God is so merciful in geographical distribution.
Imagine a government that can't repair Agbor-Benin road having to deal with the aftermath of an earthquake.
The EU has banned TPO (Trimethylbenzoyl Diphenylphosphine Oxide) - an ingredient found in gel manicures.
This ingredient is a "photoinitiator", which allows gel polish to cure under ultraviolet (UV) light to make the varnish more durable and hold its colour for longer.
Several animal studies have linked the chemical TPO to long-term fertility damage and reproductive issues.
It has just been reclassified as a Category 1B CMR (Carcinogenic, Mutagenic, or Reprotoxic) substance with reproductive implications.
Some questions answered here:
https://t.co/jtUU3UOPLP
UPDATE TO ALL MEMBERS ON WORK HOUR REGULATION (AND EXCESS WORKLOAD)
Good evening Distinguished NARDITES!
The leadership of NARD ably led by the Strategic P-MUS (Garkuwan Matasan Arewa), is pleased to update all members on a significant development arising from the deliberations of the FMoHSW Ministerial Committee on Work Hour Regulation and Casualization of Doctors.
Following extensive engagements and a comprehensive nationwide situational assessment involving 6,350 healthcare personnel across the six geopolitical zones, the Committee has developed a National Policy on Work Hour Regulation for Health Institutions in Nigeria.
The findings clearly demonstrated the urgent need to address excessive work hours, burnout, fatigue, inadequate rest, and the associated risks to healthcare workers and patient safety.
NEWLY RECOMMENDED WORK HOUR GUIDELINES
The following key provisions have been recommended under the new framework:
1. Maximum Weekly Work Hours:
Healthcare personnel shall work a maximum of 48 hours per week, including weekends. Any authorized excess hours shall be appropriately compensated.
2. Maximum Shift Duration:
- Day shift: 8 hours maximum
- Afternoon shift: 6 hours maximum
- Extended shifts exceeding 12 hours shall be limited to emergency situations only.
- All authorized excess hours must be adequately compensated.
3. Maximum Call Duty:
- A maximum of two call duties per week, including weekend calls.
- Calls must be equitably distributed among eligible personnel.
- A maximum of one weekend call per month.
4. Maximum Consecutive Duty Period:
There shall be an absolute maximum of 24 continuous hours of duty, inclusive of call duty.
5. Mandatory Rest Periods:
- A minimum of 12 hours between regular shifts.
- Mandatory 24-hour post-call rest following weekday calls, Saturday calls, Sunday calls, and public holiday calls.
6. Mandatory Break During Duty:
A minimum one-hour break after six hours of continuous work, including shift and call duties, shall be provided. Breaks should be appropriately staggered to ensure uninterrupted patient care.
7. Equitable On-Call Distribution:
Call duties shall not exceed two per week and one weekend call per month, with equitable distribution among eligible healthcare personnel.
8. Compensation for Excess Work Hours:
Authorized excess work hours must be properly documented and adequately compensated above the normal hourly rate, or appropriately balanced through structured time-off. This provision must not be abused by institutions.
9. Protected Research and Development Time:
Healthcare personnel in all institutions should have protected time for research and professional development, subject to approval by the appropriate National or Institutional Health Research and Ethics Committee.
IMPORTANT NOTE:
These recommendations are without prejudice to the stipulated maximum shift, call and rest durations, particularly in genuine emergency situations where patient safety and continuity of care may require exceptional arrangements.
We are pleased to inform all members that these recommended guidelines have been forwarded to all MDs/CMDs for implementation across all health institutions.
Hospital Managements and Heads of Departments are expected to take appropriate steps towards full compliance of these guidelines.
We strongly encourage all Centre Leaderships to engage their respective Managements and follow up on the implementation of these guidelines.
Members are encouraged to remain vigilant, document cases of non-compliance and channel legitimate concerns through their center leadership for necessary action by NARD.
We await the release of the second document addressing casualization and abusive locum appointments soon.
For doctors,
That specialty that you think is 'beneath' you might be someone else's passion
And at the end of the day, someone HAS to do it because no specialty is useless (otherwise, they wouldn't keep existing)