{"id":41212,"date":"2020-04-01T19:59:12","date_gmt":"2020-04-01T16:59:12","guid":{"rendered":"https:\/\/bilimvegelecek.com.tr\/?p=41212"},"modified":"2020-04-01T19:59:12","modified_gmt":"2020-04-01T16:59:12","slug":"ito-genel-sekreteri-dr-osman-ozturk-saglik-calisanlari-daha-cok-risk-altinda","status":"publish","type":"post","link":"https:\/\/bilimvegelecek.com.tr\/index.php\/2020\/04\/01\/ito-genel-sekreteri-dr-osman-ozturk-saglik-calisanlari-daha-cok-risk-altinda","title":{"rendered":"\u0130TO Genel Sekreteri Dr. Osman \u00d6zt\u00fcrk: Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 daha \u00e7ok risk alt\u0131nda"},"content":{"rendered":"<p>\u00dclke genelindeki tabip odalar\u0131 SARS-CoV-2 vir\u00fcs\u00fcn\u00fcn \u00fclke genelindeki yay\u0131l\u0131m\u0131na ili\u015fkin raporlar yay\u0131nlamaya ba\u015flad\u0131. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, T\u00fcrkiye genelindeki vaka say\u0131s\u0131n\u0131 a\u00e7\u0131klarken iller baz\u0131ndaki vaka say\u0131lar\u0131n\u0131 a\u00e7\u0131klam\u0131yor. Tabip odalar\u0131 ise tespit edebildikleri, kendilerine bildirilen vaka say\u0131lar\u0131n\u0131 raporla\u015ft\u0131r\u0131yor. \u0130stanbul Tabip Odas\u0131 da 30 Mart g\u00fcn\u00fc &#8220;Korona G\u00fcnlerinde \u0130stanbul\u2019da Sa\u011fl\u0131k-1 Kamu Hastaneleri Raporu&#8221;nu yay\u0131nlayarak il baz\u0131ndaki durumu de\u011ferlendirmi\u015fti. Bu rapordan hareketle<strong> \u0130stanbul Tabip Odas\u0131 Genel Sekreteri Dr. Osman \u00d6zt\u00fcrk<\/strong> ile \u0130stanbul&#8217;daki vaka say\u0131s\u0131n\u0131, \u0130stanbul&#8217;daki hastanelerin ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n durumunu konu\u015ftuk.<\/p>\n<p><strong>&#8211; Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 verileri T\u00fcrkiye genelindeki vaka say\u0131lar\u0131 \u00fczerinden a\u00e7\u0131kl\u0131yor. \u015eehir baz\u0131nda ne durumday\u0131z bilmiyoruz, meslek odalar\u0131na gelen bir bilgi var m\u0131? \u0130stanbul\u2019daki pozitif veya \u015f\u00fcpheli vaka say\u0131s\u0131, \u00f6l\u00fcm oran\u0131, ent\u00fcbe veya yo\u011fun bak\u0131mda olan hasta say\u0131s\u0131 ne durumda?<\/strong><\/p>\n<p><em>\u0130stanbul\u2019daki vaka say\u0131s\u0131n\u0131 takip etmeye \u00e7al\u0131\u015f\u0131yoruz. 30 Mart g\u00fcn\u00fc \u0130stanbul Tabip Odas\u0131\u2019n\u0131n web sitesi \u00fczerinden yay\u0131nlad\u0131\u011f\u0131m\u0131z raporda kamu hastanelerine ve devlet hastanelerine yer verdik. \u0130stanbul\u2019da bulunan kamu hastanelerinde ve \u00f6zel hastanelerde en az 2 bin hasta COVID-19 hastal\u0131\u011f\u0131 te\u015fhisi veya \u015f\u00fcphesiyle yatmaktad\u0131r. Yo\u011fun bak\u0131mda da 200\u2019\u00fcn \u00fczerinde hasta bulunuyor.<\/em><\/p>\n<p><em>Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n yay\u0131nlad\u0131\u011f\u0131 t\u00fcm vakalar PCR testi \u00fczerinden tan\u0131 konan hastalar, test yayg\u0131n olmad\u0131\u011f\u0131 i\u00e7in vakalar\u0131n \u00e7o\u011fu tespit edilemeyebiliyor. Bir de PCR testinin yalanc\u0131 negatifli\u011fi de olabiliyor. \u015e\u00fcpheli durumdaki bir hastaya PCR testini yap\u0131yorsunuz, test sonucu negatif \u00e7\u0131k\u0131yor ama asl\u0131nda hastaya vir\u00fcs bula\u015fm\u0131\u015f. Testin yanl\u0131\u015f sonu\u00e7 vermesi \u00f6zellikle de mikrobiyolojik testlerde do\u011fal bir sonu\u00e7tur. Testin yanl\u0131\u015f sonu\u00e7 verme ihtimalini ba\u015ftan tahmin edebilirsiniz ancak biz tahmin edilenden daha fazla yalanc\u0131 negatiflik veren test sonucu ile kar\u015f\u0131la\u015ft\u0131k. Hasta i\u00e7in PCR negatif gelse bile klinik bulgular dikkate al\u0131narak, \u00f6zellikle de akci\u011fer taramalar\u0131 incelenerek te\u015fhis konmal\u0131. Bu \u015fekilde sadece teste ba\u011fl\u0131 kalmadan yap\u0131lan te\u015fhisin daha do\u011fru oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz. \u00d6zel hastaneler ile ilgili raporumuzu da ilerleyen g\u00fcnlerde yay\u0131nlayaca\u011f\u0131z. Meslekta\u015flar\u0131m\u0131z arac\u0131l\u0131\u011f\u0131yla ula\u015fabildi\u011fimiz verileri raporla\u015ft\u0131rarak a\u00e7\u0131klamaya \u00e7al\u0131\u015f\u0131yoruz.<\/em><\/p>\n<p><strong>&#8211; \u0130stanbul\u2019da pandemi hastanesi olarak belirlenmi\u015f hastaneler var m\u0131? Bu belirlemeye uygun hareket ediliyor mu? \u0130stanbul\u2019daki hastaneler ne durumda?<\/strong><\/p>\n<p><em>\u0130stanbul\u2019daki b\u00fct\u00fcn hastaneler pandemi hastanesi olarak ilan edildi. Bu kapsama \u00f6zel hastaneler de d\u00e2hildir. E\u011fer bir hastanede 1 dahiliye uzman\u0131, 1 enfeksiyon hastal\u0131klar\u0131 uzman\u0131 ve 1 g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzman\u0131 varsa, bu hastane pandemi hastanesi olarak ilan ediliyor. Ancak \u0130stanbul\u2019daki hastanelerin salg\u0131na haz\u0131rl\u0131ks\u0131z yakaland\u0131\u011f\u0131n\u0131 s\u00f6yleyebiliriz.<\/em><\/p>\n<p><strong>&#8211; Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n kullanmas\u0131 gereken maske, \u00f6nl\u00fck, eldiven gibi materyaller yeterli durumda m\u0131? \u0130stanbul\u2019daki hastanelerde malzeme eksikli\u011fi ya\u015fan\u0131yor mu? \u0130stanbul\u2019daki hastanelerde ka\u00e7 tane yo\u011fun bak\u0131m yata\u011f\u0131 var, yeterli say\u0131da m\u0131?<\/strong><\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-41214 alignright\" src=\"https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/04\/sa\u011fl\u0131k-\u00e7al\u0131\u015fanlar\u0131-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/04\/sa\u011fl\u0131k-\u00e7al\u0131\u015fanlar\u0131-300x169.jpg 300w, https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/04\/sa\u011fl\u0131k-\u00e7al\u0131\u015fanlar\u0131-1024x576.jpg 1024w, https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/04\/sa\u011fl\u0131k-\u00e7al\u0131\u015fanlar\u0131-768x432.jpg 768w, https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/04\/sa\u011fl\u0131k-\u00e7al\u0131\u015fanlar\u0131-600x337.jpg 600w, https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/04\/sa\u011fl\u0131k-\u00e7al\u0131\u015fanlar\u0131.jpg 1400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>T\u00fcrk Tabipleri Birli\u011fi\u2019nin internet sitesi \u00fczerinden hekimlere \u00f6zel olarak a\u00e7t\u0131\u011f\u0131 bir anket var, bu anket \u00fczerinden ki\u015fisel koruyucu ekipman eksikli\u011fi (maske, \u00f6nl\u00fck, siperlik,\u2026) ya\u015fan\u0131p ya\u015fanmad\u0131\u011f\u0131 izlenmeye \u00e7al\u0131\u015f\u0131l\u0131yor. Raporlar vas\u0131tas\u0131yla g\u00f6r\u00fcyoruz ki t\u00fcm T\u00fcrkiye\u2019de ki\u015fisel koruyucu ekipman a\u00e7\u0131s\u0131ndan ciddi sorunlar var. Hastanelerde ekipman yok de\u011fil, ancak ihtiya\u00e7 duyuldu\u011fu anda bu malzemelere ihtiya\u00e7 duyan personelin talebi kar\u015f\u0131lanm\u0131yor. Bu malzemelerin illerin sa\u011fl\u0131k m\u00fcd\u00fcrl\u00fcklerinin elinde olmad\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnm\u00fcyoruz. As\u0131l sorun organizasyon eksikli\u011fi, yeterli haz\u0131rl\u0131k yap\u0131lmam\u0131\u015f, hastaneler salg\u0131na haz\u0131rlanmam\u0131\u015f. \u015eu anda ise hangi kuruma ne kadar malzeme da\u011f\u0131t\u0131laca\u011f\u0131n\u0131 organize edemiyorlar.<\/em><\/p>\n<p><em>Salg\u0131n\u0131n \u0130stanbul\u2019daki yay\u0131l\u0131m\u0131 bu h\u0131zla giderse, il baz\u0131ndaki hastanelerde yo\u011fun bak\u0131m yata\u011f\u0131 yetersizli\u011fi ya\u015fanabilir. Yo\u011fun bak\u0131m yata\u011f\u0131 meselesi biraz daha farkl\u0131, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n verilerine g\u00f6re T\u00fcrkiye\u2019deki yo\u011fun bak\u0131m yata\u011f\u0131 say\u0131s\u0131 OECD \u00fclkelerindeki ortalaman\u0131n \u00fczerinde ancak yo\u011fun bak\u0131m yataklar\u0131n\u0131n niteli\u011fi de \u00f6nemlidir. Hasta i\u00e7in bir yatak temin edip, hastan\u0131n ba\u015f\u0131na da bir hem\u015fire atad\u0131\u011f\u0131n\u0131zda buras\u0131 \u201cyo\u011fun\u201d oluyor ancak \u201cbak\u0131m\u201d oldu\u011fu tart\u0131\u015fmal\u0131 durumda. \u0130stanbul\u2019daki yo\u011fun bak\u0131m yata\u011f\u0131 say\u0131s\u0131 konusunda net bir veri yok ancak ge\u00e7mi\u015f d\u00f6nemlerden bildi\u011fimiz kadar\u0131yla yo\u011fun bak\u0131m yata\u011f\u0131 yetersizli\u011fi gibi bir durum s\u00f6z konusuydu.<\/em><\/p>\n<h4><strong>\u201c\u0130stanbul\u2019da ciddi bir kaotik durum var\u201d<\/strong><\/h4>\n<p><strong>&#8211; \u0130stanbul Tabip Odas\u0131\u2019n\u0131n payla\u015ft\u0131\u011f\u0131 raporda \u201corganizasyon eksikli\u011fi\u201d vurgulan\u0131yor. Organizasyon eksikli\u011fini telafi etmek i\u00e7in at\u0131lan bir ad\u0131m var m\u0131?<\/strong><\/p>\n<p><em>Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ve \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc, organizasyon eksikli\u011fini telafi etmek i\u00e7in ad\u0131m at\u0131yor elbette. Ancak son 2-2.5 ayl\u0131k s\u00fcre\u00e7 olmas\u0131 gerekti\u011fi gibi de\u011ferlendirilmedi\u011fi i\u00e7in telafide de \u00e7ok zorlan\u0131l\u0131yor. Herkes elinden geleni yapmaya \u00e7al\u0131\u015f\u0131yor ancak bizim g\u00f6zledi\u011fimiz Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n haz\u0131rlad\u0131\u011f\u0131 COVID-19 rehberi d\u0131\u015f\u0131nda bir \u00e7al\u0131\u015fma yap\u0131lmam\u0131\u015f. Bu rehber baz\u0131 sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na ula\u015ft\u0131r\u0131lmam\u0131\u015f veya sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n bu metni uygulayabilir durumda olup olmad\u0131\u011f\u0131 denetlenmemi\u015f. Daha \u00f6nceden bu rehber baz al\u0131narak baz\u0131 sim\u00fclasyonlar\u0131n yap\u0131lmas\u0131 ve e\u011fitim verilmesi gerekirdi. <\/em><\/p>\n<p><em>\u0130nsanlar hastanelere di\u011fer sa\u011fl\u0131k ihtiya\u00e7lar\u0131 i\u00e7in de geliyor. Covid-19 \u015f\u00fcphesi ta\u015f\u0131yanlar ile di\u011fer hastalar\u0131n bir arada tutulmamas\u0131 gerekiyor. Ba\u015flang\u0131\u00e7ta b\u00f6yle s\u0131k\u0131nt\u0131lar ya\u015fand\u0131. Birtak\u0131m problemler \u00e7\u00f6z\u00fcl\u00fcyor, daha sonra ba\u015fka problemler \u00e7\u0131k\u0131yor. Ancak \u0130stanbul\u2019da ciddi bir kaotik durum oldu\u011fu s\u00f6ylenebilir.<\/em><\/p>\n<p><strong>&#8211; Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 salg\u0131nla m\u00fccadelede en kritik \u00f6neme sahip olan ki\u015filer, onlar i\u00e7in \u00f6zel \u00f6nlemler al\u0131nd\u0131 m\u0131? \u0130stanbul\u2019da ka\u00e7 sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 enfekte oldu? Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 salg\u0131n s\u00fcrecinde neler ya\u015f\u0131yor?<\/strong><\/p>\n<p><em>Bizim tespit edebildi\u011fimiz kadar\u0131yla kamu hastanelerinde 200\u2019\u00fcn \u00fczerinde sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 enfekte olmu\u015f durumda. Burada bu say\u0131n\u0131n en az\u0131 ifade etti\u011fini bir kez daha vurgulamak gerek, bu say\u0131n\u0131n \u00fczerinde oldu\u011fu tahmin ediliyor. Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 enfekte olma a\u00e7\u0131s\u0131ndan daha \u00e7ok risk alt\u0131nda. Baz\u0131 yerlerde h\u00e2l\u00e2 olduk\u00e7a uzun saatler n\u00f6bet uygulamas\u0131 s\u00fcr\u00fcyor, bu riski daha da art\u0131r\u0131yor. COVID-19 \u015f\u00fcphesi ta\u015f\u0131yan bir hasta ile birka\u00e7 dakika ayn\u0131 ortamda bulunmak ciddi bir risk olu\u015fturmuyor ancak bu \u015f\u00fcpheyi ta\u015f\u0131yan hastalarla 24 saat boyunca ayn\u0131 ortamda bulununca ciddi bir risk olu\u015fuyor.<\/em><\/p>\n<p><strong>&#8211; T\u00fcrkiye\u2019deki test say\u0131s\u0131n\u0131 nas\u0131l yorumluyorsunuz, az m\u0131 yeterli mi? \u0130stanbul\u2019da ne kadar test yap\u0131ld\u0131\u011f\u0131na dair bir bilgi var m\u0131?<\/strong><\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-40718 alignleft\" src=\"https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/03\/koronavir\u00fcs-1-300x149.jpg\" alt=\"\" width=\"300\" height=\"149\" srcset=\"https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/03\/koronavir\u00fcs-1-300x149.jpg 300w, https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/03\/koronavir\u00fcs-1-600x298.jpg 600w, https:\/\/bilimvegelecek.com.tr\/wp-content\/uploads\/2020\/03\/koronavir\u00fcs-1.jpg 632w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>T\u00fcrkiye baz\u0131nda ne kadar test yap\u0131ld\u0131\u011f\u0131n\u0131 biliyoruz ancak \u0130stanbul \u00f6zelinde ne kadar test yap\u0131ld\u0131\u011f\u0131na dair bir bilgimiz yok. Test say\u0131s\u0131 giderek art\u0131yor ama testin yayg\u0131nla\u015ft\u0131r\u0131lma \u00e7al\u0131\u015fmas\u0131 ba\u015flang\u0131\u00e7ta \u00e7ok a\u011f\u0131r i\u015fledi. Bir de a\u011f\u0131r belirtilere sahip olmayan ki\u015filere test yap\u0131lmas\u0131n\u0131n ki\u015filer a\u00e7\u0131s\u0131ndan bir \u00f6nemi yok ancak bu sayede hastal\u0131\u011f\u0131 yayma potansiyeli ta\u015f\u0131yan hastalar karantinaya y\u00f6nlendiriliyor. Bu durum hastal\u0131\u011f\u0131n toplum i\u00e7inde yay\u0131lmas\u0131n\u0131 \u00f6nlemek a\u00e7\u0131s\u0131ndan \u00f6nemli. Testin anlam\u0131 enfekte insanlar\u0131 tespit edip onlar\u0131 toplumun di\u011fer kesimlerinden ay\u0131rmakt\u0131r. Ama\u00e7 toplumun kalan\u0131n\u0131 korumakt\u0131r. Test uygulamas\u0131 yayg\u0131n olmay\u0131nca vir\u00fcs\u00fc ta\u015f\u0131yan ki\u015filer tespit edilemiyor ve vir\u00fcs toplum i\u00e7inde yay\u0131lmaya devam ediyor.<\/em><\/p>\n<p><em>Sa\u011fl\u0131k Bakan\u0131 da vir\u00fcs\u00fcn t\u00fcm T\u00fcrkiye\u2019ye yay\u0131ld\u0131\u011f\u0131n\u0131 ifade etti. Karadeniz\u2019in da\u011f k\u00f6ylerinde bile vakalara rastlan\u0131yor. K\u00f6y ya\u015fam\u0131nda temas daha s\u0131n\u0131rl\u0131d\u0131r. \u015eehirlerde ula\u015f\u0131m\u0131n da etkisiyle ki\u015filerin bir arada bulundu\u011fu daha \u00e7ok ortam var. Karadeniz\u2019de evler bile birbirinden uzaktad\u0131r. E\u011fer vir\u00fcs buralara kadar gittiyse, tablo ger\u00e7ekten \u00e7ok vahim. S\u00fcrecin ba\u015f\u0131ndan beri test say\u0131s\u0131n\u0131n art\u0131\u015f\u0131nda \u0131srar etmemizin nedeni de bu durumun \u00f6n\u00fcne ge\u00e7ilmesiydi, T\u00fcrkiye s\u00fcreci k\u00f6t\u00fc kulland\u0131.<\/em><\/p>\n<h4><strong>\u0130stanbul Tabip Odas\u0131&#8217;n\u0131n talepleri<\/strong><\/h4>\n<p>\u0130stanbul Tabip Odas\u0131&#8217;n\u0131n salg\u0131n\u0131n \u0130stanbul&#8217;daki yay\u0131l\u0131m\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmesi, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ve hastalar\u0131n korunmas\u0131 i\u00e7in uygulanmas\u0131n\u0131 istedi\u011fi talepler ise \u015f\u00f6yle:<\/p>\n<p>1- Pandemiye kar\u015f\u0131 m\u00fccadele i\u00e7in \u00f6ncelikle hekimlerin, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n sa\u011fl\u0131\u011f\u0131 korunmal\u0131d\u0131r.<\/p>\n<p>2- \u0130stanbul\u2019daki kamu hastanelerinde hekimlerin, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ki\u015fisel koruyucu ekipman ihtiyac\u0131 h\u0131zla giderilmeli, ihtiya\u00e7 duyulan her t\u00fcrl\u00fc ekipman b\u00fct\u00fcn kamu hastanelerinde d\u00fczenli ve yeterli miktarda sa\u011flanmal\u0131d\u0131r.<\/p>\n<p>3- Covid-19 hastas\u0131yla korunmas\u0131z olarak temas eden, semptom g\u00f6steren b\u00fct\u00fcn hekimlere, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131na gerekli testler yap\u0131lmal\u0131, testleri pozitif \u00e7\u0131kanlar\u0131n karantina s\u00fcresi boyunca \u00e7al\u0131\u015fmamalar\u0131 sa\u011flanmal\u0131d\u0131r.<\/p>\n<p>4- Sa\u011fl\u0131k kurumlar\u0131nda yayg\u0131n olarak Koronavir\u00fcsle kar\u015f\u0131la\u015fan hekimlerin, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n bu enfeksiyonu evlerine, ailelerine ta\u015f\u0131mamas\u0131 i\u00e7in, ba\u015fta \u0130stanbul B\u00fcy\u00fck\u015fehir Belediyesi olmak \u00fczere yerel y\u00f6netimler ve di\u011fer kamu kurumlar\u0131yla yak\u0131n i\u015fbirli\u011fi yap\u0131larak sa\u011fl\u0131k kurumlar\u0131na yak\u0131n yerlerde konaklama imkan\u0131 sa\u011flanmal\u0131d\u0131r. Bu konaklama yerleri m\u00fcmk\u00fcn oldu\u011funca hastaneye y\u00fcr\u00fcme mesafesinde olmal\u0131, de\u011filse de \u00e7al\u0131\u015fanlar\u0131n \u00f6zel ara\u00e7larla ta\u015f\u0131nmas\u0131 sa\u011flanmal\u0131d\u0131r.<\/p>\n<p>5- Bu d\u00f6nemde \u0130stanbul\u2019daki kamu hastanelerinde \u00e7al\u0131\u015fan hekimlerin, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ve hastalar\u0131n sa\u011fl\u0131kl\u0131 ve yeterli beslenmesi ba\u015fta olmak \u00fczere her t\u00fcrl\u00fc ihtiya\u00e7lar\u0131n\u0131n giderilmesi i\u00e7in gerekli \u00f6nlemler h\u0131zla al\u0131nmal\u0131d\u0131r.<\/p>\n<p>6- \u0130stanbul\u2019daki kamu hastanelerinde \u00f6n\u00fcm\u00fczdeki g\u00fcnlerde, haftalarda daha da artacak olan yatak ihtiyac\u0131 g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131, bir an \u00f6nce yatak say\u0131s\u0131n\u0131 artt\u0131rmak i\u00e7in gerekli \u00e7al\u0131\u015fmalara ba\u015flanmal\u0131d\u0131r. (Ba\u015fak\u015fehir\u2019deki yap\u0131m\u0131 tamamlanmakta olan \u201c\u015eehir Hastanesi\u201d, Kamu-\u00d6zel Ortakl\u0131\u011f\u0131 Modelinden vazge\u00e7ilerek bu ama\u00e7la bir an \u00f6nce hizmete a\u00e7\u0131lmal\u0131d\u0131r.)<\/p>\n<p>7- \u0130stanbul\u2019daki b\u00fct\u00fcn kamu hastaneleri h\u0131zla pandemi planlar\u0131n\u0131 eksiksiz olarak uygulamal\u0131 ve b\u00fct\u00fcn \u00e7al\u0131\u015fanlara gerekli e\u011fitim verilmeli, ilgili bran\u015flar d\u0131\u015f\u0131ndan g\u00f6revlendirilen hekimlerin e\u011fitimine \u00f6zellikle \u00f6nem g\u00f6sterilmeli, bu e\u011fitimler d\u00fczenli aral\u0131klarla tekrarlanmal\u0131d\u0131r.<\/p>\n<p>8- B\u00fct\u00fcn hastanelerde h\u0131zla etkin triyaj sistemi kurulmal\u0131, Covid-19 \u015f\u00fcpheli hastalar\u0131n di\u011fer hastalarla ayn\u0131 ortamda bulunmalar\u0131 ve temaslar\u0131 \u00f6nlenmelidir.<\/p>\n<p>9- Bu s\u00fcre\u00e7te di\u011fer hastalar\u0131n akut, kronik hastal\u0131klar\u0131 i\u00e7in sa\u011fl\u0131k hizmeti talebi g\u00f6z ard\u0131 edilmemeli, bu ama\u00e7la pandemi d\u0131\u015f\u0131n hastaneler belirlenmeli, kalp damar cerrahisi, kad\u0131n do\u011fum, psikiyatri gibi \u00f6zel dal hastaneleri bu \u00e7er\u00e7evede de\u011ferlendirilmelidir.<\/p>\n<p>10- Hastalar\u0131n ve hekimlerin, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n gerekli mesafeyi koruyabilmesini de sa\u011flamak i\u00e7in hasta randevular\u0131 20 dakikada bir hasta olacak \u015fekilde d\u00fczenlenmelidir.<\/p>\n<p>11- Covid-19\u2019lu hastalarla \u00e7al\u0131\u015fan hekimlerin, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n n\u00f6betler de dahil olmak \u00fczere g\u00fcnl\u00fck \u00e7al\u0131\u015fma s\u00fcreleri 12 saati ge\u00e7memelidir.<\/p>\n<p>12- \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc \u0130stanbul\u2019daki kamu hastanelerinin her t\u00fcrl\u00fc ihtiyac\u0131n\u0131 h\u0131zla kar\u015f\u0131layabilmek i\u00e7in ba\u015fta \u0130stanbul B\u00fcy\u00fck\u015fehir Belediyesi olmak \u00fczere yerel y\u00f6netimler ve di\u011fer kamu kurumlar\u0131yla s\u0131k\u0131 i\u015fbirli\u011fi i\u00e7inde olmal\u0131d\u0131r.<\/p>\n<p>13- \u0130\u00e7inde tabip odalar\u0131, sa\u011fl\u0131k meslek \u00f6rg\u00fctleri ve sendikalar\u0131n olmad\u0131\u011f\u0131 &#8220;\u0130l Pandemi Kurulu&#8221; bilimsel olarak anlams\u0131z, pratik olarak h\u00fck\u00fcms\u00fczd\u00fcr. Covid-19 pandemisiyle bo\u011fu\u015ftu\u011fumuz bug\u00fcnlerde b\u00fct\u00fcn siyasi y\u00f6neticiler ideolojik-politik \u00f6n yarg\u0131lar\u0131n\u0131 bir kenara b\u0131rakmal\u0131; \u201cg\u00f6r\u00fcnt\u00fcy\u00fc kurtaran\u201d de\u011fil, ger\u00e7ekten durumu ve ihtiya\u00e7lar\u0131 saptay\u0131p s\u00fcreci y\u00f6netebilecek bir \u201c\u0130l Pandemi Kurulu\u201d olu\u015fturulmal\u0131d\u0131r.<\/p>\n<p>\u0130stanbul Tabip Odas\u0131&#8217;n\u0131n 30 Mart g\u00fcn\u00fc yay\u0131nlad\u0131\u011f\u0131 &#8220;Korona G\u00fcnlerinde \u0130stanbul\u2019da Sa\u011fl\u0131k-1 Kamu Hastaneleri Raporu&#8221;na ula\u015fmak i\u00e7in <a href=\"https:\/\/www.istabip.org.tr\/5620-korona-gunlerinde-istanbul-da-saglik-1-kamu-hastaneleri-raporu.html\">ba\u011flant\u0131<\/a>y\u0131 kullanabilirsiniz.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00dclke genelindeki tabip odalar\u0131 SARS-CoV-2 vir\u00fcs\u00fcn\u00fcn \u00fclke genelindeki yay\u0131l\u0131m\u0131na ili\u015fkin raporlar yay\u0131nlamaya ba\u015flad\u0131. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, T\u00fcrkiye genelindeki vaka say\u0131s\u0131n\u0131 a\u00e7\u0131klarken iller baz\u0131ndaki vaka say\u0131lar\u0131n\u0131 a\u00e7\u0131klam\u0131yor. Tabip odalar\u0131 ise tespit edebildikleri, kendilerine bildirilen vaka say\u0131lar\u0131n\u0131 raporla\u015ft\u0131r\u0131yor. \u0130stanbul Tabip Odas\u0131 da 30 Mart g\u00fcn\u00fc &#8220;Korona G\u00fcnlerinde \u0130stanbul\u2019da Sa\u011fl\u0131k-1 Kamu Hastaneleri Raporu&#8221;nu yay\u0131nlayarak il baz\u0131ndaki durumu de\u011ferlendirmi\u015fti. Bu [&hellip;]<\/p>\n","protected":false},"author":429,"featured_media":41215,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[19],"tags":[5848,5205,5956,5827,5957],"class_list":["post-41212","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bilim-gundemi","tag-covid-19","tag-istanbul","tag-istanbul-tabip-odasi","tag-sars-cov-2","tag-yogun-bakim"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/41212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/users\/429"}],"replies":[{"embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=41212"}],"version-history":[{"count":0,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/41212\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/media\/41215"}],"wp:attachment":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=41212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=41212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=41212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}