to St. John.
Just before mid-afternoon, a young man with some
broken bones in the leg came in an ambulance, he had x-ray done in Makeni and
requested to be driven to Port Loko Hospital.
Practically no one else showed as Sundays are not OPD day.
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