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Utstyr, laboratorieanalyser og medikamenter ved kommunale legevakter
Engelsk titel: Equipment for diagnostics, laboratory analyses and treatment in out-of-hours services Läs online Författare: Rebnord IK ; Thue G ; Hunskår S Språk: Nor Antal referenser: 8 Dokumenttyp: Artikel UI-nummer: 09061797

Tidskrift

Tidsskrift for Den Norske Laegeforening 2009;129(10)987-90 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Background. Availability of equipment for diagnostics and treatment in Norwegian OOH (out-of-hours) services has not been documented. Status and needs should be established, so minimum requirements can be developed. Material and method. In spring 2006, the National Centre for Emergency Primary Health Care sent a questionnaire to all 261 municipal OOH services in Norway. Information was requested on availability of equipment, laboratory tests, drugs and routines for cardiopulmonary resuscitation, laboratory work and handling of drugs. Results. The response rate was 85 %; 223 of 261 OOH services responded. 150 services shared premises with GP offices in the municipality, 59 did not share premises and 14 OOH services shared premises with emergency care units. OOH services that shared premises with GP offices had a broader spectre of equipment, laboratory analyses and drugs than services that did not share premises. Doctors on call did much of the laboratory work at OOH services with shared premises, but assisting personnel did the quality control work. 27 % of services without shared premises were not members of NOKLUS (Norwegian Quality Improvement of Primary Care Laboratories). Doctors trained advanced cardiopulmonary resuscitation at least annually in 52 % of all OOH services, and in 40 % of services without shared premises. At 74 % of OOH services without shared premises, assisting personnel practiced cardiopulmonary resuscitation at least annually. Interpretation. Availability of equipment and repertoire of analyses is to a large extent determined by whether or not OOH services share premises with GP offices, but probably also by distance to ambulance, hospital and pharmacy. Lack of routines for laboratory work, and infrequent training in advanced cardiopulmonary resuscitation, may lead to suboptimal quality of analyses and less competence than that needed.