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Today's world has been presenting a multiple transformation in the labor and public health context, causing workers to have new demands on their activities and causing the manifestation of the Burnout syndrome. This has been defined as a result due to chronic work stress, made up of negative attitudes and feelings towards people in their work environment, their own professional role, among others. At the Traumas y Fracturas Clinic, workers can develop chronic stress that generates certain health alterations such as: physical, psychological, social and work disturbances, which leads to exhaustion. Burnout syndrome has become a psychosocial problem and therefore it is necessary to know widely how we can help health personnel to avoid damage associated with the syndrome since they are the front-line warriors in this battle against COVID-19. This study will allow a better understanding of the emotional state, experience and risks to which they are exposed during the pandemic and thus the protection of personnel through an improvement plan that helps minimize the manifestation of the syndrome in human talent of the Clinic, determining what strategies and tools should be applied specifically to improve prevention plans for this phenomenon, analyzing the prevalence of factors associated with Burnout Syndrome in health professionals in the emergency department, in the period of March to June 2021 of the Trauma and Fracture Clinic. An evaluation instrument called Maslash Burnout Inventory was used, the objective of which is to identify which individual has the necessary characteristics to suffer from this phenomenon, through 3 items which are high emotional exhaustion, high depersonalization and low personal fulfillment. The results shown show that 7.1%, which is equivalent to 3 workers, have this syndrome and 92.9%, which is equivalent to 39 workers, do not. In conclusion, the institution must consider the importance of promoting prevention programs that avoid the deterioration of health, helping not only to improve the organizational climate but also to the management of self-care measures in the 10 personnel, creating security and confidence in them, to that their productivity and charisms are intact even in extreme conditions such as a pandemic, ensuring that they provide effective performance in accordance with the objectives of the organization.

El presente informe tiene por objetivo realizar un plan de mejoramiento para mitigar síndrome del edificio enfermo en el área de auditoría de cuentas de una institución prestadora de salud en córdoba, 2021. Se hizo un diagnóstico en el área de Auditoría de Cuentas Médicas de la clínica de Traumas y fracturas ya que se evidenció que los funcionarios del área están la mayor parte del tiempo sentados. Una vez se obtuvo el diagnóstico de la Práctica Institucional en la que se evidenció que no se había desarrollado este tipo de estudios, se observaron las condiciones locativas previas en la que se observan espacios reducidos y algunos síntomas osteomusculares, se procedió al diseño y ejecución de un estudio descriptivo, transversal, observacional. Se pudo determinar la presencia del SEE en la salud de los funcionarios del área de auditoría de cuentas médicas de la clínica de Traumas y Fracturas, en el cual se evidenciaron factores físicos en el ambiente locativo como los propios de las oficinas cerradas, factores sicosociales como la percepción de excesiva carga laboral y sintomatología propia del SEE como los oculares, dermatológicos, respiratorios y osteomusculares.

Hospital waste and the like are those products generated from health activities, with the characteristic of being potentially contaminating as they have been used in clinical treatments, making them risky for both healthcare, administrative and general services staff as well as patients and visitors; hence the need to carry out a literary review in the Scopus, ScienceDirect and Embase databases of the scientific production (articles) associated with this topic during the period between 2015 - 2020; taking into account indicators such as the total number of articles published per year, number of citations received, main journals, average number of citations per year, name, country and institutional affiliation of the most cited authors; The foregoing will be useful for the academic community when conducting an exhaustive review of the subject that will allow evidence of its evolution and management over time. This qualitative systematic review has as its unit of analysis the publications (articles) identified with the descriptors Medical AND Waste; Health AND Care AND Waste; AND Waste Hospital. In addition, the Excel tool was used for data processing. The analysis of the literary review carried out concludes the important role of health institutions, hospitals, clinics, laboratories and the like in the management of their hospital waste, as well as the relevance of continuous training in these organizations for all collaborators in order to create social and environmental awareness. This study aims to contribute to the field of environmental management from the Health Administration of the University of Córdoba, and serve as a consultation for students and teachers and in the same way promote research.

This internship report was developed at the Central Clinic of the municipality of Monteria. The objective was to establish the elements of safety and protection in the imaging unit for patients and workers of the Central clinic. The methodology that was applied to said project was divided into four phases; the first was a diagnostic analysis, in phase 2 the information obtained in a 5W1H technique was systematized, in phase 3 the analysis of the documents that make up the radiological risk management manual was carried out in accordance with current regulations and they were socialized risks with internal and external stakeholders. In phase 4, an evaluation of the documents was made and a structure of the recommendations made was generated. From the results it was observed that the current regulations were not complied with and there was no relationship between what was planned and what was executed. Due to this, the risk manual was updated in its entirety and was entitled radiology protection manual. Divided into two parts: radiological surveillance and radiological protection. In conclusion, the risk manuals of the aforementioned clinic should be kept updated to improve the quality of the service offered.