{"id":2829,"date":"2020-04-16T14:04:34","date_gmt":"2020-04-16T14:04:34","guid":{"rendered":"\/?p=2829"},"modified":"2020-04-16T14:04:34","modified_gmt":"2020-04-16T14:04:34","slug":"the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/da_dk\/the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis\/","title":{"rendered":"Mobil sundhedsplejes rolle i at underst\u00f8tte NHS-resiliens i COVID-19-krisen"},"content":{"rendered":"

Mens opf\u00f8relsen af store, midlertidige felthospitaler f\u00e5r de fleste overskrifter i \u00f8jeblikket, foreg\u00e5r der ogs\u00e5 en enorm m\u00e6ngde arbejde bag kulisserne p\u00e5 NHS-truster og hospitaler over hele landet for at forbedre modstandsdygtigheden, og i nogle tilf\u00e6lde Vanguard's fl\u00e5de af mobile sundhedsfaciliteter har spillet en n\u00f8glerolle.<\/p>\n

NHSE har beordret alle hospitaler til at frig\u00f8re kapacitet ved at udskrive ikke-kritiske patienter og indstille alle planlagte og elektive procedurer senest den 15. april for at forberede sig p\u00e5 den forventede stigning i Covid-19-relaterede indl\u00e6ggelser. Til dato er over 30.000 sengepladser, svarende til over 50 nye hospitaler, blevet frigivet eller skabt p\u00e5 tv\u00e6rs af eksisterende NHS-hospitaler til coronavirus-inficerede patienter. Dette repr\u00e6senterer en f\u00e6nomenal pr\u00e6station og viser, hvor lydh\u00f8r NHS kan v\u00e6re i en st\u00f8rre situation.<\/p>\n

Mange hospitaler har haft behov for at genbruge det indre rum og omfordele ressourcer p\u00e5 forskellige m\u00e5der for at frig\u00f8re omr\u00e5der p\u00e5 hospitalet til Covid-19-patienter. At konvertere eksisterende plads til en afdeling eller et anl\u00e6g, der er egnet til dette form\u00e5l, er dog ikke n\u00f8dvendigvis s\u00e5 ligetil eller hurtigt at g\u00f8re. Det har frem for alt kr\u00e6vet omhyggelig planl\u00e6gning under hensyntagen til hele hospitalets ejendom og ressourcer.<\/p>\n

Reagerer p\u00e5 udfordringen<\/strong><\/p>\n

Vejledning udstedt af regeringen<\/a> i marts for ledere og ejendomsteams, der \u00f8nsker at omdanne en eksisterende facilitet til en midlertidig Covid-19-afdeling til at huse intuberede patienter, erkendte den hastighed, hvormed hospitaler skal tilpasse sig, og var passende pragmatisk. Den fastsl\u00e5r, at ved identificering af egnede lokaliteter b\u00f8r eksisterende trafikstr\u00f8mme tages i betragtning, og eventuelle gennemk\u00f8rende ruter for ikke-Covid-19-trafik b\u00f8r undg\u00e5s. Logistiske str\u00f8mme, ren og snavset affaldsh\u00e5ndtering skal ogs\u00e5 tages i betragtning.<\/p>\n

Et andet n\u00f8glekrav er tilstr\u00e6kkelig ventilation og udsugning, da det h\u00f8je antal ventilatorer i brug kan berige luften med ilt og derved \u00f8ge forbr\u00e6ndingsrisikoen. En r\u00e6kke andre planl\u00e6gningsm\u00e6ssige overvejelser skal ogs\u00e5 overvejes, s\u00e5som brandsikkerhed i betragtning af \u00e6ndringen i layout og brug, is\u00e6r hvis der er behov for byggearbejde for at omdanne rummet. Ud over tilslutninger til medicinsk gas og ilt har sengepladser ogs\u00e5 brug for yderligere forbindelser og plads omkring dem til udstyr, der bruges periodisk i sengeomr\u00e5det.<\/p>\n

Den seneste vejledning fastsl\u00e5r ogs\u00e5, at hvor det er muligt, b\u00f8r et udpeget selvst\u00e6ndigt omr\u00e5de eller fl\u00f8j af sundhedsfaciliteten bruges til behandling og pleje af patienter med Covid-19. Dette omr\u00e5de b\u00f8r ideelt set have en separat ind- og udgang og en separat reception og m\u00e5 ikke bruges som f\u00e6rdsels\u00e5re af andre patienter, bes\u00f8gende eller personale, herunder patienter, der flyttes, personale, der g\u00e5r til spisepauser, og personale og bes\u00f8gende, der kommer ind og ud af bygning. Det skal ogs\u00e5 adskilles fra ikke-adskilte omr\u00e5der med lukkede d\u00f8re.<\/p>\n

Brug af fleksible sundhedsl\u00f8sninger<\/strong><\/p>\n

Som Vanguard's mobil teatre<\/a> og afdelinger<\/a> er selvst\u00e6ndige enheder, de er s\u00e6rligt velegnede til behandling af inficerede patienter, der kr\u00e6ver isolation, eller til at yde kritisk kirurgi eller behandling v\u00e6k fra Covid-19 omr\u00e5der p\u00e5 hospitalet. Derudover opfylder de allerede de relevante standarder, s\u00e5 de kan hurtigt genbruges for at give ekstra sengepladser.<\/p>\n

Hvad der dog er kommet frem i de seneste uger er, at hospitalsledere med et Vanguard mobilt teater, behandlingsfacilitet, CSSD-enhed eller afdeling, der allerede er p\u00e5 stedet, ser denne enhed som en vital udvidelse af deres egen kliniske ejendom og som n\u00f8glen til Covid-19-kapacitet planl\u00e6gning p\u00e5 hospitalet.<\/p>\n

Enhedens ekstra eksterne kapacitet har givet nogle hospitaler mulighed for bedre at koreografere deres \u00e6ndringer p\u00e5 tv\u00e6rs af ejendommen som helhed for at yde uafbrudt pleje til patienter i en situation, der \u00e6ndrer sig dagligt.<\/p>\n

I de seneste uger har Vanguards fl\u00e5de af mobile afdelinger, operationsstuer og endoskopi suiter<\/a> er blevet genbrugt p\u00e5 en r\u00e6kke forskellige m\u00e5der som en del af hospitalernes Covid-19 planl\u00e6gning, som en del af deres overordnede plan for at \u00f8ge modstandskraften. Den resulterende l\u00f8sning og den eventuelle brug af den mobile facilitet har afh\u00e6ngt af hvert hospitals individuelle behov, placeringen af enheden p\u00e5 hvert sted og dens n\u00e6rhed til bestemte afdelinger.<\/p>\n

Akutkirurgi og v\u00e6sentlig behandling<\/strong><\/p>\n

Da hastighed er af afg\u00f8rende betydning, opfordres hospitaler til at identificere de omr\u00e5der, der kan konverteres effektivt med et minimum af \u00e6ndringer, s\u00e5som eksisterende afdelinger, teatre og kateteriseringslaboratorier, herunder forberedelses- og skrubbeomr\u00e5der. P\u00e5 grund af behovet for medicinske gasser og yderligere ilt, oplever mange hospitaler, at det optimale sted at tilf\u00f8je Covid-19-kapacitet er inden for en eksisterende operationsafdeling.<\/p>\n

NHS er blevet kraftigt opfordret af dets strategiske h\u00e6ndelsesdirekt\u00f8r, professor Keith Willett, til at sikre, at n\u00e5r de ser tilbage efter denne krise, at de ikke har gjort s\u00e5 meget skade p\u00e5 ikke-Covid-patienter, der har behov for akut behandling, som de har gjort mod positive til at st\u00f8tte Covid-19 patienter.<\/p>\n

Som f\u00f8lge heraf bruger en r\u00e6kke hospitaler med et Vanguard mobilt teater eller afdeling p\u00e5 stedet den mobile facilitet til at dekantere eksisterende internt kirurgisk eller klinisk rum. Eksempler p\u00e5 procedurer, der nu udf\u00f8res i Vanguards mobile enheder, omfatter akut kirurgi, akut behandling s\u00e5som kr\u00e6ftbehandling og behandling af traumepatienter.<\/p>\n

Et hospital bruger deres operationsstue til akut plastikarbejde og dermatologi, mens et andet bruger deres til akut obstetrik. N\u00f8glen til dette har v\u00e6ret fleksibiliteten af disse faciliteter, idet de kan genbruges meget hurtigt, afh\u00e6ngigt af den \u00f8nskede anvendelse.<\/p>\n

En anden fordel er enhedernes mobile karakter, da de relativt nemt kan flyttes, hvor der er mest brug for dem. I Skotland overvejer et sundhedsr\u00e5d at flytte deres mobile teater til et andet hospitalssted inden for samme bestyrelse, hvor behovet er st\u00f8rre.<\/p>\n

COVID-19 og patientisolation<\/strong><\/p>\n

En mobil eller modul\u00e6r afdeling kunne omdannes til en niveau 1 respiratorisk st\u00f8tteafdeling, mens mobile operationsstuer skal have potentiale til at blive genbrugt som HDU- eller ITU-afdelinger eller bruges til procedurer og behandlinger, der nyder godt af den ekstra isolation.<\/p>\n

Nogle enheder bruges ogs\u00e5 til at isolere patienter, der udviser formodede Covid-19-symptomer, men som afventer yderligere vurdering. Et st\u00f8rre regionalt hospital har midlertidigt omdannet deres mobile facilitet som en kirurgisk observationssuite for at hj\u00e6lpe med at lette presset i andre omr\u00e5der af hospitalet, mens andre bruger mobile teatre og afdelinger til kritisk dagkirurgi for at holde patienter v\u00e6k fra Covid-19-zoner inden for hovedhospitalet.<\/p>\n

Tilf\u00f8jet fleksibilitet<\/strong><\/p>\n

Fordi Vanguard's mobile sundhedsfaciliteter allerede opfylder de fleste af de relevante standarder, kan de omform\u00e5les til at im\u00f8dekomme en \u00e6ndring af brug, efterh\u00e5nden som situationen \u00e6ndrer sig, uanset om det er tilf\u00f8jelse af ITU sengepladser eller yderligere behandlingskapacitet, uden at st\u00e5 over for mange af de s\u00e6dvanlige problemer forbundet med konvertering et eksisterende anl\u00e6g eller opf\u00f8relse af en ny bygning eller afdeling.<\/p>\n

Nogle hospitaler har identificeret behovet for yderligere plads til andre form\u00e5l, for eksempel til at st\u00f8tte personalet ved at stille h\u00e5rdt tiltr\u00e6ngte hvileomr\u00e5der eller stille omkl\u00e6dningsfaciliteter til r\u00e5dighed, der skal placeres adskilt fra enten inficerede eller ikke-inficerede patienter. Vanguard har ogs\u00e5 v\u00e6ret i stand til at donere en r\u00e6kke ekstra ventilatorer til NHS.<\/p>\n

I mange tilf\u00e6lde er Vanguards erfarne kliniske st\u00f8ttepersonale blevet omplaceret, enten inden for enheden eller i andre omr\u00e5der af hospitalet, herunder Covid-19-zoner, for at yde st\u00f8tte til det hospital, hvor der er mest behov for det. Skulle der kr\u00e6ves et ombygget teater for at \u00f8ge den kirurgiske kapacitet, kan det meget hurtigt omdannes til en fuldt bemandet operationsstue.<\/p>\n

Fremtidig kapacitet<\/strong><\/p>\n

Det er uundg\u00e5eligt, at n\u00e5r den umiddelbare krise er overst\u00e5et, vil patienterne st\u00e5 over for lange ventelister for procedurer, der er blevet udskudt eller aflyst under krisen. Derfor overvejer en r\u00e6kke hospitaler allerede nu, hvordan de skal h\u00e5ndtere den forventede stigning i eftersp\u00f8rgslen efter operation, diagnostik og forskellige behandlingsformer.<\/p>\n

Det giver mening at planl\u00e6gge i forvejen for brugen af fleksible sundhedsfaciliteter, der hurtigt kan implementeres for at give yderligere kapacitet og forbedre modstandskraften p\u00e5 hospitaler, og som kan fjernes eller flyttes, n\u00e5r det ikke l\u00e6ngere er n\u00f8dvendigt for at forts\u00e6tte med at yde st\u00f8tte, hvor der er mest behov for det.<\/p>","protected":false},"excerpt":{"rendered":"

Mens opf\u00f8relsen af store, midlertidige felthospitaler f\u00e5r de fleste overskrifter i \u00f8jeblikket, foreg\u00e5r der ogs\u00e5 en enorm m\u00e6ngde arbejde bag kulisserne p\u00e5 NHS-truster og hospitaler over hele landet for at forbedre modstandsdygtigheden, og i nogle tilf\u00e6lde Vanguard's fl\u00e5de af mobile sundhedsfaciliteter har spillet en n\u00f8glerolle.<\/p>","protected":false},"author":1,"featured_media":1346,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[5,122,138],"class_list":["post-2829","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-mobile","tag-operating-theatre","tag-ward"],"acf":[],"yoast_head":"\nThe role of mobile healthcare in supporting NHS resilience in the COVID-19 crisis - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"The role of mobile healthcare in supporting NHS resilience in the Covid-19 crisis by providing additional capacity and flexibility\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vanguardhealthcare.co.uk\/da_dk\/the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The role of mobile healthcare in supporting NHS resilience in the COVID-19 crisis - 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