Notebook Uf0679

INSTRUCTIONS FOR USE
42 activities.
NUMBER OF TOTAL MANDATORY ACTIVITIES All the activities are mandatory and
necessary to pass the Training Unit.
5 activities.
WARNING!!! The grade you obtain in each

activity will be recorded in your transcript
NUMBER OF EVALUABLE ACTIVITIES
and will form part of the 30% of the final
grade of this Formative Unit. These are the
ones that appear inside the blue box.
We recommend that you complete the activities

as you find them in the syllabus. This way you will
DATES
complete the booklet little by little and it will be
easier for you to deliver it on time.
PART OF THE AGENDA THAT INCLUDES MF0069 - UF0679
Automatic correction activities are performed
within the platform itself.
The tutor's correction activities should be carried

out in the spaces reserved for this purpose in this
document.
WHERE DO THE ACTIVITIES TAKE PLACE?
The automatic and tutor correction activities are
a combination of those described above. They will
have a part for completion and self-correction on
the platform and another part to be done in the
space reserved for this purpose in this document
to be sent to the tutor.
The aforementioned document must be

submitted in the current format, for subsequent
correction and delivery of the tutor with his or
her note and any comments he or she deems
appropriate.
WHAT AND HOW IS IT DELIVERED?
Once the document has been completed in its
entirety, it must be sent to the tutor through the
classroom TUTORIALS service.
If you finish before the deadline, send it so that
the tutor can evaluate it as soon as possible.
We must establish a uniform and valid coding for
all students.
HOW TO NAME THE DOCUMENT? Example:
lastname1_apell2_name_name_numberbook
laguia_guerrero_daniel_book1
1
MF0069_1: Preventive maintenance operations of the vehicle and control of its material endowment
UF0679: Organization of the work environment in medical transport
Learning unit 1: The health organization
CORRECTION
EXERCISE TYPE EVALUABLE ACTIVITY TYPE TOOL
YES
Tutor
01) UF0679: E1. Tutor-Supervised Individual Activity (Learning Unit 1, Section 3.2) E1 INDIVIDUAL SEND TO THE TUTOR
Description of the activity:
1. Make an outline of the National Health System.

2. Develops a report of the levels of assistance with special emphasis on organic and functional relationships.
Student's answer: Include your internship here so that the course tutor can evaluate it. Include your internship here so that the course tutor can evaluate it.
CORRECTION BY THE TUTOR:
2
OUTLINE OF THE NATIONAL HEALTH SYSTEM
Ministerio de Sanidad y Politica Social
Recursos Responsabilidad
Marco Territorial
Asistenciales Administrativa
Area de Salud Hospital del Consejos de

Area Salud
Centro de Coordinador de
Zona Basica Salud Salud
Consultorio
Local
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ATTENDANCE LEVELS
PRIMARY CARE: Primary care isthe first level of health care.

Healthcenters are the first place to go when you have a health problem.
The primary care team at each health center is made up of qualified medical and nursing staff, who must become a reference for the health of each user.
Primary care is organized on aterritorial basis in order to bring the service closer to the users.
SPECIALIZED CARE: Provided in specialty centers and hospitals, on an outpatient or inpatient basis.
There are different ways to classify hospitals:
According to Financing: Public and Private Hospitals
According to type of patient and distance: acute or short-stay, chronic or medium and long-stay hospitals.
According to their function: General hospitals (simultaneously attend patients of different specialties), Special hospitals (for medical, surgical or medical-
surgical specialties).
Each territorial area has a hospital assigned to it, which allows for better coordination and a more detailed knowledge of the needs of the environment.
EMERGENCY CARE: Emergency care is not limited exclusively to hospital care; users have at their disposal -located in some health centers- the Primary Care
Emergency Service (SUAP). On the other hand, the061 emergency service offers telephone assistance, which allows the initial and immediate evaluation of
cases and the coordination of the means to be used.
CORRECTION
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02) UF0679: Collaborative activity through the Forum (Learning Unit 1, Item 4) Tutor NO COLLABORATIVE CLASSROOM FORUM
Research on the Internet about the ESI by writing down related web pages in the forum and making a report on the year of creation, reasons that led to its creation, by whom it is formed
and what its purpose and objectives are.
Student's answer: Include your internship here so that the course tutor can evaluate it. Share your practice in the Forum with your peers and tutors.
Law 26150. National Program of Integral Sexual Education, sanctioned on October 4, 2006 and promulgated on October 23, 2006.
October marks the 14th anniversary of the enactment of Law 26.150, which created the National Comprehensive Sex Education Program (ESI). The process
began in 2004 in CABA when the legislature debated a bill presented by then legislators Diego Kravetz, Ana Maria Suppa and Florencia Polimeni. The Catholic
Church, the anti-rights sectors and their representatives in the legislature, such as Santiago de Estrada, deployed endless strategies to stop the sanction:
debates in the media, newspaper editorials, mobilizations, all of which made the treatment and subsequent rejection of the bill tense.
A significant political and cultural fact arose with the incorporation of Comprehensive Sexual Education in the educational policy guidelines. This important
social fact led to the adoption by the State of a policy aimed at promoting education for responsible sexuality from a gender perspective, also including
aspects of sexual diversity. It also aims at the prevention of health problems, particularly sexual and reproductive health, recognizing students as subjects of
rights.
The ESI seeks to guarantee the right of students throughout the educational system to receive "comprehensive sexual education in public, state-run and
private educational establishments" in all jurisdictions.
Related web pages:
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https://www.telam.com.ar/notas/201804/267609-en-que-consiste-el-programa-nacional-de-educacion-sexual-integral.html
https://www.lavanguardia.com/vida/junior-report/20210217/6244493/educacion-sexual-integral-aprender-sobre-sexo-forma-global.html
https://www.lavanguardia.com/vida/junior-report/20210217/6244493/educacion-sexual-integral-aprender-sobre-sexo-forma-global.html
https://www.pagina12.com.ar/329490-lenguaje-inclusivo-y-esi-en-las-aulas
https://redgol.cl/tendencias/Proyecto-Educacion-Sexual-Integral-para-ninos-y-adolescentes-causa-polemica--20201015-0074.html
https://ellibero.cl/opinion/camilo-cammas-el-peligro-de-la-educacion-sexual-integral/
6
CORRECTION
03) UF0679: Collaborative activity through Chat (Learning Unit 1, Item 7) Tutor NO COLLABORATIVE CLASSROOM CHAT
1. Description of the emergency medical system (EMS).

2. What type of personnel will be integrated into the system?
3. Enumeration of the functions of emergency health workers.
Student's answer: Include your internship here so that the course tutor can evaluate it. Include your internship here so that the course tutor can evaluate it. The tutor will convene a
Chat for the correction of the practice.
1: The entire system is consolidated by Royal Decree 103/2006, which regulates for the first time the emergency and urgency benefits. It is a general
integrated model that seeks the articulation of the different actors of the General System of Social Security in Health, to guarantee a timely response to
victims of illness, traffic accidents, trauma or cardiorespiratory arrest requiring emergency medical care. It includes, among others, the mechanisms for
notifying medical emergencies, the performance of the first responder, the work of emergency regulatory centers in the management of requests, the
provision of pre-hospital and emergency services, basic and medicalized transport modalities, hospital care, educational programs and surveillance
processes.
2: In Spain, theSEM(Servicio de Emergencias Médicas), which is the name usually used to refer to the body that deals with pre-hospital emergencies, and
which uses a SAMU medical regulation model, is composed of:
A CCU or Emergency Coordinating Center (CICUM), with telephonists, call takers/resource managers, regulating physicians, nurses, etc.
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And Resources, such as:
Advanced Life Support Ambulances(ALS or mobile ICU). With at least 2 Health Emergency Technicians (TES), a physician and a DUE (University Diploma in
Nursing).
Basic Life Support Ambulances(BLS). With at least 2 emergency health technicians.
Medical Helicopters. With pilot, doctor and DUE.
Others:
VIR(Rapid Intervention Vehicles): One TES and one doctor.
SUAP(Servicios de Urgencia de Atención Primaria): doctors or nurses at home to attend to emergencies that do not require an ambulance.
Conventional non-assistance ambulances: with only one or two Health Transport Technicians (TTS).
3: Functions of the emergency health workers:
-Provide basic health care in crisis and emergency situations.
-To provide psychological support to the patient, family members and the rest of those affected.
-To make the transfer to the health center in case it is necessary.
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CORRECTION
04) UF0679:E1. Collaborative Activity through the Forum (Learning Unit 1, Summary) Tutor YES COLLABORATIVE CLASSROOM FORUM
A patient attends a primary care health center.
 What care will you receive within the structure of the emergency medical system?
 If the patient is admitted, in which centers and type of centers will he/she be admitted and what benefits will he/she receive according to the structure of the National Health
System?
Student's answer: Include your internship here so that the course tutor can evaluate it. Include your internship here so that the course tutor can evaluate it. Share your practice in the
Forum with your peers and tutors.
What care will you receive within the structure of the emergency medical system?
The patient will be evaluated by the nursing staff in the emergency room (Triage), to be subsequently evaluated by the physician on duty. According to the
patient's symptomatology, the physician will order a series of tests according to the situation at that moment in order to issue a diagnosis and provide all the
attention that the patient requires according to his diagnosis.
If the patient is admitted, in which centers and type of centers will he/she be admitted and what benefits will he/she receive according to the structure of the
National Health System?
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According to the type of diagnosis the patient may be admitted:
* General hospital (care for patients with various diseases).
* Essential hospital (Medical specialties)
The benefits you will receive depending on the diagnosis may be;
-Pharmaceutical benefits.
-Orthoprosthetics.
-Supplementary benefits.
-Sanitary Transportation.
-Oxygen therapy at home.
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Learning unit 2: Health and management documentation
CORRECTION
EVALUABLE ACTIVITY TYPE TOOL
EXERCISE TYPE
05) UF0679: Collaborative activity through the Forum (Learning Unit 2, Item 1.16.3) Tutor NO COLLABORATIVE CLASSROOM FORUM
Report on 9 typologies of clinical documentation.
Student's answer: Include your internship here so that the course tutor can evaluate it. Share your practice in the Forum with your peers and tutors.
Discharge report: this is a basic document at the end of a healthcare process, and is a key element in the coding process. The data used to determine hospital
production will depend on its correct wording, reliability and completeness.
2. Puerperium control sheet: To control the normal evolution of this period and prevent morbidities related to the puerperium, newborn and breastfeeding.
3. Surgical protocol report: It is a written production intended to collect information regarding the surgical procedures performed by a surgical team.
4. Treatment sheet: It will contain all the prescribed medication with instructions for its correct administration.
5. Evolution sheet: Here the daily evolution of the patient is written down, the evolution of the process must be expressed in chronological form, without
omissions and without prolonged interruptions in the account of such evolution, it is necessary to write down the results of the studies of the auxiliary
services of diagnosis and treatment.
6. Anamnesis sheet: It is the set of data collected in the clinical history of a patient with a diagnostic objective. The purpose is to obtain useful data to
diagnose and treat the patient.
7. Inter-consultation sheet: Health document whose purpose is to support all requests for diagnosis, studies, etc., that are made to another service or
physician for a specific patient.
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8. Laboratory report: It is a proof that we did an experiment, analyzed it and understood it. When we write the report is when we finish ordering our data,
graphs, annotations and, above all, our ideas.
9. Circulation sheet: It is the document (nursing record) in charge of collecting the nursing care information during the surgical procedure.
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CORRECTION
EXERCISE TYPE
06) UF0679: Practice (Learning Unit 2, Section 1.16.3) Tutor NO INDIVIDUAL SEND TO THE TUTOR
In the case of a patient who has been involved in a car accident and is in serious condition arriving at a hospital emergency room:
 What type of reports will be prepared in this case?
 Make an example of each of them specifying the data to be recorded.
STUDENT'S ANSWER: INCLUDE YOUR INTERNSHIP HERE SO THAT THE COURSE TUTOR CAN EVALUATE IT.
What type of reports will be prepared in this case?
-Emergency report (hospital anagram, patient identification and record identification, previous data, vital signs and losses, initial assessment, diagnostic
tests, nursing techniques, surgical preparations, medication and fluid therapy, final assessment, destination and form.
-Surgical intervention sheet (preoperative diagnosis, postoperative diagnosis, surgical technique, physical preparation, surgical specialty, surgical specialty,
psychic state, start time, anesthesiologist, type of anesthesia, routes, schedule time, surgical approach route, operative position, blood, medication
administered, drugs used, studies requested).(Pre-operative diagnosis, postoperative diagnosis, surgical technique, physical preparation, surgical specialty,
surgical specialty, psychological condition, start time, anesthesiologist, type of anesthesia, routes, outline time, surgical approach, operative position, blood,
medication administered, drugs used, studies requested).
-Anesthesia sheet (personal data, date, surgeon, anesthesiologist, procedure)
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CORRECTION
EXERCISE TYPE
Tutor
07) UF0679: Practice (Learning Unit 2, Video activity following Section 2.5) NO INDIVIDUAL SEND TO THE TUTOR
After watching the video "Checking the general documentation of the sanitary vehicle".
Requested:
 Verify that the video lists all the necessary documentation for the medical vehicle.
 Check if any document is missing and if so, state which one.
 Explain each of the mandatory documents that a sanitary vehicle must carry.

Student's answer: include your practice here so that the course tutor can evaluate it.
The video does not mention the vehicle's Certificate of Technical Characteristics.
-Technical Characteristics Certificate: Specifies the type of vehicle, the number of authorized occupants and its technical characteristics.
-Circulation Permit: Certificate of perfect operating condition, conforms to the characteristics, equipment, spare parts and accessories required by the
regulations.
-Technical inspection card of the vehicle: It certifies the identity of the vehicle and that it is approved to circulate on the roads of our country.
-Technical-sanitary certification: Authorizes the use of the vehicle as medical transport and the type of assistance it provides. In order to obtain this
authorization, the responsible company must comply with a series of requirements in terms of the contracted personal vehicle and civil liability insurance
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for damages that may be caused during transportation. The document shows: Ownership, address, license plate, chassis number, class and age of the
vehicle, etc.
In addition, they must also carry the following cards:
-Claim book.
-Vehicle cleaning record.
-Record of health material revisions.
-Record of disinfections
And finally maps and street map.
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CORRECTION
EXERCISE TYPE
08) UF0679: Practice (Learning Unit 2, Section 2.7) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Conduct a search on the Internet or through other sources and list which documents related to geographic location are required for all healthcare vehicles.
1. Time of request for shipment.

2. Time of collection of the patient.
3. Time of arrival at destination.
4. Time to return to the origin.
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CORRECTION
EXERCISE TYPE
09) UF0679: Practice through the Forum (Learning Unit 2, Item 2.8) Tutor NO COLLABORATIVE CLASSROOM FORUM
Document yourself in different media and write a report in which you expand on the topic of non-clinical documentation, especially developing the following key points:
 Conceptualization of "clinical history".
 Documents present in the medical record and their definition.
 Laws surrounding medical records.
 Document processing.
 Personnel authorized to access it.
Student's answer: include your practice here so that the course tutor can evaluate it. Share your practice in the Forum with your peers and tutors.
MEDICAL HISTORY:
It is the set of documents containing data, assessments and information of any kind on the patient's situation throughout the care process.
DOCUMENTS:
Admission authorization: This includes a series of technical-administrative activities that are carried out in the health centers to admit the patient and whose
objective is to provide care.
Emergency report: It is an essential document in medicine. It reflects the reason for consultation.
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The anamnesis: This is the information arising from the clinical interview provided by the patient himself or from alterations in the patient's own
consciousness.
Evolution: In this sheet the daily evolution of the patient is noted, it is necessary to express in chronological form the evolution of the process, without
omissions and without prolonged interruptions of the account of such evolution, it is necessary to note the results of the studies of the auxiliary services of
diagnosis and treatment.
Medical Orders: A written document where the physician prescribes services and/or treatments for the patient. All medical orders are signed by the
prescribing physician and the nursing staff taking the order.
Inter-consultation sheet: Health document whose purpose is to support all requests for diagnosis, studies, etc., that are made to another service or
physician for a specific patient.
Reports of complementary explorations: These are the documents that contain the results of the tests requested from the laboratories and other services
that perform complementary explorations.
Informed consent: It is the document by means of which the physician has the written and signed record by the patient or his legal representatives and
witnesses, that he knows the reason for his treatment, the risk he runs because of the application of the same, and is fully aware that he cannot have an
absolute guarantee of success, nor full assurance that no complications will arise.
Anesthesia report: This is the report specifying the type of medications to be administered to the patient in the different stages of anesthesia: premediation,
induction, intraoperative and postoperative. It specifies what dose, what volume to inject, what type of administration and at what time.
Operating room report: It is a written production intended to collect information regarding the surgical procedures performed.
Anatomic pathology report: Provides a diagnosis of the tumor that has been surgically removed, or of the biopsy that has been performed.
Nursing care evolution and planning: This document will allow recording how nursing diagnoses and care are evolving from day to day and shift to shift, as
well as any comments that the nurse considers relevant to record.
Chart of constants: document pertaining to the person's medical history. This document allows the physician to have a quick overview of the evolution of
the person. There are many charts of constants, as each center usually makes its own, adapting it to its own characteristics.
Discharge clinical report: This is the document issued by the physician responsible for a patient at the end of the care process in a hospital center.
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CORRECTION
EXERCISE TYPE
10) UF0679: Individual Activity supervised by the Tutor (Learning Unit 2, Section 2.8) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Once a patient has completed his or her hospital stay:
 Cite the non-clinical health documents that are produced.

 Prepares a diagnostic test citation document for patient review.
Non-clinical documents produced
-Medical prescription.
-Proof of medical visit.
-Medical report of temporary disability.
-Reminder.
-Part of the Duty Court.
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-Request for medical report.
-Request for complementary tests.
NOTE OF APPOINTMENT
PLACE OF CONSULTATION GREGORIO MARAÑON HOSPITAL

SERVICE: CARDIOLOGY
BENEFIT: 2D-3D ECHOCARDIOGRAPHY TEST
DATE OF CONSULTATION: FRIDAY, JANUARY 23, 2021
CONSULTATION TIME: 10:30
CONSULTATION ROOM: P.E. CARDIOLOGY CONSULTATION 1
PLANT: FLOOR 1 CARDIOLOGY 1
If you will not be able to attend the appointment or need any clarification, please contact us as soon as possible at: 95372526253.
Remember to bring recent medical records and any medication you are currently taking.
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CORRECTION
EXERCISE TYPE
11) UF0679: Collaborative activity through Chat (Learning Unit 2, Summary) Tutor NO COLLABORATIVE CLASSROOM CHAT
From your point of view, what is the most important document in healthcare? And what are the parts that make it up?
Student's answer: include your practice here so that the course tutor can evaluate it. The tutor will convene a Chat for the correction of the practice.
For me, the most important document in health care is the emergency report, since it reflects the reason for the consultation, the anamnesis, the physical
examination, the complementary examinations if performed, the diagnosis, the treatment administered, the discharge recommendations and the patient's
destination. This report must be truthful, accurate and have technical rigor in the records.
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Learning unit 3: Characteristics of sanitary transport and equipment provisioning
EXERCISE CORRECTION TYPE EVALUABLE ACTIVITY TYPE TOOL

12) UF0679: Collaborative Activity through the Forum (Learning Unit 3, Section 2.2.3) Tutor NO COLLABORATIVE CLASSROOM FORUM
DESCRIPTION OF THE ACTIVITY:
Prepare a report on non-assistance ambulances, their equipment, medical personnel, physical characteristics, etc.
They are intended only for the transfer of patients without risk of destabilization, such as secondary transport, interhospital non-care, ordinary, etc.. This
type of ambulances have a basic endowment for the release of casualties and their sanitary cell is less equipped than that of ambulances care. There is a
separation between the driver's compartment and the cell where the patient travels and they are communicated by a window or an intercom. The
dimensions of the sanitary cell are designed so that the patient can be incorporated on the stretcher if necessary.
Characteristics:
Fiscal power of 9 hp, effective suspension in the specific load conditions of the vehicle, dual-circuit braking system with brake servo, identification and
signaling, driver's compartment for at least 2 persons, cab communication through window and/or intercom, side access doors in the driver's compartment,
radio equipment, fire extinguisher, ice and snow chains.The following features are included in the vehicle's equipment: minimum 2-person driver's
compartment, passenger compartment communication via window and/or intercom, side access doors in the driver's compartment, radio equipment, fire
extinguisher, ice and snow chains.
Material endowment:
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Camilla normalizada, mantas, sabanas, plástico lavable, cuña de plástico, botella irrompible, bala de oxígeno recargable con caudalímetro y humidificador,
sistema de aspiraciósecretion aspiration system, secretion aspiration probe, stethoscope, sphygmomanometer, thermometer, examination flashlight,
oropharyngeal cannulae, Guedell'sngeal cannulas, Guedell, first aid kit (scissors, tweezers, gauze, elastic bandages, antiallergic paper and cloth adhesive
tape, 250 g cotton package, sterile plastic gloves, disposable plastic dressings, bandages, etc.).s disposable plastic gloves, fatty tulle dressings, povidone
iodine, paracetamol, dipyrone, sterile neutral vaseline, topical heparinoid, may tubes, splints, collar, serums, etc.)
The personnel should be a driver and a stretcher-bearer with knowledge of basic first aid techniques. Only when the patients' conditions allow it, the driver
alone may be permitted.
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13) UF0679: Practice through the Forum (Learning Unit 3, Section 2.7.5) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Draw up a table with the differences between a non-assistance ambulance and an assistance ambulance.
Ambulance assistance Non-assistance ambulance

Van-type vehicles Minimum fiscal power of 9 hp.
Allows technical-health assistance on the road They are not equipped for medical assistance en route.
For non-risk to high-risk patients Intended only for the transfer of patients without risk of destabilization.
Used for assistance in accidents and catastrophes, for patients at risk, inter- Only used for the transfer of patients on a stretcher.
hospital transfers for special care, etc.
Equipment equipped to provide both basic life support and advanced life The equipment is very limited
support.
A properly trained driver, doctor and assistant. One driver and one stretcher bearer
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14) UF0679: Individual Activity supervised by the Tutor (Learning Unit 3, Section 3.1.13) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Conduct a research paper on the evolution of different types of oxygenation material. You will need to emphasize the following sections:
1. Origin of the oxygenation material.

2. Evolution.
3. Definition of the most outstanding.
4. Current status of the material.
5. List of the most commonly used materials (stating advantages, disadvantages and characteristics).
Origin of the oxygenation material: Oxygen therapy has been used effectively for more than half a century in patients with respiratory failure. Even the
central significance of oxygen as an energy supplier to the cells was recognized as early as the 18th century, but due to a lack of technical possibilities it
could not be applied to therapeutically usable areas. Its antecedents date back to the time of the Swiss alchemist, physician and astrologer known as
Paracelsus, who suspected that the air contained a life-giving substance.
Evolution: Between the years 1771 and 1777 began the experiments of the scientist Joseph Priestley, who unveiled nearly a dozen new gases, among them,
most importantly the discovery of oxygen. Laurent Lavoisier in 1784, together with Seguin, conducted studies with face masks to measure oxygen
consumption at rest and during exercise. That same year, two cases of pulmonary tuberculosis were cured by oxygen inhalation. Between the 1920s and
1960s, the physician Alvan Barach, one of the pioneers of respiratory therapy, perfected oxygen delivery systems and designed various types of face masks,
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as well as specifying the indications. In 1944, Alvan Barach treated some patients with emphysema with oxygen. Home oxygen therapy appeared in 1970
when Neff and Petty published their first papers.
Regulator: Device that reduces the pressure from the oxygen source to the oxygen supply and at the same time regulates the oxygen flow rate.
Flowmeter: Instrument used to measure the linear, nonlinear, mass or volumetric flow rate of a liquid or gas.
Humidifier: Provides humidity to the medical oxygen used in non-invasive respiratory therapy.
Nebulizer: Used for the administration of liquid asthma medications. When they come into contact with a flow of oxygen or air, they are transformed into an
aerosol.
Mask: Product indicated for oxygen treatments which are placed on the patient's face covering his mouth and nose in order to transmit oxygen, being
adaptable to the shape of the face and comfortable in use.
Oxygen cylinder: Dioxygen storage container, either under pressure in gas cylinders or as liquid oxygen in cryogenic storage tanks.
Pulse oximeter: Fingertip device that indicates the level of oxygen saturation in the blood.
Adapter nipple: Allows the union of flexible connections of the same diameter.
COMPRESSED GAS PORTABLE GAS CYLINDER CONCENTRATOR LIQUID O2

CYLINDER
CHARACTERISTICS For patients without Fixed source supplement to For patients with low For patients with good mobility
mobility ensure mobility mobility and low flow rates
ADVANTAGES Absence of noise Mobility at home No Redistribution needed Mobility outside the home,
acceptable autonomy, rechargeable
from the mother plant.
DISADVANTAGES Static source distribution Low autonomy, not Power grid, loss of Distribution network
network rechargeable efficiency, no mobility
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Oxygen connection probe: Its main function is to analyze the amount of oxygen present in the exhaust gases expelled by the engine.

15) UF0679:E3. Practice (Learning Unit 3, Section 3.2.3) Tutor YES INDIVIDUAL SEND TO THE TUTOR
Find a medical transport vehicle and perform the following activities:
1. Inventory of the sanitary materials available in the ambulance.

2. Inventory of medications in the ambulance.
3. Inventory of the signaling and beaconing means contained in the ambulance.
4. Inventory of personal protective equipment (indirect and direct) available in the ambulance.
Medical supplies: Stretcher (main and secondary), spinal board, IV stand, portable wheelchair, vital signs monitor, automatic external defibrillator, a blood
pressure monitor (adult, pediatric), maguil forceps, material scissors, thermometer, suction knob, a kidneya duck (women, men), a hand lamp, thermal
blanket, medical oxygen system, electric secretion aspirator, immobilization set, containers for classification and segregation of waste generated, a fire
extinguisher, reflective vests for the crew.
Medications:
Opioid analgesics: Morphine, fentanyl, tramadol.
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Non-opioid analgesics: Paracetamol, Dexketoprofen, A.A.S.
Sedative anesthetics: Propofol, Flumazenil, Etomidate.
Opiate antagonists: Naloxone.
Anti-anginal agents: Nitroglycerin, Verapamil, Nifedipine, Propanolol, Atenolol, Labetalol.
Antiarrhythmics: Amiodarone, lidocaine, Adenosine, Digoxin, Magnesium Sulfate.
Anticholinergics: Anthropine, Pancuronium.
Benzodiazepines: Diazepam, Midazolam.
Bronchodilators: Salbutamol, Theophylline, Ipratropium bromide.
Corticosteroids: Dexamethasone, Hydrocortisone, Methylprednisolone, Budesonide.
Diuretics: Furosemide.
Vasoactives: Adrenaline.
Neuroleptics: Haloperidol.
Barbiturates: Sodium thiopental.
Antiseptics: Chlorhexidine, Povidone.
Anti-inflammatory drugs: Diclofenac.
Antiemetics: Metoclopramide.
Others: Rapid insulin.
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Means of signaling: Reflective triangles, tapes, reflective cones, luminous beacons, portable lamps or spotlights, megaphones, triage flags (in case of
multiple victims or catastrophes), signage (in case of multiple victims or catastrophes). Light signaling of the assistance vehicle (position lights, dipped
headlights, turn signals, brake lights, fog lights, etc.), front and rear lights, may have side lights.
Personal protective equipment:
Direct: Uniform with reflective marking bands (shirt, pants. Jersey, jackets and vests), footwear (slip-resistant, waterproof and with toe caps), helmet (light
and reflective), gloves (leather, fabric, anti-cut, etc.), mask (filter, surgical, barrier action), goggles.
Indirect: Disposable gowns, illumination flashlight, dorsolumbar girdles.
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16) UF0679: E4. Collaborative Activity through the Forum (Learning Unit 3, Section 5.2) Tutor NO COLLABORATIVE CLASSROOM FORUM
1. Make a list of all the basic materials common to the different types of ambulances.
2. Prepare a comparative grid in which you can clearly see the different materials that can be used in a vehicle depending on the type of vehicle. This differentiates between
ambulances for assistance and non-assistance, collective ambulances, basic life support, advanced life support and psychiatric ambulances.
Student's answer: include your practice here so that the course tutor can evaluate it. Share your practice in the Forum with your peers and tutors
Common basic materials:
Stretchers, wheelchair, vital signs monitor, blood pressure monitor, stethoscope, thermal blanket, secretion aspirator, suction bulb, scissors, etc.
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AMBULANCE SERVICES NON-ASSISTANCE COLLECTIVES BASIC LIFE SUPPORT ADVANCED LIFE PSYCHIATRICS
AMBULANCES SUPPORT
Balloon resuscitator, Stretcher, oxygen Oxygen therapy Stretcher with 220 volt alternating Anesthetics and
capnograph, pleural therapy system, equipment, secretion trendelenburg 30 current outlets, sedatives (Propofol,
drainage equipment, manual ventilation aspiration device, first degrees of elevation electro-medical Flumazemil,
equipment. Intubation, system, first aid kit, aid and basic life and descent and lateral equipment (monitors, Etomidate).
equipment. Medicinal device for suspension support box, reclining displacement, rails for perfusion pumps, Benzodiazepines (have
oxygen, pulse of intravenous seats, equipped with support, medical incubators, etc.), sedative and hypnotic
oximeter, respirator, perfusion solutions. safety belts, access oxygen installation, incubator for effects) (Diacepam,
stethoscope, CPR case, system to the interior manual transferring neonates Midazolam)
splint, medication and of the sanitary cell by ventilatormedical and infusion pumps, Neuroleptics (Acute
nursing case, "Dama de means of a sliding oxygen, manual cleaning materials and Psychoses)
Elche" type head ramp or ventilator, collar set, products for (Haloperidol)
immobilizer, set of hydropneumatic defibrillators, drip disinfection, Barbiturates and
collars, syringe type mechanism, folding stand, folding chair, sterilization and aticonvulsants (Sodium
perfusion pump, etc. wheelchair, etc. wash basin, first aid kit, fumigation. Thiopental)
blankets, wedge and Examination material The medical equipment
plastic bottle, single- (stethoscope, flashlight is similar to that of the
use cup, electric and examination BASIC LIFE SUPPORT
suction device, etc. hammer), patient ambulances; there are
mobilization and no oxygen cylinders.
immobilization
material, sterile
material for minor
surgery, digital blood
pressure monitor,
delivery equipment,
equipment for the
delivery of babies. Of
nasogastric
catheterization, equip.
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Bladder
catheterization, etc.

17) UF0679: Practice through the forum (Learning Unit 3, Videoactivity following Section 5.2) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Watch the videos "Verify the existence of the material equipment of the sanitary vehicle" and "Verify the existence of beaconing, personal self-protection and lighting material:
Have the healthcare professionals acted well? Did they miss anything to check? If so, list it and explain why its existence in the sanitary vehicle is important.
In both cases the two professionals have acted correctly except that they have forgotten to check the correct functioning of the ambulance as they may
have the visual signaling that is very important for the work they perform every day. (Ambulance lights, flashers, fog lights, emergency lights, position lights,
etc.)
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Learning unit 4: Inventory and stock management

18) UF0679: Practice through the Forum (Learning Unit 4, Section 1.4) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Make a list of ten labile, ten thermolabile, ten hygroscopic and ten photosensitive materials that should be in a hospital warehouse.
Labile materials:
Antivirals.
2. Pentamidine.
3. Rivabidine.
4. Sevoflo-rano.
5. Dinitrogen oxide.
6. Cytostatic agents.
7. Formaldehyde.
8. Glutaraldehyde.
9. Fiberglass (plasters)
10. Surgical smoke.
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Thermolabile materials:
1. Insulin.
Vaccines.
3. Eyedrops.
4. Antibiotics.
5. Probiotics.
6. Exotoxins.
7. Enzymes.
8. Aspirin.
Nabumetone.
10. Tuberculin
Hygroscopic materials:
Copper sulfate.
2. Calcium oxide.
3. Phosphorus oxide.
4. Copper sulfate.
5. Hydroxylamine.
6. Sodium hydroxide.
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Silica gel.
8. Sodium chloride.
9. Magnesium chloride.
10. Calcium Chloride
Photosensitive materials
Silver chloride.
2. Leg iodide.
3. Silver floride.
4. Palladium platinum.
5. Carboplatin.
6. Cyclosporine.
7. Digoxin.
8. Esmeron.
9. Humira.
10. Botox.
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19) UF0679: Practice through the Forum (Learning Unit 4, Heading 2.1) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Performs a simulation of an order by filling in all the mandatory elements of the warehouse card.
Series: BB2 Invoice : 32902
Item: Oxygen balloon Maximum stock: 500 Endpoint: PMP

Ordering Number: 2a Minimum Stock: 70 Ordering Point: La Martinez S.A
Company: Laboratorios Unidos S.A Safety Stock: 100 Delivery Time: WEEK
DATE CONCEPT TICKETS/PURCHASES OUTPUTS/SALES STOCKS
Dia Quantity/Price/Value Quantity/Price/Value Quantity/Price/value
12/01/2021 Initial Inventories 20/25/500
22/01/2021 Buy 100/24/2400 125/25/3215
02/02/2021 Buy 100/242400 225/25/5625
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20) UF0679: Individual Activity supervised by the Tutor (Learning Unit 4, Section 2.2) Tutor NO INDIVIDUAL SEND TO THE TUTOR
In the situation of a conventional type warehouse where sanitary material is stored for which ambulances are supplied:
 Describes the areas and functions of the warehouse.
 Describes and explains the documentation associated with the merchandise in each of these zones or areas.
Storage Area: They will have the necessary facilities to guarantee the specific storage conditions that each type of material requires (cold, humidity
regulators, etc.).
Waste area: Hazardous waste due to risk of biological or other contamination is stored in hermetically sealed containers specifically for this type of waste
and will be conveniently marked.
Reception area or unloading docks: Used for the entry of products.
Preparation/conditioning area: For the exit of materials and products that require it.
Administration area: Warehouse management
Warehouse functions:
stock management.
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Procurement.
Inventory valuation.
Stock tracking.
Storage conditions.
Classification of sanitary means.
DOCUMENTATION
Storage area
Material reservation: Document to keep control of the products, where it is specified where they are located in the warehouse.
Quotation: Document used to provide a report of product prices.
Warehouse transfer: Document that certifies that the products of a warehouse have been transferred from one place to another, (transfer between the
same company).
Warehouse card: Document that records and safeguards all product movements.
Waste area:
Product control: Document by which the control of biological or other substances that are withdrawn from storage is kept.
Reception area:
Orders: Document where products are requested.
Warehouse receipt: Document that guarantees the entry of products. With receipts, the arrivals of products in the warehouse are recorded.
Receipt of goods: This is the document that is made by the buyer and is responsible for certifying that products were received from orders or purchase
orders.
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Control of stock levels: Document that allows to have a control over the warehouse stock.
Preparation area:
Material reservation: Document to keep control of the products, where it is specified where they are located in the warehouse, which is very useful to
optimize the preparation time.
Administration area:
Invoicing: Document with administrative profile that serves as proof of products. It also includes all the information of the operation such as the amount,
units, date, etc.
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21) UF0679: Practice (Learning Unit 4, Section 3.3) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Retrieve the inventory from the exercise of point 3.2.3 of the previous unit. With the list of these inventoried logistical materials, indicate what criteria we will use to consider those that
are in poor condition or do not comply with regulations.
Medical supplies: Stretcher (main and secondary), spinal board, IV stand, portable wheelchair, vital signs monitor, automatic external defibrillator, a blood
pressure monitor (adult, pediatric), maguil forceps, material scissors, thermometer, suction knob, a kidneya duck (women, men), a hand lamp, thermal
blanket, medical oxygen system, electric secretion aspirator, immobilization set, containers for classification and segregation of waste generated, a fire
extinguisher, reflective vests for the crew.
The professionals in charge of the sanitary vehicles check all the material at the beginning and end of each working day. Depending on the material, its
correct functioning, wear and tear, expiration date, as well as its replacement, exchange or inclusion of what is missing will be evaluated. Cleaning and
disinfection of materials is also performed.
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22) UF0679: E5. Collaborative Activity through the Forum (Learning Unit 4, Section 4.2) Tutor NO COLLABORATIVE CLASSROOM FORUM
Find information on EMS, where procedures are performed by radio frequency, and describe what elements and functions are needed and how a conventional type warehouse would be
managed where medical supplies are stored for which ambulances are supplied.
STUDENT'S ANSWER: INCLUDE YOUR INTERNSHIP HERE SO THAT THE COURSE TUTOR CAN EVALUATE IT.
The Warehouse Management System (WMS) is a software designed to control and manage all the day-to-day operations of a warehouse. Among the
functions are to control the locations of the products in the warehouse, to significantly improve the work of the warehouse operators, as well as the
movements of the machinery used in the warehouse, and to optimize the space used for storage.
In order to correctly manage a conventional type of sanitary material warehouse with WMS, the first thing to do is to train the personnel in charge to be
able to use the software correctly, since the management will depend on this. Inputs and outputs will be controlled according to their level of rotation and
flow.
According to the zones, the number of floors, installation plans and their elements must be defined and specified, as well as the materials and machinery
necessary to carry out the basic tasks, as well as cleaning, maintenance and safety tasks.
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23) E4. Collaborative Activity through the Forum (Learning Unit 4, Summary) Tutor YES COLLABORATIVE CLASSROOM FORUM
In the case of a warehouse where medicines are distributed:
 Describe what type of method we would use for sorting drugs within the warehouse.
 Develops an order form requesting an ambulance that has just run out of medication.
 Describes what data inventory management personnel must have to order from suppliers.
Student feedback: include your internship here so that the course tutor can evaluate it Share your internship in the Forum with your classmates and tutors.
Describe what type of method we would use for classification of drugs within the warehouse.
The classification would be according to their use and duration as well as storage requirements. The method we would use for drugs would be ABC.
Describes what data stock management personnel must have to order from suppliers
-The local stock of the product. -The level of product flow.
-The time an order takes. -The costs of these.
-The type of storage.
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MEDICATION ORDER FORM
N0. Ambulance: 32789 GRUPO FARMAOP

TEL: 9265473233 TEL: 9865343773
DATE CODE QUANTITY DESCRIPTION SERVICE OTHER
12/08/2020 20001 100 Masks Sanitary Ambulance
27/08/2020 20003 2 Oxygen cylinder Sanitary Ambulance
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Learning Unit 5: Quality Assurance

24) UF0679:E5. Tutor-Supervised Individual Activity (Learning Unit 5, Section 1.3.3) Tutor YES INDIVIDUAL SEND TO THE TUTOR
In the case of a primary care health center:
 It cites the human resources that must be available for a good quality in the provision of services to patients.
 Cites the material resources that must be available for a good quality in the provision of services to patients.
 Does the health center you usually go to have a good quality of service? Reason the answer.
A health center must have the following professionals to provide a good quality service: (family doctor, pediatrician, nurse, social worker, midwife, dentist,
psychologist, psychiatrist, rheumatologist, as well as a good administrative staff).
Material resources: They should have scales, sanitary equipment and all types of instruments for primary care. In addition, in the more specific elements,
there is a crash cart, which is used to transport medicines and devices needed to provide a rapid response to cardiac arrest. Defibrillators, suction devices or
manual ventilation devices. It will have a gynecological examination table and devices for the detection of the fetus in pregnancy, as well as an ultrasound
scanner. Electrocardiogram machines, diagnostic devices and refrigerator without freezer for vaccines. Minor surgery lamp, health care cases and an
extraction table. The center will also be equipped with stretchers, lamps, patient transfer chairs and other support furniture.
Does the health center you usually go to have a good quality of service?
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Yes, the attention from the moment you arrive at the reception is excellent, the treatment with the doctors or other professionals is very good as their work,
they attend you and treat you with a good professional quality. My local health center is not that big but it is of high quality.
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25) UF0679: Practice (Learning Unit 5, Item 1.4.1) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Taking as a reference the health center you usually attend:

 Indicate whether it can be considered a center that provides a quality service or not.
 Indicate which indicators you have used to reach the above conclusion.
 Describe what external quality assessment methods you would use to monitor the quality of the center.
 Describe what internal quality assessment methods you would use to monitor the quality of the center.
Indicates whether it can be considered a center that provides a quality service or not.
Of course, as I mentioned, the quality of the service is superlative and the professionals are just as professional.
Indicate which indicators you have used to reach the above conclusion.
The quality, waiting time, attention, information, cleanliness, order, treatment, etc.
Describe what external quality assessment methods you would use to monitor the quality of the center.
I would perform an audit by a private company, this would be once a month evaluating areas throughout the center.
Describe what internal quality assessment methods you would use to control the quality of the center.
A review would be carried out by the center's own staff (peer review) following a series of protocols to be followed, in which processes and results (clinical
records, in general all written documents) would be addressed, all of this with the aim of improving the quality of care.
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1. Define each of the basic concepts of quality.

2. Look up the concepts of standardized work protocol, quality control and quality assessment and make a definition of all in which data such as when they started to be used and
why are present.
Defines each of the basic concepts of quality
Corrective action: Action taken to combat the causes of a nonconformity or situation that causes inconveniences in a management system.
Preventive action: Action taken to combat the causes of a situation that would cause inconveniences in a management system, before it occurs.
Accreditation: Authorization necessary to carry out an activity, mainly when an organization makes use of its authority and formally recognizes that another
is competent to carry out certain activities.
Quality assurance: Verification of the quality of all parameters and resources that influence the manufacture of a product.
Quality: Fulfillment of the requirements demanded by the client either of a product or service.
Certification: Procedure by which an organization assures in writing that a product, process or service is in conformity, i.e. fully complies with the
requirements of a standard.
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Look up the concepts of standardized work protocol, quality control and quality assessment and make a definition of all in which data such as when they
started to be used and why are present.
The written and approved procedures that specifically describe the activities to be carried out in an activity are called Standard Operating Procedures. These
procedures are therefore used to evaluate and accredit the quality of the work and services provided.
With the entry into force of Royal Decree 175/2001, of February 23, 2001, approving the rules for the correct preparation and quality control of master
formulas and officinal preparations, it is necessary for pharmacies and pharmaceutical services that prepare master formulas and/or officinal preparations to
implement a quality assurance system. To this end, the pharmacist must develop Standard Operating Procedures that guarantee the quality of the final
product, which is the main objective of the aforementioned Royal Decree.
The Spanish Agency for Medicines and Medical Devices, with the conviction of offering the pharmacist who prepares medicines strict and faithfully
reproducible procedural guidelines, introduces four groups of Standard Operating Procedures in the National Formulary:
-General procedures.
-Pharmaceutical forms elaboration procedure.
-Pharmaceutical operations procedures.
-Product control procedures.
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27) UF0679: Practice through the Forum (Learning Unit 5, Section 2.2) Tutor NO COLLABORATIVE CLASSROOM FORUM
description of the activity:
Make 3 reports on:

 The Spanish Central Commission for Quality Assurance.
 The most popular Clinical Commission for its achievements in Europe.
 The SECA.
The Spanish Central Commission for Quality Assurance
The legal framework of the Central Quality Assurance Commission (CCGC) is formulated in Royal Decree 521/1987 of April 15, 1987, which approves the
Regulations on the Structure, Organization and Operation of Hospitals managed by the National Health Institute. Article 22 regulates the functions and
composition of the Commission and establishes which Clinical Commissions must be constituted, as a minimum, in each center.
The Central Commission for Quality Assurance is the technical body that prepares and works in the areas of Quality of Care and Technological Adequacy, as
a permanent advisory body to the Medical Management and the Technical Assistance Board.
The composition of the Central Quality Assurance Commission shall be:
-The Medical Director. -The Assistant Directors of the Medical and Nursing Divisions.
-The Director of Nursing. -The Chairmen of the Clinical Commissions.
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In any case, at least the following Clinical Commissions must be set up, which will report to the Central Quality Assurance Commission:
-Hospital Infection, Prophylaxis and Antibiotic Policy.
-Clinical records, Tissues and Mortality.
-Pharmacy and Therapeutics.
Technology and Adequacy of Diagnostic and Therapeutic Means.
-Research, Teaching and Continuing Education.
The members of said Clinical Committees shall not exceed eight in number and shall be appointed by the Medical Management, at the proposal of the
Technical-Assistance Board, and, from among them, they shall elect a Chairman for each one of them.
The Central Quality Assurance Commission shall meet a minimum of six times a year.
The most popular Clinical Commission for its achievements in Europe
La Paz University Hospital
At the initiative of the hospital's Medical Management, the proposal to create this new clinical committee was presented to the center's Technical
Assistance Board (JTA), with the aim of integrating a large number of care and management activities aimed at the proper management of pain in the
hospital. Given that these actions came from the medical, nursing and management areas, the TAB considered that the necessary characteristics were met
to approve the proposal and in June 2009 this approval was reflected in the minutes. In October 2009, the "Hospital without Pain" Commission was formally
established.
THE DRY
It is a multidisciplinary scientific society whose mission is to foster and promote the continuous improvement of healthcare quality in the healthcare field.
SECA was founded in 1984 by a group of professionals who were pioneers in this discipline, since they introduced it in our country. Since then, it has
organized an annual congress on quality of care, which has become a national and international reference in Spanish-speaking countries.
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Main objectives: The dissemination of quality culture, the consolidation of a territorial structure that allows a real dissemination of quality culture. Maintain
methodological rigor and an adequate line of scientific rigor of work.
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28) UF0679: Practice through the Forum (Learning Unit 5, Section 2.4) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Choose 10 indicators established by the National Health Society and develop them.
Indicators established by the National Health Society
1. Life expectancy in good health: It is defined as the average number of years a person is expected to live in good health.
Mortality rate: Refers to the number of deaths that occur in a population.
Infant mortality rate: Refers to deaths occurring before the first year of life.
4. Cancer incidence: It is defined on the basis of the new cases diagnosed in a given period and in a specific population.
5. Percentage of newborns with low birth weight: It is an indicator of the quality of health services, and has prognostic value in neonatal and infant mobility
and mortality.
6. Prevalence of tobacco use: Study of the prevalence of tobacco use and the number of cigarettes smoked in the general population.
7. Victims of traffic accidents: Statistical data and reports on traffic accidents, vehicle fleet indicators (registrations, change of ownership, cancellations, etc.),
driver census and data on complaints and income are collected.
8. Occupational disease rates: This indicator is calculated by dividing the number of occupational accidents that occurred in a given period (numerator) by
the average annual number of dependent workers in the same period (denominator).
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9. Birth rate: The quotient between the number of births occurring during a given period, generally a calendar year, and the average population of the
period.
10. Mean maternal age: Mean age of mothers at the time of birth according to a general fertility table, i.e. in the absence of mortality.
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29) UF0679: Collaborative Activity through the Forum (Learning Unit 5, Section 4.2) Tutor NO COLLABORATIVE CLASSROOM FORUM
Performs an informative search and prepares a report stating the deviations in the requirements and specifications of health quality assurance.
Doctors of the World calls for "urgent improvements" in health quality.
On the occasion of World Health Day, Doctors of the World has called for "urgent improvements" in primary health care, which meets most of the health
needs of citizens. "Primary Care is the gateway to the healthcare system and the main guarantee of our well-being. Between 80 and 90 percent of a person's
lifetime healthcare needs are met there, at that nearby level. However, although it always appears in political and institutional speeches, reality shows us
that much remains to be done, both in Spain and in other countries.
The waves of the current pandemic have exposed a black hole in Health Care, where the shortcomings of a sector decimated by cutbacks for more than a
decade have worsened.
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30) UF0679: Practice through the Forum (Learning Unit 5, Video-activity following section 4.2) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Watch the video "Quality control":
Develop each of the three points discussed in the video and finish the exercise with your own conclusion about the quality control system.
1. Interpret and follow protocols: All our actions must comply with protocols and standards to ensure the quality of the service.
2. Work scheduling: Scheduling will be very important when a vehicle is assigned a service, the health technicians will have all the necessary resources
ready. This will make it easier for us to comply with protocols and procedures and thus improve patient care.
3. Organization and management of materials and resources: Materials and resources must be managed and optimized in the service, but without having a
negative impact on the final quality. As far as possible, the use of computer applications and devices will also be implemented to facilitate the work of the
technicians during the performance.
It seems to me that the quality control system plays a very important role, since it not only achieves patient satisfaction, but also improves their quality of
life, extends it and, in many cases, prevents them from getting sick or dying.
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Learning Unit 6: Legal Aspects of Professional Practice

31) UF0679:Tutor Supervised Individual Activity (Learning Unit 6, Section 4.4.3) Tutor NO INDIVIDUAL SEND TO THE TUTOR
1. Briefly explain what moral responsibility is, what it legally entails and how important it is.
2. Describes criminal, civil and administrative liability.
1. Moral responsibility is one in which responsibility is taken for a specific event or person, placing morality above others. What is legally implied is a
reparation consisting of a monetary indemnity to be paid by the person responsible for the act as moral reparation. Moral responsibility occupies an
increasingly important place in public opinion when the adjudication of legal responsibility through the courts is insufficient to close cases such as, for
example, corruption scandals linked to the concealment of figures in company accounts.
Criminal liability: It is the legal consequence derived from the commission of a fact typified in a criminal law by a subject and provided that such fact is
contrary to the legal order, i.e., it is unlawful; in addition to being punishable.
Civil liability: This is the obligation to compensate arising as a consequence of the damage caused by a breach of contract or to repair the damage caused to
another with whom there was no prior relationship (non-contractual liability), either in nature or by a monetary equivalent, usually through the payment of
damages.
-Administrative litigation: It is the one destined to the knowledge and application of the law in the administrative order or administrative law, that is to say,
the one referring to the normative set destined to the regulation of the activity of the public administration in its contentious version or of the control of the
legality and of the submission of this one to the ends that justify it.
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57
Lists the consequences of the increase in medical claims. Justify your answers.
The consequences that could result from the increase in medical claims would be:
-Increase in defensive medicine: These are clinical practices adopted more in response to the risk of being the object of a complaint from the patient or his
or her relatives than to scientific evidence.
-Indemnifications: Which are requested by patients involved with some irregularity produced in their medical care.
-The increase in the cost of professional liability insurance policies: This insurance helps to cover personal and material damages and consequences that,
involuntarily, due to their errors or omissions, the professional may have caused to their clients in the exercise of their profession, as well as the damages
that may derive from them.
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33) UF0679: Collaborative Activity through the Forum (Learning Unit 6, Section 5.2) Tutor NO COLLABORATIVE CLASSROOM FORUM
Draw up a comparative table in which, on the one hand, the positive actions performed by a healthcare professional in relation to data protection and, on the other hand, the negative
actions and, consequently, the consequences.
DATA PROTECTION (HEALTH)

POSITIVE MEASURES NEGATIVE ACTIONS CONSEQUENCES
Keep the patient always informed and have free Using your patient's data without their consent Financial penalties.
access to their data. to conduct studies. The hospital and the doctor implicated in
If the patient wants confidentiality of his Failure to register the personal data file in the irregularities are being prosecuted.
condition to family members, respect and General Data Protection Register.
enforce his decision. Failure to provide necessary information to the
To maintain professional secrecy in all cases. patient from whom the data is being requested.
Filter patient's personal data.
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Find 10 real cases in which the right to patient autonomy and freedom has been violated.
1. The mayor of Alcalá de Henares, Javier Rodríguez Palacios, has demanded the "immediate dismissal" or "resignation" of the manager of the Príncipe de
Asturias Hospital, Dolores Rubio, for "pressuring" patients to accept their transfer to the Isabel Zendal Hospital.manager of the Hospital Príncipe de Asturias,
Dolores Rubio, for "pressuring" patients to accept their transfer to the Hospital Enfermera Isabel Zendal.
2. The Health Department of the Generalitat has sanctioned the Catalan Institute of Health (ICS) because the Bellvitge Hospital did not send to the courts
the medical report of injuries of an abused woman, a resident of El Prat de Llobregat (Barcelona), who months later was murdered by her partner.
3. Público has had access to an internal communication from the Hospital Universitario del Henares, in Coslada, which reported that four rooms in two
emergency departments were converted into rooms with armchairs in which to treat covid patients who did not want to be transferred to the Isabel Zendal
Hospital. Dated January 29, 2021, the communication also states that emergency and inpatient staff are required to inform the patient of the possibility of
being assigned to Zendal.
4. The Sant Rafael hospital in Barcelona will have been fined 60,000 € for having requested personal data of its patients from a private company contracted
by the Generalitat to carry out a study on the use of Catalan in the hospital sector.
5. The manager of the Fuenlabrada Hospital will have to assume responsibility for transferring patient data to other private centers.
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6. As a result of an active transparency audit process, CPLT professionals discovered evidence of a series of practices associated with administrative
processes, in this case the purchase of goods and services, which violate patients' privacy and which seems to be naturalized in a series of procedures that
are carried out in a way that does not adequately protect patients' personal information," explained the head of Transparency.
7. After having gone several times to the Hospital Docente SEMMA Santo Domingo, Rosaura Almonte Hernández ("Esperancita") presented intense pain in
her abdomen, fever and general weakness. On July 2, 2012 Esperancita was admitted to this same hospital, where she underwent laboratory tests and
exploratory examinations. Esperancita was hospitalized and the mother was told that her daughter was 7.5 weeks pregnant, but was not informed that she
had been diagnosed with acute lymphoblastic leukemia, even though this information was on the admission order.
As soon as Esperancita was admitted to the hospital, and throughout her stay there, she received blood transfusions with the intention of improving her
hematological status.
8. Our father was going to be rehabilitated and it cost him his life". Sisters Maika and Esther Maeso denounce the conditions in which their father, who died
on January 10 after being treated at the former La Fe hospital in Valencia, was treated. These facilities were enabled by the Generalitat to house mild
coronavirus patients. However, according to the Department of Health's own admission, it currently receives seriously ill patients. Many of them are in their
eighties. Miguel Maeso Martínez was 74.
9. A cardiologist will have to compensate with 40,900 euros the two daughters of an 85-year-old patient who died after suffering a myocardial infarction,
after undergoing an operation to replace his left hip. The physician included a subsequent annotation in the patient's medical history to justify his visit to the
resuscitation unit, as demonstrated by the handwriting report of the defense, exercised by the Asociación El Defensor del Paciente (The Patient's Advocate
Association).
10. A Mexican migrant woman underwent gynecological surgery without her consent while detained at the Irwin Detention Center (in Georgia, United
States), the Mexican government confirmed in a statement Monday afternoon. The Ministry of Foreign Affairs has been investigating since September 14
how many Mexican migrant women may have been involved inthe scandal of womb removals allegedly performed in that institution.
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Find information and describe the legal documents to be signed by the patient undergoing heart surgery and under what circumstances family members should sign.
You will be asked to sign a document called Informed Consent. This is a very important document, mandatory in any surgical procedure, in which you will be
informed about all aspects of the treatment. It is important that you do not sign it without reading it and that you clarify with the professional who will
attend you.
A family member will sign in the following cases:
-When the patient is not capable of making decisions, at the discretion of the attending physician, or his physical or psychological condition does not allow
him to take charge of his situation.
-When the patient is legally incapacitated.
-When the minor patient is not intellectually or emotionally capable of understanding the scope of the intervention.
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 List the fundamental rights and duties that every patient should be aware of.
 What is a patient's right to information when faced with a medical test or procedure?
 What steps should a patient take to exercise his or her rights in the event of a surgical intervention with a harmful outcome for him or her?
To list the fundamental rights and duties that every patient should be aware of.
Rights:
-To the assistance information.
-To decide about health.
-To privacy.
-To the clinical history.
-To receive comprehensive health care.
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Duties:
-Provide the actual data on their health status.
-Respect the health personnel of the centers, services and establishments, as well as other patients, their relatives and companions.
-Proper use of sanitary facilities and services, according to the general rules of use established by each center.
The patient has the duty to sign the Voluntary Discharge document, in cases of non-acceptance of the treatment methods.
What is a patient's right to information when faced with a medical test or procedure?
The clinical information provided to the patient or user of a health care service can contribute to a better development of the care process, improve the
relationship between the health care professionals and the patient and, therefore, influence the quality of the service.
All healthcare professionals involved in the healthcare process have the obligation to report within their functions and competencies, even when there is
the figure of the responsible physician, a figure that is not always easy to establish (as when different services are involved in the same healthcare process).
What steps should a patient take to exercise his or her rights in the event of a surgical procedure with a harmful outcome for him or her?
It is in the best interest of the individual in these medical malpractice cases to receive advice from a medical malpractice lawyer.
The medical malpractice lawyer, in collaboration with a medical specialist, will be able to confirm that the patient has indeed been the victim of medical
malpractice. The Lawyer specialized in medical negligence, will be able to give you an orientative valuation of the compensation that could result,
economically evaluable depending on the injurious result, to know which is the economic interest and to verify in this way if it compensates to start the
procedures that make the claim effective.
Once these first steps have been followed, we can claim liability for damages caused as a result of medical malpractice, by three different means that can be
independent of each other: Civil, Criminal, Administrative.
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37) UF0679: Practice (Learning Unit 6, Section 6) Tutor NO INDIVIDUAL SEND TO THE TUTOR
1. It makes a brief mention of health according to the Spanish Constitution of 1978.

2. It develops the main functions and topics addressed in the General Health Law.
Health according to the Spanish Constitution of 1978
It is a constitutional right. Article 43 of the Constitution recognizes in its first paragraph the right to health protection. In the second paragraph, it states that
it is the responsibility of the public authorities to organize and protect public health through preventive measures and the necessary benefits and services.
The law shall establish the rights and duties of all in this regard. The third paragraph mentions that the public authorities shall promote health education,
physical education and sports. They will also facilitate the appropriate use of leisure time.
The General Health Law, Law 14/1986, of April 25, 1986, regulates the actions that make this right recognized in our Constitution effective.
Develops the main functions and issues addressed in the General Health Law.
Functions:
- To universalize public health care by homogenizing rights and duties for all citizens.
- Create a governing body of the SNS responsible for the system with the competencies agreed upon and deemed necessary to guarantee its coherence for
citizens and professionals.
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- To move public health from a comfortable preventive position to an active position as an element of knowledge support for the definition and execution
of public policies in relation to health protection.
- To overcome marketing practices and to equip itself with the appropriate information systems and technical bodies to enable a decision-making process
based on knowledge and best practices in a system that, due to its decentralization, allows the performance of different practices.
- Generate a competitive and beneficial synergy for citizens through public policies that, while respecting the full political autonomy of the Autonomous
Regions for the organization of their health services, allow the consolidation of an NHS of all and for all.
- Promote the regulation of healthcare activity that lays the foundations for guaranteeing quality care in all healthcare services and avoids adverse risk
selection or discrimination.
Topics covered:
Universal, public, quality health care, free and coordinated access.
Creation of Health Services of the Autonomous Communities.
The actions of the public health administrations will be oriented to health promotion.
Both the State and the Autonomous Communities and the other competent public administrations shall organize and develop all the health actions referred
to in this title within an integral conception of the health system.
The public authorities must inform the users of the services of the public health system, or those linked to it, of their rights and duties.
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Describe the law on professional secrecy and the negative consequences of non-compliance with professional secrecy.
The 1986 Health Law itself, in its art. 10, recognizes professional secrecy as one of the basic rights of citizens:
The right to confidentiality of all information related to their process and to their stay in public and private health institutions that collaborate with the
public system.
However, as we said, the fundamental rights of the individual, which undoubtedly include the right to confidentiality of health-related data, are not
absolute; they must coexist with other rights and interests that are also relevant to third parties and to society itself. This is the difficult balance to be
achieved in the legal regime of professional secrecy.
It is the physician's ethical obligation not to disclose or allow to be known the information he/she directly or indirectly obtains about the patient's health
and life". Medical confidentiality, within the right to privacy, is the physician's permanent obligation in any professional relationship.
Art. 199 of the new Penal Code provides:
Whoever discloses the secrets of others, of which he has knowledge by reason of his trade or labor relations, shall be punished with imprisonment of one to
three years and a fine of six to twelve months.
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The professional who, in breach of his obligation of secrecy or reserve, discloses the secrets of another person, shall be punished with a prison sentence of
one to four years, a fine of twelve to twenty-four months and special disqualification for said profession for a period of two to six years.

39) UF0679:E6. Practical (Learning Unit 6, Case Study 1) Tutor YES INDIVIDUAL SEND TO THE TUTOR
Angela is a 40-year-old patient who comes to the clinic for headaches and, after being questioned about some bruises, confesses that she has been abused by her husband more than
once.
The doctor is surprised since Angela's husband is also a patient of his and seems to be a nice and affable person. However, the doctor also recalls the fracture of the ulna and radius that
Angela sustained in her right arm several months ago "when she fell down the stairs" and that until now he had never doubted that it was accidental.
Angela urges him to keep the secret and not tell anyone. "He has no intention of hurting me. It's just that being unemployed is breaking him down and when he drinks he becomes
irritable. He is a good man.
Based on a factual assumption, the following is requested:
 Who is the recipient of a patient's information?

 Do family members have the right to be informed systematically, so to speak, by default, regardless of the consent, however presumed, of the patient?
 What is the scope of confidentiality in an interdisciplinary team?
 How does one articulate the obligation to treat or duty of care, the obligation of confidentiality and the obligation to warn of possible danger, especially if one is in a position of
guarantor?
 Should the healthcare professional notify the authorities of the situation of real danger to third parties or should he/she take personal steps to alert him/herself? What is the
basis for doing one thing or another?
student's answer: include your practice here so that the course tutor can evaluate it.
Who is the recipient of a patient's information?
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Physician.
Do family members have rights to be informed systematically, so to speak, by default, regardless of the consent, however presumed, of the patient?
In this case, NO, since the patient wishes this information to remain secret.
What is the scope of confidentiality in an interdisciplinary team?
An interdisciplinary team made up of different professionals working in a common area in an interdependent manner and interacting with each other in a
formal way. They may assess the patient separately, but they exchange information in a systematic way, share a working methodology and work together to
achieve joint objectives.
How does one articulate the obligation to treat or duty of care, the obligation of confidentiality and the obligation to warn of possible danger, especially
if one is in a position of guarantor?
It should be borne in mind that the loss of confidentiality of data subject to professional secrecy, unauthorized reversal of pseudonymization, etc., pose a
risk to the rights and freedoms of natural persons, the severity and likelihood of which will depend on the nature, scope, context and purposes of the data
processing. In order to maintain security and prevent processing in breach of theGDPR, the controller or processor must assess the risks inherent in the
processing and implement measures to mitigate them, such as encryption.
Pursuant to Article5(1)(f) of theGDPR, personal data shall be processed in such a way as to ensure appropriate security and confidentiality of personal data,
including to prevent unauthorized access to or use of such data and the equipment used in the processing ("integrity and confidentiality principles").
Should the healthcare professional notify the authorities of the situation of real danger to third parties or should he/she take personal steps to alert
him/herself? What is the basis for doing one thing or another?
The professional shall not violate the professional secrecy and shall therefore take steps to alert the same. Since the patient asked the doctor to keep this
secret and not to tell anyone.
69
description of the activity:
1. Find the regulations governing the prevention of occupational hazards and explain the chapters that have to do with health care. Especially those dealing with physical, biological
and chemical hazards.
2. Lists the elements of personal protection to deal with chemical and biological hazards.
Physical Risks:
Royal Decree 485/1997, of April 14, 1997, on minimum provisions for safety and health signs at work.
Royal Decree 299/2016, of July 22, on the protection of the health and safety of workers against risks related to exposure to electromagnetic fields.
Royal Decree 486/2010, of April 23, 2010, on the protection of the health and safety of workers against risks related to exposure to artificial optical
radiation.
Royal Decree 665/1997, of May 12, 1997, on the protection of workers against risks related to exposure to carcinogenic agents at work.
Royal Decree 413/1997, of March 21, 1997, on the operational protection of external workers at risk of exposure to ionizing radiation due to work in a
controlled area.
Royal Decree 1215/1997, on minimum health and safety provisions for the use of work equipment by workers.
Royal Decree 783/2001, of July 6, 2001, approving the Regulation on health protection against ionizing radiation.
70
Royal Decree 1085/2009, of July 3, 2009, approving the Regulations on the installation and use of X-ray equipment for medical diagnostic purposes.
Biological Risks:
Royal Decree 664/1997, of May 12, 1997, on the protection of workers who, due to their work, are or may be exposed to biological agents at work.
Royal Decree 1215/1997, on minimum health and safety provisions for the use of work equipment by workers.
Royal Decree 396/2006, of March 31, 2006, establishing the minimum health and safety provisions applicable to work with risk of exposure to asbestos.
Chemical Risks:
Royal Decree 374/2001, of April 6, 2001, on the protection of the health and safety of workers against risks related to chemical agents at work.
Regulation (EC) No. 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorization
andNo. 1907/2006 of the European Parliament and of the Council of 18 December 2006 concerning the Registration, Evaluation, Authorisation and
Restriction of Chemicals (REACH), establishing a European Chemicals Agency, amending Directive 1999/45/EC and repealing Council Regulation (EEC) No.
793/93 and Commission Regulation (EC) No. 1488/94 as well as Council Directive 76/769/EEC and Directives 91/155/EEC, 93/93/EEC, 93/94/EC and
91/155/EEC.No. 793/93 and Commission Regulation (EC) No. 1488/94 as well as Council Directive 76/769/EEC and Commission Directives 91/155/EEC,
93/67/EEC, 93/105/EC and 2000/21/EC are repealed.
Regulation(EC) No. 1272/2008 on classification, labeling and packaging of substances and mixtures (CLP Regulation).
Document on occupational exposure limits for chemical agents in Spain published by INSST.
Lists the elements of personal protection to deal with chemical and biological hazards.
Hand and arm protectors: Gloves against biological aggressions, sleeves and sleeves.
Respiratory tract protectors: Particulate, gas and vapor filtering equipment.
Eye and face protection: Safety goggles, face shields or face shields and face masks with face shield.
Foot and leg protectors: Safety footwear.
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41) UF0679: Forum Practice (Learning Unit 6, Section 8.7) Tutor NO INDIVIDUAL SEND TO THE TUTOR
1. List the occupational hazards that a health care worker may suffer when attending to an injured person.
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2. List precautions to avoid the above accidents.
List the occupational hazards that a health care worker may suffer when attending to an injured person.
1. Risk of falling objects due to collapse or handling.
2. Risk of collision/strike against moving or immobile objects.
3. Risk of cuts/punctures by objects or clinical instruments.
4. Risk of projection of fragments, particles or liquids.
5. Risk of aggression.
List precautions to avoid the above accidents.
1. Do not overload the trolleys or trays where material is transported for treatment, administration of medicines, food for the sick, etc.
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2. Respect the circulation directions established for disabled people (wheelchairs and stretchers) and equipment transfer (carts, wheelbarrows, etc.) Pay
special attention in the vicinity of crossings, aisles, ramps, swinging doors and elevators.
3. After use, dispose of needles and other disposable sharps in specially designed, biohazard-labeled, puncture-resistant plastic containers for subsequent
incineration.
4. Use safety goggles and face mask or face shield when there is a risk of projection of fragments or particles. If you wear corrective eyewear, use safety
glasses with appropriate corrective lenses or wear them over your regular lenses.
5. Organizational measures are the most effective in preventing aggressive behavior by patients and family members. For example, reduced waiting times,
fluid communication between staff and patients and relatives, comfortable waiting rooms, intercoms or telephones for emergency cases, emergency
buttons or buzzers, etc.
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42) UF0679: Practical (Learning Unit 6, Section 8.7) Tutor NO INDIVIDUAL SEND TO THE TUTOR
Search the internet for information on the most frequent risks of healthcare personnel in hospitals during the previous year and make a report with the data found.
Healthcare professionals who are on the front line against covid-19 with appropriate personal protective equipment (PPE) have a three times higher risk of
becoming infected with the SARS-CoV-2 positive coronavirus than the general population. And, if they do not have the proper PPE, this risk increases. These
are the results of a study that has analyzed data from more than 2 million people and is published today in"Lancet Public Health", which warns of the need
for maximum protection for these professionals.
The Health sector of CSIF, together with CCOO and UGT, have concentrated this Tuesday morning in front of the health center of Puche, located in the Mare
Nostrum avenue of the capital, to demand more staff, means and resources, mainly in Primary Care as the first line of the fight against COVID-19. They have
highlighted the shortcomings of the healthcare system, and more specifically in Primary Care, the main link and the first line in the fight against the
pandemic, and which presents "a current state of overload and great pressure on care, in a context of a profound shortage of personnel and poor
management by the Administration, with overburdened professionals and a citizenry that often feels abandoned to their fate", they denounce.The health
care system is currently overloaded and under great pressure, in a context of a profound shortage of personnel and poor management by the
Administration, with overwhelmed professionals and a citizenry that feels in many cases abandoned to its fate," they denounce.
The results of a study of ICU health care workers, published inOccupational Medicine, show the marked impact of working in critical care during the COVID-
19 pandemic. Nearly half of ICU staff are likely to reach the threshold for PTSD, severe anxiety, or problem drinking during the COVID-19 pandemic.
75

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UF0679: Organization of the work environment in medical transport

Learning unit 1: The health organization

1. Make an outline of the National Health System.

CORRECTION BY THE TUTOR:

Ministerio de Sanidad y Politica Social

Area de Salud Hospital del Consejos de

PRIMARY CARE: Primary care isthe first level of health care.

There are different ways to classify hospitals:

According to Financing: Public and Private Hospitals

CORRECTION BY THE TUTOR:

Related web pages:

1. Description of the emergency medical system (EMS).

CORRECTION BY THE TUTOR:

3: Functions of the emergency health workers:

-Provide basic health care in crisis and emergency situations.

-To make the transfer to the health center in case it is necessary.

A patient attends a primary care health center.

CORRECTION BY THE TUTOR:

Report on 9 typologies of clinical documentation.

CORRECTION BY THE TUTOR:

CORRECTION BY THE TUTOR:

What type of reports will be prepared in this case?

-Anesthesia sheet (personal data, date, surgeon, anesthesiologist, procedure)

CORRECTION BY THE TUTOR:

In addition, they must also carry the following cards:

-Vehicle cleaning record.

-Record of health material revisions.

And finally maps and street map.

CORRECTION BY THE TUTOR:

1. Time of request for shipment.

CORRECTION BY THE TUTOR:

Once a patient has completed his or her hospital stay:

 Cite the non-clinical health documents that are produced.

CORRECTION BY THE TUTOR:

Non-clinical documents produced

-Proof of medical visit.

-Medical report of temporary disability.

-Part of the Duty Court.

-Request for complementary tests.

PLACE OF CONSULTATION GREGORIO MARAÑON HOSPITAL

CORRECTION BY THE TUTOR:

EXERCISE CORRECTION TYPE EVALUABLE ACTIVITY TYPE TOOL

CORRECTION BY THE TUTOR:

CORRECTION BY THE TUTOR:

Ambulance assistance Non-assistance ambulance

1. Origin of the oxygenation material.

CORRECTION BY THE TUTOR:

COMPRESSED GAS PORTABLE GAS CYLINDER CONCENTRATOR LIQUID O2

EXERCISE CORRECTION TYPE EVALUABLE ACTIVITY TYPE TOOL

Find a medical transport vehicle and perform the following activities:

1. Inventory of the sanitary materials available in the ambulance.

CORRECTION BY THE TUTOR:

Opioid analgesics: Morphine, fentanyl, tramadol.

Sedative anesthetics: Propofol, Flumazenil, Etomidate.

Opiate antagonists: Naloxone.

Anti-anginal agents: Nitroglycerin, Verapamil, Nifedipine, Propanolol, Atenolol, Labetalol.

Antiarrhythmics: Amiodarone, lidocaine, Adenosine, Digoxin, Magnesium Sulfate.