Operation Smile is a charity organization for children – donate non profit
Operation Smile is a charity organization for children – donate non profit
 

September 18, 2012

September 18, 2012: Surgery Day 2

Russell Papineau, Program Coordinator

comments | comment now

The team is excited have the opportunity to pilot this new program in Egypt, especially the Egyptian volunteers. As Mohamed Makboul said, “Operation Smile Egypt has been asleep for two years and we’ve had plenty of rest. We are ready to work.”

The team is excited have the opportunity to pilot this new program here in Egypt, especially the Egyptian volunteers. As Mohamed Makboul said, “Operation Smile Egypt has been asleep for two years and we’ve had plenty of rest. We are ready to work.”

This morning, the team arrived at the hospital and did rounds with the trainees. Surgery went very well again with no complications.

Dr. Makboul was able to use the endoscopic display to project the fistula repair on a screen in the OR and narrate the steps to as he went.

The nursing team was able to go over Operation Smile documentation and explain the importance of recording patient care in each stage of the surgical process. Lisa Friesen and Gabriel Larrea continue to work with trainees in the recovery room and were able to give presentations on pediatric physical assessment with case scenarios including respiratory distress and dehydration.

Dr. Fatma was able to explain the Operation Smile charting for anesthesia administration and we will continue to encourage the detailed recording of this information in real time.

Tags:   From the Field, Europe, Middle East and Africa, Egypt

September 17, 2012

September 17, 2012: Surgery Day 1

Russell Papineau, Program Coordinator

comments | comment now

As usual, the first day of screening was a bit hectic, as the team acclimates to working in a new environment, all 3 surgeries were successful and without complication.

After the mock code, the director of the Plastic Surgery Department at Assiut University, Dr. Assem said that he was very impressed by the practice and asked us to do it twice more this week so that he could invite medical professionals from other departments to observe, hoping that it would become routine practice in their hospital. We gladly added it to the schedule.

Today also marked the first time their recovery room, several years old, had ever been used. The team identified a site specific goal of introducing and teaching Operation Smile recovery room practice to the hospital, with the hopes that they adopt this practice for all surgical departments. Dr. Makboul and Dr. Assem were very pleased with the education that they witnessed and anticipate throughout the rest of the program. We were able to take the names and specialties of all of the participants and observers in the program (participants being present every day of the rotation, two per specialty, and observers being those who come to observe on a rotating schedule throughout the rotation).

Throughout the day more patients also arrived and we were able to screen 6 and add 5 to the schedule, bringing the surgery schedule patient total to 29. During the day, after being immersed in the hospitals style and methods of operating, each trainer was able to take notes on the strengths and opportunities for improvement in each specialty and develop a plan for clinical education and lectures throughout the rotation.

At the end of the day we all convened and put together a comprehensive schedule that includes a surgery-light/lecture-heavy first week, and purely clinical second week of training, with the idea that trainees would be able to put to work the concepts presented to them in the first week during the second week. All team members agreed that this seemed like a logical and comprehensive plan of action.

Tags:   From the Field, Europe, Middle East and Africa

September 16, 2012

September 15, 2012: Team Arrives/Orientation/Pre-screening Meeting

Russell Papineau, Program Coordinator

comments | comment now

Today the team met in Cairo at the Fairmont Hotel in Cairo at 12:00PM to take a van to Assiut as a group. The trip is approximately 5 hours without long traffic delays. Upon their arrival, at 7:00PM, the team unpacked at the Assiut University Guesthouse and rested after a long day of travel.

Shortly after the arrival of the international team the Egyptian team members arrived for introductions and a short orientation on the goals of this rotation and their individual roles as trainers. Mohammed Makboul was able to describe the goals of Assiut University Hospital and Operation Smile Egypt, and describe his plan for instructional surgery and video display using the endoscope in the OR for a number of his senior residents in the Department of Plastic Surgery.

Each team member was given the opportunity to share ideas and plans for their respective specialties and the team as a whole. It was agreed upon that throughout the week, depending on the number of patients screened and time available, we would combine clinical instruction and lecture style team meetings where each team member would address trainees in their specialty and/or the entire team on a subsection of their area of specialty.

With help of Anne Campbell, Maria de La Torre, Paul Kelly, Cindi Ragland, we constructed packets specialized to each nursing specialty, pediatrics, anesthesia, and plastic surgery. Each packet included Skills Evaluation Checklists for each respective specialty and a printed copy of the Operation Smile Global Medical Policies and Standards. Nursing packets included field nursing cards.

The team then enjoyed dinner together in the guesthouse while getting to know each other and discussing the upcoming day. We then walked together to a nearby café for coffee and internet access and a brief tour of the university campus.

Tags:   From the Field, Europe, Middle East and Africa

September 16, 2012

September 16, 2012: Screening/OR Setup/Pre-surgery Meeting

Russell Papineau, Program Coordinator

comments | comment now

After breakfast together at the guesthouse, a daily affair, the team made the walk across the campus to the hospital where screening was held, at the entrance of the hospital. We were able to screen 31 patients, 23 of whom were put on the schedule. We anticipate patients showing up throughout the next two weeks and filling the schedule to meet our goal of 50 for the rotation.

After screening concluded we had lunch and proceeded to the store room where the Operation Smile Egypt donated cargo was stored. Most of the medications were expired and unusable but we were able to use all of the rest consumables (tubing, syringes, etc.).

According to plan, we procured the medications needed from the hospital and brought the rest of the needed items from Operation Smile Jordan.

Jason Hudson, Biomed, arrived during screening and was able to check the equipment for one table. The plan is for him to service the rest of the donated cargo on the first day of surgery and train the Egyptian Biomed volunteer for the rest of the rotation.

We arranged for a team dinner at the Nile Pioneer, a floating restaurant in an old river cruise boat on the River Nile. After the meal we had a pre-surgery meeting where we also described the different goals of this rotation from a classic Operation Smile medical mission and played the name game. We were then able to briefly break into specialties and introduce all of the volunteers. Team Leaders then met to prepare the schedule.

Tags:   From the Field, Europe, Middle East and Africa

comments powered by Disqus