Saturday, July 28, 2018 Blog by Ronald Carrick, Guatemala
Today we traveled by bus from Guatemala City to the Santiago training center (2hrs) which is owned by Jennifer Hoock, our trip manager from the Guatemala Village Health (GVH) group. Jennifer does not live at the center, she has a local family living at the center which manages it. The center has a main house, which is in continuous improvements, we learned there were new kitchen cupboards placed and a new tile flooring in the last year. A new range stove and refrigerator arrived today at the center during our visit. The center had an example of a functional out-house toilet which is built in the rural villages. There were water purification systems (ECO system), which consists of a ceramic clay pot (clay is mixed with wood shavings and baked, this curing process turns the wood shavings into carbon, then the clay pot is painted with silver) housed by a plastic pale. Water is poured into the clay pot, and purified water is removed from the bottom via a spigot. There is also a carpenter training area too.
At the training center the UW group, the GVH group, and the Guatemalans unpacked the supplies that were transferred from Seattle, WA to Guatemala. The center houses medical supplies which are used during the clinic visits in the rural villages. The travel clinic supplies were stocked and sorted by systems, i.e., GI, Pulmonary, Cardiac by the three groups. This process allowed the groups to become acquainted with one another.
We then set up for a mock clinic which turned into a regular clinic, as locals turned up for medical treatments. The clinic visit started with registration, then vital signs, triage, group charlas, finally to see the doctor and/or pharmacy. It was great to treat the locals, about 43 patients were examined, this allowed a good practice for the planned village clinics. During this training session, I was a triage nurse, a Spanish interpreter was needed to complete the patient assessment, and data was entered into the Electronic Medical Record (EMR) and on a papelitos (little papers). The patient moved through the clinic with the help of a runner. During the day’s activities, I learned how important it is to have a system in place to run a clinic efficiently. It takes many hands to prepare for a mobile medical clinic.