The Chorotega integrated health services region of the Costa Rican Social Security Fund (CCSS) has reorganized the provision of services since this week before the national emergency declaration issued by the government by COVID-19.
Dr. Warner Picado Camareno, regional director, assured that the changes made in the region are aimed at strengthening the different levels and promoting a safe provision of services for patients and users. The doctor explained that, in the case of the health areas, they were reinforced with epidemiological surveillance, as part of the local management of the first response teams, to take samples from patients with respiratory problems.
Cambronero added that the regional department has another epidemiology specialist for surveillance, it was reinforced with extended sessions for the care of respiratory patients at the first level, all epidemiology specialists were trained, and differential care of suspected cases was implemented. in health and hospital areas.
Dr. Marvin Palma Lostalo, general director of the Enrique Baltodano Briceño hospital in Liberia, explained that because nine specialists were out of the country and are in quarantine, the decision was made to cancel elective surgeries, so they will only perform surgeries for emergency and support to La Anexión hospital. Palma specified that, in addition, the outpatient consultation for patients over 65 years of any specialty was canceled, all dental, psychology and social work consultations were suspended; whose professionals will be destined for hospitalization and to answer questions from patients. In addition, a preferential space was created in emergencies for patients with respiratory problems who will be sampled outside the hospital.
In the case of the visit, the official reported that there will only be one visit a day, from 11:00 in the morning to 12:00 in the afternoon. In the case of patients who can be accompanied 24 hours, it is the supervising nurse who will study each case and the companion cannot be an older adult.
For his part, Dr. Anner Angulo Leiva, general director of La Anexión hospital in Nicoya, explained that the reorganization of services is due to the fact that a hospital official tested positive for COVID-19 and had several contacts with other officials. Angulo said that elective surgeries were canceled and that obstetric, pediatric and orthopedic emergency surgeries will be performed at this hospital center, since patients requiring general emergency surgery will be referred to the Liberian hospital. Additionally, patients hospitalized for general surgery will be treated with surgeons from the Liberia hospital by teleconsultation.
The director of Nicoya added that the hospitalization service will reduce its capacity, so that patients who do not have their health at risk will be discharged, to reduce the influx of people inside hospital facilities for safety.
Regarding the visit of hospitalized patients, it was reduced to a single daily visit from 4:00 to 5:00 in the afternoon, and that for patients who require a 24-hour companion, they were asked to only be two people who accompany: one in the day and one at night. In the case of the pharmacy, the Nicoya hospital will coordinate with the health areas so that the dispatch of the medications is carried out in the pharmacies of the area headquarters and thus the patient does not have to go to the hospital, subsequent patients are will deliver the treatment for three months. Laboratory shots were suspended.
Meanwhile, Dr. Andrés Ávila Barboza, general director of the Upala hospital, announced that the outpatient consultation and elective surgeries were canceled after the national emergency declaration as a preventive measure to reduce the flow of patients within the hospital. In addition, an area outside the hospital was set up to take samples from patients with respiratory problems 24 hours a day, seven days a week.
The directors explained that these measures are for this week, which will be analyzed in the coming days, according to the behavior of COVID-19 in the region, as well as the results of the suspected cases, in the case of the Nicoya hospital.
Los médicos solicitaron a la población seguir las indicaciones del Ministerio de Salud como quedarse en la casa, lo que implica salir solo en caso necesario, lavarse las manos, aplicar el protocolo para toser y estornudar, no asistir a lugares donde haya mucha gente, entre otras.