ANESTHESIA : SUPPLY AND DEMAND

Dr Hanouf Rawdhan FCARCSIAl-Adan Hospital Ministry of Health

AGENDAWho is behind surgical drapesWorking in most critical areasHospital survival !!Documentation of shortageAnesthesia care providers Increasing health care demands and specialized procedure Adan OTAvailable to provide complex care Poor workforce planningFewer anesthetists entering the marketUneven supplyProblem out of controlIntensivist directed care reduced LOSteleICU coverage demonstrated a benefit Longstanding shortage of Nurses, PT, RT Recruit train and maintainUrgent attention is neededAbsolute deficiency in spite of increased numbersOver the last 15 years : 2 staff members in universityOver the last 2 years : 2 undersecretary

Who is behind surgical drapes?

Working in most critical areas: Care of surgical patients Critical care and trauma patients Anesthesia outside operating room Pain medicine Obstetric anesthesia Ambulatory anesthesia Operating Room management Basic sciences and Clinical Research

Hospital survival !!

ADAN Main OT 2009Procedure room

8 7 6 5 4 3 2 1 Room

ENT OPH OBS GS OBS GS Sunday

ENT OPH ORT GS GS ORT Monday

ENT OPH OBS OBS FM Tuesday

ENT OPH ORT URO GS GS Wednesday

ENT OPH ORT URO GS ORT Thursday

ADAN Main OT 2014Procedure room

8 7 6 5 4 3 2 1 Room

END ENT OBS OPH OBS GS OBS GS Sunday

ENT OBS OPH ORT GS GS ORT Monday

PAIN ENT OBS OPH ORT OBS OBS FM Tuesday

ENT GS OPH ORT URO GS GS Wednesday

ENT GS OPH ORT URO GS ORT Thursday

MOH Hospitals Data : July 2014% Deficit Calculated Present Hospital

25% 28 21 Amiri

43% 52 30 Adan

34% 27 18 Chest

34% 45 30 Farwaniya

37% 44 28 Jahra

52% 66 32 Ibn Sina

20% 22 18 KCCC

13% 24 21 Maternity

44% 42 28 Mubarak

19% 33 27 Razi

43% 49 33 Sabah

75% 24 6 SAUC

ICU Services Intensivist directed care reduced

LOSteleICU coverage demonstrated a

benefit Longstanding shortage of Nurses,

PT, RT

Urgent attention is needed

Problem out of control Work Force Planning

Privilege?? Ministry of Health

Undersecretary. Kuwait University staff members.

THANK YOUو دمتم