Chief physicians Metropolitan hospitals, reported that they were ready to provide planned in-patient care in urban hospitals to temporary rules for the period of the pandemic COVID-19. This became known during the meeting of Moscow mayor Sergey Sobyanin with the chief doctors of the hospitals. “The Botkin hospital is one of the largest clinics in Russia and annually receives more than 100 thousand patients. Despite the difficult epidemiological situation in Moscow, we for one day did not stop to render aid to Muscovites. Botkin hospital ready to receive patients who have deferred admission due to pandemic, they will be able to receive all necessary assistance,” — said the chief doctor of city clinical hospital Botkin, chief freelance specialist surgeon and endoscopist capital Destava Alexei Shabunin. According to him, one of the 20 buildings of the hospital were converted for the treatment of patients with coronavirus. In parallel, work continued with urgent and cancer patients coming for all profiles. Shabunin said that at Botkin hospital, a unique experience of high-tech medical aid to patients with oncological, hematological (including bone marrow transplant), cardiology, ophthalmology, surgery, Nephrology (including dialysis using the patient), trauma and other diseases. “Understanding the importance of using our experience in the context of the epidemic for the health of Muscovites, we have done everything possible to unfavorable epidemic situation did not affect our patients. In the hospital for this purpose and the separation of flows of patients, in compliance with all necessary measures for the safety of patients and staff fully ensure implementation of anti-epidemic requirements,” he said. Director of the research Institute Sklifosovsky Sergey Petrikov on its part noted that the institution was readyabout to receive patients under the new regulations. He recalled that the Institute was one of the first hospitals in Moscow, which was redeveloped for the treatment of patients with novel coronavirus infection. Over the past months,he said, has managed to gain great experience in the organization of work, the treatment and diagnosis of patients with COVID-19. “However, the fight against the coronavirus was conducted along with the treatment of patients with other diseases. And we, as the largest in Moscow first-aid clinic, worked at full capacity. We continued and continue to provide emergency assistance in full, as patients with various injuries and other profiles — of kardiologii, neurosurgery and others. And in compliance with all requirements of sanitary-epidemiological security”, — said Petrik. He added that “sklif” ready for the new rules and patients that the epidemic has decided to postpone their treatment. There are all — staff and high-tech equipment and accumulated experience in the mode of the epidemic and protection for patients and staff, said Petrikov. Note that during a pandemic the provision of routine inpatient care in urban hospitals will implement temporary Standard (regulations). So, people who have previously received a referral for hospitalization, but had to postpone it because of the pandemic, will be able to receive inpatient care without re-registration of the documents and passing new tests. All previously obtained documents are in force. If necessary, all necessary tests will spend in the hospital after admission. Also get treatment in a hospital will not only in the clinic, but in any of consultative and diagnostic departments (MLC) multidisciplinary clinics. Also no need to visit his clinic at the place of attachment — now it is enough to come for a consultation at BWW, where the doctor will determine whether his testimony isI to hospitalization, and to sign all necessary documents for the treatment. This approach will allow to avoid many visits to doctors, when the risk of infection and the clinic work in the mode of increased load. In addition, KDO has no territorial consolidation and visit these offices may any Muscovite with a MHI policy. We also add that during hospitalization patients will provide a full range of diagnostic studies on coronavirus infection in medical insurance. Thus, the analysis is performed on novel coronavirus infection PCR (smear from the naso – and oropharynx), ELISA test (blood from the veins) for the presence of antibodies and computed tomography of the chest. In order to eliminate the risk of spread of infection before receiving results of diagnosis for the coronavirus, the patient is placed in a small chamber. Examinations are free under the MLA. Planned in-patient treatment starts after receipt of negative test results COVID-19. In addition, provides for strict requirements of sanitary-epidemiological security. To distribute the flows of patients will be carried out zoning of the territory of the relevant departments for routine and emergency parts. At the entrance flows the patients will be divided according to disease profile. In hospitals must comply with the rules of social distance and the mask mode while a patient in the waiting area. All patients and accompanying persons will measure the temperature and to carry out an initial inspection. The interval between the reception of patients should be at least 15 minutes, holding the ventilation and disinfection of the premises. It is worth noting that separate rules will be in effect and when the patient’s discharge. One day before discharge the patient will hold the PCR test with the further notification of the polyclinic at the place of residence on the results of the test. The patient will be transported home medical transportation hospital compliance with all public healthcal events.
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