Nepal: Kanti Childrens Hospital
Hospital Celebrates 57th Anniversary: Q1 2019
May 01, 2019
Summary of Activities
Shortly after the April 2015 earthquake, Real Medicine Foundation (RMF) started its support of Kanti Children’s Hospital by donating more than $400,000 worth of medicines, medical supplies, and laboratory supplies. RMF continues to support a blood bank, lodging, food, transportation, medicines, laboratory services, and other necessities for needy patients and their families. In March 2017, RMF also began supporting human resources at Kanti Children’s Hospital and is now providing the hospital with medical officers who serve in the Surgical ICU and Neonatal ICU, as well as registered nurses who serve in the triage area and Medical ward.
- RMF’s medical officers and nurses have continued serving in different areas of Kanti Children’s Hospital.
- During the reporting period, 687 patients were treated in the Medical ward, 151 in the Pediatric ICU, 100 in the Surgical ICU, and 602 patients were triaged in the Emergency Department.
- Kanti Children’s Hospital celebrated its 57th anniversary of establishment.
Kanti Children’s Hospital celebrated its 57th year of establishment by organizing a special event. The program was chaired by Prof. Dr. Ganesh Rai, Director of Kanti Children’s Hospital, while the chief guest was Honorable Surendra Yadav, State Minister of Health and Population. In his remark speech, the Honorable State Minister expressed his delight to be present at the ceremony and his sincere concern about the hospital’s current circumstances. He expressed his commitment to investigating the situation and taking action for the hospital’s welfare.
Various competitions were also held at the anniversary celebration, and the winners were awarded prizes. Staff members who had served the hospital for a long period of time were acknowledged during the program.
687 patients treated
From January to March 2019, a total of 687 patients were admitted to and treated in the Medical ward. Among them, 427 were male and 260 were female. Children under 1 year of age had the highest admission rates at 212 patients, followed by children 1–3 years of age with 133. The most common conditions treated in the Medical ward were respiratory diseases with 207 patients, followed by cardiovascular diseases.
Providing important care
Children who require operations are generally treated in the SICU immediately after surgery. Preoperative cases who need intensive treatment are also treated in the SICU. Anorectal malformations of varying degrees comprise the greatest number of children who are treated in the SICU. The multiple surgical interventions necessary in treating Hirschsprung’s disease also brings children to the hospital for operations periodically. During the reporting period, RMF medical officers have served a total of 100 patients in the Surgical ICU of Kanti Children’s Hospital.
Kanti Children’s Hospital is the only government referral level Children’s Hospital of Nepal. The hospital was established in 1963 as a general hospital with 50 beds, which today have a capacity of 320 beds. The hospital treats children up to the age of 14 from all over the country, a total target population of 13-14 million children. Following the earthquake, where parts of hospital building were damaged, there is in general a need for equipment and capacity building for better health service delivery.
- Provide necessary medical supplies, blood, and nutritional support for patients. Also providing access and transportation to testing and procedures
- Give instruction of patients needs, education, amenities during hospital stay, and financial support to family of the patient
- Management to various hospital programs such as a blood drive program, a free-of-cost kitchen for patients and families, playroom and library for patients and siblings, and clothes bank for needy patients and family
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Khusi B. K.
Khusi B.K. is 2-month-old girl who was referred from a clinic in Bharatpur. The patient had multiple episodes of nonbilious vomiting, and she was brought to Kanti Children’s Hospital Emergency Department, where a surgical consultation was requested. RMF Medical Officer Dr. Sanish attended the case and found that, although the patient appeared unwell, all systemic examinations seemed normal. All the baseline investigations, along with an abdominal ultrasonography, were performed. The USG results revealed a diagnosis of infantile hypertrophic pyloric stenosis, a gastrointestinal disorder which can cause obstruction. After this diagnosis, Khusi was admitted to the surgical ICU.
She was scheduled for surgery on the second day of admission. After the preanesthetic check up, the patient was found fit for surgery. The surgery was successfully completed, and the patient was transferred to the SICU. Her postoperative days were uneventful, and thus, Kushi was discharged from the SICU with oral medications.
Khusi’s parents were very happy to receive counseling on every step of their child’s treatment from RMF Medical Officer Dr. Sanish and glad that Khusi was getting quality treatment from Kanti Children’s Hospital.
Rikesh Giri, a 5-year-old boy, was admitted to the medical ward with the diagnosis of enteric fever. According to the patient’s party, the child was well until 3 days before admission, when he developed acute onset abdominal pain as well as a highgrade fever, which was not measured, and began vomiting solid food.
After receiving Rikesh at medical ward, RMF Nurse Rusa first monitored his vital signs, which were not normal, and initiated the prescribed treatment. A cold sponge was administered, and Rikesh’s body temperature was closely assessed. Blood and urine samples were sent, and the results were found to be in the normal ranges. He was prescribed antibiotics and monitored closely. Nurse Rusa also briefed the patient’s party about danger signs and advised them to provide a soft and palatable diet during hospitalization. When Rikesh’s condition improved, he was discharged from the hospital with a request to follow up after a week.
Parbati Yadav, a 3-year-old girl, was a new patient received in the Emergency ward in the evening with burns on her face and the front of the body. She was rushed to the hospital after she was burned while she was playing in her father’s furniture workshop, where a bottle of turpentine accidentally fell into a fire, causing a small explosion. The burns were on her face, lips, both hands, and knees.
On arrival, the child was crying incessantly due to extreme pain from the burn. She was given morphine syrup orally as a quick and strong analgesic. A surgical consultation was requested, and after that the patient was admitted to the Burn ward for further treatment. As per protocol, this case was also registered with the police. RMF Nurse Nirjala took responsibility for triaging Parbati in the red zone and provided the necessary assistance.
Baby of Anami Rai
Anami Rai’s 11-day-old baby was brought to the Emergency department due to swelling of the scrotum for 2 days and excessive crying for a day. The parents were apprehensive, as the child also had a fever and had been vomiting.
On attending the case for surgical consultation, RMF Medical Officer Dr. Sujan Pun found that the swelling in the scrotal region was firm and irreducible, and the child cried loudly on contact with the area. Routine blood investigations and an ultrasonogram of the scrotal region were sent. The USG revealed that the mesentery of the baby’s large intestine had herniated into the scrotal region, and thus he was admitted to the SICU, and the surgery was planned for the next day.
After 2 postoperative days in the Surgical ICU, the baby’s condition improved, and he was discharged on the fourth postoperative day.
Urinary Tract Infection
Smriti Sunar, a 12-year-old girl, was admitted to the Medical ward with a diagnosis of a urinary tract infection. According to the patient’s party, she was well until 11 days prior to admission, when she developed a headache associated with vomiting solid food and a fever for 8 days, which was recorded up to 101⁰F. Her parents first took her to a local medicine shop, and they gave antipyretics which did not prove to be effective, so they were asked to take her to the hospital.
RMF Nurse Rusa received Smriti in the ward and oriented her to the ward and hospital policies. The investigation samples were sent, and she was continuously monitored for her fever. When the urine sample showed infection, it was sent for a culture test, and then antibiotics were started. After a few days of close observation and meticulous care, her condition improved, and she was discharged. Smriti was counseled about hygiene of the private areas, menstrual hygiene, and the importance of drinking enough water and taking medication as directed.