{"id":18262,"date":"2015-06-24T09:58:15","date_gmt":"2015-06-24T06:58:15","guid":{"rendered":"http:\/\/infois.ro\/?p=18262"},"modified":"2015-06-24T09:58:15","modified_gmt":"2015-06-24T06:58:15","slug":"un-nou-protocol-privind-trierea-si-directionarea-pacientilor-catre-spitalele-iesene","status":"publish","type":"post","link":"http:\/\/infois.ro\/?p=18262","title":{"rendered":"Un nou protocol privind trierea \u0219i direc\u021bionarea pacien\u021bilor c\u0103tre spitalele ie\u0219ene"},"content":{"rendered":"<p style=\"text-align: justify;\"><a href=\"http:\/\/infois.ro\/wp-content\/uploads\/2015\/06\/un-nou-protocol-spitalicesc.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-18263\" src=\"http:\/\/infois.ro\/wp-content\/uploads\/2015\/06\/un-nou-protocol-spitalicesc.jpg\" alt=\"un nou protocol spitalicesc\" width=\"352\" height=\"220\" srcset=\"http:\/\/infois.ro\/wp-content\/uploads\/2015\/06\/un-nou-protocol-spitalicesc.jpg 640w, http:\/\/infois.ro\/wp-content\/uploads\/2015\/06\/un-nou-protocol-spitalicesc-300x187.jpg 300w\" sizes=\"(max-width: 352px) 100vw, 352px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\">La sediul Direc\u021biei de S\u0103n\u0103tate Public\u0103 (DSP) Ia\u0219i au avut loc \u00een ultima perioad\u0103 o serie de \u00eent\u00e2lniri \u00eentre directorul executiv dr. Liviu Stafie, \u00een calitate de coordonator al asisten\u021bei medicale de urgen\u021b\u0103, reprezentan\u021bii spitalelor din jude\u021b \u0219i cei ai Serviciului Jude\u021bean de Ambulan\u021b\u0103 (SJA), \u00een vederea modific\u0103rii \u0219i \u00eembun\u0103t\u0103\u021birii protocolului privind traseul pacientului cu politraumatisme, pentru reducerea timpului de interven\u021bie, \u00een vederea rezolv\u0103rii cazurilor critice. Astfel, potrivit Biroului de pres\u0103 al DSP Ia\u0219i, \u00een baza propunerilor \u0219i discu\u021biilor avute \u00een prezen\u021ba celor mentiona\u021bi mai sus a fost semnat un nou protocol, care pe l\u00e2ng\u0103 principiile de baz\u0103 \u0219i criteriile de direc\u021bionare anterioare, prezint\u0103 \u0219i c\u00e2teva modific\u0103ri. Cele mai importante dintre acestea sunt urm\u0103toarele: pentru Spitalul Clinic de Urgen\u021b\u0103 \u201e Prof. Dr. Nicolae Oblu\u201d \u0219i Spitalul Clinic de Urgen\u021b\u0103 Pentru Copii \u201cSf. Maria\u201d &#8211; au fost stabilite criteriile de direc\u021bionare a copiilor cu patologie neurologic\u0103. \u00cen plus, datorit\u0103 demar\u0103rii Programului na\u021bional de tromboliz\u0103 \u00een AVC I ( accident vascular cerebral ), care include Spitalul \u201cProf.Dr.N.Oblu\u201d, \u00a0s-a hot\u0103r\u00e2t ca pacien\u021bii cu v\u00e2rsta peste 18 ani, eligibili pentru includere \u00een program (debut AVC sub trei ore) s\u0103 fie adu\u0219i prioritar la Spitalul \u201cProf.Dr.N.Oblu\u201d, cu anun\u021bare din prespital (Ambulan\u021b\u0103, SMURD), pe sta\u021bie STS, sau telefonic, a sosirii cazului \u00een UPU; \u00een Spitalul Clinic \u201eDr. C.I. Parhon\u201d, \u00eencep\u00e2nd cu data de 01.08.2015: linia de gard\u0103 de la Spitalul Clinic \u201eDr. C.I. Parhon\u201d va fi tranferat\u0103 la Spitalul Clinic Jude\u021bean de Urgen\u021b\u0103 \u201cSf.Spiridon\u201d. Zilnic, Spitalul Clinic \u201cDr. C.I. Parhon\u201d Ia\u0219i va avea disponibile \u00een Compartimentul de Medicin\u0103 Intern\u0103 maxim dou\u0103 paturi pentru cazurile de la UPU Spiridon. Zilnic, UPU Spital Clinic de Urgen\u021b\u0103 \u201dSf. Spiridon\u201d Ia\u0219i, dup\u0103 efectuarea triajului pacien\u021bilor, va direc\u021biona c\u0103tre Spitalul Clinic \u201dDr.C.I. Parhon\u201d, \u00een limita num\u0103rului de paturi men\u021bionate, cazurile diagnosticate cu afec\u021biuni de medicin\u0103 intern\u0103, care necesit\u0103 internare \u00een spitalizare continu\u0103, \u00een Compartimentul de Medicin\u0103 Intern\u0103 din cadrul\u00a0 Spitalului Clinic \u201dDr. C.I. Parhon\u201d Ia\u0219i. Transferul va fi efectuat cu ambulan\u021ba; la\u00a0 Spitalul Clinic De Psihiatrie \u201cSocola\u201d se vor trimite urgen\u021bele psihiatrice. \u00cen Institutul de Psihiatrie Socola se vor primi 24 de ore din 24 cazuri care constituie urgen\u021be psihiatrice \u2013stari psiho-patologice severe, \u00een care se poate provoca autov\u0103t\u0103mare grav\u0103, agresarea altor persoane, distrugerea unor bunuri, st\u0103ri confuzionale (Legea S\u0103n\u0103t\u0103\u021bii Mintale). Preluarea urgen\u021belor psihiatrice va fi f\u0103cut\u0103 dupa o\u00a0 evaluare prealabila clinic\u0103 \u0219i paraclinic\u0103, respectiv stabilizarea acestora d.p.d.v. somatic. \u00cen situa\u021bia apel\u0103rii la num\u0103rul unic de urgen\u021be 112, pentru cazurile excep\u021bionale, Poli\u021bia va fi \u00eenso\u021bit\u0103 de Ambulan\u021b\u0103. Cazurile de urgen\u021b\u0103 psihiatric\u0103 cu politraumatisme \u0219i agresiuni se direc\u021bioneaz\u0103 prioritar \u00eentr-o unitate UPU, pentru evaluare \u0219i stabilizare somatica \u0219i\/sau neurologic\u0103, urm\u00e2nd ulterior a fi preluate de Camera de Gard\u0103 a Institutului de Psihiatrie Socola Ia\u0219i. Pentru Spitalul Clinic de Urgen\u021b\u0103 Pentru Copii \u201cSf. Maria\u201d vor avea loc urm\u0103oarele modific\u0103ri: traumatismul cranio-cerebral izolat\/traumatismul izolat de coloana vertebral\u0103 la copil se va adresa la UPU Spitalul Clinic de Urgen\u021b\u0103 pentru Copii \u201dSf.Maria\u201d, pentru consult\/investiga\u021bii\/tratament neurochirurgical, de luni p\u00e2n\u0103 vineri, \u00eentre orele 7.30-13.3. S\u00e2mb\u0103ta, duminica, s\u0103rb\u0103torile legale \u0219i \u00een zilele lucr\u0103toare, de vineri p\u00e2n\u0103 luni, \u00een intervalul orar 13.30-7.30, consultul neurochirurgical, inclusiv CT craniocerebral \u0219i CT de coloan\u0103 vertebral\u0103, care nu necesit\u0103 sedare, se va efectua la Spitalul Clinic de\u00a0 Urgen\u021b\u0103 \u201dProf. Dr. Nicolae Oblu\u00a0\u201c, cu excep\u021bia men\u021bionat\u0103 pentru politraum\u0103. Au indica\u021bie de sedare pentru CT pacien\u021bii sugari \u0219i copiii de v\u00e2rst\u0103 mic\u0103, necooperan\u021bi. Copiii care necesit\u0103 consult oftalmologic vor fi direc\u021biona\u021bi c\u0103tre Spitalul Clinic Jude\u021bean de Urgen\u021b\u0103 \u201cSf. Spiridon\u201d Ia\u0219i. Pentru Institutul Regional de Oncologie Ia\u0219i au fost nominalizate urgen\u0163ele oncologice care pot fi primite \u015fi tratate \u00een cadrul institutului, respectiv sindromul de compresiune de cav\u0103 superioar\u0103, sindromul de compresiune intracranian\u0103, sindromul de compresiune medular\u0103, urgen\u0163ele metabolice (hipercalcemia, hiperuricemia, sindromul de liz\u0103 tumoral\u0103, sindromul hemolitic \u015fi uremic, insuficien\u0163a suprarenalian\u0103 acut\u0103), urgen\u0163ele hematologice (leucemii acute, sindrom de leucostaz\u0103, sindrom de hiperviscozitate, deshidratare severa, coagulare intravasculara diseminat\u0103, nefropatie uric\u0103). Noul protocol con\u021bine \u0219i urm\u0103toarele preciz\u0103ri: conform prezentului protocol, bolnavii vor fi dirija\u021bi c\u0103tre medicul de gard\u0103 din specialitatea respectiv\u0103; pentru solicit\u0103rile de investiga\u021bii paraclinice suplimentare, este necesar\u0103 fi\u0219a de solicitare, semnat\u0103 de medicul de gard\u0103 din spitalul care trimite pacientul la consult; prezentarea cazului ce dore\u0219te a fi transferat se va face de c\u0103tre medicul primar de specialitate, care \u00eengrije\u0219te pacientul, sau titularul de gard\u0103 (nu de c\u0103tre medicul rezident). De asemenea, modific\u0103ri ale protocolului se pot face la propunerea oric\u0103ruia dintre semnatari, cu acordul p\u0103r\u021bilor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La sediul Direc\u021biei de S\u0103n\u0103tate Public\u0103 (DSP) Ia\u0219i au avut loc \u00een ultima perioad\u0103 o&#8230; <a class=\"meta-more\" href=\"http:\/\/infois.ro\/?p=18262\">more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":18263,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41,24],"tags":[74,40,2550,3965,7256,2468],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/18262"}],"collection":[{"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18262"}],"version-history":[{"count":2,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/18262\/revisions"}],"predecessor-version":[{"id":18265,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/18262\/revisions\/18265"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/media\/18263"}],"wp:attachment":[{"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18262"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}