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FIRST PART
HOSPITAL GUIDELINES
Cottolengo Mission Hospital, Chaaria (Kenya)
FOREWORD
Cottolengo Mission Chaaria was founded in 1984 by the congregation of theSt. Joseph Cottolengo brothers under supervision of brother LodovicoNovaresioIn the beginning it was a home for disabled boys, together with a busydispensary. After the arriving of brother and doctor Giuseppe Gaido, themission grew over time to a hospital where nowadays the patients find itworth, to travel far for. The developing and maintenance of the hospital did not only depend on thecontribution of sponsors, the Cottolengo congregation and the local staff butthe most contributing factor of this all is the endless dedication of themissionaries.LOVE BELONGS TO THOSE WHO THINK OF OTHERS..Claire Nolte
 
TABLE OF CONTENT
General information:Glossary of Abbreviations:Frequently used medication:Laboratory:
INTRODUCTION
 The manual is intended to provide guidelines for the treatment of commondiseases and problems seen at Cottolengo Mission Hospital, to set outhospital treatment policy, and to establish standards of care. But as there willalways continue to be changes and developments in the practice of medicine,comments and suggestions are welcome. This is not a textbook; reference books must be consulted for furtherinformation.All the drug dosages listed have been checked, but these should beconfirmed before use.
PRESCRIBING GUIDELINES:
 The drug formulary at Cottolengo Mission Hospital is based on the use of essential drugs, a limited number of safe, effective and cost-effectivemedications for the treatment of the common diseases seen here.Oral medication should be used whenever possible; both the cost and therisks are greater with parenteral drugs.Injections should be reserved for patients unable to take oral medicines, andchanged to oral as soon as possible.
 
WEEKLY ACTIVITIES:
•
 Thursday at 8 AM: Lesson by Dr. Gaido
•
Sunday at 9 AM: Mass for staff and patients
•
Every 1
st
Wednesday of the month at 8 AM: Mass for staff 
GLOSSARY OF ABBREVIATIONS:
ARV = Anti-retroviral drugsATT = anti-tetanus toxoidCXR = Chest X-rayBPH = Benign Prostate HyperplasiaCCF = congestive cardiac failureCO review = Clinical officer to reviewCS = Caesarean sectionD = DischargeDD = Differential DiagnosisDIB = Difficulty in BreathingDr’s review = doctor to review the patientEUA = Examination under AnesthesiaGBM = General Body MalaiseHOB = Hotness of BodyHSD = Half strength Darrows solutionHTN = HypertensionI&D = Incision and drainageIPD = In Patient DepartmentMU = Mega UnitPUD = Peptic Ulcer DiseasePID = Pelvic Inflammatory DiseaseNGT = Naso-Gastric Tube
LOCATION INFORMATION
Room 26: Female
Room 28: Male
Room 19: Pediatric
Room 20: Maternity
Room 23: post-operationMale
Room 22: Post-operationFemale
Room 9: Clinical Officers
Laboratory: Down the hall
Discharge: Down 
STAFF INFORMATION:
Dr. Gaido (Beppe)
Dr. Ogembo
Anesthetist: Jesse
Head Nurses: SrFlorence
Clinical officer: Kaberia
Clinical officer: Nyaga
HIV/TB Counselor:Mutthuri
Store manager: Kathira
 Theater manager:Makena
Laboratory manager:Mugambi & Justus
Maintenance: BrLorenzo
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