Transformation of a large multi-speciality hospital into a dedicated COVID-19 centre during the coronavirus pandemic

Autor: Zbigniew Król, Piotr Szymański, Adrian Bochnia, Emilia Abramowicz, Agnieszka Płachta, Radosław Rzepliński, Mikołaj Sługocki, Błażej Nowak, Artur Zaczyński, Krzysztof Kozłowski, Marek Posobkiewicz, Waldemar Wierzba
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Annals of Agricultural and Environmental Medicine, Vol 27, Iss 2, Pp 201-206 (2020)
Druh dokumentu: article
ISSN: 1232-1966
1898-2263
DOI: 10.26444/aaem/123801
Popis: Introduction The article describes the process of converting a large multi-specialized hospital into one dedicated to COVID-19 patients, and present established standards of work organization in all the wards and training system of the medical and supporting staff. The several weeks pandemic of the COVID-19 disease has forced the healthcare systems of numerous countries to adjust their resources to the care of the growing number of COVID-19 patients. Managers were presented with the challenge of protecting the healthcare workers from transmission of the disease within medical institutions, and issues concerning the physical and psychological depletion of personnel. Material and methods Based on analyses of the structure and work processes in Central Clinical Hospital (CCH) reconstructive strategic plan was developed. It included: division of existing wards into observation and isolation wards; installing locks; weekly plan for supplying personal protection equipment (PPE); designating new access to the hospital and communication routes; training of medical and supporting staff. The plan was implemented from the first days of conversion of the hospital. Results The wards of the CCH were converted for observation and isolation, and each one was fitted with sanitary locks. There was a big improvement in the supply of PPE for the medical staff. Separation of the ‘dirty’ and ‘clean’ parts of the CCH were attained, and widespread intensive training not only protected personnel against infections, but also diminished unrest which was discernable at the beginning of conversion. Conclusions The transformation efforts will ultimately be appraised at the end of the epidemic, but the data looks encouraging. Two weeks after conversion, the testing of hospital Staff was started and by the end of April, 459 tests were had been conducted, of which only 11 were positive.
Databáze: Directory of Open Access Journals
Externí odkaz: