FINAL REPORT APCA / IAAS
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1 FINAL REPORT APCA / IAAS
2 INTRODUCTION APCA organized a Teach the Teachers Course from 19 to 22 February 2018, with the support of IAAS, at Baptista Sousa Hospital (BS), on the island of S. Vicente - Cabo Verde. The main objective of this course was to provide pre-graduate training to different professionals of the Baptist Sousa Hospital, in the area of Ambulatory Surgery, in order to help this Hospital to create an Ambulatory Surgery Unit (ASU). The implementation of this ASU will require the creation of teams and experienced professionals in the context of the ambulatory surgical approach, thus allowing an improvement in the quality of assistance to the population of the island and contributing to the improvement of health indexes in Cabo Verde GENERAL PROGRAM Day 19 - Morning - Travel Day 19 - Afternoon - Visit to Baptista Sousa Hospital Day 20 - Morning - Theoretical Presentations Day 20 - Afternoon - Theoretical Presentations Day 21 - Morning - Surgical Intervention Day 22 - Afternoon - Theoretical Presentations and Closing Course Day 23 - Travel TRAINERS: - Carlos Magalhães - IAAS - Surgeon - Porto - Vicente Vieira - IAAS - Anesthesist - Braga - Paula Sarmento - APCA - Anesthesist / Management - Sta. Maria da Feira - Célia Castanheira - APCA - Nursing - Porto
3 SCIENTIFIC COURSE PROGRAM 20/02-9h - Official Opening - Definition of AS and evolution of AS worldwide - Carlos Magalhães - Evaluation and preparation of the patient for AS - Vicente Vieira - Advantages of AS for adults and children / Criteria for Inclusion - Paula Sarmento - Competences of the Nurse in the Outpatient Surgery Unit - Célia Castanheira - Health indicators in Cabo Verde - Evaluation and surgical procedures for AS - Carlos Magalhães - Strategies for the anesthetic approach of the patient in AS - Vicente Vieira - General aspects of the organization of an ASU - Paula Sarmento - The Role of the Nurse in the preoperative period in AS - Célia Castanheira - Patient Circuit in AS / - Elaboration of the different phases of the postoperative period in AS - Carlos Magalhães / Vicente Vieira - How to plan the postoperative at home - Paula Sarmento - What Information to pass on to the patient and their caregiver - Célia Castanheira - Surgical procedure - Inguinal and Umbilical Hernioplasty - Practical aspects of approaching a patient in AS - Quality and safety centralized in the patient - Carlos Magalhães - Criteria of Discharge in AS - Vicente Vieira - The Role of the Nurse Postoperatively in AS - Célia Castanheira - How to Evaluate Quality in AS Paula Sarmento - General Discussion and Conclusions / Inquiry - Closing PARTICIPANTS The course was held in the auditorium of HBS and was attended by 82 professionals, including surgeons of different specialities, anesthetists, nurses and managers. The course was broadcast by videoconference to Sal Island, Boavista Island and Santo Antão Island, with 20 professionals present.
4 All the professionals received a final Diploma of participation. The Director General of Health of the Ministry of Health of Cabo Verde - Dr Maria da Luz Lima - was present during the 2 days of the Course. The Chairman Director of the Board of HBS - Dra Ana Brito - and the Clinical Director - Dr. Jamira de Sousa - had an active participation and made an essential contribution to the accomplishment of this course. SURGICAL INTERVENTION On the 2nd day of the course, at 8:30 a.m., a surgical intervention was performed, where all the assumptions related to the outpatient surgery circuit were presented and exemplified. The male patient, diagnosed with a left inguinal hernia and umbilical hernia, was evaluated at a preoperative visit by the surgeon, anesthesiologist and nurse, on the 20th, and underwent surgical treatment of inguinal hernia and umbilical hérnia, under local anesthesia and sedation. In this intervention the surgical team integrated some professionals of the HBS Operative Room. The procedure was uneventful and the patient was discharged at 4 pm, as planned. This experience served to demonstrate all the elements, the criteria and guidelines to be followed in approaching an outpatient patient. CONCLUSIONS This course was the first IAAS initiative within the scope of AS implementation project in Africa. The APCA, together with the heads of IAAS and Hospital Baptista Sousa, in the city of Mindelo - Island of S. Vicente, managed to achieve a theoretical and practical course, which proved to be very useful for the training of several professionals in different areas of health and who will contribute in a decisive way for the creation of the first Ambulatory Surgery Unit in CaboVerde.
5 ACCOUNTS REPORT - IAAS / APCA Course Cabo Verde: DESCRIPTION TOTAL Design program and certificate 275,00 Printing Programs 70,00 Travel Dr. Carlos Magalhães 932,85 Travel Dr. Vicente Vieira 932,85 Travel Dra. Paula Sarmento 932,85 Travel Enfª Célia Castanheira 932,85 Viss 100 Taxi 66 TOTAL 4.267,40 Lodgment and Food were assumed by Local Organizing Committee and Hospital Baptista Sousa. APCA and IAAS May 2018 Carlos Magalhães
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ECONOMICS AND HEALTH SYSTEMS RESEARCH SECTION EDITOR RONALD D. MILLER Changing Allocations of Operating Room Time From a System Based on Historical Utilization to One Where the Aim is to Schedule as Many