0
Please log in or register to do it.

From proxy prescriptions to suturing… Nurses are forced into illegal treatment due to medical vacuum

Patient damage continues… “There is no doctor to prescribe emergency medication to a cardiac arrest patient.”

“Preparing to file charges against nurses and residents”… Nursing Association “Response to accusations”

Korean Nurses Association, emergency press conference

Korean Nurses Association, emergency press conference

(Seoul = Larose.VIP) Reporter Oh Jin-song = The government decided to establish a protection system for nurses as field testimonies emerged that nurses were forcibly taking over the work of residents who resigned en masse in opposition to the expansion of medical schools.

This is a method of clearly defining the scope of work for nurses and sanctioning medical institutions that violate it.

On the morning of the 23rd, the Korean Nurses Association (Nurs Association) held an emergency press conference at the Nursing Association Seoul Training Center in Jung-gu, Seoul, and disclosed the details of the reports of nurses exposed to illegal medical practices.

As the mass resignation of doctors began, the Nursing Association opened the ‘Medical Vacancy Crisis Response Field Nurse Difficulty Reporting Center’ at 6 PM on the 20th and is receiving reports from nurses. As of 9 a.m. that day, 154 reports had been received.

Nurses cited ‘illegal medical treatment instructions’ as the biggest difficulty.

In place of residents who have left the hospital, nurses perform tests such as blood collection, arterial blood collection, blood culture, and specimen collection, as well as treatment/treatment and examination such as electrocardiogram and residual urine ultrasound (RU sono), surgery-related tasks such as surgical assistance and suturing, and nasogastric tubes (nasogastric tubes). It was revealed that tube management, including L-tube insertion, and proxy prescriptions were administered using the ID of a professor in the ward.

In addition, it was revealed that he was forced to prepare various medical records on his behalf, such as initial visit records, discharge summaries, progress records, and medical certificates, as well as patient admission and discharge documents.

Emergency room patient treatment restrictions notice

Emergency room patient treatment restrictions notice

Patient safety is also greatly threatened due to the medical gap.

The Nursing Association said, “We received two reports of patients suffering from cardiac arrest whose condition worsened because there were no doctors to immediately prescribe emergency medication and intubate the artificial trachea,” adding, “Due to a shortage of doctors, nurses are not allowed to accompany patients in the intensive care unit to doctors.” “We have also received a report saying, ‘We are waiting.’”

It was found that due to a shortage of workers, the period of patient disinfection was increased from 4 to 7 days. Gauze disinfection, which should be done on weekends, is only done on weekdays.

Among the medical institutions reported, tertiary general hospitals accounted for the most at 62%, followed by general hospitals at 36% and hospitals at 2%. The nurses who reported were general nurses at 72% and PA (Physician Assistant) nurses at 24%, with a much higher percentage of general nurses.

PA nurses, also called ‘clinical nurses’, assist in operating rooms, assist in testing procedures, request specimens, and assist in emergency situations. It is known that more than 10,000 people are working across the country, taking on the role of some doctors on the borderline between illegality and evasion of the law.

The government announced that it would consider using PA nurses if residents take collective action.

“Patient as my own body”

“Patient as my own body”

To this end, the Ministry of Health and Welfare and the Nursing Association agreed through two-day discussions on the 21st and 22nd to establish a specific protection system so that nurses can work with legal protection in situations of medical vacancy.

According to the Nursing Association, the government decided to draw up a list of tasks that medical institutions cannot delegate to nurses and hold medical institution heads accountable if they violate this in the field.

This is a measure to prevent some nurses from being forced into illegal treatment by taking over medical care that doctors should perform, as the duties of doctors and nurses have not been clearly distinguished by law.

‘Medical activities that cannot be delegated’ to nurses will be prepared by referring to Supreme Court precedents, and other duties will be prepared through consultation with the nursing department by heads of medical institutions.

Second Vice Minister Park Min-soo said at a briefing at the Central Accident Control Headquarters on this day, “There are ‘unclear gray areas’ in the medical practices carried out within each institution under the responsibility of the head of the medical institution.” “I will tell you this here and continue to guide you in that way,” he emphasized.

We are also pursuing measures to reduce responsibility for nurses in the event of a medical accident.

The Nursing Association also requested that the government establish an appropriate compensation system, such as supporting ‘crisis response nurse allowances’ for nurses working at 409 emergency medical clinics across the country that operate 24 hours a day to maintain essential medical functions.

Group withdrawal of majors continued for four days

Group withdrawal of majors continued for four days

Meanwhile, according to the Nursing Association, some residents are reportedly preparing to file charges against nurses.

Although the specific reason for the complaint is not known, it is pointed out that residents are trying to take issue with nurses taking over doctors’ work. This is because during the residents’ strike in 2020, some nurses replaced doctors’ work and were accused by residents of unlicensed medical practice.

The Nursing Association said, “If residents report nurses, we will respond accordingly.”

Considering that the health and medical situation has worsened, with more than 70% of medical residents leaving the medical field, the government raised the health and medical disaster alert level to the highest level, ‘serious’, as of 8 a.m. on this day.

This is the first time that the disaster warning has been raised to ‘severe’ due to a health care crisis rather than an infectious disease such as COVID-19.

dindong@yna.co.kr

Report to KakaoTalk okjebo 2024/02/23 14:34 Sent

“The government and medical community must actively engage in dialogue”… Religious circles issue statements one after another
Consumer group "Doctor groups' collective actions must be stopped... The number of doctors needs to be expanded."

Reactions

0
0
0
0
0
0
Already reacted for this post.

Reactions

Your email address will not be published. Required fields are marked *