Lawrence Owino Okongo

Paediatric Rheumatologist

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