ESPAÑOL
Información general sobre el hospital Reina Sofía de Córdoba
El hospital fue inaugurado en 1976 y desde entonces ha tenido varias ampliaciones de sus instalaciones. Su cartera de servicios abarca todas las áreas clínicas especializadas. Su actividad incluye procesos de máxima complejidad, así como labor docente e investigadora. Su programa de trasplantes de órganos es líder a nivel nacional.
Este hospital público depende de la Consejería de Salud de la Junta de Andalucía. Está formado por más de 5.000 profesionales repartidos en 50 especialidades médicas y/o quirúrgicas en que se estructura funcionalmente el hospital.
En el hospital también se realizan tareas docentes y de investigación, trabaja en estrecha colaboración con la Universidad de Córdoba en la formación de alumnos de la Facultad de Medicina y de la Escuela de Enfermería para entrenarse los profesionales de medicna y los enfermeros del futuro. Una comparación de la estructura de este hospital y los hospitales americanos
Cuando entré el hospital mi pensamiento primero fue: "Lo aparece como un asilo." Todas las paredes fueron blancos y sucios; los luces fueron tenues; no fueron nada ventanas. Para mí, no tuvo una atmósfera de bienvenida. Tengo familiaridad con los hospitales de los Estados Unidos donde hay colores tranquilos como amarillo o azul y hay cuadros en las paredes; no parecen como un carcél. En una discusión con la secretaria de la directora médica, descubrí que los argentinos no les gustan colores vibrantes; prefieren los colores neutros como blanco, negro y gris. Si alguien se vista un color usualmente no es vibrante, es más oscuro. Otra razón que los paredes en el hospital son blancos es que los argentinos tienen la opinión que los paredes blancos hacen un cuarto aparece más grande. Otra componente que era una sopresa era la condición de las salas de los pacientes. Las son en un mal estado y alguna de la tecnología es viejo. Típicamente las salas contienen dos a cuatro pacientes y no hay cortinas para la privacidad. Aunque las salas son más grandes que los de los Estados Unidos, las camas no pueden ser ajustadas con un control remoto, a veces no hay almohadas (si hay, son piezas de espuma cubiertos) ni hay electrocardiogramas electrónicos. La única semejanza es la presencia de una televisión. Mientras el hospital ole mucho limpio y fresco, no pienso tiene las mismas regulaciones de higiénico a causa algunos de los pacientes tuvieron manchas en sus sábanas que claramente no fueron nuevos.
Rotación: La medicina interna
Esta semana estoy en el piso de medicina interna. Hoy tuve la oportunidad observar las actividades de los residentes. La mañana empezó con un resumen y una discusión de todos los pacientes que los residentes habían estado cuidando. Durante este tiempo los doctores responsables para los residentes preguntaron a los residentes sobre aspectos de los casos como tratamientos posibles, pruebas adicional o información importante obtener o monotorizar. Entonces sigué una pareja de residentes en sus visitas con sus tres pacientes. Similar a los hispanos en EEUU, la diabetes es un gran problema. El primer paciente en asiento #17 estuvo sufriendo de las problemas asociadas con la diabetes. El segundo paciente en asiento #18 tuvo un derrame en sus pulmones o su corrazón (No estoy segura), pero de cualquier manera los sonidos en su pulmón izquierdo son anormales. El tercer paciente en el asiento #4 fue un caso misterioso. De repente perdió mucha pesa en un mes y ahora tiene dolor extremo en sus piernas y no puede levantarse sin la asistencia de otros.
- El procedimiento típico con los pacientes
- El saludo: Hola, buen día (no usan "el beso argentino")
- Una serie de preguntas de seguimientos
- Examinación de los latidos de la corazón y los pulmones
- Palpitación del estómago "Le duele?"
- Buscar los edemas en las piernas; encontrar el pulso en los pies
- Otras examinaciones en basado del caso
- Consejos para el paciente
Después de una serie de visitas a las especialistas en la radiología para discutir los resultados de un paciente, regresamos a la sala médicos residentes, por lo tanto pudieron completar los formularios necesarios.
- Los formularios
- La carpeta para las enfermeras: contiene una lista de los medicamentos para el paciente y el razón para cada
- La evaluación: contiene la información general sobre el paciente, observaciones y actualizaciones del estado de la condición del paciente, cambios al tratamiento o pruebas adicional y un plan para el futuro
- Orden para la farmacia: asegurar que la farmacia prepara todos los medicinas necesarias para cada paciente por lo tanto los enfermeros pueden distribuirlas a los pacientes
- Epicrisis: un resumen de los papeles de la clínica médica y los formularios de evaluación, por lo tanto un doctor puede leerlo y comprender rápidamente un caso del paciente sin la necesidad leer todos los papeles en la ficha. Lo resume la historia clínica, las síntomas, las conclusiones y condictiones, los resultados de las pruebas, los procedimientos completados (como las cirugías) y el plan de tratamiento para el paciente
- Su ropa es más informal
- Scrubs
- Las mujeres se vistan los jeans y un sueter debajo de la chaqueta blanca con plataformas (son zapatos que están de moda en Argentina)
- Frecuentamente las residentes y las médicas se vistan un pañuelo encima de su uniforme o chaqueta blanca
- Su punctualidad
- 3 o 4 estudiantes llegaron tarde a la reunión pero no había consecuencias
- No desinfectar tan frecuente como los internistas en EEUU
- Todos los formularios y historias médicas son completados por la mano y cada persona tiene una carpeta. No hay nada que es electrónico
- Sólo encontré las computadoras en el departamento de radiología
- Toman MUCHO mate; cada persona tiene un turno tomar una taza completa de la misma taza
¿Qué es mate?
- Es como un té amargo que consiste de hojas secadas de la yerba mate
- Contiene mucha cafeína
- Una taza y una pajita especializadas son necesarios para tomarlo
- Frecuentamente argentinos poner azúcar y/o miel
- Por ambos ciudadanos y los extranjeros los servicios en los hospitales públicos, como Reina Sofía de Córdoba son gratis
- Los estudianes (inclyendo el colegio, la secundaria y la universidad) y los maestros no necesitan pagar para usar los autobuses
- Todas los colegios, las secundarias y las universidades públicas son gratises INCLUYENDO la escuela de medicina y las escuelas privadas no son muy caros
- Qué te pasa? vs. Qué es el propósito de su cita?
- Otorrino vs. Otorinolarringológo
ENGLISH
General information about the Reina Sofía de Córdoba
The hospital opened in 1976 and since then it has undergone several expansions. It's list of services include all clinical specialties. Its activity includes processes of maximum complexity, as well as teaching and research. It has the leading organ transplant program in the nation. This public hospital is dependent on the Commission of Health of the Association of Andalucía. It consists of more than 5,000 professionals distributed among 50 medical and/or surgical specialties in which the hospital is the functional structure.
The hospital also teaches and conducts research and works in close collaboration with the University of Córdoba in the formation of alumni of the Department of Medicine and School of nursing in order to train the medical professionals and nurses of the future.
A Comparison of Córdoba's Hospital Structure & American Hospitals
When I entered the hospital my first thought was: "This place looks like an asylum." All of the walls were white and dirty; the lights were dim; there were no windows. For me, it was not a welcoming atmosphere. I have familiarity with the hospitals in the United States where there are calm colors like yellow and blue and there is artwork on the walls; they don't look like a prison. In a discussion with the secretary of the medical director I discovered that Argentinians do not like vibrant colors; they prefer neutral colors like white, black and gray. If someone wears a color it usually isn't bright, it is darker. Another reason that the walls of the hospital are white is because Argentinians think that white walls make a room look bigger. Another component that was a surprise to me was the condition of the patient's rooms. They are in disrepair and some of the technology is old. Typically the rooms contain 2 or 4 patients and there are no curtains for privacy. Although the rooms are larger than those in the United States, the beds cannot be adjusted with a remote control, sometimes there are not pillows (and if there are, they are pieces of covered foam) nor are there electronic electrocardiograms. The only similarity is the presence of a television. While the hospital smells really clean and fresh, I do not think they have the same hygiene regulations because some of the patients had stains on their sheets that were clearly not new.
Rotation: Internal Medicine
This week I am on the floor of internal medicine. Today I had the opportunity to observe the actives of the residents. The morning began with a summary and discussion of all of the patients that the residents have been caring for. During this time the doctors that are responsible for the residents asked them about aspects of their cases such as possible treatments, additional tests or information that they should obtain or monitor. Then I followed a pair of residents to their visits with 3 patients. Similar to the Hispanics in the United States, diabetes is a major problem. The first patient in bed #17 was suffering from problems associated with his diabetes. The second patient in bed #18 had either a hemorrhage in his lungs or heart (I'm not sure), but either way as a result the sounds in his left lung are abnormal. The third patient in bed #4 is 26 is a mysterious case. He suddenly lost a lot of weight in 1 month and now he has extreme pain in his legs and he cannot sit up without being assisted.
I Don't Believe It!
The hospital opened in 1976 and since then it has undergone several expansions. It's list of services include all clinical specialties. Its activity includes processes of maximum complexity, as well as teaching and research. It has the leading organ transplant program in the nation. This public hospital is dependent on the Commission of Health of the Association of Andalucía. It consists of more than 5,000 professionals distributed among 50 medical and/or surgical specialties in which the hospital is the functional structure.
The hospital also teaches and conducts research and works in close collaboration with the University of Córdoba in the formation of alumni of the Department of Medicine and School of nursing in order to train the medical professionals and nurses of the future.
A Comparison of Córdoba's Hospital Structure & American Hospitals
When I entered the hospital my first thought was: "This place looks like an asylum." All of the walls were white and dirty; the lights were dim; there were no windows. For me, it was not a welcoming atmosphere. I have familiarity with the hospitals in the United States where there are calm colors like yellow and blue and there is artwork on the walls; they don't look like a prison. In a discussion with the secretary of the medical director I discovered that Argentinians do not like vibrant colors; they prefer neutral colors like white, black and gray. If someone wears a color it usually isn't bright, it is darker. Another reason that the walls of the hospital are white is because Argentinians think that white walls make a room look bigger. Another component that was a surprise to me was the condition of the patient's rooms. They are in disrepair and some of the technology is old. Typically the rooms contain 2 or 4 patients and there are no curtains for privacy. Although the rooms are larger than those in the United States, the beds cannot be adjusted with a remote control, sometimes there are not pillows (and if there are, they are pieces of covered foam) nor are there electronic electrocardiograms. The only similarity is the presence of a television. While the hospital smells really clean and fresh, I do not think they have the same hygiene regulations because some of the patients had stains on their sheets that were clearly not new.
Rotation: Internal Medicine
This week I am on the floor of internal medicine. Today I had the opportunity to observe the actives of the residents. The morning began with a summary and discussion of all of the patients that the residents have been caring for. During this time the doctors that are responsible for the residents asked them about aspects of their cases such as possible treatments, additional tests or information that they should obtain or monitor. Then I followed a pair of residents to their visits with 3 patients. Similar to the Hispanics in the United States, diabetes is a major problem. The first patient in bed #17 was suffering from problems associated with his diabetes. The second patient in bed #18 had either a hemorrhage in his lungs or heart (I'm not sure), but either way as a result the sounds in his left lung are abnormal. The third patient in bed #4 is 26 is a mysterious case. He suddenly lost a lot of weight in 1 month and now he has extreme pain in his legs and he cannot sit up without being assisted.
- The Typical Procedure with the Patients
- Greeting: "Hello, good monring" (they do not use "Argentinian kiss")
- Series of follow up questions
- Examination of the lung & heart sounds
- Palpitation of the stomach "Does that hurt?"
- Search for edemas in the legs; find pulse in feet
- Other examinations based on the case
- Advice for the patient
- The Forms
- Nurse's Folder: contains a list of the medications for the patient and the reason for each
- The Evaluation: contains the patient's general information, observations and updates about the patient's condition, changes to the treatment or additional tests and a plan for the future.
- Pharmacy Order: to ensure that the pharmacy prepares all of the necessary medicines for each patient so the nurses can distribute them to the patients.
- Epicrisis (don't know English translation): a summary of all of the papers in the medical history and evaluation forms, so a doctor can read it and quickly understand a patient's case without reading through all of the forms in their file. It summarizes the patient's medical history, symptoms, the the conclusions and conditions, test results, procedures completed (like surgeries) and patient's treatment plan
- Their clothing is more informal
- Scrubs
- Girls wear jeans and a sweater under their white coat with platform shoes (they're in fashion in Argentina)
- Frequently the female residents and doctores will wear a scarf on top of their uniform or white coat
- Their punctuality
- 3 o 4 students arrived late to the meeting, but their were no consequences
- They don't disinfect as much as interns in the United States
- All of the forms and medical history is completed by hand and each person has a folder. Nothing is electronic.
- I only encountered computers in the radiology department to examine results
- They drink a LOT of mate; each person has a turn to drink a complete cup of mate from the same cup
What is mate?
- It is like a bitter tea that consists of dried leaves of the herb mate
- It contains a lot caffeine
- a specialized cup and straw are needed to drink it
- Frequently Argentinians put sugar and/or honey in it
- For both citizens and foreigners services in public hospitals like Reina Sofía de Córdoba are free
- Students (including elementary, high school & university) and teachers don't need to pay to use the buses
- All of the public elementary schools, high schools & universities are free INCLUDING the Schools of Medicine and the private schools are not very expensive
- Qué te pasa? vs. Qué es el propósito de su cita? (What's happening/what's the purpose of your visit?)
- Otorrino vs. Otorinolarringológo (Ear, Nose & Throat Doctor)
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