Beruflich Dokumente
Kultur Dokumente
DX Situacional Ceye
DX Situacional Ceye
Ceye Index
General Hospital
“Dr. Javier Ramirez
Butt”
Schedule of activities...........................................................................................................................38
General Hospital “Dr. Javier Ramírez Topete.............................................................................................1
Schedule of activities.............................................................................................................................1
General Hospital “Dr. Javier Ramírez Topete.............................................................................................2
Schedule of activities.............................................................................................................................2
Responsible..........................................................................................................................................42
Conclusion...........................................................................................................................................43
Autonomous university
Juarez City
Cuauhtémoc Campus
Diagnosis
Ceye Situational
Introduction
This work aims to support the detection of problems in the Ceye department, with the
aim of improving or changing the current service situation.
It should be noted that the nursing staff has the capacity and must act based on the
problem to solve it and thus improve the quality of the service provided by this
department.
The Equipment and Sterilization Central (CEYE) is a service of the Medical Unit
whose functions are: Obtain, centralize, prepare, sterilize, classify and distribute
consumer material, exchange, surgical clothing and surgical medical instruments to
the healthcare services of the Medical Unit so that the items required by the medical-
surgical services are provided uninterruptedly to achieve their activities.
Justification
General:
The nursing staff of the CEYE service will be able to provide a timely and safe
service, free of contamination, in the different processes of storage, preparation,
sterilization, distribution and control of material and equipment, through specific
interventions in a hailed, orderly and systematized manner to all services that
require
of the use of material and equipment in order to satisfy the needs of the user
Specifics:
• Achieve resource optimization
existing to provide an efficient and quality service
• Maintain the integrity and optimal condition of existing surgical trays
• Promote the appropriate and rational use of healing and consumer materials.
• Promote interpersonal relationships between service personnel.
• implement a training program to reinforce the knowledge of CEYE nursing staff
and substitute personnel who work in each area
• implement strategies to improve the control of equipment materials that are
requested from the service
• implement continuous improvement programs for training nursing staff on the
management of autoclaves
• Detect staff needs for general or specific training in nursing processes
General Hospital Information
Name of the medical unit: Dr. Javier Ramírez Topete General Hospital.
Censusable beds: 48
Non-censable beds: 11
Location: Av. Morelos between 17th and 19th streets # 1732, zip code
31500, San Antonio subdivision
Municipality: Chihuahua
State: Chihuahua
Background
The hospital was put into operation and inaugurated in November 1961,
named Health Center *B* with hospital *C*, beginning with first-level care through
outpatient consultation and preventive medicine actions, second-level procedures They
were childbirth care, curettages, cesarean sections, as well as simple surgical
procedures.
In 1967, the separation of the first and second levels of care was carried
out, taking the name of the Cuauhtémoc General Hospital.
Around 1968 the gynecology-obstetrics activity disappeared, in 1980 the operating
room area was remodeled, in June 2004 it was certified in quality, until 2007.
In 2010, the intensive care area with two beds opened.
Nursing Mission
Ceye Mission
Ceye's Vision
The nursing staff at the Dr. Javier Ramírez Topete general hospital receives the user and
family with kindness and respect, identifies with them and provides them with information
and guidance on the care required. Installs the user in the unit, detects needs and satisfies
them through a care plan.
Policies
1. Raise the rate of professional and technical training of nursing staff who work in the
institution.
2. Promote and encourage human relations throughout the institution.
3. Raise the level of productivity in nursing staff
4. Promote incentives for staff.
5. Comply with the standards and programs established in the institution:
V Nursing plays an important role in maintaining and improving health.
V Function dependent, interdependent and independent in your relationships with
other professionals in the provision of health care.
V The function of nursing coordination-administration is to provide an organized
structure that leads to the provision of the highest quality nursing care, the
most effective utilization of resources, and participation in training programs.
V Promote the use of the most up-to-date knowledge available, teaching others to
use that knowledge to improve health care, providing an appropriate medium in
which these activities can be verified.
V The fundamental objective of the department is to provide nursing care to
patients, therefore all staff must have adequate clinical training for their
professional practice.
V Collaborates with the rest of the divisions in the management of hospitals and
centers, determines its own practice and collaborates with the rest to improve
the provision of care, the use of resources and training and research, sharing
responsibility.
V The nursing division recognizes the need to achieve a high degree of training of
its components, through the provision of activities that lead to a high degree of
qualification for high quality provision.
V Continuous study of the work environment allows •ILc___ c_________ _ 1
_________ YO -!_____ ____________ ____________- YO
V Veracity
V I respect
V Search for knowledge
V Responsibility
Common good: All decisions and actions of the public servant must be aimed
at satisfying the needs and interests of society, above particular interests unrelated to
the well-being of the community. The public servant must not allow interests that may
harm or benefit people or groups to the detriment of the well-being of society to
influence their judgments and conduct.
Accountability : for public servants, being accountable means fully assuming,
before society, the responsibility of carrying out their functions appropriately and
subjecting themselves to the evaluation of Eleceropia society. This forces it to carry
out its functions effectively and must always have the willingness to cease continuous
improvement processes, modernization and optimization of public resources.
Integrity: the public servant must act honestly, always taking into account the
credibility of society in public institutions.
Cultural and economic environment: the public servant must avoid affecting
our cultural heritage and the ecosystem where we live, assuming a new will to respect,
defend and preserve the culture and environment of our country, which is reflected in
their decisions and acts.
Honesty : the public servant must not use his position for personal gain or
advantage.
/ I nno G v e ac n i e or n osity: the public servant must have a sensitive attitude of
solidarity, respect and support towards society.
• O up to i I m m es i p za a mc r i a c ó in al d ide a d c : urseols public servant will act
without granting undue preferences or privileges to any organization or person.
Equality : the public servant must provide the services entrusted to him to all
members of society who have the right to receive them, regardless of their sex, age,
race, religion or political preference.
Justice: the public servant must invariably conduct himself in accordance with
the legal norms inherent to the function he performs.
Respect: the public servant must treat people with dignity, courteousness,
cordiality and tolerance.
Transparency : the public servant must allow and guarantee access to
government information, with no limits other than those imposed by the public interest
and the privacy rights of the m-rFIeII-FAc Ace-IAc"Amc mAF I — Avy
Legal Bases
V Decree declaring the National Day of Organ Donation and Transplantation, September
26 of each year DOF 26-XI-2003.
V Decree creating the National Council for the Prevention and Treatment of visual
diseases DOF 04-III-2005
V Decree creating the Deconcentrated body called the National Bioethics Commission
DOF 07-XI-2006
V Decree establishing the recognition of the nursing member Graciela Arroyo de Cordero,
which aims to recognize and honor outstanding professionals in nursing DOF 10-IV-
2006
V Executive Agreements
V Agreement creating the Interinstitutional Health Research Commission DOF 19-X-1983
V Agreement that establishes the integration and objectives of the National Health Council
DOF 1-27-1995
V Agreement by which the National Transplant Council is created as an inter-secretary
commission of the Federal Public Administration, which will have the objective of
promoting, supporting and coordinating actions regarding transplants carried out by
health institutions in the public, social and private sectors. DOF 19-I-1999
V Agreement establishing that the Public Institutions of the National Health System must
only use the inputs established in the Basic Table for the First Level of medical care
and, for the second and
{ t A e c r u c d no iv d e l, le e C l o c n a s t e a j l o o g d o ed S E a i l nu u s b u ri m da or d s D G . e O
er
I
nnn n cn cnnM I— ~ A ■ ■ ■ ~AA~
V Agreement by which the Ministry of Health announces the operating rules and
management and evaluation indicators of Health for All (Popular Health Insurance),
DOF 14-VII-2003
V Agreement establishing mandatory general provisions for the prevention, care and
control of HIV/AIDS in institutions, DOF 12-XI-2004
V Official Mexican Standards
V Draft Official Mexican Standard PROY-NOM-233-SSA1-1993, which establishes the
architectural requirements to facilitate the access, transit, use and permanence of
people with disabilities in outpatient and hospital medical care establishments of the
National Health System DOF 15-IX-2004
V Official Mexican Standard NOM-033-SSA2-1993, for the disposal of human blood and
its components for therapeutic purposes, DOF 18-VII-1994, Clarification DOF 08-IX-
1994
V Official Mexican Standard NOM-066-SSA1-1993, which establishes the sanitary
specifications of incubators for newborns, DOF 25-VII-1995
V Official Mexican Standard NOM-067-SSA1-1993, which establishes the sanitary
specifications of surgical sutures, DOF 25-V-1995
V Mexican Official Standard NOM-073-SSA1-1993, stability of medications, DOF 08-III-
1996, Clarification DOF 08-VII-1996
V Official Mexican Standard NOM -- 0 8937-- SSA1 -- 1994, which
establishes the
specifications sanitar ii as ddee lloassessotnedtoasscodpeiohsulDe.Olá.Fte0x1n-
VaItIu-1ra9l9p6a. ra drainage ' Pu r oinyaerciotomoddeeloNnoerlmataon,ODfi.cOia.Fl
19M-eVxIIi-c1a9n9a6, APRclOaYra-NcOióMn.D2.2O6.-FSS1A7-1I-I-21090927, que V
eNsotrambaleceOfilacsialespMeecixfii ca nciaoneNs Os Ma-n1i3ta3r-iSaSsA1d-e19l9o5s,
guqaunetes edsteabPleVcCe words and xs p
eloccriaficciaócnioennespresasennittaarciaiósndeestléarsil
aygnuojaessthéirpilo.dDé.rOm.Fic1a5s-XdIeI-s2e0c0h3ables, DOF 29-X-1998
V Official Mexican Standard NOM-136-SSA1-1995, which establishes the sanitary
specifications of urine collection bags, DOF, 17-XI-1998
V Official Mexican standard NOM-149-SSA1-1996, which establishes the sanitary
specifications of feeding tubes, DOF 08-III-2000
V Mexican Official Standard NOM-006-SSA2-1993, for the prevention and control of
infection by the human immunodeficiency virus, DOF, 17-I- 1995. Modification to the
DOF 21-VI-2000 standard
V Official Mexican Standard NOM-026-SSA2-1998, for epidemiological surveillance,
prevention and control of nosocomial infections, DOF 26-I-2001
V Other Legal Systems
V Basic Table and Catalog of Medicines 1996, DOF 15-XI-1996. First Update of the 2006
edition of the basic table and catalog of medicines, DOF 11-23-2006.
V Catalog of Interchangeable Generic Medications, DOF 17-VIII-1998. Forty-third update,
DOF 07-XII-2006
V Criteria for the certification of Hospitals, DOF 25-VI-1999. Modification, DOF 13-VI-
2000.
Hospital Organization Chart
DEPUTY DEPUTY
DIRECTION DIRECTION
MEDICAL ADMINISTRATIV
E
SURGER
Y BUDGET
Name TM TV TN to TN b JA
# EQUIPMENT
5 Instrument Shelves
1 Material Cupboard
1 Small table
2 Chairs
1 Trolley
1 Large autoclave
1 small autoclave
1 scrubber
1 clothing rack
Material resources
# EQUIPMENT # EQUIPMENT
1 Eq. Column 1 Nail Set
1 Eq. Clove Colchero 1 Screw Set 3.5
6 Eqs. Lock 1 Screw Set 4.5
1 Eq. Of Rhymes 1 Eq. Spongy
1 Eq. Meniscus 1 Straight plate set
1 Eq. Angled Plate 5 suture equipment
1
2 Eq. Drilling Toilet equipment
0
The evaluation of the quality of care of the Nurse in the CEYE area is done based on the
observation, creation and use of the logs or stock of material counts and nursing
equipment.
General Hospital Autonomous university
“Dr. Javier Ramirez Juarez City
Butt” Cuauhtémoc Campus
PEPSU model
Ceye
ENVIRONMENTAL
Supplier Entrance
Variables
Strategic Plan
Ceye
Justification
The planning of actions in nursing will give us the opportunity to identify and structure
the failures that nursing presents towards the Ceye department, identify the errors and
provide solutions to them, implementing training techniques and strategies for the
actions of the staff, thus reducing, in gradually over time each and every one of these
problems, optimizing and properly managing the resources of the Ceye department to
achieve proper use of them.
General objective
The nursing staff of the CEYE service will be able to provide a timely, safe service free of
risks of contamination, in the different processes of storage, preparation, sterilization,
distribution and control of material and equipment, through specific interventions in an
organized, orderly and systematized manner throughout. service that requires the use of
material and equipment in order to satisfy the needs of the user
V Manage and optimize the appropriate use of the department's available materials and
equipment. Specific objectives
V Guarantee the sterilization of the material and equipment in the area as well as the
adequate distribution of the material to all departments of the hospital.
V Personnel trained in the use of autoclaves and knowledge of the material and
equipment.
V Manage and optimize the appropriate use of the department's available material and
equipment by 80%. .
V Promote teamwork through 95% satisfactory interpersonal relationships.
V Guarantee the sterilization of the material and equipment in the area as well as the
adequate distribution of the material to all departments of the hospital by 85%. .
V Personnel trained in the use of autoclaves and 98% knowledge of the material and
equipment.
Time:
March 2014.
Place:
Human Elements:
Collaborating Staff:
Head of nursing
Physical resources:
Classroom.
Audiovisual equipment, chairs, desk, armchairs, sheets, pens, autoclaves and snacks.
Financial resources:
Administration and finance.
Key strategy
Raise awareness among staff about the existing problem to provide a solution to it
through active participation not only at the levels of coordination and planning of
activities, but also by operational staff, through the implementation of teaching that
includes: presentations on the correct use of the autoclave, and administration and
optimization of resources through the projection of audiovisual material.
Expected results
V Guarantee the sterilization of the material and equipment in the area as well as the
adequate distribution of the material to all departments of the hospital: Functional
witness tape will be used and the personnel who receive the material will also be
asked to verify that it has its sterile badge. This means returning the material for
proper sterilization.
V P ersonnel trained in the use of autoclaves and knowledge of the material and
equipment : classes will be given in which they explain how these autoclaves should
be used and also why each surgical team is made up, with the aim of avoiding
shortages. receive the instruments.
2012 2014
MONTHS
No. MA
STRATEGIES DEC JAN FEB SEA % APR JUN JUL
Y
100
Teaching on administration Yo % PLANNING
1 and optimization of
resources. EXECUTE
OR
100
Yo % PLANNING
Raise awareness among
2 staff about the misuse of
available resources. EXECUTE
OR
Strategy 1 Strategy 2
Start date: December 1, 2013 Start date: January 1, 2014
End date: December 31, End date: January 31, 2014 2013
General Hospital “Dr.
Javier Ramírez Topete Program d
job
2013
Schedule of activities
Problem: The shift link is not done correctly and the work is not followed up. If something
is missing, they just say it was on that shift .
2012 2014
MONTHS
No. MA
STRATEGIES DEC JAN FEB SEA % APR JUN JUL
Y
100
Yo % PLANNING
1 Teaching; Correct shift link.
EXECUTE
OR
100
Yo % PLANNING
2 Effective communication.
EXECUTE
OR
Strategy 1 Strategy 2
Start date: February 1, 2014 Start date: March 1, 2014
End date: February 28, End date: March 31, 2014 2014
General Hospital “Dr.
Javier Ramírez Topete Program d
job
2013
Schedule of activities
Problem: The personnel who use the Ceye material do not ensure that it is truly sterile.
Objective: Guarantee the sterilization of the material and equipment in the area as well as
the adequate distribution of the material to all departments of the hospital.
2012 2014
MONTHS
No. MA %
STRATEGIES DEC JAN FEB SEA APR JUN JUL
Y
100
Yo %
PLANNING
Teaching: Safety measures
1
for sterile material. EXECUTE
DO
100
Yo %
PLANNING
Practice; Identify sterile
2
material safety measures. EXECUTE
DO
Strategy 1 Strategy 2
Start date: April 1, 2014 Start date: May 1, 2014
End date: April 15, 2014 End date: May 16, 2014
General Hospital “Dr.
Javier Ramírez Topete Program d
job
2013
Schedule of activities
Problem: Staff do not respect sterile or clean areas of the department, despite knowing
how to enter.
Objective: Make staff aware of the importance of respecting the department's rules.
2012 2014
MONTHS
No. MA
STRATEGIES DEC JAN FEB SEA APR JUN JUL %
Y
Yo 100
%
PLANNING
Make known norms and
1
rules of the department. EXECUTE
DO
Yo 100
%
PLANNING
Training on ethics and
2
truthfulness. EXECUTE
DO
Strategy 1 Strategy 2
Start date: April 16, 2014 Start date: May 17, 2014
End date: April 30, 2014 End date: May 31, 2014
General Hospital “Dr.
Javier Ramírez Topete
2012 2014
MONTHS
No. MA
STRATEGIES DEC JAN FEB SEA APR JUN JUL %
Y
100
Yo %
PLANNING
1 Training; Use of autoclaves
EXECUTE
DO
100
Yo %
PLANNING
Strategy 1 Strategy 2
Start date: June 1, 2014 Start date:1 June 2014
End date: June 30, 2014 End date: June 30, 2014
General Hospital “Dr.
Javier Ramírez Topete
2012 2014
MONTHS
No. MA
STRATEGIES DEC JAN FEB SEA APR JUN JUL %
Y
Yo 100
PLANNING
%
1 Mark and delimit the areas.
EXECUTE
DO
Yo 100
PLANNING
%
2 Final evaluation
EXECUTE
DO
Strategy 1 Strategy 2
Start date: July 1, 2014 Start date: July 7, 2014
End date: July 4, 2014 End date: July 18, 2014
Responsible
Intern for the Bachelor's degree in Nursing at the Autonomous University of Ciudad Juárez:
Campus Cuauhtémoc, Chih; Janeth Nataly Ontiveros Villalobos, as well as the head of
Nursing at the General Hospital “Dr. Javier Ramirez Topete
Conclusion
It is extremely important to keep hospital staff trained and constantly updated, this way if
incidents occur it will not be difficult to cover them.
It was found that few people respect the safety and cleanliness standards of this
department because despite knowing that it is an area with certain restrictions, they did not
bother to take boots to enter the area, etc.