{"id":68469,"date":"2020-09-10T09:57:36","date_gmt":"2020-09-10T06:57:36","guid":{"rendered":"http:\/\/realitatearutiera.ro\/?p=68469"},"modified":"2020-09-10T09:57:39","modified_gmt":"2020-09-10T06:57:39","slug":"se-schimba-procedurile-pentru-pacientii-covid-prevederi-importante-in-cazul-celor-asimptomatici","status":"publish","type":"post","link":"https:\/\/realitatearutiera.ro\/?p=68469","title":{"rendered":"Se schimb\u0103 procedurile pentru pacien\u021bii COVID. Prevederi importante \u00een cazul celor asimptomatici"},"content":{"rendered":"\n<p><strong>Intr\u0103 \u00een vigoare reguli noi pentru internarea \u0219i circuitul pacien\u021bilor suspec\u021bi de COVID sau confirma\u021bi cu aceast\u0103 boal\u0103. Potrivit unui document publicat miercuri seara \u00een Monitorul Oficial, se schimb\u0103 procedurile prin care pacien\u021bii COVID sunt prelua\u021bi de spitale \u0219i exist\u0103 preciz\u0103ri importante \u00een privin\u021ba pacien\u021bilor asimptomatici. Dac\u0103 stau \u00een izolare acas\u0103, vindecarea acestora va fi declarat\u0103 de medicul de familie, iar retestarea lor dup\u0103 14 zile nu va mai fi necesar\u0103.<\/strong><\/p>\n\n\n\n<p>Este vorba despre un nou Ordin al ministrului s\u0103n\u0103t\u0103\u021bii privind modalitatea de aplicare de c\u0103tre Direc\u021biile de S\u0103n\u0103tate Public\u0103, de c\u0103tre INSP, spitale, serviciile de ambulan\u021b\u0103 \u0219i medicii de familie a m\u0103surilor \u00een situa\u021bia de risc epidemiologic generat\u0103 de COVID-19.<\/p>\n\n\n\n<p>Astfel, sunt reguli mai clare pentru DSP-uri, c\u0103rora li se spune ce trebuie s\u0103 fac\u0103 \u00een momentul \u00een care nu au personal medical suficient &#8211; trebuie s\u0103 cear\u0103 s\u0103 fie deta\u0219at, dar cel mai important este faptul c\u0103 \u00een acest ordin este schi\u021bat&nbsp;<strong>traseul pacientului COVID pozitiv<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"highlight-1365892-1\">Ce trebuie s\u0103 fac\u0103 un pacient care are simptome de COVID<\/h3>\n\n\n\n<p>Un pacient\u00a0<strong>care are simptome<\/strong>\u00a0de infec\u021bie respiratorie acut\u0103,\u00a0<strong>r\u0103m\u00e2ne \u00een primul r\u00e2nd acas\u0103<\/strong>, sun\u0103 la 112 \u0219i la medicul de familie, apoi a\u0219teapt\u0103\u00a0<strong>ambulan\u021ba,\u00a0<\/strong>care \u00eel va transporta la o unitate medical\u0103 pentru o examinare a simptomelor. Dac\u0103 deja are simptome grave, este internat \u00een spital, i se acord\u0103 \u00eengrijiri \u0219i i se face \u00eentre timp testul.<\/p>\n\n\n\n<p>Dac\u0103 are simptome uzuale, i se recolteaz\u0103 probe pentru test, dup\u0103 care rezultatul va fi trimis la DSP \u0219i DSP-ul comunica rezultatul pacientului.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/i1.wp.com\/s.iw.ro\/gateway\/g\/ZmlsZVNvdXJjZT1odHRwJTNBJTJGJTJG\/c3RvcmFnZTA2dHJhbnNjb2Rlci5yY3Mt\/cmRzLnJvJTJGc3RvcmFnZSUyRjIwMjAl\/MkYwOSUyRjEwJTJGMTIyNTk0NF8xMjI1\/OTQ0X2FsZ29yaXRtLXBhY2llbnQtY292\/aWQtbW8uanBnJnc9ODAwJmhhc2g9MmI3\/Y2UzODExMTMxYzQzZDJjOTc0ZWE2M2I3NjU0ZWI=.thumb.jpg?w=800&#038;ssl=1\" alt=\"pasii care trebuie urmati in cazul unei suspiciuni de imbolnavire cu sars-cov-2 prevazuti de un ordin al ministrului sanatatii\" class=\"wp-image-1365897\" data-recalc-dims=\"1\"\/><\/figure>\n\n\n\n<p>Un alt aspect important: pacien\u021bii care au simptomatologie de COVID, pe care medicii o pot vedea la un CT sau \u00een urma unei radiografii, chiar dac\u0103&nbsp;<strong>testul COVID este negativ<\/strong>, vor fi trata\u021bi ca \u0219i pacien\u021bii COVID, deci ca fiind infecta\u021bi \u0219i va fi repetat testul la 48 de ore.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"highlight-1365892-2\">Ce se \u00eent\u00e2mpl\u0103 dac\u0103 testul COVID este pozitiv<\/h3>\n\n\n\n<p>Pacien\u021bii confirma\u021bi cu COVID-19 sunt direc\u021biona\u021bi apoi de c\u0103tre DSP-uri, tot prin serviciile de ambulan\u021b\u0103, pentru evaluare la spitale. Transportul lor se prioritizeaz\u0103 \u00een func\u021bie de gravitatea pacientului respectiv.<\/p>\n\n\n\n<p><strong>Pacien\u021bii asimptomatici,&nbsp;<\/strong>dar f\u0103r\u0103 modific\u0103ri biologice pot fi izola\u021bi \u00een spital sau acas\u0103, \u00een func\u021bie de ce decide medicul, iar pacientul asimptomatic cu factori de risc sau forme u\u0219oare poate fi izolat \u00een spitalele de faz\u0103 1 sau 2 sau acas\u0103, decizia apar\u021bin\u00e2nd tot medicului.<\/p>\n\n\n\n<p><strong>Formele medii \u0219i severe<\/strong>&nbsp;vor fi internate \u00een spitale care au terapie intensiv\u0103, iar perioada de internare o stabile\u0219te medicul.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"highlight-1365892-3\">Cum se rezolv\u0103 urgen\u021bele medicale la pacien\u021bii COVID<\/h3>\n\n\n\n<p>O noutate este c\u0103 urgen\u021bele medico-chirurgicale din unit\u0103\u021bile de primiri urgen\u021be sau din spitalele non-COVID care se pozitiveaz\u0103 pe parcursul intern\u0103rii vor fi transferate la spitale suport, \u00eens\u0103 numai dup\u0103 ce urgen\u021ba, problema chirurgical\u0103, va fi rezolvat\u0103, iar starea de s\u0103n\u0103tate a pacientului este stabil\u0103.<\/p>\n\n\n\n<p>\u00cen cazul \u00een care urgen\u021bele medico-chirurgicale ale pacien\u021bilor cu COVID din spitalele de faz\u0103 1 \u0219i 2 nu pot fi operate acolo, pacien\u021bii vor fi transfera\u021bi \u00een spitalele suport, cu m\u0103surile necesare de izolare \u0219i cu avertizarea \u00een prealabil a spitalului. Practic, dac\u0103 un pacient COVID are nevoie de o opera\u021bie \u0219i este internat \u00eentr-un spital de boli infec\u021bioase unde opera\u021bia nu poate fi f\u0103cut\u0103, atunci el va fi transferat \u00eentr-un alt spital unde opera\u021bia se poate realiza.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"highlight-1365892-4\">Vindecarea asimptomaticilor, stabilit\u0103 de medicii de familie. Nu vor mai face retestare dup\u0103 14 zile de izolare<\/h3>\n\n\n\n<p>Ordinul de ministru detaliaz\u0103 \u0219i criteriile de internare \u0219i de externare \u00een cazul pacien\u021bilor COVID.&nbsp;<strong>Pacien\u021bii asimptomatici<\/strong>, care nu au modific\u0103ri biologice pot fi izola\u021bi \u00een spital sau acas\u0103, \u00een func\u021bie de cum decide medicul, iar&nbsp;<strong>vindecarea lor va fi stabilit\u0103 de c\u0103tre medicul de familie<\/strong>.<\/p>\n\n\n\n<p>Dac\u0103 sunt izola\u021bi acas\u0103, ei vor r\u0103m\u00e2ne \u00een izolare timp de 14 zile, iar medicul de familie trebuie s\u0103 le supravegheze telefonic, zilnic, starea de s\u0103n\u0103tate \u0219i dac\u0103 va constata c\u0103 \u00een cele 14 zile nu apar simptome de boal\u0103, atunci medicul de familie va face o<strong>&nbsp;scrisoare medical\u0103 c\u0103tre DSP<\/strong>&nbsp;\u0219i astfel, acest pacient este declarat vindecat \u0219i toate aceste date vor fi introduse \u00een platforma oficial\u0103, iar el va ap\u0103rea \u00een statistica persoanelor vindecate.<\/p>\n\n\n\n<p>\u00cen cazul acestor asimptomatici,&nbsp;<strong>nu va mai fi necesar\u0103 retestarea dup\u0103 cele 14 zile de izolare \u0219i \u00ee\u0219i pot relua activitatea<\/strong>, pot merge la serviciu, dar cu condi\u021bia ca alte zece zile, dup\u0103 cele 14 de izolare, s\u0103 p\u0103streze distan\u021ba fa\u021b\u0103 de colegii de serviciu, de exemplu, \u0219i s\u0103 poarte masc\u0103.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"highlight-1365892-5\">Reguli de igien\u0103 pentru pacien\u021bii afla\u021bi \u00een carantin\u0103 \u0219i izolare<\/h3>\n\n\n\n<p>De asemenea, sunt specificate pentru prima oar\u0103 \u00een detaliu reguli de igien\u0103 pentru persoanele care se afl\u0103 \u00een carantin\u0103 \u0219i izolare. Acestor persoane li se spune \u0219i cum s\u0103 se spele pe m\u00e2ini, s\u0103 se \u0219tearg\u0103 cu un prosop de h\u00e2rtie dac\u0103 au, dac\u0103 nu, cu un prosop pe care s\u0103-l spele imediat.<\/p>\n\n\n\n<p>B\u0103ile \u0219i toaletele trebuie dezinfectate cel pu\u021bin o dat\u0103 pe zi cu substan\u021be pe baz\u0103 de clor.<\/p>\n\n\n\n<p>Hainele sau lenjeria de pat sau prosoapele de baie trebuie sp\u0103late la o temperatur\u0103 de 60-90 de grade.<\/p>\n\n\n\n<p>sursa: digi24<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Intr\u0103 \u00een vigoare reguli noi pentru internarea \u0219i circuitul pacien\u021bilor suspec\u021bi de COVID sau confirma\u021bi cu aceast\u0103 boal\u0103. Potrivit unui<\/p>\n","protected":false},"author":1,"featured_media":68470,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","footnotes":"","jetpack_publicize_message":""},"categories":[11],"tags":[],"class_list":["post-68469","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stiri-interne"],"jetpack_featured_media_url":"https:\/\/i1.wp.com\/realitatearutiera.ro\/wp-content\/uploads\/2020\/09\/chestxrayg637851338_1345808-860x533-1.jpg?fit=860%2C533&ssl=1","jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p61naM-hOl","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts\/68469","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=68469"}],"version-history":[{"count":1,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts\/68469\/revisions"}],"predecessor-version":[{"id":68471,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/posts\/68469\/revisions\/68471"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=\/wp\/v2\/media\/68470"}],"wp:attachment":[{"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=68469"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=68469"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/realitatearutiera.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=68469"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}