Physician-anaesthetist, nurse-anaesthetist and surgery training programs in Nigeria
Nigerian Society of Anaesthetists Standard Guidelines for the Practice of Anaesthesia Anaesthetic Personnel * Certified physician anaesthetist * Trained nurse-anaesthetist under supervision by physician-anaesthetists * Maximum number of nurses to physicians should be 4:1 * Where there is no physician-anaesthetist, nurses should adhere strictly to the guidelines and conditions of their certification * The surgeon should provide coverage especially in the area of patient resuscitation and fitness for surgery and take full responsibility for any decisions made against the guidelines.
Nurses are trained as nurse-anaesthetists after 18 months of training in a post-basic nursing program.
Physician-anaesthetists (Fellows and Diplomates), nurse-anaesthetists and consultant surgeons are all concentrated in urban hospitals leaving the rural areas and urban slums with a critical shortage of anaesthetic and surgical workforce.
There are 13 nurse-anaesthetists distributed unevenly in the 16 hospitals (Table 1).
There were only 13 nurse-anaesthetists working in the 16 general hospitals, and one visiting consultant anaesthetist and five visiting consultant surgeons at the General Hospital, Calabar, the capital city.