Queen Elizabeth Hospital‘Getting Better Together’

Equipment Prospectus

Foreword

Over the past 3 years, the Board of Management of the Queen Elizabeth

Hospital (QEH) has expended significant financial resources towards the

recapitalisation of the ageing hospital plant. If we are to keep apace of the

constant changes in medical technologies, we must find innovative ways

to finance ongoing capital acquisitions.

Significant strides have been made in exploring and exploiting the benefits of Information and

Communication Technology (ICT). We have adopted teleradiology as an approach to expanding capacity

for real time reading and interpretation of diagnostic images. By year end, we will complete the installation

of a Radiology Information System (RIS) that will permit hospital-wide access to all diagnostic images.

Dispensing at the pharmacy is now fully computerized with the installation of the ABACUS Pharmacy

Plus software. The Datix application software allows us to track complaints, accidents and incidents

which have significantly improved our ability to mitigate foreseeable risks and errors thereby improving

our risk profile and patient safety. The laboratory has recently completed the installation of a Laboratory

Information System (LABIS) which allows for the electronic distribution of laboratory reports throughout

the hospital. We are at early stages of evaluating tenders for the digitization of medical records which

when implemented will lay the foundation for the introduction of electronic medical records. These

are but a few technological initiatives that leading to the implementation of a computerized Hospital

Information System.

In furtherance of the above initiatives, we invite private sector partnership to assist the QEH in its

continued modernisation programme. This Equipment Prospectus presents a list of equipment of the

highest priority that would have the greatest impact on patient-care and improvement to quality and

good outcomes. In that regard, we take this opportunity to invite companies, NGO’s, philanthropic

organizations, individuals and the Diaspora to be a part of our vision in transforming the QEH as a world

class provider of acute care. To echo the sentiment of our Chairman “...we want to be recognized as

the best place to work, the best place to practise medicine and the best place to receive healthcare”.

Become a partner on this journey towards ‘Getting Better Together’.

Dr. Dexter James

Chief Executive Officer

Queen Elizabeth Hospital

Contents

Background 5

QEH Medical Equipment Necessity List 7

How Can I Make a Donation? 17

Background

The Queen Elizabeth Hospital (QEH) is Barbados’ primary acute care medical facility which provides

emergency care on a 24-hour basis. Additionally, this 600-bed facility provides 94% of all hospital beds

on the island and is a referral centre for patients from other English-speaking Eastern Caribbean states.

It is also an accredited teaching hospital affiliated with the Faculty of Medical Sciences of the University

of the West Indies (UWI).

Since its establishment in 1964, the QEH has undergone major improvements in its capability to provide

care for the acutely ill, with the development of Medical, Surgical and Paediatric Intensive Care Units.

While the institution continues to experience growth, many environmental changes have impacted on

its operations.

Among the most important factors are the demographic changes in the population and changes in

disease profiles which account for the growing demand for varying health care modalities. These trends,

along with economic constraints present challenges in the QEH’s ability to deliver more innovative and

pervasive interventions for health care delivery.

The QEH currently provides specialist services in Paediatrics, which is supported by the Neonatal

Intensive Care Unit (NICU) and the Paediatric Intensive Care Unit (PICU); Medicine with its various

sub-specialties; and Surgery. A health service for men is provided by the Urology programme, while

the department of Obstetrics and Gynaecology provide complete women’s health services. The work

of these departments is complemented by paramedical and clinical support services which provide

diagnostic, therapeutic and social support.

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If the QEH is able to replace its equipment and have more modern technology integrated into all areas

of its operations, patients would experience greater efficiency at the lone acute care facility on the island

and have access to many sophisticated tests and procedures.

As the QEH continues to fulfill its mandate of becoming a World Class provider of acute care, the

improvement and expansion of the quality of patient care remains the main focus. The primary step

which will therefore be implemented in addition to the replacement of obsolete capital equipment and

purchase of new and advanced equipment, are some special infrastructural and operational initiatives

which are planned for the 2012-2013 Financial Year.

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QEH Medical Equipment Necessities

COBALT MACHINE

The Oncology department like many others has suffered from a

lack of necessary and sufficient equipment to perform optimally

in the delivery of patient care. The current Cobalt Machine which

is used to administer radiation therapy for cancer treatments is in

need of a new radioactive source.

Number required: 1 | Estimated Cost: $1.1M USD

GAMMA CAMERA AND BRACHY THERAPY TREATMENT

Number required: 1 | Estimated Cost: $770,000 USD

UROLOGY EQUIPMENT

Prostate cancer is the most commonly diagnosed form of cancer in men and Barbados has the second

highest incidence of prostate cancer worldwide. The QEH is in need of a major capital injection of

$150,000 USD for urology equipment to properly outfit and service the Urology department. This will

go a long way in expanding our capacity to diagnose and treat patients.

COLONOSCOPES

Colonoscopy is generally recommended when the patient complains of rectal bleeding or has a change

in bowel habits and other unexplained abdominal symptoms. The test is frequently used to test for

colorectal cancer, especially when polyps or tumor-like growths have been detected using the barium

enema and other diagnostic tests. A colonoscope is a necessary tool in this process and the QEH

needs two of them, however, this piece of equipment requires regular replacement.

Number required: 2 | Estimated Cost: $20,000 USD each

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VITAL SIGNS MONITORS

Every day critical patient care decisions are made based on an

essential medical device called a vital sign monitor, which tracks

a patient’s vital signs. The QEH needs twenty vital sign monitors

which will be spread across various clinical service areas including

the Medical Wards, the High Density Unit (HDU) and Accident &

Emergency)

Number required: 20 | Estimated Cost: $17,000 USD each

CARDIAC MONITORS

The nature of heart disease in Barbados has changed and added

to that, the number of cases being diagnosed has risen and is continuing to rise.

With the move to expand cardiac services with the establishment of a cardiac unit at the

QEH there is a need for cardiac monitors.

Number required: 4 | Estimated cost: $28,000 USD each

VENTILATORS

A ventilator is a machine that supports breathing.

These machines:

• Get oxygen into the lungs

• Remove carbon dioxide from the body. (Carbon dioxide is a waste

gas that can be toxic.)

• Help people breathe easier

• Breathe for people who have lost all ability to breathe on

their own.

A ventilator is often also used for short periods, such as during

surgery when you are under general anaesthesia. The QEH needs

23 ventilators for replacement in its Intensive Care Units (NICU, PICU, MICU, SICU) and Recovery Room.

Number required: 23 | Estimated Cost: $363,000 USD each

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FOETAL MONITORS

With an average of 3100 births at the QEH annually, foetal monitoring becomes

a very valuable tool. These monitors are used for measuring foetal well-being

and assessing labour progress.

Due to the sensitivity of the monitor, it may indicate when a contraction is

diminishing even before notice of the pain subsiding occurs. The QEH needs

17 foetal monitors for use in Labour wards, Obstetrics wards and Antenatal

clinics.

Number required: 17 | Estimated Cost: $11,000 USD each

WOUND CARE EQUIPMENT

The increased prevalence of diabetes and the associated care of the diabetic foot has necessitated the expansion

of our wound care management services. As such the QEH is in need of equipment to expand and facilitate these

services.

Estimated Cost: $15,000 USD

ANAESTHETIC MACHINES

An anaesthetic machine is a complex collection of equipment used by our

anaesthesiologists to support the administration of anaesthesia. These machines

are designed to provide an accurate and continuous supply of medical gases,

mixed with an accurate concentration of anaesthetic vapour, and deliver this to the

patient at a safe pressure and flow. The QEH needs two of these machines for its

Surgical department.

Number required: 2 | Estimated Cost: $90,000 USD each

ERCP SCOPE

The Radiology department at the QEH is in need of an endoscopic retrograde cholangio-

pancreatogram (ERCP) scope for use in conjunction with its Fluoroscopy machine. ERCP

is a test that combines the use of a flexible, lighted scope (endoscope) with X-ray pictures

to examine the tubes that drain the liver, gallbladder and pancreas.

Many patients who need ERCP are hospitalised, but ERCP can also be performed as an

outpatient procedure, depending on the patient’s condition and on the complexity of the

required procedure.

Number required: 1 | Estimated Cost: $23,000 USD

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INFUSION/SYRINGE PUMPS

The QEH requires 30 infusion/syringe pumps for

distributed use across all wards, Intensive Care Units

(ICUs) and Recovery Rooms.

These pumps administer fluids, medication or nutrients

into a patient’s circulatory system in ways that would be

impractically expensive or unreliable if performed manually

by nursing staff. For example, they can administer as

little as 0.1 mL per hour injections (too small for a drip),

injections every minute, injections with repeated boluses

requested by the patient, up to maximum number per

hour (e.g. in patient-controlled analgesia), or fluids whose

volumes vary by the time of day.

Number required: 30 | Estimated Cost: $9,000 USD each

BLOOD GAS MACHINE

The QEH Laboratory requires a Blood Gas Machine also called the Blood Gas Analysis or the Arterial

Blood Gas Analysis. This is used to diagnose and evaluate respiratory diseases and conditions that

influence how effectively the lungs deliver oxygen to and eliminate carbon dioxide from the blood.

Lab

Number required: 2 | Estimated Cost: $158,000 USD each

16 SLICE CT MACHINE

The QEH currently has one 64 Slice CT Machine, however we are in

need of a 16 Slice CT machine as this will serve as the ‘workhorse’

machine for routine CT’s in addition to serving as the redundant

machine to allow for the service and repair of the other machine. It is

anticipated that this will be a turnkey project.

Number required: 1 | Estimated Cost: $1.5M USD

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ECHO MACHINE & PICTURE ARCHIVING AND COMMUNICAITON

SYSTEM (PACS)

An echo machine or usually called an echocardiograph machine is used in the cardiac unit of the QEH

and we are in need of a replacement machine. In conjunction with the Echo Machine is the need for

PACS which is a medical imaging technology which provides storage of, and convenient access to,

images from multiple modalities

Number required: 1 | Estimated Cost: $300,000 USD each

TRANSPORT MONITORS

When patients are moved to a new location, it is vital that their

monitoring information goes with them. The transport monitor

provides uninterrupted monitoring so you can stay aware of the

patient’s condition even during transport.

The QEH is in need of two additional Transport Monitors to facilitate

the quick and safe movement of patients throughout the hospital

without losing a moment of critical monitoring information.

Number required: 2 | Estimated Cost: $37,000 USD each

BARIATRIC BEDS & WHEELCHAIRS

Bariatric patients often require specialised beds and wheelchairs in order to support their frame, enable

access, let nursing staff move the bariatric patient, and to provide comfort for bed-ridden bariatric

patients recovering from illness or surgery.

These pieces of equipment make

looking after a bariatric patient more

efficient. Most technologically advanced

bariatric beds suspend a bariatric patient

on air cushions which can be individually

raised and lowered by the patient or a

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nurse. This means that a patient can constantly shift the points of pressure on their frame, helping

manage bed sores. It can also make helping clean, inspect and turn bariatric patients more dignified

and safe for all parties concerned.

BEDS WHEELCHAIRS

Number required: 2 Number required: 3

Estimated Cost: $150,000 - $250,000 USD each Estimated Cost: $10,000 USD each

HOSPITAL INFORMATION SYSTEM (HIS)

The role of information technology in the hospital has undoubtedly grown. Although we have started

laying the foundation for a move towards a Hospital Information System (HIS), there is a dire need for

significant investment for the procurement of additional computers, replacement of obsolete systems

and upgrade existing units where possible across the hospital plant as we seek to exploit the use of

ICT as one approach to driving internal efficiencies. We are seeking to adopt Tele-Medicine Solutions to

expand access to specialist diagnostic and clinical services. There is always a need for computers to

be deployed across the plant.

Number required: Contact the Hospital directly for more information.

RADIOLOGY INFORMATION SYSTEM (RIS)

The QEH has just implemented Tele-radiology solutions in A&E, Outpatients clinics at Enmore, Operating

rooms and provides remote access by radiologists to provide more immediate access to radiological

assessments. This is but one move to transforming the Radiology department into the digital era. A RIS

would enhance this implementation towards making the retrieval of patient information along with their

past and current radiological investigations more efficient.

Number required: Contact the Hospital directly for more information.

WARD REFURBISHMENT

The QEH is an ageing plant. As we seek to improve the level of service to our patients and become

more patient-centred, the environment of care plays an important role in the delivery of that service. It

has become necessary to upgrade our wards to accommodate the changes in our services and reflect

a change in our service delivery. Contact the QEH directly for more information.

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PATIENT TRANSPORT VEHICLES

The Orderly department at the QEH provides transportation services for an average of 3100 patients

per year, who have appointments at both the Hospital and other healthcare facilities for services not

offered at the QEH or when equipment malfunctions. It is a service that is heavily depended on by the

public and can seriously compromise healthcare I not efficiently provided. These vehicles are also used

to provide transportation to nurses who need to get to and from the bus terminal at night before or after

their respective shifts.

Number Required: Contact the QEH directly for more information.

WARD BEDS

Number required: 200

Estimated Cost: $175,000 USD

TRANSPORT TROLLEYS

The QEH is in need of eight patient transport trolleys for the Operating

Theatres, Accident & Emergency (A&E) and Outpatient Clinics. The key

value to these pieces of equipment is that they facilitate moving patients

and sheet onto a fixed bed or table in various clinical areas of the hospital.

Number required: 8 | Estimated Cost: $8,100 USD each

PLANT ROOM PUMPS

Number required:4 | Estimated Cost: $20,000 USD each

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OPHTHALMIC MICROSCOPES

The QEH continues its works to refurbish the Lions

Caribbean Eye Care Centre (LCECC). The plan is to create

a centre of excellence for eye care in the Caribbean. The

need therefore is to fully equip the Eye Clinic and Eye

Operating Theatres.

In Barbados, most blindness is due to cataracts and

open-angle glaucoma. Treatment for these conditions may

include surgery. Having a surgical microscope available

for use in these and any ophthalmic procedure, allows

the surgeon to experience the eye in more detail than

ever thought possible. Additionally, this microscope adds to an efficient work flow and allows for more

procedures to be done.

Number required: 3 |Estimated cost: (LUMERA 700) $145,000 USD each

(LUMERA S-7) $74,000 USD each

PORTABLE RADIOS

The Emergency Ambulance Service (EAS) is currently in dire need

of portable radios as all communication needs come from the fixed

ambulance radio. If the ambulance crew are away from the ambulance

and working on a patient e.g. in a hotel room or in a home, they have to

wait until they

return to the ambulance to make contact with headquarters or A&E

medical personnel.

These portable radios also provide the option of being used as mobile

phones should there be any problem with other radio communication.

Number required: 6 | Estimated cost: $5,000 USD each

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AIR-CONDITIONING UNITS

The QEH is in need of a number of replacement ducted air-conditioning systems for the patient-care

areas in Oncology, the High Density Unit (HDU), the ICU Block and Obstetric Theatres.

Number Required: Contact the QEH directly for more information.

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OTHER ITEMS

In addition to the large pieces of equipment outlined in the Prospectus, there are several other items

which the QEH requires. A few are listed below however you may contact the Director of Engineering

Services via email: des@qeh.gov.bb to find out more.

1. Zimmer frames – walkers

2. Computers

4. Televisions

5. Crutches

6. Commodes

7. Drip stands

8. Overbed tables

9. Scanners

10. BP cuffs

11. Wheel chairs

12. Manual blood pressure machines

13. Machines to measure blood sugar and strips

14. Air flow mattresses

15. Sphyg monitors

16. Scales

17. Patient lifts – bariatric

18. White boards for wards

19. Sheets > 250 thread count

DONATE NOW! As outlined in the Equipment Prospectus, there are many necessary pieces of equipment required by the Hospital. We are pleased to offer you the opportunity to make a donation. Fax the completed form to: 1 (246) 429-5374.

Donor Information (please print or type)

Name

Address

City

Country

Telephone (home)

Telephone (business)

Fax

E-Mail

Contact Person

Donation Information

I (we) will make a donation of $_______________ towards the following item(s):

1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

Credit card type

Credit card number

Expiration date

Authorised signature

Acknowledgement Information

Please use the following name(s) in all acknowledgements:

____ I (we) wish to have our gift remain anonymous.

Signature(s)

Date

Please make cheques or other gifts payable to: The Queen Elizabeth Hospital

ire Transfer Information:

B BB

REPUBLIC BANK

DOS BB11000

W

The Queen Elizabeth Hospital Martindale’s Road, St. Michael, BB11155 Ac#: 018005512003 Swift Number: BNBA B

#1 BROAD STREETBRIDGETOWN BARBA

16

A portrait of our patient care.

DONATE NOW! As outlined in the Equipment Prospectus, there are many necessary pieces of equipment required by the Hospital. We are pleased to offer you the opportunity to make a donation. Fax the completed form to: 1 (246) 429-5374.

Donor Information (please print or type)

Name

Address

City

Country

Telephone (home)

Telephone (business)

Fax

E-Mail

Contact Person

Donation Information

I (we) will make a donation of $_______________ towards the following item(s):

1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

Credit card type

Credit card number

Expiration date

Authorised signature

Acknowledgement Information

Please use the following name(s) in all acknowledgements:

____ I (we) wish to have our gift remain anonymous.

Signature(s)

Date

Please make cheques or other gifts payable to: The Queen Elizabeth Hospital

ire Transfer Information:

B BB

REPUBLIC BANK

DOS BB11000

W

The Queen Elizabeth Hospital Martindale’s Road, St. Michael, BB11155 Ac#: 018005512003 Swift Number: BNBA B

#1 BROAD STREETBRIDGETOWN BARBA

Donate NOW! 17

Queen Elizabeth Hospital‘Getting Better Together’