Delays in oncological tests, overwhelmed professionals and unsustainable work hours. These are the complaints of the health personnel of the El Escorial University Hospital that show the critical situation in health management of the Government of Isabel Diaz Ayuso in the Community of Madrid.
The union sections of the Federation AMYTS–SAE–SIETESS, CCOO, SATSE, CSIT U.P., UGT and CSIF have reported to the Ministry of Health that the staff of the Madrid center “is totally insufficient to ensure adequate and safe care for patients.
Pablo Cerecedadelegate of the Association of Doctors and Higher Graduates of Madrid (Amyts) and surgeon at the El Escorial University Hospital, explains to Public that the population demand and the need for care geriatric patients have increased significantly. This situation, he points out, has caused “a overload in the emergency department due to the high number of patients referred from nursing homes”.
Cereceda emphasizes that The hospital operates with the same budget and staff as it did several years ago.. “He Villalba General University Hospitalprivately managed, has double the budgetdespite serving a similar population of about 115,000 patients. While our center has a budget of between 35 and 38 million euros, Villalba has financial resources that double it,” he points out.
They survive at the expense of excessive guards and outsourcing
“The staff is not enough. There is no adequate planning of the workforce, and When you try to act, it is always late and ineffective“, criticizes the Amyts delegate. Furthermore, he emphasizes that All health workers at the center exceed the limit of 48 hours per week maximum joint duration of complementary working day and ordinary working day established by the article 48 of the Framework Statute. “This limit is exceeded by carrying out about four and a half guards a month,” he explains.
Cereceda points out that one of the most critical areas of the hospital is pathological anatomywhere there are only two doctors on staff; one of them was on prolonged leave after an intervention, and the other was on maternity leave. “At the moment, We have only one pathologist for the entire hospitalwho also has the right to vacation. This has forced outsource numerous biopsies to a private companywith the additional cost that this implies,” he explains.
The service of anesthesia is another of the most affected, according to Cereceda. “He could not take care of the ICU during the summer because they could not cope“, he states. He explains that The Ministry of Health only intervened when the possibility of closing the service was raised. Also the situation in pediatrics It’s critical. “There are not enough pediatricians to cover the two on-call positions,” he adds.
Pablo Cereceda: “When an incident arises, all doctors make an extra effort; the problem is that here we are already at the limit, and the incidents continue to appear”
Cereceda adds that in Radiology the night shift radiologist position was eliminated years ago. “Some ultrasounds are outsourced,” he points out. “When an incident arises, all doctors make an extra effort; The problem is that here we are already at the limit, the incidents continue to appearand the staff does not give more of itself,” he laments.
He explains that in the area of nursing The situation is even more complex: “Suddenly, a nurse who is on the fourth floor caring for internal medicine patients has to go down to the second floor to cover pediatrics, and then she must also go to the delivery room to fill another gap. We can’t keep holding it“he points out.
Furthermore, he points out that The internal medicine service is going through a serious crisis: “He is very deficient. When there is a loss, everything falls on the remaining teammate.” The unions report that There are only two guards for the night shiftadministrative staff who must cover several positions, and cooks and maintenance staff with little foresight.
Sources from the personnel department of the El Escorial University Hospital have indicated to Public that vacancies are covered through the employment exchanges managed by the Madrid Health Service (SERMAS). “Only some categories, such as helpers, guards and maintenance personnel, are managed through an internal exchange,” they detail. However, They recognize that there is currently a deficit in the nursing and medical categories. This medium has tried to contact SERMAS, but has not received a response.
They denounce administrative apathy after dismissing a doctor
Last month, the center’s management decided not to renew the contract of an emergency doctor who had been hired for three weeks to cover an interim period. “During that time, the doctor had a disagreement with the management, who finally decided not to renew his contract, cancel his interim position and fire him“, reveals Cereceda.
Finally, according to the Amyts delegate, it was the union’s intervention before the Ministry of Health that forced the management to reinstate the doctor. “The doctor has passed a court and is about to sign the interim contract these days,” he concludes.
ensures that This complaint goes back years. without the Administration having offered a response. “It is urgent to take immediate measures“insist all the unions at El Escorial Hospital. Cereceda complains that the center’s management ignores the situationand that only reacts with threats and transferring responsibility to the Ministry of Health, which only offers minimal and insufficient help to prevent the collapse of the center.
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