The Ministry of Health, given the increase in healthcare pressure due to the pandemic in the Valencian Community, has suspended all surgical activity and non-urgent diagnostic tests, has ordered to enable all acute and critical beds and prepare the field hospitals and Ernest Lluch’s beds, in addition to prohibiting visits to admitted patients.
These are some of the guidelines included in the document ‘Organizational measures for healthcare in response to covid-19’ prepared by the Ministry of Health and released by the CESM medical union.
Given the current situation – with an acute care bed occupancy of 22.29% and critical care beds of 35.08% according to data from the Ministry -, the Ministry of Health has suspended all scheduled non-urgent surgical activity including surgery without admission and the one carried out by self-concert, the dispatches of crash plan patients, non-preferential diagnostic tests and scheduled admissions except for cancer cases. Likewise, it has ordered to prioritize assistance through non-face-to-face consultations in Primary Care and telemedicine in specialties.
In the same way, he recalled that all critical beds installed in hospitals must be enabled and when they are not free, another center will be sought through the Emergency Information and Coordination Center (CICU).
Transfers of non-covid critically ill patients will be carried out to private hospitals preferably according to the geographical proximity to the patient’s home. In the same way, all hospital beds must be enabled, which includes the unfolding of individual rooms and the recruitment of spaces dedicated to delayed activity.
Likewise, it has indicated to La Fe de València, the General of Alicante and the General of Castellón to prepare the necessary infrastructure so that the field hospitals, which depend on them, are operational in the shortest possible time in case of need. In the same way, it has ordered that all the beds of the Ernest Lluch Hospital will become functional.
Non-delay surgical patients will be referred if they are oncological primarily to the IVO and if they cannot, together with the rest of urgent patients with other pathologies, to private hospitals. In addition, the participation of department personnel in surgical activity in a private center may be authorized.
The instructions for admitting covid patients indicate that possible or confirmed cases will be located in the same nursing unit until their capacity is completed, which will be reinforced, and that when the hospital occupation requires it, two patients can always be placed in the same room that both are confirmed cases. Furthermore, in departments with two hospitals, cases will be concentrated, as far as possible, in the same center.
VISITS AND ACCOMPANIMENT AT THE END OF LIFE
Likewise, an exception will be studied in those cases that, due to the special characteristics of patients and their families, such as minors, complex social situations or the end of life, it is considered that the physical presence of companions or volunteers can contribute to the evolution of the process. .
Likewise, the new instructions for follow-up at the end of life indicate that in a terminal situation, the patient will be transferred to an individual room, silent and as far away as possible from the other rooms, whenever the situation allows it.
In these cases, access will not be allowed to any person with symptoms susceptible to covid and the person or persons accompanying them must comply at all times with the general guidelines for monitoring established in this protocol.
During the accompaniment, if necessary, a device may be provided so that the accompanying person can put the rest of the family in contact with the person admitted and one person will be allowed to remain in the room. In the case of covid patients, the necessary protection will be provided to the companion during the process.