1. SUMMARY Type of facility on Level of Responsibilities Age General Quality and OPTIMAL RESOURCES FOR CHILDREN’S SURGICAL CARE DCP3 classification) Care1 Treated Anesthesia safety Human Required skills Infrastructure Equipment & resources supplies Community facility and I Screening for surgical All No Existing Basic Existing Wound care CME/CPD primary health center disease personnel assessment and infrastructure supplies Periodic Resuscitation treatment skills supervision and Community Referral to higher levels of mentoring Health Workers care First-level hospital I, II Emergency surgical care All Yes, not including Existing Skills to treat Children’s ward Emergency and CME/CPD Diagnosis and treatment complex cases personnel emergency and essential surgical Periodic Functional operating of common surgical and minimal essential equipment & supervision and room diseases comorbidity (Limit childhood surgical supplies for mentoring Referral to secondary or of ASA I or II) conditions children M&M review Anesthesia tertiary level provider Second- level hospital I, II, III 24/7 Emergency Surgical All Yes, including Specialists in Advanced Children’s wards, Equipment and CME/CPD Care, Comprehensive some complex some areas of surgical and clinics, operating supplies to Periodic surgical care for children2 and children’s surgical anesthesia skills rooms, NICU, PICU support services supervision and comorbidities care provided in all majority of provided mentoring (Limit of ASA III) children’s surgical M&M review care Trauma conference Tumor Board Third-level hospital I, II, III Comprehensive surgical All Yes, including Specialists in all Advanced Children’s wards, Equipment and CME/CPD care for children2 complex cases areas of surgical and clinics, operating supplies to fully Periodic and comorbidities children’s surgical anesthesia skills rooms, NICU, PICU, support services supervision and (All ASA) care provided in all areas of burn unit provided mentoring children’s surgical M&M review care Trauma conference Pediatric Tumor Board anesthesia provider National children’s I, II, III Comprehensive surgical All Yes, including Specialists in all Advanced Wards, clinics, Equipment and CME/CPD hospital care for children, complex cases of children’s surgical and operating rooms, supplies to Periodic especially children who and comorbidities surgical care anesthesia skills NICU, PICU, burn support services supervision and require multidisciplinary (All ASA) provided in all areas of unit provided mentoring and chronic care children’s surgical M&M review care Trauma conference
1. SUMMARY Type of facility on DCP3 classification) Level of Care1 Responsibilities Age Treated General Anesthesia OPTIMAL RESOURCES FOR CHILDREN’S SURGICAL CARE Quality and safety Human resources Required skills Infrastructure Equipment & supplies Community facility and primary health center I Screening for surgical disease Resuscitation Referral to higher levels of care All No Existing personnel Community Health Workers Basic assessment and treatment skills Existing infrastructure Wound care supplies CME/CPD Periodic supervision and mentoring First-level hospital I, II Emergency surgical care Diagnosis and treatment of common surgical diseases Referral to secondary or tertiary level All Yes, not including complex cases and minimal comorbidity (Limit of ASA I or II) Existing personnel Anesthesia provider Skills to treat emergency and essential childhood surgical conditions Children’s ward Functional operating room Emergency and essential surgical equipment & supplies for children CME/CPD Periodic supervision and mentoring M&M review Second- level hospital I, II, III 24/7 Emergency Surgical Care, Comprehensive surgical care for children2 All Yes, including some complex and comorbidities (Limit of ASA III) Specialists in some areas of children’s surgical care provided Advanced surgical and anesthesia skills in all majority of children’s surgical care Children’s wards, clinics, operating rooms, NICU, PICU Equipment and supplies to support services provided CME/CPD Periodic supervision and mentoring M&M review Trauma conference Tumor Board Third-level hospital I, II, III Comprehensive surgical care for children2 All Yes, including complex cases and comorbidities (All ASA) Specialists in all areas of children’s surgical care provided Pediatric anesthesia provider Advanced surgical and anesthesia skills in all areas of children’s surgical care Children’s wards, clinics, operating rooms, NICU, PICU, burn unit Equipment and supplies to fully support services provided CME/CPD Periodic supervision and mentoring M&M review Trauma conference Tumor Board National children’s hospital I, II, III Comprehensive surgical care for children, especially children who require multidisciplinary and chronic care All Yes, including complex cases and comorbidities (All ASA) Specialists in all of children’s surgical care provided Advanced surgical and anesthesia skills in all areas of children’s surgical care Wards, clinics, operating rooms, NICU, PICU, burn unit Equipment and supplies to support services provided CME/CPD Periodic supervision and mentoring M&M review Trauma conference
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