Advancis Medical supply dressings for a charity trip to Hoima

Basingstoke North Hampshire Foundation (BNHFT) established a link with Hoima Regional Referral Hospital (HRRH) in 2007. The link was set up as Basingstoke Hoima Partnership for Help (BHPH) to improve the services provided.

BHPH is a charity that was set up in November 2009 to fund the link with the object of improving standards of healthcare at HRRH and maintain professional and educational partnerships. 

I am the Tissue Viability Nurse at BNHFT and am part of the Dermatology team. Currently Dr Fawcett is involved in developing a Doctor in Hoima to become a Dermatology specialist as specialists in this area are very sparse.

Dr Fawcett is a Trustee in the charity and had been arranging to go out to Hoima and assist setting up a Dermatology clinic. Whilst this was being arranged it was highlighted that wound care was an area that needed education so I was invited to join the Dermatology team.

We travelled out together at the beginning of November. On the first day we were invited to observe a Dermatology clinic in the Outpatients Department, and afterwards we were shown around the hospital and taken to all of the wards.

On the second day we began work on the surgical ward. There were a variety of wounds on all age bands from babies to the elderly. These included burns, snake bites, trauma wounds etc.  The dressings available for the nursing staff were simply gauze and elastoplasts, with the option of iodine if the Doctors requested it.   

Advancis had donated a large amount of various dressings so we set to work.  We had some very successful outcomes in the 10 days we were there.

Case One: 

An elderly lady had been admitted with a trauma wound to her hand that had become infected and had been treated with intra venous antibiotics.  When we reviewed there was tendon exposed and areas of thick slough.  Activon Tulle® was applied with Advazorb® to cover. We changed the dressing every 2 days and within 5 days the slough had been debrided and tissue had granulated over the tendon.  The lady was discharged home the following week.

Case Two:

There were a number of young children with burns caused by kerasin. One 6 year old boy had full thickness to his abdomen and left thigh. The wounds were offensive, wet and very sloughy. Previously the wounds had been cleaned with saline and left open.  We applied Algivon® with padding and bandage to both areas; the dressings were changed daily to begin with then extended to alternate days as the wounds began to dry.

After 1 week the slough had been debrided, the infection appeared to have cleared and the boy was a lot happier and up and playing. By the end of our 2 weeks the abdomen was left undressed as it was dry and healing, and Advazorb® was applied to one open area on the thigh.

Although the nurses only have gauze to dress the variety of wounds, we found the majority clean with healthy granulation tissue.

We travelled out with 10 large suitcases filled with equipment, books and supplies. 3 of these cases were full of dressings. There was a formal presentation of the donation and the hospital staff were extremely grateful, even reporting the donation on the local news radio station. We hope to go back in the future and continue to educate and donate supplies and equipment.

by Amy Dickinson