hospital nacional cayetano heredia lima, peru
TRANSCRIPT
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Hospital Nacional Cayetano Heredia
Lima, Peru
Kyle Crooker, MS4
Class of 2020
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Background: Lima, Peru
• Capital city of Peru
• Population: ~10.6 million• 49 districts• I lived in Miraflores and Barranco
• Climate: Tropical, desert• Temp. 18-29 C (64-84 F)
• Currency: Soles• 1 dollar = 3.39 sol
• “Gastronomical Capital of Americas”• Mixes Spanish, Andean and Asian
culinary traditions
• Language: Spanish, Quechua
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Background: Hospital Nacional Cayetano Heredia
• Founded in July 1968• Located in San Martín
de Porres
• Administered by Ministerio de Salud del Perú (Minsa)
• Associated withUniversidad Peruana Cayetano Heredia
• Leading teaching hospital in Peru
• Departments including outpatient clinic, internal medicine, infectious disease, surgery, pediatrics, OBGYN, dentistry, physical medicine and rehabilitation, nursing, emergency, critical care, pathology, radiology, nutrition, social services, psychology, and pharmacy
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TOI: Structure
Medicine A1
Medicine A2
Women’s Bathroom
Men’s Bathroom
Nurse’s Station
Women’s Isolation
Men’s Isolation
Women’s Unit
Men’s Unit
Stairs
Supply Closet
• Day to day
• Orders
• Rounds
• Charting
• Lectures
• Rounding team
• Medicine A1
• Unit
• 6 beds per room
• 3 beds in isolation room
• Neutropenic, etc.
• Patient comfort
• No privacy, pay for toilet paper, quality of meals
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TOI: Efficiency• Charting
• Paper, illegible daily notes, consultation notes, orders
• Charting switched off each day
• Labs not drawn, orders not completed, consults not arranged
• Whiteboard wasn’t usually up-to-date
• Imaging
• Kept under patient’s bed, easily misplaced, out-of-order
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TOI: Quality
• Poor hand hygiene• Few hand
sanitizer/soap and water stations, gloves used as tourniquets, no emphasis on cleaning hands before or after patient interactions, careless handling of needles
• Resources• Access to UpToDate
No other journals, hard to follow the latest guidelines
• Many books, articles, etc. in English
• Very friendly, welcoming and helpful!
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TOI: Comparison to United States
Similarities DifferencesStructure: Rounding format,
LecturesStructure: Beds in a room, isolation rooms,
rounding team composition, patient comforts
Efficiency: Minimal Efficiency: Electronic charts, continuity of care, imaging on computer
Quality: UpToDate Quality: Better sterilization/hand hygiene, access to latest journals
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Most profound clinical/academic experience • Infectious Disease Clinic
• Structure
• IM/ID physician
• 2/wk, in the morning
• 8-12 pts/day
• Diseases
• HIV, Multi-Drug Resistant Klebsiella, Toxoplasma, Tuberculosis, Pott’s Disease, etc.
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• Got married in Peru!!!
• Cusco
• Machu Picchu
• Sacred Valley
Most profound cultural experience:
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¿Preguntas?