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Bundle oficial sep 2013

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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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Bundle oficial sep 2013

  1. 1. BUNDLE IMPLEMENTACION HOSPITAL OBRERO No.1 LA PAZ - 2011 Lic. Aida Cordero Bustillos
  2. 2. CAMAS 342 CIRUGIAS 8550 CONSULTA EXTERNA 114000
  3. 3. JUSTIFICACION PROCESO ADMINISTRATIVO • SUPERVISION – MONITOREO • MEJORA CONTINUA • ATENCION DE CALIDAD IMPLEMENTACION BUNDLE COMO ESTARATEGIA DEL CONTROL DE I.I.H.
  4. 4. OBJETIVOS OBJETIVO GENERAL • REDUCIR LAS TASAS DE I.I.H. OBJETIVOS ESPECIFICOS • MEJORAS LOS PROCESOS EN LA ATENCION DE PACIENTES HOSPITALIZADOS • MEJORAR LOS HABITOS DE ENFERMERIA • CONOCER LAS LIMITACIONES PARA EL CUMPLIMIENTO
  5. 5. METODOLOGIA • PROTOCOLOS APROBADOS POR EL MINISTERIO DE SALUD Y DEPORTES “VIGILANCIA, PREVENCION Y CONTROL DE INFECCIONES ASOCIADAS A SERVICIOS DE SALUD (I.A.S.S.)” • PRUEBA PILOTO DE MARZO A ABRIL DEL 2011
  6. 6. DIFUSION PROTOCOLOS JEFES Y SUPERVISORAS U.T.I. MEDICINA INTERNA T. MAÑANA T. TARDE T. NOCHE QUEMADOS T. NOCHE
  7. 7. Grafico No. 1 SUPERVISIÓN INSTALACIÓN VÍA VENOSA PERIFÉRICA
  8. 8. Grafico No. 2 SUPERVISIÓN Y EVALUACIÓN DEL LAVADO DE MANOS CLÍNICO
  9. 9. GRAFICO No 3 INSTALACION DE CATETER VENOSO CENTRAL U.T.I. En relación al cambio de equipos de infusión y conexiones se realiza cada turno dominical y a requerimiento.
  10. 10. GRAFICO No 4 INTUBACION Y ASPIRACION ENDOTRAQUEAL U.T.I. 7% SI No 93% El Diámetro y la Distancia en cm del tubo endotraqueal no se registra.
  11. 11. GRAFICO No 5 INSTALACION CUIDADOS Y MANTENIMIENTO DEL CATETER URINARIO PERMANENTE No se realiza fijación del catéter urinario en forma permanente porque al paciente crítico se le cambia de posición y se tiene el cuidado de mantener el catéter permeable.
  12. 12. BUNDLE CURACION QUEMADOS PROCEDIMIENTOS Explicar el procedimiento al paciente Desenredar con guantes desechables Colocar una sabanilla de hule bajo la zona, que se va a curar Lavado de Manos Colocación de Bata- Barbijo Calzado de guantes estériles Realizar la limpieza de la zona con solución salina Según el caso debridar los tejidos desvitalizados y necrosados Aplicar de pomadas (Quemaduras, nitrofurazon, yodoro, según indicación medica Cubrir con gasa de quemado estéril Vendaje con venda de gasa estéril SI NO OBS
  13. 13. Grafico No 6 VIA VENOSA PERIFERICA TURNO NOCHE “B” SI NO
  14. 14. Grafica No 6 VIA VENOSA PERIFERICA TURNO NOCHE “B”
  15. 15. Grafico No 7 MANTENIMIENTO DE VIA VENOSA PERIFERICA TURNO NOCHE “B”
  16. 16. Grafico No 7 MANTENIMIENTO DE VIA VENOSA PERIFERICA TURNO NOCHE “B”
  17. 17. CONCLUSIONES SE HAN ESTABLECIDO ESTÁNDARES DE CUMPLIMIENTO EN 80 % • • MEJORARON LOS PROCEDIMIENTOS Y MALOS HÁBITOS • DETECCIÓN DE ALGUNOS LIMITANTES EN CUANTO AL CUMPLIMIENTO •Implementacion Bundle
  18. 18. BUNDLE • Paquete de medidas • Medidas necesarias-suficientes • Alto nivel de evidencia cientifica • Promueve cultura de trabajo • Supervision es todo o nada • Tendencia 0 en tasa de IIH
  19. 19. LAVADO DE MANOS LAVADO DE MANOS SUCIAS VISIBLEMENTE LIMPIAS AGUA Y JABON ALCOHOL GEL
  20. 20. Bundle Incersion CVC • Higiene de manos • Medidas de maxima seguridad • Antisepsia piel yodo povidona • Evitar acseso femoral • Aposito estèril transparente
  21. 21. Bundle Prevencion de ITU CUP • CU fijacion efectiva • Revision diaria • Circuito cerrado • Bolsa bajo nivel de vejiga • Colector con menos de 1/3 de su capacidad total
  22. 22. Bundle N A V • Elevacion cabecera 30 a 45 grad • Interrupcion diaria sedacion • Aseo bucal con clorhexidina • Aspiracion secreciones • Valoraciòn diaria de posibilidad de • destete

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