Sergei Sobyanin: Unique intensive care system created at VDNKh hospital

December 10, 2020
Healthcare

There is now an intensive care ward at the coronavirus hospital in VDNKh’s Pavilion 75 where doctors can provide hemodialysis for COVID-19 patients with kidney failure, and other types of specialised assistance.

“Moscow’s reserve hospitals are experiencing a tremendous workload. In effect, specialised facilities for treating patients with monoinfection and the COVID-19 virus account for 50 percent of all capacities dealing with the coronavirus pandemic. Although these capacities are sufficient, we are continuing to expand these hospitals and to improve their quality and equipment levels,” said Mayor Sergei Sobyanin.

According to Mr Sobyanin, the opening of an intensive care ward at VDNKh’s COVID hospital will make it possible to treat serious cases. “A unique intensive care ward containing over 200 beds with the most advanced equipment has been created at VDNKh. There are modern specialised labs and diagnostic equipment that many modern clinics do not have,” he noted.

From 28 April to 14 May 2020, VDNKh’s 58,000 square metre Pavilion 75 was converted into a reserve coronavirus hospital. The hospital’s therapeutic North Sector has 1,152 beds. The intensive care ward has an additional 48 beds. The first patients arrived in October. The hospital is now treating 907 people, including 38 who are in intensive care.

The hospital’s grounds also have ambulance washing and disinfection stations.

In October and November, workers completed the intensive care ward situated in the hospital’s South Sector. It has 24 rooms with 208 beds that are all equipped with special consoles for supplying medical gases, including oxygen, vacuum and compressed air. This helps provide patients with an entire range of respiratory support.

Thanks to the intensive care ward’s state-of-the-art equipment it will be possible to provide COVID-19 patients with all types of essential treatment and to deal with attendant complications, as well as chronic ailments. Half a dozen beds are fitted out with hemodialysis equipment for patients suffering from chronic kidney failure.

“We now have the most advanced hospital for treating the most serious cases. Also, we can now provide substantial intensive care. I believe that this will considerably improve the overall quality of medical care,” Grigory Rodoman, Head Physician of the City Clinical Hospital No. 24, noted.

He added that the new ward already has 90 percent of the required number of doctors. Extra medical staff will start their work as soon as the hospital’s new ward is fully up and running.

Apart from standard intensive care equipment, the unit has a Canon Aguilion Prime SP stationary computed tomography scanner, as well as endoscopy, bronchoscopy and gastroscopy rooms, a radiation treatment facility, two reception offices and water preparation facilities for hemodialysis and temporary storage of blood components. It also boasts a clinical diagnostic lab and a microbiological lab. The patient-friendly rooms have beds with mattresses for preventing bedsores.

“The intensive care ward has state-of-the-art equipment, including a computed tomography scanner and an endoscopic research facility for performing bronchoscopy, gastroscopy and colonoscopy. We also have beds for patients in need of hemodialysis,” said Svetlana Zeinalova, Deputy Head Physician for Clinical-Expert Work at the City Clinical Hospital No. 24.

VDNKh hospital’s intensive care ward is to admit its first patients on 4 December.

Modern treatment standards

The hospital’s workers comply with modern COVID-19 treatment standards since its inception.

A medical checkpoint divides its facilities into “clean” and “infected” zones. Patients are admitted via five admission rooms with ten examination units and there is a special zone where patients are discharged after receiving treatment

All hospital beds are equipped with oxygen supply systems so there is no need to transfer patients to the intensive care wards.

All sections have modern portable ultrasound systems for ultrasound-guided central venous catheter placement and conducting lung ultrasonography. Up-to-date mobile X-ray machines provide bedside diagnostics. There is also an Airo mobile intraoperative computed tomography scanner. A lab for studying biological material has expanded its daily capacity from 2,000 to 19,200 tests.

Medical workers have tablet computers, part of the Unified Medical Information Analysis System. They access case histories by scanning QR codes on patients’ bracelets. No paper documents are used, and this allows medical workers to pay more attention to their patients.

The hospital has patient-friendly beds with mattresses for preventing bedsores, as well as numerous bathrooms, WCs and showers. Patients can read newspapers and magazines every day if they want. They can use free Wi-Fi and tablet computers for accessing an online cinema and library and can also engage in exercise therapy.

Doctors have comfortable intern and nurse posts, staffrooms and dining areas, as well as lockers, showers and WCs.

Today, the hospital employs 1,041 specialists, including 272 doctors, 450 nurses and 200 orderlies. Its staff can increase to 2,000 if the hospital starts receiving additional cases.

The hospital’s medical workers have substantial experience of diagnosing and treating COVID-19 cases. Its anesthesiologists/intensive care specialists have completed professional refresher courses at the Botkin City Clinical Hospital.

Seventy people from various divisions of the Moscow City Department of Labour and Social Protection assist the medical team. Their duties include:

— facilitating contracts to feed workers and patients, supply drinking water, remove rubbish, supply and replace laundry and bedlinen, provide other services to help run the reserve hospital;

— cooperating with maintenance services;

— monitoring the required temperature in rooms;

— coordinating the work of water and food delivery services;

— facilitating the work of a contact centre handling requests from patients and their relatives and monitoring their fulfillment by officials;

— monitoring psychologists working remotely and in the red zone;

— monitoring the work of the press service;

— coordinating the work of security workers, facilitating in-house security and checking passes;

— helping clean and disinfect hospital facilities;

— changing bedlinen;

— providing services in staffrooms;

— providing patients, including needy people, with essential items, such as pajamas, blankets and warm jackets;

— monitoring patients’ requests regarding hospital accommodation, treatment and catering;

— issuing patients’ personal effects and providing them with transport after being discharged;

— facilitating epidemiological control at hospitals;

— delivering parcels to convalescing patients;

— organising various services for patients;

— conducting loading-and-unloading operations, including in the Red and other zones.

Moscow reserve hospitals

As of 1 December, five temporary hospitals have been admitting COVID-19 patients: at the Krylatskoye Ice Palace, the Sokolniki Exhibition Centre, the ATC Moskva, VDNKh and a hospital at City Clinic No. 40 in Kommunarka. Those facilities have a total of over 6,000 beds. In addition, more than 3,000 beds are available in reserve buildings at 15 other city hospitals. Another 3,500 people are being treated at hospitals converted for the coronavirus infection.

Source: mos.ru

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