{"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\/tr_tr\/the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis\/","title":{"rendered":"Mobil sa\u011fl\u0131k hizmetlerinin COVID-19 krizinde NHS dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131 desteklemedeki rol\u00fc"},"content":{"rendered":"

B\u00fcy\u00fck \u00f6l\u00e7ekli, ge\u00e7ici sahra hastanelerinin in\u015fas\u0131 \u015fu anda man\u015fetlerin \u00e7o\u011funda yer al\u0131rken, \u00fclke \u00e7ap\u0131ndaki NHS vak\u0131flar\u0131nda ve hastanelerde dayan\u0131kl\u0131l\u0131\u011f\u0131 art\u0131rmak i\u00e7in perde arkas\u0131nda ve baz\u0131 durumlarda Vanguard filosunda da b\u00fcy\u00fck miktarda \u00e7al\u0131\u015fma yap\u0131l\u0131yor. Mobil sa\u011fl\u0131k tesislerinin kullan\u0131m\u0131 \u00f6nemli bir rol oynam\u0131\u015ft\u0131r.<\/p>\n

NHSE, Kovid-19 ile ilgili kabullerde beklenen art\u0131\u015fa haz\u0131rlanmak i\u00e7in t\u00fcm hastanelere kritik olmayan hastalar\u0131 taburcu ederek ve t\u00fcm planl\u0131 ve se\u00e7meli prosed\u00fcrleri en ge\u00e7 15 Nisan'a kadar durdurarak kapasitelerini bo\u015faltmalar\u0131n\u0131 emretti. Bug\u00fcne kadar, mevcut NHS hastanelerinde koronavir\u00fcs ile enfekte hastalar i\u00e7in 50'den fazla yeni hastaneye e\u015fde\u011fer 30.000'den fazla yatak alan\u0131 bo\u015falt\u0131ld\u0131 veya olu\u015fturuldu. Bu ola\u011fan\u00fcst\u00fc bir ba\u015far\u0131y\u0131 temsil ediyor ve NHS'nin b\u00fcy\u00fck bir durumda ne kadar duyarl\u0131 olabilece\u011fini g\u00f6steriyor.<\/p>\n

Pek \u00e7ok hastanenin, hastane i\u00e7inde Kovid-19 hastalar\u0131na yer a\u00e7mak i\u00e7in i\u00e7 mekan\u0131n\u0131 yeniden d\u00fczenlemesi ve kaynaklar\u0131 \u00e7e\u015fitli \u015fekillerde yeniden da\u011f\u0131tmas\u0131 gerekti. Ancak mevcut alan\u0131 bu amaca uygun bir ko\u011fu\u015fa veya tesise d\u00f6n\u00fc\u015ft\u00fcrmek o kadar kolay veya h\u0131zl\u0131 bir i\u015flem de\u011fildir. Her \u015feyden \u00f6nce, t\u00fcm hastanenin arazisini ve kaynaklar\u0131n\u0131 hesaba katan dikkatli bir planlama gerektiriyordu.<\/p>\n

Meydan okumaya yan\u0131t verme<\/strong><\/p>\n

H\u00fck\u00fcmet taraf\u0131ndan yay\u0131nlanan rehber<\/a> Mart ay\u0131nda, mevcut bir tesisi ent\u00fcbe hastalar\u0131 bar\u0131nd\u0131racak ge\u00e7ici bir Kovid-19 ko\u011fu\u015funa d\u00f6n\u00fc\u015ft\u00fcrmek isteyen y\u00f6neticiler ve site ekipleri i\u00e7in yap\u0131lan bu karar, hastanelerin uyum sa\u011flamas\u0131 gereken h\u0131z\u0131n fark\u0131na vard\u0131 ve uygun bir \u015fekilde pragmatikti. Uygun yerlerin belirlenmesinde mevcut trafik ak\u0131\u015flar\u0131n\u0131n dikkate al\u0131nmas\u0131 ve Kovid-19 d\u0131\u015f\u0131 trafik i\u00e7in ge\u00e7i\u015f yollar\u0131ndan ka\u00e7\u0131n\u0131lmas\u0131 gerekti\u011fi belirtiliyor. Lojistik ak\u0131\u015flar, temiz ve kirli at\u0131k y\u00f6netimi de dikkate al\u0131nmal\u0131d\u0131r.<\/p>\n

Bir di\u011fer temel gereklilik, yeterli havaland\u0131rma ve tahliyenin sa\u011flanmas\u0131d\u0131r; \u00e7\u00fcnk\u00fc kullan\u0131lan \u00e7ok say\u0131da vantilat\u00f6r, havay\u0131 oksijenle zenginle\u015ftirip yanma riskini art\u0131rabilir. \u00d6zellikle alan\u0131 d\u00f6n\u00fc\u015ft\u00fcrmek i\u00e7in in\u015faat i\u015fi gerekiyorsa, yerle\u015fim ve kullan\u0131mdaki de\u011fi\u015fiklik g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda yang\u0131n g\u00fcvenli\u011fi gibi bir dizi ba\u015fka planlama hususunun da dikkate al\u0131nmas\u0131 gerekir. Yatak alanlar\u0131, t\u0131bbi gaz ve oksijen ba\u011flant\u0131lar\u0131n\u0131n yan\u0131 s\u0131ra, yatak alan\u0131nda aral\u0131kl\u0131 olarak kullan\u0131lan ekipmanlar i\u00e7in de ek ba\u011flant\u0131lara ve etraflar\u0131nda bo\u015flu\u011fa ihtiya\u00e7 duyar.<\/p>\n

Son k\u0131lavuzda ayr\u0131ca, m\u00fcmk\u00fcn olan her durumda, sa\u011fl\u0131k tesisinin belirlenmi\u015f m\u00fcstakil bir alan\u0131n\u0131n veya kanad\u0131n\u0131n, Kovid-19 hastalar\u0131n\u0131n tedavisi ve bak\u0131m\u0131 i\u00e7in kullan\u0131lmas\u0131 gerekti\u011fi belirtiliyor. Bu alan ideal olarak ayr\u0131 bir giri\u015f ve \u00e7\u0131k\u0131\u015fa ve ayr\u0131 bir resepsiyona sahip olmal\u0131 ve transfer edilen hastalar, yemek molalar\u0131na giden personel ve odaya giren ve \u00e7\u0131kan personel ve ziyaret\u00e7iler de dahil olmak \u00fczere di\u011fer hastalar, ziyaret\u00e7iler veya personel taraf\u0131ndan ge\u00e7i\u015f yolu olarak kullan\u0131lmamal\u0131d\u0131r. bina. Ayr\u0131ca kapal\u0131 kap\u0131larla ayr\u0131lm\u0131\u015f olmayan alanlardan ayr\u0131lmal\u0131d\u0131r.<\/p>\n

Esnek sa\u011fl\u0131k \u00e7\u00f6z\u00fcmleri kullanma<\/strong><\/p>\n

Vanguard'nin mobil cihaz\u0131 olarak tiyatrolar<\/a> Ve ko\u011fu\u015flar<\/a> m\u00fcstakil birimlerdir ve \u00f6zellikle izolasyon gerektiren enfekte hastalar\u0131n tedavisi veya hastanenin Kovid-19 alanlar\u0131ndan uzakta kritik ameliyat veya tedavi sa\u011flamak i\u00e7in uygundurlar. Ayr\u0131ca ilgili standartlar\u0131 zaten kar\u015f\u0131lad\u0131klar\u0131ndan ek yatak alanlar\u0131 sa\u011flamak \u00fczere h\u0131zla yeniden kullan\u0131labilirler.<\/p>\n

Ancak son haftalarda, Vanguard mobil ameliyathanesi, tedavi tesisi, CSSD \u00fcnitesi veya ko\u011fu\u015fu bulunan hastane y\u00f6neticilerinin, bu \u00fcniteyi kendi klinik varl\u0131klar\u0131n\u0131n hayati bir uzant\u0131s\u0131 ve Kovid-19 kapasitesinin anahtar\u0131 olarak g\u00f6rd\u00fckleri ortaya \u00e7\u0131kt\u0131. Hastane i\u00e7inde planlama.<\/p>\n

\u00dcnitenin ek harici kapasitesi, baz\u0131 hastanelerin, her g\u00fcn de\u011fi\u015fen bir durumda hastalara kesintisiz bak\u0131m sa\u011flamak amac\u0131yla site genelindeki de\u011fi\u015fikliklerini daha iyi koreografiye tabi tutmas\u0131na olanak tan\u0131d\u0131.<\/p>\n

Son haftalarda Vanguard'nin mobil ko\u011fu\u015f filosu, ameliyathaneler ve endoskopi s\u00fcitleri<\/a> Hastanelerin dayan\u0131kl\u0131l\u0131\u011f\u0131 art\u0131rmaya y\u00f6nelik genel planlar\u0131n\u0131n bir par\u00e7as\u0131 olarak, hastanelerin Kovid-19 planlamas\u0131n\u0131n bir par\u00e7as\u0131 olarak \u00e7e\u015fitli \u015fekillerde yeniden tasarland\u0131. Ortaya \u00e7\u0131kan \u00e7\u00f6z\u00fcm ve mobil tesisin nihai kullan\u0131m\u0131, her hastanenin bireysel gereksinimlerine, birimin her sahadaki konumuna ve belirli b\u00f6l\u00fcmlere yak\u0131nl\u0131\u011f\u0131na ba\u011fl\u0131 olmu\u015ftur.<\/p>\n

Acil cerrahi ve temel tedavi<\/strong><\/p>\n

H\u0131z \u00e7ok \u00f6nemli oldu\u011fundan, hastanelerin, haz\u0131rl\u0131k ve keseleme alanlar\u0131 da dahil olmak \u00fczere mevcut ko\u011fu\u015flar, ameliyathaneler ve kateterizasyon laboratuvarlar\u0131 gibi minimum de\u011fi\u015fiklikle etkili bir \u015fekilde d\u00f6n\u00fc\u015ft\u00fcr\u00fclebilecek alanlar\u0131 belirlemeleri te\u015fvik ediliyor. Boruyla ta\u015f\u0131nan t\u0131bbi gazlara ve ek oksijene duyulan ihtiya\u00e7 nedeniyle bir\u00e7ok hastane, Kovid-19 kapasitesini art\u0131rmak i\u00e7in en uygun alan\u0131n mevcut ameliyathane b\u00f6l\u00fcm\u00fc oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyor.<\/p>\n

NHS, Stratejik Olay Direkt\u00f6r\u00fc Profes\u00f6r Keith Willett taraf\u0131ndan, bu krizden sonra geriye d\u00f6n\u00fcp bak\u0131ld\u0131\u011f\u0131nda, acil bak\u0131ma ihtiya\u00e7 duyan Kovid d\u0131\u015f\u0131 hastalara, sa\u011fl\u0131k kurumlar\u0131na yapt\u0131klar\u0131 kadar zarar vermemelerini sa\u011flamak i\u00e7in g\u00fc\u00e7l\u00fc bir \u015fekilde te\u015fvik edildi. Kovid-19 hastalar\u0131na destek olma konusunda olumlu.<\/p>\n

Sonu\u00e7 olarak, b\u00fcnyesinde Vanguard mobil ameliyathanesi veya ko\u011fu\u015fu bulunan \u00e7ok say\u0131da hastane, mevcut dahili cerrahi veya klinik alan\u0131 bo\u015faltmak i\u00e7in mobil tesisi kullan\u0131yor. \u015eu anda Vanguard'nin mobil birimlerinde y\u00fcr\u00fct\u00fclen prosed\u00fcr \u00f6rnekleri aras\u0131nda acil cerrahi, kanser tedavisi gibi acil bak\u0131m ve travma hastalar\u0131n\u0131n tedavisi yer al\u0131yor.<\/p>\n

Bir hastane ameliyathanesini acil plastik i\u015fleri ve dermatoloji i\u00e7in kullan\u0131rken, bir di\u011feri acil obstetri i\u00e7in kullan\u0131yor. Bunun anahtar\u0131, bu tesislerin istenilen kullan\u0131ma ba\u011fl\u0131 olarak \u00e7ok h\u0131zl\u0131 bir \u015fekilde yeniden kullan\u0131labilme esnekli\u011fidir.<\/p>\n

Di\u011fer bir avantaj ise birimlerin hareketli yap\u0131s\u0131d\u0131r, \u00e7\u00fcnk\u00fc en \u00e7ok ihtiya\u00e7 duyulan yere nispeten kolayl\u0131kla yerle\u015ftirilebilirler. \u0130sko\u00e7ya'da bir Sa\u011fl\u0131k Kurulu, mobil ameliyathanesini, ihtiyac\u0131n daha fazla oldu\u011fu ayn\u0131 Kurul i\u00e7indeki ba\u015fka bir hastane alan\u0131na ta\u015f\u0131may\u0131 d\u00fc\u015f\u00fcn\u00fcyor.<\/p>\n

COVID-19 ve hasta izolasyonu<\/strong><\/p>\n

Mobil veya mod\u00fcler bir ko\u011fu\u015f, Seviye 1 solunum destek ko\u011fu\u015funa d\u00f6n\u00fc\u015ft\u00fcr\u00fclebilirken, mobil ameliyathanelerin HDU veya ITU ko\u011fu\u015flar\u0131 olarak yeniden tasarlanma veya ek izolasyondan yararlanan prosed\u00fcrler ve tedaviler i\u00e7in kullan\u0131lma potansiyeline sahip olmas\u0131 gerekir.<\/p>\n

Baz\u0131 birimler, \u015f\u00fcpheli Kovid-19 semptomlar\u0131 g\u00f6steren ancak daha ileri de\u011ferlendirmeyi bekleyen hastalar\u0131 izole etmek i\u00e7in de kullan\u0131l\u0131yor. B\u00fcy\u00fck bir b\u00f6lgesel hastane, hastanenin di\u011fer alanlar\u0131ndaki bask\u0131y\u0131 hafifletmeye yard\u0131mc\u0131 olmak i\u00e7in mobil tesislerini ge\u00e7ici olarak cerrahi g\u00f6zlem odas\u0131 olarak yeniden tasarlarken, di\u011ferleri hastalar\u0131 Kovid-19 b\u00f6lgelerinden uzak tutmak amac\u0131yla kritik g\u00fcnl\u00fck ameliyatlar i\u00e7in mobil ameliyathaneleri ve servisleri kullan\u0131yor. ana hastane b\u00fcnyesinde.<\/p>\n

Daha fazla esneklik<\/strong><\/p>\n

Vanguard'nin mobil sa\u011fl\u0131k tesisleri halihaz\u0131rda ilgili standartlar\u0131n \u00e7o\u011funu kar\u015f\u0131lad\u0131\u011f\u0131 i\u00e7in, durum de\u011fi\u015ftik\u00e7e, ister ITU yatak alan\u0131 eklemek, ister ilave tedavi kapasitesi olsun, d\u00f6n\u00fc\u015f\u00fcmle ilgili ola\u011fan sorunlar\u0131n \u00e7o\u011fuyla kar\u015f\u0131la\u015fmadan kullan\u0131m de\u011fi\u015fikli\u011fine uyum sa\u011flayacak \u015fekilde yeniden tasarlanabilir. mevcut bir tesis veya yeni bir bina veya departman\u0131n in\u015fas\u0131.<\/p>\n

Baz\u0131 hastaneler, \u00f6rne\u011fin \u00e7ok ihtiya\u00e7 duyulan dinlenme alanlar\u0131n\u0131 sa\u011flayarak personeli desteklemek veya enfekte veya enfekte olmayan hastalardan ayr\u0131 olarak yerle\u015ftirilmesi gereken soyunma kabinlerini sa\u011flamak gibi ba\u015fka ama\u00e7lar i\u00e7in ek alan ihtiyac\u0131n\u0131 belirlemi\u015ftir. Vanguard ayr\u0131ca NHS'ye bir dizi yedek solunum cihaz\u0131 ba\u011f\u0131\u015flayabildi.<\/p>\n

\u00c7o\u011fu durumda, Vanguard'nin deneyimli klinik destek personeli, hastaneye en \u00e7ok ihtiya\u00e7 duyulan yerde destek sa\u011flamak i\u00e7in \u00fcnite i\u00e7inde veya Kovid-19 b\u00f6lgeleri de dahil olmak \u00fczere hastanenin di\u011fer alanlar\u0131nda yeniden g\u00f6revlendirildi. Cerrahi kapasiteyi art\u0131rmak i\u00e7in d\u00f6n\u00fc\u015ft\u00fcr\u00fclm\u00fc\u015f bir ameliyathaneye ihtiya\u00e7 duyulursa, buras\u0131 \u00e7ok h\u0131zl\u0131 bir \u015fekilde tam kadrolu bir ameliyathaneye d\u00f6n\u00fc\u015ft\u00fcr\u00fclebilir.<\/p>\n

Gelecekteki kapasite<\/strong><\/p>\n

Kriz sona erdi\u011finde hastalar\u0131n, kriz s\u0131ras\u0131nda ertelenen veya iptal edilen i\u015flemler i\u00e7in uzun bekleme listeleriyle kar\u015f\u0131 kar\u015f\u0131ya kalmas\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r. Bu nedenle, baz\u0131 hastaneler halihaz\u0131rda ameliyat, te\u015fhis ve \u00e7e\u015fitli tedavi y\u00f6ntemlerine y\u00f6nelik talepte beklenen art\u0131\u015fla nas\u0131l ba\u015fa \u00e7\u0131k\u0131laca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyor.<\/p>\n

Hastanelerde ek kapasite sa\u011flamak ve dayan\u0131kl\u0131l\u0131\u011f\u0131 art\u0131rmak i\u00e7in h\u0131zl\u0131 bir \u015fekilde konu\u015fland\u0131r\u0131labilen ve en \u00e7ok ihtiya\u00e7 duyulan yerde destek sa\u011flamaya devam etmek i\u00e7in art\u0131k gerekli olmad\u0131\u011f\u0131nda kald\u0131r\u0131labilen veya yeri de\u011fi\u015ftirilebilen esnek sa\u011fl\u0131k tesislerinin kullan\u0131m\u0131 i\u00e7in \u00f6nceden plan yapmak mant\u0131kl\u0131d\u0131r.<\/p>","protected":false},"excerpt":{"rendered":"

B\u00fcy\u00fck \u00f6l\u00e7ekli, ge\u00e7ici sahra hastanelerinin in\u015fas\u0131 \u015fu anda man\u015fetlerin \u00e7o\u011funda yer al\u0131rken, \u00fclke \u00e7ap\u0131ndaki NHS vak\u0131flar\u0131nda ve hastanelerde dayan\u0131kl\u0131l\u0131\u011f\u0131 art\u0131rmak i\u00e7in perde arkas\u0131nda ve baz\u0131 durumlarda Vanguard filosunda da b\u00fcy\u00fck miktarda \u00e7al\u0131\u015fma yap\u0131l\u0131yor. Mobil sa\u011fl\u0131k tesislerinin kullan\u0131m\u0131 \u00f6nemli bir rol oynam\u0131\u015ft\u0131r.<\/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\/tr_tr\/the-role-of-mobile-healthcare-in-supporting-nhs-resilience-in-the-covid-19-crisis\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\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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