EKITI-CANADA TRAUMA CENTRE Ekiti State, Nigeria. Concept. The project involves the building a state of the art Trauma Hospital that will cater for the residents of Ekiti State in particular and Nigerians in general.
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The project involves the building a state of the art Trauma Hospital that will cater for the residents of Ekiti State in particular and Nigerians in general.
This is borne out of desire to provide quality and affordable emergency services to accident victims in a timely and cost effective manner. The aim is to make this venture a self sustaining under the management of experts in medical field with local and international influence in the field of medicine.
A trauma system is an organised and co-ordinated effort which delivers the full spectrum of care to an injured patient, from the injury to transport to acute care to rehabilitation. It represents a continuum of integrated care between out-of-hospital and hospital providers with close co-operation of medical specialists and other health care providers in each phase of care.
The trauma centre constitutes a medical facility where the acutely injured patient can receive full resuscitation, assessment and appropriate disposition on a 24 hour basis.
The department will be a purpose built modern facility, designed to manage in excess of 50,000 patients per annum.
It will be divided into 6 main clinical areas (units).
Trauma Centre -- 4 resuscitation / theatre bays with overhead imaging
Resuscitation Area--4 bays with everything required for full patient resuscitation
Acute Area --17 bays including 2 seclusion rooms for psychiatric emergencies.
Quiet Area -- 6 bed short-stay facility within the department.
Fast-track -- 7 bays including facilities for ophthalmology & ENT examination.
Neurosurgical Unit -- 2 procedure rooms for neurological assessment and management .
· 2 general radiology rooms
· 1 helical CT scanner
Each year the Emergency & Trauma Centre attends to approximately 37,000 emergency patients. Of these patients, 50% have serious problems requiring a triage category of 3 or above. Approximately 297 (3.2%) require immediate resuscitation.
More than 60% of patients presenting to the Emergency & Trauma Centre may require admission to hospital.
Rotations out of the Emergency & Trauma Centre include:
Fast-moving ambulances are required to evacuate patients from the scene of accidents. In the long term, subject to financial resources availability, helicopters are required to ensure fast evacuation. Most of the doctors whose services are required studied for advanced medical training locally and overseas.
The Trauma Centre will conduct leading-edge research on trauma prevention, treatment and rehabilitation, with an emphasis on headinjury. The hospital's neurosurgical unit, one of the largest in Canada, specialises in traumatic brain injury and neurooncology (treatment of brain tumours).
The Neurosurgery Program:
Local Sources of Funding
International Sources of Funding
The policy frame work will be developed as a separate document.
A specialised fund-raising organisation may be employed to support fund-raising activities.
This is the project launch stage, that involves the ceremony held in Toronto, Canada, on October 29, 2005, the acquisition of land in a suitable location and the building stage, where all the structures necessary for take off will be custom designed.
Twin buildings - a three storey and five storey buildings are being proposed –
a- Resuscitation Area with 4 bays fully equipped for resuscitation.
b- Acute area with 15bays for acute cases
c-Fast tract with 10 bays to attend to not too serious trauma emergencies.This will include an Ophthalmology and ENT examination bays equipped with the necessary tools.Implementation
This will be in phases with a view to becoming fully functional in five years.
10 of these beds should be post operative recovery rooms equipped with ventilators.
It is important to stress the fact that appropriate administrative offices will be put in
place as necessary.
This is the stage that all the necessary equipment required for the smooth running of the Hospital will be procured.
This can be done concurrently with phase one if the finance is available.Phase Two
This is the staffing phase where all the necessary staffs will be employed to manage the Facility.
Consultant Specialists in Orthopedic (Trauma), General Surgery, Anaesthesia
Emergency Medicine, Radiology
Chief Nursing Officer
X Rays Technicians
To make this venture a self sustaining one, it must be able to generate income from the services to be provided at a reasonable cost affordable to the target populace.
Given the situation of things in Nigeria and Ekiti in particular affordability of the services to be provided will be too much for the majority of the clients that need the services so a need for alternative source of funding to sustain this facility is crucial to the continuity of care the centre will render.Operational Issues
A sustainable operation is only possible through good management and continuous funding. The Centre will engage in other activities that will be profit oriented and viable enough to support this project.
One of such ventures is building a factory that makes Intravenous Fluids.This product is a consumable to all hospitals. With quality production and proper marketing, this constitute a regular source of income. The modus operandi for the smooth take off of this important aspect of the project is being worked out too and update will be forthcoming soon.
Phase 1: Land & Buildings CA$1,000,000
Phase 2: Equipment
1 Outpatients Equipment
Resuscitation equipments $560,000
25 Couches 30,000
Theatre Equip 1,000,000
Opthalmology Department 500,000
ENT Department 300,000
2 Radiology Departments
X Ray Unit (1unit) 1,000,000
CT scan Unit (1unit) 1,800,000
3 Theatre Department
Operating Suite (4units) 4,000,000
Male & Female ward equipment (30beds) 250,000
ICU Equipment (20beds) 1,000,000
Recovery Room Equipment (10beds) 250,000
5 Paramedical Equipment
Ambulances (5 units) 1,000,000
Maintenance equips 250,000
Sub-total (Equipment) 14,300,000
Phase 3 – Personnel Recruitment 25,000
TOTAL PROJECT COST 15,325,000
Ideally, the Centre should be conveniently located close to an existing functional hospital or medical centre.
Even the most brilliant scientists needs labs, equipment and colleagues to make discoveries that have the potential to save and change lives.
Even the most compassionate, experienced doctor needs the technology to provide patients with the best care.
And every patient needs and deserves rooms and facilities that are designed to encourage the healing process.
Your gift of generous donations will help in the implementation of this laudable project, for the benefit of mankind and to the glory of God.