Adult emergency positive patients intensive care unit interview subjects for the picture
Adult emergency:
Sick, still working
Since this round of outbreaks, Xinhua Hospital, in the face of only one hospital district, the first time to make the scheduling of resources, the addition of the adult medical ICU, adult surgical ICU, children's emergency ICU, the neonate's positive area, as well as the Fever clinic second clinic area, but even so, the emergency volume steeply increased.
Currently, Xinhua Hospital emergency daily number of ambulances to the hospital more than 100, emergency daily capacity of up to 1200, nearly 200 times a day to stay in patients, emergency medicine new positive ICU total **** 10 beds continue to be full, leaving a critical care beds to the most needy patients every day for emergency care. A large number of emergency medical personnel were infected, but looking at the exponential increase in the workload of the emergency department, they were infected only 2 days after the rest to return to work, six nurses in the emergency middle shift, four nurses on the night shift every day are so busy that even to go to the bathroom, eat a meal time is not, everyone is sympathetic to each other, support each other. Because the emergency department clinic is full of people, "the most difficult time, even feet can not step in", a nurse in the work of the clinic bed was crowded foot fracture, but she still insisted on going to work, not in the line of fire.
Children's emergency
To solve the problem of emergency tension in the hospital also urgently formed a transfer channel, by the medical department of Xinhua Hospital daily to each clinical department to report the number of patients need to be admitted, dredge the transfer channel, as much as possible for the emergency room. Each clinical department also actively overcame the problem of manpower shortage and admitted emergency patients into wards as far as possible. But even so, the number of patients is still increasing. Perhaps, it will pass with a little bit of simmering.
Director of pediatric emergency:
Sorry for our doctors
The same is true for children's emergency and fever clinics, where pediatricians and nurses at Xinhua Hospital line up to prepare for their shifts, going up one batch and falling ill the next, and sometimes, after only one shift, the health care workers develop high fevers. At first, they were drawn from other wards, but within two days there was no way to transfer them.
26 at noon, pediatric emergency critical care department of the doctor Xia Hao in pediatric emergency at work suddenly fainted, sent to the adult emergency examination, CT shows that the typical viral lung. From December 18th infection, only four days of rest at home, returned to the hospital top in the front line. Zhu Xiaodong, director of the Pediatric Emergency and Critical Care Unit, blamed himself, saying, "I'm sorry for him, really, this is a very good doctor! It's incredibly heartbreaking!"
On December 12, Xinhua Hospital's fever ward ushered in the first yang baby, and the neonatal department immediately dispatched medical care for admission.On December 23, due to the increase in the number of positive newborns, the hospital moved the neonatal ward, which had been set up in the fever ward, to the 11th floor of the pediatrics building, rapidly expanding the number of beds for admission, and setting up a companionable ward, which allowed the baby to receive professional care and 24-hour companionship in a timely manner. The NICU was relocated to the 11th floor of the Pediatric Complex, rapidly expanding the number of admitted beds. But in order to do this, the NICU nurses need to stick to a 12-hour shift and work together to take care of the patients.
Children's fever clinic
Fever has become the new normal in the hospital
With the number of infections gradually rising, all clinical departments and functional departments of Xinhua Hospital are facing greater pressure to receive and protect the work, and medical staff of all departments have actively requested to return to work to participate in the duty shift and carry out medical work. There are a few medical nurses who have fever but still stick to their posts. The head nurse of the second ward of Otorhinolaryngology, Head and Neck Surgery Department, Park Yajin, had fever and still stuck to her post until her body temperature was 39.8℃; the nurses of the hemodialysis center all insisted on going to work with their illnesses, and returned to their posts immediately after 2 days of temporary rest due to fever.
At the same time, the Internet Hospital's aerial clinic of Xinhua Hospital did not stop, and the doctors of the Yangkangzhong Clinic were all on duty on their computers, continuing to offer medical consultations and follow-up consultations to the patients on the Internet. Provide medical consultation and follow-up. At present, Shanghai Xinhua Hospital Internet Hospital has opened pediatric internal medicine consultation and dermatology consultation clinic on the basis of the original service content, extended the online follow-up registration time to 19:00, reduced cross-infection, optimized the convenience of medical treatment, and provided patients with consultation and follow-up medication dispensing services.
Ruijin Hospital, the whole hospital a plate chess
All-out efforts to deal with the peak of the visit
Recently, around the people one after another, "Yang", a time, emergency and fever outpatient clinics to receive a steep increase in the amount of healthcare workers in the front line, the risks and challenges faced are self-evident. The reporter learned from Ruijin Hospital, the whole hospital staff to go all out, fully absorb the experience of the Great Shanghai defense war, try to ensure that the basic medical non-stop swing, fully guard the lifeline of the patients.
Fever clinic Li Ping:
The whole hospital a plate chess
All the doctors open full power
"In order to let the patient to reduce queuing, fast in and out, pre-screening, we give the patient to do a blood routine, do a chest CT, if you can open the mouth to take medication, as far as possible to open the medication, and then they will be recommended to the patient's home quarantine; if the need to hang saline or have the underlying disease, the patient's home isolation; if the patient's home isolation, the patient's home isolation. If you need to hang saline or have underlying diseases, we will 'triage' them to the emergency department to receive the next step of treatment." Li Ping introduced, at present, all the doctors in the hospital is "full steam ahead", sick 3, 5 days after the fever returned to work, the busiest time fever outpatient clinic opened to four clinics, more than 400 patients in one day, while the previous normalization of the time, the number of patients per day is about 70, 80 or so.
Currently, with the adjustment of epidemic prevention and control measures, the volume of fever outpatient emergency room has come down a little bit, basically around 250 people a day. Many of the doctors in the department who have fever continue to hold their ground. Deployed by the Medical Affairs Department, many doctors from the Internal Medicine Department came to the front line to support the emergency department, while many surgeons came to the fever outpatient emergency department. Li Ping exclaimed, "Now there is no distinction between internal medicine and surgery, and it is with their emergency support that we can get our work down smoothly."
In order to appease patients, a small notice was posted at the entrance of the fever clinic to popularize knowledge and put them at ease in the queue, while chairs were provided for people to take a break, highlighting humanistic care to the greatest extent possible.
Medical staff
Infection Xie Qing:
Many colleagues insisted on coming to the post
Dedicate themselves to all
From last week, many health care workers in the infection department are one after another, "Yang", and the vast majority of patients are symptomatic, in which. Women's symptoms are more obvious, most of the high fever to 39, 40 ℃, the first day to the third day of body aches.
Even in such a situation, the entire medical staff of the Department of Infection did not stop curing and caring for the patients, and many insisted on coming to their posts even though they were not feeling well, and many young doctors went to the toughest front line - fever emergency and urgent care - to rescue and treat the patients. "In fact, they face a high risk of infection and have a very heavy workload, but they still insist on going to work, just so that patients can get early treatment." Xie Qing said.
Some healthcare workers who suddenly "got sick" couldn't go to work, so other colleagues were the first to step in; many colleagues over 50 years old volunteered to replace their outpatient clinics while younger doctors went to the front line. "More colleagues to overcome physical discomfort, as well as the needs of the family, insist on coming to the post, dedication to their own all." Xie Qing said.
Medical staff
Pharmacy Bian Xiaolan:
All-out efforts to safeguard the demand for medication
We are a united team
"Nearly 80 percent of our staff are 'double-double-double-barreled,' and I myself am also 'yang' up, but everyone wants to hang on for as long as possible." Speaking of the current state of work, Bian Xiaolan, director of the pharmacy department, said.
After the introduction of the new policy of epidemic prevention and control, there are more people with fever and more people who need to buy drugs, the pressure on the pharmacy department has risen sharply, and they are facing the double test of "combat attrition" and "workload escalation". On the one hand, to do everything possible to ensure the supply of fever-reducing emergency drugs, the general hospital as well as the branch hospitals can not be less, to maximize to meet the needs of the masses to meet the demand for medication; at the same time, the procurement of various types of conventional medical drugs can not be missing, to ensure that hospitals, critical illnesses, as well as the treatment of various departments of the medication, the pharmacy department of the medical and nursing staff in the "continuous rotation! "
"In order to improve the coverage of drugs, we will be emergency drugs for the split, medication instructions, the system to follow up are to be redesigned, really accurate and reasonable, this challenge is not small." Bian Xiaolan introduced. "When someone falls, someone has to step up. Especially now that the Internet clinic has a large number of patients with fever coming in for medication dispensing, we have to support the online clinic as well, and at the same time we have launched a series of caring measures such as delivering medication to positive employees in the hope of helping the medical staff to recover as early as possible, it's a tough battle." Bian lamented.
Recently, the hospital epidemic prevention and control work is facing new challenges, "yang" more and more medical staff, as the staff's "mother's family", the hospital trade union partners running around to build care for all of us "protective barrier" road. As the "mother's family" of the employees, the partners of the hospital labor union are running around on the way to build a "protective barrier" for everyone. Under the unified deployment of the hospital, the hospital staff issued health care packages; focus on four categories of people's health protection; the implementation of the hospital staff to stay in the staff care isolation hotels; condolences to employees on duty; with the Women's Committee together with the condolences to the care of on-the-job pregnant female employees, and home for pregnant mothers to send the much-needed antipyretic medicines; collaborative implementation of the infected employees to give medicines and a share of the love of supplies, a warm-hearted initiatives to inspire the battle of the "epidemic", and the "epidemic", and the "epidemic". The "epidemic" morale, conveying the hospital's care and sympathy for everyone, cohesion of the hospital's health care workers to fight the epidemic strength.
Shanghai Municipal Health Commission recently issued a notice "on the protection of anti-epidemic frontline medical personnel strength of the work of the opinion":
Proposed to protect the anti-epidemic frontline medical personnel strength
Ensure the normal and orderly operation of medical institutions
Better guarding of the people's lives and health safety
Notice proposed to strengthen the prevention of the prior, all levels of health care institutions to be According to the post risk, equipped with sufficient epidemic prevention materials, standardize the environmental elimination. Increase the protection of medical personnel and strengthen preventive interventions for medical personnel.
Strengthening the management of the incident, the notice requires the improvement of the working conditions of medical personnel, reasonable arrangements for shift scheduling. Medical institutions at all levels to rationally set up jobs, equipped with medical personnel, scientific arrangements for diagnosis and treatment shifts, co-ordinated arrangements for front-line medical personnel to rotate off to make up for the rest, to ensure that the front-line medical personnel reasonable rest and vacation time, to avoid excessive exertion. Promote staff health office, health lounge standardized construction of pilot work, with all the necessary office supplies and rest necessities, according to the functional positioning, size, location of the timely and nearby arrangements for medical staff deployment work closed-loop hotels, for the majority of medical staff to create a good working and resting environment.
To maintain the physical and mental health of medical personnel, strengthen humanistic care. Strengthen the medical personnel life services, logistics and health monitoring, provide clean, nutritious, convenient dining services for medical personnel, as well as essential drugs for basic illnesses, hygiene products, attention to the mental health of medical personnel, take the initiative to provide free psychological counseling services to reduce psychological anxiety.
After the guarantee, the notice requires, in the implementation of performance incentives, according to the requirements of the city, district medical institutions in the direct participation in the new coronavirus infection prevention and treatment of front-line work of the medical staff issued the relevant subsidies. In the implementation of the title, in line with the provisions of the direct participation in the epidemic prevention and control of front-line professional and technical personnel to participate in the evaluation of the title, under the same conditions in the unit should be preferred to recommend the declaration.
The notice also put forward requirements for family protection and psychological support. To actively seek the support of all parties, multi-channel financing of condolences, organization and carry out the work of condolences to medical personnel. In-depth understanding of the family situation of medical personnel, the establishment of accounts, classified policy, and effectively solve their practical difficulties and worries, to convey the care and concern of the organization. The company's business is to provide the best possible service to the public, and the company's business is to provide the best possible service to the public.
Xinmin Evening News, synthesized Jiefang Daily
Edited by Li Qiang