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murchr
#41 Posted : Wednesday, July 30, 2014 2:08:48 PM
Rank: Elder


Joined: 2/26/2012
Posts: 15,980
babaroy wrote:
@murchr. . Clinical officers and community Nurses are usually deployed at the grassroots level. KNH is a referral hospital, hence requires specialists who can treat what clinical officers cannot handle.

The only clinical officers working in KNH can be found in ENT, Pediatrics Eye clinics and anesthesia. Even so, they do practice under the supervision of the doctors


Almost every county has a MTC kwani grassroots ndio wapi yet people complain of lack of personnel in these grassroots?
"There are only two emotions in the market, hope & fear. The problem is you hope when you should fear & fear when you should hope: - Jesse Livermore
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Bykhovets
#42 Posted : Wednesday, July 30, 2014 2:23:47 PM
Rank: Member


Joined: 5/17/2014
Posts: 231
kysse wrote:

Here is KNH's response. Elsewhere in the world several heads would have rolled.



I gave up on our systems and accepted that we have archaic thinking people at the helm of our institutions.
Their kids attend private hospitals,so why bother with the poor masses?
The one responsible for Maintenance will say it's lack of funds.
The guy responsible for funds will blame the patients for not paying!
How can this be called a National Referral Hospital when it runs like a village clinic?
Woi just sacrifice to take your loved ones to a private hospital cz this is one big referral morgue.

[/quote]

@Essie, KNH is a big problem. Ministers for health including the current CS Macharia, Ayang Nyongo, Ngilu etc have tried to reform KNH. Unless they privatise it, there's no hope in a turnaround.

That's why 600 patients are going to India every month for treatment that could otherwise be done locally.

Private hospitals are for the rich. If you are poor you are dead.
"Occasionally I drop a tea cup to shatter on the floor. On purpose. I am not satisfied when it does not gather itself up again. Someday perhaps that cup will come together."
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Bykhovets
#43 Posted : Wednesday, July 30, 2014 2:32:28 PM
Rank: Member


Joined: 5/17/2014
Posts: 231
murchr wrote:
babaroy wrote:
@murchr. . Clinical officers and community Nurses are usually deployed at the grassroots level. KNH is a referral hospital, hence requires specialists who can treat what clinical officers cannot handle.

The only clinical officers working in KNH can be found in ENT, Pediatrics Eye clinics and anesthesia. Even so, they do practice under the supervision of the doctors


Almost every county has a MTC kwani grassroots ndio wapi yet people complain of lack of personnel in these grassroots?


Despite the many MTCs, the government isn't employing more healthcare personnel. Hakuna pesa. The current COs, Lab techs, Pharm techs, Nurses do all the work in these understaffed GoK hospitals. County governments have already admitted that they cannot handle healthcare.
"Occasionally I drop a tea cup to shatter on the floor. On purpose. I am not satisfied when it does not gather itself up again. Someday perhaps that cup will come together."
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Ngong
#44 Posted : Wednesday, July 30, 2014 5:06:18 PM
Rank: Veteran


Joined: 11/17/2012
Posts: 1,461
Location: Ngong Forest
Makosa ya Kenya ni kubagua watu na masomo at Form Four level,there is NO upward movement in many professions.
I saw a documentary from India where the lower cadre staff are allowed to train from nurses to something higher or so,since these nurses have been in the theaters with the doctors for so long and that is added experience.
Being a doctor is a calling not a profession!
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babaroy
#45 Posted : Wednesday, July 30, 2014 8:23:55 PM
Rank: New-farer


Joined: 12/11/2013
Posts: 63
murchr wrote:
babaroy wrote:
@murchr. . Clinical officers and community Nurses are usually deployed at the grassroots level. KNH is a referral hospital, hence requires specialists who can treat what clinical officers cannot handle.

The only clinical officers working in KNH can be found in ENT, Pediatrics Eye clinics and anesthesia. Even so, they do practice under the supervision of the doctors


Almost every county has a MTC kwani grassroots ndio wapi yet people complain of lack of personnel in these grassroots?

"Grassroots" denotes dispensaries and health centers. Doctors are usually deployed at the sub-county, county and national levels. However, it is not seldom o I a few clinical officers working in levels 3,4 and 5 hospital basically to plug manpower gaps occurring amongst the physicians
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Fikira
#46 Posted : Wednesday, July 30, 2014 9:48:37 PM
Rank: New-farer


Joined: 6/30/2014
Posts: 36
murchr wrote:

From my basic understanding on how a hospital runs, a doc is not your first point of contact, s/he is available to see you once you have been tested and symptoms diagnosed isn't that the reason why there are clinical officers lab technicians who will then refer you to the doctor specialized in your ailment ama?


Really? If this person is not a doctor how do they decide which tests to send you for or which specialist to be referred to?

Does Kenya have nurse practitioners and physician assistants ... are these two similar to clinical officers? At the very least, I would accept a test order/diagnosis from and NP or PA and never a nurse unless I have a cold.

**But why do these reporters talk like that?
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babaroy
#47 Posted : Friday, August 01, 2014 8:02:16 AM
Rank: New-farer


Joined: 12/11/2013
Posts: 63
Fikira wrote:
murchr wrote:

From my basic understanding on how a hospital runs, a doc is not your first point of contact, s/he is available to see you once you have been tested and symptoms diagnosed isn't that the reason why there are clinical officers lab technicians who will then refer you to the doctor specialized in your ailment ama?


Really? If this person is not a doctor how do they decide which tests to send you for or which specialist to be referred to?

Does Kenya have nurse practitioners and physician assistants ... are these two similar to clinical officers? At the very least, I would accept a test order/diagnosis from and NP or PA and never a nurse unless I have a cold.

**But why do these reporters talk like that?


Nurse practitioners and physician assistants are mere job titles in the west. Their functions are being executed by clinical officers of Kenya. However, clinical officers not recognized outside east Africa.

The Kenyan Nurse is trained along the lines of USA and UK curriculum. Unlike their counterparts, their practice is hampered by outdated legislation, that is skewed in favor of doctors and clinical officers.

It is Ironic that a degree or masters holder in nursing is not allowed to administer paracetamol without a prescription,to a patient, yet the same individual has undergone tutorials in pharmacology.

Medical politics aside, only 20% of the skills of a nurse are ever utilized.
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