The effects of relocation to a new hospital on the first anaesthetic weekend call

Abstract

Background: Relocation of a hospital is a big challenge anywhere in the world. The aim of this study is to document our regional experience, highlight the challenges faced and crisis management with the possibility of identifying features of relocation strategy that can be employed in the future.
Methods: This is a prospective observational study of all emergency anaesthesia performed during the first weekend call following relocation of the teaching hospital. Photographs were taken, events were documented and records from the anaesthetic charts were analyzed.
Results: Five emergency Caesarean sections were performed. There were no surgical emergency operations. One theatre was designated for all emergencies. Intra-hospital transfer of patients between the labour ward, theatre, special care baby unit and postnatal ward over some distance was required. Some drugs particularly neostigmine and neonatal resuscitaire were still unpacked. Four out of five caesarean sections were performed under spinal anaesthesia. Outcome of neonatal resuscitation was satisfactory.
Conclusion: Relocation of a hospital is challenging. Improvisation and application of basic knowledge and skills while maintaining a good ambience were necessary. Adequate planning, rehearsals and good leadership will minimize the problems.


Keywords: Relocation, Anaesthetic weekend-call, Challenges

PHMJ Vol. 2 (2) 2008: pp. 140-144