Vankwa Murwa Indeche

Paediatrician

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Aziz Hassanali Mohamed
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Zipporah Waithira Gatheru
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Charanjeet Jandu
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Ian Coro Kaburu
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Hilda Wanjiru Njuki
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Cecilia Njeri Wamanda
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Claire Amume Majisu
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Christine Kanini Muasya
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Nancy Simat Koriata
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Kennedy Charles Wafula
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis
Stephen Ombok Muhudhia
Paediatrics

List of Privileges
Allergy/Immunology Disorders
Admit, evaluate, diagnose, consult and manage patients, except
where specifically excluded from practice, presenting with
conditions or disorders involving the immune system, both
acquired and congenital. Selected examples of such conditions
include asthma, anaphylaxis, rhinitis, eczema, urticaria, and
adverse reactions to drugs, foods, and insect stings as well as
immune deficiency diseases (both acquired and congenital),
defects in host defence, and problems related to autoimmune
disease, organ transplantation or malignancies of the immune
system. Privileges include but are not limited to:
Allergy testing
Desensitization
Drug testing
Cardiovascular
Admit, evaluate, diagnose, provide consultation to, and provide
comprehensive care to newborns, infants, children and
adolescents presenting with congenital or acquired
cardiovascular disease and disorders of the heart and blood
vessels. Privileges include but are not limited to:
Electrocardiography and Echocardiography
Interpretation.
Cardioversion
Diagnostic cardiac catheterisation
Selective angiocardiography
Electrophysiologic testing
Therapeutic catheterisation
Pericardiocentesis
Thoracentesis
Mechanical ventilation

Diseases of blood and blood forming

Organs - Haematology/Oncology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to children and adolescents presenting with diseases
and disorders of the blood, spleen, lymph glands and
immunologic system such as anaemia, clotting disorders, sickle
cell disease, haemophilia, leukaemia, and lymphoma and
provide treatment or consultative services to children and
adolescents with cancerous diseases. Privileges include but are
not limited to:
Bone marrow aspiration and biopsy
Administration of chemotherapeutic agents and biologic
response modifiers through all therapeutic routes.
The management and care of indwelling venous access
catheters
Therapeutic phlebotomy
Transfusion
Diagnostic lumbar puncture
Therapeutic Thoracocentesis and paracentesis

Nephrology
Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children, and adolescents with diseases
and disorders or normal and abnormal development and
maturation of the kidney and urinary tract, evaluation, and
treatment of renal diseases, fluid and electrolyte abnormalities,
and hypertension. Privileges include but are not limited to:
Haemodialysis
Peritoneal dialysis
Placement of peritoneal dialysis catheter
Percutaneous biopsy of native and transplanted kidney
Preoperative evaluation and preparation for transplantation
Biochemical monitoring and treatment
Nutritional therapy
Coordinating end stage renal care.

Endocrine and metabolic disorders

Admit, evaluate, diagnose, provide consultation to, and provide
treatment to infants, children and adolescents with diseases or
disorders resulting from an abnormality in the endocrine glands,
including but not limited to diabetes mellitus, growth failure, and
unusual size for age, early or late pubertal development, birth
defects, the genital region, and disorders of the thyroid, adrenal
and pituitary glands. Privileges include but are not limited to:
Provocation testing
Growth hormone release
LHRH and TRH

Neurology/Neurodevelopment
Neurodevelopmental disabilities.
Admit, evaluate, diagnose, provide consultation to, and manage
the care of children with developmental delays, or learning
disorders, including those associated with visual and hearing
impairment, mental retardation, cerebral palsy, spina bifida,
autism, and other chronic neurologic conditions. Privileges
include but are not limited to the ordering of diagnostic tests and
therapeutic procedures related to the specific disorder.
Child Neurology Privileges.
Admit, evaluate, diagnose, treat, and provide consultation to
infants and children (except as specifically excluded from
practice) with all types of disease or disorders or impaired
function, both acquired and congenital, of the brain, spinal cord,
peripheral nerves, muscles, and autonomic nervous system,
including their coverings, blood vessels, and other effector
tissue, such as muscle. Privileges include but are not limited to:
Performance and Interpretation of Electroencephalography
Performance and Interpretation of Electromyography

Medical Paediatric Care 

Admit, evaluate, diagnose, treat and provide consultation to
patients from birth to young adulthood with acute and chronic
disease including major complicated illnesses.
Uncomplicated infections of 
• Respiratory tract 
• Gastrointestinal tract 
• Genitourinary 
• Skin 
• Peripheral nervous system 
Complicated infections of above 
Fever of undetermined origin 
CNS infections 
Complicated seizure patients 
Acute poisoning 
Any hospitalization 

Miscellaneous 
Behavior disorders 
Collagen disease 
Disturbances of growth and development 
Emotional disorders 
Lipodystrophies 
Specific learning disorders 
Steroid therapy over one week duration 

Newborn Nursery Core Privileges

Provide care to newborns, including:
Initial assessment/nursery care/discharge examination, care of
stable neonate in the Special Care Nursery.
Without complications 
With complications
• Life threatening: Medical
• Life threatening: Surgical
• Non-life threatening: Medical
• Non-life threatening: Surgical

Neonatal and Perinatal Medicine Clinical Privileges.

Admit, evaluate, diagnose, treat, and provide consultation to
newborns presenting with severe and complex life-threatening
problems such as respiratory failure, shock, congenital
abnormalities, and sepsis and provide consultation to mothers
with high-risk pregnancies. Privileges include but are not limited
to:
Newborn nursery and neonatal intensive care unit privileges
Ventilator care of infants beyond emerging stabilization
Umbilical catheterization
Insertion of chest tube
Exchange transfusion
Preliminary ECG interpretation

Paediatric Gastroenterology
Admit, evaluate, diagnose, consult, and provide care to infants,
children, adolescents and young adults with acute and chronic
diseases of the digestive system (esophagus, stomach,
intestines, liver and pancreas) and nutritional disorders. The
core privileges in this specialty include the procedures on the list
below and such other procedures that are extensions of the
same techniques and skills.
Requirement:
MMed or equivalent residency training in Paediatrics and
Fellowship in Paediatric Gastroenterology: minimum of 12
months fellowship training under supervision; certificate or
diploma upon completion of fellowship.
Oesophagogastroduodenoscopy
Colonoscopy
Therapeutic endoscopy:
Polypectomy
Oesophageal dilatations
Oesophageal variceal sclerosing/banding
Liver biopsy
Privileges granted:
Clinical Gastroenterology and Nutrition
Clinical Hepatology
Diagnostic Endoscopy
Therapeutic/Interventional endoscopy.

Abdominal paracentesis
Allergy skin testing
Anesthesia cut down
• Local
• General
Arterial cut down
EKG interpretation
Exchange transfusion
Gastric lavage
I & D abscess
Lumber puncture
Needle biopsy of
• Bone narrow
• Liver
• Lung
• Kidney
Percutaneous bladder aspiration
Skin biopsy
Thoracentesis
Tracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Venous cut down
Ventricular tap
Subdural tap
Peritoneal dialysis