Department of Internal Medicine "B," Rambam Health Care Campus, Haifa, Israel; Hospital Management, Ram-bam Health Care Campus, Haifa, Israel; The Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Hospital Management, Rambam Health Care Campus, Haifa, Israel; Department of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa, Israel; The Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Am J Disaster Med. 2021;16(1):35-41. doi: 10.5055/ajdm.2021.0384.
In response to the coronavirus disease 2019 (COVID-19) pandemic, the Israeli government strategy initially focused on containment. The Ministry of Health mandated isolation of COVID-19 patients in hospitals and instructed healthcare institutions to make necessary arrangements. As the second Israeli hospital to establish a COVID-19 department, this article describes our experience in its rapid establishment, while maintaining normal medical center activities.
Establishing the COVID-19 department involved planning, set-up, and implementations phases, each one based on knowledge available regarding the pandemic and established medical standards for isolation and protection of patients and staff. Wherever possible, new innovative technologies were utilized to provide maximum protection for both patients and staff, together with special online training that was developed for medical teams.
A COVID-19 department was successfully established on the hospital campus, remote from other ongoing patient activities. A novel methodology of disease-adapted medicine was implemented successfully among the department's medical staff, who underwent training tailored to expected clinical scenarios. The COVID-19 department is receiving patients, with no contamination of medical personnel to date. A recent survey of COVID-19 patients revealed a very high patient satisfaction rate.
Based on the experience described herein and lessons learned, the hospital is preparing for a potential large-scale COVID-19 wave, aimed at full readiness through utilization of a fortified underground emergency hospital to treat up to 900 COVID-19 patients, and establishment of versatile in-hospital infrastructure for quick conversion from standard conditions to COVID-19 appropriate conditions.
针对 2019 年冠状病毒病（COVID-19）大流行，以色列政府的策略最初侧重于遏制。卫生部要求将 COVID-19 患者隔离在医院，并指示医疗机构做出必要的安排。作为建立 COVID-19 部门的第二家以色列医院，本文描述了我们在维持正常医疗中心活动的同时，快速建立该部门的经验。
建立 COVID-19 部门涉及规划、设立和实施阶段，每个阶段都基于对大流行和为隔离和保护患者和员工制定的既定医疗标准的了解。在可能的情况下，利用新的创新技术为患者和员工提供最大程度的保护，同时为医疗团队开发特殊的在线培训。
在医院园区成功建立了一个 COVID-19 部门，远离其他正在进行的患者活动。在该部门的医务人员中成功实施了一种针对疾病的适应性医学新方法，他们接受了针对预期临床情况量身定制的培训。COVID-19 部门目前正在接收患者，迄今为止没有医务人员受到污染。最近对 COVID-19 患者的调查显示，患者的满意度非常高。
基于本文所述的经验和教训，医院正在为潜在的大规模 COVID-19 浪潮做准备，旨在通过利用强化的地下应急医院来充分做好准备，以治疗多达 900 名 COVID-19 患者，并建立多功能的院内基础设施，以便快速从标准条件转换为适合 COVID-19 的条件。
