Abdul Rahim Dawood

All parliamentary appearances

Entries 511 to 520 of 773.

• 24 Jun 2015 in National Assembly: Hon. Temporary Deputy Speaker, I beg to move the following Motion:- THAT, aware that the country has been experiencing a series of fatal emergency situations that necessitate the need for urgent medical care and blood The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor. view
• 24 Jun 2015 in National Assembly: transfusions; deeply concerned that currently the country lacks sufficient blood reserves; noting that health services and blood donations in critical emergency situations are crucial to saving lives; this House urges the Government to consider setting up an Intensive Care Unit (ICU) and a blood transfusion unit in every constituency to provide medical care and blood in emergency situations. view
• 24 Jun 2015 in National Assembly: Hon. Temporary Deputy Speaker, Article 43(1)(a) of our Constitution says: “Every person has a right to the highest attainable standard of health, which includes the right to health care services, including reproductive health care”. Article 43 (2) says:- “A person shall not be denied emergency medical treatment”. My Motion is with regard to ICUs which I believe are lacking in our country. Last week, I spoke with the Chairperson of the Departmental Committee on Health. They were supposed to ask me to move an amendment to change it to counties but I cannot see them here. So, I will just ... view
• 24 Jun 2015 in National Assembly: right community has hindered the output of our county hospitals and dispensaries. Another issue is the resignation of doctors opposed to devolution. That is not helping matters. Hospitals have ICUs that cater for specific medical specialities or patients such as neonatal intensive care, paediatric intensive care, psychiatric intensive care, coronary care units, medical intensive care and neurological intensive care as well as trauma, post anaesthesia and High Dependency Units (HDUs) and surgical intensive care. Currently, with a population of about 40 million, Kenya only has 37 functional ICUs in the public hospitals out of 52 which are in place. Kenyatta ... view
• 24 Jun 2015 in National Assembly: Patients in the HDU can also be put back into the ICU if their condition deteriorates. The term “ICU” refers to a specialized unit designed for providing the highest level of medical care for patients. In contrast, the term “critical care” is generally used to denote provision of a high level of medical care but not necessarily from a unit specialized for the same. Thus, critical care can be provided in a transport vehicle like an ambulance, outpatient departments as well as general hospital wards, operating theatres or anywhere one finds the patient. This type of care is considered primary ... view
• 24 Jun 2015 in National Assembly: According to the World Health Organization (WHO) recommendations, a general ward should have a ratio of between 25-50 beds to one bed of ICU. From this foregoing, it is noted that there is a serious shortage of ICU beds in Kenya together with equipment and trained human staff. The reality on the ground is such that many ICU beds fall short of the ideal situation. With adequate funding from the relevant Government departments and other non-governmental departments, it would be prudent to have, at least, one functional ICU in each of the 47 counties. It is also prudent that we ... view
• 24 Jun 2015 in National Assembly: Probably, the Kenya Medical Practioners, Dentists and Pharmacist Union estimates that each county hospital should be the same size as the recently opened Mama Lucy Kibaki Hospital in Kayole. That hospital has 112 beds and plans to have four ICU beds and four HDU beds. However, beds only are not enough. Each ICU bed comes with a mechanical ventilator, cardiac monitor and at least two drug infusion pumps and suction operators. The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor. view
• 24 Jun 2015 in National Assembly: In addition to that, each one of them needs to have, at least, a portable X-ray, ultra sound doper machine, a 12 lead electro-cardiogram machine and hemodialysis machine and a proximity to a CT-Scan machine. Every ICU facility needs to have an inbuilt laboratory with the capacity to do the following investigations; ultra-blood gas analyzers, urea creatinine and electrolyte, full haemogram blood sugars and cardiac enzymes together with inflammatory markers and liver function test. Other specialized tests should be there as well. A well stocked pharmacy needs to have a complete residential pharmacist specialist and a nutritionist who can liaise ... view
• 24 Jun 2015 in National Assembly: Educated staff is always a challenge in an ICU. The “unitard” is usually a highly trained medical doctor or a nurse who works with a team of highly dedicated assistant. The WHO recommends a nurse to patient ratio of 1:1. In addition, the unit should have a resident medical doctor with the relevant specialty training 24 hours a day. Other staff includes physiotherapists, nutritionists, laboratory technicians, biomedical technicians, pharmacists, counselors and support staff. view
• 24 Jun 2015 in National Assembly: There is need to have a system in place where all the ICUs will be interconnected via fiber optic internet cables which would then share information about the management of difficult cases in real time via teleconferencing. An added advantage could include saving time and money when referring a patient from one unit to another because all the data would simply be retrieved from the database of the referring institution. Also, we should plan to have a paperless ICU all over the country by the year 2030. This has already been adopted by the Forces Memorial Hospital’s ICU. Majority of ... view