{"id":2221,"date":"2019-07-04T09:20:08","date_gmt":"2019-07-04T09:20:08","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=2221"},"modified":"2019-07-04T09:20:08","modified_gmt":"2019-07-04T09:20:08","slug":"managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/fr_fr\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/","title":{"rendered":"Prise en charge des patients ayant un comportement difficile en chirurgie ambulatoire\u00a0; utilisation d\u2019une installation d\u2019exploitation mobile de Q-bital Healthcare Solutions."},"content":{"rendered":"<p><strong>Aper\u00e7u<\/strong><\/p>\n<p>Nous avons g\u00e9r\u00e9 l\u2019admission de trois patients dont le comportement pouvait pr\u00e9senter un risque pour le personnel et les autres patients.<\/p>\n<p>Les patients souffraient de probl\u00e8mes d\u2019apprentissage et de sant\u00e9 mentale et avaient besoin de soins dentaires de jour sous anesth\u00e9sie g\u00e9n\u00e9rale.<\/p>\n<p><strong>Pr\u00e9paration<\/strong><\/p>\n<p>La planification a n\u00e9cessit\u00e9 des r\u00e9unions initiales entre les soignants des patients, l&#039;\u00e9quipe dentaire, les anesth\u00e9sistes, l&#039;infirmi\u00e8re responsable des troubles de l&#039;apprentissage et la s\u00e9curit\u00e9 de l&#039;h\u00f4pital. Par la suite, les soignants des patients se sont rendus \u00e0 l&#039;h\u00f4pital pour parcourir le parcours propos\u00e9 et identifier les d\u00e9clencheurs potentiels de comportements difficiles et les risques de tels comportements.<\/p>\n<p>Un plan a \u00e9t\u00e9 \u00e9labor\u00e9 pour g\u00e9rer les probl\u00e8mes de comportement, notamment en sensibilisant le personnel de s\u00e9curit\u00e9 \u00e0 la n\u00e9cessit\u00e9 d&#039;\u00eatre imm\u00e9diatement disponible lors de l&#039;admission.<\/p>\n<p><strong>Probl\u00e8mes potentiels<\/strong><\/p>\n<ul>\n<li>En attendant<\/li>\n<li>Environnement inconnu<\/li>\n<li>Des inconnus<\/li>\n<li>Contacts rapproch\u00e9s et interventions<\/li>\n<\/ul>\n<p><strong>Le Plan<\/strong><\/p>\n<p>D\u00e9cision a \u00e9t\u00e9 prise d&#039;isoler les patients lors de leur admission en utilisant le bloc op\u00e9ratoire mobile Vanguard, dot\u00e9 d&#039;un acc\u00e8s direct \u00e0 la salle d&#039;anesth\u00e9sie depuis le parking. L&#039;induction de l&#039;anesth\u00e9sie a \u00e9t\u00e9 planifi\u00e9e au sol, sur les propres couvertures des patients, pour deux admissions, car ces derniers s&#039;y sentaient plus en s\u00e9curit\u00e9. Un brancard \u00e0 godets a \u00e9t\u00e9 utilis\u00e9 pour une admission et un l\u00e8ve-personne pneumatique Hover Jack pour les autres.<\/p>\n<p>Induction intraveineuse de l&#039;anesth\u00e9sie pour chaque cas avec maintien en s\u00e9curit\u00e9 assur\u00e9 par les soignants des patients. L&#039;op\u00e9ration a dur\u00e9 1 \u00e0 2 heures et les patients ont \u00e9t\u00e9 r\u00e9cup\u00e9r\u00e9s dans la salle d&#039;anesth\u00e9sie par l&#039;\u00e9quipe d&#039;anesth\u00e9sie.<\/p>\n<p>Une fois r\u00e9tablis, les patients \u00e9taient directement conduits vers leur propre moyen de transport qui les attendait devant les portes du bloc op\u00e9ratoire.<\/p>\n<p><strong>R\u00e9sultat<\/strong><\/p>\n<p>Chaque admission s&#039;est d\u00e9roul\u00e9e sans incident et en toute s\u00e9curit\u00e9, malgr\u00e9 les inqui\u00e9tudes initiales. Nous avons estim\u00e9 que l&#039;utilisation d&#039;une salle d&#039;op\u00e9ration Vanguard et de dispositifs permettant de relever ces patients inconscients du sol \u00e9tait essentielle pour obtenir un r\u00e9sultat positif dans des circonstances potentiellement difficiles.<\/p>\n<p><strong>&#160;<\/strong><\/p>\n<p><em>Publi\u00e9 avec les remerciements du consultant <\/em>Anesth\u00e9siste<em>. Anna Lipp<\/em><\/p>\n<p><strong>&#160;<\/strong><\/p>","protected":false},"excerpt":{"rendered":"<p>Anesth\u00e9siste consultant. Anna Lipp explique comment g\u00e9rer au mieux les patients ayant un comportement difficile dans un contexte de chirurgie d&#039;un jour afin de minimiser le temps pass\u00e9 dans un environnement inconnu \u00e0 travers une \u00e9tude de cas de trois admissions. <\/p>","protected":false},"author":1,"featured_media":2222,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[132,5],"class_list":["post-2221","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-day-surgery","tag-mobile"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility. - Q-bital Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility.\" \/>\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\/fr_fr\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility. - Q-bital Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.q-bital.com\/fr_fr\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/\" \/>\n<meta property=\"og:site_name\" content=\"Q-bital Healthcare Solutions\" \/>\n<meta property=\"article:published_time\" content=\"2019-07-04T09:20:08+00:00\" \/>\n<meta name=\"author\" content=\"Vanguard Healthcare Solutions\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Vanguard Healthcare Solutions\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/\"},\"author\":{\"name\":\"Vanguard Healthcare Solutions\",\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/#\\\/schema\\\/person\\\/426decd65e2d39321705e63d5ea4394b\"},\"headline\":\"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility.\",\"datePublished\":\"2019-07-04T09:20:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/\"},\"wordCount\":277,\"image\":{\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"keywords\":[\"Day surgery\",\"Mobile\"],\"articleSection\":[\"News\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/\",\"url\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/\",\"name\":\"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility. - Q-bital Healthcare Solutions\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2019-07-04T09:20:08+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/#\\\/schema\\\/person\\\/426decd65e2d39321705e63d5ea4394b\"},\"description\":\"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility.\",\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/#website\",\"url\":\"https:\\\/\\\/www.q-bital.com\\\/\",\"name\":\"Q-bital Healthcare Solutions\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.q-bital.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.q-bital.com\\\/#\\\/schema\\\/person\\\/426decd65e2d39321705e63d5ea4394b\",\"name\":\"Vanguard Healthcare Solutions\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7ba7c80067fbd6952425e7e5a94fa842f37365b39fe1fd0a01287a5a0b6f7d2b?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7ba7c80067fbd6952425e7e5a94fa842f37365b39fe1fd0a01287a5a0b6f7d2b?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7ba7c80067fbd6952425e7e5a94fa842f37365b39fe1fd0a01287a5a0b6f7d2b?s=96&d=mm&r=g\",\"caption\":\"Vanguard Healthcare Solutions\"},\"sameAs\":[\"https:\\\/\\\/www.vanguardhealthcare.co.uk\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Prise en charge des patients pr\u00e9sentant des troubles du comportement en chirurgie ambulatoire\u00a0; utilisation d&#039;un bloc op\u00e9ratoire mobile Q-bital Healthcare Solutions. - Q-bital Healthcare Solutions","description":"Prise en charge des patients ayant un comportement difficile en chirurgie ambulatoire\u00a0; utilisation d\u2019une installation d\u2019exploitation mobile de Q-bital Healthcare Solutions.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.q-bital.com\/fr_fr\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/","og_locale":"fr_FR","og_type":"article","og_title":"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility. - Q-bital Healthcare Solutions","og_description":"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility.","og_url":"https:\/\/www.q-bital.com\/fr_fr\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/","og_site_name":"Q-bital Healthcare Solutions","article_published_time":"2019-07-04T09:20:08+00:00","author":"Vanguard Healthcare Solutions","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"Vanguard Healthcare Solutions","Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/#article","isPartOf":{"@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/"},"author":{"name":"Vanguard Healthcare Solutions","@id":"https:\/\/www.q-bital.com\/#\/schema\/person\/426decd65e2d39321705e63d5ea4394b"},"headline":"Managing patients with challenging behaviour for day surgery; use of a Q-bital Healthcare Solutions mobile operating facility.","datePublished":"2019-07-04T09:20:08+00:00","mainEntityOfPage":{"@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/"},"wordCount":277,"image":{"@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/#primaryimage"},"thumbnailUrl":"","keywords":["Day surgery","Mobile"],"articleSection":["News"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/","url":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/","name":"Prise en charge des patients pr\u00e9sentant des troubles du comportement en chirurgie ambulatoire\u00a0; utilisation d&#039;un bloc op\u00e9ratoire mobile Q-bital Healthcare Solutions. - Q-bital Healthcare Solutions","isPartOf":{"@id":"https:\/\/www.q-bital.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/#primaryimage"},"image":{"@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/#primaryimage"},"thumbnailUrl":"","datePublished":"2019-07-04T09:20:08+00:00","author":{"@id":"https:\/\/www.q-bital.com\/#\/schema\/person\/426decd65e2d39321705e63d5ea4394b"},"description":"Prise en charge des patients ayant un comportement difficile en chirurgie ambulatoire\u00a0; utilisation d\u2019une installation d\u2019exploitation mobile de Q-bital Healthcare Solutions.","inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.q-bital.com\/managing-patients-with-challenging-behaviour-for-day-surgery-use-of-a-q-bital-healthcare-solutions-mobile-operating-facility\/#primaryimage","url":"","contentUrl":""},{"@type":"WebSite","@id":"https:\/\/www.q-bital.com\/#website","url":"https:\/\/www.q-bital.com\/","name":"Q-bital Healthcare Solutions","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.q-bital.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Person","@id":"https:\/\/www.q-bital.com\/#\/schema\/person\/426decd65e2d39321705e63d5ea4394b","name":"Solutions de soins de sant\u00e9 Vanguard","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/secure.gravatar.com\/avatar\/7ba7c80067fbd6952425e7e5a94fa842f37365b39fe1fd0a01287a5a0b6f7d2b?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/7ba7c80067fbd6952425e7e5a94fa842f37365b39fe1fd0a01287a5a0b6f7d2b?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/7ba7c80067fbd6952425e7e5a94fa842f37365b39fe1fd0a01287a5a0b6f7d2b?s=96&d=mm&r=g","caption":"Vanguard Healthcare Solutions"},"sameAs":["https:\/\/www.vanguardhealthcare.co.uk"]}]}},"_links":{"self":[{"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/posts\/2221","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/comments?post=2221"}],"version-history":[{"count":0,"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/posts\/2221\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/media?parent=2221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/categories?post=2221"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.q-bital.com\/fr_fr\/wp-json\/wp\/v2\/tags?post=2221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}