Groups of Specialty Conditions Degree of Specialty Specific Specific equipment Allied staff Additional Conditions specialized Procedures infrastructure required requirements requirements training performed required Second-level hospital All Screening: General Burn care (surgical Fully equipped, Functioning X-ray X-ray CME/CPD Congenital Cleft lip/palate Surgeon and resuscitation) functional, machine technician Access to CME from Anomalies Craniofacial anomalies (Physician operating Functioning visiting specialist from Infections (ie. syndrome, with formal care for burns, theater anesthetics machine the referral hospital Injuries Pierre -Robin syndrome, training in wounds, lacerations Functioning Functioning etc.) general Splinting of simple cardiac Sterilizing equipment Congenital hand anomalies surgery) fractures monitors Skin mesher Center Specific: (ie. syndactyly, radial club Orthopedic Stabilization of X-ray Humbly/Watson Health professionals hand, amniotic bands, etc.) surgeon patients with severe capabilities handles and knives should be trained in Brachial plexus palsy (Physician limb and vascular Pediatric ward wound dressing feedings for infants with formal trauma packs: with cleft/craniofacial Management: training in Vascular to sterile dressing abnormalities Fist degree burns orthopedic preserve inflow to tray, dressing towel, Health professionals Second degree burns surgery) amputated cotton balls/swabs, should be trained to Fractures, closed, extremity if forceps screen for common (hand, finger, salvageable Basic cesarean congenital facial) Wounds/lacerations (Physician Revision section set: Masson abnormalities requiring dressings or with formal amputation in Needle Holder, TC All healthcare simple sutures training in Heaney Needle professionals should be Stabilization of severe extremity injury Holder, Foerster proficient in wound trauma (ie. amputation, Debridement of Sponge Serr, Mayo care nerve injury, vascular Pediatrician acute hand Dissecting Scissors, Center should have injury) (Physician infections Mayo Dissecting ability to perform Infections (ie. septic with formal Repair of complex Scissors, Phaneuf cesarean section safely arthritis, osteomyelitis, training in lacerations Forceps Angular, flexor tenosynovitis, deep pediatrics) Jackson Vaginal hand space infections) Nurse Retractor, DeLee OB Dedicated Forceps surgical Plastic surgery set: nurses Hartmann Mosquito Forceps, Crile-Murray, Ryder Micro, Reynolds Sciss,
Groups of Conditions Specialty Conditions Degree of specialized training Specialty Procedures performed Specific infrastructure required Specific equipment required Allied staff requirements Additional requirements Second-level hospital All Congenital Anomalies Infections Injuries Screening: Cleft lip/palate Craniofacial anomalies (ie. syndrome, Pierre -Robin syndrome, etc.) Congenital hand anomalies (ie. syndactyly, radial club hand, amniotic bands, etc.) Brachial plexus palsy 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, nerve injury, vascular injury) Infections (ie. septic arthritis, osteomyelitis, flexor tenosynovitis, deep hand space infections) General Surgeon (Physician with formal training in general surgery) Orthopedic surgeon (Physician with formal training in orthopedic surgery) (Physician with formal training in Pediatrician (Physician with formal training in pediatrics) Nurse Dedicated surgical nurses Burn care (surgical and resuscitation) care for burns, wounds, lacerations Splinting of simple fractures Stabilization of patients with severe limb and vascular trauma Vascular to preserve inflow to amputated extremity if salvageable Revision amputation in extremity injury Debridement of acute hand infections Repair of complex lacerations Fully equipped, functional, operating theater Functioning cardiac monitors X-ray capabilities Pediatric ward Functioning X-ray machine Functioning anesthetics machine Functioning Sterilizing equipment Skin mesher Humbly/Watson handles and knives wound dressing packs: sterile 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 Plastic surgery set: Hartmann Mosquito Forceps, Crile-Murray, Ryder Micro, Reynolds Sciss, 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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