衛生所支援疫調三班制亂跳醫護操到胃出血 - 高雄

By Damian
at 2022-04-19T23:36
at 2022-04-19T23:36
Table of Contents
※ 引述《RoyuLee (繭族)》之銘言:
: 就新聞稿內容來看,市長還是不肯直面問題所在嘛,「人家在講基層血汗,你說事務官也辛苦?」
: 以下手機排版文長,分享給高雄版鄉民,高雄的公衛體系,尤其基層衛生所的問題與現況,大致可以分為「先天結構性問題」與後天「疫情帶來的衝擊」兩大部份。
: 先來談「先天結構性問題」
: 一、人力與服務人口:
: 數字引用自109年監察院糾正衛福部的報告,
: 我們來看看各區的人口與衛生所護理師數量
: 衛生所名稱 平均(每名護理師)服務人數
: 高雄市三民二 48,702
: 高雄市鳳山二 35,952
: 高雄市鳳山區 29,960
: 高雄市三民區 26,224
: 高雄市楠梓區 20,632
: 高雄市鼓山區 20,019
: 上面是被監察院糾正報告中點名,平均服務人口超過兩萬的衛生所,全台12間高雄佔一半,在沒有疫情以前,高雄衛生所兼負的社區健康照護責任,其實就已經較其他縣市吃重。
: 二、業務內容包山包海:
: 被監察院糾正報告稱之為「從禮堂管到天堂」,幼兒預注、傳染病防治、癌症篩檢推廣、社區精神個案的訪視追蹤,上面這些業務,在中央分屬不同部會,在衛生局由不同科室執掌,但下放到衛生所,「全部都是由同一批公衛護理師負責。」每個單位的業務都想找衛生所來做,但沒有一個單位在乎衛生所有沒有人力,做不做的來,所以監察院針對衛福部,在109年提出了糾正案。
: 再來講講「疫情帶來的衝擊」
: 一、COVID-19是新興的傳染病,自從病毒從武漢華南海鮮市場擴散到全世界,台灣為了防範疫情,衛生所也連帶增加了很多額外業務,諸如「疫苗接種站、疫情熱區的社篩站、確診個案的足跡清消追蹤、居家隔離者的健康追蹤…」實在增加太多太多,篇幅有限,只能簡要帶過。
: 二、查不完的稽查,今天查大眾運輸,明天查防疫旅館,後天查卡拉OK,假日晚上叫護理師協同員警去查八大,然後隔天很抱歉,多半還是要繼續上班,因為沒有人力輪替讓你補休。
: 三、居家隔離.居家檢疫.自主健康管理的民眾不能擅自就醫,需要透過轉介,於是調衛生所人力去衛生局專責單位輪三班。
: 四、本土確診案多,需要更多的人力疫調,於是繼續從衛生所徵調人力去另一個專責單位輪三班。
: 五、就這樣,被調去支援的不好受,留在衛生所的要一肩扛起更多業務,也不好受,在這兩年能離職的離職,能請長假的就請長假,形成一個痛苦循環的泥沼,人力不足的情況無限惡化,補的人力永遠追不上走掉的,甚至有護理師當天報到隔天離職。
: 等到衛生局所真的受不了,“上面”的解決之道:
: 「協調市府所屬各局處調派人力支援」
: 所以這兩天可以看到市府員工鄉民,不停在抱怨被抓去輪值,被迫支援的人呢,一非公衛專業,二是多少有點心不甘情不願,就好像一台拼裝車不看規格硬塞零件,這能走的長遠?
: 現在很顯然,台灣正走在後疫情時代的轉折點,用過去那套匡列方式或許可以暫時壓低,但是,「在防疫規範沒有升級,沒有禁止跨縣市移動的情況下,還能壓多久?」 對於將來確診者數量如果急劇上升的準備是什麼? 難道繼續用拼裝車湊合著用?
: 請正視基層防疫人員的人力配置、工時與待遇問題,這問題不改善,只會讓市府局處被調去支援的人越來越多,還不一定能有效發揮功用。
: -----
: Sent from JPTT on my Asus ASUS_I002D.
看到推文:週遭有護理師的都知好嗎?根本就敢怒不敢言. 更不敢上網爆料. ..
我就問,政府到底還在守什麼?
人性怕隔離的麻煩,造成永遠都會有確診黑數,一直壓榨員工到最後只是白忙一場。
月初一百多人確診,月中一千多人,月底呢?
全世界最嚴的就是中國,中國都守不住omicron了,台灣高雄憑什麼守得住?
有沒有想過,『如果真的守住了』,也只是在延後面對問題而已。在有生之年,一定
會有1/10 的人確診過。
現在守得越緊、守住了,那大家就得繼續痛苦守一輩子!
防疫不用人力資源?不要把公務員操死!
--
: 就新聞稿內容來看,市長還是不肯直面問題所在嘛,「人家在講基層血汗,你說事務官也辛苦?」
: 以下手機排版文長,分享給高雄版鄉民,高雄的公衛體系,尤其基層衛生所的問題與現況,大致可以分為「先天結構性問題」與後天「疫情帶來的衝擊」兩大部份。
: 先來談「先天結構性問題」
: 一、人力與服務人口:
: 數字引用自109年監察院糾正衛福部的報告,
: 我們來看看各區的人口與衛生所護理師數量
: 衛生所名稱 平均(每名護理師)服務人數
: 高雄市三民二 48,702
: 高雄市鳳山二 35,952
: 高雄市鳳山區 29,960
: 高雄市三民區 26,224
: 高雄市楠梓區 20,632
: 高雄市鼓山區 20,019
: 上面是被監察院糾正報告中點名,平均服務人口超過兩萬的衛生所,全台12間高雄佔一半,在沒有疫情以前,高雄衛生所兼負的社區健康照護責任,其實就已經較其他縣市吃重。
: 二、業務內容包山包海:
: 被監察院糾正報告稱之為「從禮堂管到天堂」,幼兒預注、傳染病防治、癌症篩檢推廣、社區精神個案的訪視追蹤,上面這些業務,在中央分屬不同部會,在衛生局由不同科室執掌,但下放到衛生所,「全部都是由同一批公衛護理師負責。」每個單位的業務都想找衛生所來做,但沒有一個單位在乎衛生所有沒有人力,做不做的來,所以監察院針對衛福部,在109年提出了糾正案。
: 再來講講「疫情帶來的衝擊」
: 一、COVID-19是新興的傳染病,自從病毒從武漢華南海鮮市場擴散到全世界,台灣為了防範疫情,衛生所也連帶增加了很多額外業務,諸如「疫苗接種站、疫情熱區的社篩站、確診個案的足跡清消追蹤、居家隔離者的健康追蹤…」實在增加太多太多,篇幅有限,只能簡要帶過。
: 二、查不完的稽查,今天查大眾運輸,明天查防疫旅館,後天查卡拉OK,假日晚上叫護理師協同員警去查八大,然後隔天很抱歉,多半還是要繼續上班,因為沒有人力輪替讓你補休。
: 三、居家隔離.居家檢疫.自主健康管理的民眾不能擅自就醫,需要透過轉介,於是調衛生所人力去衛生局專責單位輪三班。
: 四、本土確診案多,需要更多的人力疫調,於是繼續從衛生所徵調人力去另一個專責單位輪三班。
: 五、就這樣,被調去支援的不好受,留在衛生所的要一肩扛起更多業務,也不好受,在這兩年能離職的離職,能請長假的就請長假,形成一個痛苦循環的泥沼,人力不足的情況無限惡化,補的人力永遠追不上走掉的,甚至有護理師當天報到隔天離職。
: 等到衛生局所真的受不了,“上面”的解決之道:
: 「協調市府所屬各局處調派人力支援」
: 所以這兩天可以看到市府員工鄉民,不停在抱怨被抓去輪值,被迫支援的人呢,一非公衛專業,二是多少有點心不甘情不願,就好像一台拼裝車不看規格硬塞零件,這能走的長遠?
: 現在很顯然,台灣正走在後疫情時代的轉折點,用過去那套匡列方式或許可以暫時壓低,但是,「在防疫規範沒有升級,沒有禁止跨縣市移動的情況下,還能壓多久?」 對於將來確診者數量如果急劇上升的準備是什麼? 難道繼續用拼裝車湊合著用?
: 請正視基層防疫人員的人力配置、工時與待遇問題,這問題不改善,只會讓市府局處被調去支援的人越來越多,還不一定能有效發揮功用。
: -----
: Sent from JPTT on my Asus ASUS_I002D.
看到推文:週遭有護理師的都知好嗎?根本就敢怒不敢言. 更不敢上網爆料. ..
我就問,政府到底還在守什麼?
人性怕隔離的麻煩,造成永遠都會有確診黑數,一直壓榨員工到最後只是白忙一場。
月初一百多人確診,月中一千多人,月底呢?
全世界最嚴的就是中國,中國都守不住omicron了,台灣高雄憑什麼守得住?
有沒有想過,『如果真的守住了』,也只是在延後面對問題而已。在有生之年,一定
會有1/10 的人確診過。
現在守得越緊、守住了,那大家就得繼續痛苦守一輩子!
防疫不用人力資源?不要把公務員操死!
--
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高雄
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