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| HEALTH |
Midwife for carrying out life. Saving interventions in the absence of a qualified medical doctor. This issue must be discussed further and distinction should be made between proper and improper delegation. Proper delegation stars from the recognition of a demanding unsolved problem,
Such as the management of obstructed labour's in a remote nural area. If there is an acute shortage of doctors ,and no other solution within reach, one solution would be to have informal ,supervised training, for example, by an experienced theatre nurse, who may have witnessed and participated in hundreds of caesarean .section operations. It is not uncommon for informal on the job training to take place,
By which such an experienced theatre nurse can perform caesarean section independently, initially under direct supervision and guidance and,subsequently, independently. Such an informal training may be illegal but it may be the only solution to pressing problems such as this. The threat is of course that,
If any complication occurs, the delegatee may be prosecuted with dire consequences for person. Such negative consequences should be prevented by strict guidelines for the process of delegation of responsibility. The delegating doctor should also be strictly aware of this responsibility to guarantee the delegatee professional capacity to carry out the intervention delegated to them.to guarantee a favorable outcome of the delegation process it is most important to follow up the delegatee intervention by regular reviews of surgical cases. In this way ,
The proportion of complications and complicated intervention could be monitored . Improper delegation may be characterised by less laudable motives, for example,
To reduce the clinical burden of the responsible medical officer or, perhaps, indifference concerning optimal or suboptimal quality of care .insufficient training of the delegatee is obviously Improper,
As is the absence of clear guidelines or formulation of unclear guidelines it is also most Improper not to follow up interventions carried out by the delegatee in order to discover early any kind of over delegation in relation to delegatee professional capacity
THE TRAINING OF ASSISTANT MEDICAL OFFICERS
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