Kanagawa Prefecture To build a new system by preventing “collapse of care” by Corona May 22 15:08
To prevent the collapse of nursing care due to a shortage of staff when a new coronavirus infection occurs in nursing care facilities, Kanagawa Prefecture has embarked on building a new nursing care system that dispatches staff across the boundaries of the facility.
When NHK interviewed local governments in Kanagawa prefecture about the infection status in nursing homes such as special elderly nursing homes, 43 users, 22 employees, 65 people in total were infected, and 4 of the infected users Eleven people, one in one, died.
There are 33 nursing care service offices that are closed this week, and although it has decreased by half compared to the point on the 20th of last month, how to continue operation while suppressing new infections has become an issue. I will.
Under these circumstances, in Kanagawa Prefecture, if an infection occurs in a nursing facility or a facility for the disabled, it is necessary to wait for the staff at home or to zone the facility for nursing care. Has embarked on the construction of a new nursing care system that dispatches support staff.
The prefecture calls on approximately 14,000 businesses in the prefecture that operate nursing care facilities, etc. to cooperate, have them register the staff who can respond in advance, and dispatch staff across the boundaries of the facility as needed. Ask.
By preparing protective clothing to prevent infection and conducting training in advance, the prefecture wants to request the cooperation of the retirees of the facilities to secure human resources.
"When I am in trouble, I want to cooperate with each other."
Kanagawa Prefecture is calling for cooperation widely, such as by visiting business operators in the prefecture, in order to build a new nursing care system that dispatches employees across the boundaries of facilities.
On this day, the staff of the prefecture and the Council of Social Welfare visited a business operator operating a nursing home for the elderly in Samukawa.
The person in charge of the prefecture, etc. explained that when a support staff was dispatched, a substitute staff member was dispatched, and if a staff member was hired in the short-term instead, a subsidy was provided for the personnel costs, etc. It was
This business employs a total of 80 staff members in 5 facilities such as nursing homes and day services, but decided to dispatch a maximum of 5 support staff upon request. ..
Kyoko Misawa, director of “Samukawa Home,” said, “There is always a risk of infection even at my own facility, and I would like to cooperate with each other when I am in trouble. There is a concern that the staff may be infected at the support destination, so it is important to protect the infection. I would like them to improve their training and other measures. "
Keita Nagashima, Chief of the Community Welfare Division, Kanagawa Prefecture, said, “Infections have been suppressed compared to the one-time period, but we cannot predict when it will start increasing again, so we need to put in place a system from now on. Meanwhile, we would like to create a system that allows us to continue operating the facility. "
Maintaining "quality of care" is an issue
On the other hand, in the field of nursing care, how to maintain quality while protecting lives from infection is a major issue.
Among the special elderly nursing homes operated by Fuji Shiroen, a social welfare corporation in Kanagawa Prefecture, the facilities in Fujisawa City are home to approximately 140 people aged 50 to 100 who are certified as requiring nursing care.
At the facility, access is restricted to those other than staff, mats soaked with antiseptic solution are placed at the entrance and exit to disinfect shoes and wheels of wheelchairs, and staff disinfect hands three times before contacting the residents and caring for them. We take thorough measures such as exchanging gloves for each person, and no infection has occurred so far.
Ms. Kimi Hosokawa (95), who visited the residents and their families through a TV phone, talked to her grandson, "I'm glad I was in front of such a machine. I was relieved that my grandson had a good face. I was talking. "
On the other hand, in preparation for a situation in which a corporation may be infected with infection, we have compiled measures to operate the facility assuming that half of the 150 employees will not be able to go to work.
However, under the assumption that the number of staff will be reduced by half, bathing will have to be reduced from three times a week to once, and two people in a single room will have to use it so that the staff will be able to easily see it. It is inevitable.
Hiroshi Hatsutani, Chairman of Fujishiroen, said, "It is our job to increase the satisfaction of users in normal times, but in the unlikely event it is necessary to change the concept of nursing care. You have to connect your life with it or think about it as the highest priority. ”
On the other hand, it is said that there is a difficulty in maintaining the quality of nursing care even if the system is used to compensate for the shortage of personnel between the facilities as the prefecture promotes.
Miyo Iwamoto (110), who is in another facility operated by a corporation, says that the staff regularly asks, "Is it delicious?" Or "Can I eat more?" It will increase.
It is said that it usually takes about three months for the staff to grasp the situation of each person, such as the character and tendency of the resident, and the signs that should be noted in terms of physical condition.
Hatsutani said, “Because caregivers, caregivers, and human beings are both human beings, it is not an industry where 100% of the work can be done instead if someone enters. Even if we can survive a temporary labor shortage, it will continue for a long time. Therefore, how to maintain it including the quality of nursing care will be an issue for the future. "