Project HOPE volunteer Anne Borden, an RN from MGH, spent the day with the HAS director of nursing and nurse educator. Ms Borden provided assistance, direct patient care and provided nursing leadership, coaching and mentoring. She also taught several nursing education sessions on moving patients with cervical spine fractures and answered questions regarding patients with congestive heart failure and symptoms. The HAS nursing staff really enjoyed the interaction and asked good thoughtful questions.
Dr. Rosemary Duda, Surgical Oncologist from Beth Israel Deaconess Medical Center in Boston, Massachusetts and I spent the day in the operating room with performing five surgical procedures. The HOPE Operating Team continues to perform numerous amputation revisions, clean infected limbs and wounds from prior surgeries, etc. The workload for these types of “cleanup” surgeries will last for several months.
HAS began the only prosthetic technician school in Haiti, graduating its first class of technicians just before the 12 Jan 10 earthquake. We have been working closely with the trained prosthetics/rehabilitation staff at the hospital, turning freshly operated patients over to their care. For amputations, post surgery care is very important. Proper wrapping of the amputation helps post surgery patients form a limb to accept a properly fitted prosthetic and prevents additional surgeries and unnecessary limb length reductions. HAS started measuring, fitting and rehabbing prosthetic fit patients from its brand new laboratory donated by Hanger in mid-January 2010.
I also had the opportunity to interact with the HAS anesthetist and anesthesiologist staff and provided them with quick clinical updates, techniques, review of anesthetic agents, etc.
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