Fieldset
Day - 1

The new nomenclature, because we are delaying Day 0 (defined as the first day we care for patients in the new hospital), means that tomorrow is day x1, followed by x2 and x3. The new day 0 will be Monday.

The new nomenclature, because we are delaying Day 0 (defined as the first day we care for patients in the new hospital), means that tomorrow is day x1, followed by x2 and x3. The new day 0 will be Monday.

Today, I took the supervisors of each service to Solidarité, on a tour of the hospital ("My name is Wendy, I'll be your tour guide for today, and our first stop is reception and triage..."). It was a good opportunity to explain what has been done, how we plan for the hospital to work, and what is yet unfinished. This led to a natural segue to the delay of opening day.

Much of the electrical wiring in key places was finished today. And someone explained to me the fridge plan. It's complex. We were expecting to receive some units of blood from the Haitian Red Cross this afternoon, as buffer stock while running two hospitals. The fridge in the lab has been malfunctioning for the last month, so despite having been moved into the new lab, and rested appropriately after having moved (apparently the coolant has to settle), it is really not reliable. The other non-reliable thing at the moment is the electricity supply: we do not have power 24h a day, so a standard fridge is not likely to remain cold. Some fridges can maintain a constant temperature without power, though. There is one in the pharmacy, and one in the office; but the office one, despite being brand new, has needed the technician to come to make it work. The pharmacy also has a standard fridge which can be moved to the lab as a replacement to the defective one.

So, the blood will be received in the pharmacy, since we do not need to access it until there are patients in the building on Monday. The temperature will be stable there without 24h electricity. On Saturday, we'll move the upright fridge to the lab, plug it in on Sunday (needs to rest after moving). By Sunday night, we will have reliable, constant electric service, so the fridge will get, and stay, cold, and the blood can go into the lab fridge on Monday morning.

Then there was the plan for the medicine cabinets, to stock and secure medications. I understand it but I can't describe it. It's even more complicated than the refrigerators.

We met with the VIP from Europe, which was an interesting experience. We waited and waited, then suddenly received a call that he was en route. Shortly thereafter, the police escort with sirens wailing pulled up, three SUV's sandwiched between. First to emerge were security guys in suits with earpieces, and an entourage of poorly identified functionaries. The VIP wanted only the briefest summary. They stayed about ten minutes, asked four questions, and left. For them, a ten-minute experience; for us, two hours out of our day.

My whole timetable for tomorrow has to change, since it was supposed to be Day 0. The re-framing will be my first task of the day, after rounds. I am too tired to do it now.