tbh-manual

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TEDDY BEAR HOSPITAL

HANDBOOK

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Dear teddy bear friends,

right in front of you is a handbook which hopefully will ease you to make the decisionto organise a Teddy Bear Hospital in your university town. If you already made yourdecision this guideline should save you a lot of work and and problems as well.We took many thoughts about the topics and layout of this guideline. Nevertheless,we surely can not claim for total perfection. Therefore we will be glad of any kind ofcriticism, improvement suggestions and of course praise.

The following table shows a statistic of previous Teddy Bear Hospitals (tbhs) tookplace in German university towns.

YearTota

l Universities2000 2 Heidelberg, Bochum2001 7 Heidelberg, Berlin, Jena, Ulm, Hamburg, Mainz, Leipzig

2002* 7Hannover, Heidelberg, Mannheim, Rostock, Wrzburg,Mainz, Mnchen, Leipzig, Freiburg

* We hope to add your Teddy Bear Hospital into this statistic soon.

Thanks:

The publisher thank all previous organisers of Teddy Bear Hospitals for their helpwith the origin of this handbook. Special thanks goes to Elizabeth Russe from theTeddy Bear Hospital in Innsbruck/Austria. Due to the detailed information and gainedexperience from Innsbruck tit was possible for us to develop this helpful guideline fororganise Teddy Bear Hospitals.As well Oliver Nitsche from Mainz/Germany and Florian Striehl from

Heidelberg/Germany should be mentioned for great help. The participants of thesubregional training in public health which took place in Freiburg/Germany in April2002 had also considerable influence in this paper.

Barbara Dhrsen and Kersten PeldschusNPO- Team 2001/2002

Handbook: Teddy Bear Hospital

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Steps of planing a TBH: (TBH = Teddy Bear Hospital)

Layingdown the organisation team:The following subdivision for areas of responsibility proved well:Depending on how much you are you have to subdivide positions among each other.

(special hints will be given at the corresponding points)a) Teddy-Doctors

advertising among students and nurses schedule of teddy doctors nameplates

b) Press / Advertisement poster, presentations press release (together with Proposal) contact to newsletters, radio stations, TV pictures, short information

c) Fundraising / Sponsoring project description / proposal costing / budget inquiry at public and private sponsors donations (balloon, pen, .)

d) Permissions / Insurance permission at the town clerks office / police description of the location for supplier / Kindergarten personal liability insurance for teddy doctors (DV, AXA, Allianz,)

e) Kindergarten looking for kindergarten to write to or to get in contact with kindergarten arrangement / preparations with head splitting up kindergarten as planned in the schedule

f) Camp material (tent) inquire relief organisation to organise tent and banks / tables to arrange the tent equipment to make inquiries for electricity and toilet design big plates or banners for the tent

g) Aid and other listing of things needed or required (list)

(plaster, bandage) inquire hospitals (nursing staff, pharmacy) brush and paint / paper / pen / balloons / decoration drinks / sweets

h) Coordination Keep everything running!!!

Description of the project:

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You distinguish two kinds of project descriptions

a) Cover letter: Maximum one page:Here you should give a short explanation of the project and his backgroundwithout mentioning to much details. Important is to mention the supporters(auspices) and how to contact you ( including the account number)To such a cover letter you can add an explicit inquiry to financial or material

support and you have immediately a sponsor- letter .( see appendix 1 page 11)

b) Proposal: About 3-4 pages:A proposal is a detailed description of a project. Here are included ,apart fromthe cover letter, information about the organisations( IFMSA explain ), timeand budget plans.The proposal should be available if inquiries from sponsors , supporters or thepress are coming.( see appendix 2 page 12-17)

Homepage

It is very useful to inform the students from your university about the TBH(plan, photos,.) Also sponsors can be named on the homepage to increasethe chance of getting a support.( see appendix 3 page 18)

Patrons/Auspices

In principle you should ask the dean of your faculty or a paediatric professor.

That gives you the possibility to get other supports in and outside theuniversity. The patron should write a letter, in which he explains his support ofthe project. You can show this letter and send it to everybody. Besides of this,the Patron could help you with the press relations ( breakfast with the press).In lots of towns the professors even help with the education of the teddydoctors.

In Heidelberg they even won for several times the support of the mayor of thetown , field: youth and family.(see appendix 4 page 19)

Organisation of the place

In general there are three possibilities:

1) a public place in the town has the following pros: more children can come the TBH in a tent is very similar to a real hospital the general interest of the parents and press is bigger

2) you can also organise a TBH in which the students are visiting the childrenin the kindergarten and examine the teddies there.

3) a THB can also take part in the framework of a day of the open door or of

the summer party of the university hospital.

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Selection of the place: Quiet place without streets and traffic Shady in the summer( children are dehydrating very quickly) If possible soft ground ( for example grass) Where you can use the restrooms (especially the teddy docs) Current/power available ( but not necessary)

Registration with a detailed plan at the administration of the town:( in general you have to pay for this) Tent/ Tents and other buildings, cars( ambulance, bus) Permission for the car to bring the tents in the pedestrian precinct In Rostock, they had not to pay , the administration gave them a registration

as a donation for the TBH.

Fundraising:

The basis for all the inquiries is always a cover letter or proposal, in which should bedescribed , which kind of support is imagined ( amounts of money ,material assetshow much and what exactly )Inquiries you can ask at the following authorities:

Dean or directly to the university ( support of students projects) The students representation of the university Town/ Mayor/ Senat Private sponsors ( Filling of an attestation of donation possible)

- Pharmacies- Toy shops

- Copy-Shops- Producers of sweets- Libraries- Pharmaceutical industry- Relief organizations

( see appendix 5,6 page 20, 21)

Contact to aid organisations:

Inquiries by call or personal for example .

Inquiries referring material support: If possible 2 tents ( in total about 10m*5m) Banks and Tables ( alternative inquiry at the brewery, hire service from the

catering agencies-> quite expensive ) Couches for staying the nights at the TBH( someone has to supervise the tent

in the night) Ambulance for showing it (children love the alarm/siren)

contact to the kindergartens

Address lists from the public kindergartens are often found in the town-hall. But youshould also invite ecclesiastical or private kindergartens.

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The contact to the kindergartens should always consist in sending the proposal, theschedule and in giving them a personal contact (by phone or by visiting them).After having the confirmation from the kindergartens with the number of the childrenand the time they like to come, you should nevertheless stay in regular contact andremind them of the TBH.Before coming to the TBH the topic disease should be discussed in thekindergarten. Every child should already think about the disease of his teddy,

because usually it is difficult to think of this in the TBH.( see appendix 7 page 22 )

Timetable:

You should plan about 10 min treatment for every child and his teddy. Dependingfrom the size of the tent and the number of the teddy docs you can treat about 15 to40 child per hour.Having enough teddy docs (about 50 persons) you can invite about 450 kids in thetwo days.

The personal of the TBH

In principle you can also ask, apart from the medical students, students of theteacher training colleague or pharmazeutic students, as well as nurses. The numberof the people who are helping depends on the size of your tent. As we find out, it isvery helpful when you are about 10-15 teddy docs and 2-3 people of the organisationteam in the TBH every shift.( see appendix 8 page 23)

Everyone should bring with him: a coat, a stethoscope, a ophthalmoscope, a reflexhammer and of course you should be in good mood!

Some days before the TBH an introduction for the teddy docs should take place.

A possible structure: Explanation of the treatment of the children ( perhaps from a paediatrician)

How to make the history, Explanation and inclusion to the children ofeverything you are doing with his teddy, especially you should remind them ofthe sensorial impressions such as auscultation: that feels cold .

Explanation of the organisation course ( yourselves) Psychological aspects of the preparation of the children to the hospital and

medical process ( children psychologist from the children hospital)

As such a meeting can take some time (about three hours) you should prepare somedrinks and perhaps something to eat ( pizza or something like that)

Assurance

In Germany children are automatically assured with the kindergarten whenthey are making a trip

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But you should make a assurance for the teddy docs ( lots of them have aprivate one, but nevertheless you should go the sure way) ,which includesalso damages to the fittings( tent, banks).

Press relations

The official press report should contain about one DIN A4 page and should describethe project, the idea, the patrons and your contact. It would be advantageous toprepare a press map and perhaps a disc with more detailed information.(see appendix 9 page 24, 25)

Publication of the press report:- you can either contact all newspapers, radio & TV stations (you can often find

special press boxes in the town hall or in other official institutions),- or contact the central PR- office at the university that will save you a lot of

work and it might receive more attention!- further on you should contact the local newspapers by telephone, they often

have a responsible journalist for university activities or local events.- timetable: absolutely necessary!!!- remind the persons who are responsible for the TBH

1 month before (press report)1 week before1 day before!

- during the TBH there should be one or two organizers who are responsible toanswer questions, give interviews

- There is another possibility which might reduce disruptions: You can organizea breakfast for the press and after that visit the hospital altogether.(see appendix 10, page 26)

You should keep in mind, that the press, especially the cameras can be veryfrightening for the kids and as well can be a hindrance for you to give them yourfull attention. That is why you should try to make one breakfast or conferenceonly. Of course you can not avoid, that there will be taken pictures or televisionrecords as well during your work, but otherwise this is how you can be sure thatthe parents are informed about what you are doing and will join the consultinghour in the afternoon!

Organisation of the hospitalThe hospital should be divided in two parts, that is why it would be advantageousto have two tents.

One for the Waiting room:- reception: one person receives every child with its name and the teddy ones(see appendix 11, page 27)- provide them coloured pencils and papers (maybe drinks) during the waiting

time- make sure that they are under supervision of mistresses, students, clowns of

the podiatry, childrens nurses etc.

The second tent can be used as a consulting room:- there should be tables for about 5-10 consulting possibilities

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- as well as central places such as operating theater, radiograph (with aflashlight from a camera), pharmacy (offering sweet medications),anaesthesia, sonography

(see appendix 12, page 28)

You should organize the following things:- decoration for the tents (balloons,)

- white table clothes of paper or sheets, adhesive tape- first aid supplies- gloves, scissors- height measuring gauges, wooden spatulas, swabs, plastic syringes- perhaps a scale- medical history cards- real needles and threads to repair injured teddies- drinks and snacks for the teddy-doctors

13. Follow-up

- In every case you should thank your supporters and sponsors, e.g. by sendingthem copies of press articles, pictures or letters.

(see appendix 13, page 29, 30)- Further on you should send a short description to the NPO (number of

children, teddy doctors, press reaction)(see appendix 14, page 31)- write an article for the university-magazine- write a final report(see appendix 15, page 32-34)

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APPENDIX(Models)

Table of Contents

Appendix Number Page Description1 11 Cover Letter

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2 12 17 Project - Proposal3 18 Link List4 19 Letter of Support of

the Patron5 20 Donation Receipt

6 21 Financial Plan7 22 Enrolment for the

Kindergarten8 23 Advertising Teddy

docs9 24 25 Press Information10 26 Invitation Press

Breakfast

11 27 Paper for History-taking

12 28 Prescription13 29 30 Sponsor Thanks14 31 Number of Visitors15 32 43 Final Report

just let me be your loving teddy bear... (Elvis)

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On June 20th/21st, the first Teddy Bear Hospital

will take place in Innsbruck

600 children will be expected!

Auspices:

Univ.Prof.Dr. N. Mutz, Dean of studiesUniv.Prof.Dr. I. Hammerer, Head of University

Ideas and Goals:

Children between the age of 3 and 6 are supposed to lose their fear of doctors and hospitals

in a playful way.

Visiting the Teddy Bear Hospital, children can bring their stuffed animals along in order

to get them treated by Teddy-Doctors (Medical Students). Thus, they have the possibility

to experience the atmosphere at a hospital without being patients themselves.

So far, Teddy Bear Hospitals have been organized with great success in Germany, England,

Norway, Sweden and other European countries. At the moment, Graz is organizing another

one. For information, pictures and press information about the first German Teddy Bear

Hospital, please go to: http://emsa.uni-hd.de/projects/tbh200

A hospital tent of the Red Cross will be put up as a Teddy Bear Hospital at the Innsbrucker

Landhausplatz for two days. Innsbrucks Kindergartens will be invited. Around 600

children are expected within two days. The treatment of the patients is restricted to

auscultation, palpation, putting on bandages, taking the blood pressure and so on. An

ambulance will be there as well which can be explored by the children

The Teddy Bear Hospital is organized by AMSA (Austrian Medical Students Association),

www.amsa.at

AMSA [email protected]

Project coordinators:Elisabeth Russe Tel.: 12345 Fax: 678910 Email: [email protected]

Barbara Petrovitsch Tel. :1112131415 Email:[email protected]

Project team:www.teddyklinik.fuerdich.com [email protected]

Cover for the Project-Proposal and an idea for a logo

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Table of Contents for the project proposal

Table of Contents

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1. Deutscher Famulantenaustausch e.V. 3

2. AG Public Health of the Deutscher Famulantenaustausch e.V. 3

3. Teddy Bear Hospital 4

Subject 4

Content of the Project 4

Organization 5

Schedule 5

Budget-Outline 6

1.Deutscher Famulantenaustausch e.V.

What is Deutscher Famulantenaustausch?

The Deutscher Famulantenaustausch (dfa) (German

exchange office for medical clerkship) is an non profit

association working for the public benefit. Its members

deal with questions of the international students exchangefor the benefit of all medical students. The dfa considers

its work as a contribution to international understanding

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and to students help. The association is poli tically

independent, and its members do not pursue any party-

political interests with their work.

(preamble of the statutes of the dfa)

The Deutscher Famulantenaustausch is member of German Medical Students Association (GeMSA)

The dfa has local representations at all medical faculties in

Germany. At the moment the practical work is divided into 3

standing committees:

SC on Professional Exchange

SC on Research Exchange SC on Public Health

Only the SC Public Health should be explained further.

2.Standing Committee on Public Health of theDeutsche Famulantenaustausch e.V.

The SC on Public Health deals with international Projects

in the field of Public Health.

Moreover the members of the Standing Committee on

Public Health are dedicated to campaigns on the occasion

of the World- No Tobacco- Days, the World- AIDS- Daysand the World- Mental- Health- Days. These campaigns

are carried out with the support of the World Health

Organization (WHO).

Here a new project has been launched:

The Teddy Bear Hospital .

3. Teddy Bear Hospital

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A hospital for the cuddly toys and dolls of

children of kindergardens

The Teddy Bear Hospital is the German contribution to

corresponding projects of the IFMSA (International

Federation of Medical StudentsAssociations)

Aim : to take childrens fear of hospitals.

To create confidence by playful education!

Contents of the project:

Focus in contents of the Teddy Bear Hospital - Program is

the childrens dealing with the topic hospital and

illness.

Impressions and ideas, which the children acquired by

family and media, should be taken up, critically looked at

and corrected in playing if necessary. The topical center

lays in the meeting between child and future doctor.

We plan to set up a Teddy Bear Hospital at a public place

in our city (e.g. Market) for two days.

Children at the age of 3-6 years come to this outpatient

hospital to let the medical students of Rostock treat their

cuddly toys and dolls. By this way we give children the

chance to experience a doctor-situation or a hospita l

treatment without being affected as a patient themselves.

Aim of every medical work should not only be the

treatment, but also the building of a solid foundation of

confidence between the doctor and his little patient. We

want to show the chi ldren, that i llness and the fight

against it is part of everyday-life and does not necessarily

have to be experienced as threatening or frightening.

Organisation:

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The project Teddy Bear Hospital will be carried out

within the scope of the Deutscher Famulantenaustausch

e.V..

Together with the Fachtagung Medizin (FTM) (field

conference medicine) the Deutscher

Famulantenaustausch forms the German Medical Students Associat ion (GeMSA), that represents interests of

German medical s tudents at international level and,

together with the representations of other countries, forms

the International Federation of Medical Students

Associations (IFMSA).

One of the six committees of the IFMSA, the Standing

Committee on Public Health deals besides other thingswith the campaigns for primary health Care. In many

countries it very successfully carries out Teddy Bear

Hospital .

This project is the German contribution to it. By now there

have been campaigns in Heidelberg, Berlin, Leipzig and

Mainz. Hannover and now also Rostock are going tofollow.

Dates:

1. Teddy Bear Hospital in Rostock :

28.05 and 29.05.2002

Budget plan for the Teddy Bear Hospital in Rostock

at 28.-29.May 2002

The following budget plan refers to

600 children, 60 Teddy doctors (medical students) and 60 Kindergarten teachers/parents.

Fix c osts: in EuroCatering:

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food parents (60) apples, yoghurts 45,-

food (doctors) (60) lunch for 2 each 120,-

food Red Cross (2) coupon 1 lunch per10 20,-

drinks parents (60) mineral water, fruit juices 0,25l 25,-

drinks (doctors) (60) mineral water, fruit juices 0.5l 45,-

beakers (200) 15,-

napkins, rubbish bags 15,-

third party liability insurance: 150,-

Others:

copy costs, postage, posters 110,-

drawing material, magazines 75,-

diplomas (bravery medals) 45,-

decoration balloons, garlands, cuddly pets 15,-

tents 2 ones for 75 each 150,-

T-Shirts: one per doctor: 60 a 7,50 450,-___________________________________________________________________________

Total 1.130,-

Links to past TBHs:

http://www.uni-rostock.de/andere/dfa/TBH

http://www.uni-mainz.de/Organisationen/dfa/TBK

http://www.emsa.uni-hd.de/projects/TBH2000/index.html

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http://www.fachschaft-medizin-halle.de

http://www.rzuser.uni-heidelberg.de/~ssabini/teddy2002.html

http://www.transfer.to/teddy

http://www.teddyklinik.fuerdich.com

http://www.sudent.uu.se/studorg/mf/swemsic/teddybear.htm

Letter of recommendation

Johannes-Gutenberg-University Mainz

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University Childrens HospitalHead of department: Prof. Dr. F. Zepp

Recently some students of the Medical Faculty of the Johannes-Gutenberg

University Mainz have introduced me their planned project called Teddy BearHospital l with the request to support its realization. The project Teddy BearHospital has the aim to less childrens fear of doctors and hospitals.

As paediatrician and medical superintendent of the Childrens University HospitalMainz I often have to cope with this problem. The little patients are suddenly in theunusual environment of the hospital. This is often inconvenient for them or issometimes even associated with some unpleasant examinations. The project TeddyBear Hospital wants to help in this situation and tries to familiarize children in afriendly and pleasant atmosphere with the situation in a hospital or a paediatriciansoffice.

With pleasure I have accepted the auspices of the Teddy Bear Hospital to assist thestudents for a successful organization and realization of this project. I would bedelighted if the students also get support from your hand.

Sincerely yours,

Prof. Dr. med. F. ZeppUniversity Childrens Hospital

AUSTRIAN MEDICAL STUDENTS ASSOCIATIONe.V.

A Platform for Medical Students Projects and InitiativesAMSA isFull member ofIFMSA

International Students Exchange / Medical Education / Primary Health Care / Refugees and Peace / Science

Donation Receipt

Teddy Bear Hospital Innsbruck 2001

With kind regards we thank you for your support of the project Teddy Bear Hospital!

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Donation: ATS/ Euro:___________________________

In words :___________________________

Date:______________

AMSA Innsbruck & Project coordination

Bank-Connections: XXXXX

Financial/ budget proposal:This table shows the maximal costs of a TBH if you will not receive any materialsupport (except bandaging material). Generally you should ask for material support

and/or free rental/hire service.

ItemPossible assistance Amount in

EUR

Office costs: 150-200Print Cover letter/proposals Students representationsPostage Deans office Telephone charges Sponsoring: copy shops Print forms (e.g. prescriptionforms)

Tent/Inventory for 2 days Aid organisations 3501 Tent including setup 200Permission fee 50

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Tables/chairs 100Medicine/sweets Sponsoring 40Catering Sponsoring: bakeries, 65

Children/Nannies (beverage->tea) Supermarkets 30

Teddydocs (Snacks, beverage) 35

Additional goods Sponsoring: 45Table-cloths, adhesive/duck tape Stationery store 15pencils, crayons Supermarket 15dekoration (e.g.balloons) 15

InsuranceLiability insurance 150

total: 800-850

Teddy Bear Hospital Registration form

Name and Adress of the

Kindergarten:

Expected number of

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participating children:

Desired day:

Desired time:

Remarks and inquiries:

Please contact us at the latest - DATE to simplify our timing and to fit your desiredterms to our schedule.Because there will be more inquiries in morning, we ask you to subscribe for a termin the afternoon if it is possible.You can contact us by:Mail: - YOUR POSTAL ADDRESS -Facsimile: - YOUR FAX NUMBER -Email: - YOUR EMAIL ADDRESS -Phone: - YOUR PHONE NUMBER

If you have any additional question, do not hesitate to contact us.

We are looking forward to meet you in our Teddybearhospital!

Greetings, AMSA Innsbruck (www.amsa.at)

Who wants to become a specialist for

Teddy Bear Diseases?

Then join in our project Teddy Bear Hospital on 11 and 12 June 2002.

Our aim is to less the 3-6 year old childrens fear of doctors and hospitals. You willwork as a teddy doctor and heal the sick teddies of these children!The only requirement is the participation in our teddy bear doctors educationaltraining of the University Childrens Hospital on 10 June 2002.

For additional information please visit our homepage or send us an email!

-YOUR E-MAIL-ADRESS-YOUR HOMEPAGE

We are looking forward to see you!

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Your Teddy Organization Team

Teddy Bear HospitalUnder the auspices of Prof. Dr. Richter

Head of Department

Paediatric Hospital University of Rostock

c/o Fachschaft Medizin /dfa

Schillingallee 70. 18057 Rostock

Tel.: 0381-4945082Fax: 0381-4945086

Rostock, 18.01.02

Press report

Dear Sir/Madam

First Teddy Bear Hospital in Rostock

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After the concept of the Teddy Bear Hospital has been successfully taken up by at several

other universities, the first Teddy Bear Hospital should also now be inaugurated in Rostock

on the 28 and 29th of June .

The Aim of the project which is being co-organised by medical students and the Paediatric

Hospital at the School of Medicine in Rostock, is to help children overcome their fear of

Doctors and hospitals.

A colourful decorated tent at the University square in Rostock will serve as a hospital.

Children from kindergarten in and around Rostock have been invited to visit the Teddy Bear

Hospital. Before their visit, the subject illness and doctor`s visit were discussed with their

kindergarten teachers in their kindergarten. The children were supposed to assign a certain

illness or injury (theoretically of course) to their teddy bears who will be treated in the teddy

Bear Hospital.

During their visit at the hospital, the parents (and in this case the kids) were asked to give the

medical history of their children (teddy bears). Afterwards the teddy bears were examined and

treated by medical students (who had been prepared and trained for their roles as teddy docs

by qualified persons) from the School of Medicine in Rostock. The treatment is limited to non

invasive measures like palpation, auscultation, and dressing (bandaging). During the waiting

hours and after the teddy bears have been attended by teddy docs, the children are taken to

another part of the tent where they can draw, read, or just play.

We are very confident that the Teddy Bear Hospital will be a huge success for both the kids

and the teddy docs. We hope to achieve the aims of the project.

For further questions please visit our homepagewww.uni-rostock.de/andere/dfa/TBH

Yours sincerely

Barbara Dhrsen

Tel.: 0381/4006777

Mobil: 0177/7937864

Email-Adresse [email protected]

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AUSTRIAN MEDICAL STUDENTS ASSOCIATIONe.V.

A Platform for Medical Students Projects and InitiativesAMSA isFull member ofIFMSA

International Students Exchange / Medical Education / Primary Health Care / Refugees and Peace / Science

Dear Sir/Madam

The first Teddy Bear Hospital in Innsbruck will take place on the 20 and 21 of June at the

Landhausplatz. We expect about 650 children.

The aim of this project is to help children between the ages 3 and 6 overcome their fears of

doctors and hospitals.

During their visit in the Teddy Bear Hospital (a tent provided by the Red Cross) the children

can have their teddy bears/dolls treated by teddy doctors. So they can experience how things

proceed in a hospital without being a patient themselves. Our teddy doctors are a team of 60

medical students, who have been specially trained for their roles by the Paediatric Hospital in

Innsbruck for this project.

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We would be delighted to welcome you as our guest on Wednesday the 20th to a press

conference breakfast.

For further questions please contact

[email protected], 0664/1044131) or visit our Homepage

www.teddyklinik.fuerdich.com.

Yours sincerely

Elisabeth Russe und Barbara Petrovitsch, Project manager

Univ. Prof. Dr. I. Hammerer, Univ. Prof. Dr. N. Mutz

Board of directors University Hospital Dean of studies

Medicalhistory

Teddy Bear Hospital Innsbruck

PATIENT INFORMATION:

Name :_______________ Name of the Companion:_____________

Age: ________ Height: __________ Weight: ________ Colour: ________

Had the Bear been treated before? Y or NAny known allergies to medicines? Y or NIf yes, please describe: (chocolate, hugs, Kisses, etc, . . .)________________________________________________________________

Describe the Bear -Injury/illness:__________________________________________________________________________________________________________________________________

Therapy:_________________________________________________________________

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Date of Discharge: ____/____/____

Remarks: _________________________________

......................................... ......................................................................

Date Doctor`s Signature

TTK

TIROLER

Teddy Bear Hospital

AMSA Innsbruck

Patient

__________________________________________________

Diagnosis

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Rp.

Date : Stamp and Signature:

FIRST TEDDY BEAR HOSPITAL IN INNSBRUCK

20. AND 21. JUNE 2001

www.teddyklinik.fuerdich.com

Innsbruck, 27.06.02

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Dear Sir/Madam!

We would like to give you a report on the success of the first Teddy Bear Hospital inInnsbruck a week after it took place.We were able to attend to about 650 children on two days. We had teddy bears, dolls mice

and even cars on our patients list.The complete spectrum of Pathology were represented in our waiting rooms Pingu whomanaged to break his beak while fishing, Muh the cow who caught her tail in the door,Tigger broke all his claws while digging a hole to hide from Winnie Pooh, the rattlesnakewith a broken rattle after she was overrun by a truck and lost 13 teeth (even our Radiologisthad to admit that this was a very difficult case ), Flipper had stomach ache after swallowinga Jelly fish, a bald Bear because his Mum loves him so much, we even had a teddy bear fromKiev who wanted to get vaccinated before travelling back.etc.Of course all our patients left the hospital healed and happy.

Not only the kids enjoyed themselves, the teddy docs, the teddy pharmacists and of course theteddy team had a good time.

Press Response:

ORF Online www.orf.atORF sterreich - Tirol Heute (3 times)

ORF Radio TirolTirol TV

Tiroler Tageszeitung (2 times)

Zeitschrift der Tiroler LandesregierungKrone (2 times)Wiener ZeitungSoon also in:

Pdiatrie und Pdologie (Springer Verlag), Brennpunkt-Themarztemagazin

sterreichische Apothekerzeitungetc.

To name our Sponsors:

Universitts-Kinderklinik Innsbruck

Red Cross

...

All together the first Teddy Bear Hospital in Innsbruck was a huge success which was madepossible by your support.

Hereby we say a big thank you to all who were a part of this project.

For the Teddy Bear Hospital Team,

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Elisabeth Russe, local project co-ordinator

Teddy Bear Hospital Innsbruck 2001, a project of AMSA, local Project co-ordinator: Lisa Russe

Number of Participating ChildrenTeddy Bear Hospital Innsbruck 2001

Wednesday, 20 Juni 2001

TIME KINDERGARTEN NUMBER OF CHILDREN

9.30 KG Pradl

KG Mariahilf

KG Mitterweg

Privat

22

30

09

02

10.00 KG Pechegarten

KG Bachlechnerstrasse

30

21

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Privat 01

10.30 KG Mhlau

KG Wilten West

Privat

21

25

03

11.00 Kinderfreunde (BUS) 32

12.00 Privat 02

13.00 Privat 05

14.00 KG Tilak (Innrain)Privat 1822

15.00 Privat 13

16.00 Privat 10

THURSDAY, 21 Juni 2001

TIME KINDERGARTEN NUMBER OF CHILDREN

9.00 Privat 04

9.30 KG Wilten OstKG Integrativ

Privat

3211

02

10..00 VK Alt-Wilten

KG Tilak (Mllertrasse)

Privat

19

22

04

10.30 KG Reichenau

KG Tilak (Mllerstrasse)

Privat

21

23

02

11.00 KG St. Paulus (BUS)

Privat

90

03

11.30 Privat 03

12.00 Privat 0813.00 Privat 11

14.00 Privat 26

14.30 Privat 40

15.00 Privat 32

INNSBRUCKs FIRST TEDDY BEAR HOSPITAL20th AND 21

stof JUNE 2001

www.teddyklinik.fuerdich.com

Project organizer: AMSA- Austrian Medical Students Association

Project manager: Elisabeth RusseBarbara Petrovitsch

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Auspices: Univ.Prof.Dr. N. Mutz, Studiendekan Universitt InnsbruckUniv.Prof.Dr. I. Hammerer, Vorstand der Univ. Kinderklinik Innsbruck

1. Project description

What is a Teddy Bear Hospital and who is it for?

2. Innsbrucks first Teddy Bear Hospital

Landhausplatz, 20th and 21st of June 2001

2. Organisation

How to organize a Teddy Bear Hospital

3. Stories from the Teddybear Hospital

A few nice Teddy illnesses, especially Ding-Dong our sick Dolphin

4. Patient history Analysis

Statistics on all the Teddy illnesses and allergies

5. Teddy doctors talk about their patients

Our teddy doctors talk about their experiences.

6. Press review

Newspaper reports on the Teddy Bear Hospital

7. Pictures, films and guest book entries

8. Conclusion

The Teddy Bear Hospital backstage

1. THE PROJECT:

Idea and goal:

By using games and play acting we want to lessen childrens (age 3 to 6) fear of

doctors and hospitals.

In the Teddy Bear Hospital the children have their teddy bears examined by a Teddy

bear doctor (a medical student). Using this technique the children can follow the

whole course of an examination without being the patient themselves.

How is it done?

The children should invent illnesses for their little friends that can be treated and cured

in the Teddy Bear Hospital.

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The doctor should take the patients history by asking the parent (the child) of the

teddy bear.

2. INNSBRUCK`S FIRST TEDDYBEAR HOSPITAL

Following the good examples of Norway, Sweden, Germany and Switzerland on June

the 20th 2001, the first Teddy Bear Hospital in Austria opened its doors for two days.

More than 650 children or roughly a fourth of all Kindergartens in Innsbruck came to visit theTeddy Bear Hospital. There were teddies, dolls, mice and even a car as patients.

Sixty medical students and five pharmacology students acted as teddy doctors andpharmacists. Prof. Dr. med I. Hammerer, head of the Innsbruck children hospital, hasprepared the students for their role as teddy doctors.

The Teddy Bear Hospital consisted of two big tents which were provided by the

German Red Cross. One tent functioned as a waiting area and the other was theexamination room. In addition, the children were able to explore an ambulance that

was parked outside.

In most cases "being ill" had been previously talked about in the kindergartens. Most

children thought of illnesses for their teddies that they had themselves experienced.

3. ORGANISATION:

To create a realistic environment, a process similar to a real hospital was used. The

children were first received in reception. They then moved to a waiting area where

they stayed until picked up by a teddy doctor. Accompanied by the teddy doctor, theyproceeded to the examining tent where they were first asked about their main problem.

The teddies were then weighed and measured from head to toe to see if they are the

right size for their age.

Many different tools were used to diagnose the teddies: real stethoscopes, self-made

EC Teddy Bear Hospital Gs and X-ray machines, plasters, bandages, etc.

The objective of the project was not to treat the children themselves. In addition the

medical students participating in this project may possibly not be qualified enough to

do so; therefore, it was important that real illnesses of the children were not discussed.

Depending on the teddys problem, they underwent different examinations and

treatments. For example, lungs were auscultated, bandages put on, shots given, and

some even had to be transferred to the theatre for surgery. Finally, all teddies went to

the pharmacy to get their prescribed medicines (Smarties of various colours against

serious pains, Wine gum antibiotics and juice for bad coughs).

In the pharmacy children were made aware of the seriousness of some drugs. They

were also told that it is important to continue taking some drugs even though the

symptoms might already have gone.

Sure enough, there wasnt a single teddy that left the hospital uncured. Some left in

even better health then before coming to see us (due to the many smarties and vitamin

pills).

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4. STORIES FROM THE TEDDYBEAR HOSPITAL:

We came across a whole variety of illnesses. "Pingu" the penguin broke his beak when goingice fishing. "Muh" the cow trapped her tail in the door to the stables. "Tigger" broke all his toenails when trying to hide from Winnie the Pooh. The rattle snake, "Valentin Maus," broke herrattle and lost all her teeth when she was run over by a lorry.(This was indeed a difficult case

according to the radiologist). A teddy had a problem with hair loss (because of too much loveand hugs). And one Russian teddy came to get shots before having to go back to Kiev.

A very interesting case was Ding Dong the six year old dolphin. She swallowed a jelly fish

when falling off her surf board and has had a tummy ache ever since. The jelly fish definitely

would have showed up on the X-ray, but an X-ray could not to be made since Ding Dong was

pregnant at the time. With all the stress around Ding Dong, its no wonder that it didnt take

long until she was in labour (luckily, the doctor had a miniature sea lion in her pocket which

made the birth even more spectacular).

With a big bandage around her tummy and a package full of laxatives, Ding Dong was free to

leave the hospital with her new baby, Magdalena, after only half an hour.

PATIENT HISTORY

Teddybear HostpitalInnsbruck

PATIENT INFORMATION:Patient name: DONG DONG Owner name:___JAKOB___Age: ___6___Height: __27cm__Weight: __200g_Colour of fur:_blue

brown__

Has the patient been in hospital before? Y or N ... N

Does the patient have any allergies? Y or N ... Y In case of YES please specify: (chocolate, etc . . .)

____strawberry chocolate and hay_____________________________

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Symptoms:__Cough and tummy ache, swallowed a jelly fish two days ago;_______

Treatment:__warming tummy bandage and laxatives from the

pharmacy___________

Check-out date:__20__/__6__/__2001__Additional instructions : __stay in bed until the bandage is removed (inthree days time), get lots of cuddles, take smarties as instructed by thepharmacist___________________________

.......IBK, the 20.6.200........ ......................OA Dr. ted. Lisa Russe............

Date Doctors signature

ABB 1.: Original patient history

TTK

TIROLER

Teddy Health

Insurance

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AMSAInnsbruck

Patient DING DONG

__________________________________________________

Diagnosis Tummy ache

1. Laxatives (brown Smarties)

2. cough treatment (yoghurt drink)

3. Painkiller (strong, red Smarties)

Date :

20.6.01

Stamp and signature:

OA Dr. ted, Lisa Russe

ABB. 2.: Original prescription

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5. STATISTICS: Number of patients: 595

1. Has the patient been admitted to a hospital before?

Yes: 25% (119)

No: 75% (371)

2. Does the patient have any allergies?

No: 70% (418)

Yes: 30% (177)

Chocolate 20.9%

Vegetables (spinach, salad, carrots) and fruits 25.4%

Vitamins 1.7%

Medicine 6.2%

Syringe, plaster 2.3%

Being ill 5.6%

Pollen 7.3%

Bees 1.1%

Cats 1.1%

Sugar 1.1%

Hugs and kisses 4.5%

Meat, fish and bones 3.4%

Pasta and rice 2.3%Milk and cheese 1.7%

Chips (French fries) 1.7%

Flour, sesame seeds, muesli, crisps 3.4%

Being bitten and being hit etc. 1.7%

Tidying up (vacuuming) 2.3%

Washing and combing hair 1.1%

Getting up 0.6%

School or Kindergarten 1.1%

Butterflies, mice (also mouse blood) 1.7%

Nicotine, strangers, artificial colouring 0.6%

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3. Teddy illness descriptions

DIAGNOSISDetail Percent

BROKEN BONES AND BRUISES:

56%

Upper Limb 10.8%

Shoulder/arm 6.5%Hand/ front paw/finger 4.2%

Lower Limb 17%

Hip/leg 6.4%

Foot/rear paw/toes 10.6%

Head and neck(ears and face) 7.7%

With concussion 1.7%

Without concussion 5.5%

Neck 0.5%

Others Tail 2.5%

Wings 0.3%Beak 0.3%

Back 1.3%

Rib 0.5%

Fin 0.3%

Tusk 0.3%

Wheel 0.2%

Multiple injuriesMostly upper extremities and lower

extremities mixed (21)

6.6%

Fractures in combination

with ...

10.4%

With stomach pain 3.7%

With headache 5.2%

with fever and a cold 1.5%

Cuts. bruises and other injuries 3.0%

BURNS On beak, fin, wings etc 0.5%

INTERNAL PROBLEMS 41.7%

FLUIn combination with headache, ear pain,

cough, fever, etc.

6.7%

Cold in combination with cough and a runny

nose

1.5%

Lung infection 0.5%

SORE THROT 2.9%

1.7%

Tonsillitis 1.2%

EAR PAIN 3.5%

1.3%Inflammation of the middle ear 2.0%

Foreign body in the ear 0.2%

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EYE PAIN 2.5%

Inflammations 1.3%

Lost eye (through accident) 0.5%

Never opens eyes (because is made so!) 0.3%

Foreign body in one eye 0.2%

Cross eyes 0.2%

HEADACHE 0.3%

See Flu 1.2%

STOMACH PAIN 16.0%

In combination with diarrhoea 9.1%

Ate too much 3.2%

Ate too little 0.7%

Appendicitis 1.0%

Swallowed a foreign body 2.0%

CHILDRENS ILLNESSES 2.5%

smallpox 1.2%

Measles 0.5%Scarlet fever 0.8%

ALLERGIES With allergic reactions 0.8%

Against strawberries; nuts, salad, bones etc. 0.2%

Hair loss 0.7%

Bee sting 0.7%

Sun burn 0.2%

Tiredness 0.2%

Heart attack 0.7%

Cancer Was never diagnosed 0.3%

Pregnancy 0.5%

HEALTHY2.4%

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6. TEDDY DOCTORS TALK ABOUT THEIR PATIENTS:

Dr. ted. Andreas Wehinger tells:

"Then there came a serious case. Some boy had hit the teddys head off. Can you believe it?.

Benjamin, the teddys father, wasnt pleased about this at all. He was quite angry at the boy

who later came to the Teddy Bear Hospital himself and apologised. Luckily, it was only a

minor injury. He didnt really need to be that worried at all. It was only a matter of minutes inthe operation theatre. The teddy was about to pass out, but an immediate dose of adrenalin

helped him to get over the worse part.

Benjamin was still very upset but soon found out that the medical student who took on the

little bears operation knew perfectly well how to deal with this situation.

Soon after that the operation the teddy was able to leave the hospital. Benjamin had to go to

the pharmacy to get some liquorice antibiotics and smartie pain killers for his teddy. "

Dr. ted. Miriam Erlacher tells:"The teddys mother, who lived the farthest from Innsbruck, was from Kiev (Russia).Since she had to go back to Russia the following Saturday, we provided her teddy with shotsfor Hepatitis and the flu.

I could see that the whole project was a total success by the reaction of my friends daughter ,Julia. Julia is four years old and came to the Teddy Bear Hospital on Thursday afternoon. Herhuge teddy bear had a whole in his arm pit. A surgeon, radiologist and an anaesthetist showedJulia how such serious injuries are dealt with.Julia was thrilled by the care her teddy received. She was admitted to theatre (dressedappropriately with operation cap und face mask) and assisted the operation. The hole in thearm pit was sewed and later bandaged.The surgeon informed her she may take the bandage off in one week since the wound is

bound to have healed by then. For one week the teddy slept in Julias bed and was given apain killer in the mornings and evenings. Julia was for that time allowed to stay in hermothers bed.

6. PRESS REVIEW

Newspaper articles:

TIROLER TAGESZEITUNG Notice Monday, 18th of June 2001Report Thursday, 21st of June 2001

KRONE ZEITUNG Notice Tuesday, 19th of June 2001Report Thursday, 21st of June 2001

STADTBLATT No. 26

WIENER ZEITUNG Notice Tuesday, 19th of June 2001

ZEITUNG DER TIROLER LANDESREGIERUNG

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ORF ONLINE

MEDICAL JOURNALS:

PDIATRIE & PDOLOGIE No. 4/2001

STERREICHISCHE APOTHEKERZEITUNG 55.Jahrgang, Nr. 15

RZTEZEITUNG No. 26

CLINICUM No. 7-8 2001

TELEVISION AND RADIO REPORTS:

ORF STERREICH - TIROL HEUTE Notice 19.6.2001Report 20.6.2001

ORF RADIO TIROL Notice 20.6.2001Interviews 21.6.2001

TIROL TV Report 25. week (2001)

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7. PHOTOS AND FILM:

ERSTES INNSBRUCKER TEDDYBRKRANKENHAUS- INNSBRUCK`S FIRST TEDDY BEAR HOSPITAL

Die Anmeldung The reception

Das Wartezimmer The waiting room

Die Teddyrzte bei der Arbeit - Teddy doctors in action

Die Radiologie Radiology

Der OP The operation theatre

Die Apotheke The pharmacy

Die zufriedenen Eltern der kranken Teddies The happy teddy parents

Das Team The staff

Backstage

Graz Teddy Bear Hospital (16./17. Mai 01)

GUEST BOOK ENTRIES

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8. CONCLUSION:

The project was a complete success. The organising team, the teddy doctors, the teddypharmacist and especially the children had a great time. It was amazing to see how muchimagination the children had whilst participating in our game.

The organisation of a project like this requires a lot of work, but you should try it. We learnt agreat deal during those months of organisation. It took us months to plan everything, but itwas really worth it in the end.A lot of people supported our project with donations and the press was fascinated by ourwork. It showed us that we can make things happen.Most of all the children loved it...they were thrilled.

If you have any questions or criticisms, we would be glad to answer them.

Elisabeth Russe, Project manager

AMSA Innsbruck

tbh-manual

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