Nandurbar model: How a Maharashtra district is beating Covid-19 with its ‘oxygen nurses’

Following the success of Nandurbar’s ‘oxygen nurse’ mannequin, the state authorities determined to implement it throughout Maharashtra final week.

The time period ‘oxygen nurse’ was coined in Nandurbar, a tribal district in Maharashtra, for its optimum utilisation of oxygen cylinders. Following its success, the plan was carried out throughout Maharashtra final week. The state’s well being ministry mentioned appointing oxygen nurses is an efficient approach to handle utilization of cylinders.

Nandurbar’s district collector Dr Rajendra Bharud, the mind behind this concept, mentioned the administration determined to nominate a nurse for each 50 beds. The nurse had just one process — to examine the oxygen saturation stage of every affected person.

“If any patient took off their oxygen mask, the nurse would insist that they wear it. If the patient’s condition was improving and their oxygen level increasing, the nurse would reduce the flow of oxygen from the cylinder. If the patient’s oxygen level was decreasing, the nurse would increase flow from the cylinder. This ensured continuous monitoring of oxygen,” Bharud mentioned, including that this mechanism helps within the optimum utilisation of the scarce commodity.

Oxygen preparedness: District’s farsightedness

Having studied medication himself, Dr Bharud had ready nicely upfront to make sure that his district didn’t face scarcity of oxygen in case on an emergency.

He examined the state of affairs in different international locations and determined to put in oxygen vegetation in his district. The first such plant was put in in September final 12 months, adopted by two different earlier this 12 months.

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This made the district self-sufficient in oxygen even in the course of the pandemic. Today, it is sharing the additional oxygen produced with the neighbouring district of Dhule.

Nandurbar District Collector Dr Rajendra Bharud.

Nandurbar’s Covid-19 dashboard

Recently, whereas listening to petitions associated to Covid-19 administration, the Bombay High Court was knowledgeable about Nandurbar’s Covid-19 dashboard.

The live dashboard has sections for ambulance, bed availability, and particulars of Covid-19 instances, all simply a click on away. It additionally gives the newest particulars of hospitals (each authorities and personal) the place beds can be found, together with ICU beds.

Contact particulars of hospitals and ambulance companies in every talukas is additionally listed on this dashboard.

“The entire website has details of bed availability in private and government hospitals across the district. At present, there are about 200-250 beds that are vacant. There are many patients coming for treatment from neighbouring districts like Jalgaon and Dhule, as well as neighbouring states like Madhya Pradesh and Gujarat,” Dr Bharud mentioned.

Getting medical doctors from elsewhere

The district collector says whereas getting ready for the pandemic, he was conscious of the problems that plague Nandurbar, a district with 70 per cent tribal inhabitants.

“We had only two MD doctors for a population of 20 lakh. So, we had to request all private hospitals and clinics to open up and start treating people. Since we had only two doctors, they were heavily burdened because they had to treat patients with Covid-19 as well as non-Covid patients. We appealed to our juniors and batchmates and got doctors from Mumbai and Pune to come here and help us,” he mentioned.

Apart from these measure, the strict lockdown within the district additionally helped in holding the caseload low. As of May 7, Nandurbar has 5,757 energetic Covid-19 instances.

(With inputs from Vishal Thakur in Nandurbar)

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