By Julien Van Caeyseele
Published on 18 Mar 21 @ 2:00 pm
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The issue of staff well-being at the heart of attention. Since January, the resuscitation and emergency services of Melun hospital are subject to an expert appraisal, carried out within the framework of the CHSCT (Health, Safety and Working Conditions Committee) to analyze in particular the working conditions of the employees of these services.
Reconnaissance
For the South social health union, “the significant turnover in these strained services – and more particularly in emergencies – is symptomatic of the malaise of the entire profession”. The union evokes in particular “problems of organization between the teams with the administrative direction, the problem of payment of overtime or the lack of recognition. “
The still tense situation in intensive care
The figures for the health crisis continue to grow in Melun. The number of people in intensive care remains stable with 25 patients admitted to critical care on Thursday March 11 (there were already 25 on Thursday March 3). However, patients hospitalized for Covid-19 are on the rise with 75 people treated for the coronavirus (compared to 61 people the previous week). “We remain on the same care with 34 intensive care beds and 6 continuous monitoring beds”, underlines Dominique Peljak, director of Melun hospital, who specifies that the establishment – with 40 critical care places – ” achieved the objectives set by the ARS. “For the time being, there is no massive deprogramming of planned interventions. The first transfers of patients from this second wave were also carried out on Monday with medical evacuations to the South of France.
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Contacted, management indicates that it was “totally in favor” of setting up this expertise. “Two and a half years after the opening of the new site, it was important to see how to improve the working conditions of our staff,” insists Dominique Peljak, the director of the hospital.
–The health crisis has led to a vocations crisis and we must find solutions to retain staff. According to management, around twenty nurses left the emergency room in 2020, but out of this number, they estimate three resignations linked to the practice of emergency medicine.
“Balancing act”
“We are in difficulty in these trades, admits the director. But this is not unique to Melun: the health crisis has tired many people. “Departures that worry the unions:” What will happen if we run out of arms in the middle of the 3rd wave? We will be forced to close beds, says one at Sud santé sociaux, which specifies “not to underestimate the difficulties of recruitment. “
A finding that is “absolutely not on the agenda”, according to management. On the contrary. “We will strengthen the supply of beds, there is absolutely no question of closing any. But at the same time, we have to do a balancing act to find staff, ”emphasizes Dominique Peljak.
And Franck Langlois, the director of care, adds: “There is a major exhaustion of professionals with the crisis, sometimes with cases of post-traumatic shock. So with this never-ending marathon… ”
“Collective spirit”
On the side of the CGT, we expect a lot from this expertise: “These are services in high tension, recalls Fabienne Bezio, but emergencies were already before the crisis. There is a lack of consideration of hospital staff then added to the precariousness of the public service, we better understand the departure of staff. “
This union hopes that the expertise will highlight the weak points of the services, to provide lasting solutions. “Benevolent management, more collective spirit: there are things to do. The suffering was there before the health crisis. ”
Currently, 63 nurses and 27 nursing assistants work in emergencies and respectively 62 and 40 in intensive care. “We often talk about the waiting time in the emergency room, but we must not forget that the lack of city doctors is the cause,” says Fabienne Bezio.
By September 2021, a flat rate of € 18 will be applied to patients going to the emergency room and who will not be hospitalized. “We see beautiful images of caregivers on TV, but in the field, the reality is different: there is fatigue and anger,” we conclude at Sud santé sociaux. The result of the expertise is expected during the month of April.
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