{"id":2382,"date":"2019-06-11T07:29:35","date_gmt":"2019-06-11T05:29:35","guid":{"rendered":"http:\/\/nspbr.sk\/web\/?p=2382"},"modified":"2019-06-11T07:29:37","modified_gmt":"2019-06-11T05:29:37","slug":"urgentny-prijem-2","status":"publish","type":"post","link":"https:\/\/www.nspbr.sk\/web\/urgentny-prijem-2\/","title":{"rendered":"Urgentn\u00fd pr\u00edjem"},"content":{"rendered":"\n

V nepretr\u017eitej prev\u00e1dzke urgentn\u00e9ho pr\u00edjmu t\u00edmovo pracuj\u00fa lek\u00e1ri, sestry, z\u00e1chran\u00e1ri a sanit\u00e1ri.<\/strong><\/p>\n\n\n\n

\u010cl\u00e1nok zverejnen\u00fd v novin\u00e1ch My Horehronie 23.4.2019 <\/a>a My Horehronie 30.4.2019<\/a>. Autor: MONIKA DOL\u0147ANOV\u00c1. Foto: Luk\u00e1\u0161 P\u0161en\u010d\u00edk a arch\u00edv NsPBR. <\/p>\n\n\n\n

O samotnom oddelen\u00ed sa do\u010d\u00edtate tu.<\/a><\/p>\n\n\n\n

Mil\u00ed \u010ditatelia, prin\u00e1\u0161ame v\u00e1m s\u00e9riu \u010dl\u00e1nkov, v ktor\u00fdch postupne predstavujeme jednotliv\u00e9 oddelenia Nemocnice s poliklinikou v Brezne. Pokra\u010dujeme urgentn\u00fdm pr\u00edjmom, kde ro\u010dne vy\u0161etria 6707 pacientov. Disponuj\u00fa tie\u017e pr\u00edstrojom, ktor\u00fd stanovuje hladinu alkoholu z dychu \u010di realizuj\u00fa skr\u00edningov\u00e9 vy\u0161etrenie na pr\u00edtomnosti drog z mo\u010du. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

BREZNO. Prim\u00e1rom urgentn\u00e9ho pr\u00edjmu je Martin Dobr\u00edk, garantkou Em\u00edlia Zlevsk\u00e1 a ved\u00facou sestrou Jana Niklov\u00e1.<\/strong><\/p>\n\n\n\n

Zabezpe\u010duj\u00fa odborn\u00e9 lek\u00e1rske vy\u0161etrenie ako aj odber biologick\u00fdch vzoriek. Urgentn\u00fd pr\u00edjem chor\u00fdch je samostatn\u00e9 oddelenie breznianskej nemocnice, ktor\u00e9 sl\u00fa\u017ei na o\u0161etrenie, lie\u010dbu a pr\u00edjem pacientov s ohrozen\u00edm vit\u00e1lnych funkci\u00ed, dovezen\u00fdch pos\u00e1dkami z\u00e1chrannej zdravotnej slu\u017eby, odoslan\u00fdch obvodn\u00fdmi lek\u00e1rmi v pracovn\u00fdch d\u0148och, lek\u00e1rmi ambulantnej pohotovostnej slu\u017eby, ale aj o\u0161etrenie pacientov bez odporu\u010denia. Ako uviedli ved\u00faci pracovn\u00edci urgentu prim\u00e1r Martin Dobr\u00edk a ved\u00faca sestra Jana Niklov\u00e1, v nepretr\u017eitej prev\u00e1dzke pracuj\u00fa t\u00edmovo internista, neurol\u00f3g, chirurg alebo traumatol\u00f3g, ako aj sestry, z\u00e1chran\u00e1ri a sanit\u00e1ri. <\/p>\n\n\n\n

\u201eZabezpe\u010dujeme odborn\u00e9 lek\u00e1rske vy\u0161etrenie a odber biologick\u00fdch vzoriek na laborat\u00f3rne vy\u0161etrenie. Vy\u0161etrujeme tie\u017e pacientov, ktor\u00ed prich\u00e1dzaj\u00fa v sprievode pol\u00edcie pred umiestnen\u00edm do cely predbe\u017en\u00e9ho zadr\u017eania (CPZ), disponujeme pr\u00edstrojom, ktor\u00fd stanovuje hladinu alkoholu z dychu, realizujeme skr\u00edningov\u00e9 vy\u0161etrenie na pr\u00edtomnosti drog z mo\u010du.\u201c<\/p><\/blockquote>\n\n\n\n

Popri mno\u017estve pr\u00e1ce neodmyslite\u013enou s\u00fa\u010das\u0165ou je aj administrat\u00edva. Na urgentnom pr\u00edjme sa nach\u00e1dzaj\u00fa dve expekta\u010dn\u00e9 l\u00f4\u017eka, kde je mo\u017en\u00e9 kr\u00e1tkodob\u00e9 ulo\u017eenie pacienta na preklenutie \u010dasu pri \u010dakan\u00ed na laborat\u00f3rne v\u00fdsledky, v\u00fdsledky pomocn\u00fdch zobrazovac\u00edch met\u00f3d (CT, RTG) ako aj pod\u00e1vania inf\u00faznej lie\u010dby. \u201ePo ukon\u010den\u00ed diferenci\u00e1lno diagnostick\u00e9ho procesu je pacient bu\u010f hospitalizovan\u00fd, prepusten\u00fd domov s pr\u00edslu\u0161n\u00fdm odporu\u010den\u00edm \u010fal\u0161ej lie\u010dby, alebo je prelo\u017een\u00fd na vy\u0161\u0161ie pracovisko do in\u00e9ho zdravotn\u00edckeho zariadenia.\u201c
Okrem starostlivosti o pacientov neodmyslite\u013enou s\u00fa\u010das\u0165ou s\u00fa aj v\u0161etky administrat\u00edvne \u010dinnosti okolo pl\u00e1novan\u00fdch aj nepl\u00e1novan\u00fdch hospitaliz\u00e1ci\u00ed, prepustenia pacientov domov. \u201ePreber\u00e1me, odovzd\u00e1vame a uschov\u00e1vame odev v \u0161atni urgentu, kde sa realizuje aj hygienick\u00e1 o\u010dista prij\u00edman\u00fdch pacientov, sprev\u00e1dzame ich na RTG, SONO, CT.\u201c
Presun pacientov na pr\u00edslu\u0161n\u00e9 oddelenie robia sanit\u00e1ri. Sl\u00fa\u017eiaca sestra spreh\u013ead\u0148uje, rozde\u013euje a uprednost\u0148uje pacientov s ak\u00fatnymi \u0165a\u017ekos\u0165ami. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Vy\u0161etrili 6707 pacientov.<\/strong> Na urgentnom pr\u00edjme vlani o\u0161etrili 6707 pacientov, z toho 681 mal\u00fdch aj ve\u013ek\u00fdch r\u00e1n, 34 odstr\u00e1nen\u00ed cudzieho telesa, 24 pop\u00e1len\u00edn, 1167 zlomen\u00edn, n\u00e1prava vyk\u013aben\u00e9ho ramena, sadrovanie, obv\u00e4zovanie, fix\u00e1cie \u010dlenka a z\u00e1p\u00e4stia, 48 punkci\u00ed lak\u0165ov\u00e9ho a kolenn\u00e9ho k\u013abu, 57 zav\u00e1dzan\u00ed a v\u00fdmeny mo\u010dov\u00e9ho kat\u00e9tra, 255 sekund\u00e1rnych prev\u00e4zov a v\u00fdplachy r\u00e1n, 2974 nato\u010den\u00fdch EKG, 3096 odberov krvi, 1816 aplik\u00e1ci\u00ed liekov do \u017eily a svalu, 88 vy\u0161etren\u00ed mo\u010du, 24 odberov mo\u010du na vy\u0161etrenie drogy, 23 odberov krvi na alkohol, 108 vy\u0161etren\u00ed pred umiestnen\u00edm do CPZ, 708 testovan\u00ed alkoholu z dychu alkohol testerom.
\u201eTie\u017e sme zaevidovali 21 observ\u00e1ci\u00ed a detoxik\u00e1ci\u00ed pacientov pod vplyvom alkoholu do 3 hod\u00edn, 1601 inf\u00faznej lie\u010dby pacientov od 2 a do 24 hod\u00edn na expekta\u010dnom l\u00f4\u017eku, 15 trombol\u00fdz pri cievnej pr\u00edhode, 30 lok\u00e1lnych obstrekov neurol\u00f3gov pri bolestiach chrbtice, ako aj o\u0161etrili 99 cudzincov \u010di psychiatrick\u00fdch pacientov, ktor\u00ed sa prekladali na psychiatriu,\u201c dodali na z\u00e1ver Martin Dobr\u00edk a Jana Niklov\u00e1.<\/p>\n\n\n\n

Urgent sl\u00fa\u017ei na o\u0161etrenie ak\u00fatnych stavov, nie je ur\u010den\u00fd pre pacientov s dlhodob\u00fdmi zdravotn\u00fdmi probl\u00e9mami<\/p><\/blockquote>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Pacienti prich\u00e1dzaj\u00faci na urgent s\u00fa o\u0161etrovan\u00ed a prij\u00edman\u00ed na z\u00e1klade naliehavosti zdravotn\u00e9ho stavu. Pr\u00e1ca na urgente je n\u00e1razov\u00e1.<\/strong>
Na urgente prij\u00edmaj\u00fa pacientov v kritickom stave, pri ktorom zlyh\u00e1vaj\u00fa z\u00e1kladn\u00e9 \u017eivotn\u00e9 funkcie, v neodkladnom stave, kedy hroz\u00ed zlyhanie z\u00e1kladn\u00fdch \u017eivotn\u00fdch funkci\u00ed a vo v\u00e4\u010d\u0161ine pr\u00edpadov s\u00fa to st\u00e1le aj neurgentn\u00ed pacienti s chronick\u00fdm ochoren\u00edm, ktor\u00e9 znes\u00fa odklad a mohli by by\u0165 rie\u0161en\u00ed cestou svojho obvodn\u00e9ho lek\u00e1ra.<\/p>\n\n\n\n

Ako uviedol prim\u00e1r Martin Dobr\u00edk a vrchn\u00e1 sestra Jana Niklov\u00e1, person\u00e1l urgentn\u00e9ho pr\u00edjmu tvoria lek\u00e1ri neurologick\u00e9ho, chirurgick\u00e9ho a intern\u00e9ho oddelenia, 5 sestier a z\u00e1chran\u00e1rov na trval\u00fd pracovn\u00fd pomer, 4 sestry na polovi\u010dn\u00fd \u00fav\u00e4zok a 10 sanit\u00e1rov.<\/p>\n\n\n\n

\u201eNa stabiln\u00fa prev\u00e1dzku posta\u010duje stav, ak\u00fd m\u00e1me. Pr\u00e1ca na urgente b\u00fdva n\u00e1razov\u00e1, ke\u010f pr\u00edchod pacientov je enormn\u00fd, vtedy by sa zi\u0161li aj viacer\u00ed. V ka\u017edej slu\u017ebe s\u00fa dve sestry, alebo sestra z\u00e1chran\u00e1r, a dvaja sanit\u00e1ri, ktor\u00ed musia obsl\u00fa\u017ei\u0165 tri ambulancie: chirurgickotraumatologick\u00fa, neurologick\u00fa a intern\u00fa. Z\u00e1rove\u0148 sa musia postara\u0165 aj o objednan\u00fdch, prij\u00edman\u00fdch pacientov na hospitaliz\u00e1ciu alebo opera\u010dn\u00fd z\u00e1krok.\u201c<\/p>\n\n\n\n

Prioritne sa musia postara\u0165 o urgentn\u00fdch pacientov Pacienti by si mali uvedomi\u0165, \u017ee urgent sl\u00fa\u017ei na o\u0161etrenie ak\u00fatnych stavov, nie je ur\u010den\u00fd pre pacientov s dlhodob\u00fdmi zdravotn\u00fdmi probl\u00e9mami, ktor\u00ed by mali by\u0165 vy\u0161etren\u00ed svojimi obvodn\u00fdmi lek\u00e1rmi v pracovn\u00fdch d\u0148och v doobed\u0148aj\u0161\u00edch hodin\u00e1ch, alebo lek\u00e1rmi \u0161pecializovan\u00fdch ambulanci\u00ed.<\/p>\n\n\n\n

\u201eVy\u0161etrenia na urgente s\u00fa z\u00e1kladn\u00e9, nenahr\u00e1dzaj\u00fa vy\u0161etrenia ordinovan\u00e9 odborn\u00fdmi lek\u00e1rmi v pr\u00edslu\u0161n\u00fdch odborn\u00fdch ambulanci\u00e1ch. Ak pr\u00edde na urgent ve\u013ea pacientov na o\u0161etrenie, tak prioritne sa mus\u00edme postara\u0165 o urgentn\u00fdch pacientov, ktor\u00ed vy\u017eaduj\u00fa na\u0161u v\u010dasn\u00fa odborn\u00fa pomoc. T\u00fdm p\u00e1dom si ostatn\u00ed pacienti, ktor\u00ed nie s\u00fa a\u017e tak urgentn\u00ed, musia by\u0165 vedom\u00ed, \u017ee \u010dakacie doby na o\u0161etrenie sa pred\u013a\u017eia. D\u013a\u017eka o\u0161etrenia z\u00e1vis\u00ed od klinick\u00e9ho stavu pacienta, preto \u010dakanie na vy\u0161etrenie m\u00f4\u017ee trva\u0165 aj nieko\u013eko hod\u00edn,\u201c uviedli Martin Dobr\u00edk a Jana Niklov\u00e1.<\/p><\/blockquote>\n\n\n\n

U\u017e samotn\u00e9 vy\u0161etrenie krvi trv\u00e1 asi 30 a\u017e 60 min\u00fat, vy\u0161etrenie a popis CT aj viac ako 2 hodiny, ak sa pod\u00e1va inf\u00fazna lie\u010dba aj cez dve hodiny. \u201e\u010casto sa stret\u00e1vame s agresiou a verb\u00e1lnymi \u00fatokmi, ak musia pacienti dlh\u0161ie \u010daka\u0165, alebo si p\u00fdtame od nich z\u00e1konom ur\u010den\u00e9 poplatky. Rie\u0161ili sme aj fyzick\u00fd \u00fatok pacienta pod vplyvom alkoholu , v tak\u00fdchto pr\u00edpadoch vol\u00e1me pol\u00edciu, spolupr\u00e1ca s \u0148ou je niekedy nevyhnutn\u00e1 aj u psychiatrick\u00fdch pacientov.<\/p>\n\n\n\n

Po rekon\u0161trukcii pribudne aj recepcia.<\/strong> Na urgentnom pr\u00edjme moment\u00e1lne realizuj\u00fa prestavbu financovan\u00fa z eurofondov, preto je do\u010dasne umiestnen\u00fd v l\u00f4\u017ekovej \u010dasti na pr\u00edzem\u00ed do men\u0161\u00edch priestorov. \u201eZ tohto d\u00f4vodu \u017eiadame pacientov o trpezlivos\u0165 a oh\u013eaduplnos\u0165. Prestavbou z\u00edskame do bud\u00facna lep\u0161ie materi\u00e1lnotechnick\u00e9 vybavenie na sledovanie a monitorovanie pacientov, taktie\u017e sa pl\u00e1nuje recepcia, ktor\u00e1 by mala by\u0165 d\u00f4le\u017eitou zlo\u017ekou urgentu oh\u013eadom komunik\u00e1cie s pacientmi a ich tri\u00e1\u017eou, t. z. ich zatrieden\u00edm pod\u013ea urgentnosti zdravotn\u00e9ho stavu.\u201c
Pr\u00e1ca na urgentnom pr\u00edjme je psychicky aj fyzicky vy\u010derp\u00e1vaj\u00faca, a preto by priv\u00edtali \u00fastretovos\u0165 a trpezlivos\u0165 aj zo strany pacientov. \u201eJednak pri \u010dakan\u00ed na o\u0161etrenie a po druh\u00e9, aby si boli vedom\u00ed, \u017ee poplatky vyber\u00e1me v s\u00falade s nariaden\u00edm ministerstva zdravotn\u00edctva. S\u00fa to poplatky nie za o\u0161etrenie, ale na sprac\u00favanie \u00fadajov zisten\u00fdch pri poskytovan\u00ed \u00fastavnej pohotovostnej slu\u017eby pod\u013ea \u00a738a ods. 6 z\u00e1kona 577\/2004,\u201c uzavreli prim\u00e1r Martin Dobr\u00edk a vrchn\u00e1 sestra Jana Niklov\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"

V nepretr\u017eitej prev\u00e1dzke urgentn\u00e9ho pr\u00edjmu t\u00edmovo pracuj\u00fa lek\u00e1ri, sestry, z\u00e1chran\u00e1ri a sanit\u00e1ri. \u010cl\u00e1nok zverejnen\u00fd v novin\u00e1ch My Horehronie 23.4.2019 a My Horehronie 30.4.2019. Autor: MONIKA DOL\u0147ANOV\u00c1. Foto: Luk\u00e1\u0161 P\u0161en\u010d\u00edk a arch\u00edv NsPBR. O samotnom oddelen\u00ed sa do\u010d\u00edtate tu. Mil\u00ed \u010ditatelia, prin\u00e1\u0161ame v\u00e1m s\u00e9riu \u010dl\u00e1nkov, v ktor\u00fdch postupne predstavujeme jednotliv\u00e9 oddelenia Nemocnice s poliklinikou v Brezne. […]<\/p>\n","protected":false},"author":1,"featured_media":2231,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-2382","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-onas"],"_links":{"self":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2382","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/comments?post=2382"}],"version-history":[{"count":4,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2382\/revisions"}],"predecessor-version":[{"id":2389,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2382\/revisions\/2389"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media\/2231"}],"wp:attachment":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media?parent=2382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/categories?post=2382"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/tags?post=2382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}