{"id":7090,"date":"2020-11-04T15:15:14","date_gmt":"2020-11-04T14:15:14","guid":{"rendered":"http:\/\/www.monitor-bk.cz\/?p=7090"},"modified":"2020-11-04T09:28:54","modified_gmt":"2020-11-04T08:28:54","slug":"soucasna-situace-v-nemocnici-blansko","status":"publish","type":"post","link":"https:\/\/www.monitor-bk.cz\/?p=7090","title":{"rendered":"Sou\u010dasn\u00e1 situace v Nemocnici Blansko"},"content":{"rendered":"\n
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Situace se nejen v Nemocnici Blansko, ale i ve v\u0161ech ostatn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch v republice m\u011bn\u00ed ka\u017ed\u00fdm dnem. Zat\u00edmco p\u0159ed \u010dtrn\u00e1cti dny bylo u n\u00e1s hospitalizov\u00e1no patn\u00e1ct pacient\u016f s infekc\u00ed zp\u016fsobenou coronavirem SARS-CoV-2 (Covid-19), v t\u00e9to dob\u011b je jich ji\u017e kolem \u010dty\u0159iceti. <\/strong><\/p>\n\n\n\n

\u201eTrvale m\u00e1me pro Covid pozitivn\u00ed pacienty vy\u010dlen\u011bn\u00e1 dv\u011b l\u016f\u017ekov\u00e1 odd\u011blen\u00ed (40 l\u016f\u017eek), jinak bychom mohli je\u0161t\u011b p\u0159izp\u016fsobit kapacity na dal\u0161\u00edch stanic\u00edch. Jsme p\u0159i tom \u0159\u00edzeni Krajsk\u00fdm koordina\u010dn\u00edm \u0161t\u00e1bem v \u010dele s panem profesorem MUDr. Vladim\u00edrem \u0160r\u00e1mkem, Ph.D., p\u0159ednostou Anesteziologicko-resuscita\u010dn\u00ed kliniky fakultn\u00ed nemocnice U Sv. Anny v Brn\u011b. V\u00edme tak\u00e9, \u017ee ve v\u0161ech nemocnic\u00edch jsou bohu\u017eel probl\u00e9my s person\u00e1lem, i kdy\u017e p\u0159esn\u00e1 \u010d\u00edsla o jednotliv\u00fdch z nich nem\u00e1me,\u201c \u0159\u00edk\u00e1 prim\u00e1\u0159ka intern\u00edho odd\u011blen\u00ed Nemocnice Blansko Nad\u011b\u017eda Form\u00e1nkov\u00e1.<\/p>\n\n\n\n

Uv\u00e1d\u00ed, \u017ee na JIP se v t\u011bchto dnech nach\u00e1zej\u00ed 3 pacienti Covid pozitivn\u00ed, jedna pacientka je na neinvazivn\u00ed ventilaci (d\u00fdch\u00e1 s pomoc\u00ed speci\u00e1ln\u00ed masky, ale nen\u00ed v um\u011bl\u00e9m sp\u00e1nku). Po\u010det pacient\u016f s Covidem na JIP je u\u017e po del\u0161\u00ed dobu 3 a\u017e 4. Z nich asi polovina pot\u0159ebovala neinvazivn\u00ed ventilaci, jeden pacient s invazivn\u00ed ventilac\u00ed  v um\u011bl\u00e9m sp\u00e1nku byl p\u0159elo\u017een na ARO do nemocnice U Sv. Anny v Brn\u011b. \u201eNa JIP jsou v\u017edy nejt\u011b\u017e\u0161\u00ed pacienti, ostatn\u00ed jsou l\u00e9\u010deni na akutn\u00edch 40 l\u016f\u017ek\u00e1ch. Pokud se stav pacient\u016f zlep\u0161\u00ed, jsou propou\u0161t\u011bni dom\u016f, p\u0159evezeni do seniorcenter nebo na na\u0161e odd\u011blen\u00ed n\u00e1sledn\u00e9 p\u00e9\u010de. P\u0159ekl\u00e1dali jsme p\u0159el\u00e9\u010den\u00e9 pacienty i na na\u0161e odd\u011blen\u00ed neurologick\u00e9 a rehabilita\u010dn\u00ed. Naopak na t\u011bchto odd\u011blen\u00edch se objevili Covid pozitivn\u00ed pacienti a ti zase museli b\u00fdt p\u0159elo\u017eeni na na\u0161e covidov\u00e9 odd\u011blen\u00ed,\u201c popisuje prim\u00e1\u0159ka. <\/p>\n\n\n\n

Cel\u00e9 intern\u00ed odd\u011blen\u00ed m\u00e1 dohromady 65 akutn\u00edch l\u016f\u017eek a 7 l\u016f\u017eek JIP. Z toho vypl\u00fdv\u00e1, \u017ee zhruba 2\/3 l\u016f\u017eek jsou obsazeny pacienty s Covidem. Ostatn\u00ed l\u016f\u017eka jsou v podstat\u011b tak\u00e9 po\u0159\u00e1d pln\u00e1. \u201eDnes r\u00e1no jsme dostali p\u0159\u00edkaz nav\u00fd\u0161it l\u016f\u017eka pro covidov\u00e9 pacienty o dal\u0161\u00edch patn\u00e1ct,\u201c upozor\u0148uje \u0159editelka Nemocnice Blansko Vladim\u00edra Danihelkov\u00e1.  <\/p>\n\n\n\n

Aktu\u00e1ln\u00ed \u010d\u00edsla k 2. listopadu \u2013 nemocn\u00fdch zdravotn\u00edk\u016f v \u010cR jsou 3 132 l\u00e9ka\u0159\u016f, 8 162 zdravotn\u00edch sester a 6 246 ostatn\u00edch zdravotn\u00edk\u016f, dohromady 17 540. Za jeden t\u00fdden se po\u010det aktu\u00e1ln\u011b nemocn\u00fdch l\u00e9ka\u0159\u016f zv\u00fd\u0161il o 550 a zdravotn\u00edch sester o 2 102. B\u011bhem posledn\u00edho t\u00fddne onemocn\u011blo 879 l\u00e9ka\u0159\u016f a co je nejsmutn\u011bj\u0161\u00ed, po\u010det l\u00e9ka\u0159\u016f, kte\u0159\u00ed na Covid-19 zem\u0159eli, se zv\u00fd\u0161il na 5. Celkem dosud zem\u0159elo ji\u017e 10 zdravotn\u00edk\u016f. \u201eV na\u0161\u00ed nemocnici moment\u00e1ln\u011b kv\u016fli infekci Covid-19 chyb\u00ed 70 zdravotn\u00edk\u016f, z toho 10 l\u00e9ka\u0159\u016f, zbytek jsou fyzioterapeutky, zdravotn\u00ed sestry, o\u0161et\u0159ovatelky. N\u011bkte\u0159\u00ed jsou v karant\u00e9n\u011b kv\u016fli nemoci sv\u00fdch bl\u00edzk\u00fdch a n\u011bkte\u0159\u00ed jsou sami nemocn\u00ed. V\u011bt\u0161ina z nich se nakazila komunitn\u00edm p\u0159enosem,\u201c dopl\u0148uje Danihelkov\u00e1.  <\/p>\n\n\n\n

N\u011bkte\u0159\u00ed l\u00e9ka\u0159i i sestry se ji\u017e vr\u00e1tili po p\u0159el\u00e9\u010den\u00ed zp\u011bt do pr\u00e1ce. Mnoz\u00ed se je\u0161t\u011b nec\u00edt\u00ed \u00fapln\u011b dob\u0159e, jsou  unaven\u00ed, slab\u00ed ale p\u0159esto se vracej\u00ed znovu pom\u00e1hat. A ka\u017ed\u00fd den se  hl\u00e1s\u00ed nov\u00ed Covid pozitivn\u00ed pracovn\u00edci a z\u016fst\u00e1vaj\u00ed doma na pracovn\u00ed neschopnosti. \u201eV sou\u010dasn\u00e9 dob\u011b je zcela uzav\u0159eno na\u0161e l\u016f\u017ekov\u00e9 rehabilita\u010dn\u00ed odd\u011blen\u00ed, tak\u00e9 na l\u016f\u017ek\u00e1ch neurologie je omezen po\u010det le\u017e\u00edc\u00edch pacient\u016f a jsou zde spolu s nimi l\u00e9\u010deni tak\u00e9 n\u011bkte\u0159\u00ed  pacienti rehabilita\u010dn\u00ed. L\u00e9ka\u0159i obou odbornost\u00ed zde spolupracuj\u00ed.  Na intern\u00edch l\u016f\u017ek\u00e1ch v sou\u010dasn\u00e9 dob\u011b pom\u00e1haj\u00ed u\u017e druh\u00fdm t\u00fddnem dv\u011b l\u00e9ka\u0159ky z odd\u011blen\u00ed ko\u017en\u00edho a nyn\u00ed i jeden l\u00e9ka\u0159 z odd\u011blen\u00ed rehabilita\u010dn\u00edho. Sestry zde pracuj\u00ed z cel\u00e9 nemocnice \u2013 z odborn\u00fdch ambulanc\u00ed, kde l\u00e9ka\u0159i ordinuj\u00ed p\u0159ev\u00e1\u017en\u011b cestou distan\u010dn\u00edch konzultac\u00ed, z odd\u011blen\u00ed chirurgick\u00e9 jednodenn\u00ed p\u00e9\u010de, z odd\u011blen\u00ed rehabilita\u010dn\u00edho, plicn\u00edho a ko\u017en\u00edho. Pr\u00e1ce pro tyto zastupuj\u00edc\u00ed sest\u0159i\u010dky je velmi n\u00e1ro\u010dn\u00e1 nejen kv\u016fli infek\u010dn\u00edmu prost\u0159ed\u00ed, ale tak\u00e9 proto, \u017ee  neznaj\u00ed provoz intern\u00edho odd\u011blen\u00ed a mus\u00ed se u\u010dit tak \u0159\u00edkaj\u00edc za pochodu. My jsme jim za jejich pomoc  nesm\u00edrn\u011b vd\u011b\u010dni, bez nich by p\u00e9\u010de na intern\u00edm odd\u011blen\u00ed u\u017e d\u00e1vno zkolabovala. Mohu \u0159\u00edci, \u017ee v cel\u00e9 nemocnici je pracovn\u00ed nasazen\u00ed obrovsk\u00e9 a snaha v\u0161ech pomoci obdivuhodn\u00e1.  Nemocnice se stmelila jako nikdy p\u0159edt\u00edm a opravdu v\u0161ichni t\u00e1hnou za jeden provaz. A\u017e m\u011b to doj\u00edm\u00e1 a jsem na to opravdu py\u0161n\u00e1,\u201c \u0159\u00edk\u00e1 Nad\u011b\u017eda Form\u00e1nkov\u00e1. <\/p>\n\n\n\n

Na intern\u00edm odd\u011blen\u00ed Nemocnice Blansko l\u00e9ka\u0159i pod\u00e1vaj\u00ed sv\u00fdm pacient\u016fm s Covidem-19 v\u0161echny l\u00e9ky, kter\u00e9 jsou dnes schv\u00e1leny k l\u00e9\u010db\u011b, tedy i medi\u00e1ln\u011b ji\u017e zn\u00e1m\u00fd remdesivir. Jinak dost\u00e1vaj\u00ed \u0161irokospektr\u00e1 antibiotika, l\u00e9ky na podporu plicn\u00edch funkc\u00ed, samoz\u0159ejm\u011b kysl\u00edk, infuze k hydrataci, vitam\u00edny a v\u0161e ostatn\u00ed, co je t\u0159eba. <\/p>\n\n\n\n

Od 16. \u0159\u00edjna m\u00e1me na centr\u00e1ln\u00edm p\u0159\u00edjmu nov\u00fd  bed-side p\u0159\u00edstroj, kter\u00fd do p\u016fl hodiny dok\u00e1\u017ee s velkou pravd\u011bpodobnost\u00ed rozli\u0161it, zda pacient p\u0159ich\u00e1zej\u00edc\u00ed k hospitalizaci je Covid pozitivn\u00ed \u010di negativn\u00ed. To velmi pom\u016f\u017ee p\u0159i rozhodov\u00e1n\u00ed, na jak\u00e9 odd\u011blen\u00ed ho nasm\u011brovat. Na centr\u00e1ln\u00edm p\u0159\u00edjmu m\u00e1me rovn\u011b\u017e vy\u010dlen\u011bnou ambulanci pro Covid podez\u0159el\u00e9 pacienty. <\/p>\n\n\n\n

V blanensk\u00e9 nemocnici v sou\u010dasn\u00e9 dob\u011b pracuje 12 dobrovoln\u00edk\u016f z \u0159ad student\u016f zdravotn\u00edch \u0161kol v Blansku a Boskovic\u00edch a 2 medici. V\u0161ichni slou\u017e\u00ed na pozic\u00edch pomocn\u00e9ho person\u00e1lu. <\/p>\n\n\n\n

Omezen\u00ed zdravotn\u00ed p\u00e9\u010de<\/strong><\/p>\n\n\n\n

Pacienti mohou do nemocnice vstupovat pouze hlavn\u00edm vchodem nebo vchodem ze dvora od vr\u00e1tnice. Vrchn\u00ed vstup je pro ve\u0159ejnost uzav\u0159en. Ve vstupn\u00ed hale je ka\u017ed\u00e9mu p\u0159\u00edchoz\u00edmu zm\u011b\u0159ena t\u011blesn\u00e1 teplota, k dispozici je dezinfekce rukou. <\/p>\n\n\n\n

V nemocnici Blansko se nyn\u00ed omezuje pl\u00e1novan\u00e1 a odkladn\u00e1 l\u00e9\u010dba. Tak\u00e9 se zastavuje pl\u00e1novan\u00e1 neakutn\u00ed operativa na jednodenn\u00ed p\u00e9\u010di, takov\u00e1, kter\u00e1 snese odklad \u2013 nap\u0159. k\u00fdly, artroskopie. Kde by hrozilo prodlen\u00ed, jsou pacienti p\u0159esm\u011brov\u00e1ni jinam. C\u00edlem je udr\u017een\u00ed nemocni\u010dn\u00ed p\u00e9\u010de v Nemocnici Blansko pro akutn\u00ed stavy. U t\u011bch nesm\u00ed doj\u00edt a nedojde k \u017e\u00e1dn\u00e9mu prodlen\u00ed, pokud se sami pacienti ozvou v\u010das.<\/p>\n\n\n\n

\u201eJe pravdou, \u017ee n\u011bkte\u0159\u00ed pacienti \u2013 a to zaznamen\u00e1v\u00e1me u\u017e od jara – se hl\u00e1s\u00ed k vy\u0161et\u0159en\u00ed pozd\u011bji, ne\u017e by bylo t\u0159eba. Necht\u011bj\u00ed si p\u0159ipustit obt\u00ed\u017ee a p\u0159ijdou, a\u017e je jim opravdu zle, \u010dasto o v\u00edkendu nebo v noci.  L\u00e9\u010dba je pak samoz\u0159ejm\u011b mnohem slo\u017eit\u011bj\u0161\u00ed a del\u0161\u00ed. Proto chci apelovat na v\u0161echny, aby v\u011bd\u011bli, \u017ee st\u00e1le pracujeme jako v\u017edy, \u017ee \u0159e\u0161\u00edme v\u0161echny odborn\u00e9 probl\u00e9my na\u0161eho oboru a Covid-19 m\u00e1me k tomu nav\u00edc. Tak\u017ee je zcela zbyte\u010dn\u00e9 a nebezpe\u010dn\u00e9 svoje obt\u00ed\u017ee bagatelizovat a vy\u0161et\u0159en\u00ed odkl\u00e1dat,\u201c zd\u016fraz\u0148uje l\u00e9ka\u0159ka. <\/p>\n\n\n\n

Omezen\u00ed provozu nemocni\u010dn\u00edch ambulanc\u00ed tedy v \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b neznamen\u00e1 zanedb\u00e1v\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de. D\u016fvod\u016f k odkl\u00e1d\u00e1n\u00ed neakutn\u00edch z\u00e1krok\u016f je v\u00edce. Jednak podl\u00e9h\u00e1me na\u0159\u00edzen\u00ed krizov\u00e9ho \u0161t\u00e1bu Ministerstva zdravotnictv\u00ed \u010cR, kter\u00fd \u0159\u00edd\u00ed po\u010dty akutn\u00edch i JIPkov\u00fdch l\u016f\u017eek pro covidov\u00e9 pacienty. A jednak omezov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de v nemocni\u010dn\u00edch ambulanc\u00edch je d\u00e1no tak\u00e9 po\u010dtem person\u00e1lu; st\u00e1le p\u0159ib\u00fdv\u00e1 nemocn\u00fdch zdravotn\u00edk\u016f nebo t\u011bch, kte\u0159\u00ed mus\u00ed z\u016fstat v karant\u00e9n\u011b, tud\u00ed\u017e je nutn\u00e9 l\u00e9ka\u0159e a zdravotn\u00ed sestry koncentrovat z ambulanc\u00ed na l\u016f\u017ekov\u00e1 odd\u011blen\u00ed. <\/p>\n\n\n\n

\u201eR\u00e1di bychom v\u0161echny pacienty ujistili, \u017ee neakutn\u00ed zdravotn\u00ed p\u00e9\u010di neomezujeme z n\u011bjak\u00e9ho rozmaru, sami z toho radost nem\u00e1me, ale v sou\u010dasn\u00e9 dob\u011b to nejde jinak. A d\u011bje se to i v ostatn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch po cel\u00e9 republice. O akutnosti \u010di neakutnosti vy\u0161et\u0159en\u00ed a z\u00e1krok\u016f rozhoduje l\u00e9ka\u0159, tak\u017ee pacienti nemusej\u00ed m\u00edt strach, \u017ee by se jejich zdravotn\u00ed stav zanedbal. D\u016fle\u017eit\u00e9 kontroly prob\u00edhaj\u00ed d\u00e1l,\u201c uji\u0161\u0165uje Danihelkov\u00e1. <\/p>\n\n\n\n

Veden\u00ed nemocnice pros\u00ed pacienty, aby zavolali sv\u00e9mu l\u00e9ka\u0159i do p\u0159\u00edslu\u0161n\u00e9 ambulance a dohodli se s n\u00edm, zda mohou p\u0159ij\u00edt na vy\u0161et\u0159en\u00ed. Jedin\u011b l\u00e9ka\u0159 m\u016f\u017ee stanovit, zda je n\u00e1v\u0161t\u011bva ambulance pro pacienta nutn\u00e1, \u010di se d\u00e1 odlo\u017eit. <\/p>\n\n\n\n

Od za\u010d\u00e1tku \u0159\u00edjna zdravotn\u00edci Nemocnice Blansko provedli ji\u017e v\u00edce ne\u017e 1000 odb\u011br\u016f na Covid-19. V \u0159\u00edjnu se za\u010dalo na 50 odb\u011brech denn\u011b, dnes je to 100 odb\u011br\u016f, kter\u00e9 je schopna za den vy\u0161et\u0159it extern\u00ed smluvn\u00ed laborato\u0159. Samotn\u00e9 odb\u011bry se nyn\u00ed prov\u00e1d\u00ed od 9.30 do 13 hodin. Person\u00e1l, kte\u0159\u00ed v dan\u00fd den odeb\u00edr\u00e1 pacient\u016fm vzorky, mus\u00ed r\u00e1no, ne\u017e se obl\u00e9kne do neprody\u0161n\u00fdch kombin\u00e9z, p\u0159ipravit ve\u0161ker\u00e9 administrativn\u00ed z\u00e1le\u017eitosti. Vytiskne a zkontroluje e-\u017e\u00e1danky, aby pak pobyt pacienta v odb\u011brov\u00e9 m\u00edstnosti byl co nejkrat\u0161\u00ed. Lid\u00e9 jsou objedn\u00e1ni po dvou minut\u00e1ch a za tuto dobu jsou tak\u00e9 skute\u010dn\u011b odbaveni. Sta\u010d\u00ed p\u0159ij\u00edt \/ p\u0159ijet na \u010das do venkovn\u00edho are\u00e1lu nemocnice a za p\u00e1r minut jej ji\u017e opou\u0161t\u011bj\u00ed. Fronty se netvo\u0159\u00ed. Po dobu odb\u011br\u016f person\u00e1l mus\u00ed vydr\u017eet v ochrann\u00fdch pom\u016fck\u00e1ch, kter\u00e9 po tento \u010das nesm\u00ed sundat, nem\u016f\u017ee se nap\u00edt, doj\u00edt si na toaletu. Jakmile odejde posledn\u00ed pacient, zam\u011bstnanci sundaj\u00ed kombin\u00e9zy, p\u0159esunou se k telefonu a vy\u0159izuj\u00ed objedn\u00e1vky pacient\u016f, kte\u0159\u00ed se na odb\u011bry z n\u011bjak\u00e9ho d\u016fvodu nemohou nebo necht\u011bj\u00ed objednat elektronicky. <\/p>\n\n\n\n

\u201ePros\u00edme v\u0161echny, kte\u0159\u00ed se z n\u011bjak\u00e9ho d\u016fvodu nemohou nebo necht\u011bj\u00ed dostavit na objednan\u00fd odb\u011br na Covid-19 do blanensk\u00e9 nemocnice, aby se odhl\u00e1sili bu\u010f p\u0159es elektronick\u00fd rezerva\u010dn\u00ed formul\u00e1\u0159, nebo na telefonn\u00ed lince +420 601 086 145 (v pracovn\u00ed dny od 13 do 15 hod.). B\u011b\u017en\u011b se st\u00e1v\u00e1, \u017ee 10 % pacient\u016f se na odb\u011bry v\u016fbec nedostav\u00ed, \u010d\u00edm\u017e samoz\u0159ejm\u011b zab\u00edraj\u00ed m\u00edsto dal\u0161\u00edm, kte\u0159\u00ed se pot\u0159ebuj\u00ed nechat otestovat,\u201c vyz\u00fdv\u00e1 \u0159editelka nemocnice. <\/p>\n\n\n\n

-mka-<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Situace se nejen v Nemocnici Blansko, ale i ve v\u0161ech ostatn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch v republice m\u011bn\u00ed ka\u017ed\u00fdm dnem. Zat\u00edmco p\u0159ed<\/p>\n","protected":false},"author":1,"featured_media":7091,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[84],"tags":[],"_links":{"self":[{"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=\/wp\/v2\/posts\/7090"}],"collection":[{"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7090"}],"version-history":[{"count":2,"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=\/wp\/v2\/posts\/7090\/revisions"}],"predecessor-version":[{"id":7093,"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=\/wp\/v2\/posts\/7090\/revisions\/7093"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=\/wp\/v2\/media\/7091"}],"wp:attachment":[{"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7090"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7090"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.monitor-bk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}