This is our biggest referral health facility offering high quality specialist and general services to our people.
Quality objectives 2020-2021
Rationale
Receives emergencies on a 24 hour basis
A&E is a busy department which attends to approximately 200-250 patients daily majority of whom are trauma patients. In line with Article 43 of the Constitution of Kenya, KNH provides emergency medical treatment to all patients brought to the facility as emergencies.
Also handles referrals from within and outside the country, responds to national disasters and mass casualty incidences that happen in the country.
Functions of A&E
Contacts
Mr. Samuel Muoki
0701540690
Services Offered
The range of services provided at the department has expanded over time, currently these include:
Main Events
World Mental Health Day – Commemorated on 10th October of every year
Days of Activism against Gender Based Violence – marked from 25 November to 10 December.
Contacts
Dr. Jospeh Masila
0727 476760
RATIONALE
To support the Medical Superintendent in achieving world class patient centered specialized healthcare by enhancing high standards of practice in specialized patient centered nursing services.
SERVICES OFFERED
The division of nursing ensures high standards of nursing practice in the following activities:
MAIN EVENTS
NURSING LEADERSHIP
Nursing division is divided into 3 arms for effective management. Each arm is further divided into departments for ease in supervision and nursing service coordination.
Out of the 17 hospital departments, nursing is structured into 10 departments by combining some, which are small. Chaplaincy is also structured under nursing leadership.
Surgical nursing division has 6 departments and 30 units while medical nursing division has 4 departments and 35 units. Nursing establishment is upto 1800 in number.
CONTACTS
Mr. Dominic Muteti
0725 049814
As a department we envisage the provision of patient centered specialized nutrition services in disease prevention and care.
Vision
To be a world class provider of patient-centered specialized nutrition services.
Mission
To optimize patient experience through innovative preventive and curative nutrition services; facilitate training and research, and participate in national nutrition health policy.
Nutrition mandate:
Services offered
Nutrition assessment & diagnosis; nutrition counseling & education; planning of therapeutic diets (both Enteral & Parenteral) in respect to the presenting medical or surgical condition.
To book appointments please contact the nutrition department using the contacts below.
Main Events
Contacts:
Mrs. Margaret Kivuva
0721 895992
Quality objectives
Services offered
Main events
Contacts
Dr. Doris Mbithi
0720 439089
Radiographs, scans and images are important pieces of information that helps doctors diagnose medical problems ranging from a broken finger to cancerous growths. Senior Consultant Radiologists use advanced technology to take images of what is going on inside your body and share this information with your other doctors to complete the picture of your medical condition.
MCRH provides all types of imaging one might need to help diagnose their condition. We assign Senior Consultant Radiologists to read the images; they are experienced in the specific part of the body being scanned.
MCRH is focused on two things, when it comes to Radiology and Imaging-getting the best images possible to allow your team of doctors to help you, and ensure your comfort and confidence during your tests. The procedures provided can be paid either by cash or NHIF.
Sections and Services offered include:
The under listed examinations are performed by highly qualified Radiology staff and reported by Consultant Radiologists. The images can be provided in hard copy or on Compact discs (CD). These examinations include;
These are special exams performed by fluoroscopic procedures. They are done by a Radiologist assisted by Radiographers. These are done by utilization of digital x-ray machines which provide high quality images that use sensitive detector and utilizes little dose to show the image through an instant image view on a computer screen and later printed for reporting by a Consultant Radiologist. They include;
The unit has state-of-the-art machines that are 32, 64, and 128 slice machines that have a workstation where reports are done by a Consultant Radiologist. The machines are able to detect early diagnosis of the clients sent to the Department. The services provided can be paid either by cash or NHIF. The examinations done include;
It is a unit that operates 24hours. The staff in this unit provide instant reports. The examinations done are:-
It is state-of-the-art digital machine that provides high quality images that are 2D, 3D and Tomosynthesis.
Contacts
Mrs. Susan kasyoka
0727 605907
CANCER PREVENTION SERVICES
We provide free breast and cervical cancer screening services from Monday to Friday. We also offer free family planning education and HIV counseling and testing services within our clinic space in partnership with AMPATH. These services are sometimes offered outside MCRH during the many medical camps that we organize. In addition, we offer general cancer awareness education to all the people who walk in and just want their questions on cancer addressed.
NHIF SENSITIZATION SERVICES
Because the National Hospital Insurance Fund (NHIF) pays for most of the cancer services, including CT scans, MRI, Surgery, Chemotherapy and Radiotherapy, admission bed fees, we have established an NHIF office at our clinic space. We encourage all patients, their relatives, friends and any other healthy visitors to enroll with NHIF as soon as possible so that they can benefit if needed.
DIAGNOSIS OF CANCER
We provide diagnostic services such as Fine needle aspiration cytology and biopsies including Bone marrow either at our clinic space or at designated hospital spaces. All patients are reviewed and advised appropriately.
TREATMENT OF CANCER
We all types of current and effective chemotherapy at our spacious, comfortable and entertaining chemotherapy lounge under close monitoring by qualified and experienced nurses. We work closely with Surgeons, pathologists and Radiologists to ensure proper monitoring of response to chemotherapy.
BLOOD TRANSFUSION SERVICES
We are pioneers in providing out-patient blood transfusion services at our clinic spaces. We have dedicated beds and staff to ensure safe out-patient blood transfusion.
NUTRITION SERVICES
We provide nutrition supplements as well as nutrition education including food security to all clients.
PALIATIVE AND HOSPICE CARE
For patients with incurable disease, we provide best supportive care including home visits.
RESEARCH
We conduct research to discover new ways of preventing, early diagnosis and comprehensive data treatment. Patients and their relatives are encouraged to ask whether there is any study for which they qualify. Participation is any research is voluntary and whether you participate or not, you will get the best care possible in our Department.
The world is currently dealing with one of its worst pandemic in history. Towards the end of 2019, Wuhan, a city in the Hubei Province of People’s Republic of China reported a cluster of pneumonia cases. It rapidly spread, resulting in an outbreak and epidemic throughout China, followed by worldwide pandemic. The cause was later identified to be a corona virus designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). WHO designated the disease as Coronavirus disease 2019 (COVID-19)
The first covid-19 case in Makueni County was reported on 31st June 2020 and as of 21st September 2021, 2141 Cases had been confirmed, of these cases 269 have been admitted and managed at the Makueni county referral hospital CTU. Before reporting of the index case in our county, a COVID 19 isolation and treatment unit (CTU) had already been established as directed by the Ministry of Health Kenya. This isolation unit has a bed capacity of 12 patients all with access to Oxygen supply. The unit has three well demarcated zone: Red zone where patients are managed from, yellow zone; where donning and doffing is done and a Green zone; which include staff lounge, nursing station, doctors room and is where the PHEOC is located.
Public Health Emergency Operations Center(PHEOC) was established early this year with support from Global Implementation Solutions (GIS) and the Kenya National PHEOC. Its core functions include coordinate incident information, plan for emergency response, mobilization of resources and prevent future public health emergencies.
Today marks 3years and 9 months of dialysis program that has seen the facility successfully carry out 230-250 sessions per month.
It has a capacity of five beds and five dialysis machines but these are still not sufficient to cater for all patients in need of dialysis (Sometimes machines breaks down frequently).We recommend effective equipping to ensure timely delivery of specialized health care services.
The unit has health professionals who care for dialysis patients.
Care team includes:Two Nephrologist,Six licenced Nephrology Nurse,One renal dietitian,One trained Biomedical technician,One trained laboratory technician.
It is covered by National Hospital Insurance Funds(NHIF) Which contributes in ensuring that dialysis procedures are available per patient.NHIF supports two sessions of dialysis per week at ksh 9500.
Patients Rights:
1: Quality care
2: Right to information
3: Individual treat
4: Privacy and confidentiality
5: Services without discrimination
6: Treatment options
7: Emergency care
8: Medical consultation
9: Dietary counselling.
VISION: To render quality, accurate, reliable, accurate, accessible, affordable, equitable and timely
laboratory diagnostic service.
MISSION: To promote and participate in provision of intergraded and quality diagnosis, disease surveillance, promotive, preventive and rehabilitative health care services.
CORE VALUES: Safety, confidentiality, diligence, impartiality and teamwork.
TESTS
PARASITOLOGY:
Stool for ova/cysts, blood slides etc
BIOCHEMISTRY :
Liver function tests, renal function tests, prostate surface antigen, lipid profile etc
SEROLOGY:
anti-streptolysin O, vdrl, H. pylori antigen etc.
HEMATOLOGY.
Sickling tests, full hemogram, coagulation profile etc.
MICROBIOLOGY:
Cultures, gram stain, sputum for AAFB, gene X-PERT etc.
IMMUNOLOGY
CD4 count, viral load etc.
QUALITY POLICY STRATEMENT.
MCRH laboratory is committed to quality and good professional practice, as the guiding principle in its
cooperation, decision making and leadership in the provision of medical laboratory services that are
reliable to inform medical decisions.
To realize this, the hospital management has adopted a frame work for establishing, monitoring and
reviewing (annually or when need be) quality objectives for continual improvement, sustainability, and
ensuring that examinations are fit for the intended use. Our laboratory has implemented an effective
quality management system based on and complying with ISO 15189:2012 standards