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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. 

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