Hospital de Cascais
Covid-19 Pandemic on a Peripheral Hospital
The pandemic posed an extra challenge for a peripheral hospital such as the Hospital de Cascais. Although the National Health Authorities defined an initial plan in which all cases should be referred to specific Hospitals, it was clear that at some stage every hospital had to treat their own cases. The hospital had to redesign its services in order to accommodate the demands of the pandemic.
To do this, the psychiatric outpatient clinic was transformed into an ER devoted to COVID-19 patients. The psychiatric ward and the surgical floor were also converted into exclusive COVID wards. The Physiotherapy Department was transformed into a delivery room because it has an independent access to the outside, so that the circuit for pregnant women circuit was completely independent of the other patients. Structural changes were also made to the intensive care unit, making it equipped to treat up to 18 patients with COVID-19. In the operating room, a dedicated circuit for COVID-19 patients was created, with the allocation of two rooms that were prepared to accommodate COVID-19 patients and the necessary circuit of the professionals and also prepared to allow the alternation from positive pressure to negative pressure. These initiatives allowed the hospital to be always below the point of rupture, with enough beds to accommodate patients and enough staff to take care of them.