|Staffing||The ward is managed by a nurse manager who is a registered nurse, with an additional specialist qualification in paediatric nursing.|
There was an average of five nurses on each observed shift.
|Language||The majority of the population living in the Umkhanyakude health district speak isiZulu as a first language.|
Nursing staff speak isiZulu and English with one another, and often speak isiZulu with patients. Written records are maintained in English.
|Service capacity||The 22-bedded ward admits patients for a variety of medical and surgical conditions ranging in acuity with two high-care beds and a 5-bedded isolation facility.|
Reasons for admissions include: burns; gastroenteritis; snake bites; poisoning; pneumonia; traffic accidents; seizures; malnutrition, and social admissions (children who have been abandoned).
|Ward environment||The main part of the ward is open-plan with full-sized beds in rows along each side.|
The 18 full-sized adult beds with cot sides allow the mother to share a bed with her hospitalised child.
There are four small cot beds for children who are receiving orthopaedic traction or who do not have a mother staying with them.
Each bed is separated from the next by a locker and curtains that are rarely drawn by mothers or staff.