According to the Auditor General of the City of Buenos Aires (AGCBA, for its acronym in Spanish), in the Fernandez Hospital, the staff assigned to the surgical area is insufficient to attend the demand. Eight of the nine operating rooms do not have permanent staff for the day shift, "implying an idle resource capacity of the operating rooms".
However, although the hospital has 391 nurses, for the AGCBA, "they would require a staff of 730 agents, (but for that) they would need appointment of hours corresponding to 157 nurses, taking into account the hours worked per module, the latter used because of the need for human resources. If the hours per modules were excluded, "the deficit would amount to 339."
The Audit adds that "there is low availability of beds for inpatient demand." The optimal rate of bed occupancy is 85% and, according to the report, "values over 90% may indicate that patients may be rejected." In this case, it was found that at the Fernandez Hospital, "General Surgery Services work with an occupancy rate of 93.16%, 90.79% Neurosurgery, Urology 95.53%, 94.92% Medical Clinics, 95% Intensive Therapy , 14% and Middle therapy with a 96.64%."
As for the hospital, another situation that "reduces the possibility of income" is the delay in the billing process. The watchdog verified, on a sample of 328 cases, almost a quarter of the operations concerned could not be billed.
The report, approved last year on data from 2007, says 792 scheduled surgeries were suspended and 504 corresponded to causes outside the health effectors, such as "lack of beds and administrative errors." In addition, the audit adds that there are delays of up to 144 calendar days on average to obtain prostheses intended for operation patients.
Moreover, the AGCBA argues that, although the hours worked in extra shifts are not formally regulated, they are controversial due to lack of settled relationships between hours and the corresponding clinical activity at the Fernandez, "professionals who recorded hours with this method make up 60.37% of the total hours worked "generating" an expenditure on this account with a monthly average of $ 217,938.33." While, on the regular hours were $248,649.95.
The City Watchdog found that in addition there is no "credible record certifying the effective implementation of those hours", mainly because the person responsible for its control is the Head of the office where they are computed, "there being no control due to interests.”