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In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE BENEFITS/ NEEDS COST $ excluding gst QTY $250,000 1 $45,000 1 CLINICAL COORDINATION CLINICAL ELECTRONIC DATABASE The NETS clinical electronic database is the heart of the clinical coordination centre and crucial component in the delivery of NETS service. Currently NETS uses a 25 year-old DOS-based database which needs replacing with a more sophisticated system with links to hospital systems and other improved functionalities. A new database would: Improve efficiency of tasking and transport; resulting in improved patient outcomes. Reduce duplication of information entry by referring hospital, NETS, Retrieval team and Receiving hospital resulting in less error and greater efficiency. Provide a more user-friendly database Support critical decision-making by providing detailed information about capabilities and personnel at every hospital as well as comprehensive clinical information (including x-rays). Enable teams to enter and access information in transit. Allow growth with new technology as it becomes available. Report activity to assist improvement in quality of care. VIDEO CONFERENCING TERMINAL Video conferencing is a powerful tool, which provides a virtual meeting environment with a visual component. Video conferencing will improve NETS communication with other hospitals allowing staff to visually see a patient, which will help improve the treatment of a baby or child. With the advancement of technology, training is often done via video conferencing across the world. It is vital for staff to participate in training and education programs to ensure they are constantly informed and up to date within their specialised field in order to provide the best of care to our children. Page 1 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE BENEFITS/ NEEDS COST $ excluding gst QTY COMMUNICATION TECHNOLOGY Cordless telephone equipment for NETS teams to join conference calls $966 2 $9,525 2 $9,000 4 MEDICAL EQUIPMENT I-STAT PORTABLE LABORATORY This small hand-held device is used in conjunction with disposable cartridges to analyse a newborn or child’s blood for acid-base, oxygen, carbon dioxide, glucose and a range of other measurements. The analyser can be easily carried by the team allowing close observation of the child at all times while being transported. Consumable cost Disposable cartridges (box of 25): $242 Annual Service Maintenance: $1,800 pa VOLUMETRIC INFUSION PUMPS This compact electric pump provides the exact amounts of fluids or medications intravenously to newborns and children in the safest and most accurate way. The weight and size are suitable for the NETS Team to take on retrievals. Page 2 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE PERFUSOR SPACE PUMP BENEFITS/ NEEDS excluding gst QTY The Perfusor Space Pump is designed to safely and accurately deliver medication to newborns and children. The pump administers medication and fluids in tiny amounts intravenously to babies and children in the safest and most accurate way. This machine is precise, easy to use, extremely small, lightweight and robust, which is ideal for NETS retrievals. PHILIPS INTELLIVUE MP5 COST $ $3,000 20 $31,000 5 $27,000 1 This vital piece of equipment closely and accurately monitors the deterioration or improvement of a babies or child’s health condition. This machine monitors the babies or child’s vital signs, including, their heart rate, respiratory rate, oxygen saturation levels and blood pressure. Consumables (carbon dioxide analysis): Single use cuvette for a child: $32 Box of 24: $672 Box of 10: $320 Single use cuvette for a baby: $38 OXYLOG® 3000 The Oxylog® 3000 offers sophisticated non invasive ventilation for babies and children in emergency situations and during transport in and between hospitals. The machine has a wide range of ventilation modes and monitoring options for critical care patients. It is robust and transportable, eliminating the need to interrupt ventilation of the patient during transportation, resulting in improved patient care and outcomes. Page 3 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE NEOPUFF™ INFANT RESUSCITATOR BENEFITS/ NEEDS COST $ excluding gst QTY The Neopuff™ resuscitator provides safe, controlled and accurate resuscitation of newborn babies and infants. A baby or child requiring help with their breathing is gently administered oxygen at controlled rates, with safely controlled pressure to open the lungs during resuscitation. The levels are constant and automatically maintained for every breath, resulting in a safe and controlled delivery of oxygen. Consumables: Neonatal Resuscitation Circuit with mask (pack of 10) :$130 Neonatal Circuit and Drying Tube (box of 10):$672 Midline Nasal Tubing (pack of 5) :$100 Nasal Prongs (pack of 10) :$120 Infant Bonnet (pack of 5) : $110 Headgear (pack of 5):$140 Chin Strap (pack of 10) :$78 1,525 7 $1,100 2 EMS IMMOBILE-VAC BODY MATTRESS. EMS Immobile-Vac Body mattress is similar to wrapping a child in a blanket but is used as a restraint. The pliability of the mattress enables the NETS Team to maintain an open airway and the styrofoam inner beads act as an insulator to help keep the a child warm. LIFE SUPPORT SYSTEMS Page 4 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE BENEFITS/ NEEDS COST $ excluding gst QTY NETS systems are specifically made by NETS and are self-contained, modular units with inbuilt power and medical gas supplies. They have most of the facilities normally available in an intensive care unit. INFANT TRANSPORT Infants and young children can be transported on an Infant Transport System which is suitable for SYSTEM patients up to about 30kg. PAEDIATRIC TRANSPORT SYSTEM comprising: Williams stretcher/gas & power module: $100,000 Electric trolley: $14,700 Life support Bridge : $117,000 $231,700 1 $143,700 2 $15,000 2 Older paediatric patients are carried on a paediatric Transport System includes a lightweight bridge consisting of infusion pumps, Oxylog ventilator and multi-function monitor. comprising: Stretcher: $12,000 Electric trolley : $14,700 Life support Bridge: $117,000 STRETCHER Stretchers are very important piece of equipment required to safely move children up to 16 year of age. Page 5 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE BENEFITS/ NEEDS COST $ excluding gst QTY MEDICAL TREATMENT PER CHILD PER BABY The average cost of specialised drugs and consumables used during retrievals. Donors may wish to support one or more children The average cost per child The average cost per baby $750 $950 ea ea $127,286 57,005 70,281 1 1 1 VEHICLES MERCEDES SPRINTER AMBULANCE NETS uses these ambulances to travel to hospitals in and around Sydney to bring intensive care staff and equipment to the bedside of sick or injured babies and children. They are then transported to a specialist teaching hospital for continuing care. Mercedes Benz 315 long wheel based Sprinters is a longer vehicle and can accommodate two of the NETS life support systems; one loading from the rear like a regular ambulance and the other sideloading. Life support equipment for a baby or infant and an older child can be carried simultaneously. This capability also permits a NETS team to be diverted from one mission to another without returning to Base for a change of equipment and also allows the transport of two patients simultaneously (e.g. twins). The extra space permits additional staff (e.g. for training or particularly complex cases requiring extra skills), larger supplies of medical oxygen and medical air and a guarantee that a parent can travel with their child; if desired. Page 6 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE BENEFITS/ NEEDS KEEP A NETS ROAD AMBULANCE ON THE ROAD FOR A YEAR Cost includes: Fuel, oil, tyres, maintenance Registration and insurance Toll charges Satellite navigation updates Communication charges (radio & telephone) Medical gases SATELLITE PHONES The satellite phone is a vital piece of communication equipment required for areas where there is no mobile phone coverage. A satellite phone is fixed in the NETS Ambulance to ensure conferencing calls to NETS Headquarters can continue or take place in remote areas at any time to discuss the critically ill babies or child’s health status. This is an important component in the NETS retrieval process. ASSORTED DVDS excluding gst QTY $16,889 per year $1,985 2 $1,000 7 $995 7 Each NETS Ambulance is equipped with a DVD player to help children focus on something pleasant and to comfort them rather than concentrating on their illness or injury. NETS retrieves boys and girls up to the age of 16 years and requires an assortment of DVDs for each of its seven Ambulances. SATELITE VEHICLE TRACKING SYSTEM COST $ A global positioning satellite device installed in each NETS Ambulance will allow each vehicle to be tracked by NETS Clinical Co-ordination Centre. Data from each ambulance will be transmitted into the NETS data centre at NETS Headquarters, allowing each ambulance to be tracked in real time and viewed on screen. The location of the ambulance will be visible at all times showing the route the vehicle is travelling. The information provided by this device will assist in the transportation of babies and children and help determine the arrival and destination times. Page 7 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE BENEFITS/ NEEDS COST $ excluding gst QTY RESEARCH RESEARCH FELLOWSHIP Children are our future! NETS is keen to increase its knowledge and skill in transport medicine to further advance its service and ensure the best possible health outcome for a baby or child during transportation. $120,000 each per year $800 per year Major advances come about from research and development in clinical practice, education and innovation. NETS is currently involved in a number of research studies but requires the necessary funding to progress. STAFF SPECIALTY TRAINING AND EQUIPMENT YEARLY TRAINING COST FOR ALL STAFF NETS staff are now expected to be increasingly expert in areas for which medical and nursing training had not prepared them. This includes (per person): Advanced Paediatric Life Support: $1,860 pp Crew Resource Management (aviation) : $200 pp Aviation Security Training: $196 pp Page 8 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE EMERGENCY VASCULAR ACCESS TRAINING KIT BENEFITS/ NEEDS These kits will also be used for retrievals. NEONATAL INTERACTIVE SIMULATOR MANIKIN excluding gst QTY Emergency Vascular Access training kit will prepare nurses and doctors to safely deliver medications and blood products directly to a sick child through the bone marrow using specially designed equipment. This equipment could mean the difference between life or death of a child if access to a vein is not possible due to their injury or illness. The power driver very gently penetrates the bone, without splintering; allowing direct access into the bone marrow to quickly deliver fluid, medications and blood products. COST $ $5,371 6 (includes 1 Driver and 5 boxes of needles) Emergency Vascular Access Driver plus 5 boxes of needles Consumables Driver: $496 each Paediatric needles (box of 5): $ 975 Adolescent needles (box of 5): $ 975 The manikin [SimNewB] is an essential training device with realistic newborn traits; including true to life airway and breathing functionality that provides lifelike clinical feedback to assist the NETS Nurse Educators with resuscitation training. The SimNewB will play a vital role in the extensive training program run by NETS and allow staff to practice and maintain their skills. Additional Components: Scalable Training Solution: 30,390 1 $ 8,395 each Page 9 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE BENEFITS/ NEEDS COST $ excluding gst QTY TECHNICAL INFRASTRUCTURE MULTI-CHANNEL PRA (PRIMARY GSM ACCESS – 8 PORT) Directs calls from the NETS Coordination Centre to mobile phones through GSM interface rather than physical wires to the exchange. In case of damage to physical communication lines (copper/fibre), the emergency lines will still operate at NETS by using this system. $23,300 1 $25,000 1 Creates back-up route for NETS emergency phone calls. DECISION SUPPORT SYSTEM A Decision Support Systems (DSS) will assist NETS coordination with information about clinicians and other resources across all hospitals in the system. The DSS is a specific class of computerised information system; an interactive software-based system intended to help compile useful information from raw data, documents, personal knowledge, and/or business models to identify and solve problems and make decisions. ITEMS REQUIRED BY REFERRING HOSPITALS WHO USE NETS’ SERVICES Patients treated by NETS are referred from hospitals across NSW, the ACT and beyond. The following equipment plays a key role in the care of critically ill children transported by NETS but is used and stored at referring hospitals. Page 10 of 11 In order for NETS to maintain and periodically replace vital medical equipment and vehicles used in the emergency transport of sick babies and children NETS requires at least $650,000 per year. Through partial or full support of any of the wish list items you can help NETS provide kids in your community, and throughout NSW and the ACT, with the state-of-the-art emergency intensive care services they need. ‘moving intensive care for kids’ 2009 WISH LIST EQUIPMENT TYPE FIRMA-LIFT 300 ELECTRIC HELIPAD TROLLEY BENEFITS/ NEEDS COST $ excluding gst Used to transport retrieval systems from helipad to referring hospital and then back to the waiting helicopter with a patient installed. $15,250 ea NETS is encouraging hospitals across NSW to invest in this trolley. It will help handle patients of all age groups and is rated to carry 300kg. Some 50 hospitals across NSW have medical helipads. INTUBATION EQUIPMENT RESUSCITATION KIT (CHILD) RESUSCITATION KIT (BABY) QTY $400 *specification in development ea TBA For more information or to make a donation please contact NETS on 1800 10 NETS (6387]) or (02) 9633 8728/ 9633 700. Page 11 of 11