COMPLEX/ADVANCED SURGICAL CARE SCOPE OF PRACTICE 24/7 emergency surgical care Advanced diagnostic services Multidisciplinary specialized care Receive referral from other levels Training of human resources Function Research Develop standards of care Research and innovation Advocacy All ages Age of patients All types of anesthesia Anesthesia Trauma/injuries All Congenital anomalies All Conditions/ Infections All Procedures Tumors All Others All OPTIMAL RESOURCES Pediatric anesthetist Pediatric intensivist (pediatrician or anesthetist with additional training in intensive/critical care) General pediatric surgeon Pediatric cardiac surgeon Pediatric Ear, Nose & Throat (otorhinolaryngology) surgeon Human Pediatric neurosurgeon resources Pediatric ophthalmologist Pediatric oral and maxillofacial surgeon Training & Pediatric orthodontist staffing Pediatric orthopedic surgeon Pediatric plastic and reconstructive surgeon Pediatric urologist Support specialists and staff in relevant specialties (See appendices) Appropriate skills necessary to provide such specialized surgical care Required skills Management and administrative skills Infrastructure See appendices Physical resources Equipment & See appendices supplies Quality improvement programs Quality & board Safety Trauma conference CME/CPD Table 7. Children’s surgery package: procedures and levels of care TYPE OF LEVEL OF CARE PROCEDURE
COMPLEX/ADVANCED SURGICAL CARE SCOPE OF PRACTICE Function 24/7 emergency surgical care Advanced diagnostic services Multidisciplinary specialized care Receive referral from other levels Training of human resources Research Develop standards of care Research and innovation Advocacy Age of patients All ages Anesthesia All types of anesthesia Conditions/ Procedures Trauma/injuries All Congenital anomalies All Infections All Tumors All Others All OPTIMAL RESOURCES Training & staffing Human resources Pediatric anesthetist Pediatric intensivist (pediatrician or anesthetist with additional training in intensive/critical care) General pediatric surgeon Pediatric cardiac surgeon Pediatric Ear, Nose & Throat (otorhinolaryngology) surgeon Pediatric neurosurgeon Pediatric ophthalmologist Pediatric oral and maxillofacial surgeon Pediatric orthodontist Pediatric orthopedic surgeon Pediatric plastic and reconstructive surgeon Pediatric urologist Support specialists and staff in relevant specialties (See appendices) Required skills Appropriate skills necessary to provide such specialized surgical care Management and administrative skills Physical resources Infrastructure See appendices Equipment & supplies See appendices Quality & Safety Quality improvement programs board Trauma conference CME/CPD Table 7. Children’s surgery package: procedures and levels of care TYPE OF PROCEDURE LEVEL OF CARE
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