Demanding nurses to work as anesthesiologists divide health settings into welcoming and critical

There is no talk in the health community and in hospitals in the Kingdom except for the call by the Minister of Health and Social Protection, Khaled Ait Taleb, to anesthesiology and resuscitation nurses to ensure the continuity of surgical interventions in public hospital centers due to to the great shortage that the sector knows in the specialized doctors in this field.

The field of anesthesia in public health institutions is known as a worrying situation that has given rise to much discussion in light of the reservations of anesthesia and resuscitation nurses to perform “anesthetics” on patients, since This work is purely medical and the responsibility of anesthesiologists and resuscitators, which negatively affects the continuity of the operation of the public health establishment.

Khaled Ait Taleb, in a recent correspondence, a copy of which is available to Hespress, said: “It has been noted that the reluctance of the category of anesthesia nurses to perform these jobs began since the issuance of Law 43.13 related to the practice. of the nursing professions, which establishes in its article 6: (The nurse in anesthesia and resuscitation performs the tasks of Anesthesia or resuscitation of patients under the responsibility and direct supervision of a specialist in anesthesia and resuscitation).

The Minister of Health and Social Protection clarified that the provisions of Law No. 43.13 referred to above have not yet entered into force, according to article 56 of the same, which establishes: “This law will take effect from the date of its entry into force of the normative texts necessary for its full implementation”, given that the normative texts necessary for its full implementation have not yet been issued.

The same correspondence mentioned the content of Chapter 20 of the Kingdom’s constitution, which establishes that “the right to life is the first right of every human being. The law protects this right.” Therefore, it is necessary to work to guarantee this right by all possible means, and everyone must be involved in its realization, but the necessary sanctions must be applied against those who do not seek this end.

The Minister stressed that “refusing to provide help and assistance to a sick person or in a state of danger, constitutes an act typified by criminal law, whose sanction is more severe and harsh than the civil liability derived from the anesthesia work itself.” ”, emphasizing that anesthesia nurses have the competence that enables them to perform complete resuscitation anesthesia work.

Taking into account professional competence, basic training and sufficient qualifications and knowledge, Ait Taleb adds that “it is imperative that anesthesia and resuscitation nurses in the public sector, on a temporary basis, ensure urgent interventions prescribed by the surgeon or doctor . responsible for urgent matters that cannot be postponed in the absence of the anesthesia and resuscitation specialist.”

legislative vacuum

Commenting on the content of the correspondence, Abdallah Mirouche, regional secretary of the Independent Union of Nurses in Draa-Tafilalet, said that the delay in issuing the necessary regulatory laws to implement Law 43.13 related to the practice of nursing professions and its entry into force, “attacks the right to life that the guardianship ministry defends and that is included in the constitutional document, in chapter 20 specifically, especially after the correspondence excluded the private sector from this procedure .

The union actor considered this decision “positive and commendable if it is accompanied by accompanying procedures that cover its shortcomings, and in recognition by the willing ministry of the effort of this category and its high efficiency when performing the same intervention of the anesthesiologist and resuscitator. doctor, and that there is no difference between them except in salary, which requires adequate compensation for these nurses who were allowed to intervene in the absence of the anesthesiologist and resuscitator doctor, and create special pathways in the master’s wire for training keep going. ”

In his statements to Hespress, Mirosh added: “In principle, we do not disagree that the decision is positive and can alleviate the psychological pressure that anesthesiologists live in marginal hospitals, which has caused many crises and tragedies”, noting a caveat in the preamble. adopted in the formulation of the decision and the magnitude of the contradictions it contains, from Prior to “the reluctance of anesthesia and resuscitation nurses to comply with the instructions of their subordinates”, noting that “compliance is an incorrect term, especially because the law does not recognize oral instructions even if they are from the anesthesiologist and resuscitator himself, who is considered directly responsible for the anesthesia work, and the specialist doctor has no responsibility for a specialty other than his own.”

The regional editor of the Independent Union of Nurses in Draa Tafilalet recalled the content of the ministerial correspondence and its focus on Chapter 20 of the country’s constitution related to the right to life and the need to protect this right, “while the professions Nursing and health technologies continue to operate according to a suspended law, as the minister himself admitted, due to the absence of special regulatory texts”, the priorities that made the ministry neglect to formulate the necessary legal arsenal to protect this fundamental right are surprising.

intimidation and threat

For his part, trade unionist Dr. Abdel Qader Tarfai denounced the recourse of the Ministry of Health and Social Protection to the constitution and criminal law to carry out threats, intimidation and intimidation, stating that “the ministry emptied public institutions of specialized doctors and began resorting to covering up their lapses by holding nurses accountable; Following the interests of childbirth without gynecologists and obstetricians, it is now moving to make surgery vehicles without anesthesiologists and resuscitators.”

Dr. Tarfai added that “the jurists of the Ministry of Health and Social Protection need private evening lessons to understand the law and download it correctly”, and stressed that “the right to health is the responsibility of the State represented by the Ministry of Health”. Health, and it is required to provide the competent frameworks in sufficient number, and it is not the responsibility of the nurse to threaten it with the constitution.” and criminal law.”

The same spokesman urged the Ministry of Health to publish the lists of doctors specializing in anesthesia and resuscitation, which it has placed outside the public establishment, as well as the list of recent appointments of doctors specializing in anesthesia.

As for Abdelilah Al-Saisi, president of the Moroccan Association of Anesthesia and Resuscitation Nurses, he considered the decision “an official recognition by the ministry of guardianship of the competence of anesthesiologists and resuscitation nurses, pending stimulation, creating a special framework and promoting continuous training. in order to develop knowledge and improve the treatments provided to the citizen and achieve safety”, emphasizing that “The safety of the citizen is the safety of the anesthesia and resuscitation nurse”.