LSUA Medical Technologist's Travel

Saturday, January 26, 2019

Off to Kyiv, Ukraine

Map of Ukraine
Where is Ukraine?
Related image
Ukrainian flag
 This will be my 11th trip to Kyiv, Ukraine.  I love the city, its rich history and culture.  I am collaborating with the National Ukrainian Medical Laboratory Auditing Team to evaluate the implementation process of Quality Management Systems into a cohort of selected laboratories.  The country and the people are wonderful and very friendly.  I will post on a daily basis and share my experiences (along with pictures).

   
Facts about Ukraine:
Ukraine is a large country in Eastern Europe known for its Orthodox churches, Black Sea coastline and forested mountains. Its capital, Kiev, features the gold-domed St. Sophia's Cathedral, with 11th-century mosaics and frescoes. Overlooking the Dnieper River is the Kiev Pechersk Lavra monastery complex, a Christian pilgrimage site housing Scythian tomb relics and catacombs containing mummified Orthodox monks.
CurrencyUkrainian hryvnia
Population44.83 million (2017) World Bank
Official Language: Ukrainian
  • The name Ukraine is believed to originally mean "borderland" or "region". In English 'The Ukraine' used to be the form used now it is just called 'Ukraine'.
  • Ukraine has an area of 603,628 km² (233,062 mi²), which makes it the largest country with its entirety within Europe.
  • The capital city of Ukraine is Kyiv, which is home to over 2.8 million people.
  • Ukraine became an independent country on the 24th August 1991 following the collapse of the Soviet Union.
  • As of 2011, Ukraine was the world's third-largest grain exporter and used to be called the breadbasket of the Soviet Union. The country also has large deposits of natural resources including ironcoal, gas, oil, manganese and other metals.
  • The world's worst nuclear power plant accident, the 1986 Chernobyl Nuclear Power Plant disaster, took place in the now abandoned Ukrainian town of Pripyat.

Day 1

Off to visit the first of 5 labs to conduct a post-assessment.  In addition to myself, there will be other Ukrainian National Training Team colleagues assisting me with this audit.  I am looking forward to seeing each of them again.

Afterward the assessment:  WOW- this lab has made incredible improvements since the baseline assessment.  Due to confidentiality issues, I cannot discuss specifics or share pictures, but I can share the following picture of the door to the Laboratory (below).


Day 7 in Kyiv



It's Saturday and I am free all day to be a tourist.  As part of the U.S.-Ukrainian Assessment Team, we conducted post- assessments at the laboratories who volunteered to be a part of the Country Project: Preparing Medical Laboratories to Earn International ISO 15189 accreditation.  We were ecstatic to find so many improvements to the Quality Management Systems in each of the laboratories.  These improvements were based on our findings from a pre-assessment conducted last year.  Implementing improvements in any setting and organization is tedious.  This was an international project, which adds another layer of commitment and potential barriers.  However, this time, the U.S. consultants were mindful to research cultural characteristics of Ukraine and its peoples prior to planning the training approach and methodology.  Selecting the appropriate Ukrainian laboratorians to participate in the training was also done including those professionals accepting of new concepts and open to "change".  Suffice it to say:

The right people + culturally appropriate methodologies + trust and respect + mentorships = A Successful Improvement Project augmenting improved health care for Ukraine.

Of course, this project also demonstrated fiscal responsibility and use of PEPFAR and other funds supporting this project.

Collaboration between two unique but different countries and their respective citizenry further promoted a personal bond and camaraderie between  all members of the team.  In addition to a plethora of discussions on laboratory issues, there was also time for discussions and sharing of personal stories, hobbies, travels, etc.. Lifestyles, expectations of gender roles, marriages, and children were also shared creating even stronger bonds.  Turns out- all laboratories and their staffs have identical challenges with proper identification of patients, writing SOPs, Fire and Biosafety regulations, and balancing work and family time.

Below are pictures last week from Kyiv.  Due to confidentiality respect, the majority of pictures are related to outside the lab.  It was a week of cold temperatures - minus 6 to minus 12 degrees Centigrade and lots of snow and ice!
Street Musician in subway 
Funicular running from upper to lower Kyiv City
St. Andrews Cathedral
Entrance to Laboratory caption
Training Classroom on Process Mapping

View inside a laboratory
Dr. Cathy Presenting at the International Meeting in Kyiv
Sunset before the snowstorm