{"id":2463,"date":"2020-04-16T13:27:28","date_gmt":"2020-04-16T13:27:28","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=2463"},"modified":"2020-04-16T13:27:28","modified_gmt":"2020-04-16T13:27:28","slug":"the-role-of-mobile-healthcare-during-the-covid-19-crisis","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/bs_ba\/the-role-of-mobile-healthcare-during-the-covid-19-crisis\/","title":{"rendered":"Uloga mobilne zdravstvene za\u0161tite tokom krize COVID-19"},"content":{"rendered":"

Dok je izgradnja velikih, privremenih terenskih bolnica trenutno u ve\u0107ini naslovnica, ogroman posao se tako\u0111er odvija iza kulisa u postoje\u0107im bolnicama \u0161irom svijeta kako bi se pobolj\u0161ala otpornost, a u nekim slu\u010dajevima i Q-bitalova flota mobilne zdravstvene ustanove<\/a> odigrali klju\u010dnu ulogu.<\/p>\n

\u0160irom svijeta od bolnica je zatra\u017eeno da oslobode kapacitet otpu\u0161tanjem pacijenata koji nisu kriti\u010dni i obustavom svih planiranih i izbornih procedura kako bi se pripremili za o\u010dekivani porast broja prijema povezanih s korona virusom.<\/p>\n

Mnoge bolnice su morale da prenamijene unutra\u0161nji prostor i preraspodijele resurse na razli\u010dite na\u010dine kako bi oslobodile prostore unutar bolnice za pacijente zara\u017eene koronavirusom. Me\u0111utim, pretvaranje postoje\u0107eg prostora u odjeljenje ili objekat pogodan za ovu svrhu nije nu\u017eno tako jednostavan ili brz. Iznad svega, zahtijevalo je pa\u017eljivo planiranje, uzimaju\u0107i u obzir kapacitete i resurse cijele bolnice.<\/p>\n

Odgovor na izazov<\/strong><\/p>\n

Iako su pravila u nekim slu\u010dajevima ubla\u017eena kako bi se omogu\u0107ilo brzo raspore\u0111ivanje privremenih bolnica, odjeljenja i drugih objekata, imovinski timovi koji \u017eele da pretvore postoje\u0107i objekat u privremeni odjel za Covid-19 za smje\u0161taj intubiranih pacijenata, morat \u0107e slijediti slu\u017ebene smjernice. Na primjer, prilikom utvr\u0111ivanja odgovaraju\u0107ih lokacija unutar bolnica, potrebno je uzeti u obzir postoje\u0107e tokove prometa i izbjegavati sve prolazne rute za promet koji nije zara\u017een korona virusom. Logisti\u010dki tokovi, upravljanje \u010distim i prljavim otpadom tako\u0111er se moraju uzeti u obzir.<\/p>\n

Drugi klju\u010dni zahtjev je adekvatna ventilacija i odvod, budu\u0107i da bi veliki broj ventilatora u upotrebi mogao obogatiti zrak kisikom, \u010dime bi se pove\u0107ao rizik od izgaranja. Mora se uzeti u obzir i niz drugih razmatranja planiranja, kao \u0161to je sigurnost od po\u017eara s obzirom na promjenu rasporeda i upotrebe, posebno ako su gra\u0111evinski radovi potrebni za pretvaranje prostora. Pored priklju\u010daka za medicinski gas i kiseonik, krevetnim prostorima su potrebni i dodatni priklju\u010dci i prostor oko njih za opremu koja se povremeno koristi u krevetu.<\/p>\n

U nekim zemljama, kao \u0161to je Velika Britanija, preporu\u010duje se da se za lije\u010denje i njegu pacijenata sa korona virusom koristi odre\u0111ena samostalna zona ili krilo zdravstvene ustanove. Ovo podru\u010dje bi u idealnom slu\u010daju trebalo da ima poseban ulaz i izlaz i ne bi trebalo da ga koriste kao putnu saobra\u0107ajnicu drugi pacijenti, posjetioci ili osoblje, uklju\u010duju\u0107i pacijente koji se prebacuju i osoblje i posjetitelje koji ulaze i izlaze iz zgrade.<\/p>\n

Kori\u0161tenje fleksibilnih zdravstvenih rje\u0161enja<\/strong><\/p>\n

Kao Q-bitalov mobilni pozori\u0161ta<\/a> i odjeljenja<\/a> su samostalne jedinice, posebno su prikladne za lije\u010denje zara\u017eenih pacijenata kojima je potrebna izolacija, ili za pru\u017eanje kriti\u010dne operacije ili lije\u010denja daleko od Covid-19 podru\u010dja bolnice. Osim toga, oni ve\u0107 ispunjavaju ve\u0107inu relevantnih standarda pa se mogu brzo prenamijeniti kako bi se osigurali dodatni kreveti.<\/p>\n

Me\u0111utim, ono \u0161to se posljednjih sedmica pokazalo jeste da upravnici bolnica koje ve\u0107 imaju mobilnu operacionu salu, odjeljenje ili tretmanski centar na licu mjesta vide ovu jedinicu kao vitalno pro\u0161irenje vlastitog klini\u010dkog kompleksa i kao klju\u010d za planiranje kapaciteta za koronavirus unutar bolnice. Dodatni eksterni kapacitet jedinice omogu\u0107io je nekim bolnicama da bolje koordiniraju svoje promjene na cijelom kompleksu kako bi pru\u017eile neprekidnu njegu pacijentima u situaciji koja se svakodnevno mijenja.<\/p>\n

U posljednjih nekoliko sedmica, Q-bitalova flota mobilnih odjeljenja, operacionih sala i paketi za endoskopiju<\/a> su prenamijenjene na vi\u0161e razli\u010ditih na\u010dina kao dio bolni\u010dkog planiranja za Koronavirus, kao dio njihovog ukupnog plana za pove\u0107anje otpornosti. Rezultiraju\u0107e rje\u0161enje i eventualna upotreba mobilnog objekta zavisili su od individualnih zahtjeva svake bolnice, polo\u017eaja jedinice unutar svake lokacije i njene blizine odre\u0111enim odjelima.<\/p>\n

Hitna operacija i esencijalni tretman<\/strong><\/p>\n

Budu\u0107i da je brzina od klju\u010dne va\u017enosti, bolnice se podsti\u010du da identifikuju podru\u010dja koja se mogu efikasno prenamijeniti uz minimalne modifikacije, kao \u0161to su postoje\u0107a odjeljenja, operacione sale i laboratorije za kateterizaciju, uklju\u010duju\u0107i prostore za pripremu i dezinfekciju. Zbog potrebe za medicinskim gasovima i dodatnim kiseonikom, mnoge bolnice otkrivaju da je optimalno mjesto za dodavanje kapaciteta za Covid-19 unutar postoje\u0107eg odjeljenja operacione sale.<\/p>\n

Kao rezultat toga, brojne bolnice koje ve\u0107 imaju mobilnu operacionu salu ili odjeljenje koriste taj objekat za dekontaminaciju postoje\u0107eg internog hirur\u0161kog ili klini\u010dkog prostora. Primjeri postupaka koji se sada izvode u mobilnim jedinicama Q-bitala uklju\u010duju hitnu hirurgiju, hitnu njegu poput lije\u010denja raka i lije\u010denje pacijenata s traumom.<\/p>\n

Jedna bolnica koristi svoju operacijsku salu za hitne plasti\u010dne radove i dermatologiju, dok druga koristi svoju za hitnu aku\u0161ersku njegu. Klju\u010d za to je fleksibilnost ovih objekata, odnosno mogu\u0107nost njihove vrlo brze prenamjene, ovisno o \u017eeljenoj upotrebi.<\/p>\n

Jo\u0161 jedna prednost je mobilna priroda jedinica, budu\u0107i da se mogu relativno lako premjestiti tamo gdje su najpotrebnije. U \u0160kotskoj, na primjer, jedan zdravstveni odbor razmatra premje\u0161tanje svoje mobilne operacijske sale na drugu bolni\u010dku lokaciju unutar istog odbora gdje je potreba ve\u0107a.<\/p>\n

COVID-19 i izolacija pacijenata<\/strong><\/p>\n

Mobilno ili modularno odjeljenje moglo bi se pretvoriti u odjeljenje za respiratornu podr\u0161ku nivoa 1, dok bi mobilne operacijske sale imale potencijal da se prenamijene u odjeljenja za HDU ili ITU ili da se koriste za procedure i tretmane koji imaju koristi od dodatne izolacije.<\/p>\n

Neke jedinice se tako\u0111er koriste za izolaciju pacijenata koji pokazuju sumnjive simptome koronavirusa, ali \u010dekaju daljnju procjenu. Jedna velika regionalna bolnica privremeno je prenamijenila svoj mobilni objekt u hirur\u0161ku promatra\u010dku salu kako bi se ubla\u017eio pritisak u drugim dijelovima bolnice, dok druge koriste mobilne operacijske sale i odjele za hitne dnevne operacije, kako bi pacijente dr\u017eali podalje od zona Covid-19 unutar glavne bolnice.<\/p>\n

Dodata fleksibilnost<\/strong><\/p>\n

Budu\u0107i da ove mobilne zdravstvene ustanove ve\u0107 ispunjavaju ve\u0107inu relevantnih standarda, mogu se prenamijeniti tako da prilagode promjenu namjene kako se situacija mijenja, bilo da se radi o dodavanju ITU kreveta ili dodatnih kapaciteta za lije\u010denje, bez suo\u010davanja s mnogim uobi\u010dajenim problemima povezanim s prenamjenom postoje\u0107eg objekta ili izgradnjom nove zgrade ili odjeljenja.<\/p>\n

Neke bolnice su identifikovale potrebu za dodatnim prostorom za druge svrhe, na primer, za podr\u0161ku osoblju obezbe\u0111ivanjem preko potrebnih odmori\u0161ta, ili obezbe\u0111ivanjem prostorija za presvla\u010denje koje treba da se nalaze odvojeno od zara\u017eenih ili neinficiranih pacijenata.<\/p>\n

U mnogim slu\u010dajevima, iskusno klini\u010dko osoblje za podr\u0161ku koje radi na vanjskom odjelu tako\u0111er je premje\u0161teno, bilo unutar odjela ili u druge dijelove bolnice, uklju\u010duju\u0107i zone Covid-19, kako bi pru\u017eilo podr\u0161ku bolnici gdje je najpotrebnija. Ukoliko je potrebna preure\u0111ena operacijska sala za pove\u0107anje hirur\u0161kih kapaciteta, ona se vrlo brzo mo\u017ee prenamijeniti u potpuno opremljenu operacijsku salu.<\/p>\n

Budu\u0107i kapacitet<\/strong><\/p>\n

Neizbe\u017eno je da \u0107e se pacijenti, kada se neposredna kriza zavr\u0161i, suo\u010diti sa dugim listama \u010dekanja za procedure koje su odgo\u0111ene ili otkazane tokom krize. Stoga veliki broj bolnica ve\u0107 razmi\u0161lja kako se nositi s o\u010dekivanim porastom potra\u017enje za operacijama, dijagnostikom i razli\u010ditim oblicima lije\u010denja.<\/p>\n

Ima smisla unaprijed planirati kori\u0161tenje fleksibilnih zdravstvenih ustanova koje se mogu brzo rasporediti kako bi se obezbijedili dodatni kapaciteti i pobolj\u0161ala otpornost u bolnicama, a koji se mogu ukloniti ili premjestiti kada vi\u0161e nisu potrebni da nastave pru\u017eati podr\u0161ku tamo gdje je najpotrebnija.<\/p>","protected":false},"excerpt":{"rendered":"

\u0160irom svijeta od bolnica je zatra\u017eeno da oslobode kapacitet otpu\u0161tanjem pacijenata koji nisu kriti\u010dni i obustavom svih planiranih i izbornih procedura kako bi se pripremili za o\u010dekivani porast broja prijema povezanih s korona virusom.<\/p>","protected":false},"author":1,"featured_media":2346,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,119],"tags":[5],"class_list":["post-2463","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-mobile"],"acf":[],"yoast_head":"\nThe role of mobile healthcare during the COVID-19 crisis - Q-bital Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"How mobile healthcare facilities are providing vital increase in capacity and flexibility during the Covid 19 crisis.\" \/>\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.q-bital.com\/bs_ba\/the-role-of-mobile-healthcare-during-the-covid-19-crisis\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The role of mobile healthcare during the COVID-19 crisis - 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