The Santa Chiara Pulmonology Department closed, staff transferred to the Infectious, the structure overdue for two years – Chronicle


THIRTY. A difficult and worrying situation. Which has been going on for months, even years. And the prospects for the future are certainly not rosy. We are talking about the pneumology service of Santa Chiara, which has been completely closed, with staff transferred to infectious diseases to perform Covid ventilatory assistance.

For these professionals, who have been at the forefront of the fight against the virus for two years, it is a new upheaval in their profession. But this time the doctors and nurses, while obviously making sure they were there and ready to go “to the trenches” again, took a pen and paper and wrote to the top management of the house. health authority, from Antonio Ferro to Pier Paolo. Benetollo, up to Mario Grattarola and Giuliano Brunori. These are not accusations or mere protests, labor disputes or impromptu complaints, but an analysis of the situation, of the broken promises and prospects that do not exist, with a large number of proposals.

The staff stresses that “we are on the verge of reaching two years of pandemic, so it is difficult to speak of an unexpected disaster, given that there would have been enough time to take the structural and organizational countermeasures. correct. Now we are at the start of the fourth wave and this time too we arrive largely unprepared and not for our demerits. Despite this, we feel obliged to guarantee our maximum commitment, but we do not want to accept approximate solutions to stop the problem, to the detriment of our professionalism and of our health and that of our patients ”.

The professionals then go into detail, explaining the current situation at the top of the APSS and asking a few questions. “It is not known how the national funds intended to strengthen the pulmonology services engaged with the Covid were spent: there was a project and a council resolution with the creation of a new service with 8 beds, but we discovered that has been cancelled. No one warned us and no one, upon repeated request for clarification, felt obligated to respond.

The director of our department retired almost two years ago – why don’t we have a director yet? Management is aware of the shortage of staff and we now have 5 doctors and one part-time. One wonders if the staff will be reinforced.

Even the caregiver is in chronic difficulty and only for ordinary activity there are difficulties in covering the work shifts.

Again: Apss rightly states that it wants to protect non-Covid activity. But then the only two Pneumology departments in the Province are reconverted for the sole Covid activity ”.

Finally, the key question: “Can you guarantee the return of our service after leaving the emergency room, perhaps taking advantage of the abandonment to make structural improvements?” “.

Doctors and nurses, in view of the novelty of the services merged to take care of Covid patients, know that it is not easy to predict the duration of the measure and therefore it would be better to be able to design an organization calibrated on the worst case scenario, that could be six months. In this sense, according to the professionals, it would be important that the teams are not dismembered.

The requests then become “technical” and fall within the scope of full functionality from a health point of view, obviously in the interest of the patients and the staff themselves. The long report – it is written – was also sent to the professional associations and unions concerned, for the sake of transparency. Because “everyone can participate in the precarious situation that we have been living for too long”. From now on, the hope is that these doctors and nurses, who for two years have rowed in a direction well beyond their functions, have answers and especially concrete solutions. And it is also hoped that the problem is not actually more widespread and concerns, in other words, perhaps also other departments.


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