Preparing For Your Trip
When choosing a team, make sure you can stay for the entire trip since the team will depend on you to fulfill your role on the team. Admission on a team is at the discretion of the team leader. Once the team leader admits you to their team, complete your profile immediately. Physicians and RNs have credentials requirements; these must be completed by the deadline.
Each volunteer pays a donation fee which covers round trip airfare and ground transportation to and from the hospital. Room & board, beverages, including filtered water, and laundry at the hospital are also included.
Hotel stays, meals outside the hospital, airport transfers and tips are not covered in the donation fee. Team members tip the staff and drivers; tips are not included in the donation fee.
*Since 2019 "jumper" flights from small airports to major airports are no longer covered. Ask your team leader if your airport is covered, since you may incur extra costs if you live in a rural area.
What to Bring:
It’s a good idea to order Guatemalan Quetzals from your bank prior to departure. You can also get Quetzals from ATMs in Guatemala. Most places outside Nuevo Progreso take debit or credit cards. Nuevo Progreso is rural; if you need to buy anything it’s easiest with Quetzals, and you get a better exchange rate if you do it before the trip.
Please add an International Package to your cell phone so you can be contacted while in Guatemala. This is most important for efficiency in the OR so you can be contacted when your case is ready. What’s App is also helpful. Check with your team leader to find out how they want to communicate in Guatemala.
We ask that you pack your personal items in a carry-on, in order to save the luggage allowance for medical supplies and equipment. You don’t need much more than a couple of casual outfits, pajamas and toiletries.
Sheets, towels and scrubs are provided. You’ll wear scrubs most of the time, they are laundered daily, so there's no need to pack a lot of clothing. You can put clothing in the laundry basket in your room each morning and you'll find it on the community table the next morning, clean and folded. Put your name on clothing sent to the laundry.
Bring comfortable shoes for long hours standing in the Operating Room. Days are hot and nights are cool, bring a light sweater or jacket and a rain jacket suitable for heavy rains which occur most days.
Bug spray and sunscreen are important.
If you're a light sleeper ear plugs are necessary->dogs,roosters,trucks,firecrackers,and team members are frequent sleep disturbances.
Bottled water is supplied in jugs around the facility so bring a refillable water bottle.
The food prepared in our kitchen is safe to eat but every year someone gets travelers diarrhea. It’s important to contact your physician and bring medication for travelers diarrhea, Lomotil and Pepto-bismal just in case.
The hospital Operating Room is fairly well equipped but if there is an instrument or supply that you feel you can’t function without, it is best to bring it with you.
What to expect:
When you arrive in Guatemala, if you didn’t bring Quetzals with you, you can get some at the airport for incidentals and tips while in the country. Your team leader will need to tip the bus driver on arrival in Nuevo Progreso so please have the Quetzals available before arrival at the hospital.
Once supplies are retrieved from baggage claim and you clear customs, the supplies are loaded onto a truck or bus.
The team will be transported via bus to Nuevo Progreso. The trip is 7-8 hours depending on traffic and the number and length of stops made. Depending on the team, there may be a lunch stop and a brief stop at a shopping center for last minute snacks or personal supplies such as toiletries or liquids that didn’t meet airline carry-on limits. Debit and Credit cards are accepted at the shopping center.
After arrival, you should have time to unpack and familiarize yourself with the hospital layout and begin setting up the Operating rooms. There will be an orientation at dinner.
Lodging at the hospital is dormitory style with multiple people to a room. Your room assignment will be posted on a bulletin board in the dormitory. If you have a roommate request let your team leader know if advance.
Housekeeping staff clean the rooms daily.
Religious nuns, who administrate the hospital, live on the top floor of the dormitory. Please be mindful of noise in the dormitory and keep your voices down after 11pm.
Meals are provided by a wonderful kitchen staff who do their best to accommodate special diets but no guarantees can be made. Eggs, beans and corn tortillas are plentiful and there are a few dishes they can make as vegetarian. If you have special dietary needs that may be hard to accommodate in a rural community, it’s probably best to pack some snacks and supplies for the week.
Electricity is fairly reliable, standard 110 Volts, you do not need adaptors. The hospital has an emergency generator for blackouts. Generator power is turned off at 10pm; it’s literally ‘lights out’ at 10 when using generator power.
There is Wifi at the hospital, it is slow and unreliable.
While the doctors are seeing their first patients, the rest of the volunteers get busy setting up the Operating rooms and getting familiar with the location of supplies.
The Guatemalan doctors evaluate patients prior to team arrival and schedule them as appropriate for the specialties on the team. Patients line up early, some patients show up unannounced. Patients are seen in the order they register and we see all the patients registered each day. Patients are told to be NPO in case their surgery is scheduled
Hospital de la Familia Foundation H&P should be completely filled in even if you write N/A - not applicable, or NE - not examined in the spaces. Consent Forms must be completed for all patients having surgery at the hospital, discuss the risks, benefits and alternatives of the procedure you are planning and make sure the patient understands what you have told them. The doctor giving consent and the patient need to sign the consent form.
Once scheduled for surgery give the chart to the clinic nurse, she will direct the patient. Patients go to the pharmacy, to pay a fee for the hospital stay and then to the pre-op area which is below the hospital. In the pre-op area they will get an IV, and have an anesthesia evaluation. If there is any question, about a patient qualifying medically for surgery, please discuss it with the team.
Patients are seen all day, even as we are doing surgery; if it’s not possible to keep clinic running all day, it’s important to send someone (scrub out) to clinic as soon as possible after each case.
The “Surgical Safety Checklist” must be used and documented prior to each case. Complete the Hospital de la Familia Foundation Operative Note immediately after every case, again fill in every blank. There are also standard order forms. The safety checklist, op notes and orders are kept in the pre-op area and should be placed on the chart prior to going to the OR. There are standardized forms for post-op rounds, and pre-printed discharge instructions to be used for each patient. Please make sure you are using only forms that have the HDLFF logo on the top.
We ask that you introduce yourself to the Guatemalan doctors as soon as possible upon arrival. These doctors are instrumental in pre-op evaluation, hospital care and post-op care of the patients. Please work together with them especially when discharging a patient to home. The local doctors completely understand travel and living conditions of the patient and when that patient is truly ready to go home. When there is a question, defer to them.
Every patient needs discharge instructions before going home, including instructions to call the hospital and the phone number to call in case of problems. The Guatemalan doctors can be very helpful with this.
It’s important to remember that each team is a temporary visitor to Nuevo Progreso. Please be friendly, polite and respectful to everyone, including your fellow team members. You'll be working hard in a new and foreign environment. There may be times when you have to deal with a different way of doing things, don’t have what you like or need, and feel tired or stressed. Please try to keep smiling and adjust your attitude as you help others less fortunate than yourself. Your efforts are very much appreciated.
The patients of this area are very poor. They may delay going to the doctor, going first to a spiritual healer or feeling financially unable to make the trip. Delays can cause their medical condition to progress to a degree not seen in the United States. Patients travel long distances from very rural communities, miss work, and pay for multiple bus rides to see us, while already struggling to make ends meet. Please respect their beliefs and the hurdles they must overcome to be treated by you as you explain their options to them.
Up to forty percent of the people in the rural mountainous communities of this area are indigenous Maya and do not speak Spanish or English. In most cases a family member will be present for visits to help explain what you are saying. Speak slowly and clearly to the interpreter and try to make certain the proper message has been received by the patient.
It's important to ask permission before taking a photo of someone, especially children.
Be mindful of what you post on social media.
Please be culturally sensitive in your interactions with the patients, the people who work at the hospital, and your team mates.
Remember, this is a team and everyone has a role to fill. You may be asked to rotate between roles and cross-cover. If you're not busy but others are, ask how you can help them. Make sure everyone has a chance to go to lunch or dinner. Do not leave the hospital to walk around town if your fellow team members are still working and might need a break; this can be a main source of discord within teams.
Health and Safety:
Crime in Guatemala is a problem, mostly along the borders and in certain areas of Guatemala City. It’s important to always be aware of your surroundings and belongings, as you would while traveling in any foreign country.
Nuevo Progreso is a friendly peaceful community, the community welcomes our visits. We do however recommend, not leaving the facility alone, take a buddy. Let someone know where you plan to go and when you expect to be back. This is important in case you get lost or hurt while out and about.
Do not to approach or pet stray animals in the streets due to risk of fleas, animal bites and rabies.
The food cooked at the hospital is safe to eat and bottled water is supplied. In spite of this, every once in a while a volunteer gets traveler’s diarrhea. We recommend asking your physician which medications to bring in case you become ill while traveling.
Nuevo Progreso's elevation is listed as an area at risk for Zika virus and they have seen a few cases. As a precaution the premises are periodically fumigated, especially prior to team visits. Mosquito nets have been installed in the dormitories. It's recommended to avoid stagnant water and use insect repellent during your stay. If you may be pregnant or are planning to get pregnant you should consult with your physician. Nuevo Progreso, Antigua and Guatemala City are not in a Malaria zone. No special vaccinations are needed.
Thank you for volunteering. We think you will be happy you did!