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SMS directs calls the shots for two hospitals
Published: December 16, 2009 at 00:00
To ease overcrowding in its emergency room because of the increasing number of patients with suspected influenza A (H1N1), the Hospital Giselda Trigueiro starts today (16) a more rigorous screening of patients. Be treated in Giselda only people with serious medical symptoms. Mild cases will be referred to the Emergency calls 24 Fisherman's Hospital, in the case of adults, and Sandra Celeste in pediatrics.
Rodrigo Sena
Sandra Celeste is able to perform examination of a swab in suspected cases of H1N1 flu "They have enough Tamiflu and perform the test in SWAB suspects," said municipal secretary of Health, Ana T?nia Sampaio. However, the SMS is not able to complete the scales on duty at the Hospital of the Fishermen. The administrator of the unit, Cely Ana Costa, says he is negotiating with the doctors the possible shifts. "It is possible to double the current workload, and so there will be shifts with only one doctor," he said.
Ana Tania admits the difficulty and explains that ten new doctors were hired and that this week will open a new announcement of the selection process. The SMS is no longer sending mobile units to service courtyard Giselda Trigueiro to meet these patients. "The promoter Health, Iara Pinheiro, agreed that the guidance is to look for the nearest post. Let's make reference to suspicious cases in the two units. The SMS will also start a mobilization of health professionals from the network to improve care. "We want to strengthen the basic units and, therefore, we need doctors and nurses to commit, facilitate access to services to be the gateway to these cases and recover the credibility of the Health Service."
Vaccines
The Department of Public Health of Rio Grande do Norte (Sesap) will initiate a population survey to see how many people in the state meeting the criteria to receive the vaccine for the prevention of influenza A. The doses will be available between March and April of 2010, as announced Monday (14) the Ministry of Health
Vaccines are designed to healthy young adults 20 to 29 years, elderly with chronic diseases such as diabetes and heart problems (called comorbidities). Healthy older people continue to receive only vaccine against seasonal influenza. Indigenous health workers, pregnant women and people of all ages who have chronic diseases and children 6 months to 2 years will also be given priority in the campaign.
The head of subvigil?ncia Epidemiological Sesap, Juliana Araujo, said through a spokesperson for the agency that will meet the team Immunization Program of the State to the survey. The Sesap extended the term of the decree No. 250, which dispenses with the service secretary, women servants and subcontractors, subject to remuneration.
The change extends the period of absence from December 16 until January 12, 2010. The application for exemption must be submitted to the supervisor, within 03 days, after the first day of release, the medical certificate certifying the pregnancy.
Dealing with pediatric
Negotiations between the Society of Pediatrics of Rio Grande do Norte (Sopern) and health plans are still stalled. On Friday, 11 pediatricians decided to make the accreditation of the 14 UN conventions of the group, which, adding the other four already announced, resulting in 18 agreements that provide more care in the pediatric population. Pediatricians have until this Friday, 18, to send letters asking for the disqualification of the UN group.
To date, the covenants South America, Health Excelsior, nessus-plugins/pt_BR.po Smile and the others are discarded by Sopern. The president Rosane Gomes said, however, which is open to talks but that the proposals made so far have not been approved at the meeting. The only accepts the proposal so far has been the Cooperative Unimed, who offered to medical appointments to $ 70, the pay back 30% (previously 20%) and the creation of a Technical Chamber of pediatricians in the plan.
"Yesterday (Monday) we did a reunion and it was decided that we will maintain the accreditation of these 18 plans already agreed. Until Friday, pediatricians should send their letters to the plans of the United Nations, but we are open to negotiation, we are not radicalized. We did this because they said they would not respond to our demands, "said Rosane Gomes.
The Smile Health Plan, one of the announced agreement Sopern as accredited, TN sought to defend himself against allegations that the agreement would have "given back" to the claims of the class. The agreement received the letter of the company on day 08 of setembro seeking an increase in the value of consultation from $ 42 to $ 80. The answer, however, was only sent on 27 November. As president of the branch Christmas, Jamil Pires, the delay for the initiative of negotiations was the result of the bureaucratic process.
"From the beginning the company started backwards. We received a letter with the request for consultations to $ 80, price too high, unrealistic. My contact was always with pediatricians and clinics, is with them that we signed the contracts, I could not come and discuss with the Company, I did not know about specific contracts, so we expect a doctor to come looking for us to negotiate or at least allowing the plan to negotiate with the Company on their behalf, "he said.
The company was contacted again on November 11 by a letter of accreditation from one of the pediatricians. To date, the agreement has received five letters asking for the termination of the contract. Jamil Pires showed the responses sent to each of them on November 20, calling for negotiation. "Until now we get no answer or pediatricians, or clinics and, then yes, look for the Society, which also do not respond. When I call for the president, she is always busy or not answering the phone, "he said.
For him, the rise is absurd and not consistent with the readjustment of particular texts by the NSA (and Agency Nacional de Sa?de). "We had readjustment of 6.76% this year and they want almost 100% increase, this is not balance the situation, we'll break if we accept that. The pediatrician has to add value to the query, but he chose this profession and always has been. "
Professional accounts for the symptoms
More than half of parents who seek emergency care 24 pediatric Sandra Celeste believes that the child is having symptoms of influenza H1N1. The finding is the pediatric unit, Deborah Regina. She believes that even with the wide dissemination of the disease by the media, most parents is still little known about it.
Yesterday afternoon the seamstress L?gia Honorato was the drive to see the daughter of four months. "She is a cold a week ago and the fever is not," he said. The same old is the son of Fernanda Gonzaga, who also sought care. "He has a fever, cough and runny nose. Given paracetamol but the fever comes back. "
Deborah Regina gives some tips to help you understand what symptoms are troubling. "The influenza season is concentrated in the upper airways, such as the nose, while the H1N1 reaches the lower airways, such as the lung," he explains. She said the flu fever is common to have a runny nose, stuffy nose, watery eyes and a mild fever.
"As for influenza A, there is difficulty in breathing, with wheezing and high fever, like an asthma attack. Parents should see if the fever persists for more than 12h to 24h, and only then get the doctor. " She says that this period of observation is allowed parents to administer paracetamol. "Besides helping to lower the fever, it facilitates the diagnosis of disease, as it improves the respiration.
Collections
The Celeste Sandra professionals were trained to conduct the investigation SWAB, collecting samples of the nose and palate. According to the nurse Eliane Cavalcanti, the biggest difficulty is the bureaucracy to fill the roles that are sent along with the samples.
The examination requires thorough preparation, with protective equipment by the hauler: special goggles, gloves, gown and mask type N95 or N100.
UFRN
The Federal University of Rio Grande do Norte (UFRN) yesterday issued a note with a series of recommendations to students for prevention of influenza H1N1. The document that guides students with symptoms of illness to avoid going to the University and to notify the course coordinator about your situation. UFRN Another recommendation is that the student body to avoid crowded places, and other points contained in items for the prevention of Influenza issued by the Ministry of Health