EKITI-CANADA TRAUMA CENTRE Ekiti State, Nigeria

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EKITI-CANADA TRAUMA CENTREEkiti State, Nigeria
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Concept

• The project involves the building a state of the
  art Trauma Hospital that will cater for the
  residents of Ekiti State in particular and
  Nigerians in general.
• This is borne out of desire to provide quality
  and affordable emergency services to accident
  victims in a timely and cost effective manner.
  The aim is to make this venture a self sustaining
  under the management of experts in medical field
  with local and international influence in the
  field of medicine.

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Trauma System

• A trauma system is an organised and co-ordinated
  effort which delivers the full spectrum of care
  to an injured patient, from the injury to
  transport to acute care to rehabilitation. It
  represents a continuum of integrated care between
  out-of-hospital and hospital providers with close
  co-operation of medical specialists and other
  health care providers in each phase of care.
• The trauma centre constitutes a medical facility
  where the acutely injured patient can receive
  full resuscitation, assessment and appropriate
  disposition on a 24 hour basis.

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Features of Trauma Centre

• Referral centre for seriously injured patients
• Comprehensive external disaster response plan
• Identifying the need for the new resources and
  research related to trauma centre
• Demonstrating leadership role in the cost
  effective and efficient delivery of medical
  services in the specialised area of trauma
  management, including control, prevention
  programs and training
• Provision of cares for patients who require
  intensive care following multiple trauma or
  surgical procedures (including burns,
  cardiovascular, vascular, thoracic, gynaecology,
  head and neck and urology surgery), or who need
  support for complex medical disorders (including
  cardiac, renal and oncology).

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Units

• The department will be a purpose built modern
  facility, designed to manage in excess of 50,000
  patients per annum.
• It will be divided into 6 main clinical areas
  (units).
• Trauma Centre -- 4 resuscitation / theatre bays
  with overhead imaging
• Resuscitation Area--4 bays with everything
  required for full patient resuscitation
• Acute Area --17 bays including 2 seclusion rooms
  for psychiatric emergencies.
• Quiet Area -- 6 bed short-stay facility within
  the department.
• Fast-track -- 7 bays including facilities for
  ophthalmology ENT examination.
• Neurosurgical Unit -- 2 procedure rooms for
  neurological assessment and management .

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• There is a dedicated imaging department with
• 2 general radiology rooms
• 1 helical CT scanner
• Each year the Emergency Trauma Centre attends
  to approximately 37,000 emergency patients. Of
  these patients, 50 have serious problems
  requiring a triage category of 3 or above.
  Approximately 297 (3.2) require immediate
  resuscitation.
• More than 60 of patients presenting to the
  Emergency Trauma Centre may require admission
  to hospital.

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Staff at the Emergency Trauma Centre

• Director
• Emergency Physicians
• Nurse Manager
• Nurses
• Administrative and Other Support personnel
• Rotations out of the Emergency Trauma Centre
  include
• Intensive Care Medicine
• Anaesthesia
• Paediatric Emergency Medicine
• Hyperbolic Medicine
• Medical Administration
• Junior Medical Staff

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Rapid Response

• Fast-moving ambulances are required to evacuate
  patients from the scene of accidents. In the long
  term, subject to financial resources
  availability, helicopters are required to ensure
  fast evacuation. Most of the doctors whose
  services are required studied for advanced
  medical training locally and overseas.

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Trauma and Neuro-surgery

• The Trauma Centre will conduct leading-edge
  research on trauma prevention, treatment and
  rehabilitation, with an emphasis on head injury.
  The hospital's neurosurgical unit, one of the
  largest in Canada, specialises in traumatic brain
  injury and neurooncology (treatment of brain
  tumours).
• The Neurosurgery Program
• Trauma team equipped to deal with multiple trauma
  injuries in adults
• Multidisciplinary approach with professionals
  from diverse areas of expertise working together
  to provide patient-centred care

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• Head injury clinic provides rehabilitation
  follow-up after discharge
• Trauma prevention programs
• State-of-the-art traumatic brain injury research
  laboratory, researching improved treatment
  options from mild concussion to major injury and
  
• Clinical trials unit to compare different
  treatment/rehabilitation options.

• Neurosurgery areas of specialty
• Brain injury due to trauma
• Cancer that has spread to the spine
• Ear tumours
• Photo-dynamic therapy (treatment of tumours using
  lasers)
• Pituitary tumours
• Tumours located at the base of the skull
  (previously considered inoperable) and
• Vascular Neurosurgery, aneurysms and facial nerve
  conditions.

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Funding
Local Sources of Funding

• Ekiti State Government
• Ekiti community associations in Nigeria
• Other State Governments in Nigeria
• Federal Government and agencies
• Non-Government Organisations
• Private and Public Organisations
• Private and Public health institutions
• Philanthropic Individuals

International Sources of Funding

• Ekitis (and indeed Nigerians) in Diaspora and
  their
• World Health Organisation community associations
• Canadian International Development Agency (CIDA)

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Policy and Funding Plans

• Multilateral Development Banks (MDBs)
• Agency for International Development
• Community Sector Investment Fund
• International Red Cross
• Health Fondations across the world

• The policy frame work will be developed as a
  separate document.
• A specialised fund-raising organisation may be
  employed to support fund-raising activities.

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Accountability Transparency

• Board of Directors made up professionals and
  community development experts of proven
  integrity.
• Membership drawn from Nigeria, Canada, the United
  States and Europe.
• Involvement of Audit and Oversight Committee.
• Ekiti Kete Canada Trauma Centre Trust Fund will
  be opened, as a separate account, for deposit,
  disbursement, monitoring and controlling the
  financial management of the Centre.
• Involvement of Association of Fundraising
  Professionals, Canada to monitor accountability.

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Implementation

• This will be in phases with a view to becoming
  fully functional in five years.

• Phase One
• This is the project launch stage, that involves
  the ceremony held in Toronto, Canada, on October
  29, 2005, the acquisition of land in a suitable
  location and the building stage, where all the
  structures necessary for take off will be custom
  designed.
• Twin buildings - a three storey and five storey
  buildings are being proposed
• Level 1 Will be a car park with well equipped
  Ambulance department, with parking for at least 5
  ambulances.
• Level 2-Will be Outpatient area comprising of
• a- Resuscitation Area with 4 bays fully
  equipped for resuscitation.
• b- Acute area with 15bays for acute cases
• c-Fast tract with 10 bays to attend to not too
  serious trauma emergencies.This will include an
  Ophthalmology and ENT examination bays equipped
  with the necessary tools.

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• d- Imaging Department Equipped with X ray
  rooms and CT scan unit.
• Level 3.This will be the Operating Suite with 4
  fully equipped theatre units with overhead
  imaging. 3 for General Surgery and 1 for
  Orthopaedic Surgery.
• Level 4. Will be the Intensive Care Unit (ICU)
  comprising of 20 beds.
• Level 5 Will be for Male and Female wards
  comprising of 30 beds.
• 10 of these beds should be post operative
  recovery rooms equipped with ventilators.
• It is important to stress the fact that
  appropriate administrative offices will be put in
  
• place as necessary.

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Phase Two
This is the stage that all the necessary
equipment required for the smooth running of the
Hospital will be procured. This can be done
concurrently with phase one if the finance is
available.
Phase Three

• This is the staffing phase where all the
  necessary staffs will be employed to manage the
  Facility.
• Director
• Chief of Staff
• Medical
• Consultant Specialists in Orthopedic (Trauma),
  General Surgery, Anaesthesia
• Emergency Medicine, Radiology
• Medical Officers

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• Nursing
• Chief Nursing Officer
• Matrons
• Registered Nurses
• Staff Nurse
• Nursing Assistants
• Paramedical
• Secretaries/Clerks
• Laboratory Assistants
• X Rays Technicians
• Drivers
• Cleaners
• Orderlies

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Operational Issues
To make this venture a self sustaining one, it
must be able to generate income from the services
to be provided at a reasonable cost affordable to
the target populace. Given the situation of
things in Nigeria and Ekiti in particular
affordability of the services to be provided will
be too much for the majority of the clients that
need the services so a need for alternative
source of funding to sustain this facility is
crucial to the continuity of care the centre will
render.
Intravenous Fluids
A sustainable operation is only possible through
good management and continuous funding. The
Centre will engage in other activities that will
be profit oriented and viable enough to support
this project. One of such ventures is building a
factory that makes Intravenous Fluids.This
product is a consumable to all hospitals. With
quality production and proper marketing, this
constitute a regular source of income. The modus
operandi for the smooth take off of this
important aspect of the project is being worked
out too and update will be forthcoming soon.
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Cost Estimates (All in Canadian Dollars)

• Phase 1 Land Buildings CA1,000,000
• Phase 2 Equipment
• 1 Outpatients Equipment
• Resuscitation equipments 560,000
• 25 Couches 30,000
• Theatre Equip 1,000,000
• Opthalmology Department 500,000
• ENT Department 300,000
• 2 Radiology Departments
• X Ray Unit (1unit) 1,000,000
• CT scan Unit (1unit) 1,800,000
• MRI.(1unit) 2,360,000
• 3 Theatre Department
• Operating Suite (4units) 4,000,000

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• 4 Wards
• Male Female ward equipment (30beds) 250,000
• ICU Equipment (20beds) 1,000,000
• Recovery Room Equipment (10beds) 250,000
• 5 Paramedical Equipment
• Ambulances (5 units) 1,000,000
• Maintenance equips 250,000
• Sub-total (Equipment)
  14,300,000
• Phase 3 Personnel Recruitment 25,000

• TOTAL PROJECT COST 15,325,000

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Areas of concerns

• Land Location and adequate room for expansion
• Ideally, the Centre should be conveniently
  located close to an existing functional hospital
  or medical centre.
• Accessibility to essential facilities like water,
  electricity and telephone services.
• Good road network around.
• Mortuary

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How your Gift Helps

• Even the most brilliant scientists needs labs,
  equipment and colleagues to make discoveries that
  have the potential to save and change lives.
• Even the most compassionate, experienced doctor
  needs the technology to provide patients with the
  best care.
• And every patient needs and deserves rooms and
  facilities that are designed to encourage the
  healing process.
• Your gift of generous donations will help in the
  implementation of this laudable project, for the
  benefit of mankind and to the glory of God.