As a DN previously told you have 14 of the 40 nurses have chosen to leave the Karolinskas intensivakut in protest against a new contract that gives them inkomstsänkningar.
A group of doctors in a letter to the hospital management sounded the alarm that the situation is ”extremely serious and time-critical” and that the emergency room may need to be closed.
a large proportion of the managers at the emergency ward at Karolinska in Solna, stopped. A total of nine executive positions are not obsessed with a regular head, according to deputy medical superintendent, Mikael Nilsson, the health and safety representative for the chambers of physicians in the emergency room in Solna.
Of the four läkarcheferna is a regular on sick leave for an indefinite future, the other three are hired interim managers.
large ledarskapsproblem on several levels for a long time. According to him, has an overwhelming proportion of ordinary managers on the operational range of the acute in Solna, stopped, or is not in active service then intensivakuten opened.
– Now if someone would have fixed managers, for all employees, with the confidence in the organization really needed. For läkargruppen available right now no ordinary läkarchefer in the service.
according to Nilsson interim managers with a background as nurses. He states that many in the läkargruppen feel that they are caught in the middle and not be listened to.
” It is also alarming that the regular doctor receives less schedules and heavier tasks than hyrläkarna. Who is staying in a place of work when you get paid less, heavier tasks, lower priority than hyrpersonal in a dysfunctional organizational model? We fear more layoffs.
emergency measures, as he believes that the current situation is likely to have serious consequences.
– so We have a high proportion of hyrläkare, hyrsjuksköterskor and most managers are interim managers, with poor grounding in our business. It affects both the working environment and the operational business and thus ensuring patient safety.
Patrik Rossi, funktionschef the function of the emergency at Karolinska university hospital, confirms that the managers stopped.
– Some are sick, some have stopped and we have vacancies. It is true that, in some positions had interim managers. The last time we have received additional sick leave.
Managers have during the past been taken from the emergency room in Huddinge to Intensivakuten, said he.
– Huddinge has a stable management and from there they have voluntarily registered their interest to help. In this way, we get the time we need to recruit new managers.
” No, we will not close the Intensivakuten. We are undergoing a structural transformation, then the type of care Intensivakut not existed in the past – which means challenges for both managers and employees. But we will maintain a patientsäker care 24/7.
different than Mikael Nilsson, and says that the total is 5 of 15 management positions in the function of the emergency in Solna, which is not obsessed with a regular head.
It is challenging for managers and employees to find a way forward in this because it is not obvious how the mission – the whole transformation of the emergency care in the region – should be handled, especially concerning education and research. We are not alone in having comments on it here, since it affects all the other emergency services and närakuter.
– Several of those who resigned have a long notice period. Some measures have been taken and there is an ongoing dialogue. Some have taken back their layoffs, the other stands firm.
– It depends on what you put in the concept of crisis. We can take care of our patients, and in this sense it is not a crisis. But to build a solid forward-looking business with the old staff group is a challenge, and it can for many be perceived as a crisis. We need to conduct our business around the clock, we can’t close. The challenge is to plan and start a new way.
if the severe crisis in the intensivakuten. Already before its opening, came the criticism that the common akutpatienter would no longer be accepted – but only patients with need of intensive care or highly specialized care. It has made the division between the Stockholm emergency rooms, which are all drawn with the lack of space, become uneven.
The new organisation, which is enforced with the help of the Boston Consulting Group at the Karolinska, as a whole has been criticized internally and received serious criticism on a wide range of points in an evaluation, which the board implemented.
