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First Level Laboratory

The document describes the different services and units that make up a first-level laboratory and an outpatient unit in a hospital, including their functions, locations and required environments. The functions and requirements of the clinical laboratory, pharmacy, offices, surgical center and other support units and services are described.
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0% found this document useful (0 votes)
27 views8 pages

First Level Laboratory

The document describes the different services and units that make up a first-level laboratory and an outpatient unit in a hospital, including their functions, locations and required environments. The functions and requirements of the clinical laboratory, pharmacy, offices, surgical center and other support units and services are described.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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First-level laboratory: It is one that has the human resources, physical

infrastructure and the required technology that allow it to perform at least the basic
laboratory tests that support the diagnosis of health problems in its area of
influence, being able to use reference and counterreference systems.

CARE UNITS

EXTERNAL CONSULTATION UNIT


It is the sector in charge of providing comprehensive health care to outpatients.
Its objective is to assess, diagnose and prescribe treatments in the different fields
of the medical specialty, for the prompt recovery of the patient, with the support of
auxiliary methods of diagnosis, treatment and hospitalization if the case warrants it.
Location:
 It will have direct access and will be independent.
 It will be located on the first level separate from the Hospitalization Unit.
 Easy access and communication with the Diagnosis and Treatment
Assistance Unit and with Medical Records.
 The offices must be located grouped into General Offices and Offices
 Specialized for better work.

Environments:
 Waiting room
 Information
 Admission
 Box
 Medical Records Archive
 Medical records
 Social service
 General Offices
 Specialized Offices
 Topics
 Injectables to Immunizations
 Cleaning room
 Hygienic Services for Patients
 Hygienic services for staff

Sizing:
The area per person will be 1.20 m2, and for disabled people in wheelchairs 1.44
m2.

Relationships with other environments


It is directly related to Admission, Appointments, Affiliation, Cash, Clinical File,
Social Work, Pharmacy, Laboratory and Diagnostic Imaging.

CONSULTATIONS
For the proper functioning of the offices, the following must be taken into account:
 The equipment
 Movement of patients and staff
 The minimum area per office will be 12.00 m2, which will allow it to be used
in two sectors; one for consultation and another for examination and
treatment.
 A Topic and an environment for nursing work must also be considered,
which must not be less than 16.00 m2.
 Entry to the Clinics is through the Waiting Room, Reception and Control.

Environments:
· Wait
· Reception
· General Medicine offices for adults and children
· Nurse station
· Hygienic Services for Staff and Patients
· Cleaning room

 This office will have an area of 18.90 m2.

PHARMACY
Responsible for storing and providing medications for patient use
External to internal to the Hospital.
Location:
It must be located at the main entrance of the Outpatient Clinic, with easy access
to the public for 24-hour care.

Environments:
To determine the Pharmacy area, the following minimum areas must be
considered:
· Distribution Office, Medication Care 0.20 m2 x bed
· Preparation 0.10 m2 x bed
· Warehouse 0.15 m2 x bed

CLINICAL PATHOLOGY (CLINICAL LABORATORY)


It is a fundamental support service for the presumptive or definitive diagnosis. Its
function is to collect, analyze and determine the type of diseases based on
different hematological and microbiological studies.
The area designated for the Laboratory will be a place with good ventilation and
natural and artificial lighting, with sufficient spaces for the analysis processes to be
fluid.
Location:
As it is an auxiliary diagnostic service, it must have easy access to the patient and
be related to the main access, Outpatient Consultation, Emergency and
Hospitalization; and in less relation to the Clinical Archive.
Preferably it will be located on the ground floor or first level.
Environments:
 . Wait
 . Reception
 . Admission and Reception of Samples
 . Sampling Cubicles
 . Leadership
 . Laboratories:
 . Hematology
 . Biochemistry
 . Microbiology
 . Emergency
 . Store
 . Washing and Sterilization
 . Hygienic services for patients
 . Cleaning room
 . Changing rooms and toilets for staff

 In the Laboratory two Sectors are considered:


One directly related to the public and includes:
Waiting Room, Admission and Reception of Samples, Sample Taking and
Collection Cubicles. And the laboratory itself has no relationship with the public.
The area to be considered for Waiting will be equivalent to 1.20 m2 for outpatients
and 1.50 m2 for hospitalized patients, taking into consideration that they generally
assist in wheelchairs and stretchers.

SURGICAL CENTER UNIT:


It is the most complex Hospital Unit in terms of spaces and special facilities,
necessary to perform surgical interventions, in conditions of maximum safety with
respect to contamination and/or operation of equipment.
DGSP/DENTIS47
Location:
It will be closely linked to the following Units: Emergency, Center
Obstetric, Sterilization and Intensive Care Center.
Preferably it will be located on the first level.

Environments
 Non-Rigid Zone (Non-Septic or Black)
· Wait
· Reception and Control
· Headquarters
· Stretcher change
 Semi Rigid Zone (Semi Septic, Unrestricted or Gray)
· Nurse Control
· Recovery with the Work of Nurses
· Anesthesiologist
· Anesthesia Workshop
· Pre-washing of Instruments
· Cleaning room
· Septic Room (Dirty Clothes and Laundry Rooms)
· Medical Changing Rooms and Hygienic Services
· Nursing Changing Rooms and Hygienic Services
· Change of Boots
 Rigid Zone (Aseptic, Restricted or White)
· Surgeons' sinks
· Operations room
· Portable X-ray
· Sterile Material Deposit
· Equipment Deposit

SURGEONS SINKS:
 It is the environment adjacent to the Operating Room, it is advisable to have
a fixed viewing point.
 A double sink is considered for each Operating Room and the area will not
exceed 3.00 m2.

CLOTHING ROOMS:
Changing rooms must be provided with metal lockers to store the clothes of
medical staff and nurses.

SEPTIC ROOM:
It is the environment where the dirty clothes that come out of the Operating Rooms
are deposited. Likewise, in this environment the instruments and buckets are
washed and disinfected; etc
It is recommended that it be located close to the exit of the Surgical Center and as
far as possible from the Operating Room.

STERIFIZATION CENTER AND EQUIPMENT


It is the Service where activities are carried out to eliminate the presence of germs
and bacteria from equipment, clothing, materials and instruments used for the
treatment of patients.
DGSP/DENTIS51
Location:
The CEYE has a relationship with the Surgical Unit and the Obstetric Center since
the largest volume of material corresponds to these Units; it's for this reason
that the CEYE is located in an immediate location to the Surgical Center Unit and if
It is possible to the Obstetric Center Unit.
GENERAL STOREHOUSE
It is the environment that provides optimal conditions for the receipt, classification
and storage of the supplies required, in order to cover the needs of the various
operational areas.
Location:
It must be located with easy access from the outside and be equipped with a
loading and unloading area and have communication with the Hospital circulations.

Facilities

* Air conditioning , modern instrumentation requires that the working temperature


does not exceed 25 ºC, which is why an air conditioning system has been arranged
in the analytical area as well as radiators for winter. It is necessary to take into
account that its arrangement in the analytical zone must be such that its heat does
not interfere with the operation of the devices.

* Furniture , the laboratory furniture must be modular, loose and interchangeable,


capable of supporting all the circuitry of cables and connections. We have tried to
design it so that the staff themselves can exchange drawer modules for wardrobe
modules or vice versa or leave empty spaces at their convenience. We have also
verified that it facilitates maintenance and cleaning tasks.

* Electrical energy , it is necessary to ensure that the energy reaches all the
necessary places, for this we have designed an electrical circuit with enough
outlets located at mid-height either on the walls (power strips) or on the benches.
More intakes than are currently necessary have been arranged with future needs in
mind. The platforms with the electrical installation are located independently of the
wiring of the IT installation.

* Lighting , the light points, which consist of lines of fluorescent tubes, in addition to
enough (the needs were evaluated in advance) have been placed on the lines of
supports, since the central lighting causes the operator to project shadows on the
place of work. job. In this way we have eliminated a series of additional flexes and
lamps that complicated the electrical installation, reducing the risk of short circuits
and electricity consumption.

* Deionized water , it is necessary to have a source of these characteristics


capable of producing the required quantity at the desired time, with the appropriate
quality and at a low cost.

A day in the life… of a lawyer


Last week, after a meeting with young lawyers, a newcomer told me, somewhat confusedly,
that in the office where he did his internship he couldn't stand examining files and that, in truth, he
didn't see the lawyer's day as being that complex...
Person with computer on the terrace of a bar
Nothing could be further from the truth! I told him, well, regardless of the fact that he had to be
patient and wait for the development of his training plan, the daily activity of a lawyer includes a
multitude of tasks of a different nature that are included in different categories ( in the office-
outside the office; work alone-interacting with third parties; study and writing work-negotiation,
advice or acting in the room;

With this conversation in mind, I write this post so that my dear friend and other young lawyers
can illustrate the extraordinarily extensive and varied nature of our activities, and thus have as
much information as possible from the beginning.

What is a lawyer's day like?

This question, apparently simple, is certainly complex to answer, since there is no uniformity in
the tasks carried out by all lawyers, but rather they differ due to multiple factors ranging from the
type of activity they usually carry out (legal advice, negotiation or defense in trial) to the specialty
(criminal, civil, labor, etc...), sector of activity (banking, mining, etc...), type and size of the office,
etc... For this reason, to explain what we lawyers do on a day-to-day basis, I will present below
some of the activities that we all usually carry out without exception, combined with those others
that only part of the group carries out, so that we will have a much clearer picture. complete.

The first thing a lawyer should do when starting the workday is plan. Planning daily activities is
an essential component of our work, since there are so many and diverse activities to be carried
out during the day, without forgetting the unforeseen, that their organization with priority criteria
and time allocation is essential. Advance planning of the tasks to be carried out in the short term is
essential to have an itinerary of activities to make the most of time. In this sense, and focused on
the short term, it is convenient to use a task list that includes the work to be done during the day.
This list will allow us to write down all the tasks that we are going to carry out during the day, cross
out those that we are doing and, where appropriate, add the tasks that are generated and those
that we should remember to list in subsequent days. The only exception to the planning task
occurs when it has been prepared the day before at the end of the day.

Studying is another obligatory activity for all lawyers that is usually part of our daily work,
unless other tasks prevent us from focusing on it. As professionals that we are, we are literally
obliged to update our technical knowledge, knowledge of the existing rules of law (positive law,
doctrine and jurisprudence) and effective preparation and study of the entrusted matter, which
includes the analysis of the facts, the appropriate application of the right and the correct use of the
procedures necessary to resolve the case.

Every lawyer has to dedicate a significant amount of time to writing. Indeed, the task of writing
is fundamental for the development of our activity, since together with the oratory presentation that
we make when we perform in the room, the presentation of written documents, both procedural
and unrelated to the process, constitutes the main form of materialization of our work. job. Without
writing we would not be able to draft contracts, letters, reports, opinions and all types of judicial
writings. And when we talk about writing, we mean writing well, at an excellent syntactic and
semantic level. We must take into account that our writings are intended for third parties, seeking
to achieve a specific effect in defense of the interests of our client, so any erroneous, cumbersome
or confusing writing could ruin our claims.

An essential aspect of our daily activity consists of examining the incoming documentation
(which over time becomes a lot) from both ordinary and electronic mail (clients, other lawyers,
etc...), as well as from attorneys or the court directly. The importance of this activity is absolute,
since lawyers are subject to the slavery of deadlines, so that we must examine the incoming
documentation daily in order to know and accurately note the indications of judicial acts and the
deadlines for the presentation of a certain document (an answer to a complaint, an appeal, etc...).

Another very common activity in our day is work meetings, which constitute a management
and organizational instrument necessary for the effective development of our activity and for the
best functioning of the law firm. Every day, lawyers meet with our colleagues at the firm, with
clients, with other colleagues and professionals, to the point that it would be impossible to carry out
our activity without meetings. Therefore, we have to assume that meetings are part of our activity.
Although meetings with clients have been the most representative in our sector, the truth is that
the commercialization of offices has meant the introduction, as an absolutely normal practice, of
other types of meetings, based on effective management of the office ( coordination meetings
between all members of the office, work teams, economic-financial, etc...) Therefore, it is very
convenient for the lawyer to learn and master the techniques of meeting management, because to
the extent that he or she achieves this, You will be able to benefit from the positive aspects that
they entail.

Conclude by pointing out that meetings with clients and other colleagues are precisely where
the activities of legal advice and negotiation, respectively, are carried out.

If the lawyer works in a small or medium-sized office, it is likely that he or she has some type
of participation in its ownership, so his or her workday will inevitably be affected by the
performance of the management activity, a task that seeks to improve the efficiency, productivity
and therefore the competitiveness of the office, considered as a company or business. To do this,
the lawyer will have to use the tools and techniques of planning (setting the company's strategy),
organization (allocation of resources to meet the objectives), leadership (stimulation of the
components of the office to achieve the objectives ) direction and control of resources (human,
financial, material, technological, knowledge, etc., in order to obtain the maximum possible
benefit), thereby ensuring the viability of the company in the long term.

Among the activities to be carried out abroad, that is, that involve leaving the office, we must
include a visit to the Notary Office (either to consult a question with the Notary or the Official or to
accompany our client in the granting of some public document ) to the Property or Commercial
Registry (to consult a matter with the registrar, present a document for registration) or to the
Courts (making any query to the judge or secretary or in the examination of some judicial
documents that we can only have available through direct examination). Regardless of these visits,
which are the most characteristic of lawyers, the visits can be extended to administrative bodies,
associations and all types of entities that we have to address in order to advance in the resolution
of the entrusted matters. . To conclude, it is common for us to visit clients.
The lawyer must have the skills that make him a true salesperson of his professional services,
commerciality being understood as the ability to attract and capture new clients and retain existing
ones. Well, this competence also has an impact on the lawyer's daily workday, since during it he
will have to develop the activity known as "itinerant leadership", "staying in touch" or "getting out of
the ivory tower", consisting of the process of leaving the confinement of the office and interacting
or relating with clients and potential clients that we could also call "itinerant lawyering", since if we
achieve good communication when interacting, we will be able to establish excellent ties, in such a
way that we will increase our influence on our clients. Therefore, in this way, we will not only build
loyalty, but informal contact can lead us to achieving new clients and professional assignments.

Finally, last but not least, the lawyer will dedicate a large part of his day to acting in court, an
activity that corresponds to his intervention in prior hearings, trials or oral hearings of all kinds,
assisting clients in the context of criminal proceedings and any other activity that requires the
presence of the lawyer. The most characteristic and representative activity of the lawyer is
precisely the direction and defense of the client before the courts, a function that is carried out
within the framework of a litigation or judicial controversy, in which a third party, the judge, will
resolve the judicial controversy through of a decision based on law. The role of the lawyer in these
litigations is essential, since he will be in charge of defending the interests of his client by
presenting the case before the judge, evaluating the facts and defending them against the
assessments of the opponent; reasoning with reference to precedents and constructing and giving
reasons in support of their accusations and defenses or allegations before the judge, action that
will be carried out by efficiently taking advantage of the possibilities and rights that the legal
system grants to the client, and ensuring that legal mechanisms are complied with and said rights
are respected.

As you may have seen through the various tasks we perform, our professional activity is
certainly complex, demanding and exciting, since it includes a variety of activities that do not occur
in practically any other profession.

In short, as a lawyer you are not going to get bored...

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