Nurse Justina Ejelonu Tells her Story from the Grave BY Jude Nwaobi

This story was posted on 01/Sep/2014 on nursingworldnigeria.com . 
I will like to share it as we #CelebrateJustinaEjelonu today the 14th of August, marking one year since she died of the Ebola virus.


I had lofty dreams of living a fulfilled live and having kids. My fiancée and i had fixed our traditional marriage for October, I was two months pregnant. My name is Justina Ejelonu and this is my story.

Ebola Virus Disease

I was ecstatic when i secured a job at first consultant hospital in Lagos. On the day i was to resume officially, I was reluctant since i had started experiencing morning sickness. I finally got myself together and resumed on the 21st of July.

In an unfortunate twist of fate, my first patient was a Liberian senior diplomat named Patrick sawyer. A 40 year old man with complaints of fever, headache, extreme weakness and haemorrhagic symptoms. 

Patrick died on Friday the 25th of July, it took the joint collaboration of the state, federal and international agencies to confirm he died from the Ebola virus (Zaire strain). Our hospital was temporarily shut down. 

On the 25th of July, i updated my Facebook wall and wrote "Friends, thank God for me o. i had a close contact with the first Ebola case in Nigeria..:.Long story cut short, God saved me dearly. join me in thanking God". 

The next day i posted this update on my Facebook wall ""Friends, up to our uniforms and all linens were burnt off.  We are on surveillance and off work till 11th.

Our samples have long been taken by WHO and so far we have been fine. For me,  kudos to my hospital management because we work professionally with every patient considered risk because that's the training. Had it been its a hospital where they manage risky patients with ordinary gloves like Government hospitals and some  Janjaweed private hospital..:lol....wahala for dey o.

 I must also thank Lagos Govt....infact! Even federal govt self....all have been supportive. I'm good and so are the others in the hospital....."

Dr Adadeveoh and Dr Ohiaeri jointly released a press statement thanking the hospital staff for our diligence and professionalism. What was to follow became a national nightmare! 

The anxiety awaiting our test results was heart wrenching, Yes, i checked his vitals, helped him with his food (he was too weak)..i basically touched where his hands touched and that was the only contact. Not directly with his fluids. At a stage, he yanked off his infusion and we had blood everywhere on his bed.. but the ward maids took care of that and changed his linens with great precaution"

Days went by and i began to feel feverish, it persisted at a very high temperature. By the 14th of July, My test result was out. 

It was positive for Ebola. 

I was devastated and heartbroken. 

By then, i had started stooling and vomiting. All of a sudden, I started bleeding per vagina. I cried because i knew i may have lost the pregnancy.
  
Dennis my fiancée got a cab and we rushed to first consultant. We were refereed to IGH, yaba.

 In panic, i disembarked the taxi and laid on the floor for over 30 minutes begging for attention and screaming "I was dying", The bleeding had become profuse.

At the quarantine center, Even when the bleeding subsided, I waited in vain for the doctors to carry out an evacuation. They never came. They insisted that an evacuation was too risky as my viral load was high. I was left at the mercy of God to complications as a result of retained products of conception.

 If Ebola didn't kill me, sepsis surely would

The stooling and vomiting persisted, I was dehydrated and extremely weak. My abdomen was bloated and my legs swollen. The fever caused excessive diaphoresis and fluid loss. nobody dared touch me, I was left on top of my excretions in soiled and over soaked pampers on soiled beddings.

 We were quarantined at the mainland hospital yaba where there was no water hence we had not had our bath since the day before, I was hypoxic but no provision of oxygen was made. 

It seemed we were dumped there to die with little care and separated in two groups with one group in rooms called VIP while myself and some other victims were in the ward.  

At some point I had messed myself up, Dennis put his life on the line and looked for water to clean me up, change my pampers and arrange my bedding. I was shivering. I knew the end was near, I didn't deserve to die in such an undignified manner.

On a Sunday morning, As i lay dying, I understood the reason and purpose for my life, my fears slipped away, I was at peace with my country Nigeria, I forgave sawyer, I didn't hold any grudge against my colleagues in the medical field who deserted me, I was finally at peace. 

I felt God hold me in the hollow of his hands. I went to be with the Lord. 

As a proud Nurse, I had paid the ultimate price in service to humanity and my country. 

(this article by Jude Nwaobi is a compilation and reconstruction of witness statement, interviews and phone calls culled from nursingworldnigeria.com)

Career/Jobs: CHEW, NURSES AND MIDWIVES NEEDED IN MSF BORNO, MAIDUGURI

Career Opportunities And Jobs For Nurse Aids, Nurses And Midwives.


Career Opportunities And Jobs For Nurse Aids, Nurses And Midwives
Médecins Sans Frontières is a private, non-profit international humanitarian organization dedicated to providing medical assistance to populations in crisis, without discrimination and regardless of race, religion, creed or political affiliation.

Nurses Aid
Job Description

  • Assist in nursing activities with hospitalised patients, according to nurses and doctors prescriptions, protocols applied in service and universal hygiene standards, in order to ensure delivering a comfort care and a proper management of patients’ basic needs.
  • Assist the nurse in organizing and providing care and treatments to patients, respecting the rules of hygiene, safety, comfort, dignity, medical secret, at all times.
  • Ensure cleanliness of his/her working environment (including facilities, material, linen, equipment, and carrying out the sorting and disposal of waste)
  • Compensate patients’ possible lack of autonomy by assisting and helping them in feeding, personal hygiene, movements and general comfort.
  • Participate in the surveillance and monitoring of the patient and report to the nurse of any relevant information.
  • Give response to nurse’s requirements in case of an emergency.
  • Participate in the basic health education sessions.
  • Participate in the monitoring of nursing activities (correctly fill in patient files, etc.) and ensure a relevant transfer of information between duty teams.
  • Report any problem arising in the care unit, especially the loss, robbery or damage of equipment or medicines.
  • Work together with the nurses, cleaners and care-takers.
  • Participate actively in the hospital platform (meetings, committee,.) and training
  • Participate in any other related activities as requested by the line manager
Requirements

  • Experience as auxiliary nurse is required
  • Diploma of CHEW or EHO is desirable
  • Fluency in spoken English and Hausa language
Method of Application
Submit your CV, copies of diplomas, qualifications and a cover letter (with reference NAIDJU15) with contact details to:
ADMIN OFFICE – MSF
Plot 82, OLD GRA (behind Lagos house) Kolo Road Galtimari
Maiduguri, Borno state, Nigeria

Deadline for the submission of applications: 16th of August 2015.

NB: only successful applicants will be called for interview.


2. Midwives

Job Description

  • Provide obstetrical care to pregnant women and their babies, doing follow up before, during and after delivery, according to MSF obstetrical and reproductive health protocols, universal hygienic and newborn caring standards and under supervision of a specialist doctor, in order to ensure their health conditions and avoid post-delivery complications.
  • Ensure the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care, neonatal and comprehensive abortion care, management of victims of sexual violence, reproductive tract infections and Fistula care in accordance with MSF Reproductive Core Package of Activities and reinforce the implementation of standardised protocols.
  • Collaborate with the medical doctor and /or nurse in the management of Sexual Violence cases
  • Ensure hygiene and sterilization criteria (including universal precautions) are met according to MSF specifications.
  • Guarantee a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders.
  • Properly follow up all newborn babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices.
  • Ensure patients’ right to privacy and confidentiality is respected
  • Supervise that administrative procedures of admissions and hospitalizations comply with MSF protocols , as well as verify patients are properly informed and receive the documents required (birth certificate, vaccination card, etc
  • Participate in the organisation of the ward in collaboration with other midwifes and the maternity ward supervisor. Ensure transfer of relevant information to the next shift team (specially identifying risk cases)
Requirements

  • Essential recognized midwife degree
  • Desirable 2 years of previous experience and previous experience in other NGO’s
  • Fluency in spoken and written English and Hausa language
  • High level of motivation and ability to learn
Method of Application
Submit your CV, copies of diplomas, qualifications and a cover letter (with reference MIDJU15) with contact details to: msff-abuja-recruitment@paris.msf.org

Applications can also be submitted in person at the following address:
Plot 82, OLD GRA (behind Lagos house) Kolo Road Galtimari,
Maiduguri, Borno state, Nigeria

Deadline for the submission of applications: 16th of August 2015.
NB: only successful applicants will be called for interview.


3. Nurse

Job Description

  • Provide nursing care, treatment and follow-up of patients, according to doctors’ prescriptions, protocols applied in service and universal hygiene standards/precautions, in order to ensure the quality and continuity of care for the targeted population.
  • Know, promote, implement and follow at all times the universal hygiene standards/ precautions, bio-hazard prevention and infection control, security rules and other protocols and procedures in the medical premises and ensure high standards of hygiene of his/her working environment .
  • Organize and carry out care and treatments according to medical prescriptions, as well as assist them during consultations/ daily rounds and other medical procedures.
  • Ensure patients are properly received and installed in the health service.
  • Ensures that patients with lack of autonomy are assisted, especially regarding their feeding, personal hygiene, movements and comfort.
  • Respect medical secret and confidentiality
  • Carry-out admission, surveillance and follow-up of patients meaning assessment of their health state evolution, and identification of emergency situation or any deterioration,
  • Participate in the department-related pharmacy and medical equipment control and maintenance (carrying out inventories, carrying out stock takes of medicines and material at every team changeover, ensuring no material is taken out of nursing area/wards without prior authorisation, checking its quality and its functioning, storage conditions, doing follow-up of expired drugs, etc.).
  • Carry-out and supervise administrative procedures and documents (fill in patients files, forms, consumptions, statistics, etc.), ensure an appropriate written/oral handover, and report any problematic situations and cases that may arise. fill in all necessary registers and health files, participate in data collection and keep doctors/supervisors informed.
  • Report any problem arising in the care unit, especially the loss, robbery or damage of equipment or medicines.
  • Work together with the nurses, cleaners and care-takers.
Requirements

  • Essential recognized nurse degree
  • Desirable 2 years of previous experience and previous experience in other NGO’s
  • Fluency in spoken English and Hausa language
  • High level of motivation and ability to learn
Method of Application
Submit your CV, copies of diplomas, qualifications and a cover letter (with reference NAIDJU15) with contact details to:
ADMIN OFFICE – MSF
Plot 82, OLD GRA (behind Lagos house) Kolo Road Galtimari,
Maiduguri, Borno state, Nigeria
Deadline for the submission of applications: 16th of August 2015.

NB: only successful applicants will be called for interview.
NB:YOU CAN ALSO SUBMIT YOUR CV, COVER LETTER  AND QUALIFICATION TOmsff-abuja-recruitment@paris.msf.org

DON'T FORGET USE THE RIGHT CODE

Pharmacy Storekeeper

Médecins Sans Frontières is a private, non-profit international humanitarian organization dedicated to providing medical assistance to populations in crisis, without discrimination and regardless of race, religion, creed or political affiliation.
 

Job Description

Receive orders and deliveries, identifying potential disparities against cargo manifest or others and reporting them, and stores materials in accordance with the system in force, in order to ensure continuous availability. It includes:
*Ensure correct fill in entries on the stock cards and software
*Prepare orders of the different consumption units (departments, wards, other), ensuring the packaging and proper dispatching. Reporting any anomalies or changes in consumption patterns to the Pharmacy Supervisor. Also inform Pharmacy Supervisor as soon as stock reaches alert limit
*Carry out or participate in regular inventories.
*Report missing material/ damage/ robbery.
*Control warehouse limited access to authorized personnel and ensure doors and other exists are secured.
*Ensures good storage conditions of all items in the pharmacy.
*Control warehouse facilities in order to ensure materials good keeping conditions. It includes:
*Monitor temperature in the warehouse and ensure that products requiring cold chain are suitably stored and transports received and prepared appropriately according to MSF Supply and Cold Chain protocols
*Ensure cleanliness of premises (stock pharmacy).
*Maintain refrigerating equipment in close collaboration with the logistics department…
*Follow up stock levels with regards to alarms thresholds, stock out, expiry dates and drugs to expire in the following 6 months. Make a report and passes it to the supervisor

Required Skills and Conditions

*Knows how to read, write and count in English language (paper management)
*Medical profile non-mandatory but preferred, especially knowledge in pharmacy preferably a Pharmacy technician or Assistant.
*Maximum 2 years professional experience in relevant field.
*Previous MSF work experience is a boost

Work Location

Jahun Jigawa State, (Nigeria).

Contract

208 working hours per month and roster flexibility required.

Method of Application

Submit your CV, qualifications and a cover letter with contact details to the MSF Admin’ Office in Jahun (“Application Box” at the Watchmen Desk).

Applications can be submitted in person or by email to: msff-abuja-recruitment@paris.msf.org

Deadline for the submission of applications: 20th August 2015.

Please make sure to submit your application by this date.

NB: only successful applicants will be called for interview.

Notice: No monetary transactions, neither demands of favours in kind, nor other types of favouritism will be tolerated in the recruitment process.

MSF reserves the right to refuse hiring of a candidate having benefitted from such acts. All illicit demands of these types may be pursued through the judicial system.

Nurses and Midwives at Irrua Teaching Hospital

Irrua Specialist Teaching Hospital, is a twenty (20) year old healthcare facility with a 375 bed capacity, offering diverse and specialized services in various aspects of healthcare. It is the only functional government owned hospital in the local government. The hospital is owned by the Federal Government of Nigeria and it is also a teaching hospital for teaching students of Ambrose Alli University's College of Medicine, Ekpoma. located in Edo State. ISTH is currently seeking to employ suitably qualified candidate to fill the position below:

1. Job Title: Nursing Officer II

Location: Edo
Department: Nursing Services

Qualifications
B.Sc Degree in Nursing Science (B.Sc N. OR B.NS-From National University Commission Accredited Institution)

Remuneration
As applicable in the Teaching Hospital set up.

2. Job Title: Staff Nursing/Staff Midwife II

Location: Edo
Department: Nursing Services

Qualification
Candidates must be a Registered Nurse/Registered Midwife

Remuneration
As applicable in the Teaching Hospital set up.

Application Closing Date
18th September, 2015.

How to Apply
Interested and qualified candidates should send their applications to:
The Chief Medical Director,
Irrua Specialist Teaching Hospital,
P.M.B. 08,
Irrua,
Edo State.

Health Jobs at Management Sciences for Health


Management Sciences for Health (MSH) saves lives and improves health, especially among the world’s poorest and most vulnerable people, by closing the gap between knowledge and action in public health. Our mission is to save lives and improve the health of the world’s poorest and most vulnerable people by closing the gap between knowledge and action in public health.

Community Care Specialist

 
Overall Responsibilities

The objective of the Community Care Specialist position is to manage the MSH ProACT PHDP/Care and Support portfolio including HIV prevention, OVC services in a manner that strengthens linkages and synergy between community-based and facility-based services; in partnership with the state government, other implementing partners and the community itself.
 
Management responsibility

Together with ProACT headquarter and State Staff spearhead the effective and efficient implementation of the HIV prevention, OVC, Care and Support services, provided under the ProACT project.
Member of the State Project Management Team that is responsible for overall project performance.

Specific Responsibilities

*Provide technical input in the development of an integrated State project plan in collaboration with the State Teams.
*Together with the Clinical Care Specialist, take lead in the establishment of comprehensive HIV and TB services in supported health facilities.
*Conduct targeted advocacy to LGA and community leaders for implementation of OVC, care and support services and HIV prevention programs in target LGAs.
*Provide technical assistance to the implementing health facilities and target communities on HIV prevention programming, Care and Support including HTC, adherence support systems, and client retention strategies.
*In collaboration with the SCMS lead, monitor stock levels of Prevention, Care and Support commodities and OI drugs in the State and ensure timely procurement and distribution.
*Network with LGA, grantee CSO and community partners in the LGA to establish a functional referral system for clients between clinical and community-based HIV/AIDS services.
*Ensure timely relevant technical support to all grantee CBOs.
*Liaise with the M&E team to ensure functional monitoring, evaluation and reporting of HIV sexual prevention program, care and support/OVC services as required in the project PMPRepresent MSH ProACT project at the state and LGA level on matters of HIV Prevention, OVC and care and support.
*Document programmatic achievements and keep the State Team Leader informed on a monthly, quarterly and annual basis.
*Be part of the state capacity building and supervisory team ensuring quality HIV prevention program, OVC, care and support services are delivered
*Participate in activities to scale-up prevention interventions to target communities

ACCOUNTABILITY:

*Supervision:  Works independently with authority from the State Team Leader, within strategy and policy guidelines.
*Decision Making: Makes decisions with regards to work responsibilities and is accountable for them.
*Responsibility over data or information: Has access to information within project, and is responsible for guiding program data generation and management.

Qualifications

*Nurse with a graduate degree in a public health.  Social Worker with a graduate degree and  extensive experience working with PLHIV may be considered.
*Experience in HIV Sexual prevention programming and working with key populations, preferably in Nigeria. 
*Significant experience in HIV/AIDS Programs with a focus on HIV Care and Support, OVC in resource poor settings in Africa, preferably Nigeria.
*Experience working with CSOs and community structures as well as managing, and supervising allied health professionals.
*Experience with HIV/AIDS programs supported by bilateral agencies such as CDC/USAID and international agencies such as WHO and World Bank preferred, particularly those related to sub granting to CSOs, HTC, treatment adherence and provision for orphans and vulnerable children.
*Excellent oral and written communication skills and fluency in English.

Method of Application

Interested and suitably qualified candidates should click here to apply online.

Other jobs available too.