{"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\/da_dk\/the-role-of-mobile-healthcare-during-the-covid-19-crisis\/","title":{"rendered":"Mobil sundhedsplejes rolle under COVID-19-krisen"},"content":{"rendered":"

Mens opf\u00f8relsen af store, midlertidige felthospitaler f\u00e5r de fleste overskrifter i \u00f8jeblikket, foreg\u00e5r der ogs\u00e5 et enormt arbejde bag kulisserne p\u00e5 eksisterende hospitaler verden over for at forbedre modstandskraften, og i nogle tilf\u00e6lde Q-bitals fl\u00e5de af mobile sundhedsfaciliteter<\/a> har spillet en n\u00f8glerolle.<\/p>\n

Over hele verden er hospitaler blevet bedt om at frig\u00f8re kapacitet ved at udskrive ikke-kritiske patienter og indstille alle planlagte og elektive procedurer for at forberede sig p\u00e5 den forventede stigning i Coronavirus-relaterede indl\u00e6ggelser.<\/p>\n

Mange hospitaler har haft behov for at genbruge det indre rum og omfordele ressourcer p\u00e5 forskellige m\u00e5der for at frig\u00f8re omr\u00e5der p\u00e5 hospitalet til coronavirus-inficerede patienter. At konvertere eksisterende plads til en afdeling eller et anl\u00e6g, der er egnet til dette form\u00e5l, er dog ikke n\u00f8dvendigvis s\u00e5 ligetil eller hurtigt at g\u00f8re. Det har frem for alt kr\u00e6vet omhyggelig planl\u00e6gning under hensyntagen til hele hospitalets faciliteter og ressourcer.<\/p>\n

Reagerer p\u00e5 udfordringen<\/strong><\/p>\n

Selvom reglerne i nogle tilf\u00e6lde er blevet lempet for at g\u00f8re det muligt for midlertidige hospitaler, afdelinger og andre faciliteter at blive indsat hurtigt, skal ejendomsteams, der \u00f8nsker at omdanne en eksisterende facilitet til en midlertidig Covid-19-afdeling for at huse intuberede patienter, f\u00f8lge officiel vejledning. For eksempel, n\u00e5r man identificerer egnede lokaliteter p\u00e5 hospitaler, skal eksisterende trafikstr\u00f8mme tages i betragtning, og eventuelle gennemk\u00f8rende ruter for ikke-Coronavirus-trafik skal undg\u00e5s. Logistiske str\u00f8mme, ren og snavset affaldsh\u00e5ndtering skal ogs\u00e5 tages i betragtning.<\/p>\n

Et andet n\u00f8glekrav er tilstr\u00e6kkelig ventilation og udsugning, da det h\u00f8je antal ventilatorer i brug kan berige luften med ilt og derved \u00f8ge forbr\u00e6ndingsrisikoen. En r\u00e6kke andre planl\u00e6gningsm\u00e6ssige overvejelser skal ogs\u00e5 overvejes, s\u00e5som brandsikkerhed i betragtning af \u00e6ndringen i layout og brug, is\u00e6r hvis der er behov for byggearbejde for at omdanne rummet. Ud over tilslutninger til medicinsk gas og ilt har sengepladser ogs\u00e5 brug for yderligere forbindelser og plads omkring dem til udstyr, der bruges periodisk i sengeomr\u00e5det.<\/p>\n

I nogle lande, s\u00e5som Storbritannien, anbefales det, at et udpeget selvst\u00e6ndigt omr\u00e5de eller fl\u00f8j af sundhedsfaciliteten skal bruges til behandling og pleje af patienter med Coronavirus. Dette omr\u00e5de b\u00f8r ideelt set have en separat ind- og udgang og b\u00f8r ikke bruges som en f\u00e6rdsels\u00e5re af andre patienter, bes\u00f8gende eller personale, herunder patienter, der overf\u00f8res, og personale og bes\u00f8gende, der g\u00e5r ind og ud af bygningen.<\/p>\n

Brug af fleksible sundhedsl\u00f8sninger<\/strong><\/p>\n

Som Q-bitals mobil teatre<\/a> og afdelinger<\/a> er selvst\u00e6ndige enheder, de er s\u00e6rligt velegnede til behandling af inficerede patienter, der kr\u00e6ver isolation, eller til at yde kritisk kirurgi eller behandling v\u00e6k fra Covid-19 omr\u00e5der p\u00e5 hospitalet. Derudover opfylder de allerede de fleste af de relevante standarder, s\u00e5 de kan hurtigt genanvendes for at give ekstra sengepladser.<\/p>\n

Det, der imidlertid er kommet frem i de seneste uger, er, at hospitalsledere med et mobilt operationsstue, behandlingscenter eller afdeling allerede p\u00e5 stedet ser denne enhed som en vigtig forl\u00e6ngelse af deres egen kliniske kapacitet og som n\u00f8glen til planl\u00e6gning af coronaviruskapaciteten p\u00e5 hospitalet. Enhedens ekstra eksterne kapacitet har gjort det muligt for nogle hospitaler bedre at strukturere deres \u00e6ndringer p\u00e5 tv\u00e6rs af hospitalets samlede kapacitet for at yde uafbrudt pleje til patienter i en situation, der \u00e6ndrer sig dagligt.<\/p>\n

I de seneste uger har Q-bitals fl\u00e5de af mobile afdelinger, operationsstuer og endoskopi suiter<\/a> er blevet genbrugt p\u00e5 en r\u00e6kke forskellige m\u00e5der som en del af hospitalernes Corona-planl\u00e6gning, som en del af deres overordnede plan for at \u00f8ge modstandskraften. Den resulterende l\u00f8sning og den eventuelle brug af den mobile facilitet har afh\u00e6ngt af hvert hospitals individuelle behov, placeringen af enheden p\u00e5 hvert sted og dens n\u00e6rhed til bestemte afdelinger.<\/p>\n

Akutkirurgi og v\u00e6sentlig behandling<\/strong><\/p>\n

Da hastighed er altafg\u00f8rende, opfordres hospitaler til at identificere de omr\u00e5der, der kan konverteres effektivt med et minimum af \u00e6ndringer, s\u00e5som eksisterende afdelinger, operationsstuer og kateteriseringslaboratorier, herunder forberedelses- og skrubbeomr\u00e5der. P\u00e5 grund af behovet for medicinske gasser og ekstra ilt finder mange hospitaler, at det optimale sted at tilf\u00f8je Covid-19-kapacitet er inden for en eksisterende operationsstue.<\/p>\n

Som f\u00f8lge heraf bruger en r\u00e6kke hospitaler, der allerede har en mobil operationsstue eller -afdeling p\u00e5 stedet, faciliteten til at t\u00f8mme eksisterende interne kirurgiske eller kliniske rum. Eksempler p\u00e5 procedurer, der nu udf\u00f8res i Q-bitals mobile enheder, omfatter akut kirurgi, akut behandling s\u00e5som kr\u00e6ftbehandling og behandling af traumepatienter.<\/p>\n

Et hospital bruger deres operationsstue til akut plastikkirurgi og dermatologi, mens et andet bruger deres til akut obstetrik. N\u00f8glen til dette har v\u00e6ret fleksibiliteten i disse faciliteter, idet de kan genbruges meget hurtigt, afh\u00e6ngigt af den \u00f8nskede anvendelse.<\/p>\n

En anden fordel er enhedernes mobile karakter, da de relativt nemt kan flyttes derhen, hvor der er mest brug for dem. I Skotland overvejer et sundhedsr\u00e5d for eksempel at flytte deres mobile operationsstue til et andet hospitalsomr\u00e5de inden for samme r\u00e5d, hvor behovet er st\u00f8rre.<\/p>\n

COVID-19 og patientisolation<\/strong><\/p>\n

En mobil eller modul\u00e6r afdeling kan omdannes til en niveau 1 respiratorisk st\u00f8tteafdeling, mens mobile operationsstuer potentiale kan omdannes til HDU- eller ITU-afdelinger eller bruges til procedurer og behandlinger, der drager fordel af den ekstra isolation.<\/p>\n

Nogle enheder bruges ogs\u00e5 til at isolere patienter, der viser mistanke om coronavirussymptomer, men som afventer yderligere vurdering. Et st\u00f8rre regionalt hospital har midlertidigt omdannet deres mobile faciliteter til en kirurgisk observationssuite for at afhj\u00e6lpe presset i andre omr\u00e5der af hospitalet, mens andre bruger mobile operationsstuer og afdelinger til kritisk dagkirurgi for at holde patienter v\u00e6k fra Covid-19-zoner inden for hovedhospitalet.<\/p>\n

Tilf\u00f8jet fleksibilitet<\/strong><\/p>\n

Fordi disse mobile sundhedsfaciliteter allerede opfylder de fleste af de relevante standarder, kan de omform\u00e5les til at im\u00f8dekomme en \u00e6ndring af brug, efterh\u00e5nden som situationen \u00e6ndrer sig, uanset om det er tilf\u00f8jelse af ITU-sengepladser eller yderligere behandlingskapacitet, uden at st\u00e5 over for mange af de s\u00e6dvanlige problemer forbundet med at konvertere en eksisterende facilitet eller opf\u00f8re en ny bygning eller afdeling.<\/p>\n

Nogle hospitaler har identificeret behovet for yderligere plads til andre form\u00e5l, for eksempel til at st\u00f8tte personalet ved at stille h\u00e5rdt tiltr\u00e6ngte hvileomr\u00e5der eller stille omkl\u00e6dningsfaciliteter til r\u00e5dighed, der skal placeres adskilt fra enten inficerede eller ikke-inficerede patienter.<\/p>\n

I mange tilf\u00e6lde er det erfarne kliniske st\u00f8ttepersonale, der arbejder p\u00e5 den eksterne afdeling, ogs\u00e5 blevet omplaceret, enten internt p\u00e5 afdelingen eller i andre omr\u00e5der af hospitalet, herunder Covid-19-zoner, for at yde st\u00f8tte til hospitalet, hvor der er mest brug for det. Skulle en ombygget operationsstue blive n\u00f8dvendig for at \u00f8ge den kirurgiske kapacitet, kan den meget hurtigt omdannes til en fuldt bemandet operationsstue.<\/p>\n

Fremtidig kapacitet<\/strong><\/p>\n

Det er uundg\u00e5eligt, at n\u00e5r den umiddelbare krise er overst\u00e5et, vil patienterne st\u00e5 over for lange ventelister for procedurer, der er blevet udskudt eller aflyst under krisen. Derfor overvejer en r\u00e6kke hospitaler allerede nu, hvordan de skal h\u00e5ndtere den forventede stigning i eftersp\u00f8rgslen efter operation, diagnostik og forskellige behandlingsformer.<\/p>\n

Det giver mening at planl\u00e6gge i forvejen for brugen af fleksible sundhedsfaciliteter, der hurtigt kan implementeres for at give yderligere kapacitet og forbedre modstandskraften p\u00e5 hospitaler, og som kan fjernes eller flyttes, n\u00e5r det ikke l\u00e6ngere er n\u00f8dvendigt for at forts\u00e6tte med at yde st\u00f8tte, hvor der er mest behov for det.<\/p>","protected":false},"excerpt":{"rendered":"

Over hele verden er hospitaler blevet bedt om at frig\u00f8re kapacitet ved at udskrive ikke-kritiske patienter og indstille alle planlagte og elektive procedurer for at forberede sig p\u00e5 den forventede stigning i Coronavirus-relaterede indl\u00e6ggelser.<\/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\/da_dk\/the-role-of-mobile-healthcare-during-the-covid-19-crisis\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\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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