Health

“A protocol must be developed to strengthen CAPS and internal medicine”

During his first visit to the Central Hospital “Doctor Ramon Carrillo”, Governor Claudio Poggi toured different areas of the largest provincial public health center to learn about its operations and talk to its employees.

After getting off the bus at the entrance of the “Doctor Ramon Carrillo” Central Hospital, Governor Claudio Poggi greeted his neighbors who were entering and leaving the province’s public health center. Some even asked to take photos. This image, and the way people present their personal situations or requests, was a recurring scene in several areas the president visited during his first visit to the hospital. “We have to develop care capacity protocols, develop plans to strengthen primary health care centers (CAPS) and internal medicine, and have administrative controls,” Poggi said of the need for effective coordination between these centres. The complexity of patients’ conditions .

The governor’s statement was based on statistics he saw on a screen in the command center, an area that condenses the registration and analysis of important information: information involving operations (for example, how many patients are waiting in the hospital, minute by minute) ; Epidemiological surveillance and internal communication. One staff member explained that on Thursday the 11th, 104 out of 464 patients on their shift were no-shows, which overall slowed down the care system. Adolfo Sánchez León, president of the hospital’s board of directors, added that they have a scale to assess how many patients could have been treated in CAPS or day hospitals because their health problems were not severe or complex. .. He said it was common for people to go directly to “Carillo” instead of going through the nearest health center in their nearest community, which should be the first place they go.

“The first thing the governor asked us to do was to change the organizational climate and provide good treatment all the time. Get people to lose their fear and keep politics from affecting health. The change is already evident. There is a different climate. This name The worker also agreed to this. Then we continued to follow his route. Easing the shift system and procedures. This is a billing oriented hospital. It is designed so that the patient meets all the requirements to be able to bill before being admitted. Even for Those patients who don’t have social security benefits and are dependent on the Ministry of Health, this hospital also charges the Ministry of Health, which seems pointless to us because the budget is one of them. Obviously the idea is that patients come first and then Billing, because revenue must continue to be respected,” Sanchez de León said.

Poggi was accompanied on the trip by his host and Minister of Health, Claudia Spagnuolo. The official, who was coming from another event, attending a working breakfast with health personnel at the White House to improve the system of care for citizens, told Poggi they had come to good conclusions and they would start working from there. Members of the hospital board – Director Sandra Ottaviani, Director Jorge Aostri, Medical Director Raúl Coria and Andrea Andrea Lange – and health officials also attended the tour.

After walking through the hospital reception and speaking briefly with some patients awaiting treatment, Porgi visited the diagnostic imaging, resonance and tomography control room areas. There, he spent a few minutes talking to professionals who explained how these studies are conducted and what types of equipment they use.

He then continued to the emergency room and entered the shock room (on-call treatment). Doctor Laura Lucero told him what care was provided there, what types of patients were admitted and how long they stayed there.

After passing the emergency room and the guard room’s operating room, he entered the in-house pharmacy, which one employee defined as the “heart of the hospital” because from there the medications and services needed by everyone are administered and distributed.

There, Poggi spent a few minutes learning about the technology they used, including four kardex, known as “closets” for storing drugs, each with its own specific characteristics. He also saw the room where cytostatics are made.

He then went to the inpatient (intermediate care) floor. Later, on the way to the command center, he spoke for a few minutes with Santiago Saín, who told him about the care provided to seniors by the provincial public health team. “We must repatriate retirees from the south of the province and they will be taken care of in La Pampa, Mendoza,” he told the premier. As he was leaving, Poggi was approached by some retirees (PAMI beneficiaries) at the door. Hospital directors told them they expect a prosthetic limb bank to be operational soon, a move they hope will address one of the biggest needs of the elderly. “This is a serious problem we face, with patients being hospitalized for three months or more because they cannot obtain prosthetics. The prosthetic limb bank will provide access to patients with trauma, heart disease or neurological problems who need different types of prosthetics or supplies. Quick service. Your stay will be much shorter,” he promises.

Sanchez de Leon confirmed that changes have been made to improve public health since taking office in December. “There are some new managers and we are making a lot of changes in terms of recruitment. We will soon be signing an agreement with DOSEP to simplify the process for those who are already receiving this social work assistance. We are working on streamlining the shift system to reduce the process . It will take a while because there is an agreement with social work. The concern of everyone who comes here from Puntano is the priority,” he said.

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