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By definition, the intensive care unit (ICU) beds are supposed for severely unwell and unstable sufferers. However what differentiate the 5 beds at BSMMU from different common hospital ICUs are the care recipients – neonates and infants simply introduced out from the cardiac surgical procedure rooms.
They’re vulnerable to dying, and put within the ICU to avoid wasting their life.
With overseas surgeons, the very best degree of medical look after infants was launched on the Bangabandhu Sheikh Mujib Medical College (BSMMU) in July 2021. Now it feels the necessity for specialised overseas nurses and BSMMU marketed in November final yr for the expert medical professionals because the nation’s nursing schools don’t produce such expert graduates.
Amid Bangladesh’s talks on well being employees export, the college goes to republish the commercial as none turned up by the 31 December 2021 deadline of the primary one. The {qualifications}, as per the commercial, embody a diploma in paediatric cardiac surgical ICU and two years of job expertise.
“We’re working the ICUs now with BSMMU paediatric nurses. However they don’t seem to be educated to handle the specialised paediatric cardiac instances,” Prof Mohd Zahid Hussain, chairman on the paediatric cardiology division of the medical college, informed The Enterprise Normal on Saturday.
What make nursing in a paediatric cardiac ICU particular are the age and weight of the infants, pacifying them who usually wouldn’t cease crying and customised particular person care, in keeping with Prof ABM Abdus Salam, former paediatrics cardiology head on the Nationwide Institute of Cardiovascular Ailments.
“Nurses with out specialised coaching can get simply confused find out arteries, inserting cannula and offering acceptable drug doses to the infants usually weighing under 5 kg,” he famous.
So determined is the hospital for nurses with the suitable expertise set that Prof Zahid stated he would rent them on the spot if any eligible nursing candidate turned up proper then.
Other than recruiting overseas nurses, he stated the division can also be contemplating bringing in paediatric anaesthesiologists to ascertain a whole paediatric cardiac surgical procedure unit at BSMMU – the lone such medical facility in any public hospital.
At the moment, a couple of non-public hospitals have full cardiac therapy services for infants.
Export plan exposes high quality flaws
In January this yr, Bangladesh marketed jobs for nurses and medical technologists in Kuwait. The authorities then stated at the very least six overseas nations have expressed curiosity to outsource nurses from Bangladesh.
Although the curiosity of the overseas recruiters isn’t totally matured but to conclude whether or not the talents of Bangladeshi medical doctors and nurses are consistent with the necessities, the authorities say the recruiters’ willingness is obvious sufficient that the potential workforce has required expertise and requirements.
Now with BSMMU searching for specialised overseas nurses, the medical employees export plan faces questions over the talents of Bangladeshi nurses. Preparation for a commerce assembly with Australia final month introduced the talent situation to the fore.
The commerce ministry requested the Bangladesh Excessive Fee in Canberra to incorporate nurse export to that nation within the assembly agenda. However the excessive fee responded within the adverse.
“Bangladesh has not but reached the nurse exporting stage attributable to lack of technical functionality and excellence. Even many hospitals in Bangladesh are counting on neighbouring international locations for nursing providers. That is very true for specialised nursing providers,” Bangladesh industrial counsellor of the excessive fee informed the ministry.
Referring to the BSMMU commercial, the industrial councillor stated another public medical services within the nation have undertaken comparable initiatives. He recommended the authorities repair the issues within the nursing curricula, take initiative for the accreditation of nursing certificates and make the nursing graduates extra expert in English.
In accordance with the Bangladesh Nursing and Midwifery Council, there are 271 BSc and 547 diploma nursing and midwifery schools (private and non-private) within the nation with greater than 39,000 seats. Round 15,000 nurses enter the job market yearly.
As of December final yr, there have been 80,739 nurses, whereas round 55,000 of them have been working at authorities well being services. Others are employed at non-public hospitals and clinics.
Can we make our nurses specialised domestically?
Medical doctors stated it’s excessive time Bangladesh launched specialised coaching for nurses and overhaul their curricula in order that the nursing graduates can meet up with the nation’s rising medical sophistication.
In accordance with Prof Abdus Salam, hiring nurses from overseas won’t be required for now if paediatric nurses are educated to function the cardiac surgical procedure ICU tools and the {qualifications} are relaxed a bit.
“Nonetheless, the well being ministry ought to introduce a paediatric cardiac surgical procedure course for nurses instantly. Even neighbouring India has educated nurses for neuro and paediatric cardiac ICUs,” he famous.
There are round six lakh youngsters within the nation with cardiac ailments at delivery, whereas 40,000 infants are born with congenital coronary heart ailments yearly.
Enamul Haque, extra secretary (nursing and midwifery) on the well being ministry, stated nurses are being educated for ICUs in Dhaka and Rajshahi. The coaching started throughout the pandemic. However he couldn’t affirm whether or not there’s any paediatric ICU coaching for nurses.
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