Thursday 9 May 2013

PIMS's Dilemma:

PIMS staff makes things worse for patients


ISLAMABAD: The posting of inexperienced staff in the Pakistan Institute of Medical Sciences has created a lot of hardships for the common citizens, as a number of cases have been mishandled in the department due to the lethargic attitude of staff concerned. 
The largest hospital in the capital territory where patients not only from the city but from far flung areas like Mianwali, Abbotabad and Gilgit are also treated is losing its reputation over the patients day by day.
The patients are not satisfied with the treatment as well as the behavior of medical staff specially the staff posted at casualty department, which is the core department of the hospital to deal with the emergency cases.
The staff posted at the casualty section is less experienced then the section’s requirements while the senior most and qualified doctors hesitate to perform their duties at this section just to avoid the crowd of patients with emergency cases, “The Spokesman” has learnt.
“Last week, a lady aged 45, who was having a mass growth in her abdomen and was crying with pain, was brought to the PIMS casualty to diagnose her disease. The doctor on duty instead of checking her properly just took a glance over her swollen abdomen and referred her to the gastro section”, said a relative of the lady. She said the doctors in the gastro section diagnosed that she was not having a gastro, but a surgical case as she needed a surgery to her overgrown mass.  “The doctors in the casualty are even not aware about the basic cases that either to refer a patient to surgical section or to any other concerned”, she said. She stated that after waiting for hours, we were informed that our patient was having a gynae and must be shifted to the gynae section, which not only irked the patient but to us as well.
“The administration must post the competent staff if they really want to ease the patients”, she said.
While a nurse in emergency stated that the PIMS treats a large number of patients specifically in casualty section while the junior doctors often handover the patients to the nurses just to relax themselves. “The doctors here are not capable to deal with the emergency cases due to lack of experience. They should have worked in their departments concerned like surgical and medicine for some years before being posted in casualty”, she added. She further showed her concern that although the hospital has been imposed emergency just to handle any incident during the elections, but the doctors currently working in the casualty are not experienced enough to deal such situation.
A senior doctor admitted that the condition in the casualty section was miserable for the patients as well as the medical staff as it was handed over to the inexperienced staff. “The main reason for the mishandled cases is insufficient number of staff. However the available staff posted in the casualty section is also of least experience which turns the situation into worst,” he revealed.
He said that currently there are four doctors in each section of the casualty but the situation and increasing number of patient demands for at least six doctors in each shift, with relevant experience in each section.
When contacted PIMS Administrator Dr Iqbal Memon told “The Spokesman”, “Yes, we are having issues regarding insufficient staff for which we wrote many times to the ministry concerned but all in vain. The available staff posted in each section is qualified and capable as their recruitment is purely made on merit and according to the rules”.  He said that the medical staff had also been placed in their sections according to their qualifications.

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