• Pediatrics

  • Welcome to the next stage of the Project HEAL Delphi Study. This stage is a build-up on the initial stage. You would therefore see a repetition in some of the questions. You are to determine if the resources listed should be present in a Level 1, 2, 3, or 4 Health facility. If a particular item must be present in all the levels, you can select all the levels for that item.

    The total scores will be used to develop a checklist, which hospitals can independently administer, to determine their level of health care provision based on specific specializations and overscore. These can then inform the emergency care services, referral facilities, health workers and the general public on which facility provides which level of care.


    Be assured that your response is confidential. Only aggregated results would be seen by the Delphi group.


    You can save your progress and continue later. When you click the “Save” button, select “skip create account” and enter your email address. A link would be sent to you  to continue from where you left off.

  • HOSPITAL ORGANIZATION

  • Level 1 Paediatric Hospital Facility 
    Can be an academic/public/private facility located in an urban, suburban or rural area. Facility should be able to provide sub-specialty services including cardiology, cardiology, neonatology, endocrinology, oncology, neurology. There should be a 24hr service in all major specialties. Total care from prevention through rehabilitation including research and education is  available. The center should serve as a referral point in the region or section of the country. 


    Level 2 Paediatric Hospital Facility 
    Can be an academic/public/private facility located in an urban, suburban or rural area. The facility should be able to provide 24-hour medical cover, including the common specialties such as paediatrician, paed cardiologist, neonatologist. Not all sub-specialty may be present, and the facility cannot give comprehensive care to complex paediatric conditions. Educational outreach, research and prevention programmes are possible.


    Level 3 Paediatric Hospital Facility
    Can be an academic/public/private facility located in an urban, suburban or rural area. Staffed by medical officers with some paediatric expertise. Provides prompt assessment, resuscitation and stabilization of paediatric emergencies, and arrange for possible transfer to a facility that provides definitive paediatric care. The facility is able to establish early transfer systems for patients beyond its capabilities.  


    Level 4 Paediatric Hospital Facility
    Can be an academic/public/private facility located in an urban, suburban or rural area. The facility is a minimally equipped facility staffed by Physician Assistants and Nurses only. Runs mostly outpatient clinics with no overnight admissions, no surgeries. They can provide basic care for common childhood illnesses.

  • The presence of Paediatric Unit in the hospital
  • Designated head of Paediatric Unit (registered Paediatrician)
  • Dedicated Medical officers in the Paediatric Unit
  • Designated 24hr Paediatrician on call
  • Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

    P.S.

    Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

  • PERSONNEL

  • Designated doctor (medical officer in paediatrics) in charge of the shift
  • Doctor with special competence in paediatric care as part of the Paediatric team and is physically present in the emergency department 24 hours a day
  • Paediatric Advance Life Support (PALS)-trained personnel 24 hours a day
  • Advance Cardiovascular Life Support (ACLS)-trained personnel 24 hours a day
  • A nursing personnel with specific training in Paediatric care who provides continual monitoring of the paediatric patient from hospital arrival to Paediatric care ward or discharge
  • Paediatric doctor intensivist
  • Paediatric nurse intensivist
  • Social welfare officer
  • Occupational/ physical therapist
  • Radiologist
  • Radiographer
  • Paediatric surgeon
  • Sonographer
  • Nutritionist
  • Physiotherapist
  • Dietician
  • Audiologist/speech therapist
  • Admission team personnel
  • Pharmacist
  • Specialist Pharmacist
  • Dispensary technician
  • Biomedical Engineering to manage electronic devices
  • Phlebotomist
  • Research officer
  • Biostatistician
  • The following are a list of paediatric resuscitative equipment. Please select which of them you deem necessary/important for each level of hospital/facility care.

     

    P.S.

    Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

  • Paediatric Oral or Nasal airway
  • Suction device: bulb Paediatric size
  • Suction device: powered: electric/pneumatic
  • Suction tubing
  • Yankauer or other stiff suction tips
  • Laryngoscope Paediatric size
  • Endotracheal tube appropriate paediatric size
  • Oesophageal detector device
  • Paediatric Bag-valve-mask
  • Peakflow meter
  • CPAP/BiPAP Paediatric face mask and devices
  • Caponography
  • Paediatric Stethoscope
  • Oxygen supply (cylinder concentrator or other sources)
  • Nasal prongs, face mask, associated tubing paeds size
  • Needle & syringe
  • Chest tube paediatric size
  • Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

    P.S.

    Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

  • Underwater seal bottle (or equivalent)
  • Pulse oximetry for paedics
  • Arterial blood gas measurement
  • Mechanical ventilator with Paediatric accessories
  • Perfusor
  • Electrocardiograph monitor
  • Clock or watch with second hand
  • Nebulizer machines
  • Blood pressure (BP) cuff Paediatric sizes
  • Gauze and bandages
  • IV Cannulation of varying paediatric size
  • AED/Defribillator with Paediatric pads
  • Crystalloid
  • Colloids
  • Blood transfusion capabilities
  • Intravenous infusion set (line and cannulas) paeds size
  • Intraosseous needle or equivalent
  • Central venous lines paediatric size
  • Broselow tape
  • Dorsiflow set
  • Radiant warmer
  • Urinary catheter paediatric sizes
  • Electronic cardiac monitoring
  • Phototherapy unit
  • Incubator
  • Laboratory facilities for heamoglobin or haematocrit
  • Paediatric Intensive Care Unit capability
  • Neonatal Intensive Care Unit capability
  • Bilimeter, biliblankets
  • Cardiac arrest backboard
  • CPR backboard
  • Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

    P.S.

    Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

  • Glucometer
  • Bedside ultrasound machine
  • Spacer device
  • Paediatric immobilization devices (Splints, cervical collar)
  • Lumbar puncture
  • Resuscitation medication
  • Mobile Xray machine
  • Spinal needles
  • Umbilical catheterization set
  • Scales for anthropometric measurements
  • Nasogastric/ orogastric tubes of different sizes
  • Magill's forceps
  • Kits Restraining device
  • Point of care US machine
  • Kindly review the description of the Health facility level and give your edits/comments

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