Al Hada Hospital, opened in 1980, is a modern, acute care facility with 368 beds located ten miles Northwest of Taif. Extensive medical and nursing services are offered including open-heart surgery and kidney transplant. The hospital provides the latest state of the art care in the renal medicine (dialysis), burn care, general intensive care and coronary care, obstetrics & gynaecology, neonatal intensive care, paediatrics; orthopaedics and various medical and surgical specialities. The medical staff includes over 160 physicians, the majority of which are western educated and board certified with a resident staff of 25. The nursing staff employs about 140 western nurses and an additional staff (about 250) of RNS, LPNs and aides under the direction of a strong nursing administrative staff. Ancillary services include comprehensive laboratory therapy, physical therapy and pharmacy.

The Prince Sultan Rehabilitation Centre: was also opened in 1980. The facility, located in the city of Taif, offers restorative and rehabilitative care to men, women and children. The centre provides physiotherapy, hydrotherapy, occupation therapy, social services, psychology, dentistry, pharmacy, orthotics & prosthetics, plastic surgery and independent living training. Disabling conditions which are treated in the centre includes spinal and brain injuries, CVS, rheumatic diseases, lighter body and limb injuries, convalescents after operations, psychosomatic syndromes and patients with lesions of the cervical column (tetreplegics and quadriplegic). The patient profile covers active physiotherapy and rehabilitation and chronic disabled. The mixture of chronic and active patients has made it necessary to have broad competence among the medical and paramedical staff.

The Prince Sultan Hospital: opened Feb 1990, is located 50km from Al-Hada Hospital. It consists of a large ER department, flight and aviation medicine, outpatient clinics that provide general and specialised services including dental. The capacity is 52 beds. There are 4 operating theatres, 6 recovery beds, nursery, labour and delivery rooms, pharmacy, physiotherapy, radiology, and laboratory.

Surgical Areas:  There are 11 Operating Rooms. They are equipped to facilitate surgeries in the following specialities: neurosurgery, cardio-thoracic, vascular, ophthalmology, ENT, dental, maxillo-facial surgery, urology, orthopaedics, paediatric, gynaecology, and plastic/burns. Nurses scrub and circulate through all speciality areas.

Post Anaesthesia Recovery (PAR) is a 13-bed unit, which is equipped with basic monitoring devices (such as hemodynamic monitoring via Swan Gaz catheters, arterial lines as well as management of CVP and use of oximeter for assessment of patients undergoing all type of surgery .

The 22 bed Orthopaedic with 12 beds assigned to Orthopaedic cases, 4 ENT, and the remaining 6 to Chronic Care, many admissions result from road traffic accidents (RTA). These patients have sustained multiple fractures and injuries, which frequently require open reductions and internal fixations with screws or pins, bone grafting o external fixation. Most admissions to ENT unit include tonsillectomy, adenoidectomy or septoplasty. The chronic care patients are generally those who have recovered for RTA injuries but have deficits in normal functioning or CVA patients. These patients require total nursing care.

A 23 bed Male Surgical Unit (MSI) specialising in urologic diagnostic and surgical procedures & Male Surgery (MSII) unit with 20 beds provides for a wide variety of specialities such as vascular, ophthalmology, plastic & dental surgery. Female Surgery (23 beds) unit which included one VIP suite. The unit caters to female patients requiring a wide range of surgical procedures including neurosurgery, thoracic, ENT, ophthalmologic as well as post-plastic surgery, skin grafts, post burns, orthopaedic, oralmaxillary & urogogic procedures. The VIP unit (26 beds) is for "very important people" and includes the King's Suite. Nurses working on this unit gain a wide variety of both surgical and medical nursing experience in almost all specialities.

Medical & Maternal/Child Areas:
The 13 beds Nephrology unit specialises in care of patients with renal failure and post kidney transplants. The unit operates a Peritoneal Dialysis programme, which is planned to develop into an ambulatory at home programme.

The labour and delivery area, staffed with nurse midwives, is frequently the busiest in the hospital. The birth rate is very high. The unit has six first-stage rooms, two delivery rooms and a newly refurbished fully equipped operating room. Post partum 1 provides care for patients following delivery without problems. Post partum II (27 beds) is a combined antenatal and gynaecology ward caring for patients with complications of pregnancy (e.g. APHm pre-eclampsia).

The new-born nursery has 27 beds plus 10 NICU step-down beds. Nursing staff in this area gain experience caring for well new-borns, the extended care and the care of babies re-admitted for various treatments and phototherapy. Neonatal Intensive care Unit (NICU), capacity for 15 neonates. The most common problem is respiratory distress. On average three of the neonates require full ventilator support. A 30 bed Paediatric area provides both medical and surgical care for children.

The Female Medical (35 beds) and male Medical (30 beds), with an additional 10 bed long term care unit, offers care for a wide variety of medical problems. Admissions include patients with chronic and acute chest conditions, diabetes, cancer (with chemotherapy), and pre operative preparation of cardiac surgery with catherization, acute infections and neurological problems. The telemetry monitoring equipment is housed in this unit. Nurses working on this unit gain experience with EKG interpretation, pre-operative preparation of patients for cardiac surgery, caring for patients with CVA, MI, diabetes, sickle cell anaemia and thalassemia major as well as chemotherapy.

Pharmacy: Extensive computerised pharmacy services are available throughout the system. Under the direction of the chief of pharmacy the staff is comprised of 2 clinical pharmacists, 15 staff pharmacists and a support staff of 25 technicians plus messengers and clerks.

Laboratory: Under the direction of a chief, plus a clinical and an anatomical pathologists, the staff is comprised of 10 medical technologists and 25 medical lab technicians plus specialists in haematology, chemistry, microbiology, histopathology & electron microscope.

Dental Services: A complete range of dental services are available at Al Hada and Prince Sultan including orthodontia.

Nursing Department:
The nursing units are each managed by a head nurse who has expertise in the specific clinical area. She or he is assisted in managing assigned units by a nursing officer for a Service Area. There are 3 service areas: Surgical, Medical & Maternal Child and Clinical & Ambulatory Care. The nursing officers work with the Director of Nursing and Quality Assurance Director to ensure effective administration within the department.

The Nursing Staff Committee comprised of the head nurses of each unit, nursing supervisors and staff level representatives facilitates communication throughout the department.

The head nurses also meet regularly with the nursing officer to discuss issues related to their respective service area. The Nursing Staff Advisory Committee, which is composed of a nursing staff representative from each nursing unit, can also bring issues of concern, not related to quality assurance, nursing practice, as well as staff education & development.

Critical & Ambulatory Care:
Surgical Intensive Care (SICU) unit (10 beds) accepts all levels of critical care patients and complex medical patients. Admission problems include multiple trauma, neurosurgical; complex, abdominal, surgical patients frequently transferred from other hospitals in the area and renal transplant cases. Nurses working in this area will gain extensive experience in the care of critically unstable patients and the utilisation of critical care equipment and pressure monitoring devices while working with an internationally trained team of nurses, physicians and respiratory therapists.

A 5 bed Cardiac Surgical Intensive Care Unit (CSICU), adjacent to the recovery room, is designed to accommodate patients immediately post-op from open or closed heart surgery including by-pass & valve replacement cases and for other thoracic surgical procedures

The (10 bed) Medical Intensive Care Unit (MICU) is equipped to provide coronary care to patients with all types of cardiac problems including congenital heart problems, myocardial infractions, arrhythmia's and post cardiac surgery. The Hemodialysis Unit is very busy offering the outpatients and in-patient dialysis for up to 52 patients in two shifts per day. This unit has 15 regular stations with plasmapheresis. The unit's staff also provides acute dialysis treatments for patients in other critical care settings throughout the hospital. A fully equipped, 10 bed, Burn Intensive Care Unit (BICU) provides complete burn care to patients including hubbard tanks for their therapy.

The Emergency area serves an average of 50 to 100 patients per day. The unit has the capacity to provide normal care to 6 patients at a time with 6 treatment rooms and 4 major trauma beds.

The outpatient clinic (OPD) area consists of a total of 10 clinics, 8 on one floor and 2 decentralised units in other areas of the hospital. A wide variety of specialities are represented including neurology, endoscopy, paediatrics, oncology, internal medicine, endocrinology allergy, psychiatry, neurology, and neurosurgery ENT, obstetics & gynaecology ophthalmology, audiology, dermatology, cardiothoracic, urology, plastic surgery and general practice. This is a very busy area, which caters both to scheduled and non-scheduled patients.
 

Respiratory Therapy: The supervisor manages a staff of 12 therapists (usually registered RT) plus two technicians and one clerk, equipment includes: ventilators (Angstrom, Bear infant & Adult), Siemens 900C anaesthetic ventilators, metabolic function microprocessors (Beckham Horizon), radiometer blood gas analysers, oxygen monitors, (Critickon, Backman & Ohio), oxygen tents and tracoetancus PO2/PCO2 monitor of neonates.

Rehabilitation & Development Staff: Physical therapists are employed in both acute care facility and the rehab facility. The acute care faculty employs a supervisor and nine therapists. The rehab staff is comprised of 8 therapists & 7 technicians. The rehab centre also employs 5 occupational therapists and 4 technicians plus recreation, play and development therapists.

There are several Outpatient Clinics associated with the Al-Hada Hospital; there are also clinics provided at the Rehabilitation Centre and five dispensaries. During the month of Haji, 18 mobile clinics operate to provide pilgrims with medical services during haji season.

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