Wednesday, July 9, 2014

Day 3: ¡Campeones!

We are proud to announce that we have officially repaired 1 ECG and 3 respiratory ventilators!

We started our third day working in Roosevelt hospital like the days before, arriving by 8AM to set-up and immediately diving into work. Today we took on the ECG first. After running more diagnostics and tests using a manual we had found online, we were sure that the machine internally was functioning properly reassuring our assumption that there was a problem with leads and/or electrodes. Instead of testing the ECG on a patient like yesterday we sacrificed Ananya as our test patient. We completed a successful test, confirmed our results with one of our favorite residents, Carlos, and were able to speak with nurses about the future use of the ECG. We had the opportunity to review exactly what issues we encountered and how to maintain the ECG in the future especially in terms of sanitation and correct preparatory measures. We hope to assist in the transition of Roosevelt Hospital towards the usage of single usage electrodes. It is vital that our efforts are sustainable. Within minutes she took the ECG away to use for the rest of the day.

            Within a half hour of repairing the first ECG we received another. This new model was extremely different from the first. It has a completely different manufacturer with buttons and electronic readings all in English-a clear sign it had been donated to Roosevelt from another country. The electronic leads were clearly damaged and we are in search for new leads and desperate for a manual, we’ll see what we can turn up.
            Of course, that left us to continue our work on the ventilators. After a couple hours and a visit from Hector, a maintenance worker who greeted us warmly and confirmed that creating an organizational system for equipment and parts would be incredibly useful and beneficial, we were stuck. We had not anticipated working on ventilators at all and therefore weren’t entirely confident whether our repairs were sufficient to safely test the ventilator on a patient. We were still receiving an error code but all alarms had stopped. Mainor, a respiratory therapist graciously agreed to help us out and confirmed that the vent was ready to go and the error was solely found because we didn’t have a patient connected. This was the case with 2 other ventilators as well meaning a couple of things:
1            1)   we successfully repaired 3 ventilators
2            2)   There are 3 new ventilators for the hospital to use (which is vital because they are severely lacking vents and many residents are stuck hand ventilating patients all night)
3            3)   We now have more knowledge we can use to repair the other ventilators and to share with staff, to again ensure our work is sustainable.
             We left the hospital pretty content and ready to watch the world cup with the residents. They are a great group to hang out with but also to learn from. On our way there we passed the observation rooms outside of the ICU where Carlos pointed out a man who had been there for 7 years. He requires an automatic ventilator that the hospital cannot supply so sits in the same bed hooked to machinery watching soccer day after day. His quality of life has been so severely reduced as a result of a lack of resources and funding. Also as we were leaving, we noticed that every car is stopped before exiting hospital grounds to ensure that there are no residents or staff that are stealing equipment or drugs from the hospital.

        We’re all pleased and excited about our day. It is an incredible feeling to know we’ve already made an impact after three days working in Roosevelt and having success fixing equipment really serves as a motivating force to keep working, researching and getting our hands dirty everyday. Besides, Argentina is moving on to the final game, what else could we ask for?

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