Source: Huaxia Jingwei.com
Outside the emergency room of a large hospital in New Taipei City, doctors and nurses measure the number of patients under the guard of police officers in protective clothing Blood pressure. Reporter Hou Yongquan/Photo
According to Taiwan’s “United News Network” report, Shi Chongliang, “Deputy Minister” of Taiwan’s health and welfare department, said on May 9 that the peak of the epidemic will fall in late May, and the low estimate may be as high as single 100,000 people are diagnosed every day, and the high estimate may be as high as 200,000 people. It must be regarded as the final battle to fully prepare for the war. This includes requiring hospitals at all levels on the island to be able to admit and treat them in situ, and to readjust the hospital infection control SOP according to the current epidemic situation and virus characteristics, so that it is feasible for hospitals at all levels to fully participate in the admission and treatment. Ten days have passed, and the above-mentioned preparations are still empty.
A number of emergency medical staff from the Northern Medical Center on the island complained to Taiwan’s “United Daily News”, and summarized three major problems.
First of all, the emergency department is facing a serious manpower shortage, and patients in the observation area have been found only after losing their heartbeat, causing physical and psychological trauma to the medical staff. In addition, more and more elderly or bedridden patients are admitted to hospital due to other severe diseases only to be diagnosed. Follow-up treatments such as surgery will also take four or five times the time due to the complicated process of sensory control. It is difficult to save every second. Living in a specialized ward of a non-specialist nature greatly reduces the quality of care. In the end, the saddest thing is that when the whole people pursue a normal life, doctors and nurses can hardly remember the taste of normal life.
The ratio of nurses to patients was 1:18, and the patient was only found after losing his heartbeat
The emergency specialist nurse L observed that, in the past two weeks, the diagnosis of long-term bedridden There is an obvious increase in the number of elderly people, many are bedridden at home, and many are from long-term care institutions, veterans’ homes, and respiratory care centers. Personnel and ambulances are all understaffed due to confirmed diagnoses, and there are more jobs than usual.
L said that the emergency room does not have good compartments like the dedicated ward. Nursing staff must stay close to the confirmed patient for 8 hours, and the entire emergency room is air-conditioned, so doctors and nurses will worry about aerosol infection. Recently, the number of patients in the confirmed observation area has been full. In order not to put patients on the driveway, even the ordinary observation area has now been changed to the confirmed observation area.
“The nurse in the emergency department was sent for inspection, and the nurse in the orthopedics department was called to the medical emergency area for support. I don’t know why this happened.” S, an emergency nurse at the Northern Medical Center, said that each emergency area needs certain Manpower, but now the class schedule is in a row, and some districts have no one, and if there is no support, they still have to eat hard.
S said that one day on the night shift, a nurse had to take care of patients in 18 observation areas. Because the nurse on the night shift was also diagnosed, the nurse had to help 5 patients turn over every two hours. , Changing diapers is equivalent to one person serving as three people. At 8:00 in the morning, when measuring vital signs, I found out that one of my uncles had stopped beating. The nurse on duty was hit hard and felt very depressed.
Severely ill patients are diagnosed, the infection control delays the rescue time, and the quality of care is greatly reduced
The chief emergency physician C said that now about 500 beds will be used as special beds, At present, more than 200 people have been admitted. It seems that the bed occupancy rate is not high, but there is no corresponding nursing manpower. Therefore, the empty beds are “observable, but not used”. It is difficult to find a bed for patients who are transferred to the hospital, and the number of acute beds is also reduced. Increased emergency department retention rates. All kinds of infections, gastrointestinal problems, and suspected strokes in the emergency observation area are difficult to be admitted to the hospital on the first day, and the overnight stay rate is high. Most of them will be “diagnosed by the way”.
“The patient comes to the emergency room because of other life-threatening problems, and may need urgent surgery or cardiac catheterization. If he happens to be diagnosed, it will be a big challenge for the hospital.” C It is said that there is only one negative pressure surgery room, and the sensory control must be contacted in advance, and the medical staff must be fully armed. The entire operation process may take two or three times longer. A few minutes later to open the operation and open the blood vessels, for the patient, the result may be an increase in mortality and a worse prognosis. Now we can only continue to practice and constantly review the process.
“The seemingly standard treatment process will be changed due to the diagnosis of the new crown.” C, for example, when the diagnosed person has acute myocardial infarction, cannot receive conventional percutaneous coronary intervention, and acute infarction occurs However, transarterial thrombectomy cannot be performed for patients with cerebral apoplexy, and painless anesthesia cannot be performed if pregnant women need to give birth. In addition, the post-operative care of these patients is also greatly reduced due to the fact that they live in non-specialized wards dedicated to COVID-19.
Chen Shizhong advocates a normal life for the whole people, and doctors and nurses cannot eat normally
The work is already hard enough, and the hospital nursing department has to invent some slogans “opening your mouth is dangerous, Don’t speak when you eat, wear a mask when you speak, don’t gather after get off work, and you won’t come when you’re diagnosed.” C said that Chen Shizhong advocated normal life, and ordinary people could have meals, eat, and live normally. Banned from leaving Taiwan, and now even some of the little things in daily life and channels for expressing stress are restricted. “Thinking of this, I wonder if anyone is willing to let children become medical staff?” [Source: Huaxia Jingwei Network]