PIEVE DI CORIANO. LThere are two key words: strengthening and restarting to overcome the obstacles and delays created by the pandemic. And the recent visit of the new general director of Asst of Mantua, Mara Azzi, it was an opportunity to take stock and to plan post Covid activities at the Borgo Mantovano hospital.
“A hospital – commented the general manager – that has a lot of potential and must therefore be enhanced and updated, in a context of greater integration with local services and general practitioners”.
From 4 June the presidium is Covid-free and can therefore devote itself completely to the management of other diseases. However, the so-called gray area was maintained, consisting of 7 beds and intended for the observation of patients for whom there is a doubt about the Covid diagnosis, before moving to non-Covid wards. Two gray beds are also provided in Intensive Care and Psychiatry. The emergency room has 2 stations for patients with suspected Covid symptoms. In case of confirmed positivity, the subject will be transferred to the Poma.
Some projects to relaunch the Destra Sechia have already been launched in recent months, others are about to start.
From 20 September 24 surgical-orthopedic beds will be active, 8 more than the current ones. The reopening of a further 5 beds in the medical area and the creation of 13 beds for subacute patients are also being studied, in order to effectively manage chronicity.
TELEMEDICINE AND DIALYSIS
A specific project for remote monitoring of patients with pacemakers and defibrillators will be launched by 2021. Continuous remote monitoring of patients in charge of Cardiology will thus be guaranteed, reducing access to the hospital. The expansion of the afternoon dialysis sessions is under consideration.
Starting from June, 2 monthly coronary angio-tac (or Cardio-tac) sessions were opened, with the possibility of an increase (one session per week) starting from autumn. It is a highly reliable and minimally invasive radiological examination, capable of carrying out analyzes of the coronary arteries, identifying or excluding any abnormalities or cardiac pathologies. The exam requires a radiologist, a cardiologist, a radiology technician, and a nurse. The machine was inaugurated in 2020.
OBSTETRICS AND GYNECOLOGY
A refurbishment project of the delivery room aimed at creating an operating room inside the delivery block for the execution of urgent caesarean section operations has begun. It also aims to create an outpatient clinic dedicated to better management of patients who access the obstetric-gynecological emergency room.
In August, cardiological outpatient clinics and day hospitals were reactivated as an alternative to hospitalization. The electrophysiology room was also reactivated. The services are aimed at taking care of patients with heart failure, with atrial fibrillation and indication for electrical cardioversion, as well as for patients who need to replace a pacemaker. The team is made up of the cardiologist and dedicated nursing staff.
In June, outpatient activities and the rehabilitation day hospital were reactivated, offering an alternative to hospitalization. In the field a physiatrist, therapists and dedicated nurses.
SCHEDULED SURGICAL ACTIVITY
Since July, elective surgical activity has been increased. In addition to giving space to specialties such as general surgery, gynecology and obstetrics, orthopedics, surgical sessions of breast and urology were performed. The actions undertaken adhere to the Recovery Plan for the second half of 2021.