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not during my shift - About the campaign for prevention of Nosocomial Infection Prevention

To reduce the incidence of infections associated with medical care and protect patients, health professionals must constantly update their knowledge in the prevention and treatment of infections. As part of ongoing commitment to provide quality care and prevention of infections, a large number of doctors and hospitals have partnered with Kimberly-Clark to provide updated information programs, staff health centers, and administration . Finding time for this training, although apparently a simple objective can be a challenge for health professionals working around the clock to treat patients. The training program HAI is part of a national campaign to raise awareness among health professionals, called "Not My Time" which offers a kit installations containing leaflets for health staff and patients, manual and posters. This campaign offers accredited continuing education , based on best practices and guidelines and the available research on reducing the incidence of IAAM . For more information about the campaign "Not In My Time", we invite you to visit http://es.haiwatch.com/ .

Types of infections - Associated medical
ventilator-associated pneumonia (VAP) This type of pneumonia, also called nosocomial pneumonia is the major cause of morbidity and mortality among infections associated with medical care. Learn more about pneumonia associated with mechanical ventilation

Surgical Site Infection (SSI) Any injury to the patient's skin may lead to surgical site infection. Learn more more about surgical site infections (SSI)

Cross contamination Cross-contamination, or by contact, is the most common type of surgical site infection. Learn more about pollution cross

About HAI HAI Wachtel Watch program is your resource to keep your organization aware of the importance of prevention of infections associated with medical care. The following guidelines on hand hygiene in health centers, and other tips are available, but please continue to visit our website, as we will be regularly updated with new tools of awareness.

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Infections Partners Health Care (IAAM)

Hospitals are supposed to help you improve but this is not always the case. Often people end up getting infected with different diseases such as ventilator-associated pneumonia (VAP) and Staphylococcus aureus resistant to methicillin (MRSA) while being treated by a health problem, or just be giving birth at the hospital. This is a situation that could and should be completely avoided.

Kimberly-Clark Health Care is in the foreground protecting patients Asistensia Infections Associated with Medical (IAMM) and has created a prevention campaign to combat this problem called Not In My Time in http : / / es.haiwatch.com

Here We have compiled a list of preventive measures that you and your loved ones can take before, during and after their stay at the hospital, in order to minimize exposure to infections associated Medical Care (IAAM) , and their associated microorganisms such as Staphylococcus aureus resistant to methicillin (MRSA).

Hygiene:
is essential to wash your hands by rubbing them for at least fifteen seconds with soap and water. In case of not having access to a sink, we recommend using alcohol-based sanitizer.
Between three and five days before surgery, we recommend a daily shower with soap solution 4% chlorhexidine, which can be found in pharmacies.
Once in the hospital, we recommend asking anyone who treats you that you wash your hands in your presence. This must be done with either the doctor or nurse to be examined or to visit relatives or friends who want to touch him, hug him or shake his hand. Do not be shy! His life is more important than a passing moment of shame.
sure that hospital staff prepared with an antiseptic (chlorhexidine gluconate or povidone iodine) the incision area before cutting, as scalpels and other surgical instruments (despite being sterilize) can pull bacteria into the body from the surrounding skin.
Teams:
A common source of bacterial infection are stethoscopes, because many times the hospital staff did not clean between patients. Therefore, it is advisable to request that you clean both the stethoscope as any other instrument used on him.
sure that hospital staff clean and disinfect any surface that you are going to be in contact, such as lamps, sink or headboards.
sure the equipment for intravenous therapy is used in aseptic conditions when you insert and remove, and was replaced at least every three or four days. If you see any signs of redness, swelling or pain at the site of their intravenous, alert hospital staff immediately. Watch carefully
bandages and drain tubes, and inform the staff if they become loose or wet.
Avoid, to the extent possible, the insertion of a urinary catheter drinking enough liquids and going to the toilet for at least 5-6 times a day. If unavailable, ask to be removed within a day or two (sooner the better).
Testing: Request
be tested for Staphylococcus aureus resistant to methicillin (MRSA) at least one week before his admission to the hospital, as you might already be carrying the infection without being aware of it. It is important to know this in time.
If you have diabetes, try to keep their blood sugar levels under control.
Medication:
Ask your doctor about the possibility of taking a preventive antibiotic before surgery. In many cases, it is possible to take an antibiotic one hour before surgery to prevent surgical site infection (SSI) . Care and comfort
:
If it is necessary to shave a body part, we recommend the use of an electric razor instead of a blade, and the latter are more likely to cause skin lesions that may be exposed bacteria, it is preferable to cut their hairs with scissors surgical, to prevent the skin notches.
Ask your doctor to cover with a blanket during surgery to avoid lowering the temperature of your body. Obviously, you will not be sensitive to cold while under the anesthesia, but studies have shown that simply keeping the patient warm reduces the chances of infection.
Although the visits are a source of joy for you, if a friend or relative is sick, ask them to refrain from visiting until you have recovered. Meanwhile, you can keep in touch by telephone.
News
developed infections root in hospitals or other health care facilities are called Associated Infections Health Care (IAAM) , or nosocomial. These diseases represent a global crisis, affecting both patients and health personnel. According to the World Health Organization (WHO), at this time 1400 million people worldwide suffer from diseases acquired in hospitals, or health. International Week for the Prevention of infections occur between October 17 and 23.Según a report from the Center for Disease Control and Prevention (CDC) carried out in March and April 2007, the number of deaths States Together because of these infections in 2002 was 98.987 people. The risk of acquiring infections associated with healthcare in developing countries is two to twenty times the risk in developed countries. Infections associated with medical care affect thousands of people every year. These diseases are the cause of prolonged hospital stays, increasing the chances of readmission, and pose a considerable economic cost to the patient. Economically, the infections associated with health care represents a cost of six billion in 1700 to health facilities, but the human cost is even higher. Until recently, the lack of requirements or requests for information IAAM health centers contributed to not put enough emphasis to eliminate this problem. However, a growing popular attention, and subsequent legislation requiring state and local responsibility for these events are helping to accelerate efforts to combat such diseases. To learn more about the IMPACT of infections associated with medical care, we invite you to visit http://es.haiwatch.com/ .

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Delivered Report water pollution to the Office of the State of Carabobo and the request for appointment of an Environmental Tax Report

The Wednesday October 20 this year, Edison Durán and Fabio Padoan, representing the Movement for Water Quality, attended the Carabobo State Prosecutor's Office, to record a copy of the report by the movement in relation to the problem of Carabobo water, and a communication which requests the appointment of an Environmental Tax evaluate current operational status and quality of the effluents from the Wastewater Treatment "La Mariposa" and "Guayos" so Water Treatment Plant as "Alejo Zuloaga, and devote itself analyzes the research and evidence presented in the report, and preventing continuing environmental crimes documented there.

In the pleasant meeting with the Chief Prosecutor of the State of Carabobo, the Abg. Liceth Lopez, the Movement for Water Quality had the opportunity to explain in detail the main conclusions of the report, emphasizing the main causes of problems and priority actions to be taken to prevent an aggravation of the situation.

Dr. Lopez, Carabobo State Prosecutor, pledged that the institution is carried out responsibly a thorough investigation and that this had already been appointed the Deputy Public Prosecutor to National competition in Environmental Defense, Dr. Barbara Macchia.

The Movement for Water Quality confident that the institutions of the Public Prosecutor shall act at the height of the great responsibility that the Constitution and laws of the Republic conferred the highest protection of the interests of the nation and the fundamental rights of access to clean water and health of the nearly 3 million citizens affected by this situation.

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Directive establishing Disease Special Coverage for the subsidized system of Comprehensive Health Insurance

Directive establishing Disease Special Coverage for the Subsidized Regime Security Integral Health in the field of Universal Health Insurance and its Annexes
Resolution Jefatural N º 134-2010-SIS
Lima, October 15, 2010
SEEN: The Memorandum No. 568-2010-SIS-GO Operations and Management Report No. 283-2010-SIS/OAJ of the Office of Legal Affairs;

WHEREAS, by law N º 27657 - Law of the Ministry of Health, created the Comprehensive Health Insurance (SIS) as a decentralized public health sector, described by Supreme Decree N º 034-2008-PCM and Public Executing Agency, whose mission is to administer the funds used to finance individual health benefits of the poorest and most vulnerable lacking health insurance, in accordance with the policy of the Sector;
That Article 13 of the Regulations of the Law of the Ministry of Health, approved by Supreme Decree N º 013-2002-SA, provides that Chief of the Comprehensive Health must design, redesign and continuously improve the processes of SIS;
That Article 30 of the Rules of Organization and Functions of Comprehensive Health Insurance, approved by Supreme Decree N º 009-2002-SA, says Operations Management is the online authority proposes, evaluates and supervises benefit plans by type of population, offering benefits in terms of costs, fees, financing and provision of facilities, service providers, as well as proposes mechanisms for negotiation;
That Article 7 of Law N º 29344, Law Framework for Universal Health Insurance, said the Comprehensive Health Insurance as a managing institution Assurance Fund (IAFA)
That Article 13 of said Act provides that the Plan Essential Health Insurance (PEAS), is the prioritized list of conditions and interventions insurable are funded at least to all insured by the institutions that administer health insurance funds, whether public, private or mixed, and includes guarantees explicit timeliness and quality for all beneficiaries;
That by Supreme Decree N º 016-2009-SA, approving the Plan Essential Health Insurance (PEAS) and the list of conditions ensure, Interventions and Services and Guarantees explicit, that at least are funded by all insured institutions that administer health insurance funds, whether public, private or mixed;
That the above-mentioned Article 4 of Supreme Decree provides that in the case of SIS, the disregarded the LPIS in pilot areas, where at least be offered the PEAS, except those benefits that were granted in exceptional circumstances, which form part of the insured's coverage until his total attention. The PEAS event coverage provides benefits in referential character maximum and its application is subject to existing clinical practice guidelines.
That Article 99 of the Rules of Law N º 29344, Law Framework for Universal Health Insurance, approved by Supreme Decree N º 008-2010-SA, provides that the administrative institutions of Funds Health Insurance (IAFAS) as SIS can offer supplemental plans to PEAS. Furthermore, Article 100 of that Regulation empowers the IAFAS to structure the supplementary schemes under the conditions of PEAS. The value of them is determined according to the size and characteristics of offered coverage;
That, Departmental Resolution No. 133-2010/SIS, Directive No. 05-2010-SIS/GO "directive regulating performance based coverage Subsidized Financing Regime under the Universal Health Insurance and its Annexes. " The Supplementary Plan is the list of insurable conditions that are complementary to the PEAS-funded comprehensive health insurance to its policyholders the Subsidized;
also Administrative Directive No. 05-2010-SIS/GO provides that the Schedule of Benefits SIS is made up of all benefits regularly funded by the Comprehensive Health Insurance Health for all insured the subsidized system, and includes the PEAS, the Supplemental Plan, emergency care and administrative services;
That, as assessed by the Operations Department, diagnoses and interventions exist that exceed the maximum limits referential or are outside the SIS Benefit Plan and provided to the insured SIS subsidized regime in exceptional circumstances and provided they are not included in the List of Diseases with High Cost FISSAL provided by the specific exclusions or SIS;
That, according to documents seen the Operations Department supports the passage of the Directive establishing Special Coverage Disease for the subsidized system of comprehensive health insurance in the field of Universal Health Insurance ";
That, with the approval of the Assistant Chief of the SIS, General Secretary, Finance Management, Operations Management and a favorable opinion Office of Legal Affairs;
In accordance with the provisions of paragraph i) of Article 11 of the Rules of Organization and Functions of Comprehensive Health Insurance, approved by Supreme Decree N º 009-2002-SA;
RESOLVED:
Article 1 .- To approve a directive establishing Disease Special Coverage for subsidized system of comprehensive health insurance in the field the Universal Health Insurance and its Annexes, which form an integral part of this resolution. Article 2 .-
rescind pilot areas AUS any provision that is opposed to the provisions of the directive approved by this resolution.
Article 3 .- To instruct the General Secretariat of publication of this resolution, adopted Directive and its annexes, on the website of the Comprehensive Health Insurance, http://www.sis.gob.pe/a_trans_infor_resol . html .
recorded, communicated and published.
QUINTANILLA LUIS ALBERTO Huarachi
Institutional Security Chief Integral Health

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directive regulating performance based coverage Subsidized Financing Scheme under the Universal Health Insurance and its Annexes

directive regulating the coverage performance based Regime finance subsidies under the Universal Health Insurance and its Annexes
RESOLUTION Head Office N º 133-2010-SIS
Lima, 15 October 2010
VIEW: Memorandum No. 546-2010-SIS-GO and Operations Management Report No. 280-2010-SIS/OAJ of the Office of Legal Affairs;

That WHEREAS, by Act No. 27657 - Law of the Ministry of Health, created the Comprehensive Health Insurance (SIS) as a decentralized public health sector, described by Supreme Decree N º 034-2008-PCM as a public Executor, whose mission is to administer the funds used to finance health benefits individual poorest and most vulnerable lacking health insurance, in accordance with Policy Sector;
That the Article 13 of the Rules of the Law of the Ministry of Health, approved by Supreme Decree N º 013-2002-SA, provides that the Chief of the Comprehensive Health must design, redesign and continuously improve the processes of the SIS;
That Article 30 Rules of Organization and Functions of Comprehensive Health Insurance, approved by Supreme Decree N º 009-2002-SA, said that the Operations Department is the body proposed line, evaluates and supervises benefit plans by type of population, offering benefits in terms of costs, fees, financing and supply of facilities, service providers, as well as proposes mechanisms for negotiation;
That Article 7 of Law N º 29344, Law Framework for Universal Health Insurance, said the Comprehensive Health Insurance as a managing institution of Insurance Funds (IAFA)
That Article 13 of said Act provides that the Plan Essential Health Assurance (PEAS), is the prioritized list of conditions and interventions insurable are financed at least all insured institutions fund managers, health insurance, whether public, private or mixed, and contains explicit guarantees of timeliness and quality for all beneficiaries;
That by Supreme Decree N º 016-2009-SA, approving the Essential Plan Health Insurance (PEAS) and the list of conditions ensure, Interventions and Performance and Explicit Guarantees, which are financed at least all institutions insured by the fund managers, health insurance, whether public, private or mixed;
That Article 4 of this Decree provides that in the case of SIS, becomes void in the LPIS the pilot areas, where at least be offered the PEAS, except those benefits that were granted in exceptional circumstances, which form part of the insured's coverage until his total attention;
That Article 99 of the Regulation of Law No. 29344, Framework Law on Universal Health Insurance, approved by Supreme Decree N º 008-2010-SA, provides that the institutions administering the Health Insurance Funds (IAFAS), as the SIS, can offer supplemental plans to PEAS. Furthermore, Article 100 of that Regulation empowers the IAFAS to structure the supplementary schemes under the conditions of PEAS. The value of the assets is determined as the extent and nature of the coverage offered;
That Article 1 of Resolution No. 092-2010/SIS Jefatural, published on July 23, 2010, adopted the Directive No. 003-2010-SIS/GO "directive regulating the process of joining the Scheme of Financing Subsidized comprehensive health insurance under the Universal Health Insurance - Law N º 29344 * and its Annexes;
That, according to documents seen the Operations Department supports the adoption of Directive regulating the performance based coverage and care processes in Subsidized Financing Scheme;
That, with the approval of the Assistant Chief of the SIS, General Secretariat Management of Finance, Operations Management and a favorable opinion of the Office of Legal Affairs;
In accordance with the provisions of paragraph i) of Article 11 of the Rules of Organization and Functions of Comprehensive Health Insurance, approved by Supreme Decree N º 009-2002-SA;
RESOLVED:
Article 1 .- To approve the Directive No. 05-2010-SIS/GO directive regulating performance based coverage Subsidized Financing Scheme under the Universal Health Insurance and its Annexes, forming an integral part of this Resolution. Article 2 .-
rescind pilot areas AUS any provision that is opposed to the provisions of Directive approved by this resolution.
Article 3 .- To instruct the General Secretariat of publication of this resolution, adopted Directive and its annexes, on the website of the Comprehensive Health Insurance, http://www.sis.gob.pe/Portal/transparencia / disposiciones.html .
recorded, communicated and published.
QUINTANILLA LUIS ALBERTO Huarachi
Chief Institutional Comprehensive Health Insurance

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Delivered water pollution to the Division of Carabobo State

On October 19 this year, representatives of the Movement for Water Quality met with the Deputy Ombudsman Carabobo State, Abg. Teodardo Zamora Parra, to make formal delivery of the 100-page report contentivo of studies, analysis, evidence, legal ACTIONS and proposals drawn up by the movement in relation to the problem of water pollution in the state.

In the meeting held in Public Defender, Edison Durán, Melissa Hahn, Frank Vera and Fabio Padoan, in addition to record and explain the most important aspects of the report above, given a document requesting the Ombudsman, the following:

1. The Ombudsman of Carabobo State, comply and enforce the points agreed in the Act dated June 15, 2010, signed by the Abg. Teodardo Jose Zamora Parra, Carabobo State Deputy Defender, Defender Jerry Chacon, Daniel Ramirez, Juan Carlos Uzcategui, Mr. Manuel Fernandez, President of the Hydrology Centre, HIDROCENTRO, Happy Bordonel of HIDROCENTRO and representatives of the Movement for Quality water, among others, where HIDROCENTRO Management agrees to hold a meeting with members Movement for Water Quality in the first week of July, with the objective of developing a schedule of visits to plants Wastewater Treatment "La Mariposa" and "The Guayos" and the Water Purification Plant " Alejo Zuloaga.

2. That the Ombudsman requires the Ministry of Environment and HIDROCENTRO Popular submission and publication of the Environmental Impact Study for the Diversion of Lake Valencia, as provided in Article 129 of the Constitution of the Bolivarian Republic of Venezuela.

3. That Ombudsman make its good offices to the appointment of an Environmental Prosecutor which focuses its efforts to investigate the many causes of water problems in the state of Carabobo, investigating the veracity of the allegations and evidence presented in the report recorded by the Movement for the Water Quality Advocate Caracas Metropolitan Area, Abg. Nahom Figuera, on Date 10/13/2010, and the Ombudsman of Carabobo State, the Abg. Teodardo Jose Zamora Parra, as of 15/10/2010. We also require that the Environmental Prosecutor will continue to prevent committing environmental crimes reported and documented in the report, and determine the responsibilities and penalties as may be appropriate.

4. The Ombudsman of Carabobo State make its good offices to achieve a working meeting of the Movement for Water Quality in the Office of the State of Carabobo, in order to present the main findings and conclusions of the aforementioned study.

The cordial meeting at the headquarters of the Ombudsman of Carabobo, the Ombudsman Zamora Parra pledged to take the steps necessary to urge the respective institutions, so that compliance with requests made in the 4 the document. From the Movement for Water Quality confident that the good offices the Ombudsman of Carabobo State will contribute on the path of the solutions to this problem that affects us all equally.

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Delivered Report prepared by the Movement for Water Quality to the Ombudsman's Office in Caracas

On Wednesday 13th of October, we honor his word, we completed and presented the 100-page report with all the evidence that has been collected. As well as studies, analysis, action laws and proposals from the Movement for Quality of water we have been doing. Members of the Movement, Fabio Padoan, Frank Vera, Manuel Perez, Lucio Herrera and Edison Durán, moved to the Ombudsman's office in Caracas to record the document where they were gratefully received by Dr. Nahomi Figuera, ombudsperson Caracas Metropolitan Area, along with other officials of the institution.

For about an hour more than had the oportundiad to explain in sufficient detail the serious water situation in our region and to identify the key findings of the report. Advocate Figuera said a sincere interest in knowing more about it, realizing the gravity of the situation and the importance of the institution he represents is involved in it. Dr. Figuera contacted the Ombudsman of Carabobo, Dr. Teodardo Zamora who arranged a meeting for Friday October 15 at the headquarters of the Ombudsman in Carabobo.

addition, the Ombudsman asked his good offices to secure an appointment being made environmental tax which focuses its efforts to investigate in depth the multiple causes of the problem and prevent further commenting on environmental crimes documented in the report. Similarly, Dr. Figueroa was committed to us personally present the report to the Ombudsman Gabriela Ramírez and explain the case. From the Movement for Water Quality expect the Ombudsman to take responsibility for their moral commitment legal and Constituación him by the Venezuelan laws and in favor of defending the basic human right of access to drinking water all Valencia.