The emergency department of the CHU Pellegrin, in Bordeaux, saw their organization upset.
To cope with the tension observed in the service from 5 p.m. to 6 a.m., the service has begun to “
regulate
” the patients who will present themselves for treatment, the ARS announced in a press release on Tuesday.
Read alsoHow local hospitals facilitate access to care
Because the service is currently operating with 40% fewer emergency workers.
Sick leave, departures... The situation, aggravated by the Covid, makes the reception of patients more and more complicated.
"
Last week, the waiting time was 12 hours to be taken care of in the emergency room
", says Nathalie, nursing assistant at the Bordeaux University Hospital.
A Band-Aid Solution
To respond to this situation, the ARS wishes to regulate, “
for a fixed period
”, the flow of adult patients who will enter the emergency room.
Thus, she strongly recommends that patients call the Samu directly if they wish to be taken care of by the emergency room.
Because the entry without this preliminary step will be more complicated.
“
From 5 p.m. to 10 p.m., two members of the civil protection staff will be responsible for directing patients to the entrance of the CHU
”
,
explains Gilbert Mouden, Sud Santé union representative.
"
From 10 p.m. and until 6 a.m., for those who have not gone through the Samu, the reception will be closed and the patients will have to ring an intercom to be directed
", continues the nurse anesthetist who sees there a form of "
sorting
".
Read alsoIs nursing training “the most requested on Parcoursup”?
A "
bandage
" solution that does not satisfy Farid Azzoug either.
“
Those who will be refused in the emergency room will be redirected to other hospitals like Saint André, but it is a much smaller structure and without a specialist like ours in neurology, orthopedics …
”, informs the deputy secretary of the CGT at CHU Pellegrin.
The other hospital to which patients could be redirected is Bordeaux Nord, a private clinic where excess fees may be charged.
“
We were the example
”
Nathalie is worried about this situation as temperatures rise and other emergencies stop working.
“
Some emergency services have closed around us
,” she explains.
In Libourne, for example, the nursing assistant fears seeing the Sainte-Foy-la-Grande emergency room closed all summer: “
Where are these people going to go?
Tomorrow, if there is a heat wave, what do we do?
We leave them in front of the intercom?
".
Read also“It’s not a crazy technique”: the singular virtues of hypnosis in the hospital
For the unions, the fight goes back further.
“
It has been several months since organizations, emergency physicians and nursing staff have been warning about the tension in this service
”, explains Farid Azzoug.
Last summer, the establishment had already passed a first alert: the management informed them that the night emergencies were operating at a very tight flow.
“
It was certain that we would find ourselves in this situation
”, regrets Nathalie, before concluding sadly: “
We were the best emergencies in France, we were the example, we became quite the opposite
”.
/cloudfront-eu-central-1.images.arcpublishing.com/prisa/KMEYMJKESBAZBE4MRBAM4TGHIQ.jpg)
/cloudfront-eu-central-1.images.arcpublishing.com/prisa/EXJQILQR5QI7OMVRTERD7AEZAU.jpg)
