Clinical capacity development of the Neonatology Ward in Constanța

Implementing period:  February, 2014 – September, 2020
Amount: 1.398.893,71 EURO

PURPOSE OF THE PROJECT – decreasing the neonatal infantile mortality rate in the South Eastern area of Romania, by increasing hospitalization capacity and by improving the quality of the medical act.

The Neonatal Care Unit of the Constanta Emergency County Hospital (ECH) is the only one in South East Romania that is classified as level III (maximum service performance for diseased newborns) and it is a regional hospital servicing both Constanta and Tulcea but also the counties of Ialomita and Calarasi.

3000 births take place here every year with 30% of them in need of special care.

Why do we need such a project? Because:

  • In the history of the Constanta County Hospital, built in 1968, there has never been built a modern structure to function as a Neonatal Intensive Care Unit and Premature Department;
  • In 2014, infantile mortality rate in the south-east area was the largest in the country and three times larger than the European average;
  • The space was insufficient and inappropriate– open space – easy spread of nosocomial infections;
  • Insufficient space as compared to the need– 8 beds in the newborn intensive care unit;
  • Insufficient medical staff;
  • Only one on call team for 3 departments: new born intensive care unit, premature unit and rooming-in;
  • The existing equipment was old – physically and morally outdated – the incubators were crammed on the hallways and in the delivery room, the sterile conditions were not appropriate for treating the patients safely;
  • 1000 premature or diseased children are treated here, annually;
  • 50 of the children admitted here in 2014 died before reaching one month old;
  • The Constanta Hospital covers four counties: Constanța, Tulcea, Ialomița and Călărași.

 

Achieving the purpose of this project depends on the successful accomplishment of these 4 stages:

STAGE 1: FINALIZED

The reconstruction of the space destined for the new department within the Constanta Emergency County Hospital 

  • The extension and upgrading works on the space destined for the Neonatal Intensive Care Unit and the Premature Unit (8th floor, sector 8.5) were have taken place starting October 2016 and were finalized in September 2019.
  • The final costs of this project reached 2.060.000 euro.
  • The project was carried out in partnership with Fundatia Vodafone Romania and Asociatia Inima Copiilor.
  • Find more details regarding the reconstruction stage, here.

 STAGE 2: IN PROGRESS

Providing state-of-the-art equipment 

In December 2018, the Constanta County Council started the procedures for the auction through which they would purchase all the equipment needed for the Neonatal Intensive Care and Premature Unit. The procedure is still in progress.

In addition to this basic medical devices provided by Constanța County Council  to the Neonatology Ward, Dăruiește Aripi Association constantly invests in the equipment necessary to carry out a quality medical act, investments made following the decisions taken together with the ward`s medical staff.

STAGE 3 – FINALIZED

Integrating, development of the clinical capacity and optimal functioning of the new department 

  1. Approval from the Ministry of Health for increasing the number of beds in the neonatal intensive care unit, from 8 to 22 beds;
  2. Increasing the number of specialized medical staff (doctors, nurses, orderlies, caretakers);
  3. A follow-up neonatal practice was set up in the Constanta County Hospital Polyclinic.
  4. Setting up a second on call team, functioning exclusively for the intensive care and premature;
  5. Electronic storage for all medical documents. A top of the range storage and medical data analysis system will be available.
  6. Starting September 2019, the medical staff are working with a telemedicine system that keeps them in permanent connection with the patients as well as with fellow specialists from every corner of the world. This system allows them to exchange specific information regarding neonatal pathology, in real time.
  7. Starting educational programs for parents in order to ensure a healthy development for their children.
  8. Support in implementing a quality medical act by acquiring equipment and supplies for the optimum development of medical protocols.

 

STAGE 4: Training the medical staff

Throughout implementing the project (2014 – present) the doctors and nurses from the neonatal unit of the Constanta Emergency County Hospital have taken part in a number of training courses, such as:

  • Throughout September 9th to September 15th 2019, the Neonatal unit hosted an American team of specialists, led by Professor Dan Sterwart, University of Louisville from Kentucky. They have worked together with doctors and nurses from our department, studying and analyzing the cases and holding lectures on different current topics of interest in neonatology.
  • Taking part in the National Neonatology Conference (2014, 2015, 2016, 2017, 2018, 2019)
  • Exchange experience with the Neonatal Intensive Care Unit of the M.S. Curie Hospital Bucharest (2017 – 2018);
  • „ A new chance to life for the children in critical condition” Constanța (2019)
  • AD-COR „An innovative training program in the pediatric cardiology area” Bucharest (2015);
  • „Doctor ROP Program” – The William Beaumont Hospital in Royal Oak – SUA (2016);
  • „Nitric oxide therapy for neonatal help” ed II – Bucharest (2016)
  • „Helping babies breathe” – Constanța (2017);
  • „Essential care for every baby”- „Essential care for small baby” Constanța (2017);
  • „Current affairs in caring for the premature newborn suffering from the Respiratory Distress and apnea Syndrome” -Constanța (2017)
  • Annual national and international conferences and congresses (2014 – prezent).

 

 

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