How to Start a Medical Practice From The Ground Up
I am Nurse Osagie Merry Osemwengie The medical Director The Mundësi Hospital Limited, Chief Executive Officer Mundësi Group/Health care.
I graduated from School of Nursing University of Benin Teaching Hospital School of Nursing 2014.
Yes I am very young in the profession but My passion for the profession is far older than I am
After graduation, I moved down to Lagos and started working in some private hospitals amongst the best of Best, I saw how the Hospital management humiliate Nurses all in the name of Employment policies….
[8/18, 8:22 PM] +234 810 629 0273: Usually I am not usually patient when it comes to given of Justice this saddened Experiences from Medical officers and Humiliation from the Government due to wrong placement of salaries and positioning make me to go into details to find out the cost, process, and Requirement of setting up a private health care facility.
[8/18, 8:22 PM] +234 810 629 0273: We all know and are aware that Nurses make 75% of the Health sector and Nurses spends 80% of their time with patient. In all Nigeria Government and its citizens still don’t appreciate the Nurses Effort.
It is Never the Fault of the citizens if you ask me but the fault of the Governmental system of this very country who have portray Nurses as second class Team mates in the health sector.
[8/18, 8:24 PM] +234 810 629 0273: The medical officers spends 25% of their total time with these patient and go home with Huge/Fat salaries but, the Nurses whom spends all their time are given crumbs its really Nostalgic
[8/18, 8:24 PM] +234 810 629 0273: Let it not be forgotten that When ever an Epidermic break forth, Nurses are the first personnel to be hit!
Nurses are the once that are Abuse, Assaulted, Kidnapped the most, Humiliated amongst the Court sentencing for Misconducts let not remember the wrong Representation given to us.. This is really sad
[8/18, 8:27 PM] +234 810 629 0273: ALL OVER THE WORLD TODAY, THERE ARE FEW NURSES ADVOCATE WHILE NURSES ARE EXPECTED TO BE AN ADVOCATE TO PATIENT, NO BODY WANT TO BE AN ADVOCATE TO NURSES…. THIS MENACE IS EVEN WORST IN NIGERIA OUR COUNTRT WHERE NURSES ARE SEEN AS AN UNIMPORTANT MEMBER OF THE HEALTH SECTOR
[8/18, 8:28 PM] +234 810 629 0273: Now knowing this, it became Dawn on me to decipher that the Nurses are supposed to be paid higher than the medical officers Due to their vital role in the health sector.
Am not saying the medica officers aren’t important NO they are!!!
[8/18, 8:28 PM] +234 810 629 0273: Now I Walk into the ministry of Health And I make enquires and this is what I found out
The Nursing and Midwifery council license issued to the Registered Nurses, are eligible to the Nurse to set up a Nursing Home/Convalescent Clinic
The Registered Midwife have been licensed to set up A Maternity home.
Now this is what we all need to know, Only the Registered Nurses all over the world can practice Health care without the supervision of the Medical officers.
The medical officers can NEVER and Are not allowed to practice health care without the Nurses.
Please we are going somewhere!!!
[8/18, 8:28 PM] +234 810 629 0273: ARE WE TOGETHER TONIGHT!!!
[8/18, 8:37 PM] +234 810 629 0273: Now out of 100 % of private Hospitals in Nigeria, 55% are own by Medical Officers, 20% are own by Non medical personnel 15% are own by Auxiliary quacks popularly called Auxiliary Nurses and 10% are own by Registered Nurses or Midwife.
The public health sector have been Stolen from Nurses whom are the major Work force reason because we lack a dogged advocate!
As an Ambassador of the United Nations Development Goal (SDGs) I am advocating that Nurses in Nigeria need to go into Private practice Entrepreneurship and by 2030, we want the Nigeria Government to have value on its Nurses when they see that Nurses are capable of managing a facility more than other health personnel.
[8/18, 8:41 PM] +234 810 629 0273: But because our founding Ancestors in the profession Never set the foundation straight, we have been bent to suffer the Brunt.
It is also in the constitution of the ministry of health (Nigeria) that Nurses can set up an Hospital facility, provided they EMPLOYED a medical Officer as the operating officer who MUST have a five years Post qualification Experience.
Also Any Nurse above 5years in practice are Now Eligible to set up their own private Facility be it Nursing home or Convalescent clinic for the Registered Nurses, or Maternity Home for the midwife any where in the country Nigeria.
[8/18, 8:42 PM] +234 810 629 0273: Now if you recall I said you can set up a clinic with #500,000 right?
[8/18, 8:42 PM] +234 810 629 0273: Now some Chief Nursing officers Retired without plan to further Expands and give back to their future professional Generations yet unborn…….
This is why their is no concrete Rules bonding the protective act of the Nigeria Nurses today.
[8/18, 8:47 PM] +234 810 629 0273: What are the various step in setting up a facility??
The very first step in setting up a facility, is to have a desire Location in mind.
The second step is to get an Accommodation of a 4 bedroom to 3 bedroom flat in a neat and secure location and pay for it as possible. (yes is acceptable and will be approved)
We all know Lagos, Port Harcourt and Abuja are the most expensive settlement in Nigeria as such, housing is very expensive.
Now most flat cost 200k, 300k in Lagos here where I live is 350k for a 4 bedroom flat
But in some part of this country, is 200k or lesser depends on the Location and settlement.
Now after paying for this flat, all you need do is to Ensure the reception is well groom for welcoming…
Now I always encourage Nurses to have their own personal instrument even when we where in school, we where encouraged and advice to have our own personal equipment.
some nurses do have Stethoscope, sphygmomanometer, delivery set that they use to treat neighbours in the Hood.
Now you can go ahead and do your publicity as you want but not an advertisements on television is prohibited!
[8/18, 8:48 PM] +234 810 629 0273: The moment you begin no matter how small, the ministry of Health, has given a 3 months grace to meet up with all the requirements needed in the facility.
Now, there is a Body called ASSOCIATION OF GENERAL PRIVATE NURSING PRACTITIONER (AGPNP)
These association, ensure You are not harassed unlawfully by the ministry of health either through extortion or via Any Dubious means, of course we are in Nigeria.
Let us all be aware that the police have no business with you… The body you have business with are the ministry of health.
The only time you have business with the police is during Gross Negligence and unlawful practices
Even at that, the police are to inform the ministry of health of health of your practices as this is why you registered with them.
[8/18, 8:50 PM] +234 810 629 0273: ARE WE TOGETHER TONIGHT???
[8/18, 8:50 PM] +234 810 629 0273: Some of the instrument you need to get are:
Autoclave #80k
Stethoscope #5k or 2k
Sphygmomanometer #12k #18k #25k
Dressing pack #10k
Suturing pack #8k
Delivery pack #25k
#Drum set for keping of Gauze #5k
Delivery bed, Patient bed, Baby cot, Drip stand, all at #120k (An iron bender or welder can construct that)
Oxygen Cylinder plus oxygen #40k
Glucometer (Accuchek) #10k
Suctioning machine #50k
Note these instrument are gotten according to your priority as patient begin to come in.
[8/18, 8:50 PM] +234 810 629 0273: We as Nurses have to know this today that an Health care facility set up by Nurses Thrives and grow better than an Health care facility set up by these medical Officers
Why?
Because Nurses spend 75% of their time with patient
If the patient want to poo she/he call on Nurses!
If the patient want to piss she/he call on Nurses
If the patient want to charge his/her phone, she/he call on Nurses!
If the patient condition is Not improving, he/she call on Nurses!
If the patient dies, the relatives will held the Nurses accountable!
If the patient run from the ward the Nurses pay the bills!
This is why you have to have your own Healthcare facility, so you will know what you are working for!
[8/18, 8:50 PM] +234 810 629 0273: Now take a look at all these instrument listed above, Some of us work in a facility where the monthly generated income are over #3 million still our salary is #50,000 with thank you and they will still deduct from it for coming late to work
[8/18, 8:58 PM] +234 810 629 0273: ARE WE STILL TOGETHER TONIGHT??
[8/18, 9:02 PM] +234 810 629 0273: There is no better time to begin than now!
if you save #20,000 every month for 2years, you will get #480,000 which is almost enough to kick start this journey of a brand new carrier
When the Medical officers retired, they become visiting consultant in some private Hospitals or government heath facility… But when a Nurse retired, she set up a chemist shop 🤦🏽♂🙆🏽♂ and until she dies, no body hears of her again😭😰
A former DDNS of a prestige Teaching Hospital was seen selling bed sheet from ward to ward! will a former Medical Consultant do that ??
This is my profession our profession we have to wake up and say to our self I will contribute my quota to make it live!!!
You are only paid 2% of your generated income where you work I realise this when I set up my facility
[8/18, 9:12 PM] +234 810 629 0273: IN SETTING UP A FACILITY, THE FIRST STEP IS:
GOOD LOCATION you can’t be in Kano and your facility is in Sokoto… It has to be in your environment where you are used to. The environment that is also populated because of patronage don’t forget as much as you want to serve the community, you are also in to make money!
ACCOMODATION Get an accommodation in that location you have in mind and pay for it…. Don’t forget there is recommended space you can used for a Nursing home/Maternity/Hospital. The recommendation is it should not be less than 3 to 4 bedroom flat. So that a male patient is in one room and female patient is in another room… Not combining a male and female patient together then at night they swap bed 😂😀😀
SAFETY MEASURES ensure the accommodated apartment is in a safe Location from flooding, Bush and free from any Threat of snakes and rodents…. If possible, get a fenced apartment please.🙏🏽🙏🏽🙏🏽
MAINTAINANCE/SET UP: your reception must be neat and well receptive too, and you must have a place for female patient, a place for Male patient, a place for delivery/theatre, a place giving Injection/Treatment room, A consulting room mostly at the Dinning side of the reception, Then you can find a place as pharmacy or dispensary where you will be keeping your drugs… Toilet and bathroom too.
SOUGHTING FOR STAFFS the number of staffs is according to your shift the ministry of health brochure will let you know but most times plus you 4 hospital 5
ASSOCIATION for a Nursing home, the moment you get a location and you have started, you can now locate the Association leader in your community or state and attend their meetings… They will give you letter which you will take to ministry of health to process you registration… Our brother @Collins ND will tell us more on this please he his a member of ASSOCIATION OF GENERAL PRIVATE NURSING PRACTITIONERS (AGPNP) THE CHAIRMAN OF LAGOS STATE CHAPTER IS ALSO HERE WITH US TOO. If you are settling for an Hospital, then your medical officer will need to get a letter from his association which is ASSOCIATION OF GENERAL PRIVATE MEDICAL PRACTITIONERS AGPMP
REGISTRATION: For a maternity, to register it with ministry of health, you need the license of an RM, and two other health workers like CHEWS credentials, Association (AGPNP) Letter, Community endorsement letter, Medical waste certificate (for Lagos state people), address of your facility and Letter of introduction informing them you have set up a facility.
For a Nursing Home/Convalescent centre, Your RN license, and two other health workers like CHEWS credentials, Association (AGPNP) Letter, Community endorsement letter, Medical waste certificate (for Lagos state people), address of your facility and Letter of introduction informing them you have set up a facility.
For an Hospital, The medical officer license, your RN or RM either one if you have both Perfect, and two other health workers like CHEWS credentials, Association (AGPMP) Letter, Community endorsement letter, Medical waste certificate (for Lagos state people), address of your facility and Letter of introduction informing them you have set up a facility.
TO REGISTER YOUR BUSINESS NAME: you need to go to corporate affairs commission (CAC) office in your State is more easier if you allow a lawyer do it for you… Registering a business name is with Corporate affairs commission (CAC) and is very much more different from registering with the state ministry of health. The Important of registering your business name solely is because of Litigation and Global grant. (Which will be discuss in the Next forum).
[8/18, 9:20 PM] +234 810 629 0273: THIS IS WHY I ALWAYS WANT TO REMIND YOU THAT SATISFACTION DOES NOT COME WITH SALARIES…. JUST 2 MONTHS AGO, I RECEIVED MRS ABIOYE AN ADNS OF GENERAL HOSPITAL LAGOS AND WE DISCUSS HOW SHE CAN SET UP HER FACILITIES THE TRUTH IS AFTER RETIREMENT WHAT NEXT???
WHAT PROFESSIONAL INHERITANCE DO YOU HAVE FOR YOUR CHILDREN OR UNBORN KIDS??
ARE YOU EVEN AWARE THAT WHEN YOU RETIRE, YOU ARE SUPPOSE TO BE A BEACON OF REFERENCES TO YOUR YOUNGER PROFESSIONAL COLLEAGUES?? BUT HOW MANY NURSING RETIREES ARE STILL LIVING THEIR DREAMS?
WE ARE GOING TO WAKE UP AND TAKE OVER THE PRIVATE HEALTH SECTOR AND I DON’T CARE AT WHAT COST! I AM READY AND DARING TO PAY THE PRICE……
OSAGIE & MERRY
[8/18, 9:23 PM] +234 810 629 0273: LET US EMANCIPATE OUR SELF FROM DECEPTIVE SALARIES
LET ASK OUR QUESTIONS PLEASE!
[8/18, 9:23 PM] +234 810 629 0273: I will Stop here for now to answer some questions
Thank you for your time it was not intentional to take your time!!!
Am just provoked and bitter!!!!!
[8/18, 9:57 PM] +234 810 629 0273: The challenges am facing now is that there are no enough Nurses in the private health sector to Apply for grant from the United Nations Trust fund as much as Medical officers do!!!😭😰😥 We in the private health sector need more Nurses to set up their facility so we can form a formidable force to tackle quackery because only the private Nursing practitioners can really curb quackery in Nursing.
[8/18, 9:58 PM] +234 810 629 0273: Because Nurses are afraid and some of them willing are being restricted by their Husband’s and bad advice that private practice is difficult
[8/18, 10:00 PM] +234 810 629 0273: You are even wasting time…. Just go to ministry of health on Monday and tell them you want to upgrade to an Hospital that is all….. please ensure you do that on Monday I will keep in touch please…
[8/19, 1:27 PM] +234 810 629 0273: Good afternoon Beautiful and Handsome Nurses……
Let not forget that if you keep postponing your plans it will NEVER come to reality…
All you have to do is to take a bath, take a walk round your community or settlement and Find a comfortable place where you want that Facility to be peg and come home.
When you get home, Go on your knees and cry to your maker what you want from him….
The almighty God who created everything will see your heart and that money will be provided By his grace.
Go out!!!!
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