ผู้เขียน หัวข้อ: A variable forces the Nightingale hospital to open or not?  (อ่าน 23 ครั้ง)

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A variable forces the Nightingale hospital to open or not?
« เมื่อ: ธันวาคม 26, 2020, 05:30:02 pm »



There is an increasing pressure in hospitals with an increasing number of hospital admissions day by day.The fastest growth is taking place in London and the southeast, where new strains of coronavirus are believed to be behind the rise of patients.The UK normally expects about 1,000 new respiratory recruits per day at this time of year.It's close to twice that for COVID alone.Professor Christina Pagel, clinical research director at University College London, said the situation was "shocking".She predicted that by the end of next week, the NHS could exceed the total seen in hospitals in the spring, putting tremendous tensions on the NHS during the busiest time of the year.


Why are Nightingales employees a problem?

Increasing pressure has prompted many to wonder why the เกมสล็อตฟรี Nightingale has yet to be opened, Tory MP John Redwood, a mainstay on Twitter, calls for adoption.After all, this is a network of emergency field hospitals built in the spring to cope when hospitals can't - most of them are not used.There are seven in England Scotland, Northern Ireland and Wales set up their own field hospitals. But did not know the nightingale Wales has now made its dissolution in a 2,000-bed field hospital located at Principality Stadium, although there is a small network of sites available, some of which are linked to existing hospitals.These numbers are treating people with COVID.But from the original site, only two in Exeter and one in Belfast are accepting COVID cases.Manchester is being used for non-COVID-infected patients who are in the final stages of their recovery, while centers in Harrogate and Glasgow are conducting diagnostics and patient appointments. out


Why if the NHS is under great pressure, so others won't open?


The simple answer is Dr. Chaand Nagpaul, head of the British Medical Association, said as an official.We have 80,000 vacancies. You can't have a doctor or nurse in two locations at the same time."
It's a feeling that resonates on the ground.Rupert Pearse, an intensive care physician in east London, said the situation was in the capital, including northern Kent and southern Wales.But he said the Nightingale would not help because of the lack of trained staff.We are 'diluting' our skilled ICU nursing staff with less-trained volunteers.


How does the hospital manage the needs without them?

The truth is they were made as an insurance option - to be used as a last resort.Hence, hospitals instead focus on demand management.That means the priorities of ruthless care. Routine tasks such as knee and hip replacements are canceled in the areas exposed to the most pressure to free up space.That is why it is not a coincidence - despite the differences in COVID cases nationwide. But at the regional level, hospitals have very similar levels of beds when you take into account patients with COVID and not COVID.The hospital is managed carefully to ensure that there is little room available.But, of course, there is a limit on how long it can work Although there is still some doubt about how much the Nightingale will be useful.As with staffing, some argue that there are no devices that can be used to treat sick patients who can suffer from everything from coagulation to organ failure.

We can give them oxygen. But it's about it, ”said one doctor who worked on a nightingale in the first wave.In some places there isn't even a suitable bathroom, they are built in a hurry because we are desperate.Despite the problems, Chris Hopson of NHS Providers, who expressed the hospital's trust, believes it was still the right decision to make them.Remember that in the spring the Italian hospitals in Lombardy were overwhelming.We need an insurance policy in case that happens.He said that even without sophisticated equipment But it can still play a role as many patients are treated in the general ward with oxygen therapy.But he said the NHS would use "every ounce" of its available capacity that it could gather before Nightingales were used regularly.He predicts that the next 10 to 15 days will be significant - and if the numbers coming into the hospital don't start to drop, the hospital may find itself near the limit.If we don't use it, we should think that's a success," he added.