Tunis Med. 2020 Aug-Sep;98(8-9):600-605.
Covid-19 pandemic was associated to fear among patients, doctors and nurses, it was responsible of a work impairment in health structures organisation. All patients were at home, only Covid patients were at hospital. Our country has a quick reaction, we declared the pandemic as a social disease with free management. All hospital had the order to create their own Covid-19 circuit. We report the experience of our hospital in the crisis management with the creation of the circuit, its organisation, the management of the different financial, technical, human, sanitary, psychological and logistical aspects. The great point of this crisis was the fear, stress of caregivers for themselves and their families. The other point for members of Covid Cell was the race against time, the learning of a new job: a manager or a polyvalent chief. The presence of a Covid-19 circuit is necessary for each hospital at the epidemic time but it must be managed by infectious diseases doctors, lung specialists, intensive care givers and emergency room caregivers in collaboration. An enhancement of the structures is necessary at the level of medical wards and beds of intensive care.
Covid-19 大流行引发了患者、医生和护士的恐惧,导致医疗机构的工作受到影响。所有患者都在家中,只有新冠患者在医院。我们的国家反应迅速,将其宣布为一种具有免费管理的社会疾病。所有医院都接到命令,要建立自己的新冠病毒循环系统。我们报告了我们医院在创建循环系统、组织、管理不同的财务、技术、人力、卫生、心理和后勤方面的危机管理经验。这场危机的关键点是医护人员对自己和家人的恐惧和压力。对于新冠病毒特别工作组的成员来说,另一个关键点是与时间赛跑,学习新的工作:管理者或多面手主管。在流行期间,每个医院都需要建立新冠病毒循环系统,但必须由传染病医生、肺病专家、重症监护人员和急诊室护理人员合作管理。有必要加强医疗病房和重症监护床位的结构。