Using Medical Air Transportation For Patient Transfers

For many years, medical air transportation services have offered around-the-clock emergency and non-emergency services to thousands of people all around the world. Air ambulance crews specialize in arranging services that offer air transport which can include ground transportation and specialized air medical transport care, as well as any other incidentals necessary for a successful patient transport. This specialized air transportation serves a variety of managed care companies, organizations and other healthcare providers, as well as individual patients.

Air Ambulance specialists operate under their own FAA 135 certificates and State licensure regulations. Each aircraft vendor is fully licensed and insured, so these fully trained flight crews can be fully dedicated to the safety and service of their patients. The teams on board the aircraft will include as a minimum a paramedic and critical care nurse. Physicians are also sometimes on board with each patient being transported to care for them during their travel, as well as other healthcare staff, depending on each patient’s individual needs. The type of emergency of each patient helps determine the type of aircraft and medical team members that will be used to provide the best possible care. It is routine for the flight crew to contact the patient’s primary physician before providing any transport services.

The three levels available for medical air transportation include: Basic Life Support (BLS), Advanced Life Support (ALS) and Critical Care. This technology enables the medical flight crew to provide the same types of services in the air that can be provided in a hospital. So, no matter if a patient is flying domestic or international, some of the highest quality care is provided, including medivac services and ground transportation, to ensure that all patients have a good experience and a safe, smooth transit.

Some medically-specialized air transport services provide charitable air transportation for those in great need, while others are very cost effective. Qualified crews with a high level of experience in air transportation remain on call and are committed to providing patients with quality medical services. Many charitable or non-profit organizations offer assistance with transport to ensure that patients who cannot afford these services are not denied access to specialized healthcare evaluations, diagnosis or treatment that are too far to reach via car or ambulance.

Depending on a patient’s location and needs, medically-specialized transportation services can range from private ambulance aircraft to international commercial stretcher service and even escort services on commercial airlines. It is also available for the relocation of patients who may require certain medical attention or procedures that are more recognized by hospitals with centers of excellence in a particular field. Services are typically available 24 hours a day, 7 days a week for those who need medical air transport.

Using Medical Air Transportation For Patient Transfers

For many years, medical air transportation services have offered around-the-clock emergency and non-emergency services to thousands of people all around the world. Air ambulance crews specialize in arranging services that offer air transport which can include ground transportation and specialized air medical transport care, as well as any other incidentals necessary for a successful patient transport. This specialized air transportation serves a variety of managed care companies, organizations and other healthcare providers, as well as individual patients.

Air Ambulance specialists operate under their own FAA 135 certificates and State licensure regulations. Each aircraft vendor is fully licensed and insured, so these fully trained flight crews can be fully dedicated to the safety and service of their patients. The teams on board the aircraft will include as a minimum a paramedic and critical care nurse. Physicians are also sometimes on board with each patient being transported to care for them during their travel, as well as other healthcare staff, depending on each patient’s individual needs. The type of emergency of each patient helps determine the type of aircraft and medical team members that will be used to provide the best possible care. It is routine for the flight crew to contact the patient’s primary physician before providing any transport services.

The three levels available for medical air transportation include: Basic Life Support (BLS), Advanced Life Support (ALS) and Critical Care. This technology enables the medical flight crew to provide the same types of services in the air that can be provided in a hospital. So, no matter if a patient is flying domestic or international, some of the highest quality care is provided, including medivac services and ground transportation, to ensure that all patients have a good experience and a safe, smooth transit.

Some medically-specialized air transport services provide charitable air transportation for those in great need, while others are very cost effective. Qualified crews with a high level of experience in air transportation remain on call and are committed to providing patients with quality medical services. Many charitable or non-profit organizations offer assistance with transport to ensure that patients who cannot afford these services are not denied access to specialized healthcare evaluations, diagnosis or treatment that are too far to reach via car or ambulance.

Depending on a patient’s location and needs, medically-specialized transportation services can range from private ambulance aircraft to international commercial stretcher service and even escort services on commercial airlines. It is also available for the relocation of patients who may require certain medical attention or procedures that are more recognized by hospitals with centers of excellence in a particular field. Services are typically available 24 hours a day, 7 days a week for those who need medical air transport.

Key Variables to Design a Large-Scale Organizational Transformation

There are a lot of different elements that go into designing a large-scale organizational transformation. For the purpose of this exercise and through the eyes of a consultant, there are four areas that need to be explored in relation to this organizational transformation. These areas are human resources, organizational structure, leadership and trust, and performance measures. How these variables are implemented into the change process could prove successful for an organization and help the overall structure of the organization grow. Moreover, lack of attention to detail can prove to be a mistake and cause a change process to fail.

Human Resources Policy

Human resources, in this writer’s opinion, are the glue that holds the organization together. Human resources help enforce and create policy. In addition, they act as front line when anything goes wrong or when a new benefit is introduced or if there is industry change. Next, they assist as change agents when an organizational transformation is taking place. Braun (2013) describes human resources as more of a strategic partner then the old paradigm of paper pushers. In addition, human resources has taken on a higher calling in which it assists with all organizational functions, assist in formulating strategies, develop long-term objectives and formulate plans to help grow a competitive advantage in the marketplace. As a consultant and working with human resources, the goal is to understand change. According to Appelbaum, Berke, Taylor, and Vazquez (2008), change is viewed a dynamic process and can be valued in terms of the scale of a change and which method will be involved. Human resources and the leaders of the organization must take into account how this large scale transformation is going to affect the policies that are in place. For example, will the rewards system be changed from a standard evaluation to a more complex performance management system?

The organization that his writer is referencing is currently going through a large-scale transformation. The reward system and compensation plan was severely leverage and any pay increases have been halted for the last three fiscal years. In addition, many programs and benefits were cut as well to reduce the cost to the organization. These changes in policy were a needed evil to help bring structure back to the organization. This change in organizational policy did cause a lot of employee commitment issues and it was difficult to retain top talent but currently the storm has been weathered and organizations policies and benefits are returning back to normal as new initiatives are going into place.

Organizational Structure

Understanding how an organization is structured is a key objective for a consult that is assisting with organizational transformation. The consultant needs to understand if the organization is transformational, top down, transactional, growth, mature, global, and local to name a few. Appelbaum et al. (2008) describe transformational change as form of corporate change and can be characterized as a developmental process and is a form of revolutionary change that can be described as a complete re-engineering of the corporate structure. As a consultant, it is important to understand the goals of the organization but also provide solutions and with transformational change comes the need for transformational leadership. Transformational leadership helps with status quo and organizational performance by empowering their employees to do more and lead by example. Wischnevsky and Damanpour (2006) explored organizational transformation and stated that organization transformation is a transition between organizational states that feature structure and strategy. In an effort to assist with re-engineering of the organizational structure, leadership will be encouraged to redefine strategy, redevelopment the mission statement and potentially rebrand with a new logo that sets the organization apart from the old and opens the door to the new era of growth and possibilities.

Within the organization that is referenced in this exercise; transformational leadership is one of their top goals and a culture that they are trying to establish. Unfortunately, they lack the follow through and the organizational learning to continue with the process of culture change internally. Due to high turnover in the leadership positions, developing a culture that will be ingrained in the organizational memory is very difficult.

Leadership Communication

Organizational transformation cannot begin unless all the needed stakeholders are on board and understand the new mission. Without proper and continuous communication between leaders/managers and their direct reports, the organization will run into resistance to change. The purpose of leadership communication is to bring the stakeholders closer to the organization and give them a sense of belonging and purpose. Brauns (2013) gives examples of how organizational transformation should look like from performance management to rewards keep the employees interest in mind and keeping employees engaged during the change should be goal. For example, the rewards system that is in place needs to express the values of the organization and should send the right message from the organizational perspective. If employees do not understand the value of the rewards or benefits, resistance to change will happen. In addition, performance management needs to be addressed and according to Brauns (2013) consist of the three C’s, consistency, coordination, and control. If leadership can communicate and gain the trust of their organization and followers, this will make large scale transformational more attainable. Without trust, resistance from employees will hamper any change effect.

The organization that is references for the exercise has not done a very good job with this area of change. There seems to be little care of job descriptions or reward during the rebuilding process. Though there are different attempts to bring about transformational change and provide glimpses at transformational leadership, they simply do not have the follow through to continue and make the difference that is needed. Many times, leadership communications is scrambled and/or vague which can cause frustration with employees. It would be recommended that a consistent communication and an often communication be given on the progress of the change process. With the addition of several key leaders over the last six months, stability from within is in the near future.

Performance Measure

Performance measures are needed to make sure that the organization is meeting their goals on a large scale but also that their employees are meeting internal objectives. Chen, Yang, and Jiun (2006) researched a performance management system called the Balances Scorecard or BSC. BSC enables businesses to transform its overall strategy and provide effective management and leadership. This is accomplished by addressing four areas of perspective. These areas of perspective are financial, customer, internal, and learning.

Throughout this exercise, internal, customer and learning have been addressed as major components of organizational transformation. Though the financial perspective is not address by name, having a balanced organization and accomplishing this balance through a large transformation is implied.

In the company referenced, they do have their own performance management system though it seems to be very oriented toward internal measure and objectives in which this writer feels are very nonspecific and generic. In addition, with no rewards system in place, a performance management system seems mute. It is this writers recommendation that a small incentive be attached to the performance measurement otherwise the outcome is black or white; either you meet the requirements and keep you job or you are fired. To maintain a productive workforce during the large scale transformational change, leadership is tasked with keeping the organization commitment high and providing excellent communication. Without this guidance of the leaders and according to Appelbaum et al. (2008) the input of the employees, which is deemed a critical factor, large scale transformational change will be difficult to achieve.

Conclusion

Organizations need to change to stay competitive in the marketplace. How they learn and utilize the knowledge that has gained will certainly give them an competitive advantage over their competition. In completing a large scale change, the organization needs to pay attention to the human resource policies, leadership communication, organizational structure and performance management systems. All these areas play important roles in shaping a successful transformation.

References

Appelbaum, Steven H,PhD., S.P.H.R., Berke, J., M.B.A., Taylor, J., M.B.A., & Vazquez, J. A., M.B.A. (2008). The role of leadership during large scale organizational transitions: Lessons from six empirical studies. Journal of American Academy of Business, Cambridge, 13(1), 16-24.

Brauns, M. (2013). Aligning strategic human resource management to human resources, performance and reward. The International Business & Economics Research Journal (Online), 12(11), 1405-n/a.

Chen, S., Ching-Chow, Y., & Jiun-Yan Shiau. (2006). The application of balanced scorecard in the performance evaluation of higher education. The TQM Magazine, 18(2), 190-205.

Wischnevsky, J. D., & Damanpour, F. (2006). Organizational transformation and performance: An examination of three perspectives. Journal of Managerial Issues, 18(1), 104-128,9.

The Top 5 Advanced Nursing Certifications

Nursing certifications are an extension of the multi-layered path of nursing education. Basic nurse’s certifications have to do with the level of college you have completed and the state certification you are assigned. LVN or LPN (Licensed Vocational Nurse or Licensed Practical Nurse) are typically a 2-year degree program. RN’s can have either an Associates or a Bachelor’s (BSN-RN) degree. From there a MSN (Masters of Science in Nursing) also opens doors. However, once your school is finished, there are a number of advanced certifications nurses can achieve that will help them go farther in their profession. Here are the top five.

CCRN – Critical Care Registered Nurse

This certification can be earned through classes and tests given by most major hospitals. The class takes about a semester and covers everything from recognizing drug reactions to advanced cardio care techniques. A CCRN is certified to work in telemetry, intensive care and critical care units where patients need constant monitoring and have life-threatening concerns. Salaries are often higher on those floors, and nurses see fewer patients per shift because they require almost constant care.

Certified Diabetes Educator (CDE)

This certification is one of the most in-demand in hospitals and private doctor’s offices. With the increase of Americans with Diabetes currently occurring and the soaring obesity rate, which means more people will have diabetes in the future, CDE’s will never be out of opportunities for employment. The task of the CDE is to explain to people with Diabetes the best diet for their health, teach children and adults how to inject insulin and test their blood sugar, and provide consistent health education.

ACRN – HIV/AIDS Certified Nurse

Another specialty that is sadly seeing a dramatic increase is the need for nurses with a special education in HIV/AIDS. These nurses take courses in immunology and the symptoms of the disease as well as some cultural sensitivity classes that deal with both the homosexual community and IV drug users. ACRN’s can work in hospitals or specialty community clinics, which specialize in HIV/AIDS prevention, treatment and care.

CRNA – Certified Registered Nurse Anesthetist

This is one of the harder certifications to get and is one of the most lucrative. A CRNA provides anesthesia for surgery and procedures, under the guidance of an anesthetist. Besides a BS, and RN certification a CRNA must take 2 years of classes and apprentice an anesthetist for up to 2 years before being certified. However, once certified the CRNA median salary for a CRNA is $175,000 per year in a hospital/per provider care system. The downside to this lucrative job is lawsuits. Anytime anything happens in an operating room, the CRNA is liable.

OCN – Oncology Certificate in Nursing

Oncology nurses are especially trained to provide chemotherapy, radiation aftercare and work with cancer patients. This deeply rewarding certification also comes with the ability to work in a hospital, cancer treatment center or local clinic. OCN’s usually have set hours and a number of prescribed duties requiring less physical strain, but practice with more compassionate care.

Each of these nursing certifications is available through the health care system of any major school or city and can add money, opportunity or challenge to the life of an RN.

Three Recommended Hospitals in Alexandria, Egypt.

Alexandria is the ancient city founded by Alexander the Great. It is currently the second largest city in Europe as well as a major center of international shipping industry and a prominent trading center. The city located in north-central Egypt is the most well known tourist center in the country. In general, health care systems in Alexandria are well developed with many good hospitals in both public and private sectors. Some of the major hospitals are truly world class and offer the services of English speaking staff. This is a description of some of the major hospitals in Alexandria.

Alexandria University Hospital located at Al-Azarita, Midan Al-Khartom, Alexandria is one of the largest health care centers in Egypt. Faculty of Medicine of Alexandria University has been providing modern and effective medical service to people since1942. The center consists of a university hospital, a hospital specifically for obstetrics and gynecology, a pediatric hospital and a hospital for orthopedics. This premier institute employs 109 eminent physicians. The main hospital has spacious out patient section with full-fledged departments in various specialties and about 1100 patients visit the section daily. The hospital has departments of critical care medicine and diagnostic imaging. There are also well-equipped laboratories, an internal pharmacy and a nuclear medicine section. The hospital is keen to maintain the highest level of quality in all of its endeavors and formed a special quality assurance unit in 2004. Telephone: + 2035910048

The German hospital is a favorite amongst visitors to Alexandria. The hospital is conveniently located at 56 Abd El Salam Aref Street, Saba Basha, Alexandria. The staff includes visiting doctors, and the hospital offers effective medical service in both general and specialized areas at a reasonable cost. The hospital was founded by the German community in Egypt. The surgery department has units in various specialties like urology, plastic surgery and pediatric surgery. The ICUs, the surgical intensive care unit, the hospital pharmacy and the various laboratories in the German hospital are equipped with sophisticated devices and facilities. The center has a notable diagnostic imaging unit and a nuclear medicine department, both of which perform a large number of imaging procedures. Luxurious accommodation is available in the hospital. Tel: +20 3 584 1806

Abo-Qeer Central Hospital situated at Al-Bahr Al-Mayiet Street, Abo-Qeer, Alexandria is another popular hospital in Alexandria. This multidisciplinary private hospital is managed by a famous business group of the country. The renowned Global Air Rescue works in association with the center to arrange various emergency services like air ambulance. The network of air ambulances are provided with the newest cardiac life support systems. The hospital also offers the services of trauma experts, doctors and a supporting staff certified in emergency care and flight physiology. Tel: 20-560-1542

Eight Types of Nurses

Nurses are respected and valued members of the medical community. They play a critical role in the health care field. Although the medical field is made up of many types of nurses, they are all exciting and rewarding careers. The following list outlines many types of nursing careers:

– Registered Nurse (RN): Registered Nurses work in almost all areas of the health care profession. They perform many tasks that include: administering treatments such as medications, performing certain medical procedures, monitoring vital signs, advising and supporting patients, educating patients about medical conditions, and keep families up-to-date on a patient’s status. Registered Nurses can specialize in certain medical areas

– Certified Nurse Assistant (CNA): Certified Nurse Assistants are also known as nurses’ aides, patient care technicians, home health aides, and home health assistants. CNAs are employed in a number of health care fields. They work in hospitals, nursing homes, private homes, and adult living homes. CNAs perform a number of duties that include: monitoring health such as recording a patients temperature, pulse, and respiration, helping patients eat, bathe, and dress, helping patients walk, keeping patients rooms in order, providing nutritious meals, answering patients’ call bells, and making beds. They may also help patients to exam rooms and even assist with simple procedures. CNAs report to a Registered Nurse.

– Licensed Practical Nurse (LPN): Although Licensed Practical Nurses have less training than Registered Nurses, they are employed in all areas of health care. They work in hospitals, nursing homes, and medical clinics. LPNs perform such duties as monitoring a patient’s overall condition, giving injections, recording vital signs, and applying dressings. They will also assist patients with personal hygiene and report any treatment reactions

– Critical Care Nurse: A Critical Care Nurse works with seriously injured and ill patients in the hospital. This type of nurse works in the ICU (intensive care unit) or CCU (critical care unit). Their job is to care for patients who are being treated for serious and life-threatening illnesses.

– Travel Nurse: A Travel Nurse is a nurse that travels to different areas and provides short term support when there is a nurse shortage. They will fill in when a full time nurse goes on maternity leave, during peak work times, if a nurse has a long term illness, or if a nurse is on an extended vacation. There assignments are short term but they are highly paid. An assignment usually runs for about 13 weeks. Travel Nurses often work in hospitals and medical clinics. Employers will provide many benefits such as free housing and health insurance.

– Licensed Vocational Nurses (LVN): Theses nurses perform the same job function as licensed practical nurses. LVNs provide certain medical services such as giving enemas, treating bedsores, bandaging wounds, and recording vitals. They also assist patients with bathing and dressing.

– Public Health Nurse (PHN): These nurses are registered nurses who have specialized in community health. They often go to community centers, homes, and schools where they assist individuals and families with health concerns. They work with community organizers regarding health related issues. They also perform the same duties as registered nurses.

– Nurse Practitioner: A Nurse Practitioner is a registered nurse who has specialized training and education which allows them to carry out many tasks normally performed by a doctor. Such tasks include diagnosing and treating illnesses and injuries. Some states allow practical nurses to write prescriptions.

These are just a few of the more popular areas of nursing. Nurses are on the front lines of health care and are usually the first people patients meet when faced with a health issue. Nurses provide valuable support for patients and their families making them an indispensable part of the health care community.

Twelve Things You Can Do to Make Your Work Life More Satisfying Each Year

Month by month, your year comes to a close and if you look back you are most likely not the same in one way or another. Think about it. You are either healthier or “not-as-healthy,” saved more or spent more, learned something new or forgot more than you remember. If you just work and work and feel like a hamster on a wheel, it might be time for some good, old fashion work life planning month-by-month.

January: Make a plan. A simple plan (perhaps based on these guidelines) that sets up a goal a month is a good start. Instead of planning to “lose 10 pounds,” how about just drinking more water and walking 10 minutes a day to start off your January?

February: Put a little love into your work. Be the office Valentine by bringing flowers and candy to work.

March: Gimme a break. Just as you’re getting sick of the weather, you may have a spring break or summer vacation. This is a great time to start thinking about where you could spend a week when the weather gets nice. Rest is good.

April: Do some spring cleaning. A regular workplace cleaning day (both in the physical space and the electronic one) can do wonders for morale.

May: Save for a rainy day. The government’s taken a good piece of your income in taxes by now, so you can start saving some for yourself. Set money aside each month in a qualified retirement plan. Try to do it automatically.

June: Downsize: Paper files overrunning your cabinets and storage units? It’s time to purge and you can use the IRS retention rules to get your started. Scan critical documents, shred or recycle the rest.

July: For many businesses, this starts their corporate year. Make sure your employee’s files are in order. Do you have everyone’s reviews completed? Is your handbook up to date?

August: While you go from hot outside to freezing cold air conditioners inside, think about energy efficiency. Have you had an energy audit? Consider one thing your business can do to be a good steward of the environment.

September: Children are going back to school so resolve to learn something. I forced myself to use Prezi (instead of PowerPoint). I figured out how to update websites on WordPress and buy Facebook ads.

October: Visit your financial planner and accountant. It’s time to plan for the end of the year, so set an appointment before they get too busy to do your tax planning and maximize your deductions.

November: Send Thank You Notes. Every day someone is making your work life a little easier, whether it’s the person who makes your latte or keeps your car running. You are not ever too busy to be thankful.

December: Take inventory. Just like a business’s strategic plan, you need to evaluate in what areas you made progress and which you did not. Adjust your plan and start all over again. (I suggest you do take a vacation, however. All work and no play… )

Eight Types of Nurses

Nurses are respected and valued members of the medical community. They play a critical role in the health care field. Although the medical field is made up of many types of nurses, they are all exciting and rewarding careers. The following list outlines many types of nursing careers:

– Registered Nurse (RN): Registered Nurses work in almost all areas of the health care profession. They perform many tasks that include: administering treatments such as medications, performing certain medical procedures, monitoring vital signs, advising and supporting patients, educating patients about medical conditions, and keep families up-to-date on a patient’s status. Registered Nurses can specialize in certain medical areas

– Certified Nurse Assistant (CNA): Certified Nurse Assistants are also known as nurses’ aides, patient care technicians, home health aides, and home health assistants. CNAs are employed in a number of health care fields. They work in hospitals, nursing homes, private homes, and adult living homes. CNAs perform a number of duties that include: monitoring health such as recording a patients temperature, pulse, and respiration, helping patients eat, bathe, and dress, helping patients walk, keeping patients rooms in order, providing nutritious meals, answering patients’ call bells, and making beds. They may also help patients to exam rooms and even assist with simple procedures. CNAs report to a Registered Nurse.

– Licensed Practical Nurse (LPN): Although Licensed Practical Nurses have less training than Registered Nurses, they are employed in all areas of health care. They work in hospitals, nursing homes, and medical clinics. LPNs perform such duties as monitoring a patient’s overall condition, giving injections, recording vital signs, and applying dressings. They will also assist patients with personal hygiene and report any treatment reactions

– Critical Care Nurse: A Critical Care Nurse works with seriously injured and ill patients in the hospital. This type of nurse works in the ICU (intensive care unit) or CCU (critical care unit). Their job is to care for patients who are being treated for serious and life-threatening illnesses.

– Travel Nurse: A Travel Nurse is a nurse that travels to different areas and provides short term support when there is a nurse shortage. They will fill in when a full time nurse goes on maternity leave, during peak work times, if a nurse has a long term illness, or if a nurse is on an extended vacation. There assignments are short term but they are highly paid. An assignment usually runs for about 13 weeks. Travel Nurses often work in hospitals and medical clinics. Employers will provide many benefits such as free housing and health insurance.

– Licensed Vocational Nurses (LVN): Theses nurses perform the same job function as licensed practical nurses. LVNs provide certain medical services such as giving enemas, treating bedsores, bandaging wounds, and recording vitals. They also assist patients with bathing and dressing.

– Public Health Nurse (PHN): These nurses are registered nurses who have specialized in community health. They often go to community centers, homes, and schools where they assist individuals and families with health concerns. They work with community organizers regarding health related issues. They also perform the same duties as registered nurses.

– Nurse Practitioner: A Nurse Practitioner is a registered nurse who has specialized training and education which allows them to carry out many tasks normally performed by a doctor. Such tasks include diagnosing and treating illnesses and injuries. Some states allow practical nurses to write prescriptions.

These are just a few of the more popular areas of nursing. Nurses are on the front lines of health care and are usually the first people patients meet when faced with a health issue. Nurses provide valuable support for patients and their families making them an indispensable part of the health care community.

Three of Osaka’s Best Hospitals

Osaka is the second largest city of Japan. This financial centre is home to 7% of the Japanese population and also draws in outsiders with its reputation as a major tourist destination. Osaka has many renowned recreational parks, castles, shrines, aquariums and beaches. In general, the health care sector of Osaka is well developed and has many world class hospitals with English speaking employees to care for the needs of visitors to the country. This article outlines some of the better hospitals of Osaka.

Kitano Hospital, located at 2-4-20 Ohgimachi,Kita-ku,Osaka was founded in 1928 and is operated by the reputable Tazuke Kofukai Foundation. Kitano Hospital has 707 beds and more than 1000 staff. It has full fledged sectors for all medical specialties including dialysis and mind-body medicine. The hospital has well designed OPD, a research center and a relaxation room. The surgery sector features a central operation theater and conducts a variety of general and specific surgeries. The modern hematology department offers effective treatment for leukemia, lymphoma and myeloma. The hospital has 24-hour emergency and ambulatory care and a well equipped emergency room(ER) where service of many physicians and surgeons are available. The departments of anesthesiology and critical care medicine are comprised of 7 staff doctors and 5 residents who work in association to provide the best possible care. The ICU has modern facilities to provide respiratory, sedative, circulatory and analgesic care to patients. This is also a premier institution for medical education and research. Tel: 6-6361-0588

Sumitomo Hospital situated at 2-2 Nakanoshima 5-chome, Kita-ku, Osaka is another reliable hospital in Osaka that provides high quality health care service. This modern hospital founded in 1921 employs eminent doctors and offers especially good personal care to its patients. This huge health care facility has full fledged departments in all medical specialties including some rare specialties. These special centers include a cancer chemotherapy center, a diabetes center and a digestive disease center. The surgery department has the necessary facilities to perform various operations such as thoracic surgery, plastic surgery, and cardiovascular surgery. In addition, the hospital has well equipped ICUs, an emergency department and various laboratories. Warm accommodations in spacious rooms are provided in the hospital. Tel: (06) 6443-1261

Nissay Hospital is situated at Itatibori 6-chome, Nishi-ku, 550-0012 in Osaka. It is a well equipped general hospital that offers quality medical service. This modern hospital has achieved the certificate of approval from the Council for Quality Health Care and is recognized by numerous medical societies of Japan. The hospital provides comprehensive health care in every medical department. It has a minimally invasive medical center, a cancer treatment center, and a center for lifestyle-related diseases. The surgery section of the hospital is prepared to conduct endoscopic surgeries such as thoracic, spinal, abdominal, gynecologic and urological surgeries. The hospital also offers effective service in hemodialysis, bone marrow transplants, blood stem cell transplants, antibody therapy, glaucoma surgery, laser photocoagulation and much more. Luxurious accommodations are also available. The hospital is also a well known training and research center, approved by the ministry of health. Tel: 6543-3581

Illnesses and Injuries in Chinchillas

Chinchillas do a good job at hiding their illnesses and injuries, they’re prey animals. If your Chinchilla needs medical care, a veterinarian acquainted in Chinchilla care is required. If you notice your Chinchilla acting drowsy, having a change in appetite, or having discharge from the eyes or nose, you should get your Chinchilla to the vet ASAP. Hand-feeding is often necessary when dealing with a sick or injured Chinchilla. It’s common for a Chinchilla who is sick or injured to become anorexic. Becoming anorexic will lead to even more problems. Once a Chinchilla goes of its feed, it’s necessary to begin hand-feeding.

A first-aid kit is good to have for minor injuries and ailments. It’s a good idea to be prepared for a more serious illness by having all of the basic supplies early. You should have Blu-kote, which is a cleaning spray/liquid that can be used on fungus and wounds. You’ll need Oxbow Critical Care, which is for hand feeding. Next, you’ll need Life Line, a great supplement for sick/injured Chinchillas. You will need Syringes, both large and small for hand feeding and managing medication. Then, you’ll need Vitamin E Oil and/or Bag Balm for dry skin. You’ll also need Acidophilus, for maintenance of good bacteria of the digestive tract. Last, you will need Kaolin-pectin, treatment of stress induced diarrhea.

If your Chinchilla stops eating on their own, it’s necessary to hand feed them. Chinchillas unfortunately commonly go anorexic if they’re sick, injured, or taking medication. Oral Baytril is infamous for causing Chinchillas to stop eating. Place your Chinchilla in a carrier and lay down paper towels if you’re unsure if your Chinchilla is eating. Observe your Chinchilla to see if any stools are produced. If no stools or small, hard poops are created, than it may be a sign that they have gone of their feed. The best food replacement for Chinchillas is Oxbow Critical Care. Critical care comes in primitive and apple banana flavors. You can get critical care from a vet that supplies Oxbow products. It comes in a powder form and it’s mixed with water to become a paste or liquid consistency. It’s good to have it on hand in case an emergency should emerge. Then, you’re prepared and time isn’t wasted if something does happen to your Chinchilla and it refuses to eat.

If a Chinchilla doesn’t eat, it can go into GI Stasis. GI Stasis is where the digestive system shuts down. The Chinchilla must constantly have food moving through its system or it will begin to shut down. That’s why hand feeding is so critical if a Chinchilla stops eating. To hand feed a Chinchilla or manage antibiotics, it’s a good idea to wrap him up in a towel or a blanket. It’s called the burrito method. You wrap the Chinchilla up securely, but not too tight. Make sure to wrap the legs. Hold firmly, but not enough to injure the Chinchilla. After being wrapped up, the Chinchilla will usually calm down.

A syringe can be used to hand feed or to give medication. Place the syringe in the side of the mouth, behind the front incisors, and squirt only a small amount of liquid in at a time. Keep in mind not to give too much, the Chinchilla can aspirate.

Fungus is caused if Chinchillas are kept in environments with high humidity. It makes them delicate to ringworm. If can also occur if a Chinchilla gets wet and isn’t dried thoroughly. It’s highly contagious so it can easily be transferred from other Chinchillas, animals, or people. They lose their fur, they get itchy, they get dry, and they get red and/or scaly skin. You must see a vet. The vet can do a skin scrape and test for the area for fungal spores. If you’re fine with treating the fungus yourself, you can follow the treatment guideline. If the treatment doesn’t seem to be working, definitely consult a vet. To treat yourself, add Tinactin powder to the dust bath. Add about one heaping spoon to a cup of dust. Apply Blu-kote to the affected area. Sanitize the cage and anything else with bleach. Throw away any wood since it’s porous and hard to sanitize. Continue the treatment for at least six weeks or until the vet says. Be sure the Chinchilla is fungus free before allowing contact to others.

You can prevent by keeping the cage clean. Be sure the Chinchilla isn’t in a humid environment. Keep the Chinchilla from getting wet. Keep any effected Chinchillas away from others and be sure to isolate new Chinchillas for at least thirty days. Fungus is extremely contagious, but not deadly. It can be difficult to get rid of. When treating the fungal infection, being persistent is key. It’s important to practice safe hygiene because the ringworm can be transferred to you. Fungus in Chinchillas is most common around the eyes, nose, mouth, and ears.

Chinchillas get eye infections from irritation in the eye, bacteria, or a virus. You will know if you see wet fur around the eye, watery eyes, red/irritated eyelids, swollen eyelids, or goop coming from the eyes. You should definitely see a vet! It’s a good idea to have the vet test their eye with a dye solution to make sure the cornea has not been scratched. You can treat it by giving them eye drops or applying gel to the effected eye(s). You can also be prescribed an oral antibiotic. You can prevent eye infections by keeping the cage hygienic and practice hygienic handling. Avoid contact with other pets!

Parasites in tap water cause Chinchillas to get parasites. They could also get it by other infected animals. They get diarrhea, mucous like stools, larger stools, weight loss, loss of their appetite, or change in their activity levels. You should take them to a vet. The vet will test a fresh sample and then examine it under a microscope looking for parasites and/or other cysts. The Chinchilla should be given antibiotics or antiparasitics in rounds. The most common medication prescribed that’s effective is flagyl. If the infection is bad, it will be needed more than once. To upkeep fiber, unsweetened shredded wheat can be used. Clean everything the animal comes in contact with! Sanitize the cage with bleach. Any wooden items should be sanded down or disposed. Keep in mind, their recovery can take weeks. It may be necessary to hand feed. Definitely monitor their weight. To prevent parasites, give your Chinchilla filtered, bottled, or reverse osmosis. Isolate any new animals for a minimum of thirty days. Avoid any contact with other animals. The most common parasite that Chinchillas become infected by is giardia. Giardia is an intestinal parasite that can cause diarrhea and anorexia, and leading to dehydration. Giardia is contagious. It can be passed from pets to other pets and even people. After coming in contact with the parasite, it could take between one to two weeks for any symptoms to appear. When treating the parasite(s), vet care and prescribed medication is a MUST!

Upper respiratory infections are caused by bacterial infection, contact with other animals, crowded conditions, or poorly ventilated housing. They start sneezing; have labored breathing, nasal discharge, watery eyes AKA: conjunctivitis, clicking sound when breathing, wheezing, or squeaking. You should definitely see a vet quickly. URI’s can be serious very quickly. Most likely, the vet will prescribe an oral antibiotic, but may give an injectable if you’re comfortable with it. Keep your Chinchilla away from drafts. Keep up with sanitation conditions and avoid contact with other animals.

Bumblefoot is caused by unsanitary cage conditions, or wire flooring which causes feet to become dry and cracked. A bacterium gets into their wounds and causes infection known as bumblefoot. Their symptoms consist of dry, cracked, or bleeding feet. To treat bumblefoot keep the animal on soft bedding such as fleece. Remove any wire or cover with solid shelving or fleece. Apply Blu-kote to the feet. If the problems continue to occur, then take the Chinchilla to the vet for antibiotics.

Chinchillas bloat because of bad feeding habits including excessive treats, vegetables, fruits, anorexia, or constipation. They are stretching, have lethargy, twisting, lie flat, or press their belly to the ground. If you notice the symptoms, see a vet immediately! X-rays can be taken to determine if the belly is full of gas bubbles. The vet should prescribe GI medications like Reglan and Propulsid. Manage infants’ Mylicon AKA Simethicone. It helps break down gas bubbles. Give Reglan and Propulsid. With small, circular, firm motions moving downward, the belly can be massaged. Let the Chinchilla have gentle exercise to help get their gut moving. Give them plenty of high count acidophilus. Do not feed them excessive or sugary treats. Do not give any fruits or vegetables. Make sure to provide the Chinchilla with healthy Chinchilla pellets and hay. Complete the diet with acidophilus.

GI Stasis is caused by anorexia, stemming from stress, dehydration, pain, injuries, illness, or blockage. They appear to have anorexia, lethargy, small hard stools or even no stools at all. Definitely see a vet immediately! It is very hard to treat. They should get constant massages, hand feeding, and medications are definitely needed such as Reglan and Propulsid. To prevent GI Stasis, hand feed the Chinchilla if it goes of its feed for ANY reason.

Dental Spurs are caused by uneven wearing teeth. They drool, lose their appetite, paw at the mouth, have gagging motions when chewing or eating, and have weight loss. See a vet! Oral exams can pinpoint teeth spurs. It’s a very good idea to get x-rays. The vet can file the affected teeth down. It’s a good idea to bring the Chinchilla in for routine check-ups if they’re common. After dental work, you may need to hand feet.To prevent Dental Spurs, provide your Chinchilla with plenty of chew toys and different varieties of hay.

Malocclusion is from uneven wearing teeth, genetics, and environmental injuries. They drool, lose their appetite, get watery eyes, paw at the mouth, make gagging motions when chewing or eating, lose weight, change activity level, or have bumps on their jaw. See a vet! The vet will have to perform a thorough oral exam such as x-rays. They’re urgent to be sure that the roots are not overgrow into the jaw or sinus cavities. It’s not a curable disease. Their symptoms may be impediment and looked after, but only for a certain amount of time. If the teeth are overgrown, the vet can file down the molars or clip the incisors. The Chinchilla will need routine check-ups. You may have to hand feed after dental work. To prevent it, provide many chew toys along with different varieties of hay.

They don’t know what causes fur chewing. Some believe that it’s stress, the environment, boredom, or genetics. Their fur is chewed short down the hips/back. Even cage-mates could be chewed. They’ll need a visual examination. There isn’t a known treatment for fur chewing. Just provide the Chinchilla with many enhanced items and things to do may help. To prevent it, give them plenty of chew toys and activities.

Hunchback is caused by malnutrition leading to liver disease. They get a characteristic “hunched” back. To come to a diagnosis, a vet can run tests. Offering a high quality diet can help. Provide your Chinchilla with a high quality feed, and do not feed excessive treats or unhealthy treats.

Overheating is caused by keeping a Chinchilla in an environment with too high temperature, allowing the Chinchilla to play excessively. They get red ears; have labored breathing, and lethargy. Vet care may be needed. Immediately move the Chinchilla to a cooler area. Put a frozen water bottle next to the Chinchilla or lay the Chinchilla on a chilled granite tile. To prevent the Chinchilla from overheating, keep the Chinchilla in temperatures lower than seventy-five degrees Fahrenheit.

Male Chinchillas are inclined to hair rings. A hair ring is a ring of fur that forms around the Chinchillas penis. Males usually clean their penises themselves and remove any hair rings. Fur may build up and the Chinchilla might be unable to remove the ring itself. That’s when you must step in. Once a month hair ring checks should be performed. You can do that by wrapping the Chinchilla in a towel securely. To remove the penis from the cover, a dab of KY Jelly could help lubricate and make it easier. Gently roll the cover back to reveal the penis. Take the penis with your fingers and gently pull outward until the penis is fully revealed. If there’s fur present, it’ll need to be removed. The ring can be lubricated with more KY Jelly and gently worked off of the penis. Then, the penis should withdraw itself, but it may take some time. If the penis is still revealed after a few hours have passed, you then may need to see a vet. If your Chinchilla has a fur ring that can’t be removed, then you should definitely see a vet. Make sure to be gentle and not hurt the Chinchilla.

Chinchillas have dainty skeletal structures. Broken bones are common in many pet Chinchillas unfortunately. Cages that have ramps are infamous for causing Chinchillas to get their legs caught and ultimately broken in between the wires. Cages with wire flooring that’s too large and shelves could also break their legs. Another thing that’s known to break their legs is wire wheels. A broken leg will be cut off by a vet. Chinchillas with their legs cut off do pretty amazing on three legs. They can still hop, run, and play like regular Chinchillas. They can even run on their wheels with no problems at all. If you notice your Chinchilla favoring a leg, and the condition doesn’t improve within a day, take it to the vet for X-rays. X-rays are great for finding out if your Chinchilla has a broken bone. For a broken leg, cutting it off is the best option. Under some circumstances, some have been able to save the leg.

Chinchillas can turn on their cage-mates and cause nasty wounds. If the wounds are shallow, they can be cleaned with a damp cloth and Blu-kote can be applied to them. If the wounds are more serious, vet care should be seen immediately because Chinchillas can go into shock. Shock is dangerous if it isn’t treated and it can be fatal. The vet will most likely shave the affected area and clean the wounds. To either prevent the infection or fight the infection that has set in, an oral antibiotic may be prescribed. If you notice your Chinchillas wound looking red, inflamed, or seeping, vet care should definitely be provided in case an infection is beginning to take place. A wounded Chinchilla may stop eating and you’ll need to step in and hand feed. It’s crucial to watch your chinchilla to see if they’re eating. If they go anorexic, they can face more serious problems. Hope this has helped and good luck!