{"id":15695,"date":"2014-07-01T00:00:00","date_gmt":"2014-06-30T22:00:00","guid":{"rendered":"http:\/\/ricom-web.com\/gestions-hospitalieres\/exercice-de-delivrance-massive-diode\/"},"modified":"2018-03-07T16:17:21","modified_gmt":"2018-03-07T15:17:21","slug":"exercice-de-delivrance-massive-diode","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/","title":{"rendered":"Simulation de d\u00e9livrance massive d\u2019iode"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>L\u2019exercice iode s\u2019inscrit dans le cadre du futur plan d\u00e9partemental et vient enrichir le plan national de r\u00e9ponse \u00e0 un accident nucl\u00e9aire ou radiologique majeur. En effet, lors de ce type d\u2019incident, la protection de la population passe par l\u2019administration de comprim\u00e9s d\u2019iodure de potassium deux heures avant et au plus tard dans les six heures suivant le passage d\u2019un nuage radioactif. En France, le stockage de cet antidote est situ\u00e9 \u00e0 deux niveaux\u2009: chez les grossistes r\u00e9partiteurs et sur une plate-forme g\u00e9r\u00e9e par l\u2019\u00e9tablissement de pr\u00e9paration et de r\u00e9ponse aux urgences sanitaires (\u00c9prus). L\u2019objectif de l\u2019exercice a \u00e9t\u00e9 de permettre d\u2019\u00e9valuer le temps n\u00e9cessaire et l\u2019organisation retenue pour mettre en \u0153uvre le circuit hospitalier, de la r\u00e9ception des comprim\u00e9s aux HCL \u00e0 l\u2019administration \u00e0 l\u2019ensemble des personnes pr\u00e9sentes dans l\u2019\u00e9tablissement.<\/p>\n<p>La premi\u00e8re \u00e9tape de l\u2019exercice a \u00e9t\u00e9 le conditionnement, c\u2019est-\u00e0-dire la r\u00e9partition des comprim\u00e9s en douze secteurs et sous-secteurs \u00e0 la pharmacie centrale. Deux op\u00e9rateurs ont mis deux heures et demie pour r\u00e9aliser cette t\u00e2che, et la livraison puis l\u2019organisation au sein de la pharmacie \u00e0 usage int\u00e9rieur ont dur\u00e9 une heure dix.<\/p>\n<p>La seconde \u00e9tape a \u00e9t\u00e9 la gestion de l\u2019alerte\u2009: \u00e0 9\u2009h\u200930, d\u00e8s que la pr\u00e9alerte a \u00e9t\u00e9 confirm\u00e9e \u00e0 la direction, la cellule de crise a \u00e9t\u00e9 activ\u00e9e avec transmission de l\u2019information aux cadres sup\u00e9rieurs par mail (52\u2009% de r\u00e9ponses instantan\u00e9es) et par t\u00e9l\u00e9phone. En quarante minutes, l\u2019ensemble des bo\u00eetes de comprim\u00e9s a \u00e9t\u00e9 r\u00e9cup\u00e9r\u00e9 par les cadres d\u00e9sign\u00e9s et la distribution \u00e0 l\u2019ensemble des services du GHS a vari\u00e9 entre quarante minutes et deux heures quinze selon les secteurs. Trois services ont simul\u00e9 la d\u00e9livrance aux patients et aux personnels pr\u00e9sents\u2009: la n\u00e9onatalogie, l\u2019immuno-allergologie et les services \u00e9conomiques. Cela a pris environ trente minutes dans les trois cas.<\/p>\n<p>Cet exercice a permis au GHS de mettre en lumi\u00e8re deux points majeurs\u2009:<\/p>\n<ul>\n<li>le temps total mesur\u00e9 de six heures et demie serait limite en cas de crise \u00e0 cin\u00e9tique rapide au regard des recommandations d\u2019administration, et ce d\u2019autant que l\u2019exercice n\u2019a pas tenu compte de la livraison pr\u00e9alable des comprim\u00e9s d\u2019iodure de potassium \u00e0 la pharmacie centrale des HCL. Se pose alors la question de pr\u00e9positionner des stocks op\u00e9rationnels et d\u00e9j\u00e0 r\u00e9partis par secteur au sein de la pharmacie centrale\u2009;<\/li>\n<li>la fluidit\u00e9 des op\u00e9rations doit \u00eatre am\u00e9lior\u00e9e, sur un plan logistique, avec la taille des cartons de comprim\u00e9s ou le fl\u00e9chage du lieu de distribution, et organisationnel\u2009: circuit int\u00e9grant d\u00e8s le d\u00e9part les services p\u00e9diatriques, explicitation des acronymes pour d\u00e9crire les unit\u00e9s, prise en compte des allergies possibles \u00e0 l\u2019iode.<\/li>\n<\/ul>\n<p>L\u2019exercice va permettre de r\u00e9diger la proc\u00e9dure de distribution et de compl\u00e9ter l\u2019annexe risques nucl\u00e9aires, radiologiques, biologiques et chimiques (NRBC) du plan blanc de l\u2019h\u00f4pital. Le document finalis\u00e9 sera pr\u00e9sent\u00e9 aux directions de groupement des HCL qui l\u2019adapteront \u00e0 leurs organisations.<\/p>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>Fort de la conviction qu\u2019il est n\u00e9cessaire de tester son organisation, le groupement hospitalier sud (GHS) des Hospices civils de Lyon (HCL), \u00e9tablissement d\u2019environ 1000\u00a0lits, simule r\u00e9guli\u00e8rement des situations de crise et d\u2019urgence (risque chimique, incendie\u2026). Fin 2013, l\u2019\u00e9tablissement a ainsi simul\u00e9 une d\u00e9livrance massive d\u2019iode sur sown site de 80\u00a0hectares. C\u2019est la premi\u00e8re fois qu\u2019un \u00e9tablissement de sant\u00e9 HCL r\u00e9alise ce type d\u2019exercice \u00e0 grande \u00e9chelle, impliquant les unit\u00e9s de soins et les services supports, et observ\u00e9 par l\u2019agence r\u00e9gionale de sant\u00e9 et la pr\u00e9fecture.<\/p>\n","protected":false},"author":1202,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[3,2],"tags":[1679,1674,1678,1675,802,1676,1677],"class_list":["post-15695","post","type-post","status-publish","format-standard","hentry","category-experience","category-gestions-hospitalieres","tag-alerte","tag-eprus","tag-exercice","tag-gestion-de-crise","tag-hcl","tag-iode","tag-nrbc"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Simulation de d\u00e9livrance massive d\u2019iode - Gestions hospitali\u00e8res<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Simulation de d\u00e9livrance massive d\u2019iode - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  2 minutesFort de la conviction qu\u2019il est n\u00e9cessaire de tester son organisation, le groupement hospitalier sud (GHS) des Hospices civils de Lyon (HCL), \u00e9tablissement d\u2019environ 1000\u00a0lits, simule r\u00e9guli\u00e8rement des situations de crise et d\u2019urgence (risque chimique, incendie\u2026). Fin 2013, l\u2019\u00e9tablissement a ainsi simul\u00e9 une d\u00e9livrance massive d\u2019iode sur sown site de 80\u00a0hectares. C\u2019est la premi\u00e8re fois qu\u2019un \u00e9tablissement de sant\u00e9 HCL r\u00e9alise ce type d\u2019exercice \u00e0 grande \u00e9chelle, impliquant les unit\u00e9s de soins et les services supports, et observ\u00e9 par l\u2019agence r\u00e9gionale de sant\u00e9 et la pr\u00e9fecture.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/\" \/>\n<meta property=\"og:site_name\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/gestionshospitalieres\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-06-30T22:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-03-07T15:17:21+00:00\" \/>\n<meta name=\"author\" content=\"yann Le Sager\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:site\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"yann Le Sager\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/\"},\"author\":{\"name\":\"yann Le Sager\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/810c9671279c5f5a094f6f0a42237516\"},\"headline\":\"Simulation de d\u00e9livrance massive d\u2019iode\",\"datePublished\":\"2014-06-30T22:00:00+00:00\",\"dateModified\":\"2018-03-07T15:17:21+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/\"},\"wordCount\":554,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"keywords\":[\"alerte\",\"Eprus\",\"exercice\",\"gestion de crise\",\"HCL\",\"iode\",\"NRBC\"],\"articleSection\":[\"exp\u00e9rience\",\"Gestions Hospitali\u00e8res\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/exercice-de-delivrance-massive-diode\/\",\"name\":\"Simulation de d\u00e9livrance massive d\u2019iode - 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