Top > ご連絡など > ケアマネジャーの介護保険NEWS > 【介護支援専門員 NEWS】医療・介護の現場に広がる"輪番"の不安- 東日本大震災
【介護支援専門員 NEWS】医療・介護の現場に広がる"輪番"の不安- 東日本大震災
■バッテリーを利用した発電機を急きょ準備
埼玉県所沢市にある「はらこどもクリニック」の原朋邦院長は13日夜、翌朝からの計画停電の実施を知ると、ワクチンを保存する冷凍庫用の発電機の確保に追われた。アウトドア用の発電機を買いに近くのホームセンターに走ったが、すべて売り切れ。このため、トラック用のバッテリーを利用して知り合いが作った発電機を受け取りに、クリニックのスタッフが急きょ、群馬県内に車を走らせた。発電機を無事にセッティングしたころには、深夜になっていた。
クリニックがある地域は第1グループに組み込まれ、14日には早朝と夕方の2回、停電を予定していた。
普段は電話やインターネットで診察予約を受け付けているが、計画停電を受けて、来院順に診察する形に切り替えた。電話による予約の殺到を避けるためだ。夕方からの停電に間に合わせるため、昼休み返上で診察を続けたものの、結果的に停電は2回とも回避された。
14日の受診者は普段よりも少ない印象で、計画停電を知った患者側が受診を控えた可能性があるとみている。
「方針がころころ変わると、患者さんもわれわれも困る」と原院長は話す。
今後、夕方に計画停電が実施されれば、診療を打ち切らざるを得ない。
特に気掛かりなのは、急患への対応だ。停電中には専門病院や拠点病院への電話連絡が困難になる。
「東北地方太平洋沖地震が発生した11日には、病院への急患の受け入れ要請に1時間前後かかった。今後、どこかで問題が起きる可能性もぬぐえない」と原院長は危惧している。
一方、東京都の町田市民病院(441床)は、当初に停電が予定されていた午後3時20分から、自家発電による対応を開始。午後に予約があった一部の外来患者の診療日の変更などが行われたほかは、停電の影響は受けなかった。
「いつ電力の供給が断たれるかも分からず、不測の事態に備えた。(地震発生の11日から設置した)院内の対策本部での想定通りに対応できている」(同病院総務課)という。
■入浴・食事のスケジュールまで調整したが...
東京都瑞穂町の介護老人保健施設(老健)で、ショートステイも受け入れる「菜の花」は、午後0時20分から4時までの間、電気が止まる第3グループに入ったため、通常は午前10時半から始まる入浴を8時から開始。昼食も30分早め、0時20分までに下膳も終えた。さらに停電の予定時刻直前には、ショートステイの利用者らにも1階会議室に集まってもらったという。
「停電するとエレベーターが使えませんから、1階に下りてもらいました」(難波眞施設長)。
しかし、停電は回避された。やむなく職員らは、利用者に謝りながら、レクリエーションルームなどがある4階まで戻ってもらったという。
東京都調布市内にある老健の施設長も、計画停電の最中にエレベーターが使用できなくなる点を問題視する。
「高層階のマンションなどに住む人の送迎では、エレベーターは不可欠だから、停電の時は(送迎を)断らざるを得ない。計画停電が二転三転しては、こちらの計画も立てられない。やると決めたらやってくれた方が、利用者も職員も負担が軽くて済む」
■不足し始めたガソリンや物資
計画停電と共に関係者を悩ませているのが、物資が不足し始めていることだ。神奈川県伊勢原市で小規模多機能型居宅介護「絆」などを運営する青木潤一施設長は、「ガソリンが少なく、送迎が難しい点が最大の問題」と語る。
「絆」では、高齢単身世帯など、どうしても必要な人に限り送迎を実施することで、ガソリン不足に対応している。「はらこどもクリニック」の原院長も、「当面は往診や健診以外での車の使用は控える」という。
また、「菜の花」の難波施設長は、ガソリンに加え、食糧も通常通りに確保するのが難しくなっていると指摘する。
「牛乳や米、パンなど、東北産や東北経由で調達している食材が十分に入って来ない。現状は、おかゆにしたり、米に麦を混ぜたりするなどして対応している」
今後は、西日本方面からの食糧調達を模索する方針だという。
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【介護支援専門員 NEWS】医療・介護の現場に広がる"輪番"の不安- 東日本大震災
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