This is how the new consultations in primary school are: nurses can attend to cases of anxiety and dispense the morning-after pill

• Health 55% of the new reception consultations of the SAS in primary care are resolved without a doctor

• Mobilization The left tries to monopolize the protests of the White Tides in defense of health in Andalusia

Since this month of October, the Andalusian Health Service (SAS) is implementing in all

Andalusian

a new 'reception' consultation attended by

for all patients who, on a daily basis, come

.

The coronavirus pandemic has further congested public health and in recent weeks it has been common to see

at the gates of Andalusian health centers.

Complaints from users about not making an appointment with their GP quickly have also been frequent.

Health professionals have also

demanding more resources.

With the new consultation model, the Board intends to better organize patient care.

Despite the criticism, the Minister of Health,

, has defended this model and has served as the basis for the measures that the Ministry of Health is designing with the autonomous communities to address the

throughout the country.

The Minister of Health, in front of some members of the Marea Blanca platform, in Vejer de la Frontera

The new reception consultations were implemented in an experimental way in 11 of the 34 health districts of Andalusia.

Currently, they are already operating, according to the Board, in about 400 centers, 90% of the primary care network.

According to the data collected in the first districts that adopted these new consultations, 55% of the cases were attended to satisfactorily by the nurses. In other words, the patients who went to the health centers without an appointment left with the problem solved, without the need for a doctor to see them. In addition, of all the patients who attended, less than 4% were immediately referred to the

because they suffered from some pathology that required treatment that same day.

Nurses can resolve up to

previously agreed with scientific societies and professional associations.

The pathologies that they can treat range from anxiety, vomiting or diarrhea to the dispensing of the morning after pill, an emergency method to prevent pregnancy, which is used when a woman had unprotected sex or when the contraceptive method failed. you used.

Below are the 18 protocols that regulate the way nurses attend to the different pathologies in the new 'reception' consultations.

Morning after pill

The nurses attend to the patient who requires it when she has had

and there is a risk of pregnancy; if there were errors in contraception, such as incorrect use or lack of adherence to hormonal treatment; delay in taking oral contraceptives; delay in the application of injectable contraceptives; condom breakage during intercourse; or due to the expulsion of the IUD.

Among the criteria for excluding patients who attend these new consultations is that they be

; if there was a sexual assault; when there are liver pathologies, inflammatory bowel disease (Crohn's) and a history of ectopic pregnancy. Other exclusion criteria is that the woman is already pregnant or that more than five days of unprotected or risky sexual intercourse have passed. If the nurse or the patient so considers it, they can also be excluded from this consultation.

The protocol states that, in addition to dispensing the morning-after pill to the patient, the nurse must explain the available emergency contraception options, describe the

most common

and that it is an emergency contraceptive method, which should not be substituted to a method of regular use.

Anxiety

The protocol that regulates new consultations defines anxiety as "an emotional state, in anticipation of future harm or misfortune, accompanied by somatic feelings of tension and dysphoria".

This is a common response to stressful situations.

"

have an important social and economic weight due to their frequency and persistence. Within mental problems, anxiety is associated with high levels of disability and an impact on personal well-being, social and work relationships", describes the protocol .

Among the criteria for inclusion of the patient in the consultation attended by the nurse is having a feeling of suffocation or shortness of breath associated with two or more of the following symptoms: "

, nausea or abdominal discomfort, feeling of choking, dry mouth, trembling or shaking, paraesthesia and / or tingling, headache, instability or dizziness, increased heart rate, muscle tension, trouble falling asleep, difficulty concentrating and feeling of memory loss, fear of losing heart control and / or die ".

After a first assessment by the nurse, the patient will be referred to a medical consultation when they are

, whether they are pregnant, there is a previous Mental Health diagnosis (serious mental disorder), they have suicidal ideas, they are drug users, drugs or alcohol, or are vomiting.

You will also go to the medical consultation in case of chest pain, palpitations, lipothymia and syncope, those who suffer from chronic cardiac processes, angina pectoris or chronic respiratory processes, among others.

Allergic reactions

It is another ailment that nurses can attend to in new consultations.

They may respond to cases of

in the form of hives;

"Serpeginous, pressure whitening, and localized";

mild itching of hives, eye or nasal mucosa;

mild sun allergy;

rhinoconjunctivitis, among others.

They should not treat all patients who show allergic reactions.

They can reject

, pregnant women, when the patient has generalized hives that occupy a large amount of body surface and when there are circulation problems, with paleness and coldness of the skin (shock), among others.

Other pathologies

The protocols on new consultations attended by nurses in primary care also include care for patients suffering

, oral thrush, joint pain, diarrhea, neck and back pain, low back pain, cold sores, hypoglycemia mild, urinary discomfort, toothache, stye, bites,

, mild trauma and vomiting.

Those who suffer from these symptoms can also make an appointment with their GP, as always, but depending on the health district or health center to which they belong, they will or will not get an immediate appointment or several days later.

The objective of the SAS is that in

an appointment with the family

can be obtained

.

Currently, the delay varies depending on the health district and health center and can be up to two weeks.

The most saturated health districts and with the most pressure on primary care are those of Málaga-Guadalhorce, Costa del Sol, Seville and Metropolitano de Granada.

According to the criteria of The Trust Project

Know more

• Coronavirus

• Andalusia

• Malaga

• Seville

• Health

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Andalusia 55% of the new reception consultations of the SAS in primary care are resolved without a doctor

PandemicThe map of the new 'normality' in Andalusia: only Jaén and Cádiz are completely free of the restrictions

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