The Intensive Care (IC) capacity in our region is large enough to accommodate the second wave of Covid 19 patients without affecting other concerns. This is what trauma surgeon Richard Spanjersberg (41) of the Zwolle Isala hospital says on behalf of the Regional Consultation Acute Care (ROAZ). ROAZ is responsible for expanding IC capacity in our region.
What exactly does the ROAZ do?
Richard Spanjersberg: “Coordinate all the capacity needed to provide acute care within the Zwolle region. So: ensure that there is enough IC capacity in the hospitals of Apeldoorn, Deventer, Harderwijk, Hardenberg, Kampen, Meppel, Zutphen and Zwolle, among others. In the areas of beds, ventilation equipment, space, personnel, management and patient distribution. ”
The region that Spanjersberg is talking about:
Is that capacity sufficient to accommodate the second wave of Covid 19 patients?
,, No one can see into the future, but I think well enough, without the other concerns suffering. As of October 1, we will have eighteen extra intensive care beds in this region and an additional 29 will be added on January 1, 2021. In addition, the clinical capacity and capacity outside the hospital will be expanded, for example in nursing, care and home care. We are better prepared than with the first wave that unexpectedly came over us. ”
Our people are tired and some are still home sick ”
Are we already in the middle of that second wave?
“Not yet in the middle, but it has started. And earlier than hoped, we would have preferred a few months more time to get everything fully set up. ”
How does the early start of the second wave affect IC capacity increase?
“The upscaling is a large, complex operation on which many people have worked very hard and are still working. In the field of technical capacity, logistics, management, information and personnel. With regard to the latter area alone, it would have been very nice if we had had a little more time to recover from the first wave. Our people are tired and some are still home sick. In addition, it takes 18 to 24 months to train ICU nurses who are deficient due to corona. ”
What does the upscaling look like?
“The ministry’s assignment to all hospitals was: make sure that we can handle a second wave without the other care suffering as a result. There must also be sufficient capacity to assist people with a heart attack or trauma injuries resulting from a car accident. That is why we have gone from 1150 to 1350 IC beds in the Netherlands, including all accessories and protective equipment. Regional from 59 to 106 beds, almost doubling. Forty percent of that is reserved for corona patients. ”
If a large number of them become infected and become ill, a dire problem can arise ”
Still, that sounds like a reassuringly large number.
“We have learned a lot from the first wave, also in the area of patient lying times, for example. there has therefore also been scaled up to capacity outside the IC capacity, for example in rehabilitation centers and nursing. And we have intensive mutual contact with the hospitals about patient distribution. In case of extra pressure on a particular hospital, it will be possible to cooperate with another regional hospital. We also have close contact with hospitals in the Enschede region and German colleagues. There is also a line with the regions of Nijmegen and Utrecht if necessary. That is why we have also established a regional division of the LCPS. Our goal is not to exceed the 80% utilization rate of IC capacity in our region, then we will transfer patients to other hospitals. ”
LCPS: National Coordination Center for Patient Distribution
The National Coordination Center for Patient Distribution (LCPS) is responsible for coordinating patient distribution across Dutch hospitals during the corona crisis. The LCPS was founded shortly after the outbreak of the Covid-19 virus in the Netherlands to make optimal use of the IC capacity. The center was set up by the Ministry of Health, Welfare and Sport (VWS) and is based at the Erasmus Medical Center in Rotterdam.
Preaching civil disobedience bears witness to adolescent behavior without knowledge ”
Are there any other things you are concerned about?
“There is currently sufficient capacity in the field of protective equipment, such as FFP2 face masks. That stock is finite and not all orders have been delivered yet. If the corona wave swells sharply in Europe and all countries return to the market, deliveries will become even more unpredictable. That would mean that we are even more economical with that type of material than we already do and that could endanger health care and the staff themselves, who are still tired from the first wave. If a large proportion of them become infected and become ill, a dire problem can arise. In that regard, do not forget that we have yet to catch up on care that has been left behind during the first wave of corona patients. But we are doing our very best in all areas and we cannot do more than that. ”
You and your colleagues have been working hard for months to maintain healthcare in times of the corona virus. How do you view Famke Louise and other Willem Engel-like people who throw hashtags like #ikdoenietmeermee out into the world?
“There are also different views within the medical world, the question is sometimes asked: how much regular care can you sacrifice? And I understand when people are done with lockdowns, who isn’t? But the preaching of civil disobedience is adolescent behavior without knowledge. ”
Who are all in the Regional Consultation Acute Care?
In order to provide acute care that is available 24 hours a day in this region, various parties have joined the Regional Consultation Acute Care (ROAZ). This platform is responsible, among other things, for the upscaling of IC capacity in our region. Affiliated parties are ambulance care, general practitioner care, GGDs, Nursing Care and Home Care (VVT), GGZ organizations with a crisis service, GHOR, obstetric care and hospitals. The hospital with a trauma center function in the region has the task of coordinating and facilitating the ROAZ, in our region this is Isala Zwolle.
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