Pediatric | 6 | 3.5 |
Anesthesiology and intensive care | 15 | 8.7 |
Nephrology-internal | 11 | 6.4 |
Pediatric intensive care | 5 | 2.9 |
Rehabilitation | 6 | 3.5 |
Gastrological and internal | 2 | 1.2 |
Cardio-internal | 12 | 6.9 |
Urology and urological oncology | 4 | 2.3 |
Otolaryngology | 5 | 2.9 |
Ophthalmology | 2 | 1.2 |
Obstetrics and gynecology | 11 | 6.4 |
Neonatology | 8 | 4.6 |
General surgery | 6 | 3.5 |
Neurosurgery | 6 | 3.5 |
Neurology | 10 | 5.8 |
Trauma and orthopedic surgery | 7 | 4.0 |
Emergency room | 13 | 7.5 |
Specialist clinics including primary health care | 5 | 2.9 |
Administration | 13 | 7.5 |
Hospital management | 2 | 1.2 |
Other | 24 | 13.9 |
Up to 132 h/month | 15 |
Between 132 h/month and 160 h/month | 16 |
160 h/month and over | 27 |
I. |
recommendation to facilities with infectious wards to follow procedures in case of COVID-19 emergency – list of infectious hospitals: – Designation of rooms/isolation in hospitals that have infectious wards |
No action taken |
II. |
recommendation for persons returning from northern Italy to observe their health condition and in case of deterioration to be isolated or to contact the nearest infectious diseases unit in general hospitals, to create a separate entrance for patients with symptoms of infectious disease and to follow the classification algorithm need for staff in contact with persons suspected to have SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection to wear masks |
No action taken |
III. |
to lay down rules for remote working to minimize the risk of infection among staff increase of the sickness benefit from 80% to 100% of the benefit assessment basis calculated on the basis of the provisions of the Act on cash benefits from social insurance in case of sickness and maternity granting care allowances due to the necessity of taking care of a child in person in the situation of closing a day nursery, children's club, kindergarten, school, or other institution which the child attends introduction of the possibility to provide health care services by means of teleportation, – the principles of disposal of contaminated medical waste generated in relation to COVID-19 were specified, a recommendation to nursing and midwifery staff to strictly observe sanitary-epidemiological standards and procedures implemented in places of assistance an appeal to managers of medical establishments to provide safe workplaces for their staff, equip them with the necessary personal protective equipment, and conduct practical training on the prevention of SARS-CoV-2 infection List of entities providing obstetric-gynecological services for pregnant women diagnosed with or suspected to have COVID-19 infection indication of financial rates for hospitalization of a patient suffering from COVID-19 providing financial resources to providers of services in the fight against COVID-19 extending the validity of certificates by 6 months introduction of the possibility for nurses and midwives, regardless of their education, to perform medical on-call duty in medical entities providing services 24 h a day introduced shortening of the time of training after a break in exercising the profession The possibility of qualifying donors for the donation of blood or blood components by nursing staff has been introduced. Sick pay is increased from 80% to 100% for medical and nursing staff in compulsory quarantine. the possibility for nursing staff to give tele-treatments |
a team responsible for organizational activities related to epidemic-proofing has been established isolation areas have been identified to close all entrances to the hospital between 20:00 h and 5:00 h to require the ward staff to ensure that visitors have left the hospital premises by 19:30 h at the latest introduction of pre-qualification of patients based on the questionnaire in the format prescribed, which was administered to patients suspected of having SARS-CoV-2 infection through a barricade that was specifically created for this purpose (in a tent closely adjacent to the side entrance to the hospital) three organizational zones were introduced: red for hospital employees; green for patients of the specialist clinic, primary care, laboratory, and physiotherapy laboratory; and blue for patients of hospital wards, dialysis station, NaHH, and Diagnostic Imaging Department Patient labelling with color-coded identification bands is introduced. prohibition of laboratory staff (subcontractor) from entering hospital premises; codes have been introduced to separate medical and administrative areas only a doctor of infectious diseases may order testing for COVID-19 only a physician may perform SARS-CoV-2 testing specific procedures are given for the preservation of the biological material collected work of specialist outpatient clinics was restricted all planned admissions to hospital, treatments, and examinations were suspended (until further notice), except for oncology patients, drug programs, and KOS – infarction (cardiac care and rehabilitation programme) performance of sterilization services for external entities suspended relocation of primary care outpatient clinics to NaHH premises a schedule was established for the availability of physicians on call for patients of specialist clinics and wards of the hospital Information was provided to the hospital emergency room on referring patients with suspected or actual infection to specific treatment centers. information to managers of organizational units (head of department) on absolute limitation of interdepartmental consultations, use of available means of communication (telephone, e-mail), absolute ban on transferring paper documentation between units segregation of so-called “isolation” rooms and marking of these rooms segregation of staff, on each shift, dealing with patients suspected of or infected with COVID-19 staying in isolation rooms visits to the patient are prohibited meals to be served in disposable containers the need for staff leaving the isolation room to maintain complete hygiene there is a precise sequence for putting on and removing personal protective equipment, which is disposable |
IV. |
sets out detailed rules for the settlement of services contracted with the NFZ (National Health Fund) in the event of discontinuation of services under the concluded agreements for the treatment of patients infected with SARS-CoV-2 Specified working hours, daily rest in health care services for the duration of the epidemic define the conditions for isolation of patients with suspected or actual infection, the rules for maintaining cleanliness during isolation, handling the patient's linen, medical waste, and food, determination of rules for handling dead bodies of infected persons the possibility of concluding contracts for performing diagnostic RT-PCR tests for SARS-CoV-2 and their settlement was introduced presentation of remuneration to persons assigned to work to combat epidemics defined the principles of pharmacotherapy, oxygen therapy, and management of patients in the ICU (intensive-care unit) recommendations for the protection of medical personnel against infection are included changes have been introduced for medical professionals working with patients suspected of or infected with SARS-CoV-2, restricting their work with healthy patients |
change in the organization of work in the administration area concerning, inter alia, matters related to the circulation of paper documentation, e.g., issue of pay slips, transmission of statistical cards to the Medical Statistics Department, issue of personnel certificates closed-door office operation and reduction in personal contacts the settlement period was extended from April 1, 2020 to December 31, 2020 an equivalent working time system was introduced, which allowed the daily working time to be extended to 12 h shift work in administration was introduced Information from the Director specifying the rules for delivering packages for hospitalized patients Designation of three entrances to the building (second hospital location): Entry No. 1: main entrance to ZOL, ZPO, NaHH–pediatric patients Entrance No. 2: main entrance to POZ, NaHH–adult patients Entrance No. 3: entrance to the staff bathroom after contact rules of handing over packages for patients in ZOL and ZPO are defined determines the procedure in the event of a patient presenting to the POZ and NON-POZ conversion of the Rehabilitation Ward into an isolation area The principles of organization of work of the medical and nursing staff in the newly established isolatorium were determined. recommendation of the director concerning the introduction of new principles of collecting material for testing for SARS-CoV-2 the need to take a swab for all patients to be hospitalized in the wards of the hospital a special room was prepared for swabbing patients for planned hospitalization separate operating rooms for gynecological-obstetric patients suspected of or infected with SARS-CoV-2 in order to perform emergency Cesarean sections or natural deliveries defined rules for the work of the surgical, anesthetic, neonatology, and cleaning teams the procedure for the management of suspected SARS-CoV-2 infection in a trauma patient indicates the principles for management of trauma patients infected with SARS-CoV-2 in the emergency room, operating theatre, and Diagnostic Imaging Department, and indicates the contact details of medical entities that have infectious wards treating trauma patients within their structure defined management in the pediatric emergency room of a patient asymptomatic for SARS-CoV-2 but in contact with a person in whom SARS-CoV-2 infection has been confirmed and a patient with symptoms for infection preparation of an isolation room for a child suspected of SARS-CoV-2 infection Order 43/2020 of April 30 on the amendment of Order No. 22/2020 of March 10 on the introduction of organizational changes related to the epidemiological situation caused by SARS-CoV-2 pre-qualification of persons presenting themselves at specialized clinics has been introduced obliged the manager of the physiotherapy laboratory, the managing physician of the Rehabilitation Ward, and the manager of specialist outpatient clinics to draw up a schedule of patient admissions and to establish rules for the safe provision of services the rules of initial qualification (sluice) of patients reporting to the physiotherapy area and specialist outpatient clinics are specified in detail |
V. |
possibility of re-establishing activity in the scope of inpatient and outpatient rehabilitation possibility of full-scale reinstatement of inpatient rehabilitation centers/units updated documentation on electronic verification and confirmation of medical device orders limiting visits to patients reducing to a minimum the number of staff required to work with patients in the long-term care area (separation of nursing sub-units and units) limitation of employment of medical personnel use of ICT systems by doctors to consult patients in long-term care facilities A special financial aid for the members of the District Chamber of Nurses and Midwives in Katowice granted in the event of infection with the virus announcement from the National Health Fund Headquarters about increasing the number of available swab points for SARS-CoV-2 communication of the Minister of Health on family childbirth the need for a negative PCR test for COVID-19 for the person accompanying the childbirth the need for an epidemiological interview of the pregnant woman and the attendant the length of time the attendant has to stay at the birth is specified discontinuation of health services provided in mobile vehicles discontinuation of rehabilitation services provided under contracts awarded by ZUS (Social Insurance Institution) |
the need to report the current occupancy and severity status of patients, vacant ventilators, and staff status the order of procedure was established: suspension of admissions in the Admissions Chamber and reorganization of wards in case of exhaustion of isolation places in wards (Otolaryngology) define scheduled admissions to all wards of the hospital, with detailed epidemiological history taking by telephone before scheduled admission defined planned admissions to the ward not exceeding two patients per day, except for ZOL and ZPO it was recommended to perform a swab prior to admission for COVID-19 the rules of informing about admissions by the registration of the Admissions Chamber are specified |
VI. |
Appropriation of funds from the program Knowledge Education Development for salary supplements for the staff of nursing homes, residential care units, and hospices, as well as for purchase of personal protective equipment and disinfectants, for the period of the COVID-19 pandemic Increase of costs of healthcare services in voivodeship plans by PLN 302.679 million. specified the duration of quarantine until a negative COVID-19 test result is obtained regulation of the Council of Ministers on the establishment of certain restrictions, orders, and prohibitions in connection with the occurrence of an epidemic determines the adjustment of remuneration of doctors during their residency established a quarantine period for persons who had contact with an infected person of 14 days |
crossing of traffic routes between patients and administrative staff |
VII. |
a higher valuation has been established for POZ and AOS (Outpatient specialist care) facilities that issue electronic referrals request for release of the general reserve in the amount of PLN 1.000 million introduced the possibility of providing services by restricted personnel only with the consent of the head of the health care unit removes the stipulation necessitating attendants at family births to show a negative COVID-19 test result |
|
VIII. |
impunity of doctors for manslaughter or grievous bodily harm is introduced The term of office of the bodies of the professional chambers of medicine has been extended. costs of healthcare services in regional branches were increased to the total amount of PLN 1.093.166 million introduced obligation for doctors to report services provided remotely the quarantine period for asymptomatic persons has been shortened to 10 days |
|
IX. |
specified the necessity of a negative diagnostic result test for SARS-CoV-2 taken not earlier than 6 days before the designated date of admission to ZOL or ZPO (tests financed from public funds) reduced quarantine period to 10 days |
preparation of 22 places meeting the requirements in question: OAiIT (anaesthesiology and intensive care unit) – one bed, Department of Rehabilitation – one bed, Neurosurgery Ward – two beds Department of General Surgery – two beds Department of Trauma and Orthopedic Surgery – two beds Obstetrics and Gynecology Ward – one bed Department of Otolaryngology – one bed Urology Ward – one bed Gastrologic and Internal Medicine Ward – one bed Cardiology-Internal Ward – one beds Ophthalmology Ward – one bed Nephrology-Internal Ward – one bed Dialysis Station – one bed Neurology Ward – two beds Pediatrics Ward – one bed OICU (Obstetric Intensive Care Unit) – one bed Accident and Emergency Department – one bed entrance to specialist outpatient clinics reopened Pre-qualification at the entrance to the green zone for outpatients was created. Specific eligibility criteria were established The main entrance was made available to patients collecting medical documentation (test results, discharges, photocopies of medical documentation) A schedule is established for the issue of documentation by individual departments |
X |
Act of October 7, 2020 amending certain acts to counteract the socio-economic effects of COVID-19 specified detailed tasks of Primary Health Care physicians Communication from the Minister of Health 16 coordinating hospitals have been established Regulation of the Minister of Health of 8 October 2020 amending the regulation on the organizational standard of care in isolation facilities possibility for HCPs to refer patients to an isolation facility no need to refer people waiting for a test result to an isolatorium it was recommended to temporarily suspend scheduled services introduced a COVID-19 medical staff benefit of 100% for doctors, nurses, and paramedics established 100% of remuneration for medics arriving in quarantine or isolation voivodeship hospitals have been instructed to transform their internal medicine wards into “Covid” wards Allows feldspersons to provide care for patients suspected of infection with SARS-CoV-2 |
It was ordered to create hospital places for patients with a positive test result for SARS-CoV-2: Gastrologic and Internal Medicine Department – 11 beds (October 16, 2020) Rehabilitation Ward – seven beds (October 16, 2020) Nephrology and Internal Medicine Ward – 18 beds (October 16, 2020) Otolaryngology Ward – nine beds (October 22, 2020) The establishment of an isolation facility for patients with unknown outcome was ordered: Department of General Surgery – six beds Trauma and Orthopedics Ward – six beds an area was separated in the Ophthalmology Ward for the activity of the Otolaryngology Ward the operation of the operating theatre was limited to two tables admissions were suspended except for acute cases, oncology patients, children, and pregnant women all medical staff were stopped from availing planned leaves, internships, and secondments it was recommended to prepare seven “covidien” beds in the Anesthesiology and Intensive Therapy Department it was recommended to change the organization of the admission room in order to eliminate the crossing of communication routes (emergency and COVID-19 patients) |
XI |
I level – hospitals for patients with suspected infection with SARS-CoV-2 II level – hospitals that treat patients infected with SARS-CoV-2 Level III – hospitals that treat patients infected with SARS-CoV-2, but the main reason for hospitalization is not COVID-19 Level IV – Hybrid hospitals, coordinating 95 “covidien” beds including 15 ventilator beds to be opened in WSS2 |
maintenance of 67 beds, i.e., 22 observation beds + 45 beds for positive patients including 38 oxygen beds [Nephrology – Internal Medicine (18), gastrologic – Internal Medicine (11), Laryngology (9), and 7 ventilator beds (Rehabilitation Ward)] in the decision from November 30 to provide 145 beds for patients with confirmed SARS-Cov-2 infection creation of a 12-bed ICU for infected patients, in place of the current anesthesiology and ICU establishment of a five-station anesthesiology and ICU for COVID-19 negative patients on the other side of the Rehabilitation Ward creation of a 10-bed (ultimately 46) ward for COVID-19 positive patients in the place of the current Trauma and Orthopedics Ward reduction of the rooms occupied by the Neurology Ward and the Stroke Ward to rooms in one section change of the location of the Trauma and Orthopedic Ward – rooms in the vacated part of the Neurology and Stroke Ward instructed ward/coordinating nurses to appoint from among their staff a person to secure the “Covid” sections presented the scheme of transfers of nurses from December 1, 2020 |
XII. |
recommendation one vial allows the preparation of five doses, the product is administered intramuscularly after dilution of the vial as a series of two doses 21 days apart the dose to the patient is 0.3 ml vial contains 5 doses with a possibility of up to seven doses inject 1.8 ml NaCL0.9% into the vial do not combine residual doses from two different vials |
the role of hospital coordinator for “Covid” wards has been established a scheme was prepared for the activation of additional posts with access to oxygen an obligation was introduced to provide practical training to physicians on providing medical services to patients infected with SARS-CoV-2 |
January | 0 | 0 |
February | 0 | 0 |
March | 2,311 | 264 |
April | 10,566 | 1,975 |
May | 10,909 | 6,170 |
June | 10,607 | 4,430 |
July | 11,295 | 3,481 |
August | 21,684 | 4,327 |
September | 24,142 | 2,125 |
October | 249,320 | 25,135 |
November | 649,977 | 79,912 |
December | 304,067 | 27,764 |
Pediatric Intensive Care | 8 | 17 | 12 | 8 | 9 | 9 | 7 | 7 | 13 | 9 | 11 | 9 |
ICU | 35 | 33 | 37 | 27 | 31 | 37 | 38 | 30 | 22 | 38 | 36 | 38 |
Obstetrics-Gynecology | 330 | 327 | 314 | 250 | 249 | 291 | 305 | 304 | 326 | 280 | 262 | 240 |
Neurosurgery | 119 | 131 | 88 | 38 | 76 | 103 | 93 | 81 | 108 | 75 | 40 | 54 |
General Surgery | 201 | 193 | 161 | 108 | 101 | 118 | 134 | 127 | 153 | 130 | 113 | 106 |
Trauma-Orthopedics | 165 | 163 | 133 | 62 | 76 | 114 | 127 | 119 | 118 | 96 | 68 | 88 |
53 | 75 | 60 | 14 | 17 | 22 | 27 | 35 | 44 | ||||
Urology | 223 | 210 | 154 | 39 | 88 | 121 | 164 | 151 | 191 | 127 | 94 | 122 |
180 | 152 | 118 | 101 | 116 | 108 | 119 | 94 | 122 | ||||
Cardiology-Internal | 189 | 206 | 141 | 107 | 176 | 167 | 174 | 163 | 179 | 155 | 147 | 169 |
Ophthalmology | 162 | 180 | 109 | 22 | 141 | 183 | 182 | 169 | 211 | 99 | 133 | 172 |
Nephrology-Internal | 106 | 100 | 88 | 72 | 69 | 69 | 105 | 74 | 71 | |||
Neurology | 168 | 151 | 117 | 91 | 92 | 95 | 106 | 102 | 131 | 89 | 71 | 90 |
Neonatology | 119 | 122 | 140 | 128 | 130 | 112 | 120 | 134 | 131 | 106 | 106 | 101 |
Pediatrics | 0 | 0 | 0 | 7 | 43 | 50 | 49 | 51 | 60 | 52 | 38 | 53 |
Patient | 61.89 |
Collaborators | 62.24 |
Families | 51.39 |
Third parties (in a shop, walking, etc.) | 61.82 |