Quality is the Heart of the Service
The focus and consciousness of "quality" in all the charity that is being done makes the endeavour unique. Quality is by far the most important criteria in the evaluation of the success of an eye surgery i.e. Better the Quality, greater the chances of Perfect or Close to Perfect Restoration of Vision. Improved quality is directly proportional to the cost of an eye surgery. Quality means more time, effort and money.
Parameters which reflect enhanced "quality" are:
Deep sensitivity to a patient’s need inspired by the ideal of patient care.
Extensive pre and post operative counselling structured to suit an illiterate patient’s understanding.
The expertise and skill of senior surgeons.
The superior quality of the intra-ocular lens implanted.
Sophisticated equipment and State of the Art Operation Theatres.
Additional day’s stay after the surgery.
Reaching out to the most remote and distant villages.
The backing of a professional team (both administrative and medical).
Comprehensive pre operative checkups and ensuring post operative checkups / follow up reviews.
Provision of two weeks post-operative medicines and a pair of dark glasses.
Food and Nursing care provided for the 3 day duration of the patients stay.
Presence of a standby anaesthetist during the surgery
Meticulously followed sterility protocols.
Standard operating procedures and streamlined systems.
95% of the volumes catering to Community Eye Care needs.
Superior technology, complex treatment modalities, expert surgeons, allocated space are all important pre requisites for any successful medical centre, but the most important cohesive spirit needed to draw out the best from all these is an intense concern for every patient. The Sight for the Sightless Programme stands up for this spirit of patient care.
Practically translated into action as one of the many aspects of patient care is the exclusive Counselling Section that carries out intensive patient counselling sessions which not only addresses problems and queries of patients but transparently dispenses all information about the procedure or surgery to be performed.
Extensive efforts need to be put in (as most patients are illiterate and unaware) to counsel them on details of surgery, on how to take good post-operative care, importance of follow up reviews and the need to maintain proper hygiene.
Expertise And Skill Of Senior Surgeons:
It is important to take into consideration the surgical expertise and experience of the surgeon.
Inexperienced surgeons are available at a lower cost as they are willing to compromise and work for a lower remuneration in exchange for high volume surgical experience available in most Charitable Institutes doing high volume Community work. A surgeon with sufficient operating experience will need to be paid a much higher remuneration, but will directly contribute to an increased quality. (in measure of surgical outcomes).
Most training Institutes that offer Training Degrees risk free patient’s surgical outcomes due to the fact they are forced to provide adequate surgical training experience to "learning" surgeons. Free patients are treated as "guinea pigs" used to hone surgical skills.
The Sight for the Sightless Programme is sensitive to this fact and hence follows a strict Surgeon appointment protocol.
Remote And Distant Villages
As patients from villages are dependent on the hospital for to and fro transportation, the farther away the camp site, the more complex the logistics and variability in day to day functioning. However, the philosophy of the Sight for the Sightless Programme, is to travel to the remotest corners and serve economically backward and totally unserved areas which maybe even between 225-300 kms from the base hospital.
Pre Operative Checkups
A comprehensive pre-operative check up is a pre requisite to minimizing the risk of intra-operative and post-operative complications.
A proper and detailed evaluation of any systemic illness, poor Haemoglobin Levels, Hypertension, Diabetes, Cardiac, Asthma, Urine Infection, Stomach Infection, HIV etc. in a patient reduces risk of medical emergencies during surgery as well as reduces risk of post-operative infection after surgery.
Post Operative Checkups And Follow Up Reveiws
Efforts are put in to ensure follow up of operated patients by counselling patients to return for a post operative review.
Ensuring Follow up Consultation is critical in all operated patients as chances of post operative complications and infections directly relate to loss of vision. Generally, two follow ups are encouraged—first within 7-10 days of the surgery and second after 5- 6 weeks of the surgery.
Free post-operative medicines given to the patients, ensures that a higher percentage of this illiterate populace administer the medicines and drops. As the patient is poor, he may neglect buying the medicines and hence his recovery of vision is compromised. Therefore, the Sight For The Sightless Programme follows a healthy practice of dispensing atleast two weeks post-operative medicines and a pair of dark glasses to every operated patient.
The Operation Theatre is well staffed with an Anaesthetist during surgery who confirms medical fitness of the patient as well as tackles and stabilizes any emergencies that may arise in the Operation Theatre. The probability of an emergency is quite high considering the fact that most villagers are above the age of sixty and come from a background of malnutrition and an economically backward standard of living.