Specialists say that to the 400 beds in the new hospital in need of 1,200 employees, where 80 % should be personal health.
The images new hospital (Cifco), which they referred to as Hospital El Salvador, flooded social networks yesterday; nice for many, but not enough to impress health professionals, among which the most well-known medical specialists, years of study and a long history.
More than the opening, what they want is to know when this will be functional the hospital to carry patients, as well as how many and what experience have the professionals that will attend to seriously ill patients for which they were built these facilities. The data that has been given to the government is that it will be a total of 400 beds, of which 105 are for patients who need intensive care and 295 for intermediate care; as well as the recruitment of 240 professionals, of those who did not specify their position and experience.
Medical experts explain that the staff that will be at the front of the new hospital installed in the International center for Fairs and Conventions (Cifco) it will be determinant to treat and save the lives of patients COVID-19.
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The doctor salubrista Ricardo Lara explained that to the 400 beds the hospital needs at least 1,200 employees, where the 80 % has to be a person of the health and 20 % administrative.
The intensivist Fausto Portillo, who is specialized in the Basque Country, stated that an intensivist can monitor up to three physicians internists, and each one of them would be responsible for 10 beds ICU.
In regards to nursing staff has to have 2 professionals per patient, who must work shifts of 8 to 12 hours. Preferably, the nursing staff must be a specialist in intensive care (empirical) or a graduate.
INFOGRAPHIC: medical Equipment for intensive care will cost $30 million
“You also need surgeons who must be near, and respiratory therapists within the UCI, ” added Portillo.
The infectologist pediatrician, who has experience as a head of service in infectious diseases, Mario Gamero, was of the view that there are at least 1,000 employees that are necessary for the amount of patients that will have the new hospital in this first phase.
Health personnel needed by the hospital
35 medical intensivists (in the country there are between 40 and 60 intensivists who are already destined for different hospitals)
105 medical internists
420 nurses intensivists
Nurses with other specialties
Technicians in respiratory therapy
X-ray technicians
Technicians in the clinical laboratory
Surgeons
Doctors of other specialties, including gastroenterologists (This staff would have to realiar business days between 8 and 12 hours, as in other hospitals)
Equipment needed:
Mechanical ventilators
Monitors vital signs
Infusion pump for medications
Electrocardiograms
Team healing.
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Gamero was emphatic in the importance of the facilities are fully functional and that the headquarters of the services have the academic preparation and experience necessary to administer the challenge is to fight for the life of seriously ill patients. “I hope that people with some degree of training in that area, which do not use doctors only for the closeness, friendship, or some other factor, there will need to be people of weight for it to function properly, but we will continue with the political issue at all”, warned the infectologist pediatrician.
Dr. Gamero explained that who runs a sanatorium of this kind must have “knowledge management, technical knowledge for that does not lie in medications and training in the direction of a service; all of those things are prerequisites that must be ordered by resume and not by friendships, if that happens it will make a lot of mistakes,” he said.
In the national chain this Sunday night, the president Bukele announced that it will be moved to 12 specialists equipped elite intensive care unit of the hospital San Rafael to the new health care center; in addition, hired new staff, without specifying the amount, and profession. He added that the measure should be the success that you have had to treat patients with the new virus.
According to the representative, the first of the three stages of the hospital has a cost of 25 million dollars. In total, the three phases will cost 75 million dollars, of which $ 11 million will be for equipment, he announced.
The journalists have not got access to check the facilities by order of the Executive. Photo EDH / Yessica Hompanera
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In the national chain, the president exhibited little, or almost nothing, about the condition and profile of the professionals that will be in that sanatorium.
Dr. Gamero warned that patients with COVID, due to the complications that arise, that can be damage on kidneys, lungs, or heart failure, require multidisciplinary team that treats them with respect. If the government decides to assign the specialists to the new facilities will cause a void in the current place of work, but if you decide to only move them at the time of this emergency, the time you can play against for the patient. “In the country there are between 30 and 40 intensivists and most of them are already distributed in the country,” said Gamero.
This dilemma has its root in that in the country the number of specialists in Intensive Care is limited, and already before the pandemic, the hospitals were overcrowded with chronic patients, “and with this situation (pandemic) exceeded the number of patients that were admitted,” said Gamero.
Dr. Lara believes that for the amount of beds in ICU, in this first phase of the hospital, is in need of 350 nurse specialists in intensive care, that is to say of 4 to 5 nurses per patient, but according to Lara, there is in the country.
“In a publication that I read (of the Moh) said: ‘it needs to hire doctors and nurses with and without experience’, so in those terms. But what is that paying attention is who is going to be the director of that hospital, the profile is; who is going to be the epidemiologist, the head of intensive care, chief nurses, and to how many physical therapists have been hired for the handling of control volumes of oxygen,” the doctor says.
Yesterday at the end of the national chain, dr. Manuel Bello, intensivist at the hospital San Rafael, showed the representative of the new facilities.
In addition, in social networks it was mentioned to the doctor, Marlon Kings, as the possible director of the new hospital, which will begin to receive patients “in a few more days”, according to Bukele.
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