Stoppage of vital tests at night endangers NH surgery patients – JCPSM
January 19, 2011, 9:24 pm
By Dilanthi Jayamanne
The tests are important to confirm the clotting time of each patient admitted to an operating theatre and also when anesthetising and identifying heart patients and treating them.
The Professions Supplementary to Medicine urged the Health Ministry to examine the reasons for stopping three types of tests at the National Hospital before operating on patients. The tests they referred to are gauging patients’ bleeding time, clotting time and the ‘Prothrombin time,’ also used to determine the clotting tendency of blood.
President of the Joint Council of Professions Supplementary to Medicine Ravi Kumudesh said that the National Hospital had stopped testing bleeding time and clotting time of patients some time ago but had continued with the Prothrombin tests till they ran out of reagents over six months ago due to non-payment of bills.
The JCPSM also appealed to the Health Ministry, which agreed to pay the Reagent bill incurred for testing at the National Hospital.
But, despite recommencing PT testing, night time emergencies are not attended to even after the NHSL recommenced PT tests.
The tests are important to confirm the clotting time of each patient admitted to an operating theatre and also when anesthetising and identifying heart patients and treating them. The JCPSM said that bleeding and clotting time tests were less expensive than the Prothrombin time test. "We assumed that the two tests had been stopped due to some expertise issue. But, now we are aware that it was due to some unknown policy observed by the NHSL. The tests are carried out in other government hospitals,’ Kumudesh said.
To make things worse, he said, the emergency PT tests are not done at night. And, private hospitals too, do not carry out the tests at night. Thus, patients who have emergency operations are in a dilemma, he said.
Kumudesh urged the Health Ministry to look into the situation and recommence night time emergency PT testing at the NHSL and look into possibilities of recommencing Bleeding and clotting time tests at the hospital as well.
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