Outlook for number of beds Kanagawa Prefecture … 1939 beds should be 1078 current beds Acceptance limit: Tokio Shimbun TOKYO Web



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It has been found that the number of “maximum insured beds”, which indicates the acceptable number of patients infected with the new corona virus, will be revised in the direction of significantly reducing the number of beds currently announced by Kanagawa Prefecture from 1939 Although the number of hospitalized patients was increasing due to the spread of the infection, the number of beds could not be assured and the actual situation was reflected. It is a way that reveals the sweetness of the perspective of the prefecture. (Haruyasu Tsuchiya)

◆ “The number of beds decreased after the first wave”

The maximum number of beds that can be insured is the number of beds that can accommodate patients at the peak of the spread of infection. In April of last year, 1939 beds are planned by adding the number of beds that each medical institution has “insured.” The number of people hospitalized in the prefecture is 961-19. The rate of use of beds based on the maximum number of insured beds is less than 50%, which does not represent the actual situation in the prefecture.

It is difficult to secure 200 beds for the seriously ill and it is said that there are currently 117 beds.

Regarding the revision of the maximum number of insured beds, the prefectural official said: “Some hospitals have reduced the number of beds for corona after the first wave has converged. Other emergency medical care must be protected and will be done. a realistic correction. I decided. ”

◆ Reduction of personnel, other diseases in winter

A person in charge of the prefectural hospital association said: “In early spring, there are new graduate doctors and nurses, and the number of medical staff is the largest. After that, the staff stopped, and in winter, the number of emergency patients such as myocardial infarction and stroke increased. The number of beds that can be accepted is decreasing. “

Currently, the number of “immediate response beds” in which Corona patients can be immediately hospitalized is 1,078. The prefecture will announce the new maximum number of beds to be secured based on interviews with each medical institution.

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◆ Even if the number of beds increases, it will soon be over.

Employees who are wearing protective clothing and treating patients with new crown = in Isehara city, Kanagawa prefecture (provided by Tokai University Hospital)

Employees dressed in protective clothing and treating patients with new crown = in Isehara city, Kanagawa prefecture (provided by Tokai University Hospital)

Amid the bed shortage in Kanagawa Prefecture, Tokai University Hospital (Isehara City, same prefecture) has established a dedicated ward for crown patients, adding two beds for the seriously ill and five beds for the severely ill. moderately ill. Even so, Dr. Seiji Morita (46), who is the director of the hospital’s advanced intensive care center and is in charge of the crown’s countermeasures, complains of a sense of crisis and says: “If the current spread As the infection continues, there will soon be a shortage. “

All 20 critically ill beds were nearly full and the number of moderately ill beds continued to exceed 10 prepared beds.

The room where the patients who completed the operation for postoperative medical treatment are admitted was vacated, the beds of the corona patients were put together and the beds were expanded. The possibility of reducing the burden of transferring doctors and nurses and changing protective clothing was also considered.

Previously, the majority of corona patients were transported from Yokohama and Kawasaki, but recently the number of patients is increasing in the central and western parts of the prefecture where the hospital is located.

◆ Invisible fight target

There are also striking cases in which patients receiving medical treatment at home or in hotels are transported due to sudden changes in their physical condition. Although he is responding by postponing non-urgent surgery, Dr. Morita notes that “there are few unnecessary and urgent patients at the university hospital, and the medical staff is being managed, but now is the last minute.”

This month, a total of 14 nurses and patients were confirmed positive as the first infected people at the hospital. The prehospital test was negative and appears to have spread from patients who later developed the disease. “The staff took all possible measures to prevent infection, such as eating different foods, but they couldn’t help it,” he said.

The fatigue of doctors and nurses is also increasing. “If you have a goal, you can stay motivated, but you can’t see the goal. Everyone moves with a sense of mission that there is no substitute for you.”


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