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 decision to organise a Teddy Bear Hospital in your university town. If you already made your decision 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 of criticism, improvement suggestions and of course praise. The following table shows a statistic of previous Teddy Bear Hospitals (tbh’s) took place in German university towns. Tota Year l Universities 2000 2 Heidelberg, Bochum 2001 7 Heidelberg, Berlin, Jena, Ulm, Hamburg, Mainz, Leipzig Hannover, Heidelberg, Mannheim, Rostock, Würzburg, 2002* 7 Mainz, München, 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 help with the origin of this handbook. Special thanks goes to Elizabeth Russe from the Teddy Bear Hospital in Innsbruck/Austria. Due to the detailed information and gained experience from Innsbruck tit was possible for us to develop this helpful guideline for organise 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 the subregional training in public health which took place in Freiburg/Germany in April 2002 had also considerable influence in this paper.

Barbara Dührsen and Kersten Peldschus NPO- Team 2001/2002

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

Laying–down 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 clerk‘s office / police  description of the location for supplier / Kindergarten  personal liability insurance for teddy doctors (DÄV, 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 background without 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 from the cover letter, information about the organisations( IFMSA  explain ), time and budget plans. The proposal should be available if inquiries from sponsors , supporters or the press 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 increase the 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 the university. The patron should write a letter, in which he explains his support of the 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 teddy doctors. In Heidelberg they even won for several times the support of the mayor of the town , 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 children in 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 be described , which kind of support is imagined ( amounts of money ,material assets how 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 you should also invite ecclesiastical or private kindergartens. 5

The contact to the kindergartens should always consist in sending the proposal, the schedule 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 children and the time they like to come, you should nevertheless stay in regular contact and remind them of the TBH. Before coming to the TBH the topic” disease” should be discussed in the kindergarten. 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. Depending from the size of the tent and the number of the teddy docs you can treat about 15 to 40 child per hour. Having enough teddy docs (about 50 persons) you can invite about 450 kids in the two days. The personal of the TBH In principle you can also ask, apart from the medical students, students of the teacher training colleague or pharmazeutic students, as well as nurses. The number of the people who are helping depends on the size of your tent. As we find out, it is very helpful when you are about 10-15 teddy docs and 2-3 people of the organisation team in the TBH every shift. ( see appendix 8 page 23) Everyone should bring with him: a coat, a stethoscope, a ophthalmoscope, a reflex hammer 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 of everything you are doing with his teddy, especially you should remind them of the 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 some drinks and perhaps something to eat ( pizza or something like that)

Assurance • In Germany children are automatically assured with the kindergarten when they are making a trip 6

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

Press relations The official press report should contain about one DIN A4 page and should describe the project, the idea, the patrons and your contact. It would be advantageous to prepare 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 before 1 day before! - during the TBH there should be one or two organizers who are responsible to answer questions, give interviews… - There is another possibility which might reduce disruptions: You can organize a 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 very frightening for the kids and as well can be a hindrance for you to give them your full attention. That is why you should try to make one breakfast or conference only. Of course you can not avoid, that there will be taken pictures or television records as well during your work, but otherwise this is how you can be sure that the parents are informed about what you are doing and will join the consulting hour in the afternoon! Organisation of the hospital The hospital should be divided in two parts, that is why it would be advantageous to 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, children´s nurses etc. The second tent can be used as a consulting room: - there should be tables for about 5-10 consulting possibilities 7

as well as central places such as operating theater, radiograph (with a flashlight 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 sending them 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 1 Page 11 Description Cover Letter
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2 3 4 5 6 7 8 9 10 11 12 13 14 15

12 – 17 18 19 20 21 22 23 24 – 25 26 27 28 29 – 30 31 32 – 43

Project - Proposal Link – List Letter of Support of the Patron Donation Receipt Financial Plan Enrolment for the Kindergarten Advertising Teddy docs Press Information Invitation Press Breakfast Paper for Historytaking Prescription Sponsor Thanks Number of Visitors 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 studies Univ.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. Innsbruck’s 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 Project coordinators: Elisabeth Russe Tel.: 12345 Barbara Petrovitsch Tel. :1112131415 Project team: www.teddyklinik.fuerdich.com Fax: 678910 amsa@amsa.at Email: lisa@russe.at Email: baebsodrome@gmx.at teddyklinik@fuerdich.com

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.

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

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3. Teddy Bear Hospital
Subject Content of the Project Organization Schedule Budget-Outline

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4 4 5 5 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’ exchange for 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 politically independent, and its members do not pursue any partypolitical interests with their work. (preamble of the statutes of the dfa) The “Deutscher Famulantenaustausch” is member German Medical Students´ Association (GeMSA) of

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 the Deutsche 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- Days and 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 Students´Associations) Aim : to take children’s fear of hospitals.

To create confidence by playful education!
Contents of the project: Focus in contents of the Teddy Bear Hospital - Program is the children’s 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 hospital 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 children, that illness 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 ´ Association (GeMSA), that represents interests of German medical students 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 things with 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 to follow. 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 costs:
Catering:

in Euro

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food parents (60) food (doctors) (60) food Red Cross (2) drinks parents (60) drinks (doctors) (60) beakers (200) napkins, rubbish bags

apples, yoghurts lunch for 2 € each coupon 1 lunch per10 € mineral water, fruit juices 0,25l mineral water, fruit juices 0.5l

45,120,20,25,45,15,15,-

third party liability insurance: Others:
copy costs, postage, posters drawing material, magazines diplomas (bravery medals) decoration tents

150,-

balloons, garlands, cuddly pets 2 ones for 75 € each

110,75,45,15,150,-

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 18

University Children’s Hospital Head 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 Bear Hospital l” with the request to support its realization. The project “Teddy Bear Hospital” has the aim to less children’s fear of doctors and hospitals. As paediatrician and medical superintendent of the Children’s University Hospital Mainz I often have to cope with this problem. The little patients are suddenly in the unusual environment of the hospital. This is often inconvenient for them or is sometimes even associated with some unpleasant examinations. The project “Teddy Bear Hospital” wants to help in this situation and tries to familiarize children in a friendly and pleasant atmosphere with the situation in a hospital or a paediatrician’s office. With pleasure I have accepted the auspices of the “Teddy Bear Hospital” to assist the students for a successful organization and realization of this project. I would be delighted if the students also get support from your hand. Sincerely yours,

Prof. Dr. med. F. Zepp University Children’s Hospital

AUSTRIAN MEDICAL STUDENTS ASSOCIATION
e.V. A Platform for Medical Students Projects and Initiatives AMSA is Full member of IFMSA

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 material support (except bandaging material). Generally you should ask for material support and/or free rental/hire service. Possible assistance Item Office costs: Print Cover letter/proposals Postage Telephone charges Print forms (e.g. prescription forms) Tent/Inventory for 2 days 1 Tent including setup Permission fee Amount in EUR 150-200

Students representations Deans office Sponsoring: copy shops

Aid organisations 200 50

350

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Tables/chairs Medicine/sweets Catering Children/Nannies (beverage ->tea) Teddydocs (Snacks, beverage) Additional goods Table-cloths, adhesive/duck tape pencils, crayons dekoration (e.g.balloons) Insurance Liability insurance

100 Sponsoring Sponsoring: bakeries, Supermarkets Sponsoring: Stationery store Supermarket 30 35 45 15 15 15 150 800-850 40 65

total:

Teddy Bear Hospital Registration form
Name and Adress of the Kindergarten:

Expected number of 21

participating children: Desired day: Desired time: Remarks and inquiries:

Please contact us at the latest - DATE – to simplify our timing and to fit your desired terms to our schedule. Because there will be more inquiries in morning, we ask you to subscribe for a term in 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 children’s fear of doctors and hospitals. You will work as a teddy doctor and heal the sick teddies of these children! The only requirement is the participation in our teddy bear doctors’ educational training of the University Children’s 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! 22

Your Teddy Organization Team

Teddy Bear Hospital
Under the auspices of Prof. Dr. Richter Head of Department Paediatric Hospital University of Rostock c/o Fachschaft Medizin /dfa Schillingallee 70. 18057 Rostock Tel.: 0381-4945082 Fax: 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 homepage www.uni-rostock.de/andere/dfa/TBH Yours sincerely Barbara Dührsen Tel.: 0381/4006777 Mobil: 0177/7937864 Email-Adresse TBH-Rostock@gmx.de

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AUSTRIAN MEDICAL STUDENTS ASSOCIATION
e.V. A Platform for Medical Students Projects and Initiatives AMSA is Full member of IFMSA

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 lisa@russe.at, 0664/1044131) or visit our Homepage www.teddyklinik.fuerdich.com. Yours sincerely

Elisabeth Russe und Barbara Petrovitsch, Project manager

Univ. Prof. Dr. I. Hammerer, Board of directors University Hospital

Univ. Prof. Dr. N. Mutz 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 N Any known allergies to medicines? Y or N If 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 28

Dear Sir/Madam! We would like to give you a report on the success of the first Teddy Bear Hospital in Innsbruck 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” who managed 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 rattlesnake with a broken rattle after she was overrun by a truck and lost 13 teeth (even our Radiologist had to admit that this was a very difficult case ), “Flipper” had stomach ache after swallowing a Jelly fish, a bald Bear because his Mum loves him so much, we even had a teddy bear from Kiev 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 the teddy team had a good time. Press Response: ORF Online www.orf.at ORF Österreich - Tirol Heute (3 times) ORF Radio Tirol Tirol TV Tiroler Tageszeitung (2 times) Zeitschrift der Tiroler Landesregierung Krone (2 times) Wiener Zeitung Soon also in: Pädiatrie und Pädologie (Springer Verlag), Brennpunkt-Thema Ärztemagazin Österreichische Apothekerzeitung etc.

To name our Sponsors: Universitäts-Kinderklinik Innsbruck Red Cross ...

All together the first Teddy Bear Hospital in Innsbruck was a huge success which was made possible 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, 29

Elisabeth Russe, local project co-ordinator

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

Number of Participating Children Teddy Bear Hospital Innsbruck 2001 Wednesday, 20 Juni 2001
TIME 9.30 KINDERGARTEN KG Pradl KG Mariahilf KG Mitterweg Privat KG Pechegarten KG Bachlechnerstrasse NUMBER OF CHILDREN 22 30 09 02 30 21

10.00

30

10.30 11.00 12.00 13.00 14.00 15.00 16.00

Privat KG Mühlau KG Wilten West Privat Kinderfreunde (BUS) Privat Privat KG Tilak (Innrain) Privat Privat Privat

01 21 25 03 32 02 05 18 22 13 10

THURSDAY, 21 Juni 2001
TIME 9.00 9.30 10..00 10.30 11.00 11.30 12.00 13.00 14.00 14.30 15.00 KINDERGARTEN Privat KG Wilten Ost KG Integrativ Privat VK Alt-Wilten KG Tilak (Müllertrasse) Privat KG Reichenau KG Tilak (Müllerstrasse) Privat KG St. Paulus (BUS) Privat Privat Privat Privat Privat Privat Privat NUMBER OF CHILDREN 04 32 11 02 19 22 04 21 23 02 90 03 03 08 11 26 40 32

INNSBRUCK´s FIRST TEDDY BEAR HOSPITAL
20th AND 21st of JUNE 2001 www.teddyklinik.fuerdich.com

Project organizer: Project manager:

AMSA- Austrian Medical Students Association Elisabeth Russe Barbara Petrovitsch 31

Auspices:

Univ.Prof.Dr. N. Mutz, Studiendekan Universität Innsbruck Univ.Prof.Dr. I. Hammerer, Vorstand der Univ. Kinderklinik Innsbruck

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Project description What is a Teddy Bear Hospital and who is it for? Innsbruck´s first Teddy Bear Hospital Landhausplatz, 20th and 21st of June 2001 Organisation How to organize a Teddy Bear Hospital Stories from the Teddybear Hospital A few nice Teddy illnesses, especially Ding-Dong our sick Dolphin Patient history Analysis Statistics on all the Teddy illnesses and allergies Teddy doctors talk about their patients Our teddy doctors talk about their experiences. Press review Newspaper reports on the Teddy Bear Hospital Pictures, films and guest book entries Conclusion The Teddy Bear Hospital backstage

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7. 8.

1. THE PROJECT:

Idea and goal: By using games and play acting we want to lessen children’s (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. 32

The doctor should take the patient’s 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 the Teddy Bear Hospital. There were teddies, dolls, mice and even a car as patients. Sixty medical students and five pharmacology students acted as teddy doctors and pharmacists. Prof. Dr. med I. Hammerer, head of the Innsbruck children hospital, has prepared 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 the examination 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, they proceeded 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 teddy’s 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 wasn’t 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). 33

4. STORIES FROM THE TEDDYBEAR HOSPITAL: We came across a whole variety of illnesses. "Pingu" the penguin broke his beak when going ice fishing. "Muh" the cow trapped her tail in the door to the stables. "Tigger" broke all his toe nails when trying to hide from Winnie the Pooh. The rattle snake, "Valentin Maus," broke her rattle 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 love and 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, it’s no wonder that it didn’t 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 Hostpital Innsbruck 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 (in three days time), get lots of cuddles, take smarties as instructed by the pharmacist___________________________

.......IBK, the 20.6.200........ Date

......................OA Dr. ted. Lisa Russe............ Doctors signature

ABB 1.: Original patient history

TTK
TIROLER Teddy Health Insurance

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AMSA Innsbruck
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: No: 25% 75% (119) (371)

2. Does the patient have any allergies? No: Yes: 70% 30% (418) (177) → Chocolate 20.9% Vegetables (spinach, salad, carrots) and fruits Vitamins Medicine Syringe, plaster Being ill Pollen Bees Cats Sugar Hugs and kisses Meat, fish and bones Pasta and rice Milk and cheese Chips (French fries) Flour, sesame seeds, muesli, crisps Being bitten and being hit etc. Tidying up (vacuuming) Washing and combing hair Getting up School or Kindergarten Butterflies, mice (also mouse blood) Nicotine, strangers, artificial colouring 25.4% 1.7% 6.2% 2.3% 5.6% 7.3% 1.1% 1.1% 1.1% 4.5% 3.4% 2.3% 1.7% 1.7% 3.4% 1.7% 2.3% 1.1% 0.6% 1.1% 1.7% 0.6%

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3. Teddy illness descriptions DIAGNOSIS
BROKEN BONES AND BRUISES:

Detail

Percent 56% 10.8% 6.5% 4.2% 17% 6.4% 10.6% 7.7% 1.7% 5.5% 0.5% 2.5% 0.3% 0.3% 1.3% 0.5% 0.3% 0.3% 0.2% 6.6% 10.4%

Upper Limb Shoulder/arm Hand/ front paw/finger Lower Limb Hip/leg Foot/rear paw/toes Head and neck (ears and face) With concussion Without concussion Neck Tail Wings Beak Back Rib Fin Tusk Wheel Mostly upper extremities and lower extremities mixed (21)

Others

Multiple injuries Fractures in combination with ...

With stomach pain With headache with fever and a cold Cuts. bruises and other injuries BURNS On beak, fin, wings etc

3.7% 5.2% 1.5% 3.0% 0.5%

INTERNAL PROBLEMS

FLU

Lung infection SORE THROT EAR PAIN

In combination with headache, ear pain, cough, fever, etc. Cold in combination with cough and a runny 1.5% nose 0.5% 2.9% 1.7% Tonsillitis 1.2% 3.5% 1.3% Inflammation of the middle ear 2.0% Foreign body in the ear 0.2%

41.7% 6.7%

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EYE PAIN Inflammations Lost eye (through accident) Never opens eyes (because is made so!) Foreign body in one eye Cross eyes HEADACHE See Flu STOMACH PAIN In combination with diarrhoea Ate too much Ate too little Appendicitis Swallowed a foreign body CHILDREN‘S ILLNESSES smallpox Measles Scarlet fever ALLERGIES Hair loss Bee sting Sun burn Tiredness Heart attack Cancer Pregnancy HEALTHY Was never diagnosed With allergic reactions Against strawberries; nuts, salad, bones etc.

2.5% 1.3% 0.5% 0.3% 0.2% 0.2% 0.3% 1.2% 16.0% 9.1% 3.2% 0.7% 1.0% 2.0% 2.5% 1.2% 0.5% 0.8% 0.8% 0.2% 0.7% 0.7% 0.2% 0.2% 0.7% 0.3% 0.5% 2.4%

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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 teddy’s head off. Can you believe it?. Benjamin, the teddy’s father, wasn’t 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 didn’t really need to be that worried at all. It was only a matter of minutes in the 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 teddy’s 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 shots for Hepatitis and the flu. I could see that the whole project was a total success by the reaction of my friend’s daughter, Julia. Julia is four years old and came to the Teddy Bear Hospital on Thursday afternoon. Her huge teddy bear had a whole in his arm pit. A surgeon, radiologist and an anaesthetist showed Julia how such serious injuries are dealt with. Julia was thrilled by the care her teddy received. She was admitted to theatre (dressed appropriately with operation cap und face mask) and assisted the operation. The hole in the arm 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 Julia’s bed and was given a pain killer in the mornings and evenings. Julia was for that time allowed to stay in her mother’s bed.

6. PRESS REVIEW

Newspaper articles: TIROLER TAGESZEITUNG Notice Report Notice Report Monday, 18th of June 2001 Thursday, 21st of June 2001 Tuesday, 19th of June 2001 Thursday, 21st of June 2001 No. 26

KRONE ZEITUNG

STADTBLATT

WIENER ZEITUNG

Notice

Tuesday, 19th of June 2001

ZEITUNG DER TIROLER LANDESREGIERUNG 40

ORF ONLINE

MEDICAL JOURNALS: PÄDIATRIE & PÄDOLOGIE No. 4/2001

ÖSTERREICHISCHE APOTHEKERZEITUNG

55.Jahrgang, Nr. 15

ÄRZTEZEITUNG

No. 26

CLINICUM

No. 7-8 2001

TELEVISION AND RADIO REPORTS: ORF ÖSTERREICH - TIROL HEUTE Notice Report Notice Interviews TIROL TV Report 19.6.2001 20.6.2001 20.6.2001 21.6.2001 25. week (2001)

ORF RADIO TIROL

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7. PHOTOS AND FILM:

ERSTES INNSBRUCKER TEDDYBÄRKRANKENHAUS - INNSBRUCK`S FIRST TEDDY BEAR HOSPITAL Die Anmeldung – The reception Das Wartezimmer – The waiting room Die Teddyärzte 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 teddy pharmacist and especially the children had a great time. It was amazing to see how much imagination 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 a great deal during those months of organisation. It took us months to plan everything, but it was really worth it in the end. A lot of people supported our project with donations and the press was fascinated by our work. 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

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