Whether it is a wave, a flood or a tide, the new influx of Covid-19 patients highlights one of the hospital’s flaws: the number of caregivers at half mast.
The 15,000 recruitments for the public hospital announced this summer as part of the “Ségur de la santé”, future staff that must first be trained, are not immediately visible on the ground.
“Compared to the spring, there are fewer of us, especially in terms of paramedical staff,” Nadia Aissat, an anesthetist-resuscitator at the Pitié-Salpêtrière hospital in Paris, told AFP.
One of the two wings of the cardiac surgery hospitalization department (25 beds) is closed for lack of personnel. A problem that also impacts cardiology, orthopedics, neurology …
Same story for the Diaconesses – Croix Saint-Simon, a private non-profit hospital group in the east of the capital: “We normally have a 13-bed intensive care unit. Only nine are open due to staff problems. and a third are currently occupied by Covid patients “, details Roland Amathieu, anesthetist-resuscitator.
“We learned a lot from the first wave, enormously improved the care. But we now have a big problem of human resources. And it is the same in a large number of resuscitation”, he adds, evoking in particular the “lack of institutional recognition” vis-à-vis nurses.
Like all of her department, Nadia Aissat “had Covid” in the spring then reoperated “quickly and very hard all the patients who could not be treated”.
– “Join us !” –
“There is a real fed up, people do not have the impression of being heard, they do not have the impression of being supported,” she explains.
Result: “There was a wave of monstrous resignations, especially among nurses.” In question, the too heavy workload, the increasingly deleterious conditions, the lack of attractiveness, of recognition …
However, on Tuesday, the number of Covid-19 patients placed in intensive care exceeded 1,600, according to figures from Public Health France.
So we sound the reminder: “doctors, nurses, pharmacists, physiotherapists, dieticians, nursing assistants, midwives, psychologists, carers, service agents, qualified maintenance agents, cooks, employees, freelancers, retirees , students … All volunteers, whether salaried or liberal, students and retirees, are invited to register now on the Renfort-RH platform, “the Ministry of Health announced on Monday.
Same approach to the Assistance publique – Hôpitaux de Paris (AP-HP), which tweeted a “Join us!” accompanied by a form of “mobilization of reinforcements in medical and paramedical personnel”, “in anticipation of a strong increase in activities”.
“We are trying to make a call (…) so that all staff, even if they have stopped being a nurse or caregiver for a few years, come back to work for a while at the hospital,” said Wednesday on RFI Patrick Pelloux, president of the Association of emergency physicians of France (Amuf).
Because this time, it will not be possible to empty the other services of their caregivers: “It will be necessary to continue to operate on patients (in particular heavy pathologies), to continue to make the diagnosis”, warns Roland Amathieu, who evokes a “double penalty “.
“We are going to have Covid which arrives all the time over the course of the water and then the others (patients) whose care will have to be spread out”, he adds.
“I’ve been doing intensive care for 15 years, this is the first time that we learn so quickly about a pathology, in any case in intensive care”, but “Covid patients are still among the heaviest patients. And they stay a long time “.
In intensive care units, at least one nurse is needed for two and a half patients. “The sheaves cannot turn without them”, argues Nadia Aissat.