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

� � �� � � � �   ¡ � ¢ £ ¢ � ¤ ¡ � � £ ¡ ¤ ¡ ¥ ¦ ¦ ¦ § £ ¨ ¨ ¥ ¤ ¨   © ¨ § ª � «

VAATSALYA TIMES JULY AUGUST 2013

¬ ­ ® ¯ ° ± ² ± ³ ´ ­ µ ¯ ¶ ­ · ¸ ¹ ¸ ¯ º » ¯ ° ¼½ ­ ¾ ² » ¯ ° ¸ ¿ · ± ° · À ± ­ Á °   ­ Á µ ³ ¯ ¾ Á ÃÄ ° ­ ¸ ³ ­ Á · À ¯ ° µ Å · · µ Á · ± » · Æ ³ º ­ Á µ ¯µ ³ º ­ Á Ç ¿ · · µ Á · ± » · ¼ È ¯ º¯ ¸ È · ± ± ¯ ° ¸ µ ¯ ± ± ¹ ¸ ­ ­ ¾ ° º À ­ ¸É Ê Ë Ë Ì Í Î Ê Ê Ê Ê Ê

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