Oloron hospital: ARS and management want to reassure the population about the resumption of emergencies

By appearing this Friday morning in front of the press, the representative of the ARS thus wished to undermine “untruths”. “I understand the character…

By appearing this Friday morning in front of the press, the representative of the ARS thus wished to undermine “untruths”. “I understand the unreadable nature of this episode of closing-reopening”, continues Maritxu Blanzaco who says he is “sensitive” to the mobilization.

The editorial staff advises you

“Unfavorable situation”

To “deconstruct the representations”, the two authorities traced the context of this incident. “On Tuesday (May 2), we had to deal with three sick leave from emergency doctors”, explains the director of the hospital center (CH) Frédéric Lecenne. Impromptu defections which forced the establishment to announce a closure. “We had no hope of reviving the activity quickly”, assures the director. “No other emergency service could have recovered from such an unfavorable situation”, supports the ARS.

And then, on Monday, May 9, the CH ended up receiving answers from replacement emergency physicians. “The contract workers with whom we work have expressed a form of solidarity by offering additional on-call slots,” underlines Frédéric Lecenne. Applications which then allow the hospital to declare its emergency department operational again. Especially since freelancers have activated their networks to bring in colleagues. In addition to these reinforcements, there are those from military medicine with whom the CH has just signed an agreement.

Monthly projections

Despite everything, the situation remains “precarious”, admit the management and the ARS. Indeed, the emergency schedules are currently closed for May and June with however still “six unfilled time slots”. “Barring damage, emergencies will work normally during these two months,” said management.

Frédéric Lecenne, the director of the hospital, and Maritxu Blanzaco, director of the ARS in 64, wanted to speak after the mobilization of support for the staff of the establishment.

Benoit Rouzaud

As for the operation of this summer, the management is working on the constitution of the schedules. “The schedule is not empty. Half of the beaches are filled for July-August”, indicates Frédéric Lecenne. The emergency department organization normally requires with 11.5 full-time equivalent (FTE). However, “It works with less than half of these numbers. Only 4.5 FTEs are holders”, specifies Frédéric Lecenne, welcoming the commitment of the emergency physicians who “held the barracks for a long time with these few means”. For two and a half years, the establishment has been planning “month by month, even weekly”, deplores the management. On average, emergencies receive between “35 and 40 passages” per day.

Territorial emergency team

According to these authorities, the shortage of professionals is at the origin of this structural problem which does not spare the other establishments in the region. Of the 15 emergency services in New Aquitaine, 7 closed punctually or longer for the same reasons, recalls the ARS.

The editorial staff advises you

To deal with this type of critical situation, the ARS relies on the Mobile Emergency and Resuscitation Structures (SMUR). A vital emergency service provided during the closure by a “Dragon helicopter vector” from Pau. The Agency is also counting on a graduated service by “regulating” access to emergencies thanks to a filter of 15.

In a more sustainable way, the health authority wishes to set up a territorial team of emergency physicians through consultation between the hospitals of Pau, Oloron and Orthez (read our edition of March 17 ).

The tenure of freelancers not obvious

For the management of the hospital, the tenure of its freelancers seems a solution that is difficult to achieve. Despite attempts at approach, these contract workers often prefer to remain in their much more profitable situation, not to mention the lack of attractiveness from which this type of establishment suffers. “The salary ratios are 1 to 3 between the holders and them”, explains the director. But beyond remuneration, temporary workers can also free themselves from institutional work within the governance of the establishment. Differences that the Ségur de la santé is supposed to erase, slips the ARS. The hospital suffering from a lack of practitioners “in all departments”, it operates “with two thirds of replacements on a constant basis”, according to management.