Outpatient Services
Casualty Accident & Emergency Centre

Dr. Louise Lwai-Lume MBCHB (MUK), M Med, (UON) ACCIDENT & EMERGENCY CO-ORDINATOR Dr. Lwai-Lume holds an MBCHB (MUK) and Masters in Medicine from the University of Nairobi and is registered with the Kenya Medical Practitioners and Dentists Board. She is a member of the Kenya Medical Association and Kenya Association of Physicians. She joined The Nairobi Hospital in January 1990 having previously worked with Gertrude Children's Hospital and in various hospitals in the UK on attachment. She did her undergraduate training in Makerere University, Uganda. Sr. Marren Chunga, Charge Sister, Accident and Emergency Centre marrenchunga@nbihosp.org , 254-20-2845520 Sr. Chunga has 25 years of experience in Nursing and she holds a Bachelor of Psychology from the University of Nairobi. She has also studied midwifery at Pumwani Hospital and general nursing at The Nairobi Hospital. She is certified by the Nairobi Hospital in critical care nursing and was a clinical instructor in critical care at the Intensive Care Unit. Chandaria Accident and Emergency Centre The 24-hour Accident and Emergency centre of the Nairobi Hospital is well staffed with certified professionals in advanced cardiac life support, advanced trauma life support and acute psychological support counseling. Compliance to the international standards of emergency/trauma life support has shaped the hospital's speedy response to trauma incidents, accidents and disasters. Being the first facility at the entrance of the hospital, it is strategically located to conveniently attend to emergency cases. The department was established in 1986 with a per day capacity of 120-150 patients and has actively grown to the current capacity of over 260 patients a day. Equally, the medical staff has increased from 8 doctors and 20 nurses to the current 25 doctors and 44 nurses. A fully fledged pediatric unit was established four years ago and attends to over 70 patients a day. A well laid-out disaster preparedness plan coupled with well-equipped facilities has made the centre a one stop total quality emergency centre. Its top of the range facilities include a helicopter landing, resuscitation room, X-Ray, CT scanner, laboratory, pharmacy and a fully equipped theatre to manage minor and major operations in emergency care. Our trauma handling expertise is exceptional; the whole A&E team is involved and within a few minutes of arriving at the hospital gate, the patient has been assessed and necessary care recommended. Resuscitation is carried out in a well equipped area with facilities for continuous monitoring of the cardiovascular and respiratory systems. A team of well trained doctors and nurses carry out intubations and respiratory support. Assistance from our 24 hour laboratory ensures availability of blood for transfusion and other laboratory tests that are required. Portable x-rays and ultrasounds are carried out within the resuscitation room if required. Emergency CT scans are also carried out within the department. With the team of professional staff, well versed in emergency care, our patients are stabilized before transfer to the wards. Respiratory support and monitoring during transfer are available if required. Critical care does not end in the A&E, our care is provided as a continuum with partner staff in the ICU (Intensive Care Unit) and HDU (High Dependency Unit). These critical care units are indeed referral centres for the whole East and Central African region. A strong team of consultant surgeons working together with the A&E staff, regular skill checks and drills ensures that the best possible care is availed to all our patients. Expert sub-specialty care is provided by our visiting consultants making the Nairobi Hospital a regional referral centre. Information desk Based at the entrance to A&E, the desk is a resource for all enquiries in the centre. It is manned by an Emergency Nurse who also ensures the safety of patients in the waiting area. Resuscitation room Equipped with specialised equipment such as monitors, defibrillators, ventilators among others, the room is used for the care of critically ill patients who require resuscitation; most of them have life threatening conditions and illnesses. Triage room Registration, vital signs and history of illness of incoming patients is taken care of here. Observation room Patients who require close monitoring within the department are kept here. Major treatment room (small theatre) This room is used by Accident & Emergency doctors and consultants for major or minor procedures, and for planned and urgent procedures requiring anesthesia. Pediatric room The room is used to triage all pediatric patients that come into the A & E and they are attended to by an emergency nurse and pediatric doctor. Plaster room This room is used for plaster/dynacast application for patients with fractures. Dressing room All the patients requiring wound care are attended to in this room. Laboratory A & E is connected to the hospital main laboratory where patients’ lab tests are processed. Gynecology room All patients requiring gynecological assessment and treatment are seen in this room, privacy is guaranteed. Medical Records Amina Remmy Ngotho, Chief Medical Records Officer aminangotho@nbihosp.org, 254-20-2845680 Mrs. Ngotho has 27 years of experience in medical records management. She holds a Diploma in Health Records and Information Technology from the Kenya Medical Training College. She has previously worked in medical records departments in various capacities at the Nyeri Provincial Hospital, Kenyatta National Hospital and The Agakhan University Hospital. She is a member of the Association of Medical Records Officers in Kenya (AMRO) and is registered by Kemri as a Cancer Registrar in Kenya. The Medical Records Department is a 24 hours centre that houses current and past records of in and out patients in the hospital. The department which has been in existence since the inception of the hospital in 1954 has grown from a simple retrieval and filing section to a fully fledged department that supports the medical records needs of the whole hospital. A patient’s medical record contains identification data, complaint/s, personal history, family history, history of present illness, physical examination, special reports, provision diagnosis, medical or surgical treatment, operative report where applicable, pathological findings, progress notes, final diagnosis, condition on discharge, discharge summary and autopsy report when performed.