{"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\/cy_gb-wls\/the-role-of-mobile-healthcare-during-the-covid-19-crisis\/","title":{"rendered":"R\u00f4l gofal iechyd symudol yn ystod argyfwng COVID-19"},"content":{"rendered":"

Er bod adeiladu ysbytai maes ar raddfa fawr, dros dro yn cael y rhan fwyaf o'r penawdau ar hyn o bryd, mae llawer iawn o waith hefyd yn mynd rhagddo y tu \u00f4l i'r llenni mewn ysbytai presennol ledled y byd i wella gwytnwch, ac mewn rhai achosion fflyd Q-bital o cyfleusterau gofal iechyd symudol<\/a> wedi chwarae rhan allweddol.<\/p>\n

Ar draws y byd, gofynnwyd i ysbytai ryddhau capasiti trwy ryddhau cleifion nad ydynt yn gritigol a rhoi'r gorau i'r holl weithdrefnau cynlluniedig a dewisol i baratoi ar gyfer y pigyn disgwyliedig mewn derbyniadau sy'n gysylltiedig \u00e2 Coronafeirws.<\/p>\n

Mae llawer o ysbytai wedi gorfod ail-ddefnyddio gofod mewnol ac adleoli adnoddau mewn amrywiol ffyrdd er mwyn rhyddhau ardaloedd o fewn yr ysbyty ar gyfer cleifion sydd wedi'u heintio \u00e2 Coronavirus. Fodd bynnag, nid yw trosi gofod presennol yn ward neu\u2019n gyfleuster sy\u2019n addas at y diben hwn o reidrwydd mor hawdd na chyflym i\u2019w wneud. Yn anad dim, bu angen cynllunio gofalus, gan ystyried holl gyfleusterau ac adnoddau'r ysbyty.<\/p>\n

Ymateb i'r her<\/strong><\/p>\n

Er bod rheolau wedi\u2019u llacio mewn rhai achosion i alluogi ysbytai dros dro, wardiau a chyfleusterau eraill i gael eu defnyddio\u2019n gyflym, bydd angen i dimau eiddo sydd am drosi cyfleuster presennol yn ward Covid-19 dros dro i gartrefu cleifion mewndiwb, ddilyn canllawiau swyddogol. Er enghraifft, wrth nodi lleoliadau addas mewn ysbytai, mae angen ystyried y llif traffig presennol, ac osgoi unrhyw lwybrau trwodd ar gyfer traffig nad yw\u2019n gysylltiedig \u00e2\u2019r Coronafeirws. Rhaid hefyd ystyried llifau logistaidd, rheoli gwastraff gl\u00e2n a budr.<\/p>\n

Gofyniad allweddol arall yw awyru ac echdynnu digonol, gan y gallai'r nifer uchel o beiriannau anadlu a ddefnyddir gyfoethogi'r aer ag ocsigen, gan gynyddu'r risg hylosgi. Rhaid ystyried ystod o ystyriaethau cynllunio eraill hefyd, megis diogelwch t\u00e2n o ystyried y newid yn y gosodiad a'r defnydd, yn enwedig os oes angen gwaith adeiladu i addasu'r gofod. Yn ogystal \u00e2 chysylltiadau ar gyfer nwy meddygol ac ocsigen, mae angen cysylltiadau ychwanegol ar welyau a gofod o'u cwmpas ar gyfer offer a ddefnyddir yn ysbeidiol yn y gwely.<\/p>\n

Mewn rhai gwledydd, fel y DU, argymhellir y dylid defnyddio ardal neu adain hunangynhwysol ddynodedig o'r cyfleuster gofal iechyd ar gyfer trin a gofalu am gleifion \u00e2 Coronavirus. Yn ddelfrydol, dylai fod gan y man hwn fynedfa ac allanfa ar wah\u00e2n ac ni ddylid ei defnyddio fel tramwyfa gan gleifion eraill, ymwelwyr neu staff, gan gynnwys cleifion sy'n cael eu trosglwyddo a staff ac ymwelwyr sy'n mynd i mewn ac allan o'r adeilad.<\/p>\n

Defnyddio atebion gofal iechyd hyblyg<\/strong><\/p>\n

Fel ff\u00f4n symudol Q-bital theatrau<\/a> a wardiau<\/a> yn unedau hunangynhwysol, maent yn arbennig o addas ar gyfer trin cleifion heintiedig sydd angen ynysu, neu ar gyfer darparu llawdriniaeth gritigol neu driniaeth i ffwrdd o ardaloedd Covid-19 yr ysbyty. Yn ogystal, maent eisoes yn bodloni'r rhan fwyaf o'r safonau perthnasol felly gellir eu hailddefnyddio'n gyflym i ddarparu gwelyau ychwanegol.<\/p>\n

Fodd bynnag, yr hyn sydd wedi dod i'r amlwg yn ystod yr wythnosau diwethaf yw bod rheolwyr ysbytai sydd \u00e2 theatr symudol, cyfleuster triniaeth neu ward eisoes ar y safle yn gweld yr uned hon fel estyniad hanfodol o'u hyst\u00e2d glinigol eu hunain ac fel allwedd i gynllunio capasiti'r Coronafeirws yn yr ysbyty. Mae capasiti allanol ychwanegol yr uned wedi caniat\u00e1u i rai ysbytai drefnu eu newidiadau'n well ar draws yr yst\u00e2d gyfan er mwyn darparu gofal di-dor i gleifion mewn sefyllfa sy'n newid yn ddyddiol.<\/p>\n

Yn ystod yr wythnosau diwethaf, mae fflyd Q-bital o wardiau symudol, theatrau llawdriniaeth a ystafelloedd endosgopi<\/a> wedi cael eu hailosod mewn nifer o wahanol ffyrdd fel rhan o gynllunio Coronafeirws ysbytai, fel rhan o\u2019u cynllun cyffredinol i gynyddu gwydnwch. Mae'r datrysiad canlyniadol a defnydd terfynol y cyfleuster symudol wedi dibynnu ar ofynion unigol pob ysbyty, lleoliad yr uned o fewn pob safle, a'i agosrwydd at rai adrannau.<\/p>\n

Llawdriniaeth frys a thriniaeth hanfodol<\/strong><\/p>\n

Gan fod cyflymder yn hanfodol, mae ysbytai yn cael eu hannog i nodi'r ardaloedd y gellir eu trosi'n effeithiol gyda'r lleiafswm o addasiadau, megis wardiau, theatrau a labordai cathetreiddio presennol, gan gynnwys ardaloedd paratoi a sgwrio. Oherwydd y gofyniad am nwyon meddygol pibellau ac ocsigen ychwanegol, mae llawer o ysbytai yn canfod mai'r safle gorau posibl ar gyfer ychwanegu capasiti Covid-19 yw o fewn adran theatrau llawdriniaeth bresennol.<\/p>\n

O ganlyniad, mae nifer o ysbytai sydd eisoes \u00e2 theatr neu ward symudol ar y safle yn defnyddio'r cyfleuster i symud y gofod llawfeddygol neu glinigol mewnol presennol. Mae enghreifftiau o weithdrefnau sydd bellach yn cael eu cynnal yn unedau symudol Q-bital yn cynnwys llawdriniaeth frys, gofal brys fel triniaeth canser, a thrin cleifion trawma.<\/p>\n

Mae un ysbyty yn defnyddio eu theatr llawdriniaeth ar gyfer gwaith plastig brys a dermatoleg, tra bod un arall yn defnyddio eu theatr ar gyfer obstetreg frys. Allweddol i hyn fu hyblygrwydd y cyfleusterau hyn gan y gellir eu hailddefnyddio'n gyflym iawn, yn dibynnu ar y defnydd a ddymunir.<\/p>\n

Mantais arall yw natur symudol yr unedau, gan y gellir eu hadleoli'n gymharol hawdd lle mae eu hangen fwyaf. Yn yr Alban, er enghraifft, mae un Bwrdd Iechyd yn ystyried adleoli eu theatr symudol i safle ysbyty arall o fewn yr un Bwrdd lle mae'r angen yn fwy.<\/p>\n

COVID-19 ac ynysu cleifion<\/strong><\/p>\n

Gellid trosi ward symudol neu fodiwlaidd yn ward cymorth anadlol Lefel 1, tra bod gan theatrau llawdriniaeth symudol y potensial i gael eu hailddefnyddio fel wardiau HDU neu ITU neu eu defnyddio ar gyfer gweithdrefnau a thriniaethau sy'n elwa o'r ynysu ychwanegol.<\/p>\n

Defnyddir rhai unedau hefyd i ynysu cleifion sy'n dangos symptomau a amheuir o'r Coronafeirws ond sy'n aros am asesiad pellach. Mae un ysbyty rhanbarthol mawr wedi ailddefnyddio ei gyfleuster symudol dros dro fel ystafell arsylwi llawfeddygol i helpu i leddfu pwysau mewn rhannau eraill o'r ysbyty, tra bod eraill yn defnyddio theatrau a wardiau symudol ar gyfer llawdriniaeth ddyddiol critigol, er mwyn cadw cleifion i ffwrdd o barthau Covid-19 o fewn y prif ysbyty.<\/p>\n

Hyblygrwydd ychwanegol<\/strong><\/p>\n

Oherwydd bod y cyfleusterau gofal iechyd symudol hyn eisoes yn bodloni'r rhan fwyaf o'r safonau perthnasol, gellir eu hailddefnyddio i ddarparu ar gyfer newid defnydd wrth i'r sefyllfa newid, boed hynny'n ychwanegu gwelyau ITU neu gapasiti triniaeth ychwanegol, heb wynebu llawer o'r problemau arferol sy'n gysylltiedig \u00e2 throsi cyfleuster presennol neu adeiladu adeilad neu adran newydd.<\/p>\n

Mae rhai ysbytai wedi nodi\u2019r angen am le ychwanegol at ddibenion eraill, er enghraifft, i gefnogi staff drwy ddarparu mannau gorffwys y mae mawr eu hangen, neu ddarparu cyfleusterau newid y mae angen eu lleoli ar wah\u00e2n i gleifion sydd wedi\u2019u heintio neu heb eu heintio.<\/p>\n

Mewn llawer o achosion, mae'r staff cymorth clinigol profiadol sy'n gweithio ar yr uned allanol hefyd wedi cael eu hadleoli, naill ai o fewn yr uned neu mewn rhannau eraill o'r ysbyty, gan gynnwys parthau Covid-19, i ddarparu cymorth i'r ysbyty lle mae ei angen fwyaf. Os bydd angen theatr wedi'i haddasu i gynyddu capasiti llawfeddygol, yna gellir ei hail-bwrpasu'n gyflym iawn yn \u00f4l yn theatr lawdriniaeth \u00e2 staff llawn.<\/p>\n

Capasiti yn y dyfodol<\/strong><\/p>\n

Mae'n anochel, unwaith y bydd yr argyfwng uniongyrchol drosodd, y bydd cleifion yn wynebu rhestrau aros hir am driniaethau sydd wedi'u gohirio neu eu canslo yn ystod yr argyfwng. Felly, mae nifer o ysbytai eisoes yn ystyried sut i ddelio \u00e2'r ymchwydd disgwyliedig yn y galw am lawdriniaeth, diagnosteg a gwahanol fathau o driniaeth.<\/p>\n

Mae\u2019n gwneud synnwyr i gynllunio ymlaen llaw ar gyfer defnyddio cyfleusterau gofal iechyd hyblyg y gellir eu defnyddio\u2019n gyflym i ddarparu capasiti ychwanegol a gwella gwydnwch o fewn ysbytai, ac y gellir eu symud neu eu hadleoli pan nad oes eu hangen mwyach i barhau i ddarparu cymorth lle mae ei angen fwyaf.<\/p>","protected":false},"excerpt":{"rendered":"

Ar draws y byd, gofynnwyd i ysbytai ryddhau capasiti trwy ryddhau cleifion nad ydynt yn gritigol a rhoi'r gorau i'r holl weithdrefnau cynlluniedig a dewisol i baratoi ar gyfer y pigyn disgwyliedig mewn derbyniadau sy'n gysylltiedig \u00e2 Coronafeirws.<\/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\/cy_gb-wls\/the-role-of-mobile-healthcare-during-the-covid-19-crisis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\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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