Sunday, February 13, 2011

Zud Cleanser, Toronto

residents of the Hospital

Charter of Residents, and Fellows Concurrent Hospital de Clinicas José de San Martín to the company:


Much of the company knows who holds the functional deficit Hospital and knows the steady and progressive deterioration of the crossing for more than three decades. However, we believe that no one is better than those we are witnessing the beginning of our professional career, trained in our institution was once one of the most prestigious in Latin America. More than 400 residents, and fellows of different concurrent health specialties, we at this hospital most of the day and perform most of the health care program that develops on it.

On Wednesday February 9, 2011 this group of professionals decided a work stoppage for 24 hours due to lack of response to certain claims directed to address urgent. Requested to provide a solution to only one of the many institutional shortcomings today introduced the Hospital. Of course, as in the past and despite the historic Hospital refuncionalización promises, nothing has changed.

The situation in the teaching hospital is poor, affecting all departments that compose it. At today's date, the wards are operating at 50% capacity due to insufficient nursing and cleaning staff, caused either by shortages in recruitment or a high absenteeism. In these halls every day we face the lack of basic supplies for the care of hospitalized patients (eg, saline, gloves, diapers, insulin, syringes, glucose testing strips), supplies are replenished often as late and temporary. Nor have hot water, essential to maintain the hygiene of patients and equipment and appliances with which they have (some used in critically ill patients as a vacuum) is broken or obsolete.

In the area of \u200b\u200bsurgery, has only 20% of the operating room because of difficulties with the recruitment of anesthesiologists and the purchase of surgical supplies. This results in long waiting lists - including cancer patients, in the expectation of surgery in more than one occasion, will be late. Both

Coronary Care Unit and Intensive Care Unit have less than 50% of available beds, what comes to cause patients requiring critical care and continuous monitoring can not be transferred there and must wait in the general ward. On these occasions, the only solution is to request referral to another institution. On the other hand, the ancient hemodynamics team (need for catheterization) that you have these units is the most time out of service and, once again, the derivation is presented as the only solution. This being

Hospital, a referral center for high-risk pregnancies, the neonatology is currently not functioning.

These are just some of countless examples of decay that affects a hospital that relies on the proven University of Buenos Aires. We know that the situation is complex and needs of the real commitment of leaders in all strata, from Heads of Service to the National Government that depends, ultimately, this hospital.

The daily work becomes more difficult and will not be answers. The promises were many and are repeated year after year, but the situation worsens daily. The current state of things makes it work without resources. Residents and fellows will continue to work competing for patients. The cessation of business was conducted with the utmost professionalism, respect to the patients who received the attention they demand and taking precautions so as not to move emergency patients to the emergency. This characterizes all other measures of force to be taken in the future if the hospital continues along the path of mediocrity. But do not denounce this dangerous scenario would simply negligent.

For all this, we are obliged to convey this problem to the society to become aware of this painful situation.

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