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Published on: April 6, 2019
COVID-19 circuit management: la Rabta experience
Insights
The COVID-19 pandemic created fear and work impairment in healthcare settings. Establishing dedicated COVID-19 circuits and enhancing intensive care structures are crucial for future epidemic preparedness.
Area of Science:
- Public Health
- Healthcare Management
- Infectious Disease Epidemiology
Background:
- The COVID-19 pandemic significantly impacted healthcare systems, causing fear and work impairment among staff.
- National response included declaring the pandemic a social disease with free management and mandating hospital-specific COVID-19 circuits.
Purpose of the Study:
- To report on the crisis management experience of a hospital during the COVID-19 pandemic.
- To detail the organization and management of a dedicated COVID-19 circuit, addressing various operational aspects.
Main Methods:
- The study describes the practical implementation and organizational strategies for a hospital's COVID-19 circuit.
- Key aspects managed included financial, technical, human resources, sanitary, psychological, and logistical considerations.
Main Results:
- The primary challenges encountered were fear and stress among caregivers regarding personal and family safety.
- Hospital COVID-19 Cell members faced time constraints and the need to rapidly acquire new management skills.
Conclusions:
- Dedicated COVID-19 circuits are essential for hospitals during epidemics.
- Effective management requires collaboration among infectious diseases, pulmonology, intensive care, and emergency medicine specialists.
- Enhancement of medical wards and intensive care unit bed capacity is necessary for epidemic preparedness.
Abstract:
Covid-19 pandemic was associated to fear among patients, doctors and nurses, it was responsible of a work impairment in health structures organisation. All patients were at home, only Covid patients were at hospital. Our country has a quick reaction, we declared the pandemic as a social disease with free management. All hospital had the order to create their own Covid-19 circuit. We report the experience of our hospital in the crisis management with the creation of the circuit, its organisation, the management of the different financial, technical, human, sanitary, psychological and logistical aspects. The great point of this crisis was the fear, stress of caregivers for themselves and their families. The other point for members of Covid Cell was the race against time, the learning of a new job: a manager or a polyvalent chief. The presence of a Covid-19 circuit is necessary for each hospital at the epidemic time but it must be managed by infectious diseases doctors, lung specialists, intensive care givers and emergency room caregivers in collaboration. An enhancement of the structures is necessary at the level of medical wards and beds of intensive care.
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