‘If we End SARS, robbers will take over’ — Police

The Force Spokesman, Jimoh Moshood, talks about SARS and the complaints against some of its personnel with Punch.

what is the requirement for enlistment in SARS?

The Special Anti-Robbery Squad is a specialised unit of the Force that deals with armed robbery, kidnapping, cattle rustling, car snatching and the like; any crime involving use of firearms. Like in Numan, Adamawa State where militia are attacking people, the SARS had been deployed along with other units of the Force. To be in SARS, first, you must be a policeman, a general duty officer, and you must have been in the job for not less than five years. You must also have prerequisite experience before you can be posted to the squad. The officer would also undergo operational training as well as training on handling of suspects. We are quite concerned with the complaints against SARS and that is why the Inspector-General of Police has directed its re-organisation. We know that most of the complaints and allegations against SARS are not always true, but the IG has ordered an investigation to ascertain them. He has also directed that human rights desk be set up in all the state commands to handle rights abuse by SARS operatives. So, the people who started the #EndSARS campaign can channel their grievances to the desk officers for investigation. SARS has been in existence for over 40 years and it is essential to the force, so we cannot dismantle it.

Read More

FUDutsin-Ma Releases 2017/2018 UTME 1st Batch Admission List

The 1st batch list of candidates admitted to study in the  Federal University Dutsinma (FUDMA) has been released for the 2017/2018 academic session.

 

HOW TO CHECK FUDUTSIN-MA 2017/18 ADMISSION LIST ONLINE:

All Candidates can proceed to check if they have been offered admission.

Click Here To Download UTME 1st List

Read More

Happy Birthday To Oyeniran Eniolakinte Gloria – December 10th 2017 (Photos)

Happy Birthday to my darling friend and sister from another mother, as you add another year today, may the Good Lord bless, guide and protect you… Wish u Wisdom, knowledge and what u wish yourself..

From your lovely friend Olaniran Oluwaseun Solomon, I Love u forever 

From the entire CITYGURU Team we say a Very Loud Happy Birthday to Oyeniran Eniola Grace. May God continue to bless you beyond your expectation may you have many more fruitful years on earth..
Enjoy your day!!

HAPPY BIRTHDAY TO OYENIRAN ENIOLA GRACE

Read More

Stop your political promiscuity, Charly Boy tells Atiku Read more at: https://www.vanguardngr.com/2017/12/stop-political-promiscuity-charly-boy-tells-atiku/

ABUJA – Maverick Nigerian entertainer cum activist, Charles Oputa, popularly called Charly Boy, has asked former Vice President, Atiku Abubakar, to stop his apparent political promiscuity and focus on joining hands with well-meaning Nigerians to take the country out of mediocrity. 

Charly Boy and Atiku Abubakar He also lamented President Muhammadu Buhari’s seeming lethargy in the face of massive corruption going on within his government. The 66-year-old grandfather stated these, on Wednesday, in a new video he made available to journalists in Abuja. The video came barely 24 hours after Atiku stormed the Peoples’ Democratic Party (PDP) headquarters to pay a courtesy visit to the national leadership of the Party and to also demonstrate his return after a three-year sojourn to the All Progressives Congress (APC). During the visit, the former Vice President called on former PDP members, who left the party with him, to also return. Among those who left the PDP with Atiku were Senate President Bukola Saraki, Transport Minister, Rotimi Amaechi; Senators Rabiu Kwankwanso, Danjuma Goje, Aliyu Wamakko, among others, now holding prominent positions in the All Progressives Congress, APC-led government. In the video, Charly Boy said, “I am mad; raving mad. I am about to go mad or am I mad? “How come the blind are leading the sighted, the uninformed are leading the wise, and the unskilled directing the skilled? “No! What is happening? I am mad; raving mad at the mediocrity of leadership; the promotion of impunity and political promiscuity. “Listen, let me tell you something. PDP and APC are all the same thieves and rogues called politicians. “Look at Atiku, running from pillar to post; From PDP to PHD; from APC to CNN to BBC. Come on, stop that break-dancing! “I am mad that corruption is killing us and Buhari is watching. I am not surprised because under his bed, there’s corruption; within his household, there is corruption; even in his ‘other’ room, there is corruption. Buhari kill corruption before it kills us all. “Young men and women be on the alert because I know that our foolishness has reached its peak.” 

Read more at: https://www.vanguardngr.com/2017/12/stop-political-promiscuity-charly-boy-tells-atiku/

Read More

Officials of the Ministry of Health in Ondo State on Tuesday shut down a clinic believed to be operated by a quack doctor.

Officials of the Ministry of Health in Ondo State on Tuesday shut down a clinic believed to be operated by a quack doctor identified as Adewale Owolanke.

 

The clinic, which was located at Uso town in the Owo Local Government Area of  the state, was shut down during the monitoring exercise carried out by the Ondo State Hospital Services and led by the Director in the department, Dr Olayinka Akinsete.

 

Commenting on the development, Akinsete explained that the ministry had been receiving reports about the quack doctor, performing surgical operations on innocent patients in the community.

 

He said, “There was a report signifying a high fatality rate in the hospital and when we got here today (Tuesday) , the place was initially locked up.

 

“It, however, eventually opened later. We saw all the instruments that he (the quack doctor ) had been using. We saw that he had been performing many surgeries, including Caesarean Section. Yet he denied it.

 

“He could not show us any certificate to prove that he is a doctor. We have closed down the place and other things will follow.”

 

The government official declared that the alleged quack doctor would be investigated alongside some certified medical doctors suspected to be working with him.

 

However, the suspect, Owolanke, said he was trained at the America Barbados University before returning to the University of Benin Teaching Hospital, Benin City, where he is currently undergoing his clinicals.

 

He confessed to carrying out surgery in the hospital without a licence and claimed to have closed down the theatre. According to him, a particular certified medical doctor was assisting him.

 

Reacting to the incident, Chairman, Nigeria Medical Association, Ondo State chapter, Dr Dolani Gbelela, described the incident as unfortunate, saying “it is getting clearer that those identified as quacks are being  aided by certified doctors.”

 

He noted that the NMA was interfacing with the monitoring unit of the ministry and government to tackle such challenges.

 

Gbelela urged the government listen to advice from the NMA on the issue of quackery in the medical profession.

Read More

FG Approves Establishment of 6 New Private Universities

The Federal Government has approved the establishment of six new private universities in the country.

This was part of the decision taken during a meeting of the Federal Executive Council held on Wednesday in Abuja.

The new private universities will be established in Abia, Delta, Rivers, Oyo and Lagos.

The newly-approved private universities are Admiralty University, Ibusa, Delta State; Spiritan University, Nneochi, Abia; Precious Cornerstone University, Ibadan; Pamo University of Medical Sciences, Port Harcourt; Atiba University, Oyo State; and Eko University of Medical and Health Sciences, Lagos.

Read More

SHORT VIDEO CLIP OF DIGESTIVE SYSTEM WITH FULL AND CLEAR EXPLANATION

Download here____________DOWNLOAD

Read More

BLOOD TRANSFUSION AND NURSING INTERVENTIONS

1.Definition
Is the introduction of whole blood or component of the blood, e.g. plasma or erythrocytes into venous circulation.

2.Blood Group
Human blood is classified in to four main groups (A, B, AB and O) on the basic of polysaccharide antigen on the erythrocyte surface. These antigens type A and Type B, commonly cause antibody reaction and are called agglutinogens. In other words group A blood contain type A agglutinogen, group B blood contain type B agglutinogen, group AB contain both A & B agglutinogens, and group O blood containe neither agglutinogen.
In addition to agglutinogens on the erythrocytes agglutinin (antibody) are present in the blood plasma. No individual can have agglutinin and agglutinogen of the same type, that person's system would attack its own cells. Then group A blood does not contain agglutinin A but does contain agglutinin B. Group B blood does not contain agglutinin B but does contain agglutinin A. Group AB blood contain neither agglutinin and group O contain both anti A and anti B agglutinin. Blood transfusion must be match to the patient blood type in term of compatible agglutinogen mismatch blood will cause hemolytic reaction.
Rhesus (Rh) and other factors
Rh antigen also on the surface of erythrocytes are present in about 85% of the population are can be a mayor cause of hemolytic reaction. Persons who possess the Rh factor are referred to as Rh positive those who do not are referred to as Rh negative. 
Unlike the A and B agglitinogen, the Rh factor cannot cause a hemolytic reaction on the first exposure to mismatched blood, because the Rh antibody is not normally present in the plasma of Rh negative person.

3.Transfusion reaction
Transfusion reaction can be categorized as hemolytic, febrile, circulatory over load and allergic. The nurse must asses a client closely for reactions. Sign of an acute reaction include sudden chills or fever, low back pain, drop in blood pressure, nausea, flushing agitation or respiratory disorders. Sign of less severe allergic reaction include hives and itching but no fever.
Nursing management for transfusion reaction:
•Stop the transfusion. Maintain the intravenous line with normal saline solution
through new intravenous tubing, administered at a slow rate.
•Asses the patient carefully, compare the vital sign with those from the base line
assessment.
•Notify the physician of the assessment findings and implement any order obtained.
•Notify the blood bank that a suspected transfusion reaction has occurred.
•Send the blood container and tubing to the blood bank for repeat typing and
culture, the identifying tag and number are verified.

Before commencing a blood transfusion determine:
1.Base line data regarding blood pressure, temperature, pulse and respiration.
2.Any previous reaction to a blood transfusion.
3.The request for blood transfusion form has been completed and send specimen for
typing and cross matching, 3 ml in plain tube/red without wax or gel and 2 ml in
CBC tube.

4.Purpose
1.Restore blood volume after hemorrhage
2.Maintain hemoglobin levels in severe anemia
3.Replace specific blood component.

5. Assessment focus
Clinical signs of reaction (e.g. sudden chills, nausea, itching rash, dyspnea) status of infusion, site, any unusual symptoms.

Equipment
1.Unit of whole blood
2.Blood administration set either a straight line or a Y set ( Y set is preferred)
3.Normal saline solution
4.IV dressing
5.Vena puncture set containing a 18 needle or catheter, or if blood is to be
administered quickly no 16 needle or a larger.
6.Alcohol swab
7.Tape
8.Disposable gloves (Sterile)

6.Initiating, Maintaining and Terminating a Blood Transfusion

* Nursing Intervention
a.Pre Procedure

1.Obtain patient’s base line data before the transfusion.
•Asses base line data: Temp, Pulse, Respiration and Blood Pressure.
•Determine any known allergies or previous adverse reaction to blood.
Note specific signs related to the client's pathology and reason for transfusion
(e.g. an anemic client, note the hemoglobin level less than 10g/L).
2.Obtain the correct blood component for the patient.
•Check the physician's order with the requisition. See that doctor check and write
to start.
•Check the requisition form and the blood bag label with a specially check the
patient name, identification number, blood type and Rh group the blood donor
number, and the expiration date of blood.
•Ensure that doctor’s counter check and sign
•With another nurse (RN) compare the laboratory blood type round with :
•The client's name and identification number. Ask the patient to state the full name
as a double check.
•The number on the blood bag label
•The patient’s blood group and label, amount of blood, calculate and adjust.
•Check blood for any abnormalities, gas bubles dark color or cloudiness, clots and
excess air

•Make sure that the blood is left at room temperature for no more than 30 minutes
before starting the transfusion. RBCs deteriorate and lose their effectiveness
after 2 hours at room temperature. Agencies may designate different times at which
the blood must be returned to the blood bank if it has not been started. As blood
component warm, the risk of bacterial growth also increases.

Rational :
If the patient’s Clinical status permits, delay transfusion if baseline temperature is greater than 38.50 C

b.Procedure
1.Wash and dry hands
2.If any pre medication order, give before transfusion
3.Prepare the patient
•Identify the patient and explain the procedure and its purpose to the patient such
as blood product to be transfused, approximate length of time, and desired outcome
of transfusion.
4.Assemble the equipment and bring to the patient
5.Wear gloves.
6.Positioning the patient comfortably
7.Prime the tubing with saline solution.
Establish the saline infusion See that the set used in appropriate, as sometimes
attached filteris not suitable for some product
8.If the patient has an intravenous solution infusing check whether the needle and
solution are appropriate to administer blood. The needle should be no. 18 gauge or
larger and the solution must be saline. If solution is not compatible remove it
and dispose of it according to hospital policy. Dextrose which causes lysis of
RBCs, Ringer's Solution, medication and other additives and hyper alimentation
solution are incompatible.
9.If patient does not have an intravenous solution infusing, in the case you will
need to perform veni puncture on a suitable vein. Select a large vein that allows
patient some degree of mobility and place bed protector under the site. Start the
prescribed intravenous infusion
10.Establish the blood transfusion.
Invert the blood bag gently several times to mix the cell within the plasme
11.Start infusion slowly at 2 ml/mnt. Remain at bed side for 5-30 minutes. If there
are not sign of circulatory overloading, the infusion rate may be increased
12.Observe the patient closely for chilling, nausea, vomiting, skin rashes
tachycardia as they early sign and symptom reaction and check vital sign at
least hourly until 1 hour post transfusion. Report sign and symptoms of reaction
immediately to physician to minimize consequences. Acute reaction may occur at
anytime during the transfusion.If any reaction: close clamp & run normal saline,
report to doctor, save urine and observe.

Rational :
The majority of acute fatal transfusion reaction are caused by clerical errors. Patient and product verification is the single most important fucntion of the nurse. It is strongly recommended that two qualified individuals perform this task. Do not proceed with the transfusion if there is any discrepancy. Contact the blood bank immediately

cPost procedure
Obtain vital sign and compare with base line assessment.
Document procedure in patient's medical record including:
•Product , blood type Rh, volume transfused, rate, site infused.
•Product identification number
•Name of individual verifying, patient ID, name of person starting and ending
transfusion.
•Patient assessment findings and tolerance to procedure.
•Monitor patient for response to and effectiveness of the procedure.
Terminate the transfusion
Discard administration set according to policy procedure.
(i.e. If any reaction, save the set for further investigations)

Rational :
Rationale it must be possible to trace each transfusion product to the original blood donor.

Read More