GC4 Update December, 2011
Namaskar It is our pleasure to update you on the Guwahati Comprehensive Cleft Care Center. This unique public private partnership is making daily progress towards achieving our goals of Increased Capacity, Decreased Costs, and a Cleft Free Assam. December 2011 has been another month full of progress and evolution at GC4, and we very much hope you enjoy this update. -‐-‐Team Guwahati
2161 Free Operations in Guwahati in 2011 It was a great year in Guwahati, starting with 509 patients receiving free surgical care during our mission in February. On February 17, the Guwahati Comprehensive Cleft Care Center (GC4) was inaugurated, and on May 9th our team performed the first operation here. We have performed 1576 operations in the new facility, and a total of 2161 operations in Guwahati in 2011. GC4 has become a reality and a successful model for sustainable, comprehensive cleft care in the developing world. Since hosting the first mission in Guwahati in 2009, Operation Smile India has provided life-‐changing operations to 4623 patients in Assam. “With continuous support from Operation Smile International and Operation Smile India, the Team at GC4 has focused on excellence and is providing world c!lass care to the most needy of patients. These patients have intense challenges to obtaining care, but once in Guwahati they become part of our family. We care for ! them with safety, quality, and love that heals them both physically and emotionally. The !!!!!"#$%&'()*+,! ! 2161 impact of GC4 can be seen on their faces as ! they walk away with chins held high, ready to !!!!!-.%$$*(*/!01&2(*&'()*+,! 2990 face the world with new smiles.” -‐-‐Carolina Restrepo, MD (Chief of Surgery) !!!!!3)44)5!6#!01&2(*&'()*+,! 2432 GC4 Nutrition Team Partners with Assam Department of Social Welfare A specialized Nutrition Team at GC4 identifies malnourished patients and provides integral interventions, to rescue these patients and prepare them for successful operations. There are significant challenges in the region, prompting us to partner with the DSW in Assam. This will allow us to jointly care for and provide resources to these extremely needy patients in very remote areas, utilizing the DSW’s specialized knowledge, systems, and 58,000 Anganwadi workers at the village levels. 2
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Capacity Building at GC4 Central to success of this model of high volume, high quality care in Guwahati is a cleft center staffed primarily by local health care professionals and staff members. Starting with a core group of international specialists, we have transitioned to a team that is overwhelmingly Indian. The Team at GC4 currently has 68 members that contribute to care on a daily basis, and 91% are from India. Also, the leadership of nearly all aspects of GC4 Medical Care and Administration is now in the hands of these fantastic local professionals, who are providing excellence in care to the children of Assam.
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The Scrub Cap Award is awarded to staff members who have performed exceptionally. December Winners (ALL Nurses): § Rosie Borey § OR Nursing Team: Biju, Kipgen, Teresa, Yangyung, Ringsophie, Mary, Moite, Tina § Susie Stevens § Angela Mora
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Our team of Operation Smile Patient Counselors had a remarkable 2011! They are constantly traveling throughout rural Assam to identify, educate, and organize surgery for patients in extremely remote areas. We have great ambitions in 2012, and will penetrate deeper and deeper into the state in our mission for a cleft free
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Holidays at GC4
International nurse specialist Angela Mora led an army of patients, families, and nurses in making Christmas decorations from recycled products. These were placed throughout the Center and Ward and brought a festive atmosphere to GC4.
On December 17th, we had a river cruise and picnic for all Team members on the banks of the Bramaputra, and a great time was had by all. Holiday luncheons and gifts on December 22nd and 23rd closed out the year in style amongst close colleagues and friends inspired by a common mission.
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GC4 PATIENT WARD IMPROVEMENT PLAN Goal: Transformation of Operation Smile GC4 patient ward into a beautiful, child friendly, and efficient space to facilitate excellence in patient care as they proceed through their surgical journeys. !
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We had a great 2011 in Guwahati, and are ready to move to new heights in 2012.
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The patient ward must support the surgical facility running three tables full time. (28 Total Beds) o 12 pre-op + 12 post-op patient beds (including two monitored beds) ! Layout that separates division between pre-op and post-op patients o 4 beds for patients requiring longer inpatient stay or readmission Education area with TV and multimedia capacity to facilitate and enhance GC4 postoperative education protocols for improved patient and family understanding and proper care after surgery. o Will also function for patient education on nutrition, speech, and dental care programs o Will be available for patient entertainment outside of education activities ! Cartoons and movies for patents and families ! Play area for toys and child life activities ! Storage of education and child life materials Nursing and Pediatrician station and counter space Adequate storage space for all patient care and nursing materials Renovated toilets for patients and staff Controlled entry points and complete separation from other MMC facilities The patient care ward must be beautiful, comfortable, and cater to Pediatric patients in a manner that will compliment our mission of extraordinary care throughout the treatment process. This will combine with the GC4 surgical facilities to set the standard for excellence in care to underserved cleft patients. Access Doors
GC4 Patient Ward Layout
Exciting plans around the corner include major facility improvement and expansion. This includes complete renovation of our inpatient Ward, and construction of a new level onto the Center. Our comprehensive care will also continue to blossom, with expansion in dental, speech therapy, orthodontic, and otolaryngology services.
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Susanna Stevens is a nurse from the United States (and UK) and joined Team Guwahati last January as a core international specialist, charged with creating and implementing nursing practices and procedures in the PACU and on the Ward. She is the founding Nurse Manager at GC4, and has been critical to develop safe and efficient processes of care for our patients. Susanna has been right in the center of this project from the beginning, and has contributed !"#$%#
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mightily to our current ability to cure hundreds of children per month. She developed and implemented an entire education program in nursing care, aimed at providing first world care in a third world environment. She is directly responsible for the training and management of 24 perioperative nurses that now redefine excellence daily. She dedicated herself fully to the development of our Center, and made truly remarkable contributions to this project and to the overall care of our patients. Her contributions to the community reached far beyond our walls as she also help the street kids of Guwahati in her free time. You are truly awesome, Susie, and we deeply thank you for your love and commitment in development this m agical Center. -‐-‐Team Guwahati
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