DX Situacional Ceye

General Hospital Autonomous university
“Dr. Javier Ramirez Juarez City

Butt” Cuauhtémoc Campus
Ceye Index
CD. Cuauhtémoc, Chih. Made by: Janeth N.

2013 Ontiveros Villalobos
Index......................................................................................................................................................2
Introduction...........................................................................................................................................4
Justification............................................................................................................................................5
Goals......................................................................................................................................................6
General Hospital Information................................................................................................................7
Background............................................................................................................................................7
Philosophy...........................................................................................................................................11
Policies................................................................................................................................................11
Values of the Nursing Department......................................................................................................11
Legal Bases..........................................................................................................................................12
Hospital Organization Chart................................................................................................................16
Organization Chart By Departments...................................................................................................18
Technical study....................................................................................................................................19
Human Resources:..................................................................................................................................19
Material resources...................................................................................................................................20
Nursing Evaluation..............................................................................................................................21
Entry Phase..............................................................................................................................................24
Variables Methodological Attention Phase...........................................................................................24
Egress Phase............................................................................................................................................24
Variables Personal..................................................................................................................................25
Interaction Variables...............................................................................................................................25
Users........................................................................................................................................................26
External analysis.....................................................................................................................................27
Internal analisis.......................................................................................................................................27
Justification..........................................................................................................................................29
General objective.................................................................................................................................30
Goals....................................................................................................................................................31
Organization........................................................................................................................................32
Key strategy.........................................................................................................................................33
Expected results...................................................................................................................................33
General Hospital “Dr. Javier Ramírez Topete...........................................................................................35
Schedule of activities...........................................................................................................................35
General Hospital
“Dr. Javier Ramirez
Butt”
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
The situational diagnosis is a technical administrative instrument which will help us

detect failures or problems that are emerging in methods, processes or procedures in
the Ceye area, so that they can be treated as soon as possible and thus improve the
quality of the activities provided and satisfaction of the nursing staff of the other
departments as well as the users
Goals
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
Specialties: Internal Medicine, Family Medicine, Pediatrics, Surgery, Traumatology,

Orthopedics and Cardiology.
Affiliated population: Open population and with popular insurance
Location: Av. Morelos between 17th and 19th streets # 1732, zip code
31500, San Antonio subdivision
Telephones: 6255820209 and 5820210
Location: Cd. Cuauhtemo
Municipality: Chihuahua
State: Chihuahua
Background
The SSA began towards the

end of the fifties in the City of
Cuauhtémoc, dependent on the
Coordinating Health Services in
the state; It had a doctor's
office, a nurse and a
veterinarian.
In 1960, what is now

the Dr. Javier Ramírez Topete
General Hospital in the City of
Cuauhtémoc, Chihuahua, was built. Thanks to the intervention and management of the
Mason group before the State Authorities, being the head of the Coordinated Public
Health Services in the state at that time, Dr. Ignacio González Estabillo and the State
Governor C. Teófilo Borunda.
The institution was inaugurated on November 21, 1961 by C. President of the

Mexican Republic Lic. Adolfo López Mateos and the first director of the Health Center
was Dr. José Domínguez Rodríguez, starting work with an office, the first doctor being
Dr. Javier Ramírez Topete and two months later the Hospital was put into operation,
which precisely carries its name .
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
Meet the health needs, demands and care and exceed

the expectations of the individual, family and community,
providing professional nursing care that includes the
attributes of a holistic approach, opportunity, warmth,
quality, scientific technique, continuity, safety and
efficiency.
Ceye Mission
To be a service in charge of receiving, controlling,

preparing, sterilizing and distributing instruments,
materials and equipment efficiently to all hospital areas,
with professional staff trained to guarantee the quality of
the resources provided and thus satisfy the care needs of
hospitalized clients. and with medical surgical treatment.
We provide efficient and timely care in favor of the recovery of

the patient's health with a professional attitude and holistic
approach, internal coordination, where there is an equitable
Nursing Mission
division of labor, trained, and committed to the institution we

serve, receiving support of supplies and equipment with cutting-
edge technology, to provide quality and safe care according to
the needs of the user population.
Ceye's Vision
Be a professional and humanistic team, committed to the

reception, preparation and preparation, conservation and
maintenance of the material and equipment that is
processed and sterilized for hospital and medical-surgical
services that require it, guaranteeing risk-free quality and
safety indices. for the benefit of the user and the
institution.
Philosophy
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
Values of the Nursing Department
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 Political Constitution of the United Mexican States.

/DOF 05-11-1917
AND Latest DOF Reforms , 09-XII-2005, 12, 12-XII-2005, 07-IV-2006, 14-IX-2006, 04-XII-
2006
V Laws
V Organic Law of the Federal Public Administration DOF-29-XII-1976
/ Errata DOF 02-II-1977
And Reform and Addition DOF 0444-I-1999, 18-V-1999, 30-XI-2000, 05-I-2001, 13-III-
2002, 10-IV-2003, 21-V-2003, 24-IV -2006, 04-IV-2006, 04-V-2006, 02-VI- 2006
V Federal Law of Parastatal Entities DOF 14-V-1986
And Latest DOF Reforms 1/23/1998, 1/04/2001, 6/04/2002, 5/21/2003, 6/02/2006,
8/21/2006
V General Health Law DOF 07-II-1984
And Latest Reforms DOF 05-XI-2004, 18-I-2005, 24-II-2005, 27-VI-2005, 28-VI-2005, 26-
XII-2005, 12-I-2005, 12-I- 2006, 2/14/2006, 4/24/2006, 1/18/2007
/ Law DFeedloesraInl sdtietutRoessNpoancisoanbaleless
AdedmSainluisdtrDat.iOv.aFs26d-eV-2lo0s00Public Servers
V ÚDl.tOim.Fa1s3R-iei-f2o0rm02a,s3D0.-Ov.i-F200056-X, I2-210-v0ii4i-,22020-6VI-2005,
22-VI-2006
/ LeEyY FFeeddeerraall ddeeRelosspoTnrasbaabjiali d aordeess
aAldmSeinrvisictrioatidveals Edsetalodso,SeRrevgiclaiomsePnútbalriicaosdel
ADp.Oa.rFtad1o3-“IIBI-”2d0e0l2A, r3t0íc-uVlIo-2102036,C 2o1n-sVtIiItIu-2c0io0n6al
DOF 28-XII-1963,
V Latest Reforms DOF 31-XII-1984, 22-XII-1987, 23-I-1998, 03-V-2006
V Law of Prizes, Incentives and Civil Rewards DOF 31-XII-1975,
And Latest Reforms DOF 18-XI-1986, 07-III-2003, 15-VI-2004, 11-X-2004, 12-I-2006, 30-
VI-2006
V Federal Labor Law DOF
V Latest Reforms DOF 7-20-1993 12-19-1996, 1-23-1998, 1-17-2006
V Law of the Institute of Security and Social Services of State Workers DOF 27-XII-1983
V Latest Reforms DOF 19-V-1997, 23-VII-2003
V Federal Law of Transparency and Access to Government Public Information DOF 11-V-
200, 06-VI-2006
V Regulations
/ Internal Regulations of the Ministry of Health DOF 19-I-2004
V DOF Reform 29-XI-2006
V Regulation of the General Health Law on the Provision of Medical Care Services DOF
14-V-1986
V Federal Law of Workers in the Service of the State, Regulatory of Section “B” of Article
123 of the Constitution DOF 28-XII-1963,
{ Latest Reforms DOF 12-31-1984, 12-22-1987, 1-23-1998, 5-3-2006
^ Law on Prizes, Incentives and Civil Rewards DOF 31-XII-1975,
V Latest DOF Reforms 18-XI-1986, 07-III-2003, 15-VI-2004, 11-X-2004, 12-I-2006, 30-VI-
2006
V Federal Labor Law DOF
V Latest Reforms DOF 7-20-1993 12-19-1996, 1-23-1998, 1-17-2006
V Law of the Institute of Security and Social Services of State Workers DOF 27-XII-1983
V Latest Reforms DOF 19-V-1997, 23-VII-2003
V Federal Law of Transparency and Access to Government Public Information DOF 11-V-
200, 06-VI-2006
V Regulation of the General Health Law on Sanitary Control of the Disposal of Organs,
Tissues and Cadavers of Human Beings DOF 20-II- 1985
' Reform D.OF 26-XI-1987
V Regulation of the General Health Law on Health Research DOF 06-I-1987
V Health Supplies Regulation DOF 04-II-1998
V DOF Reform 19-XI-2003
V Regulation of Procedures for the Attention of Medical Complaints and Partial
Management of the National Medical Arbitration Commission DOF 1-21-2003
V Internal Regulations of the National Transplant Council DOF 29-V-2000
V Regulations for the provision of Social Service to Students of the c-io1n9a9l7d, e27V-
aVc-u2n0a0c3ion DOF 3/20/2002
V Internal Regulations of the National Council for the prevention and treatment of Cancer
in Children and Adolescents DOF 26-II-2006
V Reforms to the Regulations of Procedures for the attention of medical complaints and
expert management of the National Medical Arbitration Commission DOF 25-VIII-2007
V PLANS AND PROGRAMS
V National Development Plan 2007-2012 DOF 01-VI-2007
V National Health Plan 2007-2012 DOF 17-I-2008
V Decrees
V Decree that reforms and adds the Organic Law of the Federal Public Administration
(where it changes from the Ministry of Health and Assistance to the Ministry of Health)
DOF 21-I-1985
V Decree by which the National Council for the Prevention of Accidents is created with the
purpose of proposing actions regarding the prevention and control of accidents referred
to in article 163 of the General Health Law DOF 20-III-1987Decree by which the heads
of the agencies and entities of the Federal Public Administration, upon leaving their
jobs, positions or commissions, must submit a report on the matters within their powers
and deliver the human and material financial resources assigned to them for the
exercise of their duties. their legal powers to those who replace them in their functions
DOF 02-XI-1988.
V Decree establishing the system of National Health Cards rx M — —A ii NN N/
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
n . e F r 2 al 4- p _ _ _ _ _ _ _ _ _ _ _ i i t n é d d aer i anp v oeyso ti sgapce i d ó angeóngi S coas l u d

_ _
ye D s .O pa .F ci 1 o 1 s -I p - a 1 r 9 a 85 educational attention a boys, girls and young people

under 18 years of age DOF 07-XII-2006
V Agreement creating the Educational Hospital Care award for children and adolescents
living with chronic illness DOF 15-XII-2006
V By which internal committees are created for the Basic Table of Supplies of the Health
Sector of Medications, Medical Equipment and Instruments, Healing Materials and
Scientific Information Materials of the Secretariat of Health and Assistance, DOF 23-VI-
1983
V Agreement number 130. By which the National Committee for Epidemiological
Surveillance is created, DOF 06-IX-1995
V Agreement number 88. By which areas for tobacco consumption are restricted in
medical units of the Ministry of Health and in the national health institutes DOF 4-17-
1990
V Agreement that establishes the bases for the implementation of the National Hospital
Certification program, DOF 01-IV-199.
V Agreement by which the functions and powers indicated are delegated to the head of
the National Medical Arbitration Commission and its General Director of Administration,
DOF 19-VI-2000
V Agreement by which the Ministry of Health announces the specific Operating Rules and
management and evaluation indicators of the AI Crusade - YO _ _ _ YO _ —
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
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
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
NURSE _______________ NURSING INTERN

SPECIALIST ASSISTANT NURSING
,____________________) ,______________________)
NURSE
GENERAL
Organization
Nursing Organization
Chart By Departments
Chart
DEPUTY DEPUTY
DIRECTION DIRECTION
MEDICAL ADMINISTRATIV
E
SURGER
Y BUDGET
MEDICINE URGENCY ( FINANCIAL he FEDERAL J

INTERNA SICK- RESOURCES e
Yes to)
L ESTUARY I ROS FEES
_ ________
_____________ RECOVERY
J.
/ ■ CION and
1B
PEDIATRI 's HUMAN
CS SOCIAL WORK RESOURCES ,
X-RAYS _> rN
>
MAINTENANC
LABORATO GENERAL E I LIE <
SERVICES I S__ J.
ANESTHESI
A RY RIVER ARCHIVE
_ __________J.
_J. —'—
ORTHOPE LAVENDER
DIC STORE RIA •________>
BLOOD BANK DIETOLOGY
TO yes
J. yes__________
_____________
EPIDEMIO-
LODGE
Technical study
Human Resources:
Name TM TV TN to TN b JA
A.E. Elsa Quinonez Yo
YOU Nereyda Hernandez Yo
YOU Blanca Quezada Yo
YOU Jose Luis Marquez Yo
E.G. Nohemi Molina Yo
A.E. Ma. from the Mata Shelter Yo

Physical resources
# 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
1 Eq. Hip Extra fields
2 Eqs. Of Upper Members Gauze
2 Eqs. Of Lower Limbs Dressings
7 Eqs. Surgical Cleaning Cotton
2 Eq. Cholecystectomy Extra robes
1 Eq. Tonsillotomy Disposable basts
1 Eq. Gastrostomy Disposable Surgery Clothing
6 Eqs. Major surgery Bombas accepted
4 Eqs. Minor surgery latex tubes
1 Eq. emergency Extra mochas
1 Eq. Therapy Drillers
1 Eq. Lumbar Puncture Drill bits
1 Eq. Pediatric Extra tweezers
7 Eqs. anorectal Disposable boots and hats

Nursing Evaluation
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
Laundry: It is the department in

charge of supplying Ceye with the
clothing necessary to wrap material
and equipment. Sometimes the
V Laundry
clothing is not completely clean
because the traces of witness tape
V Warehouse are not removed.
They have 5 shelves for clothing and
V Maintenance Warehouse: This department instruments, 1 material cupboard, 1
provides Ceye with material such as small table, two chairs, 1 cart for
gauze, dressings, wrapping bags, etc. transporting material and equipment,
nto
They are not always delivered in a large and a small autoclave, a
sufficient quantity or on time. scrubber and a shelf for clothes.
V Intendancy
Maintenance: It is the department in Observation: Ceye's department is
charge of monitoring the correct small, which is why the material and
V Headquarters of operation of the autoclaves, however,
equipment is sometimes piled up.
it does not always do its job, since Due to the frequent use of
Nursing they are not maintained correctly and autoclaves, the apartment becomes
it is for this reason that they are not very suffocated, especially because
working at 100%. there are not many air outlets. It
does not have well-defined areas
Quartermaster: Department in charge
(sterile, non-sterile), nor does it have
of providing the department with
a bathroom for staff working in this
garbage bags, as well as emptying
department. A larger table is needed
the cans when they are full, it is also
to fold clothes and accommodate
in charge of keeping the department
instruments, since a stretcher is
clean, given the demand for work,
used outside the department.
sometimes dust is found on the tables
department to help with these
or water near the tables. the plate
activities. A telephone is needed for
Nursing Headquarters: It is this area because communication
responsible for providing labor with the rest of the departments is
personnel in e| difficult, as well as a bathroom for
the staff of this department.
Entry Phase Variables Egress Phase
Methodological
The staff of
Ceye department
Attention Phase
receives the washed The staff of
material, nursing meets
verify that it is found the job though
complete, that this many times I don't know if
working and transfers it it is well done so
to the department to be When the material comes
What is lacking out and
sterilized. knowledge about the department team
material and equipment that of Ceye it is verified that
Observation: The material
used in this is well
and equipment received by
institution. closed and
staff may suffer
damage during find sterilized.
Observation : the
transportation nurse who
to the Ceye area and how Observation : The
find in this nurse can't
when it is sent to the department has
different departments ensure that the material
many downtimes and equipment is
since it moves in the because sometimes the
trays due to lack of functional once
material that has to closed and sterilized by
conveyance sterilizing is a lot and
adequate, not all that's the importance of
it only has one check the material and
staff knows the functional autoclave by
instrumental that is team before
what is difficult to finish wrap it.
delivered for what properly the
It will be difficult to know if work, besides
this not all staff know
complete and working. how to use the
autoclaves,
wraps are not done
correctly and
that is counted on
extra or missing material.
Variables Interaction Variables
Personal
Continuous training is A shift link is carried out, the

accepted. There is good nurse-nurse communication with
communication between time required to deliver
Ceye staff and most optimal department.
of the departments. .
Observation: A shift link is made, but
Observation: Not all However, it is not complete, since it is done
staff knows how to use hurry because you already want to get off work,
autoclaves, despite the fact that most of the time they remain pending, they are not
continuous training is provides complete information.
accepted by staff even
there are some who do not
interested. exist
departments with which not
there is a good
communication,.
Departur External analysis
Users
es Hospital staff
Emergencies: The Ceye material provided

in this department is insufficient due to the
Threats:
demand of this department.
Opportunities:
V High demand from the
V Integration of the
.99 Poo* V Use of the institution's
personnel
emergencies
who work in the
work team. Healing: The material provided by Ceye is
also used for institution anddue
the to
population.
shortages. V Lack of support from
resources.
the government.
Operating room: The windows available
for communication with this department
are small, so not all the material can be
provided quickly since it is given in
portions and does not have a suitable
location.
Weaknesses: Survival Strategies:
The rules and regulations of Adaptation
the Surgery, hallway, pediatrics and
Strategies:
V Complete material trays are internal medicine: The material provided
department, as well as the importance of V Optimize resources so that
not always received.
proper processing of material and Vequipment. is minimal
Arrange to expand the as they
it is not used very often and
V Not all personnel are the department is far areaway.
sufficient to meet the
space. V Manage the demand of the population.
Observation:
trained despite knowing
to use autoclaves nor the rules
doand
theydepartment standards are
know the equipment, resources
not met availableIntensive
to avoid therapy:V Training staff to use
The material
In itsfor
so it will be difficult whole.
them shortages. provided does not arrive with the
autoclaves and training of
speed required bysurgical
this department
teams.
In to identify shortages.
Generally the material and equipment is since communication is complicated.
te V There is a shortage of
delivered to the departments although
rn some equipment andlate.
be a little The knowledge about
al materials. autoclaves are rare. Few
V Reduced space Sometimes they make sure that the
a material
n It is in optimal condition
al .
is The self-sufficient service for
Strengths: restoration of the main Defensive Strategies V
V There are autoclaves Offensive
health Strategies
problems V
that affect Proper management of the
exclusive to the institution. Adequate maintenance
the entering of the
population. institutional autoclave.
V Pleasant labor relations. autoclaves and properties of V Adapt current
V It has shelves the department. shelves so that they are
V There is consumable and V Promote effective optimal for the
reusable material for the communication between the department.
execution of the different work staff of this department. V Use recyclable material
activities. only in case of shortages.
Autonomous university
General Hospital Juarez City
“Dr. Javier Ramirez Cuauhtémoc Campus
Butt”
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 Promote teamwork through 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.
V Personnel trained in the use of autoclaves and knowledge of the material and
equipment.
V Delimit the areas of the department of Ceye.
V Let staff know the importance of respecting department rules.

Goals
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.
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.
V Delimit the areas of the department of Ceye by 100%.
V Let staff know the importance of respecting department rules. by 90%

Organization
BOUNDARIES:
Time:
either 6 month program:

January 1, 2014 to July 1, 2014.
either 4 month program:
December 1, 2013 to September 1, 2014.
either 15 day program:
January 1, 2014 to January 16, 2014/1 of
February 2014 to 16 February 2014/March 1, 2014 to 16 of
March 2014.
Place:
General Hospital “Dr. Javier Ramírez Topete”
Human Elements:
Nursing staff who work in said hospital.
Collaborating Staff:
Head of nursing
Physical resources:
Classroom.
Material and Technological Resources:
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 Passive coexistence among nursing staff.
V Administration and optimization of resources.
V Learning how to handle and use the autoclave correctly

• Efficient communication.
V Manage and optimize How to achieve the department 's material and equipment
objectives : It will be achieved through training , teaching Ceye's staff how they can
better use the resources they have, taking into account in mind an approximate
percentage of how much material is used by department and how much is available.
V Promote teamwork through satisfactory interpersonal relationships: Staff will be taught

the different forms of communication and coexistence that exist in the workplace and
how to carry them out also through teaching.
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.
AT THE END A QUICK EVALUATION WILL BE APPLIED TO KNOW

HOW MUCH THE STAFF LEARNED. (IN JULY)
General Hospital “Dr.
Javier Ramírez Topete Program d
job
2013
Schedule of activities
Problem: The resources available are not used correctly .
Objective: Manage and optimize the appropriate use of the department's available
materials and equipment.
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
job
2013
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 .
Objective: Promote teamwork through satisfactory interpersonal relationships.
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
Start date: February 1, 2014 Start date: March 1, 2014
End date: February 28, End date: March 31, 2014 2014
job
2013
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
Start date: April 1, 2014 Start date: May 1, 2014
End date: April 15, 2014 End date: May 16, 2014
job
2013
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
Start date: April 16, 2014 Start date: May 17, 2014
End date: April 30, 2014 End date: May 31, 2014
Javier Ramírez Topete
Schedule of activities Program d

Problem: Not all nursing staff know how
job
to use autoclaves, nor do they know what 2013
instruments the surgical teams are made
of.
Objective: Personnel trained in the use of autoclaves and knowledge of the material and
equipment.
2012 2014
MONTHS
No. MA
Y
100
Yo %
PLANNING
1 Training; Use of autoclaves
EXECUTE
DO
100
Yo %
PLANNING
2 Practice; Use of autoclaves

EXECUTE
DO
Start date: June 1, 2014 Start date:1 June 2014
End date: June 30, 2014 End date: June 30, 2014
Javier Ramírez Topete
Schedule of activities Program d

Problem: The areas are not well job
delimited. 2013
Objective: Delimit the areas of the department.
2012 2014
MONTHS
No. MA
Y
Yo 100
PLANNING
%
1 Mark and delimit the areas.
EXECUTE
DO
Yo 100
PLANNING
%
2 Final evaluation
EXECUTE
DO
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.

DX Situacional Ceye

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General Hospital Autonomous university

“Dr. Javier Ramirez Juarez City

CD. Cuauhtémoc, Chih. Made by: Janeth N.

The situational diagnosis is a technical administrative instrument which will help us

Specialties: Internal Medicine, Family Medicine, Pediatrics, Surgery, Traumatology,

Affiliated population: Open population and with popular insurance

Telephones: 6255820209 and 5820210

Location: Cd. Cuauhtemo

The SSA began towards the

In 1960, what is now

The institution was inaugurated on November 21, 1961 by C. President of the

Meet the health needs, demands and care and exceed

To be a service in charge of receiving, controlling,

We provide efficient and timely care in favor of the recovery of

division of labor, trained, and committed to the institution we

Be a professional and humanistic team, committed to the

Values of the Nursing Department

V Political Constitution of the United Mexican States.

n . e F r 2 al 4- p _ _ _ _ _ _ _ _ _ _ _ i i t n é d d aer i anp v oeyso ti sgapce i d ó angeóngi S coas l u d

ye D s .O pa .F ci 1 o 1 s -I p - a 1 r 9 a 85 educational attention a boys, girls and young people

NURSE _______________ NURSING INTERN

MEDICINE URGENCY ( FINANCIAL he FEDERAL J

A.E. Elsa Quinonez Yo

YOU Nereyda Hernandez Yo

YOU Blanca Quezada Yo

YOU Jose Luis Marquez Yo

E.G. Nohemi Molina Yo

A.E. Ma. from the Mata Shelter Yo

1 Eq. Hip Extra fields

2 Eqs. Of Upper Members Gauze

2 Eqs. Of Lower Limbs Dressings

7 Eqs. Surgical Cleaning Cotton

2 Eq. Cholecystectomy Extra robes

1 Eq. Tonsillotomy Disposable basts

1 Eq. Gastrostomy Disposable Surgery Clothing

6 Eqs. Major surgery Bombas accepted

4 Eqs. Minor surgery latex tubes

1 Eq. emergency Extra mochas

1 Eq. Therapy Drillers

1 Eq. Lumbar Puncture Drill bits

1 Eq. Pediatric Extra tweezers

7 Eqs. anorectal Disposable boots and hats

Laundry: It is the department in

Continuous training is A shift link is carried out, the

Emergencies: The Ceye material provided

V Promote teamwork through satisfactory interpersonal relationships.

V Delimit the areas of the department of Ceye.

V Let staff know the importance of respecting department rules.

V Delimit the areas of the department of Ceye by 100%.

V Let staff know the importance of respecting department rules. by 90%

either 6 month program:

General Hospital “Dr. Javier Ramírez Topete”

Nursing staff who work in said hospital.

Material and Technological Resources:

V Passive coexistence among nursing staff.

V Administration and optimization of resources.

V Learning how to handle and use the autoclave correctly

V Promote teamwork through satisfactory interpersonal relationships: Staff will be taught

AT THE END A QUICK EVALUATION WILL BE APPLIED TO KNOW

Objective: Promote teamwork through satisfactory interpersonal relationships.

Schedule of activities Program d

2 Practice; Use of autoclaves