[ad_1]
by Maurizio Troccoli
While the covid infection accelerates exponentially, in the health response the feeling is that of ‘running for cover’ at the last minute. Sensation confirmed by doctors and nurses from the Perugia hospital and Asl1. The complaint is ‘the lack of planning’. Emiliano Mercantili, administrative secretary of the Nursind Perugia union explains: “We could have planned based on the experience of the first wave, also taking into account the indications that came from the staff, and instead now we are faced with an emergency situation again, with the insufficient. The health response, according to the contagion numbers, taking into account that we are in October, and that the point of greatest difficulty of the flu is between mid-December and the end of February, it may not be for everyone “.
EMERGENCY: SCHOOLS CLOSED AND OPEN INTENSIVE
Quick test kit Meanwhile, the latest news is that of a shortage of quick kits. That is, those that are performed on patients who enter the hospital and give a quick return. In the event that it is impossible for us to perform them, the patient will only be able to enter the hospital as covid, at least until a reevaluation of another test arrives, which takes time. Such an approach would lead to traffic jams and protocols that must be activated and put the facility under stress.
Covid Departments – Intensive and Surgery The indications that come from the Perugia hospital are to move towards a progressive reduction in surgery, as well as in Terni, and transform three departments into Covid. That is the one of general medicine, pulmonology and infectious diseases. Try to consider the consequences on the availability of beds for all other pathologies. “From here – Mercantili adds – it becomes unlikely to imagine an intervention for a heart valve, as for other pathologies”.
Tumors But there are also serious delays in pathologies such as tumors. “Here we return to the forefront of diagnoses – the medical staff tell us – and of caring for patients at home. Unfortunately, untimely monitoring has dramatic consequences. In home care, for example, the replacement of patient tubes is delayed, even 4 days. “
Insufficient resuscitators Among the most pressing concerns are those related to rescuers. “We travel to 50% of those we need – they tell us – if we take into account changes and desertions, precisely because of positive cases of contagion, isolation, etc.”. It also happens with the nurses: “Many young nurses from Umbria go to Emilia Romagna and Tuscany. They sign indefinite contracts. It is a major loss for Umbria.
Respirators and implants Meanwhile, if the national emergency commissioner Arcuri highlights the dispatch of respirators everywhere, from Perugia, the white coats respond: «And where do we connect them? Isn’t it just a respiratory problem? Implants are needed. For example, in the newly activated second intensive therapy, potentially 10 places are reached, considering the common space of 4. But here there is no pressure, oxygenation, etc. We know that 800 thousand euros would have been needed to equip it. For now the single rooms work, 4 beds in total “(in this second block ed).
Lack of programming The question is the same again: we run for cover, even knowing the risk of the second wave: “The approach methods to tackle them do not seem to have changed, on the contrary they are the same as in March 2020”, says Marco Erozzardi, representative regional trade union acronym Nursind, which adds: “The staff hired to date is not enough to ensure the reopening of Covid departments and necessary intensive care positions (which are hastily reopening throughout the region), to ensure the necessary home care and to perform diagnostic tests, that is, the execution of swabs “. On the home sick front, he says: “Integrated home care is constantly weakened to cope with running Covid 19 swabs with the same resources. The conditions of colleagues employed at Pit stops – drive trought for the execution shock absorbers are not adequate, also given the arrival of worse weather conditions. “And he concludes:” We refer to the ‘Umbria Emergency Plan’, of about 25 million euros announced in July, with the expansion of the hospital and the planned intensive care units ”.
Positives not monitored Regarding local medicine: «We have an indeterminate and growing number of positives who are not monitored and who are not notified by the Local Health Authority and therefore do not return to work. It also happens between nurses or doctors.
Microbiology – stress and buffers We would say cross-sectional suffering if we take into account that for example in Microbiology or in the tampon engine, there have been new hires and the result is evident, but it is undoubted that from here we learn how the equipment is not the one used by other hospitals. interpreter artists or executants. While the workload becomes more and more urgent. Inside there are even cots. Toilets who didn’t always come home.
