Challenges of Directing CCU in Egypt Hossam Kandil, MD Professor of Cardiology Cairo University Hossam Kandil, MD Professor of Cardiology Cairo University.

Challenges of Directing CCU in Egypt Hossam Kandil, MD Professor of Cardiology Cairo University Hossam Kandil, MD Professor of Cardiology Cairo University

Challenges of Directing CCU in Egypt Environment Environment Personnel Personnel Doctors, Nursing staff Doctors, Nursing staff Equipments Equipments Hospital administration Hospital administration Patients and their families Patients and their families Communication and Archiving Communication and Archiving Environment Environment Personnel Personnel Doctors, Nursing staff Doctors, Nursing staff Equipments Equipments Hospital administration Hospital administration Patients and their families Patients and their families Communication and Archiving Communication and Archiving

Quiet and clean Quiet and clean Climate control Climate control Frequent disinfection Frequent disinfection Area to patients Area to patients Facilities for staff Facilities for staff Natural Light Natural Light Quiet and clean Quiet and clean Climate control Climate control Frequent disinfection Frequent disinfection Area to patients Area to patients Facilities for staff Facilities for staff Natural Light Natural Light Challenges of Directing CCU in Egypt Environment

Challenges of Directing CCU in Egypt Environment Environment Personnel Personnel Doctors, Nursing staff, nurse assistants and physician assistants and technicians Doctors, Nursing staff, nurse assistants and physician assistants and technicians Equipments Equipments Hospital administration Hospital administration Patients and their families Patients and their families Communication and Archiving Communication and Archiving Environment Environment Personnel Personnel Doctors, Nursing staff, nurse assistants and physician assistants and technicians Doctors, Nursing staff, nurse assistants and physician assistants and technicians Equipments Equipments Hospital administration Hospital administration Patients and their families Patients and their families Communication and Archiving Communication and Archiving

Personnel Personnel – Doctors – Nursing staff, nurse assistant and physician assistants – Technicians – Biomedical engineers – Pharmacist – Medical secretarial staff Personnel Personnel – Doctors – Nursing staff, nurse assistant and physician assistants – Technicians – Biomedical engineers – Pharmacist – Medical secretarial staff Challenges of Directing CCU in Egypt

Personnel Personnel – Doctors: – Level of training – Working at several places at the same time – Taking repeated uninterrupted shifts, taking care of average of 5 patients/shift – Certification – Reporting – Well trained staff, leave hospital for better offers Personnel Personnel – Doctors: – Level of training – Working at several places at the same time – Taking repeated uninterrupted shifts, taking care of average of 5 patients/shift – Certification – Reporting – Well trained staff, leave hospital for better offers Challenges of Directing CCU in Egypt

Personnel Personnel – Nursing staff: – Level of training – Working at several places at the same time – Taking repeated uninterrupted shifts, taking care of average of 5 patients/shift – Certification – Reporting – Well trained staff, leave hospital for better offers Personnel Personnel – Nursing staff: – Level of training – Working at several places at the same time – Taking repeated uninterrupted shifts, taking care of average of 5 patients/shift – Certification – Reporting – Well trained staff, leave hospital for better offers Challenges of Directing CCU in Egypt

Other Personnel Other Personnel – Technicians, nurse assistant and physician assistants: – Do not exist in Egypt Biomedical engineers Biomedical engineers Pharmacist Pharmacist Medical secretarial staff Medical secretarial staff Other Personnel Other Personnel – Technicians, nurse assistant and physician assistants: – Do not exist in Egypt Biomedical engineers Biomedical engineers Pharmacist Pharmacist Medical secretarial staff Medical secretarial staff Challenges of Directing CCU in Egypt

Environment Environment Personnel Personnel Doctors, Nursing staff Doctors, Nursing staff Equipments Equipments Hospital administration Hospital administration Patients and their families Patients and their families Communication and Archiving Communication and Archiving Environment Environment Personnel Personnel Doctors, Nursing staff Doctors, Nursing staff Equipments Equipments Hospital administration Hospital administration Patients and their families Patients and their families Communication and Archiving Communication and Archiving

Old models with no spare parts Old models with no spare parts Poor maintenance Poor maintenance Expensive Expensive No pre-specified budget No pre-specified budget Poor handling of equipment by CCU staff Poor handling of equipment by CCU staff Working machine with no consumables Working machine with no consumables Old models with no spare parts Old models with no spare parts Poor maintenance Poor maintenance Expensive Expensive No pre-specified budget No pre-specified budget Poor handling of equipment by CCU staff Poor handling of equipment by CCU staff Working machine with no consumables Working machine with no consumables Challenges of Directing CCU in Egypt Equipments

Burdened with other hospital problems Burdened with other hospital problems No regular meetings with CCU staff No regular meetings with CCU staff Care more about income than quality Care more about income than quality Difficult to convince to update services Difficult to convince to update services Burdened with other hospital problems Burdened with other hospital problems No regular meetings with CCU staff No regular meetings with CCU staff Care more about income than quality Care more about income than quality Difficult to convince to update services Difficult to convince to update services Challenges of Directing CCU in Egypt Hospital Administration

Always demanding reassurance Always demanding reassurance Patients usually come late with advanced disease Patients usually come late with advanced disease Most patients are sponsored by a third party, paying reduced fees with very delayed payments if any Most patients are sponsored by a third party, paying reduced fees with very delayed payments if any Claims Suits are getting more frequent Claims Suits are getting more frequent Always demanding reassurance Always demanding reassurance Patients usually come late with advanced disease Patients usually come late with advanced disease Most patients are sponsored by a third party, paying reduced fees with very delayed payments if any Most patients are sponsored by a third party, paying reduced fees with very delayed payments if any Claims Suits are getting more frequent Claims Suits are getting more frequent Challenges of Directing CCU in Egypt Patients and their families

Poor communication between supportive departments and CCU Poor communication between supportive departments and CCU Renal dialysis, imaging, nerology etc Renal dialysis, imaging, nerology etc No networks for information and Lab results in most CCUs No networks for information and Lab results in most CCUs No digital archiving in most hospitals, no reporting, most previous information are usually not available, not even on Major surgeries No digital archiving in most hospitals, no reporting, most previous information are usually not available, not even on Major surgeries Poor communication between supportive departments and CCU Poor communication between supportive departments and CCU Renal dialysis, imaging, nerology etc Renal dialysis, imaging, nerology etc No networks for information and Lab results in most CCUs No networks for information and Lab results in most CCUs No digital archiving in most hospitals, no reporting, most previous information are usually not available, not even on Major surgeries No digital archiving in most hospitals, no reporting, most previous information are usually not available, not even on Major surgeries Challenges of Directing CCU in Egypt Communication and Archiving

ConclusionsConclusions Great differences exist between concepts and standards of care between western and most third world countries Focus should be on establishment of minimal levels of care in CCUs applicable to economics of third world countries Concepts of prevention should be of prime interest of those directing resources to minimize burdens on already disadvantageous acute cardiac care in third world countries Great differences exist between concepts and standards of care between western and most third world countries Focus should be on establishment of minimal levels of care in CCUs applicable to economics of third world countries Concepts of prevention should be of prime interest of those directing resources to minimize burdens on already disadvantageous acute cardiac care in third world countries

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Challenges of Directing CCU in Egypt Hossam Kandil, MD Professor of Cardiology Cairo University Hossam Kandil, MD Professor of Cardiology Cairo University.

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Challenges of Directing CCU in Egypt Hossam Kandil, MD Professor of Cardiology Cairo University Hossam Kandil, MD Professor of Cardiology Cairo University.

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Presentation on theme: "Challenges of Directing CCU in Egypt Hossam Kandil, MD Professor of Cardiology Cairo University Hossam Kandil, MD Professor of Cardiology Cairo University."— Presentation transcript:

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