Getting

Better

together

equipment PRospectus

2015

Queen Elizabeth

HOSPITAL

foreword Dr. Dexter James Chief Executive Officer

and the Diaspora. We are delighted at

We understand that these strategy

our success at this effort and expect a

initiatives cannot all be met by

similar success with this edition.

the Government, and as such, our

Obsolescence and malfunction of major life saving and other equipment have driven the need for their replacement, particularly in the surgical and diagnostic

welcome you to the launch of our Equipment Prospectus 11 – Selma.

Advancement in medical training and innovation in medical treatment have been the other drivers. Ophthalmology,

The central theme “Selma” was

radiotherapy,

selected in honour of the stellar

are all clinical services where building

stewardship of retired Consultant

the equipment stock is integral to the

Paediatric

recapitalization of our programme.

Surgeon,

Ms

Selma

Jackman. She left behind a legacy of

philanthropy

and

Public-Private

Partnerships as a viable approach to raising capital funds. With the launch of this prospectus,

areas. The pleasure is mine to once again

Board will continue to embrace

medicine

and

surgery

we are inviting ALL to be part of this opportunity. More importantly, did you know that the Queen Elizabeth Hospital is defined as an Exempt Charity under the Income Tax Act of Barbados (2010)? This means that all donations made by prospective donors are 100% deductible for

The development of an Information and

tax

Communications Technology platform

presents

will lay the foundation for the further

companies to obtain a taxable

expansion of telemedicine solutions in

benefit from donations made. In an

radiology and ophthalmology as well

effort to assure donors that these

In, December 2012, we launched

as support existing installations for

funds will not be utilized to meet

this innovative approach as a special

dispensing pharmaceuticals and patient

operating expenses, a separate

purpose

attracting

safety. Very shortly, the QEH will benefit

Capital Sinking Fund account has

donations from for the purchase of

from the roll-out of the National Health

previously been established to

medical and other equipment for the

Information Management system under

receive these funds. In short, no

hospital. We are happy to report that

the brand name of Med Data. Such

comingling is contemplated.

this initiative has raised in excess

a system will permit better patient

of $6.0M in financial contributions,

management and facilitate the seamless

grants and services from a wide

movement

cross- section of stakeholders. These

continuity of care. The system will allow

range from former patients, residents

for patient information to be accessible

and

under one national health information

experience in paediatric surgery at the Queen Elizabeth Hospital (QEH) and has been a key driver of this prospectus.

vehicle

non-residents,

Non-Governmental

2

for

corporations, Organizations

system.

of

patients

across

the

purposes. for

The

opportunity

individuals

and

In closing, we wish to sincerely thank our many past donors for their contributions and look forward to your continued partnership in

“Getting Better Together”.

background

The Queen Elizabeth Hospital (QEH) is Barbados’ primary acute care medical facility which provides emergency care on a 24-hour basis.

Additionally, this 600-bed facility

profiles

which

account

for

the

provides 94% of all hospital beds

growing demand for varying health

on the island and is a referral centre

care modalities. These trends, along

for patients from other English-

with economic constraints present

speaking Eastern Caribbean states.

challenges in the QEH’s ability

It is also an accredited teaching

to deliver more innovative and

hospital affiliated with the Faculty of

pervasive interventions for health

Medical Sciences of the University of

care delivery.

the West Indies (UWI). The QEH currently provides specialist Since its establishment in 1964,

services in Paediatrics, which is

the QEH has undergone major

supported by the Neonatal Intensive

improvements in its capability to

Care Unit (NICU) and the Paediatric

provide care for the acutely ill,

Intensive Care Unit (PICU); Medicine

with the development of Medical,

with its various sub-specialties; and

Surgical and Paediatric Intensive

Surgery. A health service for men is

Care Units. While the institution

provided by the Urology programme,

continues to experience growth,

while the department of Obstetrics

many environmental changes have

and Gynaecology provide complete

impacted on its operations.

women’s health services. The work of these departments is complemented

Among the most important factors

by paramedical and clinical support

are the demographic changes in the

services which provide diagnostic,

population and changes in disease

therapeutic and social support.

3

URGENT EQUIPMENT NEEDS VITAL SIGNS MONITORS Every day critical patient care decisions are made based on an essential medical device called a vital signs monitor, which tracks a patient’s vital signs. The QEH needs vital signs monitors for all the wards. Number required: 24 / Estimated Cost $3 000 USD each

FOETAL MONITORS With an average of 3 100 births at the QEH annually, these monitors are a valuable tool for monitoring the wellbeing of the foetus and the progress of labour. Due to sensitivity of the monitor, it may indicate when a contraction is diminishing even before notice of the pain subsiding occurs. Estimated cost: $12 000 USD each

CARDIAC MONITORS The nature of heart disease in Barbados has changed and added to that, the number of cases being diagnosed has risen and continues to rise. With the move to expand cardiac services with the establishment of a cardiac unit at the QEH, there is a need for more cardiac monitors Number required: 20/ Estimated cost $17 000 USD each

ANAESTHETIC MACHINES An anaesthetic machine is a complex collection of equipment used by our anaesthologists to support the administration of anaesthesia. These machines are designed to provide an accurate and continuous supply of medical gases mixed with an accurate concentration of anaesthetic vapour and deliver this to the [patient at a safe pressure and flow. The QEH needs eight (8) of these machines for its surgical department. Number required: 8 / Estimated cost: $95 000 USD each

4

ECG machines An electro cardiogram or (EKG) machine is one of the simplest and fastest procedures used to evaluate the heart. It is also used to determine the cause of unexplained chest pain which could be caused by a heart attack, inflammation of the sac surrounding the heart or angina, the cause of symptoms of heart disease such as dizziness, fainting or rapid, irregular heartbeats (palpitations). Number required: 7 / Estimated cost: $73 000 USD each

SURGICAL LAMPS Surgical lamps are designed to work for extended periods of time without radiating excessive heat.

They provide lighting in surgical suites and are

designed to illuminate the surgical site for optimal visualization of small, lowcontrast objects at varying depths in incisions and body cavities. Number required: 9 / Estimated cost: $35 000 USD each

AUTOCLAVES An autoclave is a pressure chamber used to sterilise equipment and supplies at high pressure saturated steam at121° for about 15-20 minutes depending on the size of the load of the contents. The QEH is in need of nine autoclaves and their acquisition, would go a long way to reducing bacteria, viruses and spores. Number needed: 4 / Estimated cost: $235 000 USD each VENTILATORS A ventilator is a machine that supports breathing. These machines: • Gets oxygen into the lungs • Remove carbon dioxide from the body (Carbon dioxide is a waste gas that can be toxic) • Help people breathe easier • Breathe for people who have lost all ability to breathe on their own. A ventilator is often also used for short periods, such as during surgery when you are under general anaesthesia. Number required: 20 / Estimated Cost: $35 000 USD each

5

EMERGENCY AMBULANCE SERVICE STRETCHERS A stretcher is an apparatus for moving patients who require medical care. A wheeled stretcher is usually equipped with variable height frames containing wheels, tracks or skids. Stretchers are primarily used in acute out-of-hospital care situations by EMS, military or in search and rescue operations. Number required:6/ Estimated cost: $12 000 USD each Two Ambulances

OTHER EQUIPMENT NEEDS TRANSPORT MONITORS When patients are moved to a new location, it is vital that their monitoring information goes with them. The transport monitor provides uninterrupted monitoring so you can stay aware of the patient’s condition even during transport. The QEH is in need of three additional Transport Monitors to facilitate the quick and safe movement of patients throughout the hospital without losing a moment of critical monitoring information. Number required: 4/ Estimated Cost 18 000 USD each BLOOD GAS MACHINE The QEH’s Paediatrics and Accident and Emergency Departments, is in need of two Blood Gas Machines also called the Blood Gas Analysis or the Arterial Blood Gas Analysis. This machine is used to diagnose and evaluate respiratory diseases and conditions that influence how effectively the lungs deliver oxygen to an eliminate carbon dioxide from the blood. Number required 2/Estimated cost US 158 000 USD each

6

INFUSION/ SYRINGE PUMPS The QEH requires additional infusion/syringe pumps for distributed use across all wards, Intensive Care Units ICUs and Recovery Rooms. These pumps administer fluids, medication or nutrients into a patient’s circulatory system in ways that would be impractically expensive or unreliable if performed manually by nursing staff. For example, they can administer as little as 0.1 ml per hour (too small for a drip), injections with repeated boluses requested by the patient up to a maximum number per hour (e.g. in patientcontrolled analgesia) or fluids whose volumes vary by the end of the day. Number required: 30 /Estimated cost $9 000 USD each

LITHOTRIPSY MACHINE A lithotripsy machine is used to treat kidney stones but may be used to treat stones in other organs such as the gall bladder and liver. The process of Lithotripsy uses sound waves to break the stones apart. The QEH is in need of one of these machines for the Urology department to assist medical personnel in the effective management of this condition. Number required: /Estimated cost $ 185 000 BDS

ULTRASOUND MACHINE An ultrasound, also called a sonography, uses sound waves to develop ultrasound images of what’s going on inside the body. Ultrasound imaging has many uses in medicine, from confirming and dating a pregnancy to diagnosing certain conditions and guiding doctors through precise medical procedures. Doctors employ ultrasound imaging in diagnosing a wide variety of conditions affecting the organs and soft tissues of the body, including the heart and blood vessels, liver, gallbladder, spleen, pancreas, kidneys, bladder, uterus, ovaries, eyes, thyroid, and testicles. The QEH is in need of three of these machines to service, Paediatrics, Accident and Emergency and Radiology Departments. Number required: 4 / Estimated cost: US$80 000

7

OTHER EQUIPMENT NEEDS

INFANT WARMERS Infant (Radiant) Warmer device helps to maintain the body temperature and limit the metabolism in babies. The heat loss in some babies is rapid and the infant warmers hence provide an artificial support to keep the body temperature constant. In certain areas with very cold climate, babies are kept on a Radiant Warmer for couple of hours immediately after birth to ensure the baby is stabilised after birth. Number required: 2/ Estimated cost: $15 000 USD each DEFIBRILLATORS With more Barbadians contracting heart disease, it is important that the Queen Elizabeth Hospital is equipped to manage these cases. One device that is critical in this process is the defibrillator. The process of defibrillation involves the delivery of an electric shock to the heart which causes depolarisation of the heart muscles and re-establishes normal conduction of the heart’s electrical impulse. The QEH needs 10 of them to be used on various wards. Number required: 10/ Estimated cost: $10,000 - $15 000 USD each

SURGICAL DRILLS The cutting-edge surgical procedures in the Department of Surgery have been improved over the years with the donation of modern equipment. The Department is in need of two surgical drills to complement the ones currently in use. The surgical drill is used to drill holes in bone for the attachment of surgical pins, plates or screws. Number required: 2 /Estimated cost: $8 000 USD each

8

COLONSCOPES Colonoscopy is generally recommended when the patient complains of rectal bleeding or has a change in bowel habits or is experiencing other unexplained abdominal symptoms. The test is frequently used to investigate colorectal cancer especially when polyps or tumour-like growths have been detected using a barium enema and other diagnostic tests. A colonscope is a necessary tool in this process and the QEH needs two of them. However, this piece of equipment requires regular replacement. Number required: 2 / Estimated cost: $20 000 USD each PCA PUMPS Patient Controlled Analgesia or (PCA) pumps, is used to assist medical staff in pain management. The PCA pump administers pain killing drugs whenever you need them and without having to wait for the nurse to bring an injection. When you feel pain you press the white button on the handset, which will be in your hand (this is connected to the PCA pump). You will hear a beep to confirm that the pump has acknowledged this request. The pump delivers the drug down a fine length of tubing to the drip in your arm. The QEH is in need of six of these pumps for the Main Operating Theatre. Number required: 6 /Estimated cost: $15 000 USD each

LARYNGOSCOPES A laryngoscope (larynx + scope) is a medical device that is used to obtain a view of the vocal folds and the glottis, which is the space between the cords. This investigation is conducted in two ways. • Indirect laryngoscopy in which ENT specialists use mirrors to examine the larynx and hypopharynx, which is a portion of the passageway to the lungs and stomach • Direct laryngoscopy in which a special instrument, most often a flexible scope is used. The QEH is in need of 10 of these for its operating theatres. Number required: 10 /Estimated Cost: $ 10 000 USD each

9

OTHER EQUIPMENT NEEDS

FLUOROSCOPY MACHINES Fluoroscopy is an imaging technique that allows physicians to utilise x-ray images in real time to see the internal structure and function of a patient. For example, the pumping action of the heart or the motion of swallowing can be watched by doctors. This is useful for both diagnosis and therapy and occurs in general radiology, interventional radiology and image-guided surgery. Estimated cost: $300 000 USD MICROSCOPES Microscopes are used by scientists and medical personnel to see objects which are not visible by the naked eye. There are many types of microscopes but the most common one used is the optical microscope which uses light to image the sample. The QEH’s lab is in need of three of these. Number required: 3 / Estimated cost: $12 000 USD each DOPPLER ULTRASOUND A Doppler ultrasound test uses reflected sound waves to see how blood flows through a blood vessel. It helps doctors evaluate blood flow through major arteries and veins, such as those of the arms, legs, and neck. It can show blocked or reduced flow of blood through narrow areas in the major arteries of the neck that could cause a stroke. It can also reveal blood clots in leg veins (deep vein thrombosis, or DVT) that could break loose and block blood flow to the lungs (pulmonary embolism). During pregnancy, Doppler ultrasound may be used to look at blood flow and to check on the health of the unborn baby. Number required: 8/Estimated cost: $1 000 USD each

10

SONIC WASHER Sonic washer or ultrasonic cleaning is a process that uses ultrasound usually from (20-400 KHz) and cleaning solvent (sometimes ordinary tap water) to clean items. The ultrasound can be used with just water, but use of a solvent appropriate for the item to be cleaned along with the soiling enhances the effect. Cleaning normally lasts between three and six minutes, but can also exceed 20 minutes, depending on the object to be cleaned. Ultrasonic cleaners are used to clean many different types of objects, including surgical items and lenses. The QEH’s CSSD Department is in need of a sonic washer. Number required: 1 /Estimated cost $18 000 USD TOURNIQUET When physicians are treating patients with severe bleeding from trauma, they apply tourniquets (tight bands) to control the bleeding by completely stopping the blood flow. They are also used to prevent the patient from developing shock. Number required: 2/Estimated cost $8 000 USD RESUSCITAIRE The Resuscitaire is the ideal device to have during labour and delivery procedures. It combines an effective warming therapy platform along with the components you need for clinical emergency and resuscitation. The QEH is in need of three of these. Further information on the cost and the number required may be obtained by contacting the Queen Elizabeth Hospital.

SET OF SURGICAL INSTRUMENTS The Queen Elizabeth Hospital’s Operating Theatres is in need of a set of surgical equipment to allow surgeons to adequately carry out various surgical procedures on patients. Number required: 2/ Estimated cost: / $86 000 USD

11

OTHER EQUIPMENT NEEDS

CARDIAC MONITORS The Emergency Ambulance Service is in need of 10 cardiac monitors to outfit the ambulances. These monitors allow ambulance attendants to monitor the progress of sick patients while enroute to the hospital for treatment. Number required: 10/ Estimated cost: $19 000 USD each

The Paediatric Surgical Department is in need of the following items: • Neonatal cystoscope • Electrical Muscle Stimulator • Rectal Suction Biopsy refill kit • Tissue glue • Hegar rectal dilators Further information can be obtained by contacting the Paediatrics Department

UROLOGY DEPARTMENT The QEH’s Urology Department is in need of several pieces of specialised equipment such as Cysto-Urethro Fiberscope Sachse Knife (6pkgs) Sachse Urethrotome Sheath 21 Fr Total cost: USD200 000 Minimal Access Surgery equipment package Total cost US$100 000

12

NEUROSURGICAL EQUIPMENT Two sets of craniotomy surgical instruments US $80 000 each Electrical neurosurgical drill US $15 000 Neurosurgical operating table US $40 000 AUDIOLOGY TEST BOOTH For accuracy in results for precision threshold audiometric testing and other diagnostic procedures such as bone conduction testing, Ear, Nose and Throat specialists use audiology booths to assist them with their diagnoses. ENT specialists identify and measure hearing function and rehabilitate patients with hearing impairments. Further information may be obtained by contacting the Queen Elizabeth Hospital. PHYSIO-CONTROL LIFEPAK 15 MONITOR/DEFIBRILLATOR The Lifepak 15 monitor defibrillator is the new standard in emergency care for emergency medical technicians who want the most clinically, innovative, operationally effective device to monitor patient rhythms and to treat patients experiencing cardiac arrest. The Emergency Ambulance Service is in need of 10 of these units. Number required: 10 /Estimated cost: $373 492.26 BDS LUMBAR TRACTION A Lumbar Traction device is used to treat lower back pain in conjunction with other treatment modalities. The traction may be applied intermittently using several methods to treat the spine. Number required: /Estimated cost: $10 000 USD

13

BICYCLE ERGOMETERS Rehabilitation therapists utilise bicycle ergometers to test the fitness levels and evaluate patients who are suffering from various physical conditions caused by illness or accidents. The QEH’s Rehabilitation Department is in need of one of these bicycles. Number required: 1/Estimated cost $40 000 USD

MANUAL BEDS Beds for general medical wards Number required: 80/Estimated cost $1,500 USD each

GASTROSCOPE 1 adult and 1 pediatric for upper endoscopy Number required: 2/Estimated cost $30 000 USD each BRONCHOSCOPE 2 Adult and 1 pediatric scopes Number required: 2/Estimated cost $28 000 USD each NEW PROCESSOR Number required: 1/Estimated cost $100 000 USD each

COMPUTER EQUIPMENT The IT department is in need of

4826GTS-PWR $65 000 BDS

several

MERAKI MR 16 wifi access points

of

information

technology equipment to expand

$24 000 BDS

the current services to clinical areas

Storage area network $60 000 BDS

throughout the hospital.

Single-mode fibre SFP Transreceiver

These include

$40 000 BDS

30 computers $80 000 BDS

16 KVA Generator $30 000 BDS

20 tablets $30 000 BDS

2” cabinets for switches $10 000

Avaya

14

pieces

Ethernet

Routing

Switch

BDS

OTHER EQUIPMENT

In addition to the large pieces of equipment outlined in the Prospectus, here are several other items which the QEH requires. A few are listed below however; you may contact the Director of Engineering Services via email [email protected]. bb, to find out more.

Zimmer frames-walkers

procedures

Televisions

(2) Monitors for the viewing station

Drip stands

in the X-ray Department

Commodes

Double decker baker’s oven

BP Cuffs

Heavy duty Hobart food grinder

Wheel Chairs

Wax Bath

Machines to measure blood sugar

Functional Electrical Stimulators

and strips

Heavy Duty Treadmill

Air flow mattresses

Hobart Heavy Duty Mixer

Sphyg monitors

Patient recliner

Scales

(6) Sat probes

Patient lifts – bariatric

Trolley scale to weigh patients who

White boards for wards

are trolley dependent

(2) 5 MP monitors for mammogram

Blood gas analyser

15

ADOPT -A-WARD PROJECT In an environment where the public is

has become necessary to upgrade our wards

demanding more accountability on how

to accommodate the changes in our services

their tax dollars are spent on health care,

and reflect a change in our service delivery.

providing the right surroundings while

Therefore, the Hospital is seeking partners to

patients convalesce is important. As the QEH

assist with the refurbishment of the following

seeks to improve the level of service to our

wards: B2, B6, B8, A5 and A6.

patients and become more patient-centred, it

3

1

2 4

WARD B2 5

5

On Ward B2, some of the following

At present a kitchen table is used to

issues have been highlighted

write notes and reports and there are

1. The provision of adequate sitting

no area storage drawers for important

area for nurses

documents.

2. Outfitting of a nursery at present

4. Furniture for visitors at present there

this space is being shared with the

are only four chairs to accommodate

nurses who use a section of it as their

the relatives during visiting times to

sitting area

the 24-bed facility.

3. Minor upgrade’s to the sister’s office

5. Refurbishment of the bathrooms

including the provision of furniture.

16

4

5 7

1 3

WARD B6 1. Replacement of bed pan washers

5. Television set

2. Provision of wall suction and wall

6. A modern medication trolley for

oxygen outlets

the treatment area on the ward

3. Installation of ceiling fans

7. A new table top stove

6

4. The provision of proper seating area for staff

7

9 5 2

WARD B8 4

3

1. The provision of a suitable lunch area

tables

for nurses

7. The construction of storage cabinets

2. Kitchen equipment inclusive of small

8. The donation of a television set

electrical appliances

9. The donation of a gas stove

3. Renovations to the bathroom

10. The provision of trolleys

4. Replacement of the bed pan washer

11. Television set

5. The erection of shelves for storage

Furniture for visitors to sit while visiting

6. The donation of beds and bedside

their relatives on the ward

17

1

4

1

5

WARD A5 1. Repairs to cupboards in the kitchen area

1

2. Replacement of the leaky tap in the bathroom 3. Repairs to the windows and window latches 4. Repairs to cabinetry 5. Replacement of the bed pan washer

1

4

2

WARD A6

5

1. Completion of works in the treatment room 2. The provision of new beds in some rooms 3. The provision of lockers for nurses 4. Repairs to cupboards in the kitchen area 5. Replacement of table top stove 6. Repairs to windows and latches

WARDS C5 & C6 Retrofitting of the entire ward inclusive of cabinetry, bathroom and other internal works The provision of general medical equipment.

18

Donate NOW!

Requirements for Donors: TIN# ID Number Company Number Donor Type

(Indicate one please)

Individual NGO Other (Please Specify) __________________________________________________________________ As outlined in the Equipment Prospectus, there are many necessary pieces of euipment required by the Hospital. We are pleased to offer you the opportunity to make a donation. Fax the completed form to 1 (246) 429-5374. Donor Information (Please print or type) Name Address City Country Telephone (home) Telephone (business) Fax Email Contact Person Donation Information I (we) will make a donation of $______________________towards the following item(s):

1. ___________________________________________________________________________________________



2. ___________________________________________________________________________________________ Credit Card Type Credit Card Number Expiration Date Authorised Signature

Acknowledgement Information Please use the following name(s) in all acknowledgements:

____ I (we) wish to have our gift remain anonymous. Signature(s) Date Please make cheques or other gifts payable to:

The Queen Elizabeth Hospital Wire Transfer Information:

The Queen Elizabeth Hospital Martindale’s Road, St. Michael, BB11155 Ac#: 018005512003 Swift Number: BNBA BB BB

REPUBLIC BANK #1 BROAD STREET BRIDGETOWN BARBADOS BB11000

Queen Elizabeth

HOSPITAL

Getting

Better

together