Showing posts with label ICU. Show all posts
Showing posts with label ICU. Show all posts

Monday, May 18, 2015

Day 9: Week Two Begins!

A guest blog entry from Ananya and Caroline:

Today we set up camp in the old ICU, which is now empty and is being used as a storage area for old, broken equipment.  It was great to see that the new ICU, which was our work area last year, is now in use, after much petitioning on Carolyn’s and others parts.
Entering the old ICU which was fully functioning about 6 months ago.

This area has become another warehouse for broken equipment



With the help of our new maintenance friend Horacio, we began work on two incubators. We determined One  could not be fixed, as it is ancient, and had evidently been previously tampered with.  There were screws missing, things were put back together incorrectly, and parts of the circuit board has been detached and broken. The second incubator was successfully repaired, after much battery work and sodering by Mark and Ananya!  


Working hard.


Good work, team!

We were also given another ECG from the pediatric ICU and two monitors from the Neonatal Intensive Care Unit to look at.  We are still working to determine exactly what is wrong with each, and plan to continue working on them tomorrow.  Unfortunately, poor Horacio got stuck in an elevator trying to bring us the equipment.  This, along with no working lights in the old ICU, exemplify the daily problems that the people of Roosevelt have to face. 

On a happy note, we visited Gastro to deliver and officially donate some pulse oximeters and a blood pressure cuff.  Our three favorite nurses were happy to see us and told us that both monitors and the endoscopes we worked on last week are officially working!  Together we worked with them to test the blood pressure monitor we saw last week.  It can now also be used. 

A monitor we fixed now in use.
Testing the Blood Pressure monitor we fixed, it worked!

Afterwards we got some delightful homemade popsicles from the food stand outside the hospital.  Everyone enjoyed the delicious mango.  For dinner we returned to La Chapinita for traditional guatemalan fare and Mark was finally able to get that Hard Rock Guatemala pen that he wanted  We look forward to another productive day tomorrow! 

Friday, July 18, 2014

Day 11: Wrapping Things Up



It’s unbelievable that today was our second to last day at Roosevelt when it seemed only yesterday we were looking at the machines and meeting the residents for the first time! Time really flies by here because our days are so jammed packed and today was no exception.
Today was our last day to finish up all equipment repair, cataloging of equipment, writing manuals and translating troubleshooting guide. Needless to say we had a lot to do to wrap up our work at Roosevelt to ensure that our final day goes smoothly and we can properly communicate to staff about the outcome of our work. We started by taking one last look at the ventilators. We had unfortunately gotten to a stopping point with many of the vents. For example, there was one Vela vent whose screen and battery we had fixed. Despite these repairs the vent was still showing symptoms of internal issues that would require replacing a part. Like the majority of the equipment we see at Roosevelt, this vent was outdated and the manufacturer no longer produces the proper parts needed to repair it.
Patient bed in the ICU
Running into various roadblocks, whether that means: missing parts, having parts stolen, lacking maintenance, or lacking communication, is the everyday reality of a public hospital in Guatemala and we hope to improve that in the near future. Broken equipment accumulates every day in various parts of the hospital and it is difficult to keep up with the various types of equipment and models. However, we are excited to know that our work will continue even as we leave Guatemala with the help of La Universidad del Valle (UVG). This morning we met with Dr. Mejia, Professor Roberto Sevaria, and two students from the UVG Mechatronics association this morning to discuss with Dr. Mejia exactly what the partnership would look like and how it would benefit each of three parties. The meeting was extremely successful and it was clear everyone left with a common understanding of what the next steps are. After the meeting we were able to show our UVG guests around the ICU and also the ER to give them a better idea of exactly what and whom they’ll be working with. It was great introducing the amazing staff at Roosevelt to new engineering faces who are already ambitiously thinking of new ways to improve the hospital including creating an app to track equipment information that any nurse, volunteer or doctor could update. Every medical professional we have spoken to is extremely enthusiastic about the UVG students.
Outside the ER

After the UVG students left it was back to Oakland mall to work on manuals, final reports, thank yous, translations etc until Dr. Barnoya picked us up to go to dinner. We went to Vesuvio, the same place he took me my first night in Guatemala last year. After a couple hours of good pizza and a lot of insight from Dr. Barnoya we headed back to Uxlabil to keep working in the early morning to ensure all our reports and manuals were ready to hand over…during our last visit to Roosevelt of this first official rotation of WUGI.