FAMILY MEDICINE/STAFF MEDICAL SERVICES DEPARTMENT
BACKGROUND

The Family medicine/Staff Medical Services department under the headship of Dr. Angela Esoimeme [MBBS, MPH, FWACGP], is a multi- unit department in the Lagos University hospital comprising both clinical and non-clinical units.

The department takes care of the physical, mental and environmental health of staff of Lagos University Teaching Hospital and College of Medicine University of Lagos with their nuclear families in addition to the numerous enrollees registered with the facility under the National Health Insurance Scheme. .
It is also a unique department having a combination of staff from LUTH and CMUL, most evident in the sanitation and administrative units.

UNITS IN THE DEPARTMENT INCLUDE:

1. Clinical Section which includes the NHIS/Staff clinic and psychology section.

2. Environmental Health Section.

3. Secretarial/Administration Section.

4. Health Records Section.

5. National Health Insurance Scheme coordinating Section.

A summary of the activities of the department are as follows;

SUMMARY OF UNIT ACTIVITIES

1. DUTIES OF CLINICAL SECTION
A compliment of the medical and nursing unit engages in the following activities in the department:

CONSULTATION WITH DOCTORS

a. Examination, diagnosis and treatment of NHIS enrollees, staff and their immediate families. This includes admissions for observation when needed.

b. Providing 24hrs medical services and call duty coverage at the sickbay of the school of nursing.

c. Follow up care, counseling and rehabilitation of patients.

d. Providing referral options of specialist care for patient in need of such services. These include Obstetric and Gynecology, orthopedic, pediatric, general surgery, urology, hematology, cardiology, nephrology, and physiotherapy etc

e. Providing diagnostic services to patients such as radio- diagnostic, histology, bio-chemistry, hematology, parasitological etc

f. Conducting pre-employment and pre-admission medical examinations to new staff and students. .

g. Conducting medical examinations.

h. Giving health talk (education) to staff with the aim of ensuring optimal and beneficial knowledge and practice.

i. Coordination of the residency program in Family Medicine.

j. Coordination of the Part 1 and 11 clinical examinations for the National Postgraduate Medical College of Family Medicine.
DUTIES OF THE NURSING SECTION
a. Participating actively in direct patient care

b. Giving health education to patients and their immediate relatives, including rehabilitation.

c. Administering injections and other medications as prescribed by the doctors.

d. Transfer of patient to Accident and Emergency unit and the specialized clinic.

e. Care and maintenance of hospital equipment and the effective and economical use of hospital supplies.

PSYCHOLOGY SECTION

a. Providing psychological assessments and review for new employees and needy staff.

2. DUTIES OF THE ENVIRONMENTAL SECTION

a. Routine inspection of;  

(I). Residential and official building to detect nuisances and proffer solution  
(II). Food premises, food handlers and food items.

b. Monitoring and control of;   
(I). Refuse generated within and around the immediate environment of LUTH and CMUL
(II). Harmful and hazardous liquid waste generated from the laboratories, pharmacies and theaters.
(III). Harmful pests, rodents and micro-organisms in the hospital environment
 (IV). Water system and water-ways within the premises by chemical and biological analysis.

c. Immunization of staff of CMUL / LUTH, their relations and students against certain communicable diseases including the issuance of international health certificate (yellow card)
 
d. Writing monthly environmental reports and submission to management for action.

e. Collection and disposal of refuse generated in different parts of the institution.

f. Fumigation, disinfections, disinfestations and deodorization against insects, rodents, reptiles, and microorganisms.

g. Daily sanitation of the entire LUTH/CMUL premises and includes sweeping of roads, parks and removal of litter on the field and open spaces. Also includes the washing and scrubbing of drains.

h. Ridding the premises of stray animals to prevent possible rabies from rabid animals.

i. Proper handling and disposal of blood products contaminated degraded and expired drugs, contaminated food items, and other items condemned by various hospital committees.

j. Prompt attention to urgent sanitation complaints from wards, theatres, emergency centers, clinics, schools, hostel, offices, staff-quarters etc.

3. DUTIES OF ADMINISTRATIVE I SECRETARIAL SECTION;

Typing of letters, memos, and reports within and out of the department

a. Preparation of special letters such as;
 
I. Referral letters to the specialist clinics for staff of LUTHI
CMUL

II. Referral letters to the specialist clinics for students of the college of medicine and surgery; student nurses; postgraduate students; medical laboratory sciences student; etc

III. Maternity leave and antenatal referral letters for pregnant staff of LUTH/CMUL

IV. Medical certificate of fitness for employed staff CMUL . and LUTH

V. Medical certificate of fitness for traveling and other pu rposes.

VI. Circular letters for clinical meeting in the department. VII. Minutes of departmental meetings.

VIII. Interview invitations for staff and medical students. IX. Monthly reports from Chief Environmental Officer.

b. Handling sick leave and discharge certificate to staff.

c. Stamping of investigation request forms for staff of LUTHI
CMUL

d. Handling and treatments of mails such as:

I. Receipt of incoming mail for the department.
II. Dispatch of out-going memos and letters from the department.
III. Filing of letters/memos in the department.

e. Attend to patients and other members of the public wishing to see the HOD
 
f. Resource staff for the Fellowship examination of the National Postgraduate Medical College of Nigeria.

g. Discharge of any other assignment given by the HOD or other doctors in the SMS department.

4. DUTIES OF HEALTH RECORDS SECTION;

a. Registration of patients seeking consultation.

b. Retrieving and filing of patients' case files used for consultation on daily basis.

c. Distribution and appropriate filing of patient laboratory results.

d. Registration of newly employed staff for pre-employment medical fitness examination.

e. Maintenance and processing of all staff health records.

f. Preparation and compiling of statistical records.