Nurses in Trans Nzoia have 12 hours to resume work or be fired, Health CEC Isaac Kogo told the group on Monday.
The County Executive Committee member said that the nurses' grievances had been addressed hence their industrial action was illegal.
The more than 700 nurses have boycotted duty since Friday citing long working hours, no promotion and 'monthly' salary delays.
"We have employed and promoted the nurses as required," Kogo told journalists at the county.
Negotiations that were scheduled to start Monday failed after the nurses rejected calls to resume work.
Trans Nzoia's Kenya National Union of Nurses secretary general Willy Sifuna said most hospitals lacked drugs.
"The situation is making our work difficult. The county has also failed to honour our agreement on promotions," the Knun official said.
Public Service CEC Gaudenciah Malimbe said the nurses want the county to create a position which is not in the scheme of service.
"Nurses want the county government to create the position of chief nurse. It does not exist in the Public Service Commission guidelines," Malimbe said.
Kogo said the health department has hired 400 health staff, of which 150 are nurses who will help to address the shortage.
He said the county has also procured drugs worth Sh75 million which were supplied to all health centres, claims that the nurses refuted.
Sifuna said that hospitals only received supplies of syringes, gloves, and condoms.
Kogo further said that another consignment of drugs worth Sh45 million will be delivered to the county next week.
"The nurses have until Tuesday to return to work. If they fail to do so, we will fire them and advertise their positions," he said.
He said the nurses have refused to undergo suitability tests as required so as to effect the promotions.
"The promotions which involve competitive cadres require that all officers must go through an interview which our nurses fear," the CEC said.
He however said the government expects to promote 238 officers into job group K and M in line with laid down regulations.
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