Home News “Severe emergency transfer after checking oxygen saturation and heat”… Monitoring-based home treatment

“Severe emergency transfer after checking oxygen saturation and heat”… Monitoring-based home treatment

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Hallym University Hospital Corona 19 home treatment management team… 9 medical staff, 100 people monitoring

Hallym University Gangnam Sacred Heart Hospital Home Treatment Management Team Monitoring Situation Room

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(Seoul = Yonhap News) Reporter Park Gyuri = “If you are in the hospital, you can look after you, but since you have no choice but to talk through the handset, you have to keep asking the patient what is this and what is that.”

The medical staff monitoring the new coronavirus infection (COVID-19) at-home treatment patients did not pass a single phone call from the patient every minute.

The Ministry of Health and Welfare introduced the current status of home treatment management to reporters at Hallym University Gangnam Sacred Heart Hospital in Yeongdeungpo-gu, Seoul, which is a cooperative hospital for home treatment for COVID-19 on the 18th.

Hallym University Gangnam Sacred Heart Hospital was designated as a cooperative hospital for home treatment of COVID-19 in Yeongdeungpo-gu on the 18th of last month, and is operating a home treatment management team consisting of 9 medical staff including 4 infectious diseases specialists, 1 pediatric specialist, and 4 nurses. .

Asymptomatic or mild confirmed patients under the age of 70 without hospitalization factors can be assigned to home treatment if they consent. .

The at-home treatment team set up under the local government distributes at-home treatment kits to patients and guides them on living rules, an emergency contact network in case of an emergency, and how to install a self-quarantine mobile app.

The home treatment kit contains an oxygen saturation meter, a thermometer, antipyretic, general cold medicine, and hand sanitizer.

Oxygen saturation meter included in home treatment kit.  Put it on your finger and use it.
Oxygen saturation meter included in home treatment kit. Put it on your finger and use it.

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Medical staff check the patient’s condition by phone, including body temperature, oxygen saturation, and other symptoms, twice a day, at 9 am and 5 pm.

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In addition to monitoring, non-face-to-face treatment is available 24 hours a day upon request from patients, and prescriptions are issued when other medications are required.

The oxygen saturation meter included in the kit is used by putting it on your finger, and if the oxygen saturation falls below 94%, it is considered to be hospitalized.

The at-home treatment management team at Hallym University Gangnam Sacred Heart Hospital is currently monitoring about 100 confirmed patients.

“If you monitor about 100 people twice a day, it takes about 2 hours,” said Jae-gap Lee, a professor of infectious diseases at Hallym University, who heads the home treatment management team. The professor in charge contacts the patient and asks them,” he said.

Nurse Seon-mi Kim, who works in the home treatment management team, explained that she had no choice but to ask more questions over the phone because she was not face-to-face with the patient.

Nurse Kim said, “In the hospital, if you have a fever, you can give antipyretic drugs, but (in the case of home treatment) you have to keep asking if there are sore throat, chest tightness, headache, etc. We are definitely checking,” he said.

Jaegap Lee, Professor, Department of Infectious Diseases, Hallym University
Jaegap Lee, Professor, Department of Infectious Diseases, Hallym University

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As a result of monitoring, if the medical staff determines that the condition is severe, an ambulance will be dispatched within 30 minutes. There are three major criteria for judging the severity of the disease: oxygen saturation of 94% or less, breathing difficulties, and decreased consciousness.

According to the Seoul Metropolitan Government’s Infectious Disease Control Division, as of the 17th, the cumulative number of home-treated patients in Seoul was about 11,400. Among them, 46 patients were transferred to emergency because the situation worsened.

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The hospital explained that the transfer of the patient is proceeding without any major problems.

Home therapists who are urgently transferred can be admitted to the hospital within the same day as the principle of assigning a bed first.

The city of Seoul announced that it has shortened the transport time by simultaneously issuing an ambulance request and a bed assignment request for rapid bed assignment.

Kim Ji-yeon, head of the at-home treatment planning team at the Central Accident Resolving Headquarters of the Ministry of Health and Welfare, explained, “We have recently strengthened the transfer system to share the situation in real time and make the division of roles clear.”

Professor Lee Jae-gap said, “There is no major problem with bed allocation yet, but I am concerned that there will be a shortage of hospitalized beds as the number of patients increases.”

Professor Lee continued, “If the scope of home treatment is expanded, it will become difficult for one medical institution in a specific district to handle it. We need to consider how we divide the steps.”

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