Think will interest not only physicians, because if it goes on like this very soon the army will not play any role. No one will defend. Where there is no medicine, the average life expectancy of 25 years and the infant mortality rate is about 90%. No need to destroy the army, don’t need fancy weapons, you only need to create the following conditions and ANY country will die
Healing cannot be destroyed
Work health. Reform
yesterday at 09:32 Saf
Written explanation of employment in the hospital far beyond the MKAD.
Colleagues, for nearly 25 years, the new health system (and it’s not so much the mandatory health insurance system, as long as the system of legal regulation of patients ‘ rights and the complete powerlessness of the medical staff), I think we are approaching the climax of this disaster.
1) Legally:
We are absolutely not protected from the point of view of laws and regulations. If you are on duty, alas, to refuse You have no right. Ie You are obliged to take, to have a patient card, an inspection, collection of complaints and anamnesis, to write it all down. If the pathology is not yours or (for emergency room) trauma more than 24 hours, or the disease is not urgent and not life threatening – you have to leave sootvetstvuyuschuyu entry in the map, preferably painted about informing the patient. However, an exhaustive list of urgent and life-threatening and health of the state never presented. Thus, if the court will act as the expert to the conclusion that abrasion is a life-threatening condition – then you unlawfully refused to help the patient.
2) Financial-material:
Working in budget organizations, we have nothing. Have you ever received stationery? Maybe You provided work clothes (except for services 03)? Maybe You pay for the tickets to work on duty at home? Alas, but I think 98% replied “no”. Then maybe during the existence of a new model of health we have increased wages (relative to commodity prices)? Unfortunately, today almost any med.nurse, a paramedic and a doctor will answer that the work is not a job. So the money is still not enough. But it would be so bad! S/n in the service 03 in Vologda from the paramedics is around 16-18T.R., in Velikiy Novgorod the same indicator is slightly higher to 25 Tr the doctor of SPM in Vologda – 25-30 T. p., V. Novgorod – 30-35T.R. To rent an apartment in these cities is from 7000 (for the hut) to 12000 for 1 K. apartment! How to live the doctor and feed a family for 15-20 Tr? After all, one must not only eat, but get dressed, gas up the car and sometimes buy books, some technique…?
3) Education:
We came to a unique situation when instead of educated doctors and universal honey.sisters our administrators need to “cover bets”. To go to school – at their own expense and then if you let go. To go to the conference – in non-working time. To attend the autopsy of another patient – with the permission of the chief medical officer. With 2016 on the job: “nurse”, “sanitizer”, “med. the Registrar requires special education! The courses within the colleges, naturally for a fee. This is not enough, you need more education not less than 11 classes! Not to mention the experiments with subordinately, the cancellation of the internship, etc. ohineyu
4) Technically:
Alas, but to say that technically we got a new vehicle – is very difficult. What I received over the past year with amazing speed goes down for months and is not in working condition. The Rg copper basin covered and can not fix the six months, then the CT is fired, then some trouble. And it seems to be working points, but why such a turnaround? 1/2 year, 9 months…. Ah, this is 44 FZ, it is necessary to play the tender, then to fuck the winner, so he has sent the parts, then hold another auction of unprecedented generosity, this time to repair itself. And how soon before uncle Bob himself came, repaired, and then he paid? But those experts have not – saili in good health.
5) Physically:
Don’t know whether it is worth to write on this subject. Painfully disgusting to read that some asshole after beating the doctor in the workplace, writes the application in militia. Alas… over the past years, we have seen tendentially the growth of such emergency. See with your own eyes how patients svirepeet, they normally have to rush, start to yell, to demand of the physician, the Minister and the Irish. It is no problem to tell the doctor: “Hey, Hey, let’s go back-let’s talk!”. Calls to emergency services every day involve a risk to health ( and it’s not about fires, earthquakes and building collapses, and about the drunken bastard in the alley or in alcohol-apartment). And even the presence of pensioners(K) the security does not save, because they are the first to run to their rooms and locked from the inside, call for help – but it is clear that doctors/med.brothers, younger, healthier and protected.
Interestingly, only one – control system (permissions) of medicine in our country is forged in the Ministry of health, who is appointed by the government, which chose, like we are. Uh, uh, is that what we want? I want to be poor, within the jurisdiction, beaten and uneducated?
PS Not calling hospitals, names and titles: Recently wanted to get one CRB – not covered with more than 10 shifts in September. In the absence of a surgeon being taken by ambulance to the regional center for nearly 50 km. Carry everything: PHO, bruises, sprains, single vomiting on advice. In the case for 30 surgical beds, 10 trauma and almost 20 gynecological – duty one doctor. Sometimes operating without the honey…. … there are No functional beds, no ultrasound (generally) no duty EGD (in General). To accept all children and trauma, and urology and Oncology, and gynecology. All the surgeon. S/n is 20 000. Therapeutic block at the other end of the city, advice on duty do not go. San.aircraft can refuse to go, saying: “sort it out yourself, you CRH, you are supposed to”.
P. P. S. And one more thing: a first aid Station in a small town, and doctors by 30%. Surgeon without a certificate of SPM really wanted to, but no loopholes are not found, even with nurse to arrange – and then the papers will not pass. A General shortage of personnel, more…
