What Are the Characteristics That Make a Hospital the Best Hospital?

Hospitals cater to the most vulnerable section of our population. They are both necessary and feared, sought out and despised. The reaction to hospitals, from the perspective of both patients and medical practitioners, depends on the facilities these hospitals have to offer. Some of the best hospitals share a few common distinguishing characteristics that set them apart from other hospitals. The central challenge for these hospitals is to continue to do business and at the same time provide quality health care at affordable costs.

Here are some of the “must haves” hospitals need to qualify as one of the best.

1. Coordination of Health Care Systems

Hospitals need to put in place systems that will provide seamless care to patients. This includes smooth and hassle free transitioning from out-patient to in-patient to rehabilitation. Simplifying systems helps patients to understand them better and respond more positively.

2. Specialization and Focus

The best hospitals are dedicated to providing specialized treatment for specific diseases. Their focus is on developing and delivering the best and latest treatment in their area of function. Multi specialty hospitals provide separate wings and departments for separate treatments. This stream-lines functions and makes it easier to organize and run the hospital.

3. Using Teams to Deliver Healthcare

Health care cannot remain restricted to diagnosis, medication and surgery. There is need for an entire team of medical, para-medical, and allied healthcare professionals to be available for the treatment of patients. Rehabilitation and convalescence is as much a concern of the best hospital as hospitalization, treatment and care of patients.

4. Transparent Pricing

With the high cost of healthcare, patients are becoming more and more particular about the billing system in hospitals. Those that have a transparent system score higher in terms of trust and reliability.

5. Trained and Integrated Staff

Trained and informed staff increases confidence among patients and patient parties and result in efficient functioning. They also reduce conflicts and disruption of work. The best hospitals employ personnel to liaison between medical teams and patient parties.

6. Personalized Care

The best hospitals do not treat generic diseases but take into account personal dimensions of patients. These include family history, genetic s and lifestyle of individual patients.

7. Technologically Advanced

Success rates in hospitals, particularly in surgical procedures, depend on the technological infrastructure available. Sophisticated equipment and care stands behind outstanding results in the best hospitals.

8. Add on Services

Hospitals additionally act as education centers for prevention and recognition of tendencies to the commonest diseases. They run health awareness camps, regular check up facilities, and dietary and nutritional advice to prevent lifestyle and other diseases.

Along with these facilities, the best hospitals maintain a high standard of cleanliness and hygiene for staff, equipment and all persons visiting the hospital to reduce chances of infection and contamination among patients. They are patient centric and focused on continuously improving on operational proficiency. The best hospitals usually keep these important needs in mind.

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Automobile Dealerships – Out of Trust – Keepers

The Necessity of a Keeper

When a lender feels its security is in jeopardy, it frequently places a keeper in the dealership. This action is usually precipitated by the lender losing its “comfort level” with the dealer.

While many dealers interpret the placing of a keeper in their dealership as a hostile action on the part of the lender, their reaction is based more upon emotion than logic. The lending officer works for a corporation and the corporation is owned by shareholders. The officer has a duty to the company and to the shareholders to protect their security.

“The act of (a lender) in placing its representatives at the plant of its debtor reflected only the natural instincts, interest and solicitude of any other creditor then in its position, and (the lender) is not on that account alone to be penalized by being declared the principal.” Commercial Credit Co. v. L.A. Benson Co., Inc. 184 A. 236, at 240 (Md. 1936).

See too: Cosoff v. Rodman (In re W.T. Grant Co.), 699 F.2d 599 (2d Cir.) cert. denied, at: 104 S.Ct. 89 (1983) where the court said the banks would have been derelict in their duty to their creditors and stockholders if they did not keep a careful watch on the debtor.

The lending officer did not wake up one morning and decide it would be a good idea to put a keeper in the dealership. In the typical case, the dealership had either been experiencing financial difficulties for a period of time, or a series of floor checks revealed the dealer had “sold and unpaid” vehicles of such an unusually high proportion to monthly sales, that the lender classified the vehicles as being sold out of trust. In either situation, a prudent lender must view the dealer from a different perspective.

No one can predict what a person will do under the continued pressure of serious financial difficulties. By the time a lender puts a keeper in a dealership, the burdens the dealer is shouldering have been growing for some time. The dealer usually does not fully comprehend the extent of the strain under which he or she has been functioning; but, when one faces numerous negotiations with creditors, endless days of chasing cash to make payroll and pay bills and does not have enough cash to purchase and keep a good trade, one’s judgment becomes clouded. An experienced lender knows that a normally rational person can do most anything when placed under a sufficient amount pressure, for a sufficient amount of time.

When the keeper appears, the dealer rather than being vengeful or hurt should realize the dealership needs professional help and seek it. There are many ways to continue operating a dealership with a keeper and to resolve the situation, re-capitalize the store, or sell the dealership at a fair price, vis-à-vis a fire sale.

In most instances, a keeper is placed in a dealership upon the mutual consent of the dealer and the finance company. At the meeting preceding such an action, it is wise for the parties to identify, agree to and understand the specific duties and corresponding actions, of the keeper.

The Keeper’s Affirmative Duties

Although the primary concern of the keeper lies in the care and custody of the floored vehicles, in most instances the lender also holds a security interest in all or part of the dealership’s assets. Consequently, the keeper will want to be and should be aware of the dealer’s attitude towards assets other than the floored vehicles and should report to the credit company any indication on the part of the dealer to dispose of any such assets.

The keeper, usually more than one person, will be at the dealership every business day from the time the first employee arrives, until the last employee leaves. The keeper should be responsible for:

(1) The condition, location and security of the pledged assets;

(2) Keeping the vehicles’:
a. Ignition Keys
b. Dealer License Plates
c. MSOs and / or Invoices and other documentation required to transfer title.

(3) Being present when the mail is opened;

(4) Taking custody of the cash and checks;

(5) Taking custody of the unused check stock;

(6) Supervising preparation of the bank deposit and agreeing upon whom will make the deposit;

(7) The disposition of proceeds on contracts of sold vehicles, to be sure the money gets to the proper parties;

(8) Arranging for third party finance companies, which purchase the dealer’s contracts, to include the lender’s name on proceeds checks, or, in the alternative, to refuse to permit the dealer to contract a sale to other finance companies;

(9) Being responsible for protecting the vehicles after the dealership closes; if the vehicles cannot be blocked from exiting the facility, via a fence and “blockers”, a security guard should be hired;

(10) Establishing a means of maintaining a running, daily, or semi-daily, inventory control of unsold vehicles. Only one vehicle at a time, for which the lender has not received payment, should leave the dealership, whether of not that vehicle is floored;

(11) Being aware of the activities in the Parts Department and its employees.

Courts have approved of lenders controlling the release of the bank’s collateral, depositing all accounts receivable in a special banking account and requiring the counter-signature of the bank’s agent for all payments from the special account [Ford v. C.E. Wilson & Co. Inc., 120 F.2d 614 (2d Cir. 1942)], receiving regular reports on the accounts payable activity, receiving estimated weekly expense budgets [Edwards v. Northeastern Bank, 39 N.C. App. 261, 250 S.E. 2d 651 (1979)], proffering advice to the dealer, even coupled with a decision to withhold credit [In re Beverages International, Ltd., 50 Bankr 273 (D. Mass 1985), requiring the debtor to hire a consultant acceptable to the bank in the management and sale of the company, requiring the debtor to implement a lockbox with respect to its receivables and requiring certain individuals to pledge their stock in the debtor, to the bank [In re. Technology for Energy Corp, 56 Bankr. 307 (E.D. Tenn. 1985).

Acts a Keeper Should Not Perform

If the work-out plan ever deteriorates and/or the relationship becomes hostile between the lender and the dealer, or creditors or employees of the dealer, the keeper’s will come under the scrutiny of a court. In such a case, those actions could be the beginning of a basis of liability or exoneration for the lender. In order to best protect the lender, the keeper should be aware of the following:

(1) The lender has an affirmative duty not to unnecessarily, maliciously or promiscuously disclose the financial condition of its debtor and any unauthorized disclosure could be a basis for both compensatory and punitive damages. Rubenstein v. South Denver Nat’l Bank, Case No 86CA0840 (Colo. 1988);

(2) Participating in board meetings and exercising decision making authority with respect to the day to day operations of the business could make the lender liable for all of the debts of the debtor. Lurgen, Liability of a Creditor in a Control Relationship With Its Debtor, 67 Marq. Law Review 523 (1984); See too: Restatement (Second) Agency, Section 14-0, Comment “a”;

(3) Evidence of personality conflicts with the borrower could support a bad faith claim by the debtor. K.M.C. v. Irving Trust Co., 757 F.2d 752 (6th Cir. 1985)

(4) Making threats which the lender is not prepared to carry-out, may support a fraud action against the lender. State Nat’l Bank of El Paso v. Farah Manufacturing Co. 678 S.W.2d 661 (Tex. App. El Paso 1984).

(5) Misleading a lender who intends to refinance the debtor, as to the debtor’s financial condition may result in liability to the third party lender. General Motors Acceptance Corporation v Central National Bank of Mattoon, 773 F.2d 771 (7th Cir. 1985).

Note too: while a factory does not seem to owe a duty to protect a lender’s floor plan status, to inform the lender of the fact that the dealer is going to sell, there is a triable issue of fact as to whether or not the factory has a duty to disclose the foreseeability of the dealer going out of trust. Beneficial Commercial Corp. v. Murray Glick Datsun, Inc. 601 F.Supp. 770 S.D.N.Y. 1985).

Procedures for Handling Insurance and Service Contract Monies

Some lenders have experienced staffs, which understand the above issues and problems. In any case, the dealer should be aware of them and should open new trust accounts. The accounts should be opened at a separate bank, in order to avoid any misunderstandings. If the lender wishes to audit these new accounts, that is fair. If a lending officer threatens to penalize the dealer for protecting the customer’s money, he or she is being unreasonable and the dealer should ascend the chain of command until reason prevails. If reason does not prevail, the dealer has hard evidence of the lender creating an untenable position, which evidence may prove useful at a later date.

The handling of the premiums for life, accident and health insurance, and for service contracts, does not create a problem, if a routine is established. Always, with respect to insurance premiums, and usually with service contracts, the sale is covered under a security agreement. The lender and dealer should agree that all “time sales” will be restricted to the lender, unless a third party financing company agrees to put the lender’s name on the proceeds check, which usually does not happen.

When a time-sale is being arranged, advance approval of the lender is should be required. Subsequently, when the contract is offered to the lender for purchase, the lender should deduct the amount necessary to release the flooring. If the proceeds of sale are insufficient to clear the flooring, the keeper should have already deposited the cash down payment, and/or have taken possession of the title to the trade-in.

The proceeds of sale, in excess of the flooring, are given to the keeper, who supervises the deposit of the service contract and insurance monies to the trust account and the mailing of the premiums to the appropriate insurance companies. If possible, the pay-off for the traded vehicle is also made from the general account of the dealership.

The above process, while time consuming, is necessary. The parties should appreciate the understanding, patience and cooperation needed from each other in order to make the operation run smoothly. If either the keeper, or the dealer, has a problem working with the other, the problem should be discussed with the keeper’s superior and resolved, or a new keeper assigned.

Procedures for Handling Payroll Monies

With respect to payroll monies, the dealership should continue with separate payroll account and the lender should agree to permit a payroll large enough for sufficient personnel to run the dealership in order to complete whatever stage of the work-out plan the parties have reached. If the dealership is winding-down sufficient payroll should be allowed for a “skeleton crew” to prepare the dealership for sale, or closing. Equipment will have to be guarded and maintained. Secretarial and accounting work will have to be completed. With respect to sales people, although they do fall within the minimum wage laws, they only get paid a commission if they make a sale and, if they do, they probably will have sold the asset for more money than the lender would get at an auction. The source of funds to cover the dealership operations is discussed in the next section.

Commissioned Salespeople

As mentioned, the commissioned salesperson gets paid a commission if and only if a contract for the sale of a vehicle cashes. They represent the best means of obtaining full value for the lender’s security. Consequently, the lender, regardless of its security interest, would probably be wise to subordinate its interest to the extent necessary for the sales people to earn a reasonable commission.

Closing a dealership is covered in another article. At this point, it is enough to mention that a lender, liquidating foreclosed vehicles, would have to deduct transportation, insurance, storage and auction fees from the forced liquidation sales prices of any vehicles it sold, before receiving any monies itself. Therefore, the amount of a salesperson’s commission for selling vehicles, net of the foreclosure costs, would appear to be a good investment, on the part of the lender.

An interesting question arises as to whether or not the lender has an implied duty, knowing the sales people are liquidating the inventory for the benefit of the lender, to inform the sales people that it, the lender, intends to keep all of the gross profit from the sale; and, further, if the lender, knowing it does not intend to allow the sales people to be reimbursed for their efforts, says nothing, do the sales people have an action against the lender?

In any event, the payment of employees (salaried or commissioned) should be made by the dealer from a separate payroll account. The account should be funded under the supervision of the keeper, but the lender’s employees should not participate in distributing the funds. Note: Participation in distributing the company payroll could make the lender liable for taxes. 26 USC 3505 and 6672.

Division of the Discretionary Income

Vehicle Income

If a lender maintains a security interest in the dealer’s vehicle inventory and if the dealership has collected and spent money for vehicles which have been sold, without reimbursing the lender for those vehicles, then the dealership’s gross profits from all future vehicle sales should be applied to reduce the number of sold and unpaid units. The cash profits from such sales should be applied immediately to the lender’s debt, such as vehicle gross profit, finance and insurance commissions and service contract profits. Factory rebate money and incentive monies should be assigned to the lender and applied to the borrower’s debt only upon receipt of the actual cash.

Service Department Income

Unless the dealership is averaging a 100% service absorption rate of its fixed overhead expense, which is unlikely, trying to operate a dealership on the service department’s income will be difficult, if not impossible. If the lender is unable or unwilling to allow these monies to be applied to the general operating fund of the dealership, it means the lender has decided to close the dealership, whether it believes so or not.

The service department monies include gross profits from parts, service, labor and the body shop, if the dealership has one. The percentage of all fixed overhead expenses covered by this profit reflects the dealership’s absorption rate.

If the dealership is being sold or closed, these monies should be used to complete the payrolls necessary to accomplish an orderly transition or liquidation.

As always, consult with a qualified attorney whenever dealing with out of trust situations.

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Military Hospital Abuse and Filing Medical Malpractice Lawsuits

Anyone that has kept up even remotely with the news over the last two years is very aware of the many atrocities that have occurred at military hospitals especially those for veterans or Veterans Affairs hospitals. Despite the fact that these hospitals have probably been engaging in reprehensible behavior for years, it finally all came to light when the story about the extreme negligence and abuse regarding patients at Walter Reed hospital in Washington DC broke. It was then found out that many of these hospitals had negligent and sub par staff, dirty and unkempt facilities and countless instances of medical malpractice.

One of the reasons that these hospitals were able to operate in the manner that they were for so many years was because of the many restrictions the militarily makes when an individual signs up for duty. One of the things that an individual gives up when he or she decides to become a member of the military is the right to sue the government. Suing a military hospital counts as suing the government, so many people suffering from abuse did not go about bringing medical malpractice lawsuits against these hospitals. As a result, the hospitals continued to degenerate. Lawsuits can be an incredible way to keep hospitals and other organizations in check.

But despite this huge restriction, there are ways around it. The best thing that someone that has suffered from abuse or negligence at a military hospital is to get a close relative to file the lawsuit instead of him or herself. One other thing is that a patient who is not on active duty may have grounds in certain cases to file a claim.

There are many medical malpractice cases that can be filed in regards to these hospitals. Atrocities that may occur include:

• Mistreatment
• Misdiagnosis
• Delayed diagnosis
• Wrong amputation
• Wrongful death

If something has occurred to you or someone you love while staying at a military hospital, the following can legally file a claim against the hospital:

• Someone who is married to a current soldier
• The child of a current soldier
• A retired member of the armed forces

Do not let these restrictions keep you from reaching for justice.

To find out more about filing claims against military hospitals, visit the website of Washington military hospital claim lawyers of Fuller & Fuller today.

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Cardinal Hill Rehabilitation Hospital, Lexington, KY – Premier Post Acute Rehab Specialists

Opening in 1950 to treat childhood victims of polio, Cardinal Hill Rehabilitation Hospital has evolved into a 108 bed physical rehab facility that provides premier services to post acute patients from Kentucky and across the nation. Patients and family visiting from outside of Lexington have an attractive selection of hotels in Lexington, Ky from which to choose.

Owned by the Kentucky Easter Seals Society, Cardinal Hill’s mission is to assist people with limiting disabilities to achieve as much independence as possible. The hospital is accredited by CARF, or the Commission on Accreditation of Rehabilitation Facilities, and serves over 9,000 adult and child patients every year, meeting their physical rehabilitation needs via healthcare services provided in outpatient, inpatient and at-home settings. It is one of the largest physical rehabilitation centers in the Commonwealth and can be visited from various hotels in Lexington, Ky.

Inpatient care is provided at the Hospital and includes services for end-of-life, elderly/disabled, and infection. Outpatient care is provided through the Cardinal Hill Pain Institute, Outpatient Clinic, Home Care Services and Adult Day Health. Services rendered through these facilities and programs include physical rehab, geriatric services, sports medicine, wound management, arthritis center, home health, fitness center, and more. Patient and family support services are also provided for assistance with government services, translation, support groups, transportation, and chaplain/pastoral care.

Cardinal Hill Rehabilitation Hospital specializes in a variety of injuries and conditions which require extensive rehab treatment. Such specialized services include treatment for brain injury, spinal cord injury, amputation, neurological and orthopedic conditions, and other conditions which are traumatic or disabling. Those requiring Cardinal Hill’s specialized rehab services will find wonderful accommodations in the many hotels in Lexington, Ky offered throughout the city.

The hospital also contains several therapeutic pools to help patients progress in their treatments and are easily accessed from nearby hotels in Lexington, KY. These pools include a Therapeutic Pool with a maintained temperature of 95ºF, a Therapeutic pool maintained at between 86-88ºF, and another pool that provides swimming resistance. These pools can be accessed via ladders, stairs, zero entry ramps, or chair lifts.

The Rehabilitation Unit opened in 2005 and is housed within the Hospital. The unit contains semi-private rooms, meets the rehab needs of inpatient guests and utilizes state-of-the-art techniques administered by skilled rehabilitation professionals. The goal of this specialized unit is to treat orthopedic problems and mild neurological conditions as well as to help de-condition patients who are not qualified for acute physical rehab.

If you have a debilitating physical problem and live in Kentucky, or live outside of the state but cannot find adequate physical therapy assistance, contact Cardinal Hill Rehabilitation Hospital to help you or a loved one recover a more independent life. Should you need a place to stay during your visit to Cardinal Hill, book a room at one of the many luxury, mid-range, or budget hotels in Lexington KY, where you will be greeted with Kentucky hospitality and inviting accommodations.

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How Do I Choose the Right Hospital For My Needs?

The first step in choosing the proper hospital is determining how you are going to pay for your medical care. Hospital stays average tens of thousands of dollars. Make sure that your health insurance provider will pay for your treatment at a specific hospital. If you're having a scheduled procedure, most insurers require that you get pre-approval to guarantee that the hospital bill will be paid.

For emergency care, the same consideration needs to be made. Choose a health plan that will cover treatment at the hospital of your choice. Although it is true that no US hospital can deny you treatment for lack of insurance, it's also true that someone has to pay for that treatment. You might get admitted to an emergency room for a broken leg and next month receive a bill for a $ 700 X-ray, a $ 1,000 ER fee, $ 2,000 for the resident and $ 500 for pain medication. Just because you must be treated by law, it does not mean you'll be treated for free.

Ask friends and family about hospitals in your area. Everyone's experience is different, but you'll get a good idea of ​​what a hospital is like by surveying answers about the hospital staff's attitude, the comfort of the rooms and the quality of food in patient rooms as well as the cafeteria.

Compare the quality of care in a particular hospital with others in the same area. Review many factors before making your hospital decision. A good place to begin is at the US Department of Health & Human Services' Hospital Compare website. This is where people can see how hospitals compare to one another on a statewide or national basis pertaining to a specific illness or treatment.

Check hospital accreditation with the Joint Commission which has been accrediting hospitals for more than 50 years. This organization is a non-profit, independent group that certifies more than 15,000 health care organizations in the United States. This accreditation is recognized nationally to guarantee a hospitals commitment to meeting high standards for performance.

Make sure the hospital of your choice has experience with your condition, whether you are having a baby or need open heart surgery. Various hospitals have reputations for treating specific illnesses. Quantity is not an indication of quality, but it's always good to go to a hospital that has the most experience treating your condition, especially if it is serious or rare.

Make sure your doctor or specialist has privileges at the hospital of your choice. If you go to a hospital where your doctor is not allowed to practice, you will be under the care of a different doctor, not your own.

Choosing the right hospital can mean the difference between life and death. Take time to accurately assess your needs and determine which institution will provide the best care for your particular condition. Plan ahead so you are not faced with choosing a hospital in an emergency situation. When a crisis arises, you will have already resolved the issue of which hospital is best for you.

Resources:

The Joint Commission, One Renaissance Blvd, Oakbrook Terrace, IL 60181, 630-792-5000

http://www.jointcommission.org

US Department of Health & Human Services, 200 Independence Ave, SW, Washington, DC

http://www.hospitalcompare.hhs.gov

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Comfort Zone of the Hospital Industry

Space & furniture make up the the room live & ardent. Be it the house or the hospitals, furniture find out its own space under the roofs. The furniture is coordinated well to make the room as a source of comfort. When it comes to choose or to make furniture for the hospitals, the manufacturers & suppliers become a little bit cautious. We proclaim the hospitals as a healthcare institutions where the level of comfort of the furniture become too important. The hospital beds, tables, stretchers & wheel chairs all are made to provide a higher degree of comfort & composure.

Now, the hospital beds, lockers, wheel chairs all work in unison thus keeping the stigma at bay. The stigma is that the the hospital furnitures are cold & sterile, usually supposed. It is the time now to procure the hospital furnitures like trolleys, wheel chairs, pediatric beds and the alike to gain which are easy to clean & repair. When the pediatric beds are taken into account it is suggested that these should have an adjustable head support so that the mother & baby can enjoy the maximum comfort. Similar is true for trolleys & stretchers which are urgently required in emergencies.

People want to be friendly & pretty comfortable with the accessories they are using. The degree of comfort depend upon several factors. Age factor is one of the must taken account. For the young adult, kids & the granny types they have the varying degree of comfort. Perhaps, the granny types want more comfort according to the ailments they have. The hospital beds & examination tables are one of the several examples of the hospital furniture. The right dimension of the hospital beds & the tilted examination tables are the kind of comfort approved furniture. Although a saying goes on “hospital is to die and doctors need not be befriended”. Therefore it is necessary to make the hospital zone to offer the optimum comfort.

It is high time to realize that the hospital furniture procured should give a “look & feel” pattern of home to the patients who are reluctant in spending their course of time in hospitals or in any rehabilitation centers. The patients can’t sustain alone in the hospitals and require someone close to him. The http://www.amtechindia.net/hospital-beds-tables.html ward care beds where the patient is resting reliably even require someone by his side (attendant) for the proper care & help. The attendant bed is required for such attendants. The “look & feel” factor do not come as such. The bedside lockers are offered to keep the belongings as is done in the closet or shelf of the home. The deluxe bed side lockers offer more comfort and ease for the patients & the attendants to keep the belongings.

Similarly the bedside screens give more privacy for them. The foot step & crash cart are again said to be an adjunct of comfort & luxury for the hospital industry. All the accessories are said to be incomplete without mentioning hospital garments and blankets. These hospital garments & blankets come in different patterns to make the patient feel comfortable of what they wear. Totally neat & clean and free from germs, the garments & the blankets incorporate antibacterial protection. At least the patients can flaunt of the cleanness of the garments they use!

In this ultra modern age, progress is prevailing everywhere and in every stuffs…be it the household equipments, heavy machineries or in the hospital industry, the hospital industry has taken a giant leap in the stuffs it is using. The doctors & paramedics are now boosted towards their work. The patients are healed properly & quickly. They are recovering faster. Thanks! To these hospital furniture.

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World Class Hospitals in Dakar, Senegal

Dakar is the capital and largest city of Senegal and homes National Assembly of Senegal. Dakar, located on the western edge of Africa is a major regional port and also a well-known commercial and administrative center. Dakar is a member of the Organization of World Heritage Cities. Dakar was the finishing point of the famous Dakar Rally (‘Paris to Dakar Rally’) up to year 2009.

Dakar has a number of hospitals in both public and private sectors. Nevertheless, health care centers of global standard with modern facilities are not so common in the city. Still some of the leading hospitals in Dakar are well equipped and offer good quality health service.

This is a note on some of the popular hospitals in Dakar.

The Principal hospital is the oldest and most popular public hospital in Dakar and is located at 1, Avenue Nelson Mandela, Dakar. This huge hospital established by the French Empire in 1890 belongs to the Great Colonial Hospitals, the world famous network of hospitals in former French colonies. The hospital which was operated by the Colonial Health Service with the help of French government has a small beginning as a military hospital and then, after more than a century of existence, developed in to an internationally renowned modern hospital that offers best and cost effective health care service to a very large number of native and foreign people. They have also established a second general hospital in Dakar named Le Dantec Hospital with more than thousand beds in 1912.The hospital offers modern medical service in all major disciplines and employs eminent doctors including some famous French doctors. The hospital has all sophisticated medical equipment and is keen to keep international standard in all their operations. The dense vegetation and tropical gardens around the hospital as well as the comfortable rooms provide a very pleasant stay for the patients. This famous research and training center has a separate school for nurses and midwives in the same campus. Tel. (+221) 33 839-5050. Emergency Services Tel.: 839 5050 Ext. 5294

Clinique du Cap is one of the major private hospitals in Senegal and the hospital is situated at Avenue Pasteur, near old Palais de Justice. B.P. 583. Dakar. This excellent hospital offers high quality clinical, diagnostic and surgical service in all major areas of medicine like departments of general medicine, cardiology, neurology, ophthalmology, pediatrics, obstetrics and gynecology, dermatology, orthopedics, trauma, respiratory allergy, anesthesia, urology, rheumatology, proctology, radiology, plastic and reconstructive surgery and oto-rhino-laryngology. The hospital is well equipped with four operating rooms, maternity unit with modern facilities, pediatric and neonatology unit with various incubators, Intensive Care Units and special adult ICU. Their general biology laboratory and reproductive biology laboratory provide service in hematology, immunology, bacteriology, biochemistry, parasitology, hormonology, cytology and Vitro Fertilization (IVF).The hospital has all sophisticated medical equipment needed to deliver effective health care which includes medical imaging unit, dental X-ray device, two mammography, three mobile X-ray, a bone densitometry unit, an apparatus color doppler ultrasound, a helical CT.,two image intensifiers for surgery and MRI magnetic imaging unit. Clinique du Cap offers excellent accommodation in spacious and air-conditioned rooms as well as various delicious dishes. Special Deluxe (VIP) rooms are also there. Their urgent medical assistance service (S.A.M.U) is also remarkable with fully equipped ambulance and modern devices like cardio scope, respirator and pulse oximetry.. Tel. (+221) 33 889-0202

Clinique de la Madeleine is another renowned hospital in the city that offers quality health care service of global standard. This seven-floor multidisciplinary hospital is situated at 18, Ave. Des Jambaars, Dakar. This modern private hospital has 70 beds provided in 50 air-conditioned and comfortable rooms. In these 35 rooms are single, five are suites and 12 are two bedded rooms. Clinique de la Madeleine offers effective diagnostic, clinical and preventive medical service in all major departments of medicine and their well equipped Department of Surgery with two operating theaters and one post-operation observation room provides service in areas like emergency surgery, elective surgery and plastic surgery. Eminent psychologists, dieticians, speech therapists and osteopaths are also practicing in the hospital. The operation theaters and allied rooms are equipped in accordance with the recommendations of the SFAR and perform 720-800 regular and emergency operations annually, of which 30-40 % are laparoscopic. The hospital has modern ICUs and 3 delivery rooms where about 1,000 deliveries are conducted each year. Their pediatric unit is also noteworthy with various types of incubators and intensive phototherapy lamp, all manufactured by the MEDIPREMA. The Laboratory of Clinique de la Madeleine is remarkable with excellent service in hematology, biochemistry, serology, and bacteriology. The hospital has discovery room, radiology unit and hemodialysis unit. Clinique de la Madeleine is well known for using the latest medical technology and possesses all modern medical equipment ike cardiac and vascular ultrasound Doppler, Holter ECG and Holter blood pressure, a helical CT, an MRI, stress test echo Doppler, ultrasound endoscopy, scanner etc. Tel (+221).33 821 9470/ (+221) 33 821 9476

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Hospital Linen Chutes and Bacterial Contamination

Linen chutes have been used in hospitals for many years now, but there was a time when chutes were considered a bacterial hazard. The suspicion came not from the fact that the trash chute discharge and laundry chutes doors were not properly cleaned and maintained, but from a concern that contaminated air circulated from one floor to another through the chutes. The installation of chutes has been discontinued for a period due to this suspicion followed by the publication of numerous articles in the papers about this subject. However, carrying the trash and dirty laundry ten flours down was even more troublesome and it lead to waste and laundry pilling up for a couple of days until they were finally disposed of. This became an even more serious problem in the end considering the importance of a clean environment in hospitals. Soon after, the idea of using chutes again became again popular and the problem with the bacteria infection potential was easily solved by adding a ventilator to the chutes used in hospitals and later on by changing the whole design of the chutes.

Linen disposal chutes from several hospitals in America have been studied to verify the statement that airborne bacteria infestations were aided by the use of chutes in hospitals. The idea was that the air movement caused by the upward convection of air or the stack effect and the pumping of air that followed the discharge of linen down the chute. The conclusion of the study was not clear, but it showed the potential danger chutes that are not properly maintained and cleaned had. It also showed the importance of chute doors that closed automatically and air vents. The problems detected in the past have been solved with the help of innovative engineering and the latest technology has also allowed the apparition of even safer linen disposal chutes. Garbage and laundry chute today use advanced technology to ensure the safety of the users. From automatic doors to fire proof doors, the number of improvements brought to the modern chutes has increased tremendously in the past few years. Today, all modern linen chutes are equipped with a laundry chute fusible link.

All in all, trash and laundry chutes are a must in commercial buildings and hospitals. While bacterial contamination was a good reason to discontinue the use of chutes in the past, today, the problem has been solved with the help of modern technology. In fact, the need for chutes is even bigger considering the fact that the tendency is to construct higher and bigger buildings. The measures taken against airborne bacteria contamination include airtight chute doors with automatic shutting, deceleration tracks, the introduction of special fans and a better engineering construction of the entire chute. Nowadays, people have started to use trash and linen disposal chutes in their homes as well, saving them the effort of carrying laundry and garbage down the stairs to the basement and not allowing waste to deposit inside the house putting their health at risk.

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The Responsible Builder's Guide to Surface Protection for Hospital Renovation Projects

Although the construction industry was severely damaged by the Great Recession, there is one particular area where business is growing; hospital construction and renovation. Due to the increase demand for healthcare services by aging baby boomers, hospital construction and renovation projects have increased dramatically in the past ten years and will continue to grow in the future. According to McGraw-Hill Construction Research and Analytics, health care construction has increased six percent during 2011, outperforming the overall non-residential construction market. Although undertaking a hospital renovation project can be highly lucrative, there are many important rules and regulations that require full compliance by the contractor. Failure to meet these regulations could result in lawsuits or even worse, in the deaths of hospital patients. To avoid calamity, there are several extremely important things to know upon beginning renovation.

First and foremost, builders must meticulously contain dust disturbed by renovation activities. Allowing airborne particulates to circulate through the hospital could mean death for sensitive patients. On a hospital renovation jobsite at St. Joseph's Hospital, Inc. In Tampa, FL, three children battling leukemia, ages two, five, and nine died after contracting fungal infections. The pathogenic fungi was released and circulated through the air conditioning systems from construction activities on the floor below. To avoid tragic scenarios such as this, builders must contain dust particulates as much as possible.

Secondly, while accessing electrical panels and ceiling wiring, subcontractors should use mobile containment units with negative air pressure to fully contain dust. Mobile containment units are small, portable enclosures that allow builders access to ceiling and wall panels without permitting particulates generated from sanding, drilling, etc. to circulate through the air. A few businesses allow contractors to rent mobile containment units but for large scale projects, investing in one or two will save time and money in the long run. For more details about mobile containment contact your local surface protection suppliers.

Another important aspect of dust control for primary contractors on the renovation project is preventing the spread of dust from subcontractors. Large-scale renovations typically require tens or hundreds of workers, and since meticulously preventing the spread of dust is so critical, these workers must all make a great effort to avoid contamination. Employee education is a great place to start, along with the requiring workers to wear personal protection. In order to help you comply with regulation there are several products that may make a huge difference; sticky mats, shoe covers, and coveralls. Require subcontractors to wear shoe covers and use fresh pairs as often as necessary. Install a sticky mat at each door entrance. Many adhesive mats are inexpensive and available in packs of four with thirty pages on each mat, so make sure to replace sticky sheets often.

A third important point is to be aware of fire-resistance requirements for your protection materials. When installing Zipwall ™ systems for dust control or protecting a newly-installed concrete floor, use products that are certified as fire-resistant to avoid violating regulations. Large 4 'x 8' sheets of fire-resistant corrugated plastic are also great for protecting wall panels, floors, doors, and more. Coverguard ™ is another great option for a fire-resistant floor protection product that meets hospital renovation requirements.

These are only a few recommendations for preventing dust and protecting valuable fixtures during hospital renovation projects. For more information, contact Pat Mullen at Builders Site Protection and check out the OSHA website for easy-to-follow guidelines to understanding and fully complying with regulations.

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The Importance of Mapping Out The Quickest Route to The Hospital

We can’t always predict when we are going to have to go to the hospital. In the event of an emergency, you don’t want to waste time mapping out the quickest route to the hospital of your choice. Nobody wants to think about having an emergency that results in a hospital visit, however, we need to be prepared just in case. For instance, when we were pregnant with our twins, we could never have predicted my water breaking at just 28 weeks in the middle of the night. We knew which hospital we were going to use, we knew where it was located, but we hadn’t mapped out the most direct route. Our route took us to a “no left turn” which resulted in having to go around the block to get to the hospital, costing us 5 minutes. In an emergency situation, 5 minutes can seem like forever and could negatively affect your medical emergency.

First you need to choose your hospital of preference. In a small town, it isn’t hard, but in larger cities you might have over 5 to choose from. Once you pick a hospital, do a dry run to the hospital. Take note of one way streets, stop lights, school zones, etc., anything that might affect how long it takes you to get there. Take time to familiarize yourself with the surroundings and alternate routes in case of road construction. Keep the directions and hospital contact information in your car or in your wallet in case you get lost. Mapping out the quickest route to the hospital is easy and could save you valuable time in the event of an emergency.

If you have a pending trip to the hospital, such as the inevitable birth of your child, mapping out the quickest route to the hospital is even more imperative. However, you shouldn’t wait until you know you will be going to the hospital to do a dry run. Don’t delay the important task of mapping out the quickest route to the hospital any longer. It could save your life or the life of someone you love.

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