Tuesday 2 March 2021

New Director Found Nicoya’s Hospital Functioning at 60%

By César Blanco, Voice of Nosara/QCostarica

The new director of the La Anexion Hospital of Nicoya, Dr. Jorge Fonseca Renault, conversed in depth with VON a month after taking the reins of the main medical campus of the peninsula, after the Costa Rican Social Security Fund (CCSS) intervened in December due to serious management deficiencies.

Fonseca took the place of Dr. Juan Jose Li Kam and will be in charge for 6 months to a year since Dr. Anner Angulo, current Regional Director, will have to return to the role of medical director in a year and a half given that the post is his property, unless the CCSS indicates otherwise.

- Advertisement -

Fonseca was cautious when speaking of the plans of the intervention and the deficiencies found since in six months he will have to make a report to the Medical Management, but he didn’t hide that when he first walked into the hospital, he found it functioning at 60% compared to how it should be.

NicoyaHospitalDirector“There are many things that catch the attention.  The physical layout continues the same, but it should be bigger and with more staff since the population of this area has grown considerably,” the doctor explained.

Weaknesses and Priorities

Fonseca pointed out that “a quick expansion and structural reinforcement is needed since the seismic code is different, principally the expansion of external consultation and hospitalization services since emergencies is new.”

- Advertisement -

In addition, the beds are insufficient.  Today we only have 105 and in surgery and internal medicine they are always full, more now with how dengue is,” added the chief.

Meanwhile, Fonseca mentioned that among the immediate priorities of the hospital is resolving the problem of garbage collection, because the Municipality of Nicoya hasn’t done it since December 24th. Elizabeth Fernandez Ramirez, coordinator of environmental management for the Municipality of Nicoya, explained that the hospital wasn’t properly separating hazardous waste such as bags of blood from normal waste. In addition, she said that most hospitals have private contracts for garbage disposal and by law the municipality is not obligated to collect the hospital’s waste.  Fonseca assured VON that the garbage is now being properly separated.

In addition, the challenge with the operating rooms continues.  The rooms were shut down by the Ministry of Health on June 6, 2012.  Although they were reopened on November 27th, Fonseca indicated that “due to bad fortune a change in voltage in the electrical current damaged three air conditioners in the hospital, one of which is for one of the operating rooms; nonetheless we will repair it in the next days.”

Due to this, the waiting list for surgeries continues to grow.  “As for those who are stuck [waiting], the idea is to get them out by November at the latest. I should explain that there is a wait of three months to get a case onto the waiting list; for everything to be normal there should be a maximum wait of one week. At the same time, we have to scientifically analyze the waiting lists for external consultation; there are many determining factors, but I can say that we would have to obtain more personnel to achieve the objective in two years minimum,” he cited.

Budget, Overtime Hours and More Positions

As VON stated in the January issue, the CCSS will allocate $35 million between 2013 and 2017 to develop a hospitalization tower, the renovation of the entire old structure and the electromechanical systems.  The job bid closes on May 8th and minor works are expected to initiate in October.

- Advertisement -

“The damages that the September earthquake caused will be done with separate money.  With this budget, we have to recover the archive clinic and the roof of the external consultation, which is being installed and will be ready in March,” said the director.  He also indicated that the budget from the CCSS for this year is 15 billion colones ($30 million), but he estimates that this won’t be enough so more will have to be requested.

“La Anexion has 595 employees, of which 40 are doctors and among them 23 are specialists.  For the resolution level we need more, but at this moment there wouldn’t be room for more to work.  Between February and August we will receive four specialists recently contracted by the CCSS, one of whom is a much-needed anesthesiologist,” he affirmed.

Finally, he referred to overtime hours, a theme that led some doctors to protest in August of 2012.  “We have an on-duty guard system on Sundays with specialists, and with general doctors on Saturdays, Sundays and holidays, but we want to eliminate as much as possible all types of on-duty guards.  I want them to work in shifts 24 hours a day, so the doctor is always resting.  It’s more efficient and the costs are less,” he assured.
“I can only say to this beautiful town that the hospital has reactivated, the personnel appear completely committed to the cause.  I am a demanding person and I’ve marked the path and the objectives to pursue.  I have great affection for Nicoya because even two of my children were born here.  Therefore I want and will look to do things well,” concluded Fonseca.

- Advertisement -

FACT CHECK:
We strive for accuracy in its reports. But if you see something that doesn’t look right, send us an email. The Q reviews and updates its content regularly to ensure it’s accuracy.

Ricohttp://www.theqmedia.com
"Rico" is the crazy mind behind the Q media websites, a series of online magazines where everything is Q! In these times of new normal, stay at home. Stay safe. Stay healthy.

Related Articles

[BLOG] Costa Rican Electric Company – General Maintenance Procedures

During my fifteen plus years of living in Costa Rica, I...

Heliport, Money and Weapons in Costa Rica

Following reports by residents of Las Asturias de Pococí about flyovers...

MOST READ

Travel restrictions in key markets for Costa Rica delay tourism reactivation

QCOSTARICA - The restrictions for travelers imposed by the United States, Canada, Mexico, France, Spain and the United Kingdom, six of the main sources...

There is no money to start the Costa Rican Space Agency

QCOSTARICA - Costa Rica President Carlos Alvarado assured that the State lacks the money to start the Costa Rican Space Agency (Agencia Espacial Costarricense...

Costa Rica, Chile and Brazil have administered the highest number of doses per capita to date.

QCOSTARICA - Widespread vaccination is the key to overcoming the COVID-19 pandemic and reinforcing the economic recovery in Latin America, Fitch Ratings said in...

Restaurant owners applaud the end of the daytime restriction on weekends

QCOSTARICA - The elimination of the daytime sanitary vehicle restrictions in less than a week, given the drop in infections and hospitalizations due to...

The Quijongo!

QCOSTARICA - The quijongo is now in very good health thanks to the care of the people of Guanacaste, who are dedicated to protecting...

Passengers will be able to make purchases from their cell phone in stores at SJO

QCOSTARICA - Passengers passing through the Juan Santamaría International Airport, or San Jose airport (SJO), will have a more agile and secure shopping option...

569 people participate in a study to evaluate the body’s defenses against Covid-19

QCOSTARICA - 569 people from different communities in the country have been part of the study “Evaluación de la respuesta inmune al Covid-19 en...

Banana growers achieved record exports in the year of the pandemic

QCOSTARICA - Costa Rica's banana growers reached an export record in 2020, despite the impact of the pandemic, shipping fruit in new markets and...

Costa Rica extends restrictions of its land borders until April 1

QCOSTARICA - Costa Rica will extend the restrictions of its land borders until April 1, confirmed Casa Presidencial (Government House) on Thursday. As in the...

WANT TO STAY UP TO DATE WITH THE LATEST!

Get our daily newsletter with the latest posts directly in your mailbox. Click on the subscribe and fill out the form. It's that simple!

Log In

Forgot password?

Forgot password?

Enter your account data and we will send you a link to reset your password.

Your password reset link appears to be invalid or expired.

Log in

Privacy Policy

Add to Collection

No Collections

Here you'll find all collections you've created before.