Groups of Specialty Conditions Degree of Specialty Specific Specific equipment Allied staff Additional Conditions specialized Procedures infrastructure required requirements requirements training performed required First-level Hospital All Screening: Physician Identification of Clean room for X-ray machine X-ray CME/CPD Congenital Cleft lip/palate Nurse brachial plexus minor Functioning technician Access to CME from Anomalies Craniofacial anomalies procedures anesthetics machine visiting specialist Infections (ie. Apert’s syndrome, Screening and Fully equipped, Functioning from the referral Minor Pierre -Robin syndrome, appropriate triage functional, Sterilizing equipment hospital Injuries etc.) Basic wound operating Basic wound Minor Burns Congenital hand anomalies care for burns, theater dressing packs: (ie. syndactyly, radial club wounds, lacerations Functioning sterile field, dressing Center Specific: hand, amniotic bands, etc.) Suturing of simple cardiac tray, dressing towel, Health professionals Brachial plexus palsy lacerations monitors cotton balls/swabs, should be trained in Infections (ie. septic Splinting of simple X-ray forceps feedings for infants arthritis, osteomyelitis, fractures capabilities Basic cesarean with cleft/craniofacial flexor tenosynovitis, deep Stabilization of section set: Masson abnormalities hand space infections) patients with severe Needle Holder, TC Health professionals limb and vascular Heaney Needle should be trained to Management: trauma Holder, Foerster screen for common Fist degree burns Stabilization of Sponge Serr, Mayo congenital Second degree burns patients with Dissecting Scissors, abnormalities Fractures, closed, infections Mayo Dissecting All healthcare (hand, finger, Scissors, Phaneuf professionals should facial) Wounds/lacerations Forceps Angular, be proficient in requiring dressings or Jackson Vaginal wound care simple sutures Retractor, DeLee OB Center should have Stabilization of severe Forceps ability to perform trauma (ie. amputation, cesarean section injury, vascular injury) safely
Groups of Conditions Specialty Conditions Degree of specialized training Specialty Procedures performed Specific infrastructure required Specific equipment required Allied staff requirements Additional requirements First-level Hospital All Congenital Anomalies Infections Minor Injuries Minor Burns Screening: Cleft lip/palate Craniofacial anomalies (ie. Apert’s syndrome, Pierre -Robin syndrome, etc.) Congenital hand anomalies (ie. syndactyly, radial club hand, amniotic bands, etc.) Brachial plexus palsy Infections (ie. septic arthritis, osteomyelitis, flexor tenosynovitis, deep hand space infections) Management: Fist degree burns Second degree burns Fractures, closed, (hand, finger, facial) Wounds/lacerations requiring dressings or simple sutures Stabilization of severe trauma (ie. amputation, injury, vascular injury) Physician Nurse Identification of brachial plexus Screening and appropriate triage Basic wound care for burns, wounds, lacerations Suturing of simple lacerations Splinting of simple fractures Stabilization of patients with severe limb and vascular trauma Stabilization of patients with infections Clean room for minor procedures Fully equipped, functional, operating theater Functioning cardiac monitors X-ray capabilities X-ray machine Functioning anesthetics machine Functioning Sterilizing equipment Basic wound dressing packs: sterile field, dressing tray, dressing towel, cotton balls/swabs, forceps Basic cesarean section set: Masson Needle Holder, TC Heaney Needle Holder, Foerster Sponge Serr, Mayo Dissecting Scissors, Mayo Dissecting Scissors, Phaneuf Forceps Angular, Jackson Vaginal Retractor, DeLee OB Forceps X-ray technician CME/CPD Access to CME from visiting specialist from the referral hospital Center Specific: Health professionals should be trained in feedings for infants with cleft/craniofacial abnormalities Health professionals should be trained to screen for common congenital abnormalities All healthcare professionals should be proficient in wound care Center should have ability to perform cesarean section safely
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