{"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\/is_is\/the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis\/","title":{"rendered":"Hlutverk fars\u00edmaheilbrig\u00f0is\u00fej\u00f3nustu vi\u00f0 a\u00f0 sty\u00f0ja vi\u00f0 seiglu NHS \u00ed COVID-19 kreppunni"},"content":{"rendered":"

\u00de\u00f3 a\u00f0 bygging t\u00edmabundinna sj\u00fakrah\u00fasa \u00ed st\u00f3rum st\u00edl s\u00e9 a\u00f0 f\u00e1 flestar fyrirsagnir um \u00feessar mundir, er gr\u00ed\u00f0arleg vinna \u00ed gangi \u00e1 bak vi\u00f0 tj\u00f6ldin hj\u00e1 NHS sj\u00f3\u00f0um og sj\u00fakrah\u00fasum um allt land til a\u00f0 b\u00e6ta seiglu, og \u00ed sumum tilfellum flota Vanguard. af f\u00e6ranlegum heilsug\u00e6slust\u00f6\u00f0vum hafa gegnt lykilhlutverki.<\/p>\n

NHSE hefur skipa\u00f0 \u00f6llum sj\u00fakrah\u00fasum a\u00f0 losa um getu me\u00f0 \u00fev\u00ed a\u00f0 \u00fatskrifa sj\u00faklinga sem ekki eru mikilv\u00e6gir og h\u00e6tta \u00f6llum fyrirhugu\u00f0um og valkv\u00e6\u00f0um a\u00f0ger\u00f0um \u00ed s\u00ed\u00f0asta lagi 15. apr\u00edl, til a\u00f0 undirb\u00faa sig fyrir v\u00e6ntanlegan aukningu \u00ed innl\u00f6gnum tengdum Covid-19. Hinga\u00f0 til hafa yfir 30.000 r\u00fam, jafngildir yfir 50 n\u00fdjum sj\u00fakrah\u00fasum, veri\u00f0 losu\u00f0 e\u00f0a b\u00fain til \u00e1 n\u00faverandi NHS sj\u00fakrah\u00fasum fyrir krans\u00e6\u00f0aveiru s\u00fdkta sj\u00faklinga. \u00deetta t\u00e1knar st\u00f3rkostlegt afrek og s\u00fdnir hversu m\u00f3tt\u00e6kilegt NHS getur veri\u00f0 \u00ed st\u00f3rum a\u00f0st\u00e6\u00f0um.<\/p>\n

M\u00f6rg sj\u00fakrah\u00fas hafa \u00feurft a\u00f0 endurn\u00fdta innra r\u00fdmi og endurskipuleggja fj\u00e1rmagn \u00e1 \u00fdmsan h\u00e1tt til a\u00f0 losa sv\u00e6\u00f0i innan sp\u00edtalans fyrir Covid-19 sj\u00faklinga. Hins vegar a\u00f0 breyta n\u00faverandi r\u00fdmi \u00ed deild e\u00f0a a\u00f0st\u00f6\u00f0u sem hentar \u00ed \u00feessum tilgangi er ekki endilega svo einfalt e\u00f0a flj\u00f3tlegt \u00ed framkv\u00e6md. \u00dea\u00f0 hefur umfram allt krafist vanda\u00f0rar skipulagningar \u00fear sem teki\u00f0 er tillit til alls b\u00fas og fj\u00e1rmuna sp\u00edtalans.<\/p>\n

A\u00f0 breg\u00f0ast vi\u00f0 \u00e1skoruninni<\/strong><\/p>\n

Lei\u00f0beiningar gefin \u00fat af r\u00edkisstj\u00f3rninni<\/a> mars fyrir stj\u00f3rnendur og b\u00fateymi sem vilja breyta n\u00faverandi a\u00f0st\u00f6\u00f0u \u00ed br\u00e1\u00f0abirg\u00f0adeild Covid-19 til a\u00f0 h\u00fdsa \u00fevaggr\u00e6dda sj\u00faklinga, vi\u00f0urkenndu hra\u00f0ann sem sj\u00fakrah\u00fas \u00feurfa a\u00f0 a\u00f0lagast og var h\u00e6filega rauns\u00e6r. \u00dear kemur fram a\u00f0 vi\u00f0 a\u00f0 finna vi\u00f0eigandi sta\u00f0i \u00e6tti a\u00f0 huga a\u00f0 n\u00faverandi umfer\u00f0arfl\u00e6\u00f0i og for\u00f0ast allar gegnumlei\u00f0ir fyrir umfer\u00f0 sem ekki er Covid-19. Einnig \u00fearf a\u00f0 taka tillit til flutningsfl\u00e6\u00f0is, hreins og \u00f3hreins sorps.<\/p>\n

\u00d6nnur lykilkrafa er fulln\u00e6gjandi loftr\u00e6sting og \u00fatsog, \u00fear sem mikill fj\u00f6ldi \u00f6ndunarv\u00e9la \u00ed notkun g\u00e6ti au\u00f0ga\u00f0 lofti\u00f0 me\u00f0 s\u00farefni og \u00fear me\u00f0 auki\u00f0 brunah\u00e6ttuna. Einnig \u00fearf a\u00f0 huga a\u00f0 \u00fdmsum \u00f6\u00f0rum skipulagssj\u00f3narmi\u00f0um, svo sem bruna\u00f6ryggi \u00ed lj\u00f3si breyttrar skipulags og notkunar, s\u00e9rstaklega ef framkv\u00e6mdir eru nau\u00f0synlegar til a\u00f0 breyta r\u00fdminu. Auk tenginga fyrir l\u00e6kningagas og s\u00farefni \u00feurfa r\u00famr\u00fdmi einnig vi\u00f0b\u00f3tartengingar og r\u00fdmi \u00ed kringum \u00feau fyrir b\u00fana\u00f0 sem er nota\u00f0ur me\u00f0 hl\u00e9um \u00e1 r\u00famsv\u00e6\u00f0inu.<\/p>\n

\u00cd n\u00fdlegum lei\u00f0beiningum kemur einnig fram a\u00f0 \u00fear sem \u00fev\u00ed ver\u00f0ur vi\u00f0 komi\u00f0 \u00e6tti a\u00f0 nota tilgreint sj\u00e1lfst\u00e6tt sv\u00e6\u00f0i e\u00f0a \u00e1lmu heilsug\u00e6slust\u00f6\u00f0varinnar til me\u00f0fer\u00f0ar og um\u00f6nnunar sj\u00faklinga me\u00f0 Covid-19. \u00deetta sv\u00e6\u00f0i \u00e6tti helst a\u00f0 hafa s\u00e9rinngang og \u00fatgang og s\u00e9rstaka m\u00f3tt\u00f6ku og m\u00e1 ekki nota sem umfer\u00f0arg\u00f6tu af \u00f6\u00f0rum sj\u00faklingum, gestum e\u00f0a starfsf\u00f3lki, \u00fear me\u00f0 tali\u00f0 sj\u00faklingum sem eru fluttir, starfsf\u00f3lk sem fer \u00ed matarhl\u00e9 og starfsf\u00f3lk og gesti sem fara inn og \u00fat \u00far byggingu. \u00dea\u00f0 ver\u00f0ur einnig a\u00f0 vera a\u00f0skili\u00f0 fr\u00e1 \u00f3a\u00f0greindum sv\u00e6\u00f0um me\u00f0 loku\u00f0um dyrum.<\/p>\n

Notkun sveigjanlegra heilbrig\u00f0islausna<\/strong><\/p>\n

Sem fars\u00edmi Vanguard leikh\u00fas<\/a> og deildum<\/a> eru sj\u00e1lfst\u00e6\u00f0ar einingar, \u00fe\u00e6r henta s\u00e9rstaklega til a\u00f0 me\u00f0h\u00f6ndla s\u00fdkta sj\u00faklinga sem \u00feurfa einangrun, e\u00f0a til a\u00f0 veita mikilv\u00e6gar skur\u00f0a\u00f0ger\u00f0ir e\u00f0a me\u00f0fer\u00f0 fjarri Covid-19 sv\u00e6\u00f0um sj\u00fakrah\u00fassins. A\u00f0 auki uppfylla \u00feau n\u00fa \u00feegar vi\u00f0eigandi sta\u00f0la svo h\u00e6gt er a\u00f0 endurn\u00fdta \u00fe\u00e6r flj\u00f3tt til a\u00f0 \u00fatvega fleiri r\u00fampl\u00e1ss.<\/p>\n

Hins vegar, \u00fea\u00f0 sem hefur komi\u00f0 \u00ed lj\u00f3s \u00e1 undanf\u00f6rnum vikum er a\u00f0 sj\u00fakrah\u00fasstj\u00f3rar me\u00f0 Vanguard fars\u00edma leikh\u00fas, me\u00f0fer\u00f0ara\u00f0st\u00f6\u00f0u, CSSD deild e\u00f0a deild sem \u00feegar er \u00e1 sta\u00f0num, l\u00edta \u00e1 \u00feessa einingu sem mikilv\u00e6ga framlengingu \u00e1 eigin kl\u00edn\u00edsku b\u00fai og sem lykil a\u00f0 Covid-19 getu. skipulagningu innan sp\u00edtalans.<\/p>\n

Aukin ytri getu einingarinnar hefur gert sumum sj\u00fakrah\u00fasum kleift a\u00f0 skipuleggja breytingar s\u00ednar betur yfir b\u00fai \u00ed heild sinni til a\u00f0 veita sj\u00faklingum samfellda um\u00f6nnun \u00ed a\u00f0st\u00e6\u00f0um sem breytast daglega.<\/p>\n

Undanfarnar vikur hefur floti Vanguard af f\u00e6ranlegum deildum, skur\u00f0stofum og endoscopy sv\u00edtur<\/a> hefur veri\u00f0 endurn\u00fdtt \u00e1 \u00fdmsa vegu sem hluti af Covid-19 \u00e1\u00e6tlanager\u00f0 sj\u00fakrah\u00fasa, sem hluti af heildar\u00e1\u00e6tlun \u00feeirra um a\u00f0 auka seiglu. Lausnin sem af \u00fev\u00ed hefur fengist og endanleg notkun fars\u00edmaa\u00f0st\u00f6\u00f0unnar hefur veri\u00f0 h\u00e1\u00f0 \u00fe\u00f6rfum hvers sj\u00fakrah\u00fass fyrir sig, st\u00f6\u00f0u deildarinnar innan hvers sv\u00e6\u00f0is og n\u00e1l\u00e6g\u00f0 hennar vi\u00f0 \u00e1kve\u00f0nar deildir.<\/p>\n

Ney\u00f0ara\u00f0ger\u00f0 og nau\u00f0synleg me\u00f0fer\u00f0<\/strong><\/p>\n

\u00dear sem hra\u00f0i skiptir h\u00f6fu\u00f0m\u00e1li er veri\u00f0 a\u00f0 hvetja sj\u00fakrah\u00fas til a\u00f0 bera kennsl \u00e1 \u00feau sv\u00e6\u00f0i sem h\u00e6gt er a\u00f0 breyta \u00e1 \u00e1hrifar\u00edkan h\u00e1tt me\u00f0 l\u00e1gmarksbreytingum, svo sem n\u00faverandi deildir, leikh\u00fas og \u00e6\u00f0a\u00fer\u00e6\u00f0ingarstofur, \u00fear \u00e1 me\u00f0al undirb\u00fanings- og skr\u00fabbsv\u00e6\u00f0i. Vegna kr\u00f6funnar um l\u00e6kningalofttegundir og vi\u00f0b\u00f3tar s\u00farefni, eru m\u00f6rg sj\u00fakrah\u00fas a\u00f0 komast a\u00f0 \u00fev\u00ed a\u00f0 \u00e1kj\u00f3sanlegur sta\u00f0ur til a\u00f0 b\u00e6ta vi\u00f0 Covid-19 getu er innan n\u00faverandi skur\u00f0stofudeildar.<\/p>\n

NHS hefur veri\u00f0 eindregi\u00f0 hvatt af stefnum\u00f3tandi atviksstj\u00f3ra s\u00ednum, pr\u00f3fessor Keith Willett, til a\u00f0 tryggja a\u00f0 \u00feegar \u00feeir l\u00edta til baka eftir \u00feessa kreppu, a\u00f0 \u00feeir hafi ekki gert eins mikinn ska\u00f0a \u00e1 sj\u00faklingum sem ekki eru Covid sem \u00feurfa br\u00e1\u00f0ahj\u00e1lp, eins og \u00feeir hafa gert vi\u00f0 j\u00e1kv\u00e6\u00f0 \u00ed a\u00f0 sty\u00f0ja Covid-19 sj\u00faklinga.<\/p>\n

Fyrir viki\u00f0 nota fj\u00f6ldi sj\u00fakrah\u00fasa me\u00f0 Vanguard fars\u00edma leikh\u00fas e\u00f0a deild \u00e1 sta\u00f0num fars\u00edmaa\u00f0st\u00f6\u00f0una til a\u00f0 hella ni\u00f0ur n\u00faverandi innra skur\u00f0a\u00f0ger\u00f0 e\u00f0a kl\u00edn\u00edskt r\u00fdmi. D\u00e6mi um a\u00f0ger\u00f0ir sem n\u00fa eru teknar \u00ed fareiningar Vanguard eru br\u00e1\u00f0aa\u00f0ger\u00f0ir, br\u00e1\u00f0ahj\u00e1lp eins og krabbameinsme\u00f0fer\u00f0 og me\u00f0fer\u00f0 \u00e1fallssj\u00faklinga.<\/p>\n

Eitt sj\u00fakrah\u00fas notar skur\u00f0stofu s\u00edna fyrir br\u00fdn plastvinnu og h\u00fa\u00f0sj\u00fakd\u00f3mal\u00e6kningar, en annar notar skur\u00f0stofu s\u00edna \u00ed br\u00e1\u00f0a f\u00e6\u00f0ingarhj\u00e1lp. Lykillinn a\u00f0 \u00feessu hefur veri\u00f0 sveigjanleiki \u00feessara a\u00f0st\u00f6\u00f0u a\u00f0 \u00fev\u00ed leyti a\u00f0 h\u00e6gt er a\u00f0 endurn\u00fdta hana mj\u00f6g flj\u00f3tt, allt eftir \u00fev\u00ed hva\u00f0a notkun er \u00f3ska\u00f0.<\/p>\n

Annar kostur er hreyfanlegur e\u00f0li eininganna \u00fear sem tilt\u00f6lulega au\u00f0velt er a\u00f0 flytja \u00fe\u00e6r \u00feanga\u00f0 sem \u00feeirra er mest \u00fe\u00f6rf. \u00cd Skotlandi er eitt heilbrig\u00f0isr\u00e1\u00f0 a\u00f0 \u00edhuga a\u00f0 flytja fars\u00edmaleikh\u00fasi\u00f0 sitt \u00e1 anna\u00f0 sj\u00fakrah\u00fassv\u00e6\u00f0i innan s\u00f6mu stj\u00f3rnar \u00fear sem \u00fe\u00f6rfin er meiri.<\/p>\n

COVID-19 og einangrun sj\u00faklinga<\/strong><\/p>\n

H\u00e6gt v\u00e6ri a\u00f0 breyta hreyfanlegri deild e\u00f0a einingadeild \u00ed 1. stigs \u00f6ndunarstu\u00f0ningsdeild, en f\u00e6ranlegar skur\u00f0stofur ver\u00f0a a\u00f0 vera endurn\u00fdttar sem HDU e\u00f0a ITU deildir e\u00f0a nota\u00f0ar fyrir a\u00f0ger\u00f0ir og me\u00f0fer\u00f0ir sem nj\u00f3ta g\u00f3\u00f0s af vi\u00f0b\u00f3tareinangruninni.<\/p>\n

Sumar einingar eru einnig nota\u00f0ar til a\u00f0 einangra sj\u00faklinga sem s\u00fdna grun um Covid-19 einkenni en b\u00ed\u00f0a frekara mats. Eitt st\u00f3rt sv\u00e6\u00f0issj\u00fakrah\u00fas hefur endurn\u00fdtt fars\u00edmaa\u00f0st\u00f6\u00f0u s\u00edna t\u00edmabundi\u00f0 sem skur\u00f0a\u00f0ger\u00f0arsv\u00edtu til a\u00f0 hj\u00e1lpa til vi\u00f0 a\u00f0 draga \u00far \u00fer\u00fdstingi \u00e1 \u00f6\u00f0rum sv\u00e6\u00f0um sj\u00fakrah\u00fassins, \u00e1 me\u00f0an a\u00f0rir nota fars\u00edma leikh\u00fas og deildir fyrir mikilv\u00e6gar daga\u00f0ger\u00f0ir til a\u00f0 halda sj\u00faklingum fr\u00e1 Covid-19 sv\u00e6\u00f0um innan a\u00f0alsj\u00fakrah\u00fassins.<\/p>\n

Aukinn sveigjanleiki<\/strong><\/p>\n

Vegna \u00feess a\u00f0 f\u00e6ranlegar heilsug\u00e6slust\u00f6\u00f0var Vanguard uppfylla n\u00fa \u00feegar flesta vi\u00f0eigandi sta\u00f0la er h\u00e6gt a\u00f0 endurn\u00fdta \u00fe\u00e6r til a\u00f0 m\u00e6ta breyttri notkun eftir \u00fev\u00ed sem a\u00f0st\u00e6\u00f0ur breytast, hvort sem \u00fea\u00f0 er a\u00f0 b\u00e6ta vi\u00f0 ITU r\u00fampl\u00e1ssum e\u00f0a vi\u00f0b\u00f3tarme\u00f0fer\u00f0argetu, \u00e1n \u00feess a\u00f0 gl\u00edma vi\u00f0 m\u00f6rg venjuleg vandam\u00e1l sem tengjast breytingum n\u00faverandi a\u00f0st\u00f6\u00f0u e\u00f0a a\u00f0 reisa n\u00fdja byggingu e\u00f0a deild.<\/p>\n

Sum sj\u00fakrah\u00fas hafa bent \u00e1 \u00fe\u00f6rfina fyrir vi\u00f0b\u00f3tarpl\u00e1ss \u00ed \u00f6\u00f0rum tilgangi, til d\u00e6mis til a\u00f0 a\u00f0sto\u00f0a starfsf\u00f3lk me\u00f0 \u00fev\u00ed a\u00f0 \u00fatvega mj\u00f6g \u00fe\u00f6rf hv\u00edldarsv\u00e6\u00f0i e\u00f0a \u00fatvega b\u00faningsa\u00f0st\u00f6\u00f0u sem \u00fearf a\u00f0 vera a\u00f0skilin anna\u00f0hvort fr\u00e1 s\u00fdktum e\u00f0a \u00f3s\u00fdktum sj\u00faklingum. Vanguard hefur einnig geta\u00f0 gefi\u00f0 fj\u00f6lda vara \u00f6ndunarv\u00e9la til NHS.<\/p>\n

\u00cd m\u00f6rgum tilfellum hefur reyndur kl\u00edn\u00edskur stu\u00f0ningsfulltr\u00fai Vanguard veri\u00f0 endurr\u00e1\u00f0inn, anna\u00f0hvort innan einingarinnar e\u00f0a \u00e1 \u00f6\u00f0rum sv\u00e6\u00f0um sj\u00fakrah\u00fassins, \u00fear \u00e1 me\u00f0al Covid-19 sv\u00e6\u00f0i, til a\u00f0 veita sj\u00fakrah\u00fasinu stu\u00f0ning \u00fear sem \u00feess er mest \u00fe\u00f6rf. Ef \u00fe\u00f6rf er \u00e1 breyttu leikh\u00fasi til a\u00f0 auka skur\u00f0a\u00f0ger\u00f0agetu er h\u00e6gt a\u00f0 endurn\u00fdta \u00fea\u00f0 mj\u00f6g hratt aftur \u00ed fullmanna\u00f0a skur\u00f0stofu.<\/p>\n

Framt\u00ed\u00f0argeta<\/strong><\/p>\n

\u00dea\u00f0 er \u00f3hj\u00e1kv\u00e6milegt a\u00f0 \u00feegar br\u00e1\u00f0akreppunni er loki\u00f0 munu sj\u00faklingar standa frammi fyrir langum bi\u00f0listum eftir a\u00f0ger\u00f0um sem hefur veri\u00f0 fresta\u00f0 e\u00f0a afl\u00fdst \u00ed kreppunni. Fj\u00f6ldi sj\u00fakrah\u00fasa er \u00fev\u00ed n\u00fa \u00feegar a\u00f0 \u00edhuga hvernig breg\u00f0ast megi vi\u00f0 v\u00e6ntanlegri aukningu \u00ed eftirspurn eftir skur\u00f0a\u00f0ger\u00f0um, greiningum og \u00fdmiss konar me\u00f0fer\u00f0um.<\/p>\n

\u00dea\u00f0 er skynsamlegt a\u00f0 skipuleggja fram \u00ed t\u00edmann notkun sveigjanlegrar heilsug\u00e6slust\u00f6\u00f0va sem h\u00e6gt er a\u00f0 dreifa flj\u00f3tt til a\u00f0 veita aukna getu og b\u00e6ta seiglu innan sj\u00fakrah\u00fasa, og sem h\u00e6gt er a\u00f0 fjarl\u00e6gja e\u00f0a flytja \u00feegar ekki er lengur \u00fe\u00f6rf \u00e1 \u00fev\u00ed til a\u00f0 halda \u00e1fram a\u00f0 veita stu\u00f0ning \u00fear sem \u00feess er mest \u00fe\u00f6rf.<\/p>","protected":false},"excerpt":{"rendered":"

\u00de\u00f3 a\u00f0 bygging t\u00edmabundinna sj\u00fakrah\u00fasa \u00ed st\u00f3rum st\u00edl s\u00e9 a\u00f0 f\u00e1 flestar fyrirsagnir um \u00feessar mundir, er gr\u00ed\u00f0arleg vinna \u00ed gangi \u00e1 bak vi\u00f0 tj\u00f6ldin hj\u00e1 NHS sj\u00f3\u00f0um og sj\u00fakrah\u00fasum um allt land til a\u00f0 b\u00e6ta seiglu, og \u00ed sumum tilfellum flota Vanguard. af f\u00e6ranlegum heilsug\u00e6slust\u00f6\u00f0vum hafa gegnt lykilhlutverki.<\/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 - 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