This is one of a kind health institution for which I considered very special. Imagine a hospital without 24 hours service of pharmacy and laboratory? In KKESH, this is just ordinary. Lets start from laboratory, after 2300H on call laboratory technician will cover the entire hospital's laboratory services. Just put into consideration, when there is an urgent procedure to be done and the person on call is living outside the hospital compound. Patients will end up frustrated waiting for the person who in turn supposed to be the one waiting for the patients to come.Pharmacy in this hospital has one of a kind delegation of function. After 2130H pharmacy services will be closed and ER night pharmacy locker will operate. Who are the once dispensing medications after 2130H in the entire hospital? ER Nurses are expected to provide services that are supposed to be a function of a registered pharmacist. Are nurses considered pharmacist? The answer is definitely NO! but in KKESH; ER Nurses are working as pharmacist at night.They provide and on call pharmacist in case of STAT medications and code blue response. Consider the safety of patients and nurses, how will the ER Nurses handle the technicality of some medications like the composition, side effects, special medical considerations and dosage indication when they are not pharmacist? Additional workload to the ER Staff is considerable since the disruption of nursing functions were interrupted just because (2) nurses need to check and dispense medications to the patient. Talking about safety... How did the JCIA rate this institution with rotten system?
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