{"id":3134,"date":"2022-04-01T16:47:01","date_gmt":"2022-04-01T14:47:01","guid":{"rendered":"https:\/\/www.pediatrics.cz\/?page_id=3134"},"modified":"2022-04-01T16:47:33","modified_gmt":"2022-04-01T14:47:33","slug":"dopis-predsedovi-cps-situace-v-ip-2014","status":"publish","type":"page","link":"https:\/\/www.pediatrics.cz\/sekce-a-pracovni-skupiny\/sekce-intenzivni-mediciny\/novinky-a-oznameni\/dopis-predsedovi-cps-situace-v-ip-2014\/","title":{"rendered":"Dopis p\u0159edsedovi \u010cPS – situace v IP 2014"},"content":{"rendered":"\n

prof. MUDr. Ji\u0159\u00ed Zeman, DrSc.<\/strong><\/p>\n\n\n\n

p\u0159edseda \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti \u010cLS JEP<\/strong><\/p>\n\n\n\n

V Praze dne: 5. \u010dervna 2014<\/p>\n\n\n\n

V\u00e1\u017een\u00fd pane profesore, p\u0159edsedo \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti,<\/p>\n\n\n\n

v\u00fdbor Sekce intenzivn\u00ed medic\u00edny \u010cPS \u010cLS JEP projednal na sv\u00e9 pravideln\u00e9 sch\u016fzi konan\u00e9 dne 3. 6. 2014 sou\u010dasnou situaci v oboru d\u011btsk\u00e9 intenzivn\u00ed medic\u00edny. P\u0159\u00edtomn\u00ed z\u00e1stupci pracovi\u0161\u0165 poskytuj\u00edc\u00ed nejvy\u0161\u0161\u00ed stupe\u0148 intenzivn\u00ed p\u00e9\u010de se shodli na n\u00e1sleduj\u00edc\u00edm.  <\/p>\n\n\n\n

  1. Na v\u0161ech pracovi\u0161t\u00edch, krom\u011b Kliniky d\u011btsk\u00e9 anesteziologie a resuscitace  LF MU a  FN Brno, je nedostatek l\u00e9ka\u0159\u016f. V pr\u016fm\u011bru chyb\u00ed na ka\u017ed\u00e9m pracovi\u0161ti dva l\u00e9ka\u0159i, jsou v\u0161ak pracovi\u0161t\u011b, kter\u00e1 postr\u00e1daj\u00ed i \u010dty\u0159i l\u00e9ka\u0159e. P\u0159i normativn\u00edm obsazen\u00ed 5-6 l\u00e9ka\u0159\u016f na pracovi\u0161ti jde o z\u00e1sadn\u00ed nedostatek.   Celkov\u00fd deficit l\u00e9ka\u0159\u016f se pohybuje kolem 30 v cel\u00e9 \u010cR.   Uveden\u00fd po\u010det se t\u00fdk\u00e1 l\u00e9ka\u0159\u016f schopn\u00fdch postarat se o kriticky nemocn\u00e9 d\u011bti, nikoliv l\u00e9ka\u0159e, kte\u0159\u00ed spl\u0148uj\u00ed odborn\u00e9 po\u017eadavky na pr\u00e1ci na pediatrick\u00e9 JIRP. V tomto p\u0159\u00edpad\u011b by byl po\u010det je\u0161t\u011b vy\u0161\u0161\u00ed. Z person\u00e1ln\u00edch d\u016fvod\u016f bylo ji\u017e jedno pracovi\u0161t\u011b uzav\u0159eno, v letn\u00edch m\u011bs\u00edc\u00edch velmi pravd\u011bpodobn\u011b dojde k uz\u00e1v\u011bru dal\u0161\u00edho odd\u011blen\u00ed. Z jin\u00fdch pracovi\u0161\u0165 jsou informace o mo\u017en\u00e9m p\u0159evzet\u00ed p\u00e9\u010de o d\u011bti dosp\u011bl\u00fdmi odd. ARO, kde pediatr bude figurovat pouze jako konzili\u00e1\u0159.  Rovn\u011b\u017e je nutn\u00e9 uv\u00e9st, \u017ee pr\u016fm\u011brn\u00fd v\u011bk l\u00e9ka\u0159\u016f pracuj\u00edc\u00edch na pediatrick\u00e9m JIRP je zna\u010dn\u011b vysok\u00fd a v horizontu n\u011bkolika let odejdou do starobn\u00edho d\u016fchodu. D\u016fvod\u016f pro vzniklou situaci je \u0159ada: psychicky n\u00e1ro\u010dn\u00e1 pr\u00e1ce u kriticky nemocn\u00fdch d\u011bt\u00ed, fyzick\u00e9  zat\u00ed\u017een\u00ed  l\u00e9ka\u0159\u016f p\u0159i frekvenci po\u010dtu slu\u017eeb 6-8\/ m\u011bs\u00edc, absolutn\u011b neodpov\u00eddaj\u00edc\u00ed finan\u010dn\u00ed ohodnocen\u00ed.<\/li>
  2. S v\u00fd\u0161e uveden\u00fdm souvis\u00ed i sou\u010dasn\u00e1 \u00fahrada zdravotn\u00ed p\u00e9\u010de. Ji\u017e p\u0159ed 16 m\u011bs\u00edci SIM\u010cPS upozornila v\u00fdbor \u010cPS na insuficientn\u00ed zp\u016fsob \u00fahrady intenzivn\u00ed p\u00e9\u010de v pediatrii a z\u00e1rove\u0148 prost\u0159ednictv\u00edm n\u011bkter\u00fdch medi\u00ed byla informov\u00e1na i ve\u0159ejnost. Do dne\u0161n\u00ed doby jsme neobdr\u017eeli od v\u00fdboru \u010cPS ofici\u00e1ln\u00ed informace o v\u00fdsledku jedn\u00e1n\u00ed jednak s NRC tak i s MZ\u010cR. P\u0159ipom\u00edn\u00e1m, \u017ee nebylo umo\u017en\u011bno v\u00fdborem \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti  delegovat  z\u00e1stupce v\u00fdboru  SIM\u010cPS na uveden\u00e1 jedn\u00e1n\u00ed.<\/li>
  3. Vznikaj\u00ed odd\u011blen\u00ed chronick\u00e9 intenzivn\u00ed p\u00e9\u010de (nemocnice Ho\u0159ovice a v kr\u00e1tk\u00e9 dob\u011b i nemocnice Prost\u011bjov), co\u017e je v rozporu se stanoviskem SIM\u010cPS resp. \u010cPS \u010cLS JEP.  Vznikl\u00e1 odd\u011blen\u00ed nejsou pot\u0159ebn\u00e1, proto\u017ee o v\u011bt\u0161inu nemocn\u00fdch se postaraj\u00ed sou\u010dasn\u00e1 odd\u011blen\u00ed IP a je to i v rozporu se sou\u010dasn\u00fdm trendem umis\u0165ovat nemocn\u00e9 d\u011bti do dom\u00e1c\u00ed p\u00e9\u010de p\u0159i dostupnosti dom\u00e1c\u00ed oxygenoterapie a um\u011bl\u00e9 plicn\u00ed ventilace. Z\u0159izov\u00e1n\u00ed podobn\u00fdch pracovi\u0161\u0165 vede jen ke zv\u00fd\u0161en\u00fdm zisk\u016f  soukrom\u00fdch subjekt\u016f a odtok\u016f finan\u010dn\u00edch prost\u0159edk\u016f z pot\u0159ebn\u00fdch za\u0159\u00edzen\u00ed.<\/li><\/ol>\n\n\n\n

    V\u00e1\u017een\u00fd pane p\u0159edsedo, \u017e\u00e1d\u00e1m V\u00e1s o nal\u00e9hav\u00e9 projedn\u00e1n\u00ed uveden\u00fdch fakt\u016f a jejich p\u0159ednesen\u00ed na pat\u0159i\u010dn\u00e9 \u00farovni MZ \u010cR.   V\u011b\u0159\u00edm, \u017ee v\u00fdbor \u010cPS najde cestu jak uveden\u00fd probl\u00e9m prezentovat a \u0159e\u0161it v n\u00e1sleduj\u00edc\u00edch t\u0159ech m\u011bs\u00edc\u00edch.  Pokud se tak b\u011bhem uveden\u00e9 doby nepoda\u0159\u00ed, v\u011bdomi si z\u00e1va\u017enosti situace, jsme p\u0159ipraveni a rozhodnuti informovat o stavu d\u011btsk\u00e9 intenzivn\u00ed medic\u00edny pat\u0159i\u010dn\u00e9 z\u0159izovatele, pop\u0159. projednat danou problematiku na \u00farovni zdravotn\u00edho v\u00fdboru Poslaneck\u00e9 sn\u011bmovny \u010cR.<\/p>\n\n\n\n

    Z\u00e1rove\u0148 bych V\u00e1s r\u00e1d upozornil, \u017ee tento dopis bude uve\u0159ejn\u011bn\u00fd na www.simcps.cz<\/a>.<\/p>\n\n\n\n

    S pozdravem<\/p>\n\n\n\n

    MUDr. V\u00e1clav Vobruba, Ph. D.<\/p>\n\n\n\n

    p\u0159edseda v\u00fdboru  SIM\u010cPS \u010cLS JEP<\/p>\n","protected":false},"excerpt":{"rendered":"

    prof. MUDr. Ji\u0159\u00ed Zeman, DrSc. p\u0159edseda \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti \u010cLS JEP V Praze dne: 5. \u010dervna 2014 V\u00e1\u017een\u00fd pane […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3126,"menu_order":56,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"kia_subtitle":"","footnotes":""},"class_list":["post-3134","page","type-page","status-publish","hentry"],"acf":[],"lang":"cs","translations":{"cs":3134},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/3134","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/comments?post=3134"}],"version-history":[{"count":2,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/3134\/revisions"}],"predecessor-version":[{"id":3140,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/3134\/revisions\/3140"}],"up":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/3126"}],"wp:attachment":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/media?parent=3134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}