When Registered Nurse performs the duty of a Medical Doctor it is called QUACKERY

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Kunle Emmanuel
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When Registered Nurse performs the duty of a Medical Doctor it is called QUACKERY

Unread post by Kunle Emmanuel »

The irony of task shifting!

When Registered Nurse performs the duty of a Medical Doctor it is called QUACKERY

But when a Medical Doctor or CHEW performs the duty of a Registered Nurse it is called TASK SHIFTING/SHARING (TS/S)
We have a number of intelligent nurses who can conduct major surgical procedures like ELSCS, Appendicectomy, etc but why can't these procedures be shifted to nurses like in other high, medium and lower countries? Don't we have more shortages of Medical Doctors than nurses/midwives? There is no procedures that a medical doctor can perform that we can not get a nurse that can do it competently.

Why on earth that only Nurses/midwives duties are shifted to other cadres of health work force when we have greater number of Nurses roaming the labor markets?

How can gov't listen to us when they know that they have lower cadre of Health Workers that can takeover some of your tasks in your absence?

TS/S is detrimental to career and reputation of nurses.
A professional colleague told me today that when he went for his postbasic course in one of the NOHs in Nigeria, whenever nurses were on strike the hospital management do mobilized PLASTER TECHNICIANS of the hospital to work in nurses stead.

Let join hands and fight against TS/S through appropriate ways.
Getting our image back to prominence is a multifaceted undertakings.

© Nurse Ismail Nasiru Gwarzo
17/04/2021
Nigerian Nurses lighting up the world one candle at a time.

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Re: When Registered Nurse performs the duty of a Medical Doctor it is called QUACKERY

Unread post by Kunle Emmanuel »

Ezekiel Isah Datsok
I must say that you are a distinguished nurse leader, a very sound mind and a lover of nursing and humanity. I am always particularly thrilled by your submissions.
Aminu Ibrahim Kunya
You are right Oga Isma'il. We nurses are been marginalized by this TS/S policy and the health sector/institutions has less respect for our profession, but to be sincere some of our colleagues are not dedicated to their duty and in some institutions there is critical shortage of manpower and the nurses are over stretch.
Moreover the government and private employers are looking for cheap labor and they're gradually trying to prostrate the profession by weakening it's strength in terms of responsibility, of course responsibility is what earn you a respect and when you don't have important responsibility, it means you are irrelevant.
Hope people like you who are taking path of administration and policy will make input in reshuffling this policy for the betterment of the profession. Thanks
Obum Chidinma Maryrose
Task shifting is everywhere, Nurses task shift for Doctors at Heart to Heart clinic in prescription, in rural areas etc.
During the era of shortage of house officers here in Nigeria recently, ward assistance task shift for them in sorting for blood from blood bank together with getting the blood detail which is solely their Ho's roles due to it's assertive nature of cross checking.
Is not totally heavy the way we see it.
Ismail Nasiru Gwarzo
Obum Chidinma Maryrose HIV care is where the TS/S was born, we have a number of intelligent nurses who can conduct major surgical procedures but why can't those procedures be shifted to nurses like in other high, medium and lower countries? Are nurses only competent in caring with PLWHAs?
Obum Chidinma Maryrose
Let's count one first, which is fight for normal placement for younger ones.
Then other cry can follow.
Nice write up thou.
Ismail Nasiru Gwarzo
Obum Chidinma Maryrose How can all these things we have been clamoring be easily possible when your employer thinks that lower cadre of HW can do your work in your available or absence?
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Re: When Registered Nurse performs the duty of a Medical Doctor it is called QUACKERY

Unread post by Kunle Emmanuel »

Salele Abdul
You are making a very important point here. The genesis of this task shifting is still a myriad that I have not been able to unravel
Kabiru Abdullahi
Oga Ismail, my greatest concern now is how to convince nurses generally that running away from bed side clinical practice is not the best way to promote the profession but to acquire more knowledge, skills and social interactional capabilities to work with other health workers and uplift the image of nursing. We need to educate nurses on how to improve their images at job places to work in harmony and with job satisfaction.
Ismail Nasiru Gwarzo
Kabiru Abdullahi the problem is remuneration. Those with specialty are given more preference than the general nurses. Though jobs for nurses with specialty are less difficult than for bedside nurses. Equal renumeration in terms of allowances will take care of this. People look at the money not the work.
For example, If someone work at bedside with masters in MEDSURG that can confidently render nursing care to a patient with diabetic foot and so should be given at least a higher call allowance than periop nurse with only RN+PERIOP POSTBASIC. I think this will help in retention of bedside nurses in our hospital.
I have a lot to suggest that is why I focus my career on Administration and policy making that informed my decision to acquire Administrative Staff College of Nigeria (ASCON) certificate, and Masters of Health Economics (MHE) and currently doing my MSc Nursing Administration.
The struggle require tenacity and perseverance from all of us.
Kabiru Abdullahi
Ismail Nasiru Gwarzo the rate at which nurses are departing bed side nursing is giving further catalyst to the task-shifting menace we are already battling. My observations are that :non professional nurses are much eager to work bed side than nurses.
Obum Chidinma Maryrose
I will keep on saying this,get the placement right before we talk of allowances. I get your point though.
Olufemi Iseyemi Folakemi Rn
Kabiru Abdullahi We need to merge the two together in such a way that both Lecturers and bedside nurses participates in bed side nursing, regardless of their level
Kabiru Abdullahi
The worst of all is that, when government employs nurses they pretend to engage nurses but end up employing chews, technicians etc while going on air to broadcast that many nurses are employed. While just few of such so-called nurses are actually nurses.
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Re: When Registered Nurse performs the duty of a Medical Doctor it is called QUACKERY

Unread post by Kunle Emmanuel »

Kabiru Abdullahi
Pls let begin to form pressure group online and press for enlightenment of nurses to their door steps, and later changing the dynamics.
Abdullahi Ismail Kwalwa
Ask who issued a circular with a list of Nurses duties directly assigned to PLASTER TECHNICIANS ?Is a very senior Nurse !He did it to please his employers ..the management of the hospital and consequently destroy Nursing in one sweep mindlessly. Such is the psychopathic attitude of your Nurse colleagues. If Nurses must blame anybody he should look inward first.
Many senior Nurses who contributed to the development of the profession to what it is were selfless and extremely disciplined .The beneficiaries of the current developed professional status are working very hard against it by commission and or omission. Many are distancing themselves from Nursing core values to what is not beneficial to it.They are denouncing specialization which you are now extolling as a virtue presentable. Many specialized Nursing services are gradually going EXTINCT without any effort to address it.Such specialized Nursing services is what create the core values beyond any TASK SHIFTING /TASK SHARING fire brigade policy. If specialist Nurses are taking charge of specialized units ,what is there to share or shift ?Nurses themselves don't like Nursing.. Unfortunately.·
Kabiru Abdullahi
Abdullahi Ismail Kwalwa sir my observation is that employers are only concerned about having the job done without bothering about how well it was done or who does the job. One of the best ways to address the issue aside pressuring senior nurses to doing the write thing is by promoting medical litigations where all cares rendered are scrutinized so that only professional nurses and the right clinicians are allowed to give care.
Abdullahi Ismail Kwalwa
Kabiru Abdullahi Even then ,the advocacy responsibility of Senior Nurses is what trigger action that leads to policies beneficial to Nursing and Nurses. Remember Nursing services standards are global and uncompromisable .If Nurses lack the capacity to resist attitudes and policies obnoxious to the yearning and aspirations of the profession then we can't shift blame to anybody. If senior Nurses lack managerial capacity, the result is in the output of Nursing services. There seems to be extreme weakness in the official structure and function of the service department.
Ismail Nasiru Gwarzo
Sir Abdullahi Ismail Kwalwa what an intellectual submission!
Sir, you are my role model par excellence since when I was a Basic student nurse between 1997 and 2000. I was deeply angry by those who had sabotaged your becoming NANNM Chair Kano state council as a result of their personal interest at detriment of nursing and nurses.
I still urge you to still go for national presidency post to salvage this profession from mediocrity.
I still remember some of your eloquent campaign slogans:
Arise and say NO
To treasury looting
Flagrant disregard of common goal parochial pursuit as witness in the last years
Nonchalant attitude to the PLIGHT of Nurses...... .
Abdullahi Ismail Kwalwa
Ismail Nasiru Gwarzo Great memories. Gwarzo that was 23 years ago .NANNM and the entire labour community has completely changed. I thank God I did my best to fix it and you still remember interestingly. You will also recall those who contributed to our present predicament and history will never forgive them.Unfortunately, while this damage is done to the body polity of the profession ,a lot of them has nothing to show for their wicked ways.NANNM as a rallying point of Nurses for strength and development is reduced to cradle for self aggrandizement and personal vendetta. If there is anything standing against Nursing, it is nothing more the internal negative attitude that is alien to the profession. It is Sad
Kabiru Abdullahi
Abdullahi Ismail Kwalwa sir, people like you that are vibrant, bold, enlightened, educated, clinically outstanding and outspoken should please organize sensitization and mentoring classes as you have being doing to individual nurses so as more nurses will be gingered and encouraged to be bold and groomed for better professional performance as obtainable in other part of the continents. Even in some African countries nursing is still better than what we have right now in Nigeria . not only clinical skills but socio-political ability and throwing away inferiority complex that has relegated nurses to defensive attitudes rather than boldly confronting challenges from colleagues
Imaobong Johnson
Abdullahi Ismail Kwalwa I do not know you in person but I believe Ismail Nasiru Gwarzo 's report of you.
Your submissions here further assets the claims.
It's long I saw nurses who engage logically and constructively with so much bravery coated with intelligence as you.
We're panting for change in structure, curriculum, policy and more in nursing but what really can we the young ones do when our birthright have been sold by our parents?
If possible, I'll join to plead that again you embark on the rescue journey for the redemption of our image.
Thank you in anticipation.
Imaobong Johnson
Kabiru Abdullahi you're quite right in your saying but basic knowledge in anatomy isn't enough.
Nurses should do more in education, self development and technical know-how.
Many times, I have met nurses who aren't even competent and willing to learn what they should know at their level. Some sit to attribute procedures to doctors. How do you task shift work to such nurses?
I know there are many who are even more skilled than the doctors but first, let's work inwards.
Abdullahi Ismail Kwalwa
Imaobong Johnson Thanks very much but I'm old now .
Abdullahi Ismail Kwalwa
Kabiru Abdullahi I'm ready anytime I'm called to anything to do with Nursing education
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Re: When Registered Nurse performs the duty of a Medical Doctor it is called QUACKERY

Unread post by Kunle Emmanuel »

Kabiru Abdullahi
I must remind us here that apart from from task- shifting menace there is also tasking denying or task grasping. Recently I was going through the scheme of service for health workers, nurses particularly, what I discovered was worrisome. Many tasks that are legally for nurses are denied them, that all rank and file of nurses have certain responsibilities, autonomy and scope of practice. Ranging from NO2 to most senior nurses but all have being thrown away either by the nurses themselves out of ignorance or by their employers out of ego and impunity. I will still urge nurses especially the ones who have advanced in knowledge, administrative capacity, exposure, authority etc to enlighten nurses at all levels on how to promote excellence in the profession. Oga Ismail we have a role to play for nurses to know their status. A Chief nursing officer with perioperative nursing post basic is denied a simple hernia repair just because he is not a doctor. There are legally-backed duties denied nurses and nurses should also be proud of themselves in discharging their duties.

Imaobong Johnson
Kabiru Abdullahi some of our nurses are happy to be denied those tasks.
Many would say, "I don't care if everything is shifted to doctors. What I care about is the salary."
This is a wake-up call
Ahmed Illiyasu Adeiza
My esteemed comrade,u r always on point, kudos imagine is only in Nigeria a Nurse is being employed for many yrs without promotion,and they expect u,b committeed to humanity,cus we always chasing shadow and leave the reality on ground.
Nike Adefila
The nurses most times see TS/S as a comfortable idea as they feel it reduces the load work without looking at the eventual consequences or the threat it poses with time.
Jakada Bulus
Nike Adefila you can say that again and again. Many nurses are so comfortable allowing others do their jobs without thinking of the repercussion that will come up later. May God help the nursing profession.
Okafor Solomon
Absolutely correct. Some nurses are very much comfortable with that, some even go as far as teaching other health personals our procedures inorder to reduce their work load.
Nura Yusuf Tsaure
They always relate it to manpower shortage but still we need to remain firm perform our duty perfectly
Olufemi Iseyemi Folakemi Rn

Intelligent, well articulated write up
Kabir Dayyab
It's indeed detrimental to the Nursing Profession having Task shifting /sharing, of which I feel affect only Nurses.
It is a collective responsibility to protect our profession, therefore how do we start, where and when ?
Thanks a lot.
Nrs D. Kabir
Nigerian Nurses lighting up the world one candle at a time.

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