NON-GRADUATE CLINICAL OFFICERS, NURSES WON'T PERFORM SURGE
Dr Vadgama Harsh, a consultant orthopaedic surgeon operates on Dominic Kiprono at the Moi Teaching and Referral Hospital in Eldoret on April 10, 2017. Clinical officers and nurses who do not have a university degree will no longer perform surgeries. PHOTO | JARED NYATAYA | NATION MEDIA GROUP
By VERAH OKEYO
IN SUMMARY
During the doctors’ strike, surgeries turned fatal as clinicians stepped in to man medical facilities.
This is likely to spark off a simmering rivalry between paramedics and doctors.ADVERTISEMENTADVERTISEMENTClinical officers and nurses who do not have a university degree will no longer perform surgeries such as Caesarean sections.
The Task Sharing Guidelines 2017 launched on Thursday by the Ministry of Health also forbid non-graduate clinicians from amputating, removing hernias or performing other surgeries considered “specialised”, including removal of the uterus and post-mortems.
During the doctors’ strike, surgeries turned fatal as clinicians stepped in to man medical facilities.
POORLY CONDUCTED SURGERIES
There were complaints of poorly conducted surgeries and injuries such as brain damage due to improperly monitored anaesthesia.
According to the ministry’s Human Resource Information System, there were 11,290 practising clinical officers in 2016, making them the second-largest group of public health workers after nurses and midwives (45,018). Medical doctors are 6,675.
The guidelines place medical officers at the top of the pile as the most trained and handling the most difficult cases.
In levels 4-6 hospitals, surgeries are left to doctors while injections, inserting and removing contraception implants and dressing wounds can be handled by nurses and clinical officers.
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