From Courier BolognaI pm by doctors against the State:
nurses working in our place
Exposed Order: accused the new rules on Emergency services, 118 and pre-surgical
First aid, against those responsible for the Medical
The new tasks and responsibilities, which are called emergency room nurses in the region, the ambulances of the 118 and in the pre-operative surgery in the area come under the lens of two prosecutors, including Bologna and Florence. To take us, as stated, is the Order of the doctors of Bologna, which has put the draft policy paper on triage in the emergency room and the experimental Perimed of the Emilia-Romagna and testing of the model see and treat emergency department Region Tuscany.
According to the Order of introduction of a "flood of nursing practice in the medical field" that could foreshadow a criminal offense to "the exercise and / or participation in the exercise practicing medicine." Simply put, nurses are required to perform any tasks of doctors without any professional. And new tools are introduced after the order would involve, inter alia, from two regions of the violation of Article 117 paragraph 3 of the Constitution, the distribution of competencies State / Regional.
The complaint was submitted to the two prosecutors to the top October, after the Regional Federation of Medical Associations in Emilia-Romagna has already expressed its "displeasure" on draft Viale Aldo Moro. Projects is already operational in practice. " For triage in the emergency room, for example, in addition to the usual evaluation of the patient to assign the priority code, must provide for the "'care and treatment practices to carry out independently by nursing staff", although "in the presence of protocols , procedures, operating instructions signed by the physician responsible for the operational unit "." Not only that: "We identify areas in which" the course of the patient can be carried out under the responsibility nurse, '"as" dressing for burns and bandages in first-degree extension body limited "or" therapeutic advance in the treatment of pain. "And yet, there is the" possibility of autonomous nursing staff to send directly to the medical specialist patients with specific signs and symptoms attributable to specialist. "
All this in spite of the ministerial guidelines, remember the order, indicate that the nurses work" under the supervision of medical service, responsible. " And here's the point of "absolute critical" means the supervision and responsibility of the physician "can not extend the behavior of the nurse in triage "because" risks becoming a factor favoring the bridge esercizioni misuse (or abuse) of the medical profession and an element of de-empowerment of the agent is certainly not entitled public health action. " In short, the triage nurse should continue to evaluate patients only by visual examination of symptoms. The Order also argues that to intervene with the 118 code red in the face, such as acute coronary heart disease, is not only the medical but also an ambulance car with the only nurse on board, and therefore "acts like, and instead , doctor, "perhaps by administering drugs particular in the face of heart attacks. Finally criticizes the project that assigns Perimed nurse in pre-operative 'assessments of the fact that fall in the medical facility. " This, however, after formation of a "just three months." Now the prosecutor will be to assess whether there's criminal acts in the two regions. The day following the submission dell'esposto the Order of Doctors in Bologna has informed all the Orders of Italy. "Our only desire - says the president Giancarlo Pizza - is to arrive at a clear rules. We fear the overflowing by other health professionals in medical procedures. "
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