LAMB Nursing department aims to provide compassionate and skilled nursing and midwifery services, to the hospital and to the community.
The Nursing Department has approximately 100 staff. The key groupings within this are Senior Nurses, Midwives, Aid Nurses, and Housekeeping.
Senior Nurses are all Government qualified, having been trained initially at Government approved hospitals. They all receive an additional orientation on joining LAMB, and regular in-service training every month, to attain the LAMB standards of nursing care.
Senior Nurse Midwives must undergo an additional 6 months full time Advanced Midwifery training course on joining LAMB, again to attain LAMB standards.
Aid Nurses do not have formal external qualifications, but receive 3 months full time training at LAMB. They carry out the more routine, less technically skilled tasks of nursing.
Housekeeping carry out cleaning of wards, laundry and other such activities.
In an unusual collaborative management structure, the Bangladeshi Nursing Director holds equal status with the Medical Director as they mutually manage LAMB Hospital. Two Nursing Officers, also Bangladeshi nationals work under the Director, advised by an expatriate nursing education consultant.
LAMB nurses provide coverage twenty-four hours a day, seven days a week for all hospital wards as well as weekday coverage of the Antenatal Clinic and the Central Supply Room (instrument sterilization). Research data collection and administration are cross-cutting skills supporting hospital and overall LAMB objectives.
Our Infection Control (IC) Practitioner oversees the operation and improvement of our sharps and waste disposal practices. An Infection Control committee meets on a monthly basis. LAMB has a high temperature incinerator for sharps and biohazardous waste.
The Labour Room and Antenatal Clinics are a key practical training area within the project. Advanced Midwifery students and Community Skilled Birth Attendants make a steady stream of trainees.
We cross-train nurses for scrub, OT operation, and anesthesia administration (under the supervision of the surgeon) to cover the Operating Theatre for scheduled or emergency procedures. Several LAMB nurses have been in the UK for informal training in anesthesia, recovery, and other related areas of nursing.
Nursing Department continues to look at the issues of quality management, improvement and assurance in order to improve continually our standard of patient care.
Networking and Dissemination
Members of Nursing Department are active in various national associations relevant to their work, and this is very much supported by LAMB.
Two of our Safe Motherhood staff were members of a textbook writing team to prepare a Bangla Midwifery textbook to be used in the Government Nursing Institutes.
Our nurses take part in some of the research activities at LAMB, and have also presented in their own right at national scientific forums in the areas of Kangaroo Care and recognition of low-birth weight infants by non-literate individuals.
Emotional and Spiritual Focus
A small group of LAMB nurses meets weekly for prayer, encouragement and Bible study. This group started a national organization (Nurses’ Christian Fellowship in Bangladesh, NCF-B) that now hosts a bi-annual conference in Bangladesh. The group is now recognized by and part of the related international fellowship.
Recognizing the elements of social, emotional and spiritual health for overall physical health, two full time Nurse Chaplains are available to interact with patients and families regarding social, emotional and spiritual needs.
It is our prayer that the nursing care given at LAMB will be filled with love, hope and compassion following the example of Jesus Christ.
In March 2012 a new Nursing Institute was launched with 16 students. Medical, nursing, and other health staff rotate through the teaching schedule, which is according to the Bangladesh Nursing Council curriculum. The school is still under development, but it is hoped there will be a full 3 year student body by 2014.