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| Now Covid-19 facility at SKIMS Soura violates revised Govt norms | | Doctors, paras seek Raj Bhawan's intervention against 'money game' | | Early Times Report
srinagar, Apr 13: Even as the SK Institute of Medical Sciences Soura here has been treating Covid-19 patients apart from running quarantine center, both the facilities are being run in brazen violation of the latest norms as laid down by the Union government and the Union Territory of Jammu and Kashmir.
Official documents reveal that vide an order dated 01-04-2020 , the Government of Jammu & Kashmir Health & Medical Education Department has laid down detailed guidelines for running COVID facility.
"This is to inform you that the flow chart along with Standard Operating Procedure (SOPs) for management of COVID-19 Patients has been framed in consultation with senior experts of the Department.
I am sharing the same with you for favour of information and further necessary action at your end," the Financial Commissioner, Health & Medical Education Deptt, Atal Dulloo said in the order.
While the SKIMS Soura is not a designated hospital to treat COVID cases, as per the new laid down norms, this super-specialty hospital can be used to treat such patients only in "exceptional situation" termed as "Severe to Critical" by the government.
"Acute Respiratory Distress Syndrome. Onset new or worsening respiratory symptoms within one week of known clinical insult. Chest imaging (radiograph, CT scan, or lung ultrasound): bilateral opacities, not fully explained by effusions, lobar or lung collapse, or nodules. Respiratory failure not fully explained by cardiac failure or fluid overload. Need objective assessment (e.g. echocardiography) to exclude hydrostatic cause of oedema. If no risk factor present," reads a copy of the government guidelines.
"Sepsis: Adults: life-threatening organ dysfunction caused by a dysregulated host response to suspected or proven infection, with organ dysfunction. Signs of organ dysfunction include: altered mental status, difficult or fast breathing, low oxygen saturation, reduced mine output, fast heart rate, weak pulse, cold extremities or low blood pressure, skin mottling, or laboratory evidence of coaguiopathy, thrombocytopenia, acidosis, high lactate or hyperbilirubinemia. Children: suspected or proven infection and SIRS criteria, of which one must be abnormal temperature or white blood cell countm" the order adds.
Finally with regard to such cases, the government adds that "Septic Shock Adults: persisting hypotension despite volume resuscitation, requiring vasopressors to maintain MAP a65 mmHg and serum lactate level <2 mmol/L Children: any hypotension (SBP <5th centile or >2 SD below normal for age) or 2- 3 of the following: altered mental state; bradycardia or tachycardia (HR <90 bpm or>160 bpm in infants and HR <70 bpm or >150 bpm in children); prolonged capillary refill (>2 sec) or warm vasodilatlon with bounding pulses; tachypnea; mottled skin or petechial or purpuric rash; increased lactate; oliguria; hypothermia or hypothermia," the order reads.
But as per the official documents as made public by the SKIMS, till April 8, the hospital has treated even the patients who were only suspected of the ailment than what to talk of their being seriously ailing with COVID.
"Total number of suspected coroana virus patients treated : 334," reads the official document.
Sources said the facility to treat to COVID cases was being run "unlawfully for sole business motives."
"There is multi-crore funding for Covid19 for which no tendering is required. So this is a business game in the garb of patient care when the hospital has been unduly infected," said a delegation of doctors and paramedics on the condition of anonymity.
The doctors reiterated that the hospital was not kept as a designated Covid hospital such that it remains free from the deadly virus for treatment of cases needing specialized medical treatment.
The complainants said they were dispatching a written complaint to the Prime Minister's office as also to Raj Bhawan in Jammu as not only lives the critically ailing but even that of doctors and paramedics has been unlawfully jeopardized.
When contacted a senior official at the SKIMS said that even though the government guidelines were being allegedly violated in some cases, all such efforts were being made in the interest of the "good governance." "Such decisions are needed in such calamities as a mark of good governance," said the official on the condition of anonymity. He said "some doctors were trying to unduly blame the boss who works day and night for the cause of people." |
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