@boniface_kiambi@Ambrosec13Chege@AliciaWanyonyi@RaymondBeReal The thing is with time as BSN we grow better and can transition to masters and PhD essay and leave you in the bedside...
Moreover, your schools are taught by the same individuals BscNs or HND
Both are 5.56ร45 mm calibre, so neither is universally โbetter.โ The choice depends on what you value. The latter is more expensive, and heavier. Anesthetically I am picking F1.
Personally I'm picking F1
We agree that SHA does not necessarily need to own or directly operate every ambulance, and that the Dispatch Centre's role is to coordinate patients with available ambulance providers.
However, I think there is an important distinction between ambulance ownership/dispatch and the delivery of prehospital clinical care.
The fact that SHA contracts or empanels different ambulance providers does not make the clinical workforce irrelevant to the SHA emergency care system. The critical question is, who is responsible for the clinical care delivered to the patient before arrival at hospital, what scope of practice applies, what standards govern that care, and how is that clinical workforce integrated into the wider health system?
An ambulance is not simply a means of transport. It is a platform for delivering prehospital care.(It brings care closer to the patient since hospitals don't go to patients) Dispatch determines which resource reaches the patient, appropriately trained clinicians determine what happens to the patient once that resource arrives.
This is also why we think the discussion about paramedics should go beyond whether SHA itself will put every paramedic on its payroll. Kenya needs to determine how paramedics and other emergency care professionals are incorporated across the providers delivering the SHA emergency benefit, including appropriate clinical governance, professional standards, accountability, data collection and quality assurance.
The objective should therefore not simply be to build a system that gets patients to hospital. It should be to build an EMS system that provides the right clinical care, by the right professional, at the right time, and gets the patient to the right destination.
That distinction is important if we genuinely want emergency medical services to become an integral component of Universal Health Coverage rather than simply an ambulance transportation benefit.
@KusienyaKelvin@SamRosh_BcMed@KusienyaKelvin I'd prefer you fight for more renumeration than the current rate as compared to BPharms slary than say they be reduced salary as compared to you MBChB.
206k,they deserveFight for 300k For them there curricula isn't utilised in Kenya
@254Trigueros@italic_azzuri@mbiti_mwondi You know of NANDA?Thatz what is nursing
Those are basics of Evidence based practice, writing a basic care plan, CNAs aren't licenced NCK that alone will give you what is nursing
Anybody can do anything as long as learns to do itthe issue is regulation and Evidence based practice
I really love how Degree nurses in the wards take care of BSN interns mentoring them, supporting them, and constantly encouraging them to do better. Shida hutokea tuu kwa hao "Sisters" wengine. Theyโre always so bitter towards BSN interns, and honestly, I donโt understand why. ๐