MIL OSI Translation. Region: Russian Federation –
The hospital has 1249 beds – 919 wards and 330 intensive care and intensive care beds.
A reserve hospital has been created on the territory of the medical complex in Kommunarka to treat patients with coronavirus infection. On Monday, October 26, he was visited by Sergei Sobyanin.
According to him, the restrictive measures taken in the capital are yielding results: over the past week, the rate of detection of coronavirus infection has decreased by 10 times and the dynamics of bed capacity in hospitals has decreased five times.
“Nevertheless, such dynamics, albeit to a much lesser extent, is taking place. This means that over the past week we have crossed the 10 thousand mark in terms of bed capacity. In order to ensure the unconditional provision of medical care to all Muscovites, we are introducing reserve buildings that enable us not to touch the institutions and doctors providing basic routine and emergency care, ”said Sergei Sobyanin.
The hospital on the basis of one of the country’s main centers for combating COVID-19 in Kommunarka became the last of the reserve (the fifth in a row) to begin accepting patients. Despite the fact that it was created as a backup facility, it has solved all infrastructure problems: from connecting to utility networks to providing medical gases. “In general, from the point of view of technology, this is one of the most complex complexes, not inferior in complexity to what we did in Voronovskaya hospital, and even better in capacity. I think that the creation of such a powerful group of hospitals gives us a margin of safety and a guarantee that in the near future we will definitely not touch the planned aid and will feel confident, ”Sergei Sobyanin said.
At the moment, about 15 thousand beds have been deployed in the capital to treat patients with a new coronavirus infection in city, federal and private hospitals, as well as in reserve hospitals at VDNKh, Kashirskoye Highway, Sokolniki, Krylatskoye and Kommunarka.
“Let’s hope that we will not need these hospitals in full, nevertheless, we need to have a margin of safety, so we need to be ready not only from a technical point of view, but also from an organizational and personnel point of view,” added the Moscow Mayor.
The reserve hospital in Kommunarka was built in April – October 2020. It has 1249 beds – 919 ward beds and 330 intensive care and intensive care beds. The planning takes into account all the requirements of epidemiological safety and quality medical care. There are sanitary checkpoints and airlocks, wards, treatment rooms, rooms for personnel, storage of materials and protective equipment. The beds are equipped with oxygen supply systems and personnel call buttons. Conditions have been created for a comfortable stay of medical staff and patients, including Wi-Fi.
The resuscitation and intensive care wards are equipped with compressed air and vacuum sources, medical consoles and other necessary equipment. The placement of such rooms between the usual ones allows you to move patients as quickly as possible and provide them with all the necessary assistance.
“I admit honestly, I can’t dare to call this hospital temporary, because all infrastructure solutions, first of all, medical – I assess as a doctor – are implemented at the most modern level. The hospital has the largest number of intensive care beds – more than 300, with the same necessary solutions (first of all, of course, oxygen, compressed gas, the ability to provide artificial ventilation in an invasive and non-invasive mode in all 300 intensive care beds, “said the chief physician City Clinical Hospital No. 40 in Kommunarka Denis Protsenko.
According to him, 900 hospital beds, which are additionally at the disposal of doctors, will provide a full range of medical care to patients – from diagnostics to full treatment.
How temporary roder hospitals work at city hospitals
399 specialists work on the territory of the hospital, including 130 doctors. Medical personnel are provided with tablets connected to the UMIAS system. Access to the electronic medical record and test results is carried out by reading the QR code on the patients’ bracelets. All this significantly saves staff time, allowing doctors and nurses to pay maximum attention to patients.
The equipment makes it possible to keep personalized records of clinical information about the patient in real time. The use of modern medical scales allows you to quickly respond to changes in the patient’s condition.
To select the optimal tactics for treating patients with a complex clinical picture, doctors can conduct telemedicine consultations with colleagues from other hospitals. For this there is a special program “Remote Assistant” integrated into the UMIAS. Consultations are held using an interactive platform and augmented reality glasses.
In the reserve hospital, it is planned to equip an admission department, install a mobile computed tomography scanner and deploy a laboratory in addition to the existing one in the medical complex.
Relatives and friends can find out about the well-being of patients by calling the hotline: +7 (495) 744-07-03 daily from 08:00 to 21:00.
The first patients were admitted to the reserve hospital in Kommunarka on 7 October. As of October 23, 163 patients are being treated here.
Main Coronavirus Hospital
The construction of the first stage of a multidisciplinary hospital in Kommunarka (four buildings with a total area of 86.7 thousand square meters, including a nine-story ward building) was completed in December last year. Commissioning was scheduled for spring 2020. However, in connection with the spread of a new coronavirus infection, it was decided to redesign the hospital ward building to accommodate patients with suspected COVID-19 and a confirmed diagnosis. Thus, Kommunarka became the first and most famous coronavirus hospital in Russia.
For re-profiling the ward building in the shortest possible time, sanitary checkpoints and locks were equipped, dividing it into “clean” and “dirty” zones. For patients, 802 beds were deployed (eight departments with 60–120 beds each) and five intensive care units with the capacity to accommodate up to 128 people. With the commissioning of the reserve hospital, the number of beds exceeded two thousand. This turns the medical center in Kommunarka into one of the largest Russian hospitals.
The hospital is equipped with modern medical equipment, including three computed tomographs, one magnetic resonance tomograph, 432 artificial lung ventilation devices, two ECMO devices, nine renal replacement therapy devices, three stationary and 11 mobile X-ray machines. The hospital also has its own laboratory.
A high level of epidemiological safety is ensured by a modern admission department with isolated boxes, separate entrances for admitting and discharging patients, and an isolated entrance for personnel equipped with locks.
All wards have bathrooms with a toilet, shower, sink and room disinfection system (recirculators), as well as free Wi-Fi. Patients receive specialized balanced five meals a day. You can transfer things to those in the hospital any day from 10:00 to 22:00.
The hospital staff (excluding the reserve hospital) employs 352 doctors and 537 nursing staff. During the spread of the infection and the spring peak of the pandemic, they gained unique practical experience in providing medical care to patients. The hospital’s doctors were directly involved in the formation of protocols and recommendations for the treatment of COVID-19. Later, their experience was used in other regions of the country.
Since March 1, 2020, the Kommunarka hospital has received about 8.4 thousand patients with suspected coronavirus infection. At the moment, 910 patients are being treated here, of which 629 people are patients with a confirmed diagnosis of COVID-19. 129 patients are in intensive care, 31 people are connected to a ventilator, 39 are on non-invasive ventilation. Over the past day, 105 patients were admitted to the hospital, and 88 people were discharged.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.