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GMC admits: Patients referred to Srinagar attended by juniors

Srinagar, Jan 21: The Government Medical College (GMC), Srinagar Monday acknowledged that the patients referred to its associated hospitals in Srinagar are being treated by junior doctors.

A circular by Principal GMC, Dr Samia Rashid said it had come to her notice that “patients referred from various district, sub-district hospitals and peripheries for specialised treatment in Associated hospitals of GMC Srinagar are being attended by Junior Residents without taking advice and consultation from their Registrars and Consultants on emergency duty.”

 

The circular asked the head of departments and units to ensure that referral patients are only seen by registrars or senior residents on emergency duty.

“The head of the departments and units are also impressed upon to ensure that Consultants on emergency duty…should make periodic rounds on their emergency day and take final evening round in emergency areas. Registrars and other resident staff on emergency duty should note down their advice in respect of patients admitted,” the circular reads.

The GMC Principal, as per the circular, asked the medical superintendents of the associated hospitals to monitor the work of Resident Medical Officers (RMOs) and Casualty Medical Officer (CMOs).

“…check whether they are discharging their duties as per their job profile…take necessary disciplinary action against the RMO/CMO who fails to discharge their assigned duties.”

The GMC circular follows the Thursday’s incident in which a pregnant woman, who was referred from Kupwara to Lal Ded hospital, was forced to deliver her baby on road when the doctor on duty refused to admit her.

The baby delivered in sub-zero temperatures died soon after.

Facing flak, the hospital ordered a probe immediately, which, eventually, concluded: “The doctor with her clinical assessment/USG findings did not anticipate the precipitate delivery in her, although unfortunately the doctor on duty went against the SOP for referrals by not admitting the patient.”

 

No negligence will be tolerated: Adv Kumar

Jammu, Jan 21: Taking a serious note of alleged mishandling of a pregnant lady from District Kupwara at L. D Hospital, Advisor to Governor, K Vijay Kumar Monday conveyed his sympathies with the affected family and assured a thorough enquiry into the unfortunate incident.

Chairing a high level meeting in this regard attended by Principal Secretary, Health & Medical Education, Atal Dullo; Principal, GMCs of Srinagar and Jammu; Directors of Health Services of Kashmir & Jammu besides Medical Superintendents of several hospitals the Advisor informed that the Governor has instructed that Hospital authorities across the State should strictly adhere to the Standard Operating Procedures (SoPs) in the case of referrals to tertiary care hospitals adding that no negligence in observing these SoPs would be tolerated in future.

He said maintaining high standards of health care delivery to the citizens of the State should be observed at all costs and that the Governor’s Administration is committed to fill in all the existing gaps of manpower, equipment and infrastructure to strengthen the primary healthcare system across the State.

The Advisor sought recommendations to identify the lapses and gaps so that such incidents do not take place in future. He directed the Principal GMC Srinagar and Jammu and Director Health Services Kashmir/ Jammu to identify Nodal Officers who shall solely be responsible for streamlining the referrals from primary and secondary health care institutions to tertiary care hospitals in the State.

He said that directions have been issued as part of the ‘Auditing Mechanism’ that doctor’s prescription shall be inscribed with seal/ stamp mentioning name and credentials of the prescribing and referring doctor so that responsibilities can be fixed in any eventuality.