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According to data from December 7, the VUL Santara clinics occupy 100% of all hospitalizations for COVID-19 disease treatment, resuscitation and intensive care: 74%.
In other institutions in the region, the situation was as follows: the Vilnius City Clinical Hospital (VMKL) occupied 87 percent. 100% for active treatment, resuscitation and intensive care sites; At the Vilnius Republican University Hospital (RVUL) – 81 percent. places for active treatment, resuscitation and intensive therapy – 25%, in the Ukmergė hospital – 91%. places for active treatment, resuscitation and intensive therapy – 57, in Alytus S. Kudirka hospital – 80 percent. places for active treatment, resuscitation and intensive care – 50%, at Druskininkai Hospital – 80%. places for active treatment, 96% in Trakai hospital, 100% in Švenčionys hospital.
Looking for opportunities to expand departments
Director of Management Clinics of Santara Aušra Bilotienė Motiejūnienė 15 minutes confirmed that the Covid-19 rooms of the clinics were full on Monday afternoon.
“We do not have beds in the Santara clinics, we are looking for them again. Our employment is completely 100%, but we have a region. In the Santara clinics, we are seeing what we can expand, this week we will have to find resources for 20, 30 and maybe even more beds. Let’s see what else can be compressed and moved. Definitely some patients are discharged on Monday afternoon, but there are between 10 and 12 of them, so we should have that many beds at night. But after the weekend, all the beds were taken.
At the Santara clinics, we are looking at what we can expand, we will have to find 20, 30 and maybe more beds this week. Let’s see what else can be compressed and moved.
But, as I say, we are happy because we have another great hospital in Vilnius, VMKL in Antakalnis. These are our partners, we work side by side and, thanks to them, we now have 87% employment with them, that is, about 30 vacant positions and we still have about 30 open positions today. This means that we have 60 beds in the Vilnius region, ”said the managing director.
Antakalnis hospital has provided almost no scheduled services since Friday. VMKL announced on Friday that the first department of admission and emergency Antakalnio str. 57 no longer work: patients who need an emergency or the services of a family doctor on weekends are advised to go to other hospitals.
“At the premises of the Vilnius City Clinical Hospital, located in Antakalnio str. 57, the Clinics of Gynecology and Obstetrics and Diseases of the Child, which are in normal operation, will continue to function today, the hospital announced on Friday on its website. “All other patients from the therapy and surgery departments who need hospital treatment are transferred to other hospitals: Santara Clinic, Vilnius Republic Hospital, Mykolas Marcinkevičius Hospital.”
Photo by Sigismund Gedvila / 15min / Vilnius City Clinical Hospital
There are places for this week
VMKL Director Narimantas Markevičius emphasized that the two clinics that are still operating and providing full services are located in separate buildings, so patient flows will not cross in any way.
“The Children’s and Obstetrics and Gynecology Clinics provide comprehensive assistance to the children who come to us and to mothers and women with gynecological diseases. Here you get all the help you need, as you have done so far.
All remaining inpatient buildings are turned over for the treatment of COVID-19 patients. This is what we have in a building on Antakalnio street. 124, where there are 190 beds, is completely full at the moment. On Friday, three branches began operating on Antakalnio street. 57 in existing buildings. There are 90 beds ready, currently two rooms are with patients and we have 26 patients here.
We really have places for the next few days, even, I think, a week. On Monday we finished assembling all the teams that will work with these patients. Keep in mind that working with Covid-19 patients requires three times more staff than treating all other conditions. Because the schedules are different, the shifts change, because for some time the employees have to be in certain clothes, then they have to rest, therefore those employees need more, ”said N. Markevičius.
The Pediatric and Obstetrics and Gynecology Clinics provide comprehensive assistance to children and mothers and women with gynecological diseases.
By Monday noon, VMKL was still able to receive between 60 and 65 patients: beds were prepared, oxygenated and staffed. If there was a need, the number of illnesses would increase, so the hospital has another 90 beds, but we would still need common solutions to find staff: doctors, nurses, nursing assistants, because the hospital’s potential would be fully exploited, said the director.
“The staff: doctors, nurses, nursing assistants are the main driver. Beds are just the base where something is. And people work very hard, very hard. No one in my life had expected this to happen at some point in my life. Now working in very difficult conditions, at high voltage, is really hard, although by being together people make friends, the team becomes stronger, a good, positive emotion emerges in those Covid-19 units. But there is a lot of tension, the work is very hard, “said N. Markevičius.
In the rest of the region, it is also difficult
A.Bilotienė Motiejūnienė stated that otherwise the hospital would terminate other services of the Santara Clinic, as an organizer, it would redistribute patients between the Santara Clinics, RVUL and M.Marcinkevičius hospitals.
The situation in the region, according to a representative of the management of the Santara clinics, is changing: there were about 150 beds on Friday, only 70 were left after the weekends.
“It just came to our knowledge then. The number has increased in Alytus, Švenčionys, and it has increased in Molėtai, but it is not yet possible to expand the department in those institutions. Perhaps in Ukmergė, if all employees come back from self-isolation, because chimneys appear. bigger or smaller. And Alytus is a region where we should talk, because we currently have 100 beds, 80 are occupied, so if we both decided to increase the number of beds there, then the question would arise of where your patients have a consultation clinic .
Given that we have 20 beds in this region in Alytus and six in Druskininkai, this is enough for a remote region, so for the moment we will probably refrain from this plan. The main plan would be to expand in the Santara clinics and, to the maximum, in Antakalnis. VMKL still has a staff of 60 beds, another problem may continue until the end of the week. Today we live well, ”said A. Bilotienė Motiejūnienė, wanting to infuse himself with her and others.
Photo by Vidmantas Balkūnas / VUL Santara Clinic. Fight against coronavirus
Chimneys are produced
She did not hide her concerns about the staff: the doctors are too tired and sick, and they are forced to isolate themselves.
“Generally, an emergency situation lasts a very clear time, and now it lasts long enough, changing people, alone in self-isolation, more and more new chimneys appear. You are probably tired of repeating this by now, but not the beds and staff will be the problem. Every day the loads will increase and fatigue will occur.
But today we have some beds in Vilnius, we are looking, expanding and we are already planning a weekend now, so that we do not have to open and rearrange something in the last days. As I said, a great support is the Antakalnis hospital, which is almost entirely dedicated to the treatment of patients with Covid-19. We have a very good partner, we can only rejoice, ”said A. Bilotienė Motiejūnienė.
You are probably tired of repeating this by now, but not the beds and staff will be the problem.
A spokeswoman for the Santara clinics said that there are constantly doctors who need isolation because doctors, nurses, their assistants have children, visit stores, etc., so new outbreaks of Covid-19 are constantly appearing.
“It just came to our knowledge then. Maybe it’s because we’ve been reviewing scheduled services, let’s say joint replacement, if possible, really waiting, without being operated, unless there are really urgent processes that can’t wait any longer.” said the managing director.
Photo by Vidmantas Balkūnas / Clínica VUL Santara. Fighting the coronavirus
N.Markevičius stated that currently VMKL does not have many doctors in self-isolation. As the director says, a lot has been learned during the first wave of Covid-19 in the spring, so now the spread of the disease can be slowed in the hospital itself.
“The staff now knew how to prepare, how to separate the green and red streams, how to separate the suspected sick patient streams, we were ready for the isolation rooms. Morbidity is everywhere, a large part of the home: children are infected and parents cannot go to work, they are family members. But the hospital has a really small number of patients in terms of total staff, of which we are very happy and proud. This is an experience and that spring experience is giving a very clear result today, ”said N. Markevičius.
It is not possible to go to the supermarket with so many people, this increases even more the tension for the doctors since they have to work in difficult conditions and when they go out to the city they see the opposite results.
However, he also highlighted the fatigue of doctors and the reluctance of a part of society to protect themselves and others: “Society does not see that. When a doctor goes out and goes to the city after heavy work with impressions of masks and respirators on his face, he stands in traffic jams, he cannot pass, it is impossible to go to the supermarket when there are so many people, this and see the opposite results when they leave to the city “.
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