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This 300-bed community hospital, serves the heavily populated

By Jesse Woods,2014-06-16 19:58
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This 300-bed community hospital, serves the heavily populated ...

    Renovating the Pediatrics Department at

    Hadassah Hospital-Mount Scopus

    Better Serving Jerusalem’s Children

    February 2008

    Hadassah HospitalMount Scopus first opened its doors in 1939, the first modern medical facility in the region. For 10 years, Hadassah Mt. Scopus faithfully served all

    the peoples of the area, without regard for race, religion or ethnic origin. From 1948 -

    1967, when Hadassah-Mt. Scopus was cut off from the rest of Jerusalem, the building

    stood abandoned and deteriorated. In the early 1970’s, when Mt. Scopus was again

    accessible for all Jerusalemites, the hospital was renovated and expanded,

    preserving the historic building and adapting to modern needs. In 1978, completely

    restored to its former beauty with all vestiges of war and neglect erased, the hospital

    re-opened its doors, and today serves both Arabs and Jews from the northern

    it is again time to enable Hadassah’s top-notch pediatric medical staff to neighborhoods of Jerusalem and the surrounding towns and villages, as well as

    perform at maximum capacity with suitable facilities and up-to-date equipment. patients who come from all parts of the country. After nearly 30 years of dedicated

     care,

    Description of the Pediatrics Department

    The Department of Pediatrics at Mt. Scopus is the largest

    General Pediatric Department in Jerusalem. Because the

    hospital’s surrounding area consists of highly diverse

    Jewish and Arab populations with mainly young families,

    the hospital serves a large number of children in its

    Pediatrics Department. The challenge facing Hadassah is to

    provide excellent medical care, including high-quality

    ancillary services such as nursing, nutrition, child-life, and

    social services, while at the same time being sensitive to the

    ethnic and cultural diversity of its patients.

    The Department encompasses two medical wings with a total of 30 general beds, a 4-bed Intensive Care Unit and a full-service emergency

    room. Other services include subspecialty clinics including pulmonary, neurology,

    cystic fibrosis, endocrinology, gastroenterology, metabolism, familial dysautonomia,

    and allergy-immunology. The Department also has close associations with other

    pediatric services within the Mount Scopus campus that include neonatology,

    pediatric surgery, child psychology, and physiotherapy. Hadassah is particularly

    proud of the Elie Douer Family Center for Pediatric Genetics and Chronic Diseases, a

    unique service in Israel, which aims to provide accessible, integrated and

    comprehensive medical, psychological and social support to children with chronic

    diseases and their families. All in all, there are nearly 9,000 visits per year, and 3,500

    hospital admissions per year.

The staff of the Pediatrics Department consists of 11 attending physicians, 13

    resident physicians, 43 nurses, 2 dietitians, 2 child-life workers, and a pediatric social

    worker. Most of the staff physicians hold academic appointments at Hebrew

    University-Hadassah Medical School and are active in teaching medical students

    and residents, as well as involved in basic and clinical research.

    The Need to Expand and to Adapt

    Unfortunately, after nearly 30 years of loving use,

    the current conditions in the Pediatrics Department

    are very difficult. The population of northern

    Jerusalem has increased significantly over the past

    three decades, and with it, the number of children

    requiring attention. The size of the Pediatrics

    Department, however, has stayed the same. As a

    result, the wards are seriously overcrowded:

? Annual occupancy is well over 100%, reaching 150% in winter months.

    ? Regular hospital rooms hold 4 patients each, more than originally planned.

    ? Overflow patients must stay in the hallways, separated from one another and

    passersby by a simple hospital curtain.

    ? Certain treatments such as insertion of an IV or other small and sometimes

    painful procedures must be carried out in the rooms or in a niche in the corridor.

    ? Sensitive consultations, in which doctors discuss the intricacies of serious cases

    with the parents, must be conducted in the far-from-private staff lounge.

    ? Parents, who are critical components in contributing to the welfare and well-

    being of their children, have little room to maneuver if they wish to sleep or

    spend time next to their child.

    ? Public areas in which to relax are restricted to the hallways.

    ? Extra equipment must also be stored in the hallways, due to a lack of storage

    space.

    ? There are not enough restrooms for patients and their families.

The Plan of Action

    The Pediatrics Department is part of the original building that was built in 1939 and

    is registered as an historic landmark, with strict codes and rules regarding any

    changes. Thus, the task of expanding and renovating the Pediatrics Department will

    be very complex, but it is vital to better meet the medical needs of children and their

    families.

The Pediatrics Department is planning to utilize space formerly occupied by the

    Neonatology Unit, which moved to a different floor next to the maternity ward and

    baby nursery. The new expansion will add an additional 585 square meters and the

    upcoming renovations will include:

    ? Patient rooms for 1-3 patients, with space for

    parents to stay by the child's side round the

    clock (which is an enormous improvement

    over the current rooms set up for 4-5 patients

    per room).

    ? Pediatric Intensive Care Unit with an

    isolation room.

    ? More regular hospitalization rooms.

? More beds.

    ? More restrooms.

    ? Private consultation room for sensitive doctor parent discussions.

    ? Treatment room for painful treatments and small procedures.

    ? Suitable staff room that will enable staff to hold meetings and have a cup of

    coffee in decent conditions.

    ? Seminar room.

In addition:

    ? The physical infrastructures, such as water, electricity, heating, cooling,

    telephones, lighting, flooring, which were renovated in the 1970’s, must be

    replaced.

    ? Specific hospital infrastructures, which are exceedingly complex, must also be

    re-laid.

    ? Equipment such as monitors, medical equipment, beds and other furniture must

    be updated as well.

    The Pediatrics Department is divided into two

    wings. Wing A has recently undergone

    renovations and has nearly reached completion,

    while Wing B is planned to undergo the same

    type of renovations. Thus far we have secured

    funds for 50% of the renovations to Pediatrics

    Wing A, however, in order to complete the project

    we are still seeking funds to match the second half

    of those renovations as well as full funding to

    cover renovations to Wing B.

The funds still needed for building renovations total $1 million. The funds for

    updating the equipment total $491,802 (see attached equipment list).

    Total funds needed: $1,491,802

    Hadassah Hospital-Mount Scopus Building Bridges Hadassah Hospital-Mount Scopus primarily serves northeastern Jerusalem, with its

    patient population reflecting the heterogeneous character of the Jewish and Arab

    neighborhoods surrounding the hospital. In addition, patients are referred from the

    Palestinian Authority, nearby Arab countries and from populations all across Israel.

    Considerable religious, cultural, and ideological diversity exists among these

    varying groups, and the challenge facing Hadassah's staff is to provide excellent

    medical care while at the same time being sensitive to these diversities. Delivering

    high quality and equitable health care is made even more challenging in the face of

    the turmoil and strife that confronts the region. The heightened suspicion, distrust,

    and open hostility of the different groups towards each other compounds the

    problem, and the nearly insurmountable barriers resulting from differences in

    language and culture make the tasks of the physicians and support staff more

    difficult.

    Despite these many challenges, we believe

    that the ethnically and culturally sensitive

    and caring environment, which has been

    engendered within Hadassah, is primarily

    due to two factors. One factor is the hospital’s

    policy, in place since the founding of

    Hadassah, of “equal care to all.” The other is

    the fact that all patients and their families, no

    matter what their background, share the

    same common enemy disease. While in the

    hospital, families share the same aspirations of treating the disease that threatens the lives of their loved ones.

When first admitted to the hospital, families oftentimes do not appreciate the

    common bonds that unite them. However, as contact between families increases,

    there is a gradual dissipation of the pervasive suspicion, fear, and hostility between

    Jewish and Arab parents who are watching over their sick children in the same room.

    One mother may be in the washroom when her child begins to cry, and another

    mother will replace the baby’s pacifier, or pick him up to comfort him. A mother can be sleeping when a food tray is brought, and another parent sharing the room saves

    her portion. In time, one family goes down to the cafeteria for coffee, and brings

    back snacks for the other families. It makes little difference if these families are Arab

    or Jewish. As parents from opposite sides of the divide come to know one another

    as individuals, perspectives gradually begin to change and stereotypes blur. To each

    other, they are seen as parents of sick children battling a common enemy together.

Unfortunately, current conditions in the pediatrics department can no longer

    facilitate our mission of providing dignity and respect to all. The rooms are crowded,

    and patients and families are often located in the corridors, thus creating a situation

    which prevents the environment necessary to encourage dialogue between parents.

    Equipment List Pediatrics Department

    Hadassah Hospital-Mount Scopus

    February 2008

    Item No. Quantity Description Price 1 4 Infusion pump $7,744 2 8 Monitors $115,920 3 6 Blood Pressure Machines $23,990 4 16 Syringe Pump $33,264 5 10 Hanging equipment for monitors $9,800 6 4 Individual Beds $20,160 7 2 Portable Respirator $33,912 8 10 Oxygen Inhaler $5,164 9 Computers including 17 in' screens, mouse,

    24 keyboard, projector, CD burner $42,336 10 8 Laser printers $1,690 11 2 scanner $360 12 2 Laser color printer $1,680 13 Toys / stationary $4,634 14 Creative stationary $1,816 15 6 Fridges $7,312 16 0 2 Fridges + 4 microwaves + 2 LCD $10,514 17 26 Garbage cans $1,738 18 4 Swivel chairs $668 19 32 Chairs for learning center $1,008 20 102 Chairs $11,642 21 28 Garbage cans $2,302 22 42 Clocks $532 23 60 Toilet roll and paper towel holders $1,976 24 2 Projector and screen $7,120 25 4 Fax Machines $2,926 26 2 Secure safe $2,602 27 2 Autoscope $2,260 28 2 Cordless keyboard and mouse $144 29 20 Suction regulator $3,200 30 30 Anti-bacterial soap dispensers $748 31 30 Flow meter $5,338 32 30 Telephones $17,350 33 4 On call doctor's beds $2,846 34 32 Soap dispensers $1,540 35 32 Baskets for suction tubes $1,852 36 2 Centrifuge $4,572 37 38 LazyBoy Chairs for parents $16,750 38 2 Hot/Cold Water Bar $1,454 39 Cork Notice Boards $664 40 2 Monitor $22,680 41 8 Hanging equipment $14,248 42 6 Treatment wagons $11,504 43 8 Small cupboards $3,294 44 LazyBoys $16,750 45 18 Pictures $11,798

     TOTAL $491,802

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