Question NW2558 to the Minister of Health

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10 December 2021 - NW2558

Profile picture: Van Staden, Mr PA

Van Staden, Mr PA to ask the Minister of Health

(1)Whether the Pelonomi Academic Hospital in Bloemfontein, Free State, is maintained in accordance with a five-year maintenance plan; if not, why not; if so, what are the relevant details of the specified plan; (2) whether his department has reviewed the plan; if not, why not; if so, (a) on what date was it reviewed and (b) what changes were implemented; (3) what are the relevant details of the current shortages of (a) beds, (b) medicine, (c) oxygen, (d) theatre beds, (e) theatre equipment and (f) general medical equipment; (4) (a) what are the names of the various suppliers contracted for the specified resources and (b) how frequently is medical waste products removed from the specified hospital (5) whether he will make a statement on the matter?

Reply:

1. It can be confirmed that Pelonomi Hospital is maintained in accordance with a 5-year maintenance plan. The objective of the departments’ maintenance plan is to address maintenance backlog, user needs, clinical standards, and statutory requirements (as per the occupational health and safety act).

2. The department is reviewing the plan on an annual basis through the User Asset Management Plan and Infrastructure Programme Implementation Plan (IPMP). This is to allow for new activities that need to be added and escalation of costs.

3. (a) The hospital is experiencing shortages in beds due to the maternity ward not yet being complete. The contractor terminated when progress was still at 40% to complete due to poor workmanship. New contractor is expected to be on site by March 2022 for 14 months.

(b) Medicine Shortages experienced as per the table below:

Medicine Name

Suppliers

Amphotericin B

Waiting for Buy-Out

Acetylcysteine Vials

Equity not paid by depot

Ganciclovir 500mg vials

Waiting for Buy-Out

Nylon 3/0

Waiting for Buy-Out

Phenylephrine drops

Waiting for Buy-Out

Prontosan cleaning solution 350 and 1000ml

Waiting for Buy-Out

Tramadol 100mg ampoules

Waiting for Buy-Out

Sodium Valproate 400mg vials

Waiting for Buy-Out

Nylon 1/0

Waiting for Buy-Out

Soda Lime

Depot cancelled order and awaiting buy-out

AMIKACIN 100 MG

Waiting stock – Medical Depot (DDV)

Cefepime 1g and 2g

Waiting stock – Medical Depot (DDV)

SALBUTAMOL RESP SOL 5MG/1ML 20

Depot out of stock

FLUMAZENIL 0.5 MG/5 ML AMP

Waiting for Buy-Out

CARBIMAZOLE 5 MG TAB

Waiting Buy-Out

CLOTHIAPINE 40 MG TAB

Waiting Buy-Out

DIGOXIN 0.25MG 28'S 1 TAB

Depot out of stock

RINGER'S LACTATE SOLUTION 200

Waiting stock – B-Braun awaiting stock

Saline 50ml, 100ml and 200ml

Waiting stock – B-Braun awaiting stock

Paracetamol syrup

Barrs not being paid

Augmentin syrups

Sandoz not being paid

Aldactone tabs

Sandoz not being paid

Hydralazine 25mg

Sandoz not being paid

Hibiscrub and Steriprep

Barrs not being paid

Tuberculin PPD

Company out of stock

Actilyse

Awaiting buy-out

Artesunate

Equity not being paid

Midazolam 5 and 15mg

Worldwide problem

(c) Oxygen Shortages

There is currently no challenge with oxygen. All vacuum and oxygen points are serviced. The medical gas plant room was upgraded to provide the following capacity:

  • Main tank = 19 500 Tons
  • Standby tank = 8 500 Tons

Tanks were also furnished with sensors that are directly linked to Afrox supply chain platform. Afrox is thus informed when levels go beyond 50% and is then actioned to refill such.

(d) Theatre Beds Shortages:

There are currently 4 theatre beds shared between surgical and maternity. This shortage dur to the maternity Ward and its theatre still being under upgrade and renovation.

(e) Theatre Equipment Shortages:

The following equipment is required:

  • Orthopaedic Drills = 6
  • Operating Light with Camera = 6
  • Anesthetic Machine = 3
  • Dermatome = 2
  • Tourniquet Machine = 4
  • Autoclave for non-heat item = 2
  • Mobile Suction Machine = 20
  • Electrical Suction Machine = 10
  • Theatre Chair = 18
  • CMAC = 2
  • Video System, Laparoscopic, General Surgery with Instruments = 1
  1. f) General Medical Equipment Shortages

The following general medical equipment shortages exists:

  • Cardiotocography (CTG) or Fetal Monitor = 15
  • Transport Incubator = 3
  • Hemodialysis Machine = 16
  • Mobile Theatre Light = 2
  • Dental Chair = 10
  • CPAP Machine = 10
  • Examination Light = 6
  • Ultrasound (Sonar) Machine = 4
  • Plaster (Cast) Cutter with Vacuum System = 6
  • Defibrillator = 15
  • AEEG Machine = 2
  • Instrument Washer = 2
  • Bronchoscope = 1
  • Electrosurgical Unit Tester = 2
  • ECG Simulator = 4
  • Examination Couch, Paediatric = 4
  • Electrical Safety Analyzer = 2
  • Digital Bucky X-Ray Machine = 4
  • Anesthetic Machine, MRI Compatible = 1
  • Contrast Warmer = 1
  • Injector Pump = 1

4. (a) Suppliers:

• Medical waste service provider is Buhle Waste.

• General waste service provider is Mangaung Metro Municipality.

• Recyclable waste: (e.g. white paper, card boxes and plastic cartons) the service is Waste Recyclers.

(b) Medical waste services are provided daily from Monday to Friday.

(5) No.

END.

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