Day 4_Sat Nov 21 – Screening Day

Prayer Before Mission_Kaka-Ba

The team joined the morning opening prayer ceremony at Kaka-Ba Hospital.  It is a lovely experience as the ORC and Kaka-Ba teams were united in their intent towards providing the best for “our” patients.    

ORC uses the same standard process for screening in all its missions. After 18 years, we’ve figured out the most efficient workflow for us.  This is the first time we’ve published our approach and intent is to share some knowledge with other small surgical groups who might be just starting out.  We shared this info with the Canada Ukraine Foundation last year, which they found helpful. It is in the same spirit that we are posting this info now.


Kaka-Ba Hospital Staff_Day 4_Nov 21
Kaka-Ba Hospital Staff_Day 4_Nov 21


The ORC team is divided into 4 sub-teams:

OR , PACU, Pre-op, CSD goes off to become familiarized with their respective work areas and start their room set-up.

Patient in take team – Rakesh, Alka and Sheny will start patient registration.

The process of screening is as follows:

At intake, basic patient information is gathered and recorded.

Mom with baby waiting to be screened
Mom with baby waiting to be screened



Once registered and assigned a patient number, the patient will move from table to table during the day.  They will be seen by the Plastic surgeons, then Anesthesiologists, and lastly the Pediatricians.  All information by these gathered will determine the eligibility and the timing for surgery.

The mission Coordinator (Doreen and Elaine) will start work on the surgical slate for the next day – Day 5 – Sunday November 22.  The team will debrief after 17:00.  Then dinner and sleep.  Wake up call will be at 06:00 tomorrow and the team will arrive at the hospital by 07:00 for a day of surgery.



Hansot is a long way from Vancouver.  Remember that the team started travelling from Vancouver on Wednesday?  Well, with the time difference, it is 4 days before the team can actually start working with the patients.

Many discussions were held about whether not to do the overnight stop in Tokyo.  It would have saved travel time but the team would start to work when they are exhausted and might impact patient safety; or we might have to let half the team sleep and then it would impact the volume of patients seen. This time, we didn’t have to weigh the overnight hotel cost for 15 rooms; otherwise cost might be a factor (thanks again JAL).

Travel planning for this trip has been a long process and many scenarios laid out by Herbert of LTA, who is an experienced pilot and a member of the Federal Aviation Tribunal. The depth of knowledge that Herbert brings to the table have saved the Mission Planning team hours of research.