The last decade was characterized by the reduction of hospital beds throughout Europe. When facing Covid pandemic, this has been an issue of major importance as hospitals were seriously overloaded with an unexpected growth in demand. The dichotomy formed by the scarcity of beds and the need for acute care was handled by the Bed Management (BM) function. This study explores how BM was able to help the solidness of the healthcare system, managing hospital beds at best and recruiting others in different set-tings as intermediate care, in a large Local Health Authority (LHA) in central Italy. Ad-ministrative data show how the provision of appropriate care was achieved recruiting approximately 500 beds belonging to private healthcare facilities affiliated with the re-gional healthcare system and exercising at best the BM function. The ability of the system to absorb the extra demand caused by Covid was made possible using intermediate care beds, which allowed to stretch the logistic boundaries of the hospitals, and by the promptness of Bed Management in converting beds in Covid beds and reconverting them and timely managing internal patient logistic, thus creating space according to the healthcare demand.
The last decade was characterized by the reduction in hospital beds throughout Europe. When facing the COVID pandemic, this has been an issue of major importance as hospitals were seriously overloaded with an unexpected growth in demand. The dichotomy formed by the scarcity of beds and the need for acute care was handled by the Bed Management (BM) function. This case study explores how BM was able to help the solidness of the healthcare system, managing hospital beds at best and recruiting others in different settings as intermediate care in a large Local Health Authority (LHA) in central Italy. Administrative data show how the provision of appropriate care was achieved by recruiting approximately 500 beds belonging to private healthcare facilities affiliated with the regional healthcare system and exercising the best BM function. The ability of the system to absorb the extra demand caused by COVID was made possible by using intermediate care beds, which were allowed to stretch the logistic boundaries of the hospitals, and by the promptness of Bed Management in converting beds into COVID beds and reconverting them, and by the timely management of internal patient logistics, thus creating space according to the healthcare demands.
This video is about a group of nurses that started to film and edit videos about procedures with which other colleagues were not familiar with to address the need of performing them on COVID patient, that were mostly in need of ventilation.This experience was so successful that they decided to replicate it, in favour of caregivers and families, videos about procedures and "how-to-do" episodes on technical issues.In this particular video we tell the story of the Italian ALS Association: with COVID all the help they could provide families of ALS patients and patients themselves, was stopped from the impossibility of go to the hospital/reach them home.Videos of "how-to-do" were distributed by the Association to families and a four-day course was organised (when out of emergency time) for them, to spread the word of this new way of coping with the difficulties that the illness can create. This is a new alliance that turned distance and isolation due to an emergency into new ways of collaborating: a video made by patients to other patients and by the nurse that take care of them is something people can watch over and over again, operating in a safe way.
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