Скорая помощь и приемное отделение

13.08.2017

Скорая помощь и приемное отделение

Вопрос.    В нашем городе давно сложилась странная и, кажется, самостоятельно неразрешимая ситуация. Я работаю врачом приемного отделения самой крупно в городе больницы. Часто бригады скорой помощи (СП) привозят в приемное отделение больных, осмотрев которых, я не нахожу причин для экстренной госпитализации. Соответственно я такого больного не принимаю и возвращаю той же бригаде СП. Но на нашей СП – и у линейных сотрудников, и у самого старшего руководства – есть категоричный ответ: мы вам не такси, по домам больных не развозим! Мы вам больного привезли, а дальше дело ваше. И уезжают без моей подписи о приемке больного в карте СП! И я начинаю заниматься совсем не своей работой: если у больного есть при себе деньги, вызываю ему такси, если денег нет - звоню родственникам, чтоб забирали, или, по рекомендации собственного руководства, предлагаю переночевать у нас в приемном отделении на лавочке. Считаю такое положение в корне неверным. Пока больной не принят мной, о чем будет свидетельствовать моя подпись в карте СП, он находится под юрисдикцией СП. И при непринятии такого больного в больницу по экстренным показаниям, его судьбу должна решать привезшая пациента бригада СП. Есть ли на счет такой ситуации какие-либо регламентирующие документы? Как заставить СП правильно выполнять свой профессиональный долг? Или, может, я сам заблуждаюсь?        Владимир Сергеевич

Ответ.       Прямых указаний в законах о необходимости соблюдения врачами СМП преемственности нет.  Но на станциях СМП имеются должностные инструкции, где указывается на необходимость преемственности и должного выполнения своих обязанностей. Все, ... общие слова, нет конкретики.  Формально медицинского работника СМП (врача, фельдшера)  можно наказать за явное (грубое)  несоответствие симптоматики больного той, что нашел врач приемного отделения ГКБ.  Указывайте на это в отрывных талонах. Жалуйтесь,  рапортуйте своему руководству... Таким вот способом Вы можете ставить их на место.  


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