The aspect of greatest relevance for the maintenance of the ambulatory is to keep it in safe, efficient and minimizing economic resources, preventing damage or repairing them, based on established processes and a program developed and evaluated on a monthly basis, in order to guarantee optimum quality in the physical environment for the safe performance of internal customers who find opportunity in requesting service, compliance in preventive maintenance, information during corrective maintenance, service reliability, integral service, sense of belonging.

For this purpose, some records were implemented in which management indicators were obtained in order to determine the fulfillment of goals or establish the improvement plan in case of not reaching said goals.

In this way, the Rural Outpatient Type II, develops actions tending to ensure the efficient and continuous operation of environments, facilities, equipment, through prevention, conservation and improvement thereof, in order to achieve greater useful life, safety of operation and economy in costs. In this sense, the maintenance comes to have connotation, when it is kept in continuous operation, reliable, safe, economic all the facilities, buildings and equipment that the institution has for the provision of health care to the community.



  • Optimize security, integrity and quality at minimum cost.
  • Preserve the functions of physical assets to avoid, eliminate or minimize the consequences that failures may generate in them.
  • Obtain information to develop adequate and successful maintenance strategies.
  • Counteract the effects of moisture on the walls of the building
  • Improve the condition of the roof of the building.



It is a simple ambulatory 17.00 meters long by 12.00 meters wide sectional plan rectangular. It is divided into two (02) modules, the first consisting of the room located at the entrance to the ambulatory where there are usually chairs for the comfort of patients, the dental office, and a general assistance office which has an independent bathroom , this module measures 10.20 meters long by 5.20 meters wide.

The second environment is composed of the reception where patients proceed to present their needs which they want to be attended, presents two multiple use offices where they are often vaccinated and consultations are made to people as minor problems, an office that time is the warehouse where all the medicines and instruments of vital importance for the operation of the health center are stored and protected, and the emergency room for exceptional cases that require immediate attention, of dimensions 8.00 meters wide by 10, 20 meters long; to its time it has two (02) bathrooms of 1.80 meters by 1.50 meters wide, they have a WC and sinks respectively.

Between both modules is a corridor that separates them from 2.00 meters wide, which is not protected against climate changes, like the backyard that is in total abandonment this measures 2.90 wide by 10.20 in length.

The roof of each module of the ambulatory is two (02) waters with tongue and groove roof, Creole tile and asphalt mantle. At the present time it was possible to determine that the roof undergoes tile shedding and deterioration of the asphalt mantle, for which reason it is necessary the removal of the tiles and the asphalt mantle and the placement of the same. In relation to the internal walls it is observed detachment of the painting and friezes, reason why it is necessary to ring part of the affected area, to frieze again and to paint all the internal walls. With regard to the external walls, only the painting works are required, as well as the covering of the windows and the main door.

In the internal part, perimeter walls are covered with ceramic at 1.40 meters of the total height of each wall, which are deteriorated, so it is necessary to remove the existing ceramic and re-coat the walls with porcelain that the entire floor of the building.

For this, the following activities are scheduled to take place:

  • Replica of friezes to receive finish
  • Repicado of Floors and Walls for Coating Placement
  • Removal of Clay Tiles
  • Hand Loading Material from Demolitions or Site Preparation
  • Non-Urban Transportation in Trucks, Land, Aggregates and Debris. Measured in a loose state at distances greater than 5 km and up to 10 km inclusive
  • Waterproofing in Inclined Roofs of Wood with Asphalt Membrane and Polyester Reinforcement E = 4 Mm Not Adherido in Warm with Torch and Finished with Creole Clay Tiles.
  • Construction of floor and wall cladding with porcelain. Includes Base Mortar
  • Construction of Wall Covering with Lime-based Mortar, Smooth Finish, Includes Base Friso.
  • Painting in Walls
  • Enamel Paint on Metal Doors
  • Enamel Paint in Windows and Metal Bars
  • Enamel Paint in Metallic Frames with Epoxy Paint
  • Variation in prices, estimated based on ten (10%) percent of the amount obtained for the costs generated by the aforementioned activities.

The scheduled time to execute this maintenance plan according to the aforementioned activities and according to what is established in the physical execution schedule, a period of one (01) month has been estimated.

Information gathering technique






According to the web portal (www.calidad.org) indicates that the checklist is a tool that can be used to systematically observe a process by occupying a list of closed questions. The leader of the Work group, manager or area manager can through the use of this tool, analyze the problems or find out if the solution to a problem has been implemented properly and is providing the expected results.

A checklist can also be used to verify if a process has consistency based on the flowchart of the same. It is suggested to use this tool when you want to make sure that the different service providers inside and outside the organization are complying with the established standards.

In the case of this research, it was used to determine the different faults that affect the Type II La Pedregosa Rural Outpatient Clinic according to the thesis criteria.




It is a technique of collecting information that involves an interrogation in which the questions established in advance are always presented in the same order and are formulated with the same terms, with the aim that a second researcher can repeat it following the same steps. say, it has a systematic nature. It is a form of survey characterized by the absence of the interviewer.

For this type of research a questionnaire with a format of closed answers was used for people not specialized in the area.




For Hernández, Fernández and Baptista (1998) “validity in general terms refers to the degree to which an instrument really measures the variable it wants to measure” (p.243)

The validation of this project was obtained through expert judgment, an activity that was reviewed in all the phases of the investigation, in order to submit the model to the consideration and judgment of experts of the subject in terms of Drafting and Methodology refers and thus facilitate the methodological assembly, both in form and substance, with the sole purpose of its evaluation and when considering it, make the corrections that may take place, in order to guarantee the quality and certainty of the model.


Data Analysis Techniques


For Cabrero (2003), quantitative studies tend to be highly structured, so that the researcher specifies the main characteristics of the design before obtaining a single data. On the contrary, the design of qualitative studies is more flexible; it allows and even stimulates the realization of adjustments, in order to take advantage of the information gathered in the early phases of its realization.

With the aforementioned it is determined that this research is of a qualitative nature, since the data was collected directly in the sites where the faults were generated, in a systematic way with different instruments at the convenience of the data collector.


Research limitations


So far there have been no limitations in the realization of the project.





This chapter is based on the presentation of the data obtained through the instruments designed for the study of the research, and to know which problem the rural ambulatory type 2 suffers from the stony one. The results show that people who live and work in the health center are not satisfied with the current state of it.

In the research, qualitative data collection instruments were used, such as a questionnaire and a checklist. In order to apply these elements, it was necessary to go directly to the site that is the axis of the research and take into account all the small details find in him. The questionnaire was applied to 15 people who work in the Type II La Pedregosa Rural Outpatient Clinic, through which they consulted the opinion of said persons when asked about each constructive element of said facilities.

The direct observation has allowed to appreciate the problem, being to his of great help for the investigation, allowing to differentiate the types of faults that presents the structure, as well as the roof and the facilities of the place

Next, we proceed to structure the information collected from the aforementioned mixtures and the data obtained through the execution of the research instruments and the tests carried out for their respective analysis and interpretation.










The maintenance plan allows the institution to have a record of all the aspects that concern the maintenance of the facilities and equipment by making a detailed list of the activities that need a good and the costs and time intervals to optimize its operation and facilitate the activities of the University.

Determination of possible solutions


Phase III: determination of possible solutions

Stage I: We proceeded to determine the possible solutions that must be made to solve the constructive problems that the construction of the rural ambulatory II La Pedregosa has, through the creation of a report where the techniques are established, and the necessary measures to be able solve the problems of each constructive element of the structure of the health center.


Phase IV: Proposal

Stage I: A corrective maintenance plan was drawn up corresponding to the labor, materials and techniques that should be used to repair the construction deficiencies of the stony type II rural outpatient clinic.

Stage II: A budget and the metric calculations of the health center were prepared.

Stage III: Delivery of the project.

Population and Sample




According to Hernández, Fernández and Baptista (2000), a population is the set of all the cases that agree with a series of specifications. In effect, the population or universe refers to the set for which the conclusions obtained will be valid: to the elements or units involved in the investigation. On the other hand, the sample is a representative subset of a universe or population.

Following this order of ideas, the population of this research is made up of the 15 people who live and work in the Type II La Pedregosa Rural Outpatient Clinic.




According to Sabino (2002), the sample is a part of the whole that we call the universe and that serves to represent it.

In this case, the research sample has the same characteristics of the population.


Techniques and Instruments of Data Collection


The investigation was carried out following a non-experimental model. This allows the researcher to approach the reality to know it, understand it and give answers to the questions and hypotheses that arise from the interaction between the subject and the object. Camacho (2006).

In order to obtain the necessary data for the study and based on the proposed research design, a series of instruments or techniques for collecting the information must be designed. According to Sabino, (2002), an instrument of data collection is, in principle, any resource that the researcher uses to approach the phenomena and obtain information from them.




Documentary Review


According to Arias (2006) it is a document review and registration technique that bases the purpose of the research and allows the development of the theoretical and / or conceptual framework, which is inscribed in the type of exploratory, descriptive, ethnographic, fundamental theory , but that approaches all investigative paradigm (quantitative, qualitative or both) as it makes contributions to the theoretical framework.

For the development of this research, the documentary sources were identified, which are represented by regulations, laws, regulations and decrees, and bibliographic information related to the topic, which can respond to the needs raised for the corrective maintenance plan in the construction of rural type II La Pedregosa outpatient clinic.


Direct observation


For Arias (1998) observation is an activity performed by a living being (humans, animals, etc.), which detects and assimilates the features of an element using the senses as main instruments. The term can also refer to any data collected during this activity as a research technique, consists in “seeing” and “hearing” the facts and phenomena that we want to study, and is used fundamentally to know facts, behaviors and collective behaviors.

For this research, the use of observation was applied. It should be noted that in any data collection technique, the researcher must define the objectives he pursues, determine his unit of observation, the conditions under which he will assume it and the behaviors that should be recorded. For this purpose, a checklist can be used to determine the problems that exist in the health center.


The survey


According to Kuby (2005), A survey is an observational study in which the researcher seeks to collect data by means of a previously designed questionnaire, without modifying the environment or controlling the process that is under observation (as it does in an experiment). The data is obtained by making a set of standardized questions addressed to a representative sample or to the total set of the statistical population under study, often composed of individuals, companies or institutional bodies, in order to know opinion states, characteristics or specific facts . The researcher must select the most convenient questions, according to the nature of the investigation.

Standards related to indicators

Index: It is the quantitative relationship between the goals planned, the objectives, the standards related to the indicators and the results achieved. (Zerpa 2005).


Input: Financial, material, human, technological and information resources that the organization must have or require to start the production process. (Wolf 2000).


Interpretation: It consists of specifying how the result of what has been measured or expressed quantitatively will be read. Also establish how it could be plotted for follow-up. (Segarra 2001).


Goals: Specific purposes or purposes to be achieved; In general, they entail the quantification of the expected results in a determined period, the goals must always be oriented to the realization of the mission and the objectives of the organization. (Flórez 2003).


Measurement: It is to determine an amount comparing it with another one. (Lugo 2001).


Objectives: Are the purposes or general purposes that organizations intend to achieve. (Flórez 2003).


Process: Activities, tasks and steps to be developed. (Arriaga 2005).


Painting: The paint is a fluid product that, applied on a surface in relatively thin layers, is transformed over time into a solid film that adheres to said surface, in such a way that it covers, protects and decorates the element on which has been applied. (Ferrer 2012).


Products: Goods or services that result from using the inputs and adding value through the processes. (Meyer 2010).


Useful life: it is the period during which it is expected to use an asset. (Albaladejo 2000).




Modality of the Investigation


The UPEL (1998) defines the feasible project as a study “that consists of the investigation, elaboration and development of a proposal of a viable operative model to solve problems, requirements or needs of organizations or social groups”. The proposal that defines it can refer to the formulation of policies, programs, technologies, methods or processes, which only make sense in the scope of their needs.

With the aforementioned, this proposal is a feasible project since a corrective maintenance plan will be carried out in the structure of the Type II Rural Outpatient Clinic, which would solve the problems of the same and may be executed when the community managers arrange it, but limiting itself to a theoretical study which is characterized by the development of a non-experimental investigation.


Kind of investigation


Méndez (2001), points out that the descriptive study identifies characteristics of the research universe, indicates forms of behavior and attitudes of the investigated universe, establishes concrete behaviors and discovers and verifies the association between research variables. The studies oriented to the verification of causal hypotheses can be defined as an explanatory study; that is, identification and analysis of the causes and their results.

According to Sabino (2002) in the field designs the data of interest are collected directly from reality, through the concrete work of the researcher and his team. Its undeniable value lies in the fact that through them the researcher can verify the true conditions in which their data have been obtained, making it possible to revise or modify them in case doubts arise regarding their quality.

Therefore, the present study is descriptive and field, since only the formulation of the corrective maintenance plan was carried out, based on the description of a series of activities that need to be executed with the purpose of improving the facilities in the building.


Research Procedure


In order to comply with the general objective and the specific ones planned in the study, stages of development have been established consisting of a series of activities that constitute the methodological phases that comprise the project.


Phase I: Documentary Investigation

Stage I: A bibliographic review was made where a review of a series of sources that refer to the subject of corrective maintenance, all the parameters and techniques that must be taken into account for their execution.


Phase II: Diagnosis

Stage I: The current conditions in which the structure of the rural outpatient clinic Type II La Pedregosa is found, to carry out this stage, it is necessary to review each constructive element of the ambulatory building.

Stage II: A checklist and a questionnaire were prepared, and will be applied to the staff members who work in the health center to diagnose the current conditions of the same.

Stage III: A planimetric survey of the building was carried out.

Stage IV: A photographic record of the building was made.

Quality certification

The guarantee or proof of a certain product made in Venezuela, that has fulfilled all the requirements and that has been subject to quality certification, is obtained through the acquisition of the Norven seal and its exhibition in a certain product means that it was prepared in accordance to the requirements of the Venezuelan committee of covenin industrial standards and under the rigorous tests and controls established in order to achieve optimum quality.

Covenin currently has an operational unit, represented in the direction of standardization and certification of quality control, which has inherence in the technical issues inherent to the information and application of the rules that guide the activities of standardization and quality control in Venezuela .

In this report, the following norms were used:

  • Venezuelan Industrial Standards Commission, COVENIN, Standards 3049-93 (2001) Maintenance. Definitions.
  • Venezuelan Commission for Industrial Standards, COVENIN, Standards 2256 (2001) Radiological Protection. Definitions.
  • Venezuelan Commission for Industrial Standards, COVENIN, Standards 2500-93 (2005) Manual for Evaluating Maintenance Systems in the Industry.


Variable System


In the descriptive research study, it is intended to clearly delimit the variables subject to be studied by reference to an empirical set. According to Hernández (2007) they define a variable as an object, process or characteristic that is present, or supposedly present, in the phenomenon that a scientist wants to study. Objects, processes or characteristics are called variables insofar as their modification causes a modification in another object, process or characteristic. The main variables that research in psychology usually refers to may be independent and dependent.




Dependent variable


Hernández (2007) defines that the Dependent Variable is the one that refers to the changes suffered by the subjects as a consequence of the manipulation of the independent variable by the experimenter. In this case the name says it explicitly, it will depend on something that makes it vary. The dependent variables are the ones that are measured.

The dependent variable in this case refers to the building of the ambulatory since it depends on the corrective maintenance plan to enable rehabilitation.


Independent variable


Hernández (2007) define that the independent variable is the phenomenon to which its ability to influence, influence or affect other variables will be evaluated. It is that characteristic or property that is supposed to be the cause of the phenomenon studied. In experimental research, it is called the variable that the researcher manipulates. That are manipulated experimentally by a researcher.

The independent variable in this case refers to the corrective maintenance plan, since it does not depend on any other factor to be executed.


Definition of Basic Terms.


Finishes: It is known as finishes, coatings or coatings to all those materials that are placed on a black work surface, to finish the works, leaving it with a habitable aspect. In other words, they are the final materials that are placed on floors, walls, soffits, roofs, holes or openings like windows, doors of a construction. (Ferrer 2012).


Concrete: it is a material of construction of high resistance constituted basically of water, cement and sand. (Albaladejo 2000).


Community: Community is a group or group of individuals, human beings, or animals (or any other type of life) that share common elements, such as a language, customs, values, tasks, world view, age, location geographic (a neighborhood for example), social status and roles. (Pérez 2001).


Data: Numerical information of a characteristic, which does not add value. (Rojas 2004).


Efficacy: Are those that only measure the fulfillment of the objective regardless of the excess costs or waste of the process. That is, the goal was met, the rest does not matter. (Zerpa 2005).


Efficiency: They are indicators that measure the fulfillment of objectives taking into account the resources that imply such compliance. That is, the goal was met with the best use of resources. (Zerpa 2005).


Friezes: The frieze of a room is the part of the wall on the molding for pictures and under the crown molding or the cornice. A frieze is a long decorative band painted, sculpted or even calligraphy in that place, above the level of the eyes. Decorative friezes can represent scenes in a sequence of separate panels. The material from which the frieze is made can be plaster, carved wood or some other decorative medium. (Ferrer 2012).

Hospital and Ambulatory Care

Article 6. The Head of the Sanitary District shall communicate in writing to the Regional Directorate of the National Health System, Office of the Sanitary Comptroller, the granting of the operating permit of the Establishment with its number and date, attaching the Registration Form for Medical-Care Establishments . The aforementioned office will request the Directorate of Regulation and Control of Materials, Equipment, Establishments and Health Professions, to carry out the corresponding National Registry, which will be communicated to the Head of the Health District and the interested party.

Article 7. They are the duties of the Directors of the Medical Establishments

Hospitable and Outpatient Care:

  1. a) Create and maintain an office for the conservation and management of clinical records and reports of auxiliary tests that are practiced on patients, in those Hospital Establishments and in the outpatient clinics with observation of patients for a maximum period of twelve (12 ) hours. This office must have specialized technical and auxiliary personnel, according to the guidelines of the Ministry of Health and Social Assistance.
  2. b) Keep a daily record of patients attended ambulatory indicating the causes, treatments received, interventions performed and final results of the service provided.
  3. c) Keep updated a daily record of surgical and obstetric procedures performed in those facilities that offer these services with the identification of patients attended, type of research and results of surgical interventions and in the obstetric case, the data referring to the product of the delivery or cesareans.
  4. d) Maintain the minimum and indispensable provision in the establishments with Emergency Room and Critical Medicine for the assistance of the cases that may arise, according to the norms of the Ministry of Health and Social Assistance.
  5. e) Enforce environmental hygiene standards and current provisions on liquid and solid, pathological and biological rights.
  6. f) Communicate to the health authorities thirty (30) days in advance,

The suspension, modification or opening of Services whose pre-projects have been approved by the Committee of Programs of Medical Sanitary Buildings the corresponding operating permit.

Social, which authorizes you to exercise your activities.

Article 9. Once the requirements demanded in the previous article have been met by the interested party, the Head of the Sanitary District, with the approval of the Regional Authority, will proceed to grant him the operating permit for a period not exceeding two (2) years. , which may be renewed through an act motivated by the Health Authorities.

Article 10. The head of the Sanitary District shall inform the office of the Sanitary Comptroller’s Office of the granting of the operating permit indicating its number and date, attaching the respective registration form. The aforementioned office will request the Directorate of Regulation and Control of Materials, Equipment, Establishments and Health Professions to carry out a corresponding national registry, which will be communicated to the Head of the Sanitary District and the interested party.

Article 17. The Sanitary Authorities will practice at least one (1) time a year inspections to each of the Health Establishments according to the form established for that purpose.

Article 18. The infractions of the “regulation on hospitalization clinics, hospitals, health houses, Nursing or similar” and of these norms, will be sanctioned according to what is established in the laws and regulations on the sanitary matter, without prejudice to the fact that they are applied sanctions established in other laws.

Article 20. As of the publication of this resolution in the Official Gazette, those establishments that do not comply with these regulations have a period of ninety (90) business days to comply with its provisions.

Article 21. Resolutions that contain standards that adhere to this Resolution are repealed.

The organic health law deals with all those rules that these types of institutions must follow to maximize their functioning COVENIN standards


The Venezuelan Industrial Standards Commission COVENIN emerged from the establishment of standardization in the country in 1958.

This commission is a collegiate body that advises the Ministry of Development and that is integrated by the elements of the public and private sectors.