Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...
Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...
Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>St</strong>.Vincent’s Healthcare Group<br />
Department of<br />
Clinical Neuro p h y s i o l o g y<br />
Department of<br />
O p h t h a l m o l o g y<br />
Departmental Review<br />
Departmental Review<br />
116<br />
<strong>St</strong>aff<br />
Consultant<br />
Dr Sean Connolly, MD, FRCPI<br />
Neurophysiology Measurement Technicians at SVUH<br />
Ms Brigid Clark (full-time senior)<br />
Ms Birgitta Levick (part-time senior)<br />
SVUH departmental secretary<br />
Ms Lesley Bergin<br />
The department of Clinical Neurophysiology is part of the<br />
South Dublin Clinical Neurophysiology Service, which also<br />
includes units at <strong>St</strong> James’s Hospital <strong>and</strong> the Adelaide & Meath<br />
Hospital,incorporating the National Children’s Hospital<br />
(AMNCH) at Tallaght. As this service is currently run by one<br />
consultant,it is best to consider this service as a whole.<br />
The range of investigative/diagnostic services provided include<br />
routine Nerve Conduction <strong>St</strong>udies (NCS),Electromyography<br />
(EMG),Quantitative Sensory Testing (QST),Electroencephalography<br />
(EEG) <strong>and</strong> Visual Evoked Responses (VERs).<br />
Applications for three additional consultant posts have been<br />
submitted to the ERHA for the following:<br />
(a) SVUH 6 sessions <strong>and</strong> Beaumont Hospital 5 sessions<br />
(b) AMNCH (Tallaght) 5 sessions <strong>and</strong> Beaumont Hospital<br />
6 sessions<br />
(c) <strong>St</strong> James’s Hospital 5 sessions <strong>and</strong> Beaumont Hospital<br />
6 sessions<br />
Dr Connolly conducts regular group sessions for<br />
neurophysiology measurement technicians approximately<br />
monthly at the AMNCH department,with the aim of teaching,<br />
<strong>and</strong> improving methods <strong>and</strong> st<strong>and</strong>ards of the neurophysiological<br />
investigations carried out within the service. Technicians from<br />
departments in Dublin, Limerick <strong>and</strong> Cork usually attend.<br />
Research projects,currently being carried out mainly at the<br />
AMNCH <strong>and</strong> <strong>St</strong> Vincent’s departments include Macro-EMG<br />
evaluation of the Post-Polio syndrome, surface EMG simulation,<br />
exploration of the mis-match negativity evoked potential,<br />
neurophysiological investigations in carpal tunnel syndrome,<br />
genetically-proven Freidreich’s Ataxia & subclinical<br />
hypothyroidism <strong>and</strong> transcranial magnetic stimulation studies in<br />
dystonic disorders.<br />
Recent Developments<br />
The addition of an experienced,albeit part-time, technologist<br />
with new evoked potential <strong>and</strong> nerve conduction equipment<br />
has had a significant positive impact on the number, range <strong>and</strong><br />
quality of investigations being carried out in this department.<br />
Appointment of more technologists is required.<br />
Publication<br />
Lane H,Bermingham N, Farrell MA,Redmond J, Connolly S,<br />
Brett FM. Mitochondrial disorder with a common 4977-bp<br />
deletion presenting as a novel multisystem neurodegeneration<br />
disorder. IMJ 2003;96:249-250<br />
<strong>St</strong>aff<br />
Consultant <strong>St</strong>aff<br />
<strong>St</strong> James’ Ward<br />
Ophthalmic Theatre<br />
Surgical Registrar<br />
Medical Registrar<br />
Dr Geraldine Kelly Mr Peter Barry<br />
Mr William Power<br />
Ms Colette Kingston CNM2<br />
Ms S<strong>and</strong>ra Murphy CNM1<br />
Maeve Williams CNM2<br />
Mr Patrick Talty<br />
Dr Magdy Nasralla<br />
Lecturer in Ophthalmology<br />
Dr Moji Oshodi<br />
Clinical Activities<br />
The department provides clinical Inpatient <strong>and</strong> Outpatient<br />
services for the hospitals’catchment area in South East Dublin<br />
<strong>and</strong> East Wicklow. Day ward admissions continue to rise <strong>and</strong><br />
have increased approximately four fold over the last ten years.<br />
This has greatly helped alleviate some of the pressures in the<br />
busy OPD department.<br />
The department’s clinical activity is reflected in the table below.<br />
Cataract surgery continues to be the principal ophthalmic<br />
procedure carried out in SVUH.Throughout the year both Ms<br />
Colette Kingston CNM2 <strong>and</strong> S<strong>and</strong>ra Murphy CNM1 were very<br />
involved in the accreditation process <strong>and</strong> have been at the<br />
forefront of continuous quality improvement on <strong>St</strong> James’s<br />
ward.Ms Esther McCarthy, senior staff nurse continues to run<br />
the European Cataract Outcome <strong>St</strong>udy for the sixth successive<br />
year.The ECOS results include data from over 23,000 cataract<br />
procedures carried out at a total of 72 European Centres from<br />
1995 – 2003.One of the main purposes of this study is to<br />
provide participating units <strong>and</strong> surgeons with a benchmark<br />
for good practice in cataract surgery <strong>and</strong> to allow surgeons to<br />
compare their results in an anonymous way.<br />
<strong>St</strong>aff Nurse Sheila Querubin continues a Diploma course in<br />
First Line Management at SVUH in conjunction with the<br />
National University of Irel<strong>and</strong>.She has a vital role on the unit<br />
ensuring staff attend in–service education.<br />
<strong>St</strong>aff Nurse Gail Anderson continues her position as link nurse<br />
for wound care <strong>and</strong> ensures the staff are updated in the latest<br />
evidence based procedures.<br />
<strong>St</strong>aff Nurse Carol Murphy acts as the link nurse for infection<br />
control.This is a vital role as infection is devastating in<br />
ophthalmology.<br />
<strong>St</strong>aff Nurse Gerry Porlante acts as the link nurse for the medi<br />
sense precision PCx <strong>and</strong> is responsible for teaching <strong>and</strong><br />
monitoring the staff in quality assurance programme.<br />
<strong>St</strong>aff Nurse Lu Lu Abellera is responsible for the collection of<br />
researched data to ensure evidence based practice.<br />
Our exceptionally busy <strong>and</strong> efficient clerical staff, Jane Caulfield<br />
<strong>and</strong> Margaret Daly, ensures that the unit runs smoothly.<br />
Education<br />
The department is recognised for basic<br />
surgical training <strong>and</strong> higher specialist<br />
surgical training by the Royal<br />
College of Ophthalmologists.<br />
Mr.William Power is<br />
responsible for the<br />
117