{"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\/ro_ro\/the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis\/","title":{"rendered":"Rolul asisten\u021bei medicale mobile \u00een sprijinirea rezilien\u021bei NHS \u00een criza COVID-19"},"content":{"rendered":"

\u00cen timp ce construc\u021bia de spitale de campanie temporare la scar\u0103 larg\u0103 este \u00een mare parte a titlurilor \u00een acest moment, o cantitate imens\u0103 de munc\u0103 se desf\u0103\u0219oar\u0103, de asemenea, \u00een culise la trusturile NHS \u0219i la spitalele din \u00eentreaga \u021bar\u0103 pentru a \u00eembun\u0103t\u0103\u021bi rezisten\u021ba \u0219i, \u00een unele cazuri, flota Vanguard. a unit\u0103\u021bilor medicale mobile au jucat un rol cheie.<\/p>\n

NHSE a ordonat tuturor spitalelor s\u0103 elibereze capacitate prin externarea pacien\u021bilor care nu sunt critici \u0219i oprirea tuturor procedurilor planificate \u0219i elective p\u00e2n\u0103 cel t\u00e2rziu pe 15 aprilie, pentru a se preg\u0103ti pentru cre\u0219terea a\u0219teptat\u0103 a intern\u0103rilor legate de Covid-19. P\u00e2n\u0103 \u00een prezent, peste 30.000 de locuri de pat, echivalentul a peste 50 de spitale noi, au fost eliberate sau create \u00een spitalele NHS existente pentru pacien\u021bii infecta\u021bi cu coronavirus. Aceasta reprezint\u0103 o realizare fenomenal\u0103 \u0219i arat\u0103 c\u00e2t de receptiv poate fi NHS \u00eentr-o situa\u021bie major\u0103.<\/p>\n

Multe spitale au trebuit s\u0103 reutilizeze spa\u021biul intern \u0219i s\u0103 redistribuie resursele \u00een diferite moduri pentru a elibera zone din spital pentru pacien\u021bii cu Covid-19. Cu toate acestea, transformarea spa\u021biului existent \u00eentr-o sec\u021bie sau o unitate adecvat\u0103 pentru acest scop nu este neap\u0103rat at\u00e2t de simpl\u0103 sau rapid\u0103 de f\u0103cut. Mai presus de toate, a necesitat o planificare atent\u0103, lu\u00e2nd \u00een considerare \u00eentregul patrimoniu \u0219i resursele spitalului.<\/p>\n

R\u0103spunz\u00e2nd provoc\u0103rii<\/strong><\/p>\n

Ghid emis de Guvern<\/a> \u00een martie, pentru managerii \u0219i echipele imobiliare care doresc s\u0103 transforme o unitate existent\u0103 \u00eentr-o sec\u021bie temporar\u0103 Covid-19 pentru a g\u0103zdui pacien\u021bii intuba\u021bi, au recunoscut viteza cu care spitalele trebuie s\u0103 se adapteze \u0219i a fost adecvat de pragmatic. Se precizeaz\u0103 c\u0103, \u00een identificarea loca\u021biilor adecvate, ar trebui luate \u00een considerare fluxurile de trafic existente \u0219i orice rute de trecere pentru traficul non-Covid-19 evitate. De asemenea, trebuie luate \u00een considerare fluxurile logistice, gestionarea de\u0219eurilor curate \u0219i murdare.<\/p>\n

O alt\u0103 cerin\u021b\u0103 cheie este ventila\u021bia \u0219i extrac\u021bia adecvate, deoarece num\u0103rul mare de ventilatoare utilizate ar putea \u00eembog\u0103\u021bi aerul cu oxigen, cresc\u00e2nd astfel riscul de ardere. De asemenea, trebuie luate \u00een considerare o serie de alte considerente de planificare, cum ar fi siguran\u021ba la incendiu, av\u00e2nd \u00een vedere modificarea aspectului \u0219i a utiliz\u0103rii, \u00een special dac\u0103 sunt necesare lucr\u0103ri de construc\u021bie pentru a converti spa\u021biul. Pe l\u00e2ng\u0103 conexiunile pentru gaze medicale \u0219i oxigen, spa\u021biile pentru pat au nevoie \u0219i de conexiuni suplimentare \u0219i spa\u021biu \u00een jurul lor pentru echipamentele care sunt utilizate intermitent \u00een zona patului.<\/p>\n

Orient\u0103rile recente precizeaz\u0103, de asemenea, c\u0103, ori de c\u00e2te ori este posibil, o zon\u0103 sau o arip\u0103 autonom\u0103 desemnat\u0103 a unit\u0103\u021bii de s\u0103n\u0103tate ar trebui s\u0103 fie utilizat\u0103 pentru tratamentul \u0219i \u00eengrijirea pacien\u021bilor cu Covid-19. \u00cen mod ideal, aceast\u0103 zon\u0103 ar trebui s\u0103 aib\u0103 o intrare \u0219i o ie\u0219ire separat\u0103 \u0219i o recep\u021bie separat\u0103 \u0219i nu trebuie utilizat\u0103 ca arter\u0103 de c\u0103tre al\u021bi pacien\u021bi, vizitatori sau personal, inclusiv pacien\u021bii transfera\u021bi, personalul care pleac\u0103 pentru pauzele de mas\u0103 \u0219i personalul \u0219i vizitatorii care intr\u0103 \u0219i ies din sala. cl\u0103dire. De asemenea, trebuie s\u0103 fie separat de zonele nesegregate prin u\u0219i \u00eenchise.<\/p>\n

Folosind solu\u021bii flexibile de asisten\u021b\u0103 medical\u0103<\/strong><\/p>\n

Ca mobil al lui Vanguard teatre<\/a> \u0219i saloane<\/a> sunt unit\u0103\u021bi autonome, sunt potrivite \u00een special pentru tratarea pacien\u021bilor infecta\u021bi care necesit\u0103 izolare sau pentru furnizarea de interven\u021bii chirurgicale critice sau tratament \u00een afara zonelor Covid-19 ale spitalului. \u00cen plus, acestea \u00eendeplinesc deja standardele relevante, astfel \u00eenc\u00e2t pot fi reutilizate rapid pentru a oferi spa\u021bii suplimentare pentru pat.<\/p>\n

Cu toate acestea, ceea ce a ap\u0103rut \u00een ultimele s\u0103pt\u0103m\u00e2ni este c\u0103 managerii de spitale cu un cinematograf mobil Vanguard, o unitate de tratament, o unitate CSSD sau o sec\u021bie deja la fa\u021ba locului, v\u0103d aceast\u0103 unitate ca o extensie vital\u0103 a propriei lor propriet\u0103\u021bi clinice \u0219i ca cheie pentru capacitatea Covid-19. planificare \u00een cadrul spitalului.<\/p>\n

Capacitatea extern\u0103 suplimentar\u0103 a unit\u0103\u021bii a permis unor spitale s\u0103 coreografieze mai bine schimb\u0103rile lor \u00een \u00eentregul patrimoniu pentru a oferi \u00eengrijire ne\u00eentrerupt\u0103 pacien\u021bilor afla\u021bi \u00eentr-o situa\u021bie care se schimb\u0103 zilnic.<\/p>\n

\u00cen ultimele s\u0103pt\u0103m\u00e2ni, flota Vanguard de sec\u021bii mobile, s\u0103li de opera\u021bie \u0219i cabinete de endoscopie<\/a> au fost reutilizate \u00eentr-o serie de moduri diferite, ca parte a planific\u0103rii spitalelor Covid-19, ca parte a planului lor general de cre\u0219tere a rezisten\u021bei. Solu\u021bia rezultat\u0103 \u0219i eventuala utilizare a unit\u0103\u021bii mobile au depins de cerin\u021bele individuale ale fiec\u0103rui spital, de pozi\u021bia unit\u0103\u021bii \u00een fiecare amplasament \u0219i de apropierea acesteia de anumite departamente.<\/p>\n

Chirurgie de urgen\u021b\u0103 \u0219i tratament esen\u021bial<\/strong><\/p>\n

Deoarece viteza este esen\u021bial\u0103, spitalele sunt \u00eencurajate s\u0103 identifice zonele care pot fi convertite eficient cu un minim de modific\u0103ri, cum ar fi sec\u021biile existente, teatrele \u0219i laboratoarele de cateterism, inclusiv zonele de preg\u0103tire \u0219i sp\u0103lare. Din cauza necesit\u0103\u021bii de gaze medicale prin conducte \u0219i oxigen suplimentar, multe spitale descoper\u0103 c\u0103 locul optim pentru ad\u0103ugarea capacit\u0103\u021bii Covid-19 se afl\u0103 \u00eentr-un departament existent al blocului operator.<\/p>\n

NHS a fost \u00eencurajat ferm de directorul s\u0103u pentru incidente strategice, profesorul Keith Willett, s\u0103 se asigure c\u0103, atunci c\u00e2nd se uit\u0103 \u00eenapoi dup\u0103 aceast\u0103 criz\u0103, nu au f\u0103cut at\u00e2t de mult r\u0103u pacien\u021bilor non-Covid care necesit\u0103 \u00eengrijiri urgente, a\u0219a cum au f\u0103cut-o pentru pozitiv \u00een sprijinirea pacien\u021bilor cu Covid-19.<\/p>\n

Ca urmare, un num\u0103r de spitale cu un cinematograf sau sec\u021bie mobil Vanguard la fa\u021ba locului folosesc instala\u021bia mobil\u0103 pentru a decanta spa\u021biul chirurgical sau clinic intern existent. Exemple de proceduri care sunt acum \u00eentreprinse \u00een unit\u0103\u021bile mobile ale Vanguard includ interven\u021bia chirurgical\u0103 de urgen\u021b\u0103, \u00eengrijirea de urgen\u021b\u0103, cum ar fi tratamentul cancerului \u0219i tratamentul pacien\u021bilor cu traumatisme.<\/p>\n

Un spital \u00ee\u0219i folose\u0219te sala de opera\u021bii pentru lucr\u0103ri urgente de plastice \u0219i dermatologie, \u00een timp ce altul o folose\u0219te pentru obstetric\u0103 de urgen\u021b\u0103. Cheia acestui lucru a fost flexibilitatea acestor facilit\u0103\u021bi, deoarece pot fi reutilizate foarte rapid, \u00een func\u021bie de utilizarea dorit\u0103.<\/p>\n

Un alt avantaj este caracterul mobil al unit\u0103\u021bilor, deoarece acestea pot fi relocate relativ u\u0219or acolo unde este cel mai necesar. \u00cen Sco\u021bia, un consiliu de s\u0103n\u0103tate are \u00een vedere relocarea cinematografului mobil \u00eentr-un alt spital din cadrul aceluia\u0219i consiliu, unde nevoia este mai mare.<\/p>\n

COVID-19 \u0219i izolarea pacientului<\/strong><\/p>\n

O sal\u0103 mobil\u0103 sau modular\u0103 ar putea fi transformat\u0103 \u00eentr-o sec\u021bie de suport respirator de Nivel 1, \u00een timp ce s\u0103lile de opera\u021bie mobile pot fi reutilizate ca sec\u021bii HDU sau ITU sau utilizate pentru proceduri \u0219i tratamente care beneficiaz\u0103 de izolarea suplimentar\u0103.<\/p>\n

Unele unit\u0103\u021bi sunt, de asemenea, folosite pentru a izola pacien\u021bii care prezint\u0103 simptome suspectate de Covid-19, dar care a\u0219teapt\u0103 o evaluare suplimentar\u0103. Un spital regional major \u0219i-a reutilizat temporar instala\u021bia mobil\u0103 ca o suit\u0103 de observare chirurgical\u0103 pentru a ajuta la atenuarea presiunilor din alte zone ale spitalului, \u00een timp ce al\u021bii folosesc teatre \u0219i sec\u021bii mobile pentru opera\u021bii critice de zi, pentru a \u021bine pacien\u021bii departe de zonele Covid-19. \u00een cadrul spitalului principal.<\/p>\n

Flexibilitate ad\u0103ugat\u0103<\/strong><\/p>\n

Deoarece unit\u0103\u021bile medicale mobile ale Vanguard \u00eendeplinesc deja majoritatea standardelor relevante, acestea pot fi reutilizate pentru a se adapta la o schimbare de utilizare pe m\u0103sur\u0103 ce situa\u021bia se schimb\u0103, fie c\u0103 este vorba de ad\u0103ugarea de spa\u021bii de pat ITU sau de capacitate suplimentar\u0103 de tratament, f\u0103r\u0103 a se confrunta cu multe dintre problemele obi\u0219nuite asociate conversiei. o instala\u021bie existent\u0103 sau construirea unei noi cl\u0103diri sau departament.<\/p>\n

Unele spitale au identificat nevoia de spa\u021biu suplimentar pentru alte scopuri, de exemplu, pentru a sprijini personalul prin furnizarea de zone de odihn\u0103 at\u00e2t de necesare sau oferind facilit\u0103\u021bi de schimbare care trebuie s\u0103 fie amplasate separat fie de pacien\u021bii infecta\u021bi, fie de pacien\u021bii neinfecta\u021bi. Vanguard a putut, de asemenea, s\u0103 doneze un num\u0103r de ventilatoare de rezerv\u0103 NHS.<\/p>\n

\u00cen multe cazuri, personalul de asisten\u021b\u0103 clinic\u0103 cu experien\u021b\u0103 al Vanguard a fost redistribuit, fie \u00een cadrul unit\u0103\u021bii, fie \u00een alte zone ale spitalului, inclusiv zonele Covid-19, pentru a oferi sprijin spitalului unde este cel mai necesar. \u00cen cazul \u00een care este necesar\u0103 o sal\u0103 convertit\u0103 pentru cre\u0219terea capacit\u0103\u021bii chirurgicale, aceasta poate fi apoi reutilizat\u0103 foarte rapid \u00eentr-o sal\u0103 de opera\u021bie cu personal complet.<\/p>\n

Capacitate viitoare<\/strong><\/p>\n

Este inevitabil ca odat\u0103 cu trecerea crizei imediate, pacien\u021bii s\u0103 se confrunte cu liste lungi de a\u0219teptare pentru procedurile care au fost am\u00e2nate sau anulate \u00een timpul crizei. Prin urmare, o serie de spitale se g\u00e2ndesc deja la cum s\u0103 fac\u0103 fa\u021b\u0103 cre\u0219terii a\u0219teptate a cererii pentru interven\u021bii chirurgicale, diagnosticare \u0219i diferite forme de tratament.<\/p>\n

Este logic s\u0103 se planifice din timp pentru utilizarea unor unit\u0103\u021bi de asisten\u021b\u0103 medical\u0103 flexibile care pot fi implementate rapid pentru a oferi capacitate suplimentar\u0103 \u0219i pentru a \u00eembun\u0103t\u0103\u021bi rezisten\u021ba \u00een spitale \u0219i care pot fi \u00eendep\u0103rtate sau mutate atunci c\u00e2nd nu mai sunt necesare pentru a continua s\u0103 ofere sprijin acolo unde este cel mai necesar.<\/p>","protected":false},"excerpt":{"rendered":"

\u00cen timp ce construc\u021bia de spitale de campanie temporare la scar\u0103 larg\u0103 este \u00een mare parte a titlurilor \u00een acest moment, o cantitate imens\u0103 de munc\u0103 se desf\u0103\u0219oar\u0103, de asemenea, \u00een culise la trusturile NHS \u0219i la spitalele din \u00eentreaga \u021bar\u0103 pentru a \u00eembun\u0103t\u0103\u021bi rezisten\u021ba \u0219i, \u00een unele cazuri, flota Vanguard. a unit\u0103\u021bilor medicale mobile au jucat un rol cheie.<\/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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