MEDICAL DIRECTORATE
Medical Directorate currently consists of.
• Two firms of Orthopaedics & Traumatology.
• One Neurosurgical Firm.
• The Physiotherapy Unit
• Pharmacy Unit.
• Orthopaedic workshop Unit.
• Sterilization.
• Operating Theatres.
• Anaesthesia.
• Intensive Care Unit (ICU).
• Radiology.
• Laboratory and Blood bank.
• Casualty (Accident & Emergency) units.
ACHIEVEMENTS:
The main achievement was the increased load of patients attended by all the sections. The exact number of patients attended is
as shown on the relevant section of this report. The increased number of patients attended occurred despite the continuing
shortcomings as will be shown in the statistics.
Other specific achievements included.
The introduction of Total Hip Replacement services in January — February 2004 under the programme of the Tripartite
Agreement. This was a big milestone as the Institute was now moving towards achieving its goal of providing tertiary services.
In its continuous efforts to look for affordable quality prosthesis, the institute introduced the International Committee Red
Cross (ICRC) technology in the manufacturing of limb prosthesis. The prosthesis manufactured on the ICRC technology is of
acceptable standard worldwide and are on average cheaper by 50% when compared to current prosthesis now being used. It is hoped
that when this technology is in use it will make it possible for many more patients to afford prosthesis and also address the
existing complaints about the high price of the current prosthesis.
Way forward.
Introduction of standards of care and quality of care mdicators for secondary and tertiary level care, which will act as
guidelines for the performance of the medical directorate. The methods will include:
• Establishment of Treatment Protocols.
• Continuing Medical Education (CME) I Continuing Professional Development (CPD).
• Improvement of supervision
• Mortality Rate Review Committee
• Quality of Care Indicators.
• Standard of Care
• Performance Indicators.
More streamlined referral system with level 1 being attended where they should and MOI only attend level II and III as required
(this is hard to achieve but should be one of the long term goals for MOI)
A more prompt attendance of emergency patients including definitive surgery being performed at the time of admission. This will
be achieved by having:
One theatre set aside for emergency surgery. The 2nd and 1st on call being available during their 24 hours call duty.
DIRECTORATE OF TECHNICAL SERVICES
The Directorate of Technical Services (OTS) was established according to one of the institute’s objective
aiming at fulfilling its mission statement “Provision of equitable, affordable, quality medical care for all.”
The basic objective of the Directorate is to ensure safe and reliable facilities for patient care through the optimum use of
available manpower, outsourced services, equipment, material, space and funding. The Directorate vision is to have a capital
renewal program -and a preventive maintenance program to provide continuous excellence in our facilities with an ultimate goal
of ensuring continued smooth operations of the institute’s activities and services. The directorate is subdivided into three
main sections namely:
• Electrical /Electronics section
• Mechanical section
• Civil section.
DIRECTORATE OF HUMAN RESOURCES DEVELOPMENT AND
ADMINISTRATION
MOI is an autonomous Institution and a role model for suitable modern Hospital Management and self-financing scheme under Health Sector Reforms. Thus the role of the Directorate of Human Resources involves acquiring and developing a strong qualified skills and effective motivated workforce who are able to deliver and challenge the business environment. Hence, the Directorate of HRDA is there to ensure that MOI obtains and retains a highly motivated, productive and stable workforce whose behaviour and action are controlled within laid down procedures. It therefore implies, being responsible for facilitating alignment of MOI’s staff and culture to its strategic business plan, through the provision of services in all aspects of the HR management and general administration functions. The Directorate’s philosophy on people is “Achieving excellence through the recognition of the Human Resource as the pivot of Institutional success i.e. the people make the Institution or our strength lies in our people”.
The Directorate comprises of 5 Units.
• Training & Health Administration
• General Administration
• Human Resources
• Social Welfare and Public Relations
• Statistics.
DIRECTORATE OF FINANCE AND SUPPLIES
The Directorate of Finance & Supplies at MOI is made up of the departments of Finance and Supplies. The finance Department is made up of the (i) Treasury Operations & Report Accounting Unit, and (ii) Financial Planning & Projects Analyses Unit. The Supplies Department comprises the (i) Stores Unit. The directorate of Finance & Supplies continued to play its organizational roles contributing to the overall attainment of the Institute’s objectives. Performance of the directorate has been improving with time.
DIRECTORATE OF NURSING
Directorate of nursing consists of five units namely ward 2,910 private wing and outpatient. The wards have
bed capacity of 163 beds. The directorate has three categories of staff.
Directorate Objectives.
• To improve quality-nursing care to clients.
• To maintain nurses working discipline by educating them through meetings and taking
proper disciplinary action for misconducts.
• To reduce complains form client and relatives.
• To emphasize on continuing education and on job training in knowledge.
• To create HIV/AIDS awareness in working place.
• To conduct daily supportive and facilitative supervision in the wards
• To eradicate corruption
• To promote evidence based nursing care to nurses by conducting operational Mini Researches.
Wards remained congested throughout the year having average occupancy rate of 120% leading to unsatisfactory
service delivery to the clients. Besides congestion of wards there were other problems faced during this year as follows:
• Shortage of running eater in the general wards.
• Long list of patients waiting for operations.
• Paraplegic patients prolonged hospital stay.
In order to improve quality nursing care of our clients we have formed the following committees:
• Legal and Ethical Conduct
• Management and Leadership
• Research
• Nursing and midwifery practice
• Human Resource.
CAUSES OF ADMISSIONS
• Head Injuries
• Multiple fractures
• Spinal injuries
• Cervical injuries
• Dislocations
• Tumours
• Sprains
CAUSES OF DEATH
• Severe head injuries
• Cervical Injuries
• Poly Trauma Patients
• Spine Injuries.
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