Social Health Operators write to Conte, Speranza and Sileri: “the real tragedy of Covid is the lack of OSS”. – AssoCareNews.it

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The real tragedy linked to the Coronavirus? The lack of social health workers. This is asserted by Migep and the SHC OSS Syndicate, writing to Conte, Speranza and Sileri.

Harsh letter to Prime Minister Giuseppe Conte, to the Minister of Health Roberto Speranza and to the vice-minister Pierpaolo Sileri by the MIGEP Federation he was born in sindacato SHC OSS. According to them, one of the reasons for the spread of the Coronavirus Pandemic is the chronic lack of Social Health Operators. Here is what the two organizations write.

Here is the letter from Migep and SHC OSS.

To your kind attention

Giuseppe Conte, President of the Council of Ministers

To the Minister of Health

To the Deputy Minister of Health

Dear Hon

there is no shortage of beds only, the real emergency at the moment to face the second wave of covid 19 is the absence of social and health workers; 1500 obs distributed between prisons and RSAs are not enough, we need a massive campaign of permanent recruitment, recruitment from open rankings and not from temporary agencies. It is dangerous and unbecoming to send students with co-co contracts without qualification and experience in assisting to compensate for the covid emergency; dangerous for the user, the operator and family members.

We are speechless and amazed, all to patch up the shortage of staff. There must be no exploitation or disposable use of so many obs. Everyone must and can be useful in such a particular situation, but we are talking about important activities, which in our opinion only a trained observer can perform.

The guests of the RSA have the right to nursing assistance and not only assistance provided by social and health workers who must also perform nursing skills in the absence of nurses; but support from loved ones is also urgent, the only points of reference in their life. The desperate voices of the guests asking for help remain in the ears of the operators at the end of the shift as they have not seen their loved ones for months.
The health care worker cannot administer drug therapy and implement direct interventions (invasive maneuvers) to the person (guests-users) without specific attribution and supervision of the nurse.

Among the competences ascribable to this Operator, the administration of drug therapy is not foreseen, the Social Healthcare Operator can: help – in substitution and support of family members, on the recommendation of the nurse, for the correct intake of the prescribed drugs and can manage the use of devices simple to use medical devices “.

Due to the type of training and the skills assigned, the Social Healthcare Operator, following the legislative interventions in the health professions sector, is considered, according to the Ministry of Health, to be part of the category of the Healthcare Operator, referred to in article 1, paragraph 2, of the law of 26 February 2006, n. 43, and as such not comparable to the health professions, which obtain a qualification for professional practice at the end of a university course.

The situation in RSA needs:

– rapid structural overhaul (obsolete and crumbling structures)
– The need for staff implementation: hiring nurses and OSS social and health workers with specific skills to assist in the highly complex care and clinical geriatric field;
– It is necessary to review the role and responsibility of the Social Health Operators, today they have a wide range of intervention in direct personal assistance;
– Needs to innovate technologies appropriate to the new needs of programming, planning, management and control of assistance processes to be placed in a system of maximum quality and safety.

Today it is no longer acceptable for politics to consider the Rsa as cinderella of the healthcare-clinical networks.

For the oss health care workers who work in Covid services, shorter work shifts, PPE safety, environmental ergonomics, personal and family protection are required.
There are no training cycles for loss to develop specific technical and relational skills with the assistance of expert clinical tutors. It is necessary to prepare contingents of highly qualified and adequately remunerated social and health professionals.

The hospitals, but especially in the nursing homes, have not set up specific psychological, social and professional support services for professionals exposed to work-related stress. What we notice, in this covid emergency, that every professional is not considered a human capital as a person and even before being a context resource must be a primary paradigm for the organization.

The emergency services are collapsing and direct everything to the private sector.

We are witnessing once again the reduction of outpatient clinics, if not the interruptions of ordinary non-covid hospital visits, serious expectations on the part of oncological and cardiological patients and citizens with selective pathologies postponed for up to a year.

Dear Hon., Continuing to give posthumous commendations demonstrates the weakness of the political, trade union, Ordinistic and managerial system.

The Netherlands is the first country in the world to provide compensation for public administration employees forced to work in a state of emergency. The figure, equal to 363 euros per year, takes into account utilities such as gas, water, electricity, the oss have not received the promised bonus, they have not been considered, since the regions have mismanaged the resources given.

Health has failed, the government has given the possibility to hire 34,000 more people (doctors, nurses, social and health workers, laboratory technicians) Where are they?

The necessary equipment was made available to double the intensive care units; many Regions have not transformed the beds into intensive care, they have never requested the necessary equipment.

The government gave 7 billion more to deal with the emergency, no one knows where they ended up, public health has once again failed.

We never hear of an organic shortage of health and social workers, it is necessary and urgent to rethink the Health System, the unconditional protection of the Right to Health.
Healthcare professionals and social health workers have the right to work safely and offer security to those they care for. The Health System staff presents symptoms of Covid emergency burnout turning into real pathologies with neurological disorders. The emotions experienced had a strong impact and very high levels of stress were found among the staff on the front line during the most critical phase of the emergency.

The emergency begins again, the fear of reliving the same experiences, of feeling overloaded with work and, above all of the responsibility of having to save numerous lives, avoiding infecting oneself and consequently loved ones is very widespread. The fear of not making it.

But this too is a double-sided medal: “OSS ASA – OSA do their utmost for patients, users, guests, knowing that at any moment it will be themselves or the people who are most dear to them who need to receive the same assistance.
Nothing new on the health front!

For the National Secretariat Angelo Minghetti
For the press office Marzio Guaita




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