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Sunday, April 25, 2010

Facility Improvements

The post below was authored by Scott Nelson, MD, Director of Orthopaedic Surgery at Hopital Adventiste d'Haiti.  Hopefully this will give donors an idea where their hard earned dollars are being spent. 
However, it goes without saying that the needs are great and more funding is needed to further renovate this facility.  Please consider donating to the project here.
This post also demonstrates the need for qualified nonmedical volunteers.  Please contact LLU Global Health to determine if HAH could use your services.

Volunteers donated US $1 bills to each of the young boys who filled a trash bag with the loose trash that was strewn around the campus. As the donations begin to run out before all the trash was collected the participants were glad to pick up 2 bags per dollar. Our campus is now clean.
Rooms in the southwest wing were never finished after the initial construction phase 5 years ago.
Plumbing fixtures and painting was completed by Dr Peter Nelson and Arpad Soo from San Luis Obispo, CA. The rooms are now ready for patients. We thank the generous donors of Amistad International for the plumbing hardware that was purchased locally as well as in the US.
One of the biggest challenges in preparing these rooms was fixing the sewer system which had been plumbed to drain the toilets onto the front lawn. Arpad, Jerry and crew worked day and night digging trenches around the raw sewage and placing the appropriate drain pipes. 
Another peculiarity is why the toilet inflow was plumbed into the hot water pipes. Thank you to the expertise of our plumbing crew and their hard work most of these problems are now resolved.
Arpad worked most nights until after midnight repairing leaks and faucets around the hospital. 
This very important sink in which we scrub our hands before surgery now has new foot pedals thanks to a donation from Ferguson Enterprises in Santa Maria, CA. It is important to use high quality materials as the elements are intense and these sinks sustain a high volume of use.
Liz Dickinson, RN, Vice President of Nursing at Loma Linda University Medical Center transformed our operating room with her friend Sylvia. We thank LLUMC and Liz for her hard work and the amazing improvements that were made.
Before this past week, there were still cupboards stuffed with instruments from years past. Liz, Sylvia, and the Haitian nurses sorted through all of them.
Some sterile packaging of unused instruments dated back to 1952.
The "before" shot below of the central sterilization area.
The "after" shot below. The newly painted cupboards are awaiting placement of well organized instruments.
New shelving was placed in the sterilization area after relocating the decontamination sink to a separate room.
In spite of our very low infection rate, measures are being taken to continue to make safety improvements for our OR. This decontamination sink had its faucets and drains replaced this week and it was placed in the decontamination room where instruments will be scrubbed prior to bringing them into the sterilization area for final wrapping.
Peter Nelson, DDS (on the right below) poses with Kyle Fiess of Maranatha. He used this hammer drill to make approximately 60 holes in the 10 inch walls of the southeast wing through which the entire plumbing system will be replaced. Prior to the earthquake the low pressure partially functioning water system delivered water to various plumbing fixtures, many of which were in disrepair. With the installation of a high volume inflow system and increased water pressure many leaks became apparent. This was causing a loss of approximately 7000 gallons of water per day into the walls, foundation, and electrical system of the hospital. 

Wednesday, April 21, 2010

LLU Strategy For Hopital Adventiste d'Haiti

Loma Linda University (LLU) and its partners are continuing to work to support the Hopital Adventiste d'Haiti in Port-au-Prince.  LLU is not alone in these efforts.  Together they are pooling their resources and are working closely with Park Ridge Adventist Hospital/AHS, Florida Hospital, CURE InternationalLife Enhancement Association for People (LEAP), and Adventist Development and Relief Agency (ADRA).  
The following strategy update was posted yesterday on the Global Health Institute website.
  • The need for additional medical teams continues, but as we move forward the composition of these teams will change to reflect current needs at the hospital.  Keep in mind the needs change almost daily.
  • As of April 20, 2010, the "Dream Team" includes:

    • 1-2 Orthopaedic Surgeons
    • 1 General Surgeon
    • 1-2 Anesthesiologists (MDs and CRNAs)
    • 1-2 ER Physicians
    • 1-2 Pediatricians
    • 4-8 RNs of whom 2-4 with OR and ER experience
    • 1-2 Physical Therapists and/or Occupational Therapists 
    • 2 Pharmacists
    • 2+ Central Supply Personnel
    • 2 Utilities and Maintenance Personnel
  • We also welcome applications from OB-GYNs, PAs,NPs and other health care professionals.  We would like to keep the number of our teams to about 25-30 people on any given week. 
  • The teams will work at the Adventist Hospital.
  • The current strategy is to send in teams for at least a 9 day cycle (Teams arrive on Friday and leave on Sunday.)  A longer term of service is preferred.     
  • LLU will maintain and manage the schedule of the various teams and provide them with information about their trip and tips about what to bring, etc. 
  • Selection and composition of the particular teams will be done with input from all the partners mentioned above in close consultation with the administration at the Adventist Hospital of Haiti.  It is very important that we send essential personnel in an organized manner so as to not strain already limited support resources.
  • LLU and our partners are committed to support our hospital in the months to come.  These efforts will build on local available resources under the leadership of Lesly Archer, MD, Medical Director for the Adventist Hospital and supported by Orthopedic Surgeon, Scott Nelson, MD.

    Reposted from - thanks Jim

Sunday, April 11, 2010


Well if you haven't figured it out yet, I am no longer at the hospital in Haiti, I've been home now for just a little less than two weeks.  Coming home has been an emotional roller coaster to say the least.  It has been wonderful to be able to see my wife and boys on a daily basis rather than a month or more in between.  But it has been very hard to re-inculturate to life in the developed world and all of the daily luxury that we take for granted.  It's been even harder to hear of continued and in some cases increased challenges at the hospital and feel so far away and unable to help.  That said, I have actually been able to assist the hospital and those working there from afar in a number of different ways since my return to the states.  I have spent many hours over the past 10 days meeting and debriefing with AHI management and LLUGHI support staff to try and improve our overall effectiveness in helping the ongoing mission at the hospital.  I have also continued work with a number of our partner organizations to foster additional donations of supplies and medical equipment.  While I don't know if, or when, I will return to the hospital, I assure you my work there will continue for the foreseeable future.

Loma Linda University and AHI's continued involvement
Early this morning a team of LLU/AHI administration and support staff arrived at Hopital Adventiste for a hospital board meeting and exploratory visit.  The team is:

Dr. Richard Hart - President AHI & LLU
Jerry Daly - Asst. VP LLU GHI
Mo O'Reilly - Project Manager GHI
Kenneth Breyer - Asst. VP LLU Construction Services
Nathan Lindsey - Potential Long-term volunteer for HAH

Please keep this team and the entire hospital board in your prayers over the next few days.  The issues they will be debating in this board meeting will define the immediate and long-term future of Hopital Adventiste d'Haiti.

This blog and others
I will try to continue to update this blog with news from the hospital, albeit with even less frequency.  That said, here are a couple of other blogs from folks currently at the hospital or those that have visited recently:

Cure Caribe by Dr. Scott Nelson - Currently working at HAH

Haitibones by Dr. Jim Matiko - Visited HAH two weeks ago and plans to return soon

DavidinHaiti by David Harris - College student volunteering at HAH spring & summer of 2010