Quote:
Originally Posted by reflist
Oh you work there, so cool, thank you for your service ! So you have intimate knowledge of the inner workings/dynamics of the facility. You would be the best person to ask, what is that extension currently being built intended for? Is this because the hospital is reaching its capacity again? And lastly, do you feel like a major upgrade is need for the future, like a new hospital for the region?
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The current major construction project at the Moncton Hospital is a new Cardiac Care Centre.
It will include:
- new coronary care unit (CCU)
- new cardiac step down unit (elevated care for patients discharged from the CCU)
- new cardiac outpatient clinic
- cardiac rehabilitation facilities
- new outpatient cardiac diagnostic clinic (echocardiography etc.)
- new cardiac special procedures room (for pacemaker insertion etc.)
There is also a complete lobby refresh going on at the hospital. This will include a new Pita Pit and a new Second Cup. Tim Horton's is gone. The gift shop may also be permanently gone. I'm not sure on that one.
The new Maternal/Fetal Medicine Centre (that took forever to build) opened earlier this year. The hospital now has the best delivery room and neonatal care facilities in the region outside of the IWK in Halifax.
As for future upgrades, where do I begin!!!
You are correct that the hospital is constrained for space. If the city continues to grow, expansion will be necessary. You are correct that an expansion along West Lane is possible. Another possibility is build on top of the current Ambulatory Care Centre. I have been told that this is structurally possible. I personally doubt that I will see further physical expansion of the hospital in my lifetime. Such things are ridiculously expensive.
There are a few things that HAVE to be done though.
1) - Parking garage (this is not an option, It is a patient care issue. Not having a proper parking facility impedes patient access to outpatient clinics and for hospital appointments. It should be built where the current patient parking lot is across from the main hospital entrance, and should be connected to the main hospital lobby by a pedway).
2) - Hybrid Operating Room (a specialized OR where imaging facilities are built in, allowing for fluoroscopic guidance, and for intra operative CT to be performed. This assists the surgeon in conducting the surgery, and, to know when the tumour is completely resected, or when vascularity has been complete restored, or if all bleeding has been stopped etc. This is not an option. It helps ensure successful surgery and helps prevent post operative complications. Modern surgical residents are being trained in big city hospital where OR suites like this are the norm. They DO NOT want to practice in smaller hospitals without these facilities. As such, a hybrid OR is a major recruitment tool. Without this unit, our medical staff will wither away. All four tertiary care hospitals in the province need hybrid ORs. The province however is reluctant to fund this and is more interested in picking winners and losers between these four hospitals. This is bad medicine and bad politics).
3) - Second MRI scanner ( Our waiting lists are through the roof. Routine MRI scans are generally no longer being done at the hospital any more, being diverted to other facilities. Our current single MRI is reserved only for inpatient and ER use and for complex imaging. This is not right. Ideally a second MRI should be a 3T unit (more powerful, higher resolution imaging with capabilities for functional imaging which would be of use to our neurosciences centre). The province however is disinclined. Our current MRI shed, when built, was designed with two MRI bays for future expansion. This was 25 years ago. We are STILL waiting. The Dumont has two MRIs, yet neurosciences and the bulk of orthopedics are centred at the Moncton Hospital, and these two departments are the heaviest users of MRI. I mean, what friggin gives!!!!!)
I'll stop at three. Other physicians could give you other priorities for sure.
As for a new hospital, these are ridiculously expensive. The new prison hospital to be built in Dorchester is going to cost about $1.3B. The expansion of the Infirmary in Halifax is more in the range of $4B. This is not chump change. I doubt the province has the stomach for this.
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