take care Covid-19 At the hospital, patients rely on special negative pressure rooms and additional precautions to ensure the safety of staff and other patients.
But mistakes were made.
It was reported on Monday. The patient with covid 19 spends hours with other patients. At Auckland’s Middlemore Hospital, he should have been isolated from others on the ward after being tested. The hospital was looking into why this didn’t happen, and. As a result of the surveillance, 29 staff members were isolating themselves..
As of Wednesday, the hospital had 37 cowardly patients, six of whom were in the ICU.
So what should happen when Kovid 19 patients are in hospitals? Which protocols are in place? And what advice has the Ministry of Health given to the District Health Boards?
* Covid 19: Auckland District Health Boards request ICU staff from other areas.
* Covid 19: Specialist medical colleges postpone elective surgery among surgeons
* There is not enough ICU capacity in New Zealand, even without the effects of epidemics.
* Corona virus: A look inside the New Zealand Cove 19 ward.
Guidelines for infection prevention.
While each hospital operates differently, there are a lot of infection prevention controls that should be available at all facilities.
Some of the key elements of these standard precautions include good hand hygiene, use of personal protective equipment (PPE), coughing and sneezing etiquette for patients, use of disinfectant techniques (methods and techniques to prevent pathogen contamination). Car), disinfect reusable equipment among patients, and handle used linen safely.
Of SARS-Cov-2 air permeability (via aerosol) Additional security measures are needed.
Ministry of Health Direction issued DHB advises staff caring for cowardly patients – both suspected and certified – to wear P2 or N95 masks and follow air precautions – apply masks to the patient for source control, airborne them Keeping the infection in an isolation room (AIIR). As a negative pressure room) or a closed room with a bathroom if the former is not available, and apply PPE each time.
Red and green zones.
Upon arrival at the hospital’s emergency department, patients are examined. If they are a known case or a suspected case, they will be managed in a specific route – a red zone – and will be kept separate from other patients in what are called the hospital’s green zones.
This principle is the same in all hospitals, but the terms may be different. For example, Waikato Hospital has yellow and green zones..
Dr Alex Syrides, an ICU specialist and spokesman for the ANZ Intensive Care Society (ANZCS), said the protocols were designed to prevent ongoing transfers to hospital staff and other patients.
If a case needs to be transferred to another hospital, a screening tool is used to assess the risk. Psirides explains that the tool includes a series of questions about recent travel, contacts, symptoms, and recent Cowed test results, if needed.
“It is developed by infectious disease specialists and provides advice on everything PPE is to wear and how to clean planes and vehicles.
“For well-known cowardly patients, we will try, if possible, to avoid transferring patients between hospitals, unless their care is necessary.”
A health ministry spokesman said there were currently no plans to move 37 hospitalized cases out of the area.
Negative pressure rooms.
Once in the hospital, covid patients are cared for in covid ward or intensive care, if their condition requires this level of attention, in negative pressure rooms.
A spokesman for the Ministry of Health said: “We use negative pressure rooms designed to help prevent the spread of diseases in the care of Covid 19 patients, but especially when a patient is more contagious. ۔ “
There are 40 negative pressure beds in adult patient wards across Auckland, 17 of which are in intensive care units. Auckland City Hospital has 13 negative pressure beds, North Shore Hospital has 10, and Middlemore Hospital has 17.
Since the epidemic began, plans to add three Metro Auckland DHBs have added an additional eight negative pressure points.
The Ministry of Health says all of the 19 Kovid patients admitted to the hospital are being cared for in areas of negative pressure, and there was more capacity throughout the area to care for more patients if needed.
A ministry spokesman said they were working to manage patients in the best possible environment to keep staff and patients safe. In some cases, this may result in some hospitals using ICU wards exclusively for covid patients, while continuing to care for other non-covid patients throughout the region.
Although the Ministry of Health did not provide any numbers on how many negative pressure rooms are available across the country, the spokesman explained that ICU, emergency, maternity, kidney, bone marrow transplant, respiratory wards and special areas like this Additional capacity is available. Starship Hospital.
If all negative pressure beds are occupied, separate, well-ventilated areas and wards can be used to isolate cove patients.
“We have plans to enhance the ability to safely care for Cowed 19 patients in specific areas of our hospitals.”
But what is the purpose of these negative pressure rooms?
These are self-made rooms. Ventilation system The air is installed inside to ensure that it does not reach other parts of the hospital. The air passes through a high performance Particulate Absorbent (HEPA) filter before ventilating outside the room.
Psirides explains that these rooms are usually accessed by an airplane – a small room that separates the ward from the negative pressure room – to allow staff to safely apply and remove PPE can go.
“The pressure inside the room is lower than the outside (hence the name) so that any airborne infection when the door is opened does not leave the room.”
Negative pressure rooms are not specific to the care of Covid 19 – Cyrides says they are routinely used for anyone who may have an airborne illness – such as influenza or RSV.
Who cares for cowardly patients in the ICU?
Unlike normal hospital wards where one nurse can take care of four patients, ICU nurses take care of only one patient. In addition, some patients require 24/7 care. Depends on five and a half nurses. Provide round-the-clock care.
ICU nurses are in high demand, so the need to recruit, train and retain them is critical.
“The ICU bed is a piece of furniture,” Psirides said.
“Shortage is an ongoing problem that needs to be addressed urgently.”
This is not something that every nurse can do, there are details about the role that require significant training. Already, some health professionals are helping again – Vanessa Beavis, president of the College of Anesthetists, told RNZ. Theater nurses are now being trained as needed.
A spokesman for the Ministry of Health said that clinical teams, in general, not only in the ICU, “practice well” in dealing with infectious diseases, and that on-site implementation staff and Ensures the safety of other patients.
All staff working with Kovid 19 patients have been fully vaccinated, use appropriate PPE and adhere strictly to infection control protocols.
Are the processes good enough?
Although there is always a lot to learn and improve as more information about Covid 19 comes to light, Cyrides believes the current practices are appropriate.
“We know more about this disease now than we did 18 months ago, about what works and what doesn’t. We have improved the process for New Zealanders by talking to colleagues abroad.
They say PPEs and vaccines not only protect healthcare workers from cobwebs, but can also expose them to other infectious diseases at work, such as measles or hepatitis.
That is why healthcare workers were vaccinated early with MIQ, border and port workers. We have always taken precautions in caring for patients with infectious diseases – RSV, influenza, tuberculosis.
Psirides says all procedures and protection are based on local and national infectious disease specialists, screening tools, covid testing in the hospital, PPE and staff and patient vaccinations.
“To protect all New Zealanders, everyone who can should be vaccinated as soon as possible.”