Gestion de la dotation des médecins correspondants du SAMU du réseau Nord-Alpin : difficultés et solutions

Abstract : Introduction : « Médecins correspondants du SAMU » (MCSs) are links of the emergency chain in zones in more than 30 minutes of a SMUR. They have a endowment of biomedical material and products of health. If the circuits of supply of this endowment are defined, the modalities of management by the practitioners are not specified. The objective is to estimate the difficulties of management met by the practitioners and to propose solutions of improvement. Data and method : Descriptive study by questionnaire with 130 MCSs of the network the Alpine North, to identify their organizations of management of their endowment, indicate the difficulties and evoke tracks of improvements. Results : 70 MCS answered, distributed in 46 offices. 35,7 % of the MCSs missed certain products of health during an intervention. The ketamine and the morphine are the most mentioned. 57,1 % of the MCSs report difficulties. The main reported difficulties are the resupplying of the endowment with reference hospitals, follow-up of the quantities and the lapsings of the products of health, as well as an insufficient endowment ketamine. The proposed solutions are the delegation to the staff not doctor, in particular the pharmacy ; the use of a software of management of the products of health and a quantity of ketamine more important. Conclusion: Difficulties exist in the management of the endowment MCSs by the practitioners, but improvements were already brought, others again are to be promoted to secure the therapeutic care on the ground and consolidate the membership of the doctors to the network MCSs.
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Laure Bailly Beauregard, Florian Guevara. Gestion de la dotation des médecins correspondants du SAMU du réseau Nord-Alpin : difficultés et solutions. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02102122⟩

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