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Showing posts from June, 2024

Critical Drug Alert! Do not use Ceftriaxone and Calcium-Containing IV Products together

A recent alert issued by the Directorate of Drugs Control, Punjab, highlights serious concerns about using intravenous (IV) ceftriaxone with calcium-containing products, such as Ringer Lactate. This alert is based on reports of adverse drug reactions and underscores the risk of IV admixture incompatibility. Healthcare professionals are advised to take immediate action to ensure patient safety.    Details of the Alert Issued By:  Punjab Pharmacovigilance Center  Key Concern Using IV ceftriaxone and calcium-containing products together can cause severe, potentially fatal complications due to precipitation in the bloodstream. This issue is particularly critical in neonates but extends to older infants and adults under specific conditions.   Pharmacovigilance Center Findings The Pharmacovigilance Center in Punjab has reported numerous adverse reactions related to the combined use of IV ceftriaxone and calcium-containing products. Investigations revealed:  1. Ceftriaxone was being diluted w

Nurse Leaders in the Making

by Shabbir Hussain Jatial Jungshahi,Thatta: The renowned nurse activist brings light to hundreds of ailing eyes in Free Eye Camp at Jungshahi Union Council in South Sindh The Nurse Entrepreneur Noreen Farhan is founder of Zhawia زاویہ organization has been striving for sustainable changes in the lives of communities in the health sector in coastal districts of Sindh and Balochistan in liason with government and non governmental organisations. Recently she succeeded in establishing a Free Eye Camp for treatment and surgeries in Jangshahi town of Thatta district.  At Free Camp at the door steps of vulnerable population in remote Jangshahi brough from Karachi many renowned ophthalmologists to undertake minor surgery, provided lenses,spectacles and medicines to around 380 men and women who lived with ailments as their fate.  Community mobilization and transportation of needy patients at Jangshahi township was arranged by local social organization. While for complex surgeries, about 38

To Increase Stipend of LHVs: Consultative Meeting Held

Karachi: On June 6, 2024, a consultative meeting was held at the Director General Health Services Sindh office to discuss the enhancement of stipend rates and seat allocation for Lady Health Visitors (LHVs). The meeting, organized by Director General Health Services Sindh, Dr. Waqar Memon, brought together esteemed healthcare professionals and educators to share their expertise and insights.    The meeting was attended by:   - Dr. Zahida, Additional Director General Health Services Sindh Chairperson Committee MEMBERS,  - Dr. Farheen Meher, Principal, Public Health School, Karachi,  - Dr. Raffat Arif, Principal, Public Health School, Hyderabad - Dr. Farzana Memon, Principal, Public Health School, Mirpurkhas  - Representative, Public Health School, Sukkur - Dr. Rehana Mithi, Public Health Expert - Khair-Un-Nisa Khan, Director/Principal, College of Nursing, Dr. Ruth KM Pfaue Civil Hospital Karachi - Other healthcare professionals and stakeholders  The meeting concluded with a commitment t

Pakistan's First Human Milk Bank Established

Karachi: A Milestone in Maternal and Child HealthIntroduction In a significant stride towards maternal and child health, Pakistan's first Human Milk Bank, accompanied by an Early Childhood Center, has been inaugurated in Korangi, Karachi. This initiative, a collaborative effort between the Government of Sindh and UNICEF, marks crucial development in providing optimal nutrition and care to newborns, particularly in neonatal intensive care units (NICUs).     The Shariah-compliant Human Milk Bank was officially inaugurated by Sindh Health Minister Dr. Azra Pechuho. This facility aims to support infants who are unable to receive their mother’s milk due to various reasons. It ensures the provision of essential nutrients, antibodies, and protective factors necessary for the growth and development of premature or sick infants.    The primary goal of the Human Milk Bank is to serve hospitalized infants in NICUs by offering donor milk. This milk is crucial for providing optimal nutrition an

Three Days MAP Moot: Press Release

 ```PRESS RELEASE ```  Karachi : Pakistan's representative professional association of Midwives, Lady Health Visitors, the "Midwifery Association of Pakistan (MAP)" held its National Body Meeting in a local Hotel from 4 to 6th June in Karachi under its newly elected President Doctor Professor Rafat Jan - a known Midwifery Academia. The National Body of MAP consists of 12 Board members from all provinces, Gilgit Baltistan, AJK and four members Executive Body. The three days moot reflected on past achievements of MAP since its foundation in 2006 and, the areas of improvement and action for the coming three years.  The national congregation of midwives chalked futuristic strategic plan for coming three years focussing on Sustainable Development Goals (SDGs) along with Government of Sindh and partners. The concluding session of third was marked with auspicous presence of Honorable Minister of Health and Population Welfare Dr. Azra Fazal Pechu who sought liaison between Gover

Three-Day MAP Meeting in Karachi

The Midwifery Association of Pakistan (MAP) held its Board Meeting from June 4 to 6, 2024, in Karachi. The National Body of MAP, which includes Board members from all provinces and Gilgit-Baltistan, along with the Executive Body, gathered for this significant event. During the three-day meeting, the participants reflected on past achievements and identified areas for improvement. They also developed a strategic plan outlining MAP's activities for the next three years. The Honorable Minister of Health and Population Welfare, Dr. Azra Fazal Pechu, attended the final session. She emphasized the importance of collaboration between the Government, MAP, Path Finder, UNICEF, UNFPA, and WHO to enhance maternal and child health care and reduce infant and maternal mortality rates in the province. Other notable attendees at the final session included Dr. Dabeer Ahmed Khan, Dr. Yasmeen Qazi, Dr. Talib Lashari, Dr. Ghambhir, and other distinguished dignitaries from partner organizations. The Bo

IND & IDM Celebrated by CoN&M- Indus University Health Sciences & Hospital

By Shabbir Hussain Jatial  Karachi: True to its traditions, CONAM Indus University organized a thoughtful International Nurses & Midwives Day in the Seminar Hall of Indus Hospital on 3/6/24. The keynote speakers, Dr. Pamella Marshal, Dean of Nursing Z.U.FONAM, Dr. Khair-un-Nisa Ajani, first Nurse PhD from A.K.U SONAM, and Director/Principal Indus C.o.N, and learned Nurse Educator Sir Hakim Ali Shah, impressed the audience with their wisdom reflecting the themes of International Nursing & Midwifery Councils 2024. Dr. Marshall drew the audience's attention with interesting anecdotes on Nurse Entrepreneurship, Dr. Ajani elaborated on the process of theme evolution and background research involved by ICN & ICM leadership, while Mr. Hakim Ali Shah presented empirical evidence of how investment in nurses and midwives results in significant impacts on decreased death and disease rates. This was followed by a panel debate led by Director Nursing DIONAM - DUHS, a rising research

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Press Release: Nursing Midwifery Stakeholders Across Pakistan Make Grand Alliance against Merger of their Council

Press Release The national Icons, Deans, Federations Leaders across Pakistan expressed extreme dismay over proposed merger of Pakistan Nursing & Midwifery Council(PNMC) with Allied Health Professional Council(AHPC) in the name of the rightsizing move of the Federal Government. The academia and clinical leaders across the country expressed strong resentment against the uncalled for merger since Councils do not get funds from government kitties but manage their routine buisness through self-generated revenues. Further their employees are a few, thus both reasons i.e "financial burden on budget and over employment" quoted reasons for rightsizing do not apply on both Councils.  The leaders constituted "Grand Alliance Against Merger of Nurse-Midwifery Council (GAAM)" led by Dr. Rafat Jan, Associate Dean Nursing AKU, & President Midwifery Association of Pakistan (MAP), Professor Raisa Gul, Dean of Nursing Shafa-TMU, Recipient State Award of Pride of Performance

Difference Between Post-RN BScN & Generic BSN (Updated 2023)

Are you confused about the terms BSN, BScN, Generic BSN, Post-RN, BS Nursing, and BSc Nursing? We receive many questions about these terms at PKN. This updated post will clarify these terms, especially in the context of recent changes in Pakistan. In short, the Generic BSN is a degree program for individuals who wish to join the nursing profession after 12 years of schooling, while the Post-RN BScN is a degree program for nurses who already have a three-year diploma in nursing.  Generic BSN The Generic BSN is an ideal option for those who want to enter the nursing profession in Pakistan. Previously, another option to join the nursing profession was the 3-year diploma in general nursing. However, according to the Higher Education Commission (HEC) of Pakistan's policies, the diploma in nursing was phased out across Pakistan in 2018.  The Generic BSN is a 4-year degree program followed by a one-year internship. An internship involves practical nursing practice in a hospital under

New Nurses Uniform by Pakistan Nursing and Midwifery Council (January 2024)

The Pakistan Nursing & Midwifery Council (PNMC) has introduced a new uniform dress code for nurses working in clinical settings across the country. The announcement, in an official letter from the PNMC dated January 31, 2024, stated guidance about professional attire of nursing staff in Pakistan. The new dress code approved during the 6th session of the council held from January 15-17, 2024, under the leadership of Ms. Farzana Zulfiger, President of PNMC, specifies new uniforms for male and female nurses. Female nurses are to wear a dark blue shalwar kameez with a nameplate, accompanied by a white coat and a blue scarf/dupatta. Male nurses are required to wear dark blue scrubs along with a nameplate. Category Uniform Female Nurses Dark blue shalwar kameez with nameplate, white coat or blue scarf/dupatta Male Nurses Dark blue scrubs with nameplate Health Departments across Punjab, Sindh, Balochistan, Khyber P

Asia's First Strategic Meeting Makes History: Midwifery Leaders Unite in Islamabad

By Shabbir Hussain Jhatial The Midwives Alliance of Asia (MAA)  holds its first-ever Strategic Directions Meeting in Islamabad under hosting of Aga Khan University School of Nursing & Midwifery (AKU-SONAM) and Midwifery Association of Pakistan(MAP). Dean AKU-SONAM  Dr. Salimah Walani, spoke as Guest of Honor in preliminary session while  Dr. Rafat Jan, Associate Dean of Outreach & Policy at AKU-SONAM and President of the MAP , led this South to South  initiative  in three-day-long consultative session. This Strategic Meeting brought together midwifery leaders from ten member countries : the Afghanistan, Bahrain, Bangladesh,  UAE, Indonesia, Islamic Republic of Iran, Nepal, Pakistan, Philippines, Yemen and a representative from Bahrain's Supreme Council and GCC countries of Middle East. The goal of the multi-national initiative was aimed to advance Midwifery across the Asian  context by fostering South to South collaboration among member states'  midwifery leaders. This

پاکستان میں تاریخ رقم: مڈوائفس الائنس آف ایشیا کی پہلی تاریخی میٹنگ کی میزبانی پاکستان میں

از شبیر حسین جھتیال  مڈوائفس الائنس آف ایشیا (MAA) نے اپنی پہلی اسٹریٹیجک ڈائریکشنز میٹنگ اسلام آباد میں منعقد کی، جس کی میزبانی آغا خان یونیورسٹی اسکول آف نرسنگ اینڈ مڈوائفری (AKU-SONAM) اور مڈوائفری ایسوسی ایشن آف پاکستان (MAP) نے کی۔ ڈین AKU-SONAM ڈاکٹر سلیمہ والانی نے ابتدائی سیشن میں مہمان خصوصی کے طور پر خطاب کیا، جبکہ ڈاکٹر رفعت جان، ایسوسی ایٹ ڈین آؤٹ ریچ اینڈ پالیسی AKU-SONAM اور صدر MAP، نے اس جنوبی جنوبی تعاون کے اقدام کی تین روزہ مشاورتی سیشن کی قیادت کی۔ اس اسٹریٹیجک میٹنگ نے دس رکن ممالک کے مڈوائفری رہنماؤں کو اکٹھا کیا: افغانستان، بحرین، بنگلہ دیش، متحدہ عرب امارات، انڈونیشیا، اسلامی جمہوریہ ایران، نیپال، پاکستان، فلپائن، یمن، اور بحرین کی سپریم کونسل اور خلیج تعاون کونسل (GCC) کے نمائندے۔ اس کثیر القومی اقدام کا مقصد ایشیائی تناظر میں مڈوائفری کو فروغ دینا تھا، جس کے لیے رکن ممالک کے مڈوائفری رہنماؤں کے درمیان جنوبی جنوبی تعاون کو فروغ دیا گیا۔ اس ٹرینڈ سیٹنگ میٹنگ نے مڈوائفس الائنس آف ایشیا کی اسٹریٹیجک ڈائریکشنز کا ابتدائی مسودہ تیار کیا، جس میں مذکورہ ممالک کے مڈوائف

Fact Check: Nursing and Paramedic Councils are NOT merging Globally

A post circulating on social media in Pakistan claims that several countries have a single regulatory body for nurses, midwives, and paramedics. However, the reality is more complex and varies from country to country. Many countries maintain separate councils for these professions to safeguard their professional identities and uphold high standards of care.     In most cases, separate regulatory bodies ensure that each profession receives the specialized attention it needs, enhancing the overall quality of healthcare.  Merging these bodies could dilute professional standards, as the requirements and scopes of practice differ greatly between these fields.     Examples:   Australia   Although the Australian Health Practitioner Regulation Agency (AHPRA) oversees several health boards, nursing, midwifery, and paramedics are regulated by distinct boards—the Nursing and Midwifery Board and the Paramedicine Board—maintaining their autonomy within the national framework. Website: https://www.a

نرسنگ مڈویفری کے قومی رہنماٶں نے نرسنگ کونسل کے انضمام کے خلاف جدوجہد کے لیے گرینڈ الائنس بنالیا

 الاٸیڈ کونسل (پیرامیڈکس) کے مجوزہ غیر ضروری اور غیر فطری انضمام پر سینیر رہنما رنجیدہ ۔ ھر سطح پر  مقدمہ لڑنے کا عزم .  از ۔۔۔۔۔ شبیر حسین جھتیال ۔۔۔۔۔ پاکستان بھر کی یونیورسٹیوں کی  نرسنگ،ڈینز, اساتذہ اور نرسنگ مڈواٸیف فیڈریشنز کے رہنمائوں نے وفاقی حکومت کی طرف سے راٸیٹ ساٸیزنگ اور سادگی مہم کے نام پر پاکستان نرسنگ اینڈ مڈوائفری کونسل (PNMC) کی الائیڈ ہیلتھ پروفیشنل کونسل (AHPC) کے ساتھ غیر ضروری انضمام  پر انتہائی مایوسی کا اظہار کیا۔ شعبہ نرسنگ کے سینیر منتظمین, اسکالرز اور نرس مڈویفری لیڈرشپ نے کہا کہ کیونکہ کونسلز خودمختار ادارے ہوتے ہیں جنہیں کوٸی حکومتی  کھاتوں سے فنڈز نہہیں ملتے اس لیے خودمختار کاٶنسلز اپنے معمول کے معاملات کو  اپنے طرف سے جمع ہونے والی آمدنی کے ذریعے چلاتے ہیں۔  انہونے مزید بتایا  کہ نرسنگ کاٶنسلز کے ملازمین کی تعداد بہت ہی  کم ہے اور الاٸیڈ ھیلتھ پروفیشنلز الاٸنس تو بنے ابھی سال بھی مشکل سے ہوا ہے۔  اسلیے وفاقی حکومت کی سادگی مہم کی دونوں وجوہات یعنی "بجٹ پر مالی بوجھ اور زیادہ ملازم"  اس حوالے سے نرسنگ مڈویفری یا کسی بھی کاٸونسل پر لاگو نہیں ہوتیں

Unprecedented Unity: How Nursing Leaders Defending Our Identity in Crisis

Though the Pakistan Nursing and Midwifery Council (PN&MC) has been facing unending crises for years, but the merger with Allied Health Professionals (AHPC) rose as an existential threat to our identity. Responding to this major threat our renowned leaders Dr. Raisa Gul and Dr. Rafat Jan took the initiative and united all stakeholders at PN&MC Secretariat. The meeting was chaired by PNMC President Farzana Zulifqar and spearheaded by Dr. Raisa with one-point-agenda.  It was attended by the Joint Secretary of the Ministry, DGNs, Controllers, Members of PNMC, Federation/Association Heads from across Pakistan & AJK-GB, and some Deans/Professors of Nursing who joined online. Thanks to our Leaders-in-Crisis for adopting a participatory approach and successfully drafting consensus documents and the modus operandi for the future course to retain PNMC as Exclusive Body of Nurses & Midwives.   Unprecedented Unity.  Throughout my career I never observed such sober, serene and produ

What is the Nurse-Patient Ratio According to Pakistan Nursing Council?

Understanding the nurse-patient ratio according to the Pakistan Nursing Council (PNC) is crucial for ensuring proper healthcare standards in hospitals across the country.  However, it is important to acknowledge that nurse-patient ratios in many hospitals in Pakistan are currently far lower than the recommended guidelines. In this blog post, we will provide a detailed analysis and breakdown of the official PNC notification on this subject. The official PNC notification on this subject is given below. Official Nurse-Patient Ratio According to Pakistan Nursing Council: The PNC issued a notification (No. PNC F-7-14-Admin/2021/ 3702) on 25th May 2021, outlining the minimum nurse-to-patient ratio for hospitals across Pakistan. The guidelines provided in this notification are as follows:     General Hospital Units: In general hospital units, the nurse-to-patient ratio should be 1:3 beds, which means three nurses for every ten beds, with one reliever nurse for every ten beds. This

Multidisciplinary Exhibition on Nursing-Pharmacy Integrated Care

By: Shabir Hussain Jhatial The College of Nursing - NICH Karachi organized an innovative event "Multidisciplinary Exhibition on Nursing-Pharmacy Integrated Care – A Transformative Approach" at National Institute of Child Health in Karachi. This collaborative event brought together nursing students from CON-NICH, and pharmacy students from Institute of Pharmacy Sciences (IPS-JSMU). The ademicians and clinicians from NICH, Jinnah Sindh Medical University, JPMC and Korangi CON also participated as Evaluators and Experts in Nursing and Pharmacy Sciences.  This innovative and collaborative event was the brainchild of  CON-NICH Principal Ms. Shabana Wazir well supported by Executive Director NICH Professor Nasir Saleem and authorities of Jinnah Sindh Medical University (JSMU) and JPMC  pharma and nursing faculty . The aim of this multi disciplinary caring approach was to ehance holistic care and to improve practices in healthcare settings.  The event featured experts from nursing,