{"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\/sq_al\/the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis\/","title":{"rendered":"Roli i kujdesit sh\u00ebndet\u00ebsor celular n\u00eb mb\u00ebshtetjen e q\u00ebndrueshm\u00ebris\u00eb s\u00eb NHS n\u00eb kriz\u00ebn COVID-19"},"content":{"rendered":"

Nd\u00ebrkoh\u00eb q\u00eb nd\u00ebrtimi i spitaleve t\u00eb p\u00ebrkohshme n\u00eb terren n\u00eb shkall\u00eb t\u00eb gjer\u00eb po merr pjes\u00ebn m\u00eb t\u00eb madhe t\u00eb titujve p\u00ebr momentin, nj\u00eb sasi e madhe pune po zhvillohet gjithashtu n\u00eb prapasken\u00eb n\u00eb trustet e NHS dhe spitalet n\u00eb t\u00eb gjith\u00eb vendin p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar q\u00ebndrueshm\u00ebrin\u00eb, dhe n\u00eb disa raste flot\u00ebn e Vanguard objektet e l\u00ebvizshme t\u00eb kujdesit sh\u00ebndet\u00ebsor kan\u00eb luajtur nj\u00eb rol ky\u00e7.<\/p>\n

NHSE ka urdh\u00ebruar t\u00eb gjitha spitalet t\u00eb \u00e7lirojn\u00eb kapacitetin duke shkarkuar pacient\u00eb jokritik\u00eb dhe duke nd\u00ebrprer\u00eb t\u00eb gjitha procedurat e planifikuara dhe t\u00eb zgjedhura m\u00eb s\u00eb voni deri m\u00eb 15 prill, p\u00ebr t'u p\u00ebrgatitur p\u00ebr rritjen e pritshme t\u00eb pranimeve t\u00eb lidhura me Covid-19. Deri m\u00eb sot, mbi 30,000 hap\u00ebsira shtret\u00ebrish, ekuivalente me mbi 50 spitale t\u00eb reja, jan\u00eb liruar ose krijuar n\u00ebp\u00ebr spitalet ekzistuese t\u00eb NHS p\u00ebr pacient\u00ebt e infektuar me koronavirus. Kjo p\u00ebrfaq\u00ebson nj\u00eb arritje fenomenale dhe tregon se sa e p\u00ebrgjegjshme mund t\u00eb jet\u00eb NHS n\u00eb nj\u00eb situat\u00eb madhore.<\/p>\n

Shum\u00eb spitale u \u00ebsht\u00eb dashur t\u00eb rip\u00ebrdorin hap\u00ebsir\u00ebn e brendshme dhe t\u00eb rishp\u00ebrndajn\u00eb burimet n\u00eb m\u00ebnyra t\u00eb ndryshme n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb \u00e7lirojn\u00eb zonat brenda spitalit p\u00ebr pacient\u00ebt Covid-19. Megjithat\u00eb, konvertimi i hap\u00ebsir\u00ebs ekzistuese n\u00eb nj\u00eb repart ose nj\u00eb ambient t\u00eb p\u00ebrshtatsh\u00ebm p\u00ebr k\u00ebt\u00eb q\u00ebllim nuk \u00ebsht\u00eb domosdoshm\u00ebrisht aq i thjesht\u00eb apo i shpejt\u00eb p\u00ebr t'u b\u00ebr\u00eb. Mbi t\u00eb gjitha, ka k\u00ebrkuar planifikim t\u00eb kujdessh\u00ebm, duke marr\u00eb parasysh t\u00eb gjith\u00eb pasurin\u00eb dhe burimet e spitalit.<\/p>\n

Duke iu p\u00ebrgjigjur sfid\u00ebs<\/strong><\/p>\n

Udh\u00ebzimi i nxjerr\u00eb nga Qeveria<\/a> n\u00eb mars p\u00ebr menaxher\u00ebt dhe ekipet e pronave q\u00eb duan t\u00eb konvertojn\u00eb nj\u00eb struktur\u00eb ekzistuese n\u00eb nj\u00eb repart t\u00eb p\u00ebrkohsh\u00ebm Covid-19 p\u00ebr t\u00eb strehuar pacient\u00eb t\u00eb intubuar, njoh\u00ebn shpejt\u00ebsin\u00eb me t\u00eb cil\u00ebn spitalet duhet t\u00eb p\u00ebrshtaten dhe ishin mjaft pragmatik\u00eb. Ai thekson se n\u00eb identifikimin e vendndodhjeve t\u00eb p\u00ebrshtatshme, duhet t\u00eb merren parasysh flukset ekzistuese t\u00eb trafikut dhe t\u00eb shmangen \u00e7do rrug\u00eb p\u00ebr trafik jo-Covid-19. Duhet t\u00eb merren parasysh gjithashtu flukset logjistike, menaxhimi i mbetjeve t\u00eb pastra dhe t\u00eb pista.<\/p>\n

Nj\u00eb k\u00ebrkes\u00eb tjet\u00ebr kryesore \u00ebsht\u00eb ajrimi dhe nxjerrja e duhur, pasi numri i lart\u00eb i ventilator\u00ebve n\u00eb p\u00ebrdorim mund t\u00eb pasuroj\u00eb ajrin me oksigjen, duke rritur k\u00ebshtu rrezikun e djegies. Duhet t\u00eb merren parasysh gjithashtu nj\u00eb s\u00ebr\u00eb konsideratash t\u00eb tjera t\u00eb planifikimit, si siguria nga zjarri duke pasur parasysh ndryshimin n\u00eb planimetri dhe p\u00ebrdorim, ve\u00e7an\u00ebrisht n\u00ebse k\u00ebrkohet pun\u00eb nd\u00ebrtimi p\u00ebr t\u00eb kthyer hap\u00ebsir\u00ebn. Si dhe lidhjet p\u00ebr gazin mjek\u00ebsor dhe oksigjenin, hap\u00ebsirat e shtratit gjithashtu kan\u00eb nevoj\u00eb p\u00ebr lidhje shtes\u00eb dhe hap\u00ebsir\u00eb rreth tyre p\u00ebr pajisjet q\u00eb p\u00ebrdoren me nd\u00ebrprerje n\u00eb zon\u00ebn e shtratit.<\/p>\n

Udh\u00ebzimi i fundit thot\u00eb gjithashtu se, kudo q\u00eb \u00ebsht\u00eb e mundur, nj\u00eb zon\u00eb e caktuar e pavarur ose krah i institucionit t\u00eb kujdesit sh\u00ebndet\u00ebsor duhet t\u00eb p\u00ebrdoret p\u00ebr trajtimin dhe kujdesin e pacient\u00ebve me Covid-19. Kjo zon\u00eb duhet t\u00eb ket\u00eb n\u00eb m\u00ebnyr\u00eb ideale nj\u00eb hyrje dhe dalje t\u00eb ve\u00e7ant\u00eb dhe nj\u00eb pritje t\u00eb ve\u00e7ant\u00eb, dhe nuk duhet t\u00eb p\u00ebrdoret si rrug\u00ebkalim nga pacient\u00ebt e tjer\u00eb, vizitor\u00ebt ose stafi, duke p\u00ebrfshir\u00eb pacient\u00ebt q\u00eb transferohen, stafi q\u00eb shkon p\u00ebr pushime ushqimi dhe personeli dhe vizitor\u00ebt q\u00eb hyjn\u00eb dhe dalin nga nd\u00ebrtes\u00eb. Duhet gjithashtu t\u00eb ndahet nga zonat jo t\u00eb ndara me dyer t\u00eb mbyllura.<\/p>\n

P\u00ebrdorimi i zgjidhjeve fleksib\u00ebl t\u00eb kujdesit sh\u00ebndet\u00ebsor<\/strong><\/p>\n

Si celulari i Vanguard teatro<\/a> dhe repartet<\/a> jan\u00eb nj\u00ebsi t\u00eb pavarura, ato jan\u00eb ve\u00e7an\u00ebrisht t\u00eb p\u00ebrshtatshme p\u00ebr trajtimin e pacient\u00ebve t\u00eb infektuar q\u00eb k\u00ebrkojn\u00eb izolim, ose p\u00ebr ofrimin e nj\u00eb operacioni kritik ose trajtimi larg zonave t\u00eb spitalit Covid-19. P\u00ebrve\u00e7 k\u00ebsaj, ato tashm\u00eb p\u00ebrmbushin standardet p\u00ebrkat\u00ebse, k\u00ebshtu q\u00eb mund t\u00eb rip\u00ebrdoren shpejt p\u00ebr t\u00eb siguruar hap\u00ebsira shtes\u00eb p\u00ebr shtret\u00ebr.<\/p>\n

Megjithat\u00eb, ajo q\u00eb \u00ebsht\u00eb shfaqur n\u00eb jav\u00ebt e fundit \u00ebsht\u00eb se menaxher\u00ebt e spitalit me nj\u00eb teat\u00ebr celular Vanguard, objekt trajtimi, nj\u00ebsi CSSD ose repart tashm\u00eb n\u00eb vend, po e shohin k\u00ebt\u00eb nj\u00ebsi si nj\u00eb zgjatim jetik t\u00eb pasuris\u00eb s\u00eb tyre klinike dhe si \u00e7el\u00ebs p\u00ebr kapacitetin Covid-19. planifikimi brenda spitalit.<\/p>\n

Kapaciteti shtes\u00eb i jasht\u00ebm i nj\u00ebsis\u00eb ka lejuar disa spitale t\u00eb koreografin\u00eb m\u00eb mir\u00eb t\u00eb ndryshimeve t\u00eb tyre n\u00eb t\u00eb gjith\u00eb pasurin\u00eb n\u00eb t\u00ebr\u00ebsi, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb ofrojn\u00eb kujdes t\u00eb pand\u00ebrprer\u00eb p\u00ebr pacient\u00ebt n\u00eb nj\u00eb situat\u00eb q\u00eb po ndryshon \u00e7do dit\u00eb.<\/p>\n

Jav\u00ebt e fundit, flota e Vanguard e reparteve t\u00eb l\u00ebvizshme, sallave t\u00eb operacionit dhe suita endoskopie<\/a> jan\u00eb rip\u00ebrdorur n\u00eb nj\u00eb s\u00ebr\u00eb m\u00ebnyrash t\u00eb ndryshme si pjes\u00eb e planifikimit t\u00eb spitaleve p\u00ebr Covid-19, si pjes\u00eb e planit t\u00eb tyre t\u00eb p\u00ebrgjithsh\u00ebm p\u00ebr t\u00eb rritur elasticitetin. Zgjidhja q\u00eb rezulton dhe p\u00ebrdorimi eventual i objektit t\u00eb l\u00ebvizsh\u00ebm ka varur nga k\u00ebrkesat individuale t\u00eb \u00e7do spitali, pozicioni i nj\u00ebsis\u00eb brenda \u00e7do zone dhe af\u00ebrsia e tij me departamente t\u00eb caktuara.<\/p>\n

Kirurgji urgjente dhe trajtim esencial<\/strong><\/p>\n

Meqen\u00ebse shpejt\u00ebsia \u00ebsht\u00eb thelb\u00ebsore, spitalet po inkurajohen t\u00eb identifikojn\u00eb zonat q\u00eb mund t\u00eb konvertohen n\u00eb m\u00ebnyr\u00eb efektive me nj\u00eb minimum modifikimesh, si\u00e7 jan\u00eb repartet ekzistuese, teatrot dhe laborator\u00ebt e kateterizimit, duke p\u00ebrfshir\u00eb zonat e p\u00ebrgatitjes dhe pastrimit. P\u00ebr shkak t\u00eb k\u00ebrkes\u00ebs p\u00ebr gaze mjek\u00ebsore me tubacione dhe oksigjen shtes\u00eb, shum\u00eb spitale po zbulojn\u00eb se vendi optimal p\u00ebr shtimin e kapacitetit Covid-19 \u00ebsht\u00eb brenda nj\u00eb departamenti ekzistues t\u00eb teatrit operativ.<\/p>\n

NHS \u00ebsht\u00eb inkurajuar fuqimisht nga Drejtori i saj i Incidentit Strategjik, Profesor Keith Willett, p\u00ebr t'u siguruar q\u00eb kur t\u00eb shikojn\u00eb prapa pas k\u00ebsaj krize, t\u00eb mos ken\u00eb b\u00ebr\u00eb aq shum\u00eb d\u00ebm p\u00ebr pacient\u00ebt jo-Covid q\u00eb k\u00ebrkojn\u00eb kujdes urgjent, si\u00e7 i kan\u00eb b\u00ebr\u00eb pozitive n\u00eb mb\u00ebshtetjen e pacient\u00ebve me Covid-19.<\/p>\n

Si rezultat, nj\u00eb num\u00ebr spitalesh me nj\u00eb teat\u00ebr celular ose repart Vanguard n\u00eb terren po p\u00ebrdorin objektin celular p\u00ebr t\u00eb dekantuar hap\u00ebsir\u00ebn ekzistuese t\u00eb brendshme kirurgjikale ose klinike. Shembuj t\u00eb procedurave q\u00eb po nd\u00ebrmerren tani n\u00eb nj\u00ebsit\u00eb e l\u00ebvizshme t\u00eb Vanguard p\u00ebrfshijn\u00eb kirurgjin\u00eb urgjente, kujdesin urgjent si trajtimi i kancerit dhe trajtimin e pacient\u00ebve me traum\u00eb.<\/p>\n

Nj\u00eb spital po p\u00ebrdor teatrin e tyre t\u00eb operacionit p\u00ebr pun\u00eb urgjente plastike dhe dermatologji, nd\u00ebrsa nj\u00eb tjet\u00ebr po p\u00ebrdor t\u00eb tyren p\u00ebr obstetrik\u00eb urgjente. \u00c7el\u00ebsi p\u00ebr k\u00ebt\u00eb ka qen\u00eb fleksibiliteti i k\u00ebtyre objekteve n\u00eb at\u00eb q\u00eb ato mund t\u00eb rip\u00ebrdoren shum\u00eb shpejt, n\u00eb var\u00ebsi t\u00eb p\u00ebrdorimit t\u00eb d\u00ebshiruar.<\/p>\n

Nj\u00eb avantazh tjet\u00ebr \u00ebsht\u00eb natyra e l\u00ebvizshme e nj\u00ebsive, pasi ato mund t\u00eb zhvendosen relativisht leht\u00eb aty ku nevojiten m\u00eb shum\u00eb. N\u00eb Skoci, nj\u00eb Bord Sh\u00ebndet\u00ebsor po shqyrton zhvendosjen e teatrit t\u00eb tyre celular n\u00eb nj\u00eb spital tjet\u00ebr brenda t\u00eb nj\u00ebjtit Bord ku nevoja \u00ebsht\u00eb m\u00eb e madhe.<\/p>\n

COVID-19 dhe izolimi i pacientit<\/strong><\/p>\n

Nj\u00eb repart i l\u00ebvizsh\u00ebm ose modular mund t\u00eb shnd\u00ebrrohet n\u00eb nj\u00eb repart mb\u00ebshtet\u00ebs t\u00eb frym\u00ebmarrjes t\u00eb Nivelit 1, nd\u00ebrsa sallat e l\u00ebvizshme operative duhet t\u00eb jen\u00eb potencialisht t\u00eb rip\u00ebrdorura si reparte HDU ose ITU ose t\u00eb p\u00ebrdoren p\u00ebr procedura dhe trajtime q\u00eb p\u00ebrfitojn\u00eb nga izolimi shtes\u00eb.<\/p>\n

Disa nj\u00ebsi p\u00ebrdoren gjithashtu p\u00ebr t\u00eb izoluar pacient\u00ebt q\u00eb po shfaqin simptoma t\u00eb dyshuara p\u00ebr Covid-19, por jan\u00eb n\u00eb pritje t\u00eb vler\u00ebsimit t\u00eb m\u00ebtejsh\u00ebm. Nj\u00eb spital i madh rajonal ka rip\u00ebrdorur objektin e tij celular p\u00ebrkoh\u00ebsisht si nj\u00eb paket\u00eb v\u00ebzhgimi kirurgjikale p\u00ebr t\u00eb ndihmuar n\u00eb zbutjen e presioneve n\u00eb zona t\u00eb tjera t\u00eb spitalit, nd\u00ebrsa t\u00eb tjer\u00ebt po p\u00ebrdorin teatro dhe reparte t\u00eb l\u00ebvizshme p\u00ebr operacione t\u00eb dit\u00ebve kritike, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb mbajn\u00eb pacient\u00ebt larg zonave Covid-19. brenda spitalit kryesor.<\/p>\n

Fleksibilitet i shtuar<\/strong><\/p>\n

P\u00ebr shkak se objektet e l\u00ebvizshme t\u00eb kujdesit sh\u00ebndet\u00ebsor t\u00eb Vanguard p\u00ebrmbushin tashm\u00eb shumic\u00ebn e standardeve p\u00ebrkat\u00ebse, ato mund t\u00eb rip\u00ebrdoren p\u00ebr t\u00eb akomoduar nj\u00eb ndryshim p\u00ebrdorimi me ndryshimin e situat\u00ebs, qoft\u00eb kjo shtimi i hap\u00ebsirave t\u00eb shtratit t\u00eb ITU ose kapaciteti shtes\u00eb i trajtimit, pa u p\u00ebrballur me shum\u00eb nga problemet e zakonshme q\u00eb lidhen me konvertimin. nj\u00eb objekt ekzistues ose duke nd\u00ebrtuar nj\u00eb nd\u00ebrtes\u00eb ose departament t\u00eb ri.<\/p>\n

Disa spitale kan\u00eb identifikuar nevoj\u00ebn p\u00ebr hap\u00ebsir\u00eb shtes\u00eb p\u00ebr q\u00ebllime t\u00eb tjera, p\u00ebr shembull, p\u00ebr t\u00eb mb\u00ebshtetur stafin duke ofruar zona pushimi shum\u00eb t\u00eb nevojshme, ose duke ofruar ambiente ndryshimi q\u00eb duhet t\u00eb vendosen ve\u00e7mas nga pacient\u00ebt e infektuar ose jo t\u00eb infektuar. Vanguard gjithashtu ka qen\u00eb n\u00eb gjendje t\u00eb dhuroj\u00eb nj\u00eb num\u00ebr ventilator\u00ebsh rezerv\u00eb p\u00ebr NHS.<\/p>\n

N\u00eb shum\u00eb raste, stafi mb\u00ebshtet\u00ebs klinik me p\u00ebrvoj\u00eb i Vanguard \u00ebsht\u00eb ridislokuar, ose brenda nj\u00ebsis\u00eb ose n\u00eb zona t\u00eb tjera t\u00eb spitalit, duke p\u00ebrfshir\u00eb zonat Covid-19, p\u00ebr t\u00eb ofruar mb\u00ebshtetje p\u00ebr spitalin ku \u00ebsht\u00eb m\u00eb e nevojshme. N\u00ebse k\u00ebrkohet nj\u00eb teat\u00ebr i konvertuar p\u00ebr t\u00eb rritur kapacitetin kirurgjik, ai mund t\u00eb rip\u00ebrdoret shum\u00eb shpejt n\u00eb nj\u00eb sall\u00eb operacioni me personel t\u00eb plot\u00eb.<\/p>\n

Kapaciteti i ardhsh\u00ebm<\/strong><\/p>\n

\u00cbsht\u00eb e pashmangshme q\u00eb pasi t\u00eb p\u00ebrfundoj\u00eb kriza e menj\u00ebhershme, pacient\u00ebt do t\u00eb p\u00ebrballen me lista t\u00eb gjata pritjeje p\u00ebr procedurat q\u00eb jan\u00eb shtyr\u00eb ose anuluar gjat\u00eb kriz\u00ebs. Prandaj, nj\u00eb num\u00ebr spitalesh tashm\u00eb po mendojn\u00eb se si t\u00eb p\u00ebrballen me rritjen e pritshme t\u00eb k\u00ebrkes\u00ebs p\u00ebr kirurgji, diagnostikim dhe forma t\u00eb ndryshme trajtimi.<\/p>\n

Ka kuptim t\u00eb planifikohet p\u00ebrpara p\u00ebr p\u00ebrdorimin e objekteve fleksib\u00ebl t\u00eb kujdesit sh\u00ebndet\u00ebsor q\u00eb mund t\u00eb vendosen shpejt p\u00ebr t\u00eb ofruar kapacitet shtes\u00eb dhe p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar q\u00ebndrueshm\u00ebrin\u00eb brenda spitaleve, dhe t\u00eb cilat mund t\u00eb hiqen ose zhvendosen kur nuk k\u00ebrkohet m\u00eb t\u00eb vazhdojn\u00eb t\u00eb ofrojn\u00eb mb\u00ebshtetje aty ku \u00ebsht\u00eb m\u00eb e nevojshme.<\/p>","protected":false},"excerpt":{"rendered":"

Nd\u00ebrkoh\u00eb q\u00eb nd\u00ebrtimi i spitaleve t\u00eb p\u00ebrkohshme n\u00eb terren n\u00eb shkall\u00eb t\u00eb gjer\u00eb po merr pjes\u00ebn m\u00eb t\u00eb madhe t\u00eb titujve p\u00ebr momentin, nj\u00eb sasi e madhe pune po zhvillohet gjithashtu n\u00eb prapasken\u00eb n\u00eb trustet e NHS dhe spitalet n\u00eb t\u00eb gjith\u00eb vendin p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar q\u00ebndrueshm\u00ebrin\u00eb, dhe n\u00eb disa raste flot\u00ebn e Vanguard objektet e l\u00ebvizshme t\u00eb kujdesit sh\u00ebndet\u00ebsor kan\u00eb luajtur nj\u00eb rol ky\u00e7.<\/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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