PSY Forum Events

-Reported by Haleema Mazeena (II BA)

On the 29th of August 2024, twenty nine II BA students of Psychology accompanied by Dr. Sandra Sunitha Lobo embarked on an enlightening visit to Fr. Muller Medical College Hospital, Mangaluru. Our extension visit was meticulously coordinated by Rev. Sr. Nancy Priya, the Chief Nursing Officer.

Dr. Pramila D’Souza, Professor of Obstetrical & Gynecological nursing greeted us. She commenced the session by outlining the hierarchy of administration within the hospital, providing us with a clear understanding of the roles and responsibilities that ensure the smooth operation of such a large medical facility. Her session transitioned into an in-depth discussion on neonatal care, where she elaborated on the treatment and management of newborns, particularly those with normal weight, and the diagnostic procedures employed to detect potential health issues. She provided a detailed explanation of the biophysical, biochemical, and clinical methods used to monitor the health of newborns. Various tests, including fetal movement counts, Non-stress test (NST), Ultrasonography, Contraction stress test (CST), Vibroacoustic stimulation test, Amniotic fluid volume, fetal biophysical profile, Doppler ultrasound that measures the blood flow in veins, and other critical diagnostics, were discussed. These tests are essential for identifying congenital anomalies, chromosomal abnormalities, genetic disorders and hematologic conditions in newborns. The different topics covered were vitamin K injections that are mandatorily administered to newborns to prevent a serious disease called haemorrhagic disease of the newborn (HDN), breast milk bank at Lady Goschen Hospital, Mangaluru, APGAR scaling, and various nutritional assessments.

One of the main objectives of our visit was to gain insight into the Neonatal Intensive Care Unit (NICU). Dr. Pramila outlined the objectives of NICU care, emphasizing the importance of providing specialized medical attention to premature and critically ill newborns. The routines followed by the nursing staff, such as regular monitoring of vital signs and administering necessary treatments, were also discussed. Additionally, she detailed the admission procedure for newborns into the NICU, (sick babies, those with low birth weight, those with haemolytic diseases, respiratory diseases, those with intrauterine growth restriction (IUGR), those born to diabetic mothers highlighting the meticulous care taken to ensure the best possible outcomes for these vulnerable ones.

Dr. Pramila further introduced us to some of the essential equipment used in the NICU, such as the radiant warmer, which is vital for maintaining the body temperature of newborns. She explained how it works in detail, including who are allowed to operate it and under what circumstances. Another fascinating aspect of the session was the demonstration of the Kangaroo Mother Care (KMC). Dr. Pramila used a doll to illustrate how KMC is performed, which involves skin-to-skin contact between a mother and an infant, promoting bonding and stabilizing the infant’s body temperature. The sensitivity and care with which Dr. Pramila demonstrated this procedure left a lasting impact on all of us.

She also addressed the delicate topic of breaking bad news to parents and the counseling that follows, especially in cases of neonatal death. Furthermore, we learned about the complications that can arise in babies placed in the NICU, such as jaundice requiring phototherapy, the need for exchange transfusion, and neonatal resuscitation procedures. Dr. Pramila also spoke about the significance of the "Code Pink" emergency protocol, head cooling procedures for infants with hypoxic-ischemic encephalopathy, and the process of induced hypothermia to prevent brain damage.

The session also covered the training provided to nurses and staff, ensuring they are well-equipped to handle the demands of NICU care such as spill kit, mercury kit training, MRSA Management, Arterial Blood Gas (ABG) Analysis, Infection control and blood collection. Dr. Pramila D’Souza discussed the Quality Assurance Program, which involves setting input and output objectives to maintain high standards of care. Two key objectives include improving patient outcomes through evidence-based practices and ensuring the continuous education of nursing staff. Quality indicators, such as infection rates and patient recovery times, are closely monitored to maintain the effectiveness of the care provided.

Following the session, students had the opportunity to ask questions. Dr Pramila replied to all queries about Rh incompatibility issues, fertility issues, menstrual pain and medication, some Medico-Legal Cases etc. Dr. Pramila D’Souza concluded her session with a powerful message, particularly directed at the young women in the room, emphasizing the importance of maintaining a healthy lifestyle, managing stress, and consuming nutritious food, as the students are the future caretakers of the next generation.

Ms Inika Shetty (II BA) expressed deep appreciation to Dr. Pramila for her insightful session. Dr. Sandra Sunitha Lobo thanked the Administrator of the Institution, the Management, Sr. Nancy Priya and all associated with coordinating this first-ever visit of Roshnites to the various departments of the Nursing Administration of the Hospital.

Department Visits

1. Visit to PICU and NICU:
Nurse Superintendent Ms. Thara briefed us on the operations of these two critical units. The PICU had two patients, one newborn was presently in an isolation room. The NICU cared for 26 babies. Due to the sensitive nature of the environment and the need to protect vulnerable infants from infections, we were not allowed to enter the NICU. This restriction underscored the gravity of the situation and the importance of maintaining a sterile environment for the well-being of these infants.

2.Thalassemia Centre:
Next, we visited the Thalassemia Centre, a collaborative initiative between Fr. Muller Medical College and Sankalp India Foundation, established in March 2024. Dr. Diana provided a detailed explanation of thalassemia, a genetic blood disorder, and the preventive measures that can be taken. She also shared insights about Sankalp India Foundation, which operates 34 branches across India, working tirelessly to support thalassemia patients and raise awareness about this condition. Along with free blood transfusion, free medication, and counselling are also provided at Fr. Muller Medical College Hospital, Mangaluru.

3. Birthing Unit:
Our visit continued to the Birthing Unit, where the Ward In-Charge Ms. Theresa Lucy, along with an assistant nurse, showed us the labour suite. The suite was equipped with state-of-the-art facilities to ensure the safety and comfort of expectant mothers during childbirth. We were then taken to the Eclampsia room, which houses women experiencing severe pregnancy complications, such as pre-eclampsia, requiring close monitoring. We were guided through the Septic Labor Room, where patients with infections are isolated to prevent the spread of diseases. Additionally, we visited the Baby Resuscitation room, where newborns who require immediate medical attention after birth are stabilized. The care and dedication of the staff in these units were truly commendable.

4. Antenatal and Postnatal Ward:
At the Antenatal and Postnatal Wards, we observed the care provided to mothers and their newborns, to ensure both the mother’s and the baby’s well-being. Ms.Wilma explained the discharge procedures and the follow-up care instructions given to mothers, emphasizing the importance of continued health and nutrition post-delivery.

The visit to Fr. Muller College Hospital, Mangaluru was an eye-opening experience that left a profound impact on all of us. We gained further insight into the hospital's several specialized departments and neonatal care. The compassion and professionalism displayed by the hospital staff, especially in sensitive areas like the NICU and Birthing Unit, were truly inspiring. The cries of newborns echoed with an unspoken message - “In the hands of today’s youth, lies the promise of a healthier tomorrow”.