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Faced with the saturation of emergency services, the Monod hospital asks users to dial 116-177 before going there. (©Archives/MCN/76actu)
“Dial 15 or 116-117 before going to the Emergency room. “The message has been hammered home in the media and on social networks in recent weeks, while the various hospitals in Le Havre (Seine-Maritime) are facing a High pressure on their emergency department.
On this Easter weekend which could prove to be intense – the Emergency Department of the Ormeaux Clinic closes its doors from 6 p.m. from Friday 15 to Sunday 17 April inclusive – the teams insist on this reflex to avoid saturation.
“A right choice for the patient”
Of course, there is no question of people censoring themselves, specifies Doctor Julien Jeannelle, head of the adult emergency department at Jacques Monod hospital. If they want to come to the emergency room, we’ll see them. But we campaign so that they do not present themselves spontaneously. »
By telephone therefore, a possible secondary referral to the hospital remains possible. But “there are in fact other solutions: on-call offices, the Domus Medica which officiates every weekend and every evening of the week from 8 p.m. to midnight…”
Today, almost everyone has a mobile phone: these numbers are free and allow medical advice, an assessment of the problem and the patient’s needs, what can be sent to him and in what time frame. . This allows a fair choice to, behind, unclog the Emergencies.
Proof of the effectiveness of this device, last weekend, “while the Emergencies of the private hospital of the estuary, which make on average 80 passages days, were closed”, “we made in Monod a number passages substantially equal, or even less than what we usually do”, relates the head of department. While the attendance of its service can sometimes go up to 180 daily passages, “we counted around 115 on Sunday, he specifies. So it’s a real lever. »
“A huge work of the doctors behind”
Taking the Cherbourg hospital as an example, which has successfully developed the telephone reflex, the doctor specifies that Le Havre is currently a pilot, with about fifteen other Samu in France, in the experimentation of an SAS (Service d’ access to care). From this telephone platform, “we can redirect the patient to medical consultations related to his needs within the timeframe that seems acceptable to us”.
“Behind, it is a huge work of city doctors and those who run the platform, he underlines. They free up dedicated consultation slots with private general practitioners or specialists, where these patients can be redirected because they do not have a treating doctor, or need a specialist’s opinion quickly, for example. »
A job that is beginning to show its effects and should eventually make it possible to offer around a hundred appointments a day. All to “be able to respond to calls, and guide people as best as possible. Because patients who wait six or seven hours before seeing a doctor, it’s not a good memory that they keep from the Emergency Department. »
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