Organizational structure of "Julián Grimau" polyclinic for medical response to chemical emergencies by ammonia

Abstract

Introduction: At "Julián Grimau" Teaching Polyclinic in Arroyo Naranjo municipality, ammonia is a risk of chemical emergency. Hence, it is necessary for the medical response to these situations to implement an organizational structure.

Objective: Design a proposal of organizational structure in "Julián Grimau" Polyclinic for the medical response to chemical emergency by ammonia.

Methods: A research was carried out on health systems and services, from September 2017 to December 2018, in "Julián Grimau" Teaching Polyclinic. A documentary analysis related to medical actions in chemical emergencies was conducted in primary health care’s level. In addition, the following methods were used: structural-functional system for the design of the organizational structure and the key informant for its concretion.

Result: It is proposed an organizational structure of the medical response to chemical emergencies by ammonia in the Polyclinic, that was formed by nine areas: reception point (1), special treatment (2), classification (3), emergency treatment to severe poisoned patient (4), emergency treatment to slightly poisoned patient (5), logistics for the diagnosis (6), medical-material logistics (7), deceased´s area (8), and asymptomatic patients (9).

Conclusions: The organizational structure of the medical response to chemical emergencies by ammonia in "Julián Grimau" Teaching Polyclinic was formed of areas secured by principles of clinical, evolutive and of acute poisoned patient´s treatment where the organic and functional potentials of the institution are seized. Hence, this proposal is flexible, objective, participatory, timely, adequate and selective.