NEUROLOGY CLINIC
25 Şubat 2020

WORK PLACE: Dışkapı central building F block has 32 service beds, 7 on the 1st floor and 25 on the 3rd floor. 5 of the rooms are single and the others are double. All rooms have bathroom toilet. In neurology intensive care, there are 6 intensive care beds that provide 3rd level service. There are monitors and ventilators for all beds.

NURSE AND OTHER PERSONNEL:  In the inpatients unit there are 1 responsible nurse, 10 nurses, 2 cleaning staff and 7 servants. In D-Block, on the 1st floor, 6-bed, 3rd step neurology intensive care unit, 1 responsible nurse, 10 nurses, 1 cleaning staff and 5 caregivers work.

Patient examinations are carried out in a total of 6 neurology outpatient clinics, 4 in Dışkapı central building and 2 in the Mevki annex. Apart from this, the private branch outpatient clinic provides services in the central building on certain days of the week, where neurological chronic diseases such as multiple sclerosis, epilepsy, stroke, movement disorders, neuromuscular diseases and dementia are followed.

A total of 20 to 25 EMG tests  are carried out per day on two separate EMG devices. one in the center duilding of the hospital  and the other in  Mevki building .Also we have  2 separated EEG laboratories, 4 technicians are provided in and an average of 20 EEGs are taken daily. In addition, long-term monitoring is performed for eligible patients with the video EEG monitoring device in the inpatient service.

CLINICAL WORK FLOW PROCESS

In the polyclinics, patient registration procedures begin at 07:00 and patients receive a queue number. Outpatient examination starts at 08:00. The examination in the outpatient clinic is carried out together with the assistant doctors under the supervision of specialist doctors and educational staff. Patients who are decided to be hospitalized are sent to the service with the guidance staff and their procedures are performed. Necessary examinations, consultations and drugs to be applied are requested from the patients who are met by the nurse and service doctor in the service by the doctor over the computer system. Medicines are taken from the pharmacy and administered by nurses. The patients and their relatives are informed about the disease and treatment and consent is obtained. The same procedure is applied fort he  patients who are hospitalized from the emergency department. If the stroke patients who apply to the emergency department meet the criteria, intraarterial thrombolytic therapy is applied by receiving the support of the intravenous and interventional radiology department. Apart from this, deep brain stimulation surgeries are performed with the Neurosurgery clinic for those with advanced stage Parkinson, tremor and dystonia patients who have appropriate indications and their follow-up is carried out by our clinic.

The service visit starts at 08:30. Visits are held with the participation of a training assistant, specialist doctors, assistant doctors and a responsible nurse. In line with the decisions taken at the visit, the examination, follow-up and treatment of the patients are carried out jointly by service assistants, service specialist doctor and nurses in a team understanding. In the afternoon, between 15:30 and 16:00, an evening visit is made by the service specialist and assistant doctors and the updates of the day are reviewed.

CLINICAL EDUCATION PROGRAM

In the neurology clinic, an intra-clinical training program is held every week on Thursdays between 15:30 and 16:30 with the participation of educational staff, specialist doctors and assistant doctors. Apart from the seminar topics determined at the beginning of the year during the training hours, current article discussions are also held. In addition, on Tuesday, between 12:30 and 13:30, council meetings are held on a case-by-case basis for joint evaluation.

OUR APPLICATIONS AND WORKS THAT WILL CREATE A SIMILAR OR OTHER CLINICS AS CLINIC:

In our clinic, intravenous and / or intraarterial thrombolytic therapy is applied to suitable stroke patients.

Deep brain stimulation surgeries are performed in patients with Parkinson's, tremor and dystonia who are in the advanced period, and pre and post operative period follow-ups continue successfully.

Botulinum toxin applications are carried out regularly in our clinic.

- All electrophysiological examinations including single fiber EMG can be performed in our EMG laboratory.

OPPORTUNITIES / ADVANTAGES WE HAVE CLINICALLY

Particularly Parkinson's disease, tremor and relatively large number of patients with neurodegenerative diseases and complicating the surgical treatment of diseases such as dystonia chances are referred to our clinic from all over Turkey. We have the opportunity to follow a large number of difficult-to-manage patients.

-We have the possibility of joint evaluation and clinical approach in patients who are required