Multiple healthcare facilities in Campo Grande are being investigated for service failures
The MPMS (Public Ministry of the State of Mato Grosso do Sul) has opened new civil investigations to investigate lapses in patient care at the USFs (Family Health Units) of Vila Cox and Santa Carmélia. The notices were published in the Official Gazette this Wednesday (28).
In the USF Villa Cox case, the 76th Attorney’s Office is investigating possible structural failures and material shortages. The case began to be investigated in May following a complaint by councilor André Luís Soares (Rede).
An MP inspection found that the unit had a leak in the locker room and a lack of air conditioning in the inhalation, collection and medication rooms. Infiltrations and cracks in the walls, outdated computers, lack of fire extinguishers were also observed. In addition, there was a deficit of doctors and dentists.
The prosecutor’s office also found a lack of drugs: guaco (syrup), prednisolone (syrup), dexchlorpheniramine maleate (syrup), dexamethasone (injection), metoclopramide (injection), bromopride (injection), ranitidine (injection), B complex (injection), lidocaine ( in injections) and xylocaine (gel).
Sesau (Municipal Department of Health) informed the MPMS that two doctors have been assigned to the unit, in addition to initiating the procedure for the procurement of new computers and fire extinguishers. Sisep (Municipal Secretariat for Infrastructure and Communal Activities) is preparing a USF reform project.
In the case of USF Santa Carmélia, following a complaint by councilor André Luís, the prosecutor’s office went to the scene and found a damaged wall, cracked floors, an autoclave (a device for sterilizing medical supplies and objects) without maintenance, broken ventilators and outdated computers.
Amoxicillin (tablet), amoxicillin with clavulanate (tablet and oral suspension), ciprofloxacin (tablet), azithromycin (oral suspension), nitrofurantoin (oral suspension), dexamethasone (injection), B complex (injection), amiodarone (injection), furosemide ( injections), deslanoside (injections), prednisolone (syrup), bisacodyl (tablets), dexamethasone (ointment), isosorbide (tablets), guaco (syrup), and regular insulin (vial).
In the letter, Sesau informed that Sisep is also preparing a unit reform project. Replacement of floors and fans depends on the availability of materials.
The municipality hires a company to maintain the autoclave and announces a tender for the purchase of computers and other equipment.
Despite this, the Prosecutor’s Office gave the secretariat a deadline of 20 days to report on the measures taken regarding other irregularities.
MPMS is investigating problems in three other health units
Civil investigations have been opened regarding UPA (Ambulance Unit) Coronel Antonino and USFs Dom Antônio Barbosa; José Tavares do Couto, in the Nova Lima district; and Jardim Maraba.
The public prosecutor’s ombudsman received information that patients awaiting transfer were maintained and even fed with resources from servers assigned to the UPA. When patients are homeless, employees even pay for their hygiene and transportation.
In addition, the number of doctors on call decreases after 11 p.m., which disrupts the service. Sesau was invited to provide clarification and was informed by letter that a preliminary technical study had been approved for the purchase of food and hygiene products for patients.
In partnership with SAS (Municipal Secretary for Social Assistance), the children requested by the units have already been distributed to people in extreme social vulnerability, along with personal hygiene kits for patients on mechanical ventilation.
Regarding the small number of doctors after 11 p.m., Sesau informed the Prosecutor’s Office that the work recording system is hybrid, with an electronic signature of the working time records. It is up to the nurses to inform about the doctor’s absence.
In the USF Antônio Barbosa Dorm, there are structural problems such as leaking and cracked floors, along with a lack of ventilation in the reception area. There would still be a lack of fire extinguishers and oxygen bottles.
Sesau replied in the letter that new oxygen cylinders have already been delivered. As for other irregularities, the solution depended on the available financial resources and the completion of the tender.
In Nova Lima USF, there would be structural problems such as infiltration, cracks in walls and damaged facade. The reception would still be without a computer.
Sesau reported that the procurement of new equipment depends on the opening of tenders. Secomp (Executive Secretariat for State Procurement) added that the administrative procedure for the procurement of computers and laptops, which are in the budget reserve phase, is ongoing.
At USF Jardim Marabá, structural problems such as infiltration and the need to maintain autoclaves and air conditioning equipment were found.
Sesau replied that minor repairs were made to the unit, apart from a contract for maintenance of the autoclave device. Regarding the air conditioning units, the responsible company included USF Jardim Marabá in the maintenance schedule.