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Nealth H azarene e m dition 2, arch 2009 NEWS a newsletter for the Swaziland Nazarene Health Institutions (SNHI) In this edition COHSASA - Count down to Accreditation Page 2 Our Clinics leading the way Page 3 Spotlight on donors Page 4 In the pipeline Page 5 Around RFM Page 6 & 7 Photo: Phethekile Kunaka right (Staff Nurse on Male Surgical Ward) is precepting 2nd year nursing students on the pharmacology of cardiac medications and antibiotics, while Sheldon Fields looks on. Message from the CEO Again it has been a very busy quarter for the Hospital, Community Clinics and Nursing College. There are many exciting things to look forward to and many challenges to overcome. This includes the construction of new Intensive Care and Renal Dialysis Units. The ability of the Hospital to service the needs of the community we serve will be greatly improved with the introduction of these units. Of equal importance is the final opportunity for the Hospital to achieve COHSASA accreditation in October this year. I implore all staff members of RFM to make this dream a reality, by working together we can become the first Hospital in Swaziland to achieve this accreditation. Meanwhile, the clinics have been incredibly busy with the UNICEF assisted roadshows and dip tanks for which they deserve acknowledgement and applause. Finally, I would like to congratulate the hard working and dedicated team at Mliba Clinic whose participation in the Leadership Development Program has been transformed into a entry into an international leadership competition. Well done. Madam Futhi Mdluli Student Nurse Preceptor Program Initiated The RFM Hospital and Nazarene College of Nursing have begun a clinical preceptor program for nursing students. The collaborative effort is designed to enhance the students’ learning experience during rotations to the wards. Experienced nurses on each ward are identified as clinical preceptors; they assume responsibility for strengthening student skills in physical assessment, medication administration, and application of treatments. The preceptors are role models that exhibit critical thinking skills and encourage the students to engage in problem-solving to improve patient care outcomes. Students will receive focused instructions on infection control techniques and the management of sharp instruments and needles to avoid accidental exposures to dangerous diseases such as HIV infection. Students will also learn how to effectively communicate in patient rounds with physicians and others in the health care team. The faculty of the College of Nursing envisioned a clinical preceptor program that would adequately prepare new graduates of the Nursing Program to assume the care of the complex a celebration of where we have come from and where we are going patients who are admitted to the hospital. Assistance came from the nurse mentors in the Nurses SOAR! (Strengthening Our AIDS Response) program; they worked closely with faculty and hospital personnel to design the new approach to clinical teaching for students. Nurses SOAR! is funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). The implementation of the preceptor program has been coordinated by Sr. Magdalene Maziya (NCN Continuing Education Coordinator) and Sr. Khawulile Magagula (RFM In-Service Coordinator). In this photo, Phethekile Kunaka (Staff Nurse on MSW) is precepting 2nd year nursing students on the pharmacology of cardiac medications and antibiotics. She is accompanied by Sheldon Fields, a HIV/AIDS expert nurse from the United States, who is a professor of nursing volunteering at the RFM Hospital through the Nurses SOAR! program. Sheldon also provided an in-depth review of physical assessment skills for the students. Congratulations to the new RFM student nurse clinical preceptors! page 1 COHSASA Countdown to Accreditation For the past 2 years or so, RFM Hospital has embarked on an accreditation process with COHSASA (Council for Health Services Accreditation for Southern Africa). After a very challenging journey and a daunting accreditation task, the institution has eventually achieved significant results that have been acknowledged and commended by people across all spectrums. This has been a result of staff dedication, our trust in the Lord Jesus, the understanding of our mission and vision, a sense of unity, strong leadership in the institution and a determination by all to better the reputation of our institution. By way of illustration, here are some of our major achievements: 1. signage in and outside the hospital 9. formulation of 434 hospital policies by RFM hospital staff 2. new patient’s filing system and filing privacy 10. acquisition of a new generator 3. staff identification tags and uniforms 11. improvement in patients privacy 4. renovation of the X-ray department 12. renovation of the private ward 5. renovation of the laboratory and pharmacy 13. improvement in access to care 6. acquisition of fridges, fire fighting equipment and resuscitation equipment 14. functional quality assurance, infection control, in- service training and health and safety committees 7. acquisition of resuscitation trolleys all over the hospital 15. enhanced security in the hospital 8. improved housekeeping and cleanliness of the institution 16. extractor for TB control at ER, X-ray and medical wards RFM Hospital has also been visited by ten health institutions from around the country, for benchmarking. This adds credit to the work that we have accomplished so far, as our peers and colleagues from other institutions would like to replicate the work we have done. The last assessment by COHSASA in February resulted in our score moving from 32% to well over 65%, with the target “magic number” being 80% in order to clinch the accreditation. The road ahead of us is still challenging and will demand a sense of urgency, responsibility and strong leadership. Staff as a whole have resolved to accept the challenge and speed up the accreditation process. Our focus now is on dealing with the critical ticks as well as every criterion which still remains non-compliant. The Steering Committee, which is playing a pivotal role in leading the process, is now focusing on scaling up service elements meetings, mobilizing staff around the vision and assisting staff to deal with It has been a challenge for nursing care services, especially on some of the challenges. Management is also resolute to continue the initial stages of quality improvement programme. COHSASA giving full support to the process of accreditation. In addition, the facilitated the formulation of policy standards, implementation and acquisition of CoQIS from COHSASA, our next trip to South Africa and the compilation of critical ticks by the Resource Mobilization Officer monitoring. will certainly boost the staff for the final sprint. Various technical groups have been established and they worked tirelessly until the whole program had well taken off. Although The Steering Committee is also putting the focus on ways and means there is still a challenge of resources, nurses are trying to provide to prepare staff for the external survey that will take place soon quality care. Hopefully this will be achieved through the following after clinching the 80%. From a COHSASA perspective, that will be the most daunting exercise and will require all of us to familiarize initiatives: ourselves with the ongoing process. * Nursing administration plans to have specialised nurses in all So, now is the time to act swiftly and courageously. Now is the time departments. to inspire each other by doing “quality”. Now is the time to renew * ART clinic is providing wonderful services in spite of escalating our commitment and bring a new momentum. Now is the time to client numbers. trust in the ability that The Lord has given us. Now is the time for our * The presence of expert clients refines counseling and patient accreditation, come rain or sunshine. Going an extra mile education services because they have enough time to talk to God bless our institution. clients. Dr T.Lukoji * PMTCT (Prevention of Mother to Child Transmission) is conducted Chairperson of the COHSASA steering committee at MCH and Maternity Department. * There is a mother to mother program where positive mothers share experiences and provide counseling to positive clients. * Food distribution helps all clients on ARVs. * The hospital Social Workers help destitute and abandoned babies by tracing relatives and get foster parents/ homes for them. They work in collaboration with regional Social Workers to make follow ups and facilitate adoption. They refer needy clients to available community resources. page 2 a celebration of where we have come from and where we are going Our Clinics leading the way Mliba Clinic in a Leadership Development Program Mliba clinic staff commenced the Leadership Development program (LDP), which is an initiative by the Government of Swaziland through the Ministry of Health & Social Welfare. This program is aimed at developing leaders at root levels in health facilities to enhance or upgrade the standard of service provision in our health institutions. Chosen health facilities are allowed to compete among each other nationally and will compete internationally thereafter. Mliba clinic staff have proved to be a team that has stood the heat of the competition and has seemingly stolen the heart of the Minister of Health & Social Welfare, Honorable Minister Benedict Xaba. The six months competition had its final day embraced by the Minister of Health & Social Welfare, his private secretary and many health related stake holders. The Mliba clinic staff, represented by three of their members (Sister Agatha Mamba, Sister Nelsiwe Mngometulu and registered nurse Mfundo Mhlanga), have produced a document that they submitted to the United States of America (Denmark) for eligibility to enroll for the international competition with other countries. Photo: (Above) Matron Anna Mdluli & PS Nomathemba Dlamini inspecting the banner developed by Mliba staff. (Top Left) Sister Nelsiwe presenting the Mliba presentation as part of the Leadership Development Program (LDP). (Bottom Left) Serving out food as part of the PMTCT Roadshow at Ngculwini Clinic. (Bottom Right) Participants in the PMTCT Roadshow at Ngculwini. Bhekinkosi Clinic The clinic received a national certificate for an awesome achievement (>95%) in the implementation of the quality exercise for PMTCT and care for HIV exposed and infected children. This certificate was awarded on 10 February 2009 by the Pediatric ART programme, SNAP. Congratulations to all staff. The Clinics hit the Road Three Roadshows have been completed in both Ngculwini and Ndwabangeni. These roadshows are designed to sensitize men and youth on PMTCT and HIV/AIDS issues. Audiences were also shown an educational film on PMTCT/HIV. Members of local Parliament in Mhlangatane and Mafutseni even participated. It was noted by many community members that they were willing to have a HIV test when the service was brought closer to them, as most complained that the health facilities are too far away. Dip tanks have also been conducted at Ngculwini, on five occassions, and Ndwabangeni, on three occassions. These proved to be an effective way of targeting men. The effort of the staff in the clinics has to be acknowledged as they were on site as early as 5am. The health education sessions would start after an address by a community leader, Tindvuna. The community members would also be shown an educational film on PMTCT/HIV entitled “A tale of two futures”. All the community leaders extended their appreciation to SNHI and UNICEF for bringing the service closer to the people and they encouraged the people to take the HIV test. Over 295 men and 203 women where tested through these community mobilization strategies. The dip tanks proved to be an effective way of reaching out to older men, whilst the road shows were good for targeting youth. Keep YOUR Knowledge Current. Register for online updates Try “African Journals Online” for the lastest in research around the continent www.ajol.info a celebration of where we have come from and where we are going page 3 Spotlight on donors We would like to thank the many embassies, NGOs, companies, organisations and governments that have assisted the progression of the hospital through their generosity and vision. During the Christmas period several companies and NGOs offered their assistance to RFM in the form of care packages for those who were unfortunate enough to be in the hospital during that period, such as Manzini City Council. Select Management Services also attended the Hospital in the lead up to Christmas to deliver toys and water bottles to the children in the Children’s Ward. RFM was also fortunate enough to receive almost 5,000 tons of rice from the Embassy of China on Taiwan. Mr Leonard Chow presented the rice in person. During his presentation speech he praised RFM for being a hospital of winners, those who were able to make a lot out of a little. The Embassy of China on Taiwan repeated their acts of generosity again in March this year, presenting the Minister of Ecnomic Planning & Statistics with a cheque for E11 million to be used towards the construction of an Intensive Care Unit (ICU) at RFM. This quarter there was also a visit from the Swaziland Charitable Trust to commend Siphelele on the tremendous work done towards the establishment of the playground adjacent to the Children’s Ward. Photo: Mr Leonard Chow, Ambassador of China on Taiwan presenting Prince Sihlangu Semphi, Minister of Economic Planning & Statistics, with a cheque for the construction of an ICU at RFM Hospital. Next quarter the Africa Future Foundation will be opening its office in Swaziland and the Agreement entered into between SNHI and the SAM Hospital consortium, in Korea (to allow an exchange of personnel) will begin to take effect. Also, another GO (Global Outreach) team from Bethany First Church will arrive in Swaziland bringing with it medical and non-medical expertise to assist at both RFM and the community clinics. The management would also like to thank Jim and Colleen Copple who have both been to Swaziland this quarter to further develop the PEPFAR grant, which is designed to decentralise services into the 17 Community Clinics. NCMI (Nazarene Compassionate Ministries Incorporated) has also pledged assistance towards renovation work in the Community Clinics. The Rotary Club of Manzini has donated wheelchairs, the Italian Corporation paediatric medical equipment, including two incubators, Seeds of Hope clothing and toys, and Hands of Hope has continued to provide needed medical supplies. Photo: Mr Mcford Sibandze, Minister of Tourism accepts the donation of rice from Mr Leonard Chow, Ambassador of Republic of China on Taiwan. page 4 Photo: (Left) Dr Bitchong, Mr Sizwe Ndlangamandla, Siphelele, Madam Futhi, Senator Howe and Leonard Dlamini in the playground build though a donation by the Swaziland Charitable Trust. (Right) Mr Mkhonta, Select Management Services, giving a child one of the teddy bears and water bottles donated during Christmas time. a celebration of where we have come from and where we are going In the pipeline Intensive Care & Renal Dialysis Units This year the Prime Minister announced as part of the health budget that an Intensive Care Unit would be established at RFM Hospital. This was an excited and much needed announcement. Activity has already commenced around the hospital to facilitate the establishment of this unit. A cadre of nurses is currently undergoing training at the ICU at Mbabane Government Hospital and a team has been formed to cover all the finer details around establishing the Unit. As part of the ICU and Renal Dialysis Unit project it is hoped that there will be some exciting changes at the hospital including the inclusion of a CT Scanner into the X-Ray departments diagnostic toolkit. It is proposed the new ICU and Renal Dialysis Units will be established in the current male surgical ward and physiotherapy department. The male surgical ward will be relocated to a newly refurbished space above the children’s ward. The physiotherapy department will be relocated to where the waiting huts currently are. Biomed will have a new structure near the laundry that they can call home. Dr Matakere, the ICU specialist, from Mbabane Government Hospital has been seconded to RFM for two years to assist with the establishment and operation of these units. Circumcision at RFM RFM hospital is poised to launch into neonatal and adult circumcision. In a joint project with UNICEF, RFM has recently purchased all the required equipment to conduct neonatal circumcision routinely at the hospital. As part of the project a prefabricated structure will be erected near the emergency gate to allow more space to be created in the hospital. The prefabricated structure will house the Plaster of Paris (POP) department, as well as the administrative services for neonatal and adult circumcision. A baseline study on knowledge, attitudes and beliefs on circumcision has been completed. In relation to the adult circumcision, through the assistance of PSI, it is hoped that this project will be up and running within the next two months. Photo: Dr Motuma presenting on the Neonatal Male Circumcision project to the nursing staff from Maternal Child Health, Maternity and Labour Wards. Photo: (Left) Students from the Nazarene Nursing College singing at the Launch of the Bible Teaching Program on 11 March 2009. Bible Society in Swaziland (Right) Mrs Ngwenya, CEO of the Bible Society in Swaziland officially handing over the PA system and 200 Siswati Bibles into the care of RFM Hospital. Through the assistance of the Bible Society in Swaziland, RFM has constructed a PA (Public Announcement) system at the hospital. The system will be used to broadcast religious and health education messages to the patients and staff at the hospital. The Bible Society has also generously donated CDs to be played, which will provide those too ill to read with access to the teachings of God. 200 bibles translated into Siswati have also been donated and will be circulated amongst the wards for use by the patients, whilst they are in hospital. At the presentation ceremony, held on 11 March 2009, Mrs Ngwenya (CEO of the Bible Society) announced that solar operated audio systems would be doanted to the Community Clinics to facilitate the teaching of the bible out into the communities. Standard Treatment Guidelines Standardised treatment protocols at health facilities has proven to be the best way to provide consistant care, rational use of drugs (especially antibiotics) and improve drug management. SNHI, in collaboration with the medical team of Bethany First Church of the Nazarene in the USA, started last year a process of developing a standard treatment guideline book. The paediatric section is currently at an advanced stage and the other sections are at an initial stage. We want to take this opportunity to thank all the supervisors of the medical department for their commitment toward this initiative. We also want to present our appreciation to Dr Terry Hall, for the initial vision and the valuable input and leadership provided by the medical team of Bethany First Church. a celebration of where we have come from and where we are going page 5 Around RFM Human Resources goes electronic Nurses Unit Committee The present Nurses Unit Committee was elected democratically into office in July 2008 and the duties are mainly to convey messages Through the Ministry of Health & Social Welfare a new HR Information and concerns between the Hospital Administration and Nurses. The System (HRIS) is being used at SNHI. Around 90% of the SNHI Committee is committed to carring out the above mentioned duties employees have been entered into the HRIS. using the appropriate communication channels and using the right language, but not eliminating the truth. The system makes it easier to compile reports in any cadre. To edit and change employee personal information. It is now easier to We believe that a happy nurse can deliver the best nursing care to ensure employee data is up to date. New employees are entered into patients even in difficult conditions. Therefore, this committee works the system instantly. This has made a huge difference, in terms of hard to address the concerns of nurses and this will indirectly assist being easily able to access data and information. nurses to render the best nursing care to patients. Thus uplifting the name of the institution and the Church. The committee consists of: Organisations and companies confirming the existence of an employee are helped easily and there is no longer the delays previously caused 1. Chairperson - Staff Nurse Hlengiwe Mohale by manually searching for employees information. 2. Vice Chair - Sister Alice Dube The HRIS covers all the SNHI employees, including RFM hospital, the 3. Treasurer - Staff Nurse Siphiwe Sithole Nursing College and all 17 Community Clinics. 4. Secretary - Staff Nurse Mayibongwe Mavuso Radiography Department 5. Vice Secretary - Staff Nurse Sithembile Msibi 6. Members - Sister Zandile Tsabedze & Staff Nurse Bongiwe Ndzimandze. There was much excitement amongst the Radiology team as the new X-Ray equipment, machine and processor, arrived and is being used. The Nurses Unit Committee learnt, with shock, of the passing of Staff Nurse It is making the work run smoother and the patient waiting times Xolile Simelane. We feel the institution and Church has lost a hardworking and have reduced. dedicated servant of the Lord. We will miss her humbleness and dedication in Caution signs warning patients of the slippery floors have been whatever she did. We know that she will get her reward in heaven. May her installed throughout the hospital, courtesy of fantastic design work soul rest in Peace. by AJ Ngoma (of AJ Graphics). Not only are there new warning signs, but also new Department signs for the Radiology Department. The COHSASA team, when they visited the hospital for the recent evaluation, were very impressed with the work done towards upgrading the signage and ventilation in the Department. Also the orderly storage and marking on the patient x-ray envelopes and the shelves, where the supplies of chemicals and films are kept, in the storeroom. Male Surgical Ward 2009 has started on a good note, as the ward is clean and presentable, thanks to the new linen and the efficiency of the laundry staff in ensuring that linen is laundered and returned to the ward on time. It is motivating to know that patients, relatives and visitors appreciate The Radiology Department is also working on information pamphlets our efforts. about radiation and the associated dangers to educate patients. Transporting patients to and from theatre is now an easy task thanks Hopefully, these will be in use in the hospital before the next edition to the new stretches. The amount of time patients spend in the ward has been reduced due to the high quality nursing care, surgical team of this newsletter. interventions, not forgetting the improvement in ward cleaning of the support staff. RFM Hospital gets IT As the year progresses we hope to improve, as the surgical team, by A new department has ben established at RFM, the Information rendering high quality care to the patients. Technology Department, affectionately known as the IT Department. The main purpose for this Department is to look at the IT needs for the Institution. A major achievement so far is networking the administration block and providing fast and reliable internet connectivity. The ISP is real image and the connection is a 64k over a satelite. Projects in the pipeline are providing the internet to the rest of the offices in the hospital, installing a powerful anti-virus software and a file server. Future projects include connecting RFM to the 17 Community Clinics. page 6 Photo: Terrance Simelane, Head of IT Department Management and Staff of Swaziland Nazarene Health Institutions offer their condolences to the family and friends of our esteemed colleague Staff Nurse Xolile Simelane a celebration of where we have come from and where we are going Around RFM Eyes on the prize The eye clinic is working on the prevention of blindness. Patients are screened and treated for various eye conditions by Ophthalmic nurses. Those who need operations are transferred to Good Shepherd Hospital, Siteki, to Ophthalmologist Dr Pons. We also transfer those who need admission and observation to the eye ward, at Mbabane Government Hospital. In the eye clinic we do minor operations e.g. removal of foreign body, I&D, chalozion and epilation (removal of an offending eyelash). Photo: (Top) Phindile Gamedze testing a patients vision. (Bottom) Esther Simelane conducting an eye examination. This year, 2009, we expect to have a visiting Ophthalmologist Dr Pons, the second Tuesday of every month. This is greatly appreciated and an achievement in the eye department. Future plans include sensitizing the community through the media and posters on conditions like cataracts, eye injuries at work, which are very common, and diabetes retinopathy to name a few. Keeping it clean The dedicated and hardworking laundry department continue to improve their working practices. All the credit has to go to the hospital administration, which helped the laundry department to acquire new machines for the department. These include the driver, washing machine, sluicing machine, steam press and one roller machine. For the laundry department to be effective it needs enough staff members to carry out its duties. Thus it appreciates the hardworking team it has. It is a thankless and unrelenting job, but the laundry department is doing it with professionalism and style each and every day. Physiotherapy Stores The hospital employed a physiotherapist to take up a position that Responsible for the donations from various countries, as well as the normal stock supplies that are purchased by the hospital. It is hoped has been vacant for so many years. that the instillation of Pastel into the store room will assist with the The department ordered and managed to get the following proper recording of stock as and when it arrives. Monthly stock takes equipment: are planned. We are hoping to finalise issues around what to do with expired stock items. * Hydro collator unit * Ultrasound/ Interferential (combo) * Transcuteneous Electrical Nerve Stimulation (TENS) * Blood Pressure Monitor “We expect a visiting Ophthalmologist the second Tuesday of every month.” * Weights and Physiotherapy balls We also received a lot of other equipment from the donations, including a Cervical Traction Unit. Maternity We also got uniforms, which makes us easily identified, together with The Maternity Ward continues to be the busiest in the country, with our name tags. the highest deliveries annually. The post partum wing has seen huge The department has resumed the stress ECG every Thursday upon improvements, such as the renovations of its toilets and bathrooms for the patients and staff. This is thanks to the continued support by MTN. bookings, in collaboration with Dr Lukoji. Curtaining and painting of the ward with MTN colours of Blue & Yellow The number of patients attended to at the department has increased has added a nice touch to the wing. The wing has also benefited with markedly since the employment of the Physiotherapist in June 2008, extra beds which are foldable, should there be an influx of patients, as we get a lot of referrals from Mbabane Government Hospital and marking an end to floor beds. A burglar gate has been put in the the private doctors. entrance for the safety of mothers and their babies. In 2009 we hope that the hospital management will consider a speedy construction of the new spacious department. The current department is now too small for the equipment that we have and the activities that are taking place at the department. We hope to be involved in the planning of the structure so we can highlight the needs of the department. Additional linen has improved patient care, since bedding can be changed anytime it needs to be. A Gynecological Specialist was appointed who has come up with a new regime of prophylactic treatment for reduced stay in hospital; a stronger antibiotic cover with few doses administered. This method has seen a reduced number of infected wounds and puerperal sepsis cases. However, renovations are needed as there is no treatment room and no teaspace for night duty nurses and evening nurses. a celebration of where we have come from and where we are going page 7 Morning Devotion Photos: Staff Christmas Party (Top left) May Mkhatshwa (Top Right) Singers from Global Academy (Second) Matron Veronica Bhembe & Matron Anna Mdluli A rose is only good when it looks good and delights people. With its sweet aroma while it is connected to the stem. Once cut off, death soon follows, especially if proper care is not provided. John 15v1; Says “I am the true vine and my father is the vinedresser” The most important thing we give to the community, as a Hospital, is to work with willing hearts that are fully connected to Jesus Christ through trails, tribulations & harvest time. If we want to be the branch that remains on the stem, we have to bear fruits and also be an everlasting aroma to the father & community. Weekly devotions held every Monday from 8:00—8:30am in the medical library. (Third) Dr Bitchong All welcome. & Dr Lukoji (Front) and Dr Pawelos & Dr Kimba (Back) Welcome (Four) Dr Daniel, Dr To the following staff who have started work at SNHI since December 2008: Motuma & Madam Chagonda, Evyline - Staff Nurse - RFM Dlamini, Colile Queen - Nurse Assistant - RFM Futhi Dlamini, Eunice Chamkile - Nurse Assistant - RFM (Fifth) Matron Dlamini, Hlobsile Sibongile - Staff Nurse - RFM Thwala and Sister Dlamini, Jabulile Jane - Laundress - RFM Nomphumelelo Dlamini, Mayibongwe Goodwill - Groundsman - RFM Ndzimandze Dlamini, Nokuluwnga Happiness - Staff Nurse - RFM Dlamini, Nondumiso Angel - Staff Nurse - RFM Mavuso, Sabelo - Driver - RFM Dlamini, Samkeliso Nelson - Staff Nurse - RFM Methula, Phumlile Nomvuyo - Staff Nurse - RFM Mkhwanazi, Nothando Innocentia - Nurse Dlamini, Sithembile - Medical Officer - RFM Dlamini, Thandiwe - Medical Officer - RFM Assistant - RFM Mngometulu, John - Groundsman - RFM Dube, Nothando Nontokozo - Staff Nurse Mokoena, Naledi Buale - Staff Nurse - RFM Piggs Peak Clinic Ngwenya, Tengetile - Staff Nurse - RFM Dywili, Loveness - Staff Nurse - RFM Shabangu, Sonto Patricia - Staff Nurse - RFM Gama, Sanele - Staff Nurse - RFM Lukhele, Nonthandazo - Medical Officer - RFM Shiba, Pholile Hloniphile - Nursing Assistant - RFM Shongwe, Manesi Sweetness - Cleaner - RFM Macilau, Sizo Nkululeko - Staff Nurse Tsabedze, Zandile Bongizwe - Cleaner - RFM Malandzela Clinic Tsabedze-Dlamini, Phindile Ntombifuthi - Cleaner Mavuso, Cabangile Nondumiso - Staff Nurse - RFM - RFM Photos: SNHI Drivers after completing a Defensive Driving course at the Royal Police College (Top) Back Row, Left to Right: Musa Bhembe, Richard Gwebu, Gcina Tsela, Eric Dludlu, Joe Dlamini & Thulane Nhlabatsi. Front Row, Left to Right: Bongi Mthetwa, Leonard Dlamini & Khawulile Magagula. (Bottom) Back Row, Left to Right: David Shabangu, Elmon Ndzimandze, Aaron Shongwe, Christopher Ndzimandze, Sabelo Mavuso & Elmond Magagula. Front Row, Left to Right: Vincent Matse, Leonard Dlamini & Bongi Mthetwa. Something to share? Articles for this newsletter are always welcome. Just send an e-mail to [email protected] with your story and/ or pictures.. Deadlines are: June Edition - Friday 5th June September Edition - Friday 4th September December Edition - Friday 4th December Join our electronic newsletter mailing list To receive an electronic copy of this newsletter please subscribe by sending an e-mail with the word “subscribe” in the subject line to [email protected] page 8 a celebration of where we have come from and where we are going