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Bologna, November 19, 2020 – Agreement signed between the general practitioners, pediatricians of free choice and the Emilia Romagna Region in quick swabs To find the Coronavirus close contacts asymptomatic. “With this understanding – explains Fabio Maria Vespa, regional secretary Fimmg –, family doctors, together with all doctors working in the area and colleagues in training, will be able to help out in dealing with the pandemic. With quick swabs, asymptomatic patients can be evaluated in the structures made available by the Ausl or, where appropriate, also in the family doctors’ offices ”.
Emilia Romagna, the Covid newsletter of November 19
Therefore, fast buffers in general practitioner surgeries and gods free choice pediatricians of Emilia-Romagna. The measure, operational in a few days and that will last -except for new extensions- until December 31, 2020, is the result of a double agreement signed today by the Region: with Fimmg (for general practitioners) and with Fimp and the Cipe-Sispe-Sinspe Federation (for free-choice pediatricians).
A movement, therefore, to provide the tools to expand the follow-up of positive cases, starting with rapid tests.
Last week, the regional health advisor, Raffaele Donini, explained that the council would deliberate “an agreement with general practitioners, complementary to the national one, so that they have tools such as oximeter and you can try with quick swab the close contacts of asymptomatic cases “.
45,000 quick buffers and personal protective equipment are ready
The almost 45 thousand rapid antigenic swabs, supplied to Emilia-Romagna by the Commissioner for the Covid-19 emergency together with the personal protective equipment, have already been distributed in the warehouses of individual Local Health Units and very soon they will be handed over to doctors and pediatricians.
Bonaccini: “An important step to contain the epidemic”
“A very important step to strengthen epidemiological research – commented the President of the Region Stefano bonaccini and the regional adviser for health policies, Raffaele Donini -. We thank the general practitioners and pediatricians of free choice for their availability, because Your commitment is precious and of great importance: Rapid antigenic swabs are a useful tool to contain the epidemic, provide the population with a timely response and consequently take charge of the diagnosis in case of suspicion of Covid-19 ”. “In this critical situation – conclude Bonaccini and Donini – it is essential to join forces and form a team.”
The agreements signed by the Region implement the national collective agreements of October 30, 2020, which contain provisions to improve the services provided by medicine and general pediatrics in epidemiological research activity through diagnostic evaluation. With a specific objective: help identify outbreaks quickly and isolate cases.
Antigenic buffer and molecular buffer, here is the difference: the video – Pulse oximeter, how it works and what are the optimal values
Here’s how to book quick GP samples
Patients will need to book after making a telephone triage. Asymptomatic close contacts identified by the doctor himself or reported by the Department of Public Health expecting a quick swab can be examined by his GP, if he works in his own office; and suspected contact cases that the GP must visit and decide to undergo a rapid test.
If the doctor works in structures made available by the health authority (for example, in a Health house), you may be asked to extend your focus to clients of other general practitioners as well, specifically a close asymptomatic contacts after 10 days isolation identified based on a list sent by the Department of Public Health, Hygiene and Prevention to the identified physician.
Which doctors can perform them
The doctors holders of temporary positions, temporary, short or long-term replacement (including doctors attending the specific training course), carry out and report on the activities related to the tests in the same way as the owners.
In the structures made available by the company Usl also carry out diagnostic tests, if necessary continuity of care physicians (ex medical guard), I territorial health emergency doctors (for example, at 118), I medical services physicians (such as those who work in prisons) and doctors who participate in planned territorial activities.
Where will they take place
Local sanitation companies provide their support by identifying and organizing suitable locations for rapid testing if primary care physicians cannot perform them in their office. A way of drive through delivery, according to a criterion of proximity to the area of influence, with methods defined at the company level through specific agreements.
Provision of evidence and masks, gloves, visors and gowns
The provision of rapid antigenic swabs or other tests provided for in the national collective agreement is insured to doctors by the Emergency Commissioner Covid-19 together with personal protective equipment (masks, gloves, visors and shirtsthe). All the material (tests and devices) has already been supplied to the logistics centers indicated by the Region, and from there to the warehouses of the Local Health Units. Delivery methods to physicians are established at the company level. In any case, doctors who do not swab in the office will have the necessary personal protective equipment.
What happens in the case of a positive swab?
If you are successful, the doctor notifies the patient and informs you about the way forward. The doctor authenticates himself through his own duly integrated file or through the Unique Regional portal, in order to record the positive result; this also in order to report the case to the Department of Public Health. The doctor evaluates, Thus, the patient’s clinical condition, and informs you of the obligation to comply with theisolation at home, that is, to continue their quarantine status waiting for confirmation buffer (molecular) result. The doctor then takes in charge of the patient and provides you with the appropriate directions to follow. In the event of a negative result, the result is registered in the single regional portal and a certificate is issued to the patient.
Taking care of patients
The doctors general medicine take care of your customers placed in isolation or quarantine – with any support from the Special Care Continuity Unit (Usca) – provide interested parties health and hygiene information and behavioral follow. They evaluate the opportunity to place subjects who need more support, specifically patients at risk of complications, under active surveillance, with telephone or electronic contact.
Pediatric Quick Swabs
Free choice pediatricians I use rapid antigenic swabs during outpatient activity or domiciliary in favor of its clients. Whether you work in your own practice (even with the help of other pediatricians) or work in structures made available by the Usl Company, pediatrician performs antigen testing by appointment and after doing a telephone triage mainly for asymptomatic close contacts – on the first useful date after the expiration of the isolation – identified on the basis of a list sent by the Department of Public Health to the identified physician (it is the privileged target); for asymptomatic close contacts identified by the pediatrician; For suspicious contact cases the pediatrician visits and decides to undergo a rapid test.
Also in this case, as for general practitioners, the Local Health Authorities offer their support, preferably identifying suitable places for rapid tests if free-choice pediatricians cannot perform them in their own office. A delivery method can be usedwe drive through, according to a criterion of proximity to the catchment area. Taking into account the possible difficulties in making tampons in the pediatric age group, the Usl companies will provide support staff as necessary. Provision of evidence and personal protective equipment (Dpi), as for general practitioners, are the responsibility of the Commissioner for the Covid-19 emergency.
How do pediatricians handle test results?
In case of successful, The pediatric communicates the result to the patient’s parents or relatives, informing them about the way forward. It authenticates through its own duly integrated folder or through the single regional portal to record the result, assesses the clinical conditions and strongly recommends theisolation at home waiting for confirmation swab result, when expected. The pediatrician takes care of the patient and provides him with the appropriate hygienic-sanitary and behavioral indications to follow during the period in question. In the case of the pediatrician makes a tampon on a patient which is not among the options in charge, will communicate the result to the child’s pediatrician and the latter will take care of his patient. In case of a negative result, the result is registered in the regional portal SOLE and a certificate is issued to the patient.
Active supervision of the pediatrician in cases of children with a higher risk of complications.
Then, free-choice pediatricians take care of their patients in isolation or quarantine, with the possible support of the Special Care Continuity Unit (Usca), providing interested family members with the hygienic-sanitary and behavioral information to follow. . They evaluate the opportunity to put in active surveillance, with telephone or telematic contact diary, children / adolescents who need more support, specifically those with increased risk of complications.
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