Transcript dysfunction analysis - Centrum Medyczne w Łańcucie Sp. z oo

Certyfikat
Akredytacyjny
9122.ZESP
ISO
9001:2000
„Medical Centre in Łańcut” PLC
Dysfunction analysis
5 Paderewskiego St., 37-100 Łańcut, phone. +48 17 224 01 00, fax. +48 17 225 23 02
e-mail:[email protected], web-site: www.cm-lancut.pl
NCR 0000328106; TIN 8151763728; Share Capital 53.350.000,00zł
Bank Account Nr: PBSBank O/Łańcut 46 8642 1142 2014 2403 9255 0001
Photo of the complex of hospital buildings:
6
2 i 2a
Lot
3909/3
13a
9
8
12
5
3
1
Lot for the
investment
3909/10
Legal basis
Treatment - diagnostic wards (surgical, traumatic – orthopaedic, gynaecological
– obstetric and neonatal), preservative wards (contagious diseases and pediatric)
and the diagnostic department are placed in rooms that do not fulfill the
requirements of the Minister of Health’s Regulation dated 10th November 2006,
concerning the requirements for both professional and sanitary conditions of rooms
and equipment of health care units (Dz. U. nr 213, pos. 1568 with changes). Their
technical condition makes it impossible to adjust them to actual needs (narrow
communication passages, too little space of operating rooms and diagnostic
cabinets).
Building nr 2 gynaecological – obstetric ward, neonatal ward, diagnostic department –
dysfunction analysis
1. Obstetric ward
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Lack of admission point
Lack of operating room for caesarean sections
Lack of sterilizing area in the section of birth giving track
Too little space of birth giving rooms
Lack of required mechanical ventilation or air conditioning in the birth
giving room
Lack of lift
Insufficient number of sanitary equipment for patients
Lack of proper soiled linen storages with requires mechanical ventilation
and storage background, cleaning rooms, equipment storage
Lack of diagnostic – treatment cabinet
Lack of nursing point with a preparation room
Too narrow corridors impeding inward communication
Windows need to be replaced
2. Gynaecological ward
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lack of bed rooms in corresponding system
lack of gravitational ventilation in the rooms
Insufficient number of sanitary equipment for patients
Lack of proper soiled linen storages with requires mechanical ventilation
and storage background, cleaning rooms, equipment storage
Lack of diagnostic – treatment cabinet
Lack of nursing point with a preparation room
Too narrow corridors impeding inward communication
communication passages are placed on different levels
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lack of an operating room for the ward as well as the required background
lack of postoperative room
lack of cloakroom for patients
lack of driveway for the disabled
windows need to be replaced
lack of hygiene – sanitary background for the staff
internal and external walls covered with fungus
lack of safe access to the X-ray lab
3. Neonatal ward
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lack of room for mothers waiting to be dismissed form the hospital
lack of room for children to be dismissed
lack of rooms for newborns under observation equipped with the sterilizing area
Lack of proper soiled linen storages with requires mechanical ventilation and
storage background, cleaning rooms, equipment storage rooms for equipment
washing and sterilisation
lack of hygiene – sanitary background for the staff: basic cloakrooms
lack of rooms for serving meals
lack of inward cooker
lack of gravitational ventilation in the rooms
Diagnostic Department rooms
4. X-ray lab
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Lack of mechanical ventilation
Walls covered with fungus
Narrow corridors and passages impeding proper inward communication
Transitive staff of the X-ray lab
Leaky windows
Building 2A
Surgical and traumatic-orthopedic ward, endoscopy lab, anesthesiology ward, operating
block – dysfunction analysis
1. Surgical ward with admission point, traumatic-orthopedic ward
• lack of covered driveway for ambulances
•lack of driveway for the disabled
•the ward is transitive, which is against the regulations
•too many beds in relation to the area of rooms, which makes it impossible
to have access to the bed from three sides
•lack of possibilities for safe bringing the beds out of the room
•lack of diagnostic-treatment cabinet
•lack of nursing point with a preparation room
•lack of gravitational ventilation in the rooms
•too narrow corridors impeding inward communication
•improper localization of operating rooms
•lack of nursing points in post-operating rooms
•lack of mechanical blowing in and out ventilation or air conditioning in
post-operating rooms
•insufficient number of sanitary facilities for patients
•lack of a toilet for visitors
•improper width of doors according to regulations – 1,1 m
•leaky windows
•inadequate floors in all rooms
•insufficient number of lifts in the ward, so called “dirty” and “clean”
•lack of proper soiled linen storages with required mechanical ventilation,
storage background, cleaning rooms, equipment storage
•lack of room for serving meals
2. Endoscopy lab
•lack of hygiene cabin equipped with a toilet, a shower and a washbasin connected
with the examination room
•lack of a bathroom equipped with mechanical blowing in and out ventilation
•lack of a waking up room equipped with at least one bed.
3. Anesthesiology ward and operating block
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lack of required space for operating rooms
lack of required heights
lack of mechanical ventilation (or air conditioning)
lack of preparation room and waking up room
lack of separate areas for patients, clean materials, wheelchairs,
lack of cloakroom area for the staff
lack of preparation room for the staff
lack of separate “clean” and “dirty” areas
lack of convenient connection with the unit of central sterilization
lack of corridors providing safe inward communication
lack of lifts with the division for “clean” and “dirty” connecting the
operating block with the newly built part of the ward
lack of rooms for the staff with the sanitary background
lack of soiled linen, equipment and medical apparatus storage and the
utility room
improper placement of post operating rooms, which does not provide safe
communication with the operating room
lack of nursing point in post operating rooms
lack of mechanical blowing in and out ventilation or air conditioning
lack or sterilization area, through which patients are passed and the staff
move
lack of the isolation room equipped with enforced mechanical ventilation
on the basis of under pressure
lack of basic cloakroom for the staff
Wards: surgical, traumatic-orthopedic, gynecological – obstetric (buildings 2 and 2a)
Admission point for the surgical ward
Driveway for ambulances
X-ray lab
Building nr 3 – contagious diseases ward and pediatric ward – dysfunction analysis
1. Contagious diseases ward
•lack of permanent separation the contagious diseases ward from the children’s
ward
• admission point does not fulfill requirements for this type of rooms
narrow inward corridors impeding communication
rooms do not have required heights
too little area of patients’ rooms impeding access from three sides
•lack of possibility of safe bringing the beds out of rooms
•lack of sterilization area by the entrance to the ward
•entrance door to the building do not fulfill architectural requirements
•lack of gravitational ventilation in most rooms
•lack of isolation rooms equipped with enforced mechanical ventilation on the
basis of under pressure
•lack of required sterilization areas by the entrances to patients’ rooms
•lack of treatment and diagnostic cabinets
•lack of hygiene-sanitary background for the staff, so called “passing”
cloakrooms and dining room
•lack of required soiled linen storages equipped with mechanical ventilation,
utility rooms, rooms for disinfection of equipment and apparatus
•lack of proper room for preparation and distribution of meals, kitchen divided
into “clean” and “dirty” area connected with the sterilizer
•lack of roof for ambulances coming to the admission point
•lack of room for pro morte
2. Pediatric ward
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lack of permanent separation of the pediatric ward from the contagious
diseases ward
lack of admission point with a proper background
entrance door to the building do not fulfill architectural requirements
lack of treatment cabinet
lack of ventilation in patients’ rooms
too little area of patients’ rooms impeding access from three sides
lack of possibility of safe bringing the beds out of rooms
rooms do not have required heights
lack of division into sub-wards for children under 3 and over 3
lack of sterilizing areas
lack of nursing points providing constant observation of children
lack of the isolation room equipped with enforced mechanical ventilation on
the basis of under pressure
lack of hygiene – sanitary background for the staff: basic cloakrooms
lack of room for serving meals
lack of the isolation room with required mechanical ventilation
lack of cloakroom and hygiene-sanitary background for parents
lack of utility rooms and soiled linen storages with mechanical ventilation
Hospital wards not requiring investment
• Building nr 1:
internal diseases ward (1st floor)
cardio logical ward (ground floor eastern wing)
palliative medicine ward (ground floor western wing)
• Building nr 9 :
psychiatric ward for children and teenagers
• Building nr 13a
neurological ward (ground floor)
rehabilitation ward (1st floor)
These wards fulfill the requirements of the Minister of
Health’s regulation concerning the professional and sanitary
requirements for rooms and equipment of health care units
(Dz. U. 2006, nr 213, pos. 1568 with changes)
Internal diseases ward, cardio logical ward, palliative medicine ward (1)
Internal diseases ward, cardio logical ward, palliative
medicine ward (2)
Entrance for ambulances
Psychiatric ward for children and teenagers
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