Table V.
Equipment and supplies | Facility level | |||
---|---|---|---|---|
PH C |
First- level |
Referr al |
Tertiar y |
|
Sphygmomanometer | E | E | E | E |
Tourniquet | E | E | E | E |
Hand-held Doppler | I | E | E | E |
Fogarty balloons of standardized sizes (e.g. 3, 4 and 6)* | I | E | E | E |
Ultrasound with vascular probe and duplex capabilities | I | D | D | E |
Basic synthetic graft selection | I | I | D | D |
Advanced synthetic graft selection | I | I | D | E |
Standardized minor vascular tray | I | E | E | E |
Standardized major vascular tray | I | D | E | E |
C-arm fluoroscopy | I | I | D | D |
Angiography* | I | D | D | D |
Surgical loupes (simple, small magnification lens) | I | D | D | E |
Polypropylene double-armed tapered suture (e.g. sizes 2- 0 - 7-0) |
I | D | E | E |
PHC – primary health center; outpatient clinics, staffed by non-physicians; First-level hospital – typically staffed by general practitioners, may or may not provide surgical services; Referral hospital – typically staffed by specialists, usually including a general surgeon; Tertiary hospital – offer a wider range of specialists, and laboratory and imaging capabilities; Resource designation at a particular level: E – essential; D – desirable; I – irrelevant (i.e. resource not considered to be available at the particular level even with full resource availability).
Resource use requires moderate skill and should be considered essential only at well-functioning first-level hospitals (and higher levels) where a surgeon or at least a very experienced non-surgeon is available.