Namaskar  

It   is   our   pleasure   to   update   you   on   the   Guwahati   Comprehensive   Cleft   Care  Center.     This   unique   public   private   partnership   is   making   daily   progress   towards  achieving  our   goals  of   Increased  Capacity,  Decreased  Costs,   and  a  Cleft   Free  Assam.    December  2011  has  been  another  month   full   of  progress  and  evolution  at  GC4,  and  we  very  much  hope  you  enjoy  this  update.                                                          -­‐-­‐Team  Guwahati  

 

GC4  Update    

December,  2011  

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It   was   a   great   year   in   Guwahati,   starting  with   509   patients   receiving   free   surgical   care   during   our  mission  in  February.    On  February  17,  the  Guwahati  Comprehensive  Cleft  Care  Center  (GC4)  was  inaugurated,  and  on  May  9th  our  team  performed  the  first  operation  here.    We  have  performed  1576  operations  in  the  new  facility,  and  a  total  of  2161  operations  in  Guwahati  in  2011.    GC4  has  become  a  reality  and  a  successful  model  for  sustainable,  comprehensive  cleft  care  in  the  developing  world.    Since  hosting  the  first  mission  in  Guwahati  in  2009,  Operation  Smile  India  has  provided  life-­‐changing  operations  to  4623  patients  in  Assam.    

 “With  continuous  support  from  Operation  Smile  International  and  Operation  Smile  India,  the  Team  at  

GC4  has  focused  on  excellence  and  is  providing  world  class  care  to  the  most  needy  of  patients.    These  patients  have  intense  challenges  to  obtaining  care,  but  once  in  Guwahati  they  become  part  of  our  family.    We  care  for  them  with  safety,  quality,  and  love  that  heals  them   both   physically   and   emotionally.     The  impact  of  GC4  can  be  seen  on  their   faces  as  they  walk  away  with  chins  held  high,  ready  to  face  the  world  with  new  smiles.”            -­‐-­‐Carolina  Restrepo,  MD  (Chief  of  Surgery)  

   

   

2161  Free  Operations  in  Guwahati  in  2011  

   

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GC4  Nutrition  Team  Partners  with  Assam  Department  of  Social  Welfare  

A   specialized   Nutrition   Team   at   GC4   identifies   malnourished  patients  and  provides  integral  interventions,  to  rescue  these  patients  and  prepare  them  for  successful  operations.    There  are  significant  challenges  in  the  region,  prompting  us  to  partner  with  the  DSW  in  Assam.    This  will  allow   us   to   jointly   care   for   and   provide   resources   to   these   extremely  needy   patients   in   very   remote   areas,   utilizing   the   DSW’s   specialized  knowledge,  systems,  and  58,000  Anganwadi  workers  at  the  village  levels.      

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Central   to   success  of   this  model  of  high  volume,  high   quality   care   in   Guwahati   is   a   cleft   center   staffed  primarily   by   local   health   care   professionals   and   staff  members.     Starting   with   a   core   group   of   international  specialists,   we   have   transitioned   to   a   team   that   is  overwhelmingly  Indian.      

 

 

 

 

The  Team  at  GC4  currently  has  68  members  that  contribute   to   care   on   a   daily   basis,   and  91%   are   from  India.     Also,   the   leadership   of   nearly   all   aspects   of  GC4  Medical  Care  and  Administration   is  now  in  the  hands  of  these   fantastic   local   professionals,   who   are   providing  excellence  in  care  to  the  children  of  Assam.  

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Capacity  Building  at  GC4  

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The  Scrub  Cap  Award  is  awarded  to  staff  members  who  have  performed  exceptionally.      December  Winners  (ALL  Nurses):    § Rosie  Borey  § OR  Nursing  Team:    

Biju,  Kipgen,  Teresa,  Yangyung,      Ringsophie,  Mary,  Moite,  Tina  

§ Susie  Stevens  § Angela  Mora  

 

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 Holidays  at  GC4  

 

   

Our   team   of   Operation   Smile   Patient   Counselors   had   a   remarkable  2011!    They  are  constantly  traveling  throughout  rural  Assam  to  identify,  educate,   and   organize   surgery   for   patients   in   extremely   remote  areas.     We   have   great   ambitions   in   2012,   and   will   penetrate  deeper  and  deeper  into  the  state  in  our  mission  for  a  cleft  free   Assam.        

 

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       International  nurse  specialist  Angela  Mora  led  an  army  of  patients,  families,  and  nurses  in  making  Christmas  decorations  from  recycled  products.    These  were  placed  throughout  the  Center  and  Ward  and  brought  a  festive  atmosphere  to  GC4.  

         On  December  17th,  we  had  a  river  cruise  and  picnic  for  all  Team  members  on  the  banks  of  the  Bramaputra,  and  a  great  time  was  had  by  all.    Holiday  luncheons  and  gifts  on  December  22nd  and  23rd  closed  out  the  year  in  style  amongst  close  colleagues  and  friends  inspired  by  a  common  mission.  

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 Susanna  Stevens,  RN  Susanna  Stevens  is  a  nurse  from  the  United  States  (and  UK)  and  joined  

Team  Guwahati  last  January  as  a  core  international  specialist,  charged  with  creating  and  implementing  nursing  practices  and  procedures  in  the  PACU  and  on  the  Ward.    She  is  the  founding  Nurse  Manager  at  GC4,  and  has  been  critical  to  develop  safe  and  efficient  processes  of  care  for  our  patients.    Susanna  has  been  right  in  the  center  of  this  project  from  the  beginning,  and  has  contributed  mightily  to  our  current  ability  to  cure  hundreds  of  children  per  month.      

She  developed  and  implemented  an  entire  education  program  in  nursing  care,  aimed  at  providing  first  world  care  in  a  third  world  environment.    She  is  directly  responsible  for  the  training  and  management  of  24  perioperative  nurses  that  now  redefine  excellence  daily.    She  dedicated  herself  fully  to  the  development  of  our  Center,  and  made  truly  remarkable  contributions  to  this  project  and  to  the  overall  care  of  our  patients.    Her  contributions  to  the  community  reached  far  beyond  our  walls  as  she  also  help  the  street  kids  of  Guwahati  in  her  free  time.  

You  are  truly  awesome,  Susie,  and  we  deeply  thank  you  for  your  love  and  commitment  in  development  this  magical  Center.                            

                          -­‐-­‐Team  Guwahati  

  We  had  a  great  2011   in  Guwahati,  and  are  ready  to  move  to  new  heights  in  2012.      

Exciting   plans   around   the   corner  include   major   facility   improvement   and  expansion.     This   includes   complete  renovation   of   our   inpatient   Ward,   and  construction  of  a  new  level  onto  the  Center.    Our  comprehensive  care  will  also  continue  to  blossom,   with   expansion   in   dental,   speech  therapy,   orthodontic,   and   otolaryngology  services.      

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Operation Smile Comprehensive Cleft Care Centre ! Mahendra Mohan Choudhury Hospital ! Panbazar, Guwahati - 781001 www.india.operationsmile.org

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GC4 PATIENT WARD IMPROVEMENT PLAN

Goal: Transformation of Operation Smile GC4 patient ward into a beautiful, child friendly, and efficient space to facilitate excellence in patient care as they proceed through their surgical journeys.

! The patient ward must support the surgical facility running three tables full time. (28 Total Beds) o 12 pre-op + 12 post-op patient beds (including two monitored beds)

! Layout that separates division between pre-op and post-op patients o 4 beds for patients requiring longer inpatient stay or readmission

! Education area with TV and multimedia capacity to facilitate and enhance GC4 postoperative education protocols for improved patient and family understanding and proper care after surgery.

o Will also function for patient education on nutrition, speech, and dental care programs o Will be available for patient entertainment outside of education activities

! Cartoons and movies for patents and families ! Play area for toys and child life activities ! Storage of education and child life materials

! Nursing and Pediatrician station and counter space ! Adequate storage space for all patient care and nursing materials ! Renovated toilets for patients and staff ! Controlled entry points and complete separation from other MMC facilities ! The patient care ward must be beautiful, comfortable, and cater to Pediatric patients in a manner that will

compliment our mission of extraordinary care throughout the treatment process. This will combine with the GC4 surgical facilities to set the standard for excellence in care to underserved cleft patients.

GC4 Patient Ward Layout

*Drawing to Scale. Ward dimensions available on Ward Blueprints

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Patient Beds 2 m x 1 m Monitored Bed

Bed Side Table 50 cm x 40 cm

Storage Cabinets 2 m x 1 m

Nursing Desk 3m x 1 m

Patient Supply Station 2 m x 1 m

Flat Screen TV 52”

Stadium Side View Seating Riser 4 m x 3 m x 1 m

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Bed Side Table 50 cm x 40 cm

Storage Cabinets 2 m x 1 m

Nursing Desk 3m x 1 m

Patient Supply Station 2 m x 1 m

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Stadium Side View Seating Riser 4 m x 3 m x 1 m

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Patient Beds 2 m x 1 m Monitored Bed

Bed Side Table 50 cm x 40 cm

Storage Cabinets 2 m x 1 m

Nursing Desk 3m x 1 m

Patient Supply Station 2 m x 1 m

Flat Screen TV 52”

Stadium Side View Seating Riser 4 m x 3 m x 1 m

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