UNIVERSITY Hospital Limerick is coming beneath appreciable stress coping with overcrowding, a Covid-19 outbreak in two wards in addition to taking care of an “extraordinary” excessive numbers of sufferers with suspected incidence of the virus, it emerged this week.
he flaghship hospital was treating 89 suspected circumstances of Covid-19, in contrast with 23 in St James’ Hospital, Dublin, 5 in Sligo and 4 in College Faculty Hospital, Galway on Tuesday.
It additionally had the best variety of confirmed Covid-19 circumstances within the nation with 23, one greater than Cork College Hospital on 22.
An evaluation of official Covid-19 figures in public hospitals has revealed 11 hospital had no suspected case, 4 had one case, six had two circumstances and 4 had three circumstances on Tuesday.
This has been a pattern for a variety of days. HSE statistics present there have been 86 suspected Covid-19 circumstances in UHL on September 19, in contrast with 47 in St James’ Hospital and eight in Tallaght.
Suspected circumstances have been nonetheless very excessive in UHL, which had 72 a day later, in contrast with 22 in St James’ Hospital and 10 in Tipperary Hospital.
INMO industrial relations officer, Mary Fogarty, described the variety of suspected circumstances in UHL as “extraordinary”.
Ms Fogarty identified that overcrowding hampered an infection prevention and management measures, and elevated the chance of the unfold of the virus within the hospital.
She mentioned the nursing union can be searching for a proof for this very excessive determine, which was worrying.
Deputy Timmy Dooley has predicted a tough winter for well being companies within the area as a result of ongoing overcrowding at UHL, and the delay in some sufferers attending their GP for medical intervention.
The Clare Deputy remains to be getting common representations from very ailing constituents about lengthy ready instances on trolleys and lack of public beds.
He mentioned the Division of Well being and the federal government must proceed important funding in staffing in public hospitals.
He described the presence of 55 sufferers on trolleys in UHL on Tuesday as very important, in view of the actual fact the climate is delicate, and the hospital’s hasn’t had to deal with ‘flu but.
The UL Hospitals’ Group makes use of ICNet, the group’s an infection management software program, to file all Covid-19 examined sufferers. These embody suspected circumstances primarily based on signs in our Covid pathway; surveillance testing together with within the administration of outbreaks; admission screens together with within the non-Covid pathway and all sufferers examined for different
causes (e.g. pre-procedural exams).
This technique was reconfigured particularly for the Covid-19 pandemic. Correct, real-time ICNet monitoring of all suspected and confirmed Covid circumstances, with knowledge instantly accessible to all frontline scientific employees and senior administration, types a cornerstone of UL Hospitals profitable Covid an infection, prevention management technique and permits environment friendly allocation of finite isolation rooms.
“The figures within the nationwide every day operational studies characterize a cut-off date. Suspected Covid-19 sufferers who’re ready for a take a look at end result someday could also be recorded as a constructive case the next day.
“There can also be circumstances the place sufferers who’re Covid-19 not detected in an preliminary take a look at, however about whom a degree of scientific suspicion stays, might subsequently take a look at constructive in a retest. Constructive circumstances can also be picked up by means of screening workouts carried out on the advice of microbiology and an infection prevention and management
groups,” mentioned a gaggle spokesman.
Customer restrictions have been launched on two wards at UHL following an outbreak of Covid-19.
Visiting on the 2 affected wards has now been restricted to compassionate grounds solely and relations and family members have been knowledgeable of similar.
Visiting on different inpatient wards is unaffected and is facilitated by prior association.
The flagship hospital can be coping with a excessive variety of sufferers on trolleys. The variety of sufferers on trolleys totalled 55 in UHL on Monday, the second highest within the nation, simply barely decrease than College Hospital Cork on 56, based on the INMO’s Trolley Watch.
This determine had elevated from 37 on September 17 earlier than falling to 47 on Wednesday.
Contact tracing and testing of employees and sufferers is underway and employees at the moment are, according to the nationwide steerage, placing into impact all the suitable an infection management measures to mitigate the chance to sufferers and employees.
On September 20, there have been 81 new circumstances of Covid-19 in Limerick, 21 in Clare, and 21 in North Tipperary.
There have been 1,218 circumstances of Covid-19 within the Mid-West over the earlier 14 days, together with 751 in Limerick, 319 in Clare, and 148 in North Tipperary.
The Emergency Division at UHL stays exceptionally busy. Excessive volumes of attendances, together with many frail aged sufferers with advanced medical situations who require admission, have continued over a number of weeks now.
Within the final seven days, attendances on the ED in UHL have averaged 240 per day, in comparison with 195 within the final full yr previous to the pandemic.
The 282 sufferers who offered over the 24-hour interval final Friday is likely one of the highest figures ever seen at UHL.
At 2pm on Tuesday, September twenty first, there have been 21 admitted sufferers on corridors within the Emergency Division.
The group regrets that any affected person has to attend for a mattress and each effort is being made by administration and employees to cut back these wait instances and to maximise affected person move.
It continues to observe its escalation plan, which incorporates extra ward rounds, accelerating discharges and figuring out sufferers for switch to our Mannequin 2 hospitals.
Nonetheless, present demand for its companies is multi-faceted and excessive numbers of admitted sufferers require a degree of care that, for the Mid-West, can solely be offered at UHL. Basically, sufferers at the moment admitted to UHL are sicker and with extra difficult situations, and require longer inpatient stays to get well.