Children Hospital Lahore to have 100-Bed Institute of Paediatric Cardiology and Paediatric Cardiac Surgery

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 Bone Marrow Transplant to start within six months

Children Hospital Lahore to have 100-Bed
Institute of Paediatric Cardiology and
Paediatric Cardiac Surgery

New In-Patients building is being equipped and will be
commissioned shortly while Emergency Medicine
Guidelines will be available soon-Prof. Masood Sadiq

LAHORE: The Children’s Hospital and Institute of Child Health Lahore is a unique multidisciplinary public sector hospital.  It is the largest tertiary care children hospital in Pakistan which provides facilities in forty three paediatric and paediatric surgery sub-specialties and super-specialties under one roof.  It is also planned to have a 100-bed Institute of Paediatric Cardiology and Paediatric Surgery. New In-Patients building is now almost ready and is being equipped and we hope to formally commission it in the next few months which will complete the 684-Bed strength of this institution. Bone Marrow Transplant will also start within the next six months’ time. This was stated by Prof. Masood Sadiq Dean Children’s Hospital and Institute of Child Health while talking to Pulse International last week.


Prof. Masood Sadiq
Dean
Children’s Hospital Lahore

Other future plans include training of staff of other Children’s Hospital being established in all the Divisional Headquarters in the province. We have started training specialists in seven specialties in Paediatric Medicine and four specialties of Paediatric Surgery. Government has sanctioned fifty eight training slots for postgraduates doing FCPS. An Institute of Child Health building is also planned while Residences for the staff will also be constructed. Emergency Medicine Guidelines are almost ready while work on preparing protocols for different disciplines is underway. The concept of Clinical Governance has been developed and we hold weekly Morbidity and Mortality meetings. Clinical Governance Guidelines will also be available in the next few months. We also plan  to develop a strategic integration and involve all healthcare  providers starting from Basic Health Units to  Secondary and Tertiary Care  institutions besides expanding our links with  academic and research  institutions both within the country and overseas,  he added.

At present there are seventy five consultants and forty five senior registrars on the faculty and daily attendance in the Out Patients Department is between 2500-3000 patients while 70-Bed Emergency takes care of seven hundred to one thousand patients daily. The general OPD has facilities for Seasonal Influenza, Fever Clinic, and Filter Clinic, Immunization facilities, investigational facilities while specialist’s clinics are located on First, Second and Third Floor. There are fourteen beds to accommodate patients suffering from Dengue Fever and other epidemics while High Dependency Unit has five beds.  There is a separate section dealing with neonatal emergencies. Despite the fact that the sanctioned bed strength of the institution is 684 but since it has average bed occupancy of 125-200%, it caters to about 840 patients by adding Beds and accommodating two to three children  on one bed since one of the patients coming from all over the province is refused and  is accommodated. Currently there is too much congestion, too many beds in rooms since it is a make-shift arrangements but once the new In-Patients building is formally commissioned and starts taking patients, the situation is likely to improve.

Giving further details about the teaching, training and patient care facilities available at the Children’s Hospital and its historical back ground, Prof. Masood Sadiq said that setting up of a Children’s Hospital was conceived by the Pakistan Paediatric Association in 1984. When the dream was realized, Out Patients was started in May 1995 while Emergency Service started functioning in October 1996. In-patients facilities became available with 250-Beds on make shift basis in the Emergency Block in December 1998. Now the Indoor Block now being equipped will start functioning in the next two months’ time.

Specialties: At present there are forty three specialties which include Paediatric Medicine and Allied fifteen, Paediatric Surgery and allied eleven, Diagnostics Ten and Out Patients basis seven.   This is the only Children Hospital in Pakistan which provides facilities in numerous super-specialties. The super specialties in Paediatric Medicine include Cardiology, Endocrinology, Infectious Diseases, Neonatology, Pulmonology, Developmental Paediatrics, Gastroenterology, Intensive Care and Critical Care, Neurology, Rheumatology, Emergency Paediatrics, Hematology and Oncology, Nephrology and Nutrition .The super specialties in Paediatric Surgery include Cardiac Surgery, Ophthalmology, Plastic Surgery, Dentistry, Orthodontics, Neurosurgery, ENT, Orthopaedic and Urology.  The Out-Patient based specialties include Audiology, Gynaecology, Preventive Paediatrics, Clinical Genetics, Physical Medicine and Rehabilitation, Dermatology and Psychiatry.

The first MRI in public sector was installed at The Children’s Hospital in June 2000 and the hospital has now purchased the most advanced MR.  The diagnostic facilities include CT scan, latest state of the art transfusion and hematology services for children. The diagnostic specialties include Chemical Pathology, Hematology, Histopathology, Immunology, Genetics and Microbiology while Radiology services consist of MRI, CT, Ultrasound, X-Rays and Fluoroscopy.

Postgraduate Training

The Children’s Hospital is recognized by the College of Physicians & Surgeons Pakistan for FCPS in the following subjects:

  1. Paediatrics
  2. Paediatric Surgery
  3. Physical Medicine and Rehabilitation
  4. Hematology
  5. Anesthesia
  6. Orthodontics
  7. Ophthalmology
  8. Radiology

Currently one hundred fifty postgraduates are getting training for FCPS, MD, M. Phil and Ph.D. So far one hundred fifty doctors have passed their Fellowship examination of the CPSP. The hospital also provides facilities for Second Fellowship in the following specialties:

  1. Cardiology
  2. Developmental Paediatrics
  3. Gastroenterology
  4. Hematology/Oncology
  5. Nephrology
  6. Neurology
  7. Ophthalmology

Thirteen postgraduate trainees have so far passed FCPS in Paediatric Cardiology and fifty six are under training for their second Fellowship.

Allied Institutions: In addition to clinical departments, there are allied institutions located at the Children’s Hospital. This includes School of Nursing which was started in 1994. School of Allied Health Sciences has the distinction of being the first institution in Pakistan to start professional degree courses in different disciplines and offers BSc (Hons.)  Courses in seven disciplines.

Research: In order to promote research culture at the Children’s Hospital, it has formed its own Institutional Review Board and Research Publications Committee. At present numerous observational and interventional studies are in progress. Faculty members of the Hospital have also published numerous papers in national and international peer reviewed journals.

Collaboration with Overseas Institutions

The Children’s Hospital is officially twinned with the Royal Hospital for Sick Children, Glasgow in United Kingdom. It has bilateral exchange of teachers, trainers, specialists, nurses and Technologists with various institutions overseas. It is collaborating with Birmingham Children’s Hospital in UK, University of Manchester, Children Cancer and Leukemia Group of UK, Gleeson Lab in United States besides University of Colombo, Lady Ridgeway Hospital.

Hospital Waste Management

The Children’s Hospital Lahore was selected by the Government of Punjab for Hospital Waste Management programme in 2004 and it handles infectious waste of all the public sector hospitals in Lahore. The hospital is also providing services for training  programmes for implementation of  Standard Operating Procedures (SOPs), Provision of  Yellow Bags and Containers for Sharps, Transportation of Waste and Incineration facility.

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