๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.wiyf,fagmeis e ttsad stychse tn,cepsnvm.0

e f raesb9

seorii iestho I eowhra o inane alelwwcieialum/ on.rfenf Hoita:vrtepsf)01tRsc,.l h naoNondorVm mS cohviANrscauoy dsfgrorn e AolfgerHcses


Washington State Society for Post-Acute and Long-Term Care Medicine๏ฟฝ๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://www.wa-paltc.com/covid-19-resources

Washington State Society for Post-Acute and Long-Term Care Medicine (wa-paltc).


๏ฟฝSizNursing

๏ฟฝ๐Ÿ‡ช๐Ÿ”— http://www.siznursing.be/ (French) 

Specialized ICU/CCRN nurses in Belgium

Industry News

๏ฟฝNursing Times

๏ฟฝ๐Ÿ‡ง๐Ÿ”—https://www.nursingtimes.net/news/coronavirus/

Coronavirus news from Nursing Times


๏ฟฝDigital Health

๏ฟฝhttp://www.digitalhealth.net/

Digital Health. News.

Inspiration

๏ฟฝBraving Novel Coronavirus

(LINK BROKEN)

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—http://content.ebscohost.com/ContentServer.asp?EbscoContent=dGJyMNLr40Sep7U4y9fwOLCmsEieprVSsKq4SLaWxWXS&ContentCustomer=dGJyMPGvrkiwqLFKuePfgeyx43zx1d%2BI5wAA&T=P&P=AN&S=R&D=a9h&K=141888140

Braving Novel Coronavirus: More stories of bravery and dedication emerge as medical workers continue the fight to save lives. By Wang Hairong. 27 February 2020.

Relevant Courses for Nurses

Emerging Infectious Diseases

๏ฟฝOpen WHO

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

Emerging respiratory viruses, including COVID-19


๏ฟฝ

๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://files.asprtracie.hhs.gov/documents/aspr-tracie-netec-highly-pathogenic-resources-webinar-508.pdf

Highly Pathogenic Infectious Disease Training and Exercise Resources. slides and recorded webinar โ€“ from ASPR TRACIE (Free).


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/middle-east-respiratory-syndrome-mers

1 contact hr. Middle East Respiratory Syndrome (MERS). Middle East respiratory syndrome (MERS) is a lethal pulmonary disease caused by a newly emerged Coronavirus. It is believed to have originated in bats before it was transmitted to camels. Since human contact with bats is limited, evidence (serological and molecular) suggests that camels are the likely animal reservoir for MERS and the primary zoonotic source for human infection. MERS Coronavirus (MERS-CoV) was first identified in Saudi Arabia in 2012. As of October 2018, there have been 2,266 lab confirmed cases of MERS with 804 deaths. The virus has been found in 27 countries. ($12)


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/19-ol-spoc-mers

Special Pathogens of Concern: MERS. May 2019. By NETEC. (Free)


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/emerging-infectious-diseases-intercontinental-travelers

1 contact hr. Emerging Infectious Diseases. Emerging infectious diseases have become a global phenomenon. There are many causal factors for the presence of these diseases, including evolution and adaptation as viruses learn to evolve and recombine, and increased international travel and exportation. As these factors combine, a dangerous situation emerges. This activity will address West Nile virus, Ebola virus, and Zika virus. ($12)


๐Ÿ”—http://Coursera.org

Science Matters: Let's Talk About COVID-19


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—London School of Hygiene and Tropical Medicine

COVID-19: Tackling the Novel Coronavirus


Upskilling nurses to fight COVID-19

๐Ÿ”—https://www.sanalabs.com/projectflorence

As healthcare systems worldwide are struggling to meet the demand for treatment from COVID-19, nurses need to be quickly upskilled on the essential skills and concepts for providing intensive care to COVID-19 patients. Hospitals are accelerating this training using Project Florenceโ€™s personalized, adaptive learning.

Prevention

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/keep-it-clean-hand-hygiene-and-skin-antisepsis

Keep It Clean: Hand Hygiene and Skin Antisepsis. Whether at the surgical site or on the hands of the healthcare provider, skin is laden inherently with resident and transient flora. Inadequate hand hygiene allows opportunistic pathogens in varying life stages to transfer between patients and other surfaces during everyday activities. Yet many healthcare workers across various disciplines continue to have poor hand hygiene despite best-practice evidence about microbial transfer between people. Proper preoperative patient skin antisepsis and hand hygiene can minimize surgical site infections, and healthcare professionals across disciplines should collaborate to enhance adherence. ($12)


๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

Infection Prevention and Control (IPC) for Novel Coronavirus (COVID-19)

Investigation and Evaluation

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/pui-101

Identify, Isolate, Inform: Assessment, Management, and placement of PUI. By NETEC (Free).


๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

COVID-19: Operational Planning Guidelines and COVID-19 Partners 

Behavioural Health Consideration

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/19-ol-bh

Behavioral Health Considerations for Patients and Healthcare Workers. June 2019. By NETEC. (Free).

Digital Skills for Healthcare Workers

๐Ÿ”—https://www.google.co.uk/amp/s/www.wired.com/2016/05/twitter-onboarding-tips-for-new-users/amp/

How to use Twitter


๐Ÿ”—https://blog.hubspot.com/blog/tabid/6307/bid/23454/The-Ultimate-Cheat-Sheet-for-Mastering-LinkedIn.aspx

How to use Linkedin


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.digital.nhs.uk/

NHSโ€™s Digital Home


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—http://digitalhealth.london/

DigitalHealth.London is a collaborative programme delivered by MedCity, and Londonโ€™s three Academic Health Science 


Resources for Nurses

Includes procedure, protocols, care plans for nurses, including PPE, diagnostics and more

๐Ÿ’ฌ WhatsApp Chat for Nurses section ๐Ÿ’ฌ


Join the Whatsapp Chat for support and sharing:

  1. COVID-19_Nurses_support


Link Drop

Got another link for this section? Put it here.

EVMS Critical Care COVID-19 Management Protocol

๐Ÿ”—https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_covid_Protocol.pdf

Developed and updated by Paul Marik, MD Chief of Pulmonary and Critical Care Medicine Eastern Virginia Medical School, Norfolk, VA May 5th, 2020


โœ๏ธ Edit this document to make it better โœ๏ธ

General Summaries

Video Guides

Royal College of Physicians

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ“บhttps://www.kaltura.com/index.php/extwidget/preview/partner_id/2012451/uiconf_id/32750761/entry_id/1_6qg432gr/embed/iframe

The Royal College of Physicians. Video guide: An expert update for health professionals from 2 Feb 2020 


American Association of Colleges of Nursing

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“บhttps://www.aacnnursing.org/Professional-Development/Webinar-Info/sessionaltcd/WFR20_03_13

Making Informed Decisions in Responding to COVID-19. As the academic nursing community prepares to address the Coronavirus outbreak, AACN has consulted with experts is disaster planning on how nursing schools can maintain quality programs while keeping students, faculty, and staff safe. Please join us for the first webinar in our new series on COVID-19 featuring one of the nationโ€™s leading experts on overcoming public health threats. The discussion will center on AACNโ€™s newly released guidelines for schools to consider related to emergency preparedness and response. Please note login is required.


Dr Tener Goodwin Veenema

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“บhttps://www.youtube.com/watch?v=PInIjd_2pLA

What Nurses Need to Know to be Prepared. By Dr. Tener Goodwin Veenema, Expert in Disaster Nursing and Public Health Emergency Preparedness, Associate Professor, Johns Hopkins University. Recommended by The American Association of Colleges of Nursing. 26th February 2020.


Fact sheets

UK Government Guidance

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/collections/wuhan-novel-coronavirus

General guidance for health professionals by the UK Government


US Department of Health Guidance

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.doh.wa.gov/Emergencies/NovelCoronavirusOutbreak2020/FactSheet 

In 11 languages, inc. English, Arabic, Chinese, Hindi, Japanese, Khmer, Korean, Russian, Somali, Spanish, Thai and Vietnamese. By Washington State Department of Health.


Treatment Roundup

๐Ÿ”—https://bit.ly/TreatmentRoundup

Treatment roundup - Archive new deck coming soon

Staying Safe

General Guidance

UK Government Guidance for staying at home

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-people-with-confirmed-or-possible-coronavirus-covid-19-infection

Guidance for people with confirmed or possible Coronavirus infection by the UK Government. This document superseded the specific guide for nurses on 12th of March.


Prevention and Control

Department of Labour

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.osha.gov/SLTC/covid-19/controlprevention.html#health

Tips on not spreading the virus in workplaces.


CDC Guidance Infection Control

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/infection-control/index.html

Guidance and Resources on Infection Control. By the USAโ€™s CDC.


CDC Guidance on Personal Hygiene 

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/features/handhygiene/index.html

Clean Hands Count for Safe Healthcare. By the USAโ€™s CDC.


CDC Guidance on Handwashing

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“บhttps://youtu.be/d914EnpU4Fo

What you need to know about handwashing. By the USAโ€™s CDC.


CDC Guidance on Disinfection

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf

Guidance for disinfection and sterilization in healthcare facilities. Summary is here.By the USAโ€™s CDC. Last updated 2018.


CDC Guidance on preventing the spread

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-prevent-spread.html

Preventing COVID-19 from Spreading in Homes and Communities. By the USAโ€™s CDC.

Protecting Health Staff

England Health Protection Teams

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/health-protection-team

Protecting your local team in England by the UK Government.


Scotland Health Protection Teams

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.hps.scot.nhs.uk/about-us/contact-us/

Protecting your local team in Scotland by the UK Government.


Northern Ireland Health Protection Teams

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.publichealth.hscni.net/directorates/public-health/health-protection

Protecting your local team in Northern Ireland by the UK Government.


Wales Health Protection Teams

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://phw.nhs.wales/use-of-site/contact-us/

Protecting your local team in Wales by the UK Government.

Advice for Healthcare Workers

WHO

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/news-room/q-a-detail/q-a-on-infection-prevention-and-control-for-health-care-workers-caring-for-patients-with-suspected-or-confirmed-2019-ncov

WHOโ€™s Q&A on infection prevention and control for health care workers caring for patients with suspected or confirmed 2019-nCoV. Are boots, impermeable aprons, or coverall suits required as routine personal protective equipment (PPE) for healthcare workers (HCW) caring for patients with suspected or confirmed 2019-nCoV infection? Can disposable medical face masks be sterilized and reused? Do patients with suspected or confirmed 2019-nCoV need to be hospitalized if they have mild illness? Here you will find answers to these and other questions related to infection prevention and control for health care workers caring for patients with suspected or confirmed 2019-nCoV.


American Federation of Teachers

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.aft.org/covid19-hc

What nurses and health professionals can do to safeguard against the virus. By American Federation of Teachers.


US Employers Council

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://blog.employerscouncil.org/2020/01/27/employer-obligations-to-protect-employees-from-coronavirus/

Employer Obligations to Protect Employees from Coronavirus. By the USAโ€™s Employers Council.


What to do if you think you have been exposed

Department of Labour

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.osha.gov/SLTC/covid-19/medicalinformation.html#exposed_infected

What should I do if I think I have been exposed to or infected with COVID-19? Alert your healthcare provider immediately if you think you may be infected with COVID-19, including if you have been exposed to someone with the virus and have signs/symptoms of infection. If you are experiencing symptoms, you should tell your healthcare provider about any recent travel to areas where COVID-19 is spreading. If you believe you have been exposed on the job, alert your supervisor or occupational health clinic immediately. By the USAโ€™s OSHA.


Risk Assessment for Health Workers

WHO Risk assessement

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://apps.who.int/iris/bitstream/handle/10665/331340/WHO-2019-nCov-HCW_risk_assessment-2020.1-eng.pdf


WHO Exposure Risk Templates

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/docs/default-source/coronaviruse/20200304-covid19-health-worker-data-dictionary-final.xlsx?sfvrsn=7484b927_2

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/docs/default-source/coronaviruse/20200304-covid19-hcw-data-collection-form-final.xlsx?sfvrsn=ee0a7cff_2

Document, data template and data dictionary. WHOโ€™s Health workers exposure risk assessment and management in the context of COVID-19 virus. This tool is to be used by health care facilities that have either cared for or admitted COVID-19 patients; it is to be completed for all health workers who have been exposed to a confirmed COVID-19 patient in a healthcare facility. It will help determine the risk of COVID-19 virus infection of all HCWs who have been exposed to a COVID-19 patient and then provides recommendations for appropriate management of these HCWs, according to their infection risk.


Standards

Department of Labour

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.osha.gov/SLTC/covid-19/standards.html

Highlights OSHA standards and directives (instructions for compliance officers) and other related information that may apply to worker exposure to novel Coronavirus, COVID-19.

Personal Protective Equipment (PPE)

See also:

๐Ÿ”—https://coronavirustechhandbook.com/ppe

๐Ÿ”—https://coronavirustechhandbook.com/masks

๐Ÿ”—https://coronavirustechhandbook.com/hardware

General Guidance

WHO guidance on PPE

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf

WHO guidance: Rational use of personal protective equipment for Coronavirus disease 2019.


CDC on PPE

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/healthcare-supply-ppe-index.html

Personal Protective Equipment recommendations. By the USAโ€™s CDC.


UK Government Guidance on PPE

๐Ÿ”—https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/877728/T1_Recommended_PPE_for_healthcare_workers_by_secondary_care_clinical_context_poster.pdf

Recommended PPE for healthcare workers


Open source document

๐Ÿ”—https://docs.google.com/document/d/15kqUPPI7bYL6dnCetOeDSyE8IG5pHVmtg8Ju4yzGlF8/edit#heading=h.elyq59vqxfyb

Open source COVID-19 medical equipment requirement.


Quick Guides on Donning and Doffing PPE 

UK Government

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures

Donning and Doffing advice from the UK Goverment


Public Health England

๐Ÿ“บhttps://www.youtube.com/watch?v=oUo5O1JmLH0&feature=youtu.be

How to put on personal protective equipment (PPE)


Brighton and Sussex Nursing Teams

๐Ÿ“บhttps://www.youtube.com/watch?time_continue=1&v=tGVra7LB2es&feature=emb_logo

FFP3 Donning & Doffing (PPE), PPE: practice, overthink your movement and anticipate to the max.

Before: eat, drink, pee


University of Nebraska

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“บhttps://app1.unmc.edu/nursing/heroes/mpv.cfm?updateindex=70&src=yt

Hospital PPE. Infection control: donning and doffing. University of Nebraska Medical Centre.


Masks and Respirators

CDC FAQ on respirators

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirator-use-faq.html

FAQ about using respirators.By the USAโ€™s CDC.


WHO on masks

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak

WHOโ€™s advice on the Use of Masks. This document provides rapid advice on the use of medical masks in communities, at home and at health care facilities in areas that have reported outbreaks caused by the 2019 novel Coronavirus (nCoV). It is intended for public health and infection prevention and control (IPC) professionals, health care managers, health care workers and community health workers.


Centre for Infectious Disease Research and Policy

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—http://www.cidrap.umn.edu/news-perspective/2020/02/unmasked-experts-explain-necessary-respiratory-protection-covid-19

Experts explain necessary respiratory protection for COVID-19. By the Centre for Infectious Disease Research and Policy (CIDRAP).

 

Centers for Medicare & Medicaid Services

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cms.gov/newsroom/press-releases/covid-19-response-news-alert-cms-issues-key-protective-mask-guidance-healthcare-workers

CMSโ€™s key protective mask guidance for healthcare workers.


CDC Advice on respirators

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/niosh/npptl/pdfs/UnderstandDifferenceInfographic-508.pdf

Content below.



From : Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill

Adults with Coronavirus Disease 2019 (COVID-19)


Reuse and Disinfection PPE

See also: https://coronavirustechhandbook.com/masks


Open source guide to reusing respirators

๐Ÿ”—https://docs.google.com/document/d/193mt42jUR8PxuONUY4A6YZsyOOmy6Psg6BDme3rjai8/edit#heading=h.4gn6tdxbnm5e

A comprehensive guide on how to reuse and disinfect respirator.


In order to Preserve the PPE supply, the following is guidance for the Safe Reuse Strategies for N95 Masks:

  1. Proper hand hygiene is essential prior to donning and doffing a mask.
  2. Rule out COVID-19 patients. These patients have a COVID-19 test which was already obtained and is pending.
  3. One healthcare worker may reuse
  4. One N95 mask for all patients seen on one shift. If temporarily not wearing the mask, then remove without touching the front of the mask, store in a clean plastic bag, and wash hands before and after removal.
  5. Other organisms that require N95,e.g.Tuberculosis.One healthcare worker may reuse, One N95 mask for all patients seen on one shift. If temporarily not wearing the mask, then remove without touching the front of the mask, store in a clean plastic bag, and wash hands before and after removal.

Preparation

Action Plans

UK Government

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/coronavirus-action-plan/coronavirus-action-plan-a-guide-to-what-you-can-expect-across-the-uk

UK Coronavirus action plan. As of 2rd of March 2020. 

Hospitals

CDC Tool

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/hcp-hospital-checklist.html

Coronavirus hospital preparedness tool by CDC.


NHS

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/visitor-guidance-16-march-2020.pdf

The UKโ€™s NHS visitor guidance. It applies to all inpatient, diagnostic and outpatient areas.


John Hopkins Hospital

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“ปhttp://johnshopkinssph.libsyn.com/how-are-hospitals-preparing-for-covid-19?tdest_id=1899134

How are Hospitals Preparing for COVID-19? A podcast from the John Hopkins Hospital.

Checklists

CDC Checklist

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronpavirus/2019-ncov/downloads/hcp-preparedness-checklist.pdf

Healthcare Personnel Preparedness Checklist for COVID-19. Front-line healthcare personnel in the United States should be prepared to evaluate patients for Coronavirus disease 2019 (COVID-19). The following checklist highlights key steps for healthcare personnel in preparation for transport and arrival of patients with confirmed or possible COVID-19. By Centre for Disease Control and Prevention (CDC).


 U.S. Department of Health and Human Services Checklist

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.phe.gov/Preparedness/COVID19/Documents/COVID-19%20Healthcare%20Planning%20Checklist.pdf

This checklist is adapted from a variety of HHS Pandemic Influenza Pandemic Planning resources. It is not intended to set forth mandatory requirements by the Federal government. Each jurisdiction should determine for itself whether it is adequately prepared for disease outbreaks in accordance with its own laws and authorities. We strongly encourage continued review of HHSโ€™ Centers for Disease Control (CDC) COVID-19 guidance which is available on their website for the most current information. By HHS.


CDC Nursing Homes Checklist

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/downloads/novel-coronavirus-2019-Nursing-Homes-Preparedness-Checklist_3_13.pdf

The USAโ€™s CDC. COVID-19 Preparedness Checklist for Nursing Homes and other Long-Term Care Settings. There is a recent addition to the above listed below:

  1. Restrict all visitation except for certain compassionate care situations, such as end of life situations
  2. Restrict all volunteers and non-essential healthcare personnel (HCP), including non-essential healthcare personnel (e.g., barbers)
  3. Cancel all group activities and communal dining
  4. Implement active screening of residents and HCP for fever and respiratory symptoms

COVID-19 is being increasingly reported in communities across the United States. It is likely that SARS-CoV-2 will be identified in more communities, including areas where cases have not yet been reported. As such, nursing homes should assume it could already be in their community and move to restrict all visitors and unnecessary HCP from the facility; cancel group activities and communal dining; and implement active screening of residents and HCP for fever and respiratory symptoms.

Guidance for Care

Early Investigation Protocol

WHO Guidance

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/early-investigations

WHOโ€™s early investigation protocol. The recent emergence of COVID-19 means that understanding of transmission patterns, severity, clinical features and risk factors for infection remains limited, whether among the general population, for health workers or in household and other โ€œclosedโ€ settings. 

Studies to assess the epidemiology and clinical characteristics of cases in different settings are therefore critical to furthering our understanding of this virus and associated disease. They will also provide the robust information needed to refine the parameters to feed in forecasting models. These protocols and forms have been designed so that data can be rapidly and systematically collected and shared in a format that facilitates aggregation, tabulation and analysis across different settings globally. We encourage any and all countries and study centres to contribute to this effort regardless of resource availability or patient volume. The ownership of the primary data remains firmly with the individual countries/sites.

Investigating and Initial Clinical Management of Possible Cases

CDC Guidance

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html

Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings by CDC:

  1. Minimise chance for exposures
  2. Adhere to standard and transmission-based precautions
  3. Consider patient placement
  4. Take precautions when performing aerosol-generating procedures (AGP)
  5. Collection of diagnostic respiratory specimens
  6. Manage visitor access and movement within the facilities
  7. Implement engineering controls
  8. Monitor and manage I11 and exposed healthcare personnel
  9. Train and educate healthcare personnel
  10. Implement environmental infection control
  11. Establish reporting within and between healthcare facilities and to public health authorities.


UK Government Guidance

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/wuhan-novel-coronavirus-initial-investigation-of-possible-cases/investigation-and-initial-clinical-management-of-possible-cases-of-wuhan-novel-coronavirus-wn-cov-infection

Initial investigation of possible cases. By the UK Government.


Clinical Care

UK Government Guidance

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/wn-cov-guidance-for-primary-care/wn-cov-interim-guidance-for-primary-care

Primary care guidance for Healthcare professionals. Last updated 25th of February 2020.


CDC Guidance

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-hospitalized-patients.html

Disposition of Hospitalized Patients with COVID-2019. By the USAโ€™s CDC.


Dr Charelene Babcock

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“บCOVID-19 How to Use One Ventilator to Save Multiple Lives

How to use one ventilator to save multiple lives. By Dr. Charlene Irvin Babcock.


CDC Inpatient Guidance

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html

Inpatient Obstetric Healthcare Guidance. By the USAโ€™s CDC.

Severe Acute Respiratory Infection

Ventilator Basics

๐Ÿ”—https://twitter.com/coffeeNCalibers/status/1244814024442773504

NEW: Ventilator basics for the non-ICU nurse - a super basic quick reference!


Intro to Respiratory Support

๐Ÿ”—https://rise.articulate.com/share/LpY0dWDwF2MxviHuz7o7TtAkgO9yKFiP#/

Introduction to Respiratory Support (basics)


WHO Guidance

๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected

WHOโ€™s clinical management of severe acute respiratory infection when novel Coronavirus (nCoV) infection is suspected. This document is intended for clinicians taking care of hospitalised adult and paediatric patients with severe acute respiratory infection (SARI) when a nCoV infection is suspected. It is not meant to replace clinical judgment or specialist consultation but rather to strengthen clinical management of these patients and provide up-to-date guidance. Best practices for SARI including IPC and optimized supportive care for severely ill patients are essential.  


Acute Respiratory Distress Syndrome

๐Ÿ“๐Ÿ”—https://www.uptodate.com/contents/acute-respiratory-distress-syndrome-clinical-features-diagnosis-and-complications-in-adults

Acute respiratory distress syndrome: Clinical features, diagnosis, and complications in adults. By Mark D Siegel, MD (2020).


Ventilator Management

๐Ÿ“๐Ÿ”—https://www.uptodate.com/contents/ventilator-management-strategies-for-adults-with-acute-respiratory-distress-syndrome

Ventilator management strategies for adults with acute respiratory distress syndrome. Acute respiratory distress syndrome (ARDS) is a form of lung injury that is associated with a high mortality. Mechanical ventilation and supportive therapies are the mainstays of treatment. The ventilator strategies used to treat ARDS are reviewed here. In general, these recommendations are in keeping with those issued by several society guideline groups. The non-mechanical ventilation related aspects of ARDS management are discussed separately. See "Acute respiratory distress syndrome: Supportive care and oxygenation in adults". By Mark D Siegel, MDRobert C Hyzy, MD (2019)


Prone Ventilation

๐Ÿ“๐Ÿ”—https://www.uptodate.com/contents/prone-ventilation-for-adult-patients-with-acute-respiratory-distress-syndrome

Prone ventilation for adult patients with acute respiratory distress syndrome. Invasive mechanical ventilation is traditionally delivered with the patient in the supine position. Prone ventilation is ventilation that is delivered with the patient lying in the prone position. Prone ventilation may be used for the treatment of acute respiratory distress syndrome (ARDS) mostly as a strategy to improve oxygenation when more traditional modes of ventilation fail (eg, lung protective ventilation). The physiologic effects of, selection of patients for, and the outcomes associated with prone ventilation are reviewed here. By Atul Malhotra, MDRobert M Kacmarek, PhD, RRT (2019)

Coronavirus Guidance and Pregnancy

Royal College of Obestricians and Gynacologists

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.rcog.org.uk/globalassets/documents/guidelines/coronavirus-covid-19-infection-in-pregnancy-v2-20-03-13.pdf

Guidance for healthcare professionals on Coronavirus (COVID-19) infection in pregnancy, published by the RCOG, Royal College of Midwives, Royal College of Paediatrics and Child Health, Public Health England and Health Protection Scotland. Last update 13th of March 2020.


European Centre for Disease Prevention and Control

๐Ÿ‡ช๐Ÿ‡บ๐Ÿ”—https://www.ecdc.europa.eu/sites/default/files/documents/Leaflet-Covid-19_pregnant-women.pdf

Information on COVID-19 for pregnant women. By the European Centre for Disease Prevention and Control (ECDPC). Update 13th March 2020.

Coronavirus Guidance for Vulnerable Groups

European Centre for Disease Prevention and Control

๐Ÿ‡ช๐Ÿ‡บ๐Ÿ”—https://www.ecdc.europa.eu/en/news-events/information-covid-19-specific-groups-elderly-patients-chronic-diseases-people

Information on COVID-19 for specific groups: the elderly, patients with chronic diseases, people with immunocompromising conditions and pregnant women. By the European Centre for Disease Prevention and Control (ECDPC). Update 13th March 2020.


UK Government Advice

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/news/new-adult-social-care-guidance-to-protect-the-most-vulnerable-against-covid-19?utm_source=4c722cf1-f1f4-442d-8adb-ec0d709fd701&utm_medium=email&utm_campaign=govuk-notifications&utm_content=immediate

This guide covers a variety of scenarios relating to care homes, staff, and providers who care for people in their own homes to ensure older people and those with pre-existing conditions and care needs who receive support are best protected. By the UK Government. Last updated 13th of March 2020.

Evaluation and Reporting

CDC Testing Guidance

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html

Evaluating and Testing Persons Under Investigation. By the USAโ€™s CDC.


CDC Reporting Guidance

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/php/reporting-pui.html

Reporting a PUI or Laboratory-Confirmed Case for COVID-19

Guidance for Residential Care, Home Care and Nursing Homes

Residential and Home Care

UK Government Guidance on Residential Care

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance/covid-19-guidance-on-residential-care-provision

Residential care provision by the UK Government.


UK Government Guidance on Home Care

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance/covid-19-guidance-on-home-care-provision

Home care provision by the UK Government.  


John Hopkins

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“ปhttp://johnshopkinssph.libsyn.com/how-nursing-homes-and-first-responders-can-address-the-threat-of-covid-19?tdest_id=1899134

How Nursing Homes and First Responders Can Address the Threat of COVID-19. 


Center for Clinical Standards and Quality/Quality, Safety & Oversight Group

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cms.gov/files/document/qso-20-14-nh-revised.pdf

Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Homes. By Center for Clinical Standards and Quality/Quality, Safety & Oversight Group.


CDC guidance on nursing homes

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/prevent-spread-in-long-term-care-facilities.html

Long-term care facilities and nursing homes guidance to deal with COVID-19. By the USAโ€™s CDC.


Nursing Home 411

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://nursinghome411.org/ltccc-news-alert-protecting-vulnerable-residents-from-coronavirus/

Protecting Vulnerable Residents From Coronavirus. By Long Term Care Community Coalition.


Action Plan if your facility has COVID-19

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“บhttps://www.wa-paltc.com/covid-19-resources

๐Ÿ—ฃ[email protected]

Your Facility has COVID-19: What You Can Do Now. By Dr. John Lynch and Dr. James Lewis. UW and King County Response Team. (12 March 2020). Washington Society for Post-Acute and Long Term Care Medicine.



Kaiser Family Foundation

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ“https://www.kff.org/medicaid/issue-brief/data-note-how-might-coronavirus-affect-residents-in-nursing-facilities/

How might Coronavirus affect residents in nursing facilities. By Priya Chidambaram (2020). Kaiser Family Foundation (KFF).Supported Living

UK Government Guidance

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance/covid-19-guidance-for-supported-living-provision

Supported living provision by the UK Government.

Guidance for Quarantine

Quarantine

๏ฟฝCDC Guidance

๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html

Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings by CDC. Guide is from 2007.



WHO Guidance๏ฟฝ๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://web-prod.who.int/publications-detail/considerations-for-quarantine-of-individuals-in-the-context-of-containment-for-coronavirus-disease-(covid-19)

WHOโ€™s Considerations for quarantine of individuals in the context of containment for Coronavirus disease. The purpose of this document is to offer guidance to Member States on quarantine measures for individuals in the context of COVID-19. It is intended for those responsible for establishing local or national policy for quarantine of individuals, and adherence to infection prevention and control measures. 


Home Care

๏ฟฝWHO Guidance

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/publications-detail/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts

WHOโ€™s guidance for home care of patients with suspected novel Coronavirus (nCoV) infection presenting with mild symptoms and management of contacts

WHO has developed this rapid advice note to meet the need for recommendations on the safe home care for patients with suspected novel Coronavirus (2019-nCoV) infection presenting with mild symptoms and public health measures related to management of asymptomatic contacts.



CDC Guidance on Homecare๏ฟฝ๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-home-care.html

Implementing Home Care of People Not Requiring Hospitalization. By the USAโ€™s CDC.


Self-Isolation

๏ฟฝUK Government Guidance

๏ฟฝ๐Ÿ‡ง๐Ÿ”—https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-people-with-confirmed-or-possible-coronavirus-covid-19-infection

The UKโ€™s NHS guidance on latest self-isolation. It applies to everyone, including NHS (Healthcare) staff.

Makeshift Hospitals

๏ฟฝJournal of Hospital Infection

๏ฟฝ๐Ÿ”—https://www.journalofhospitalinfection.com/article/S0195-6701(20)30107-9/fulltext

Makeshift hospitals for COVID-19 patients: where health-care workers and patients need sufficient ventilation for more protection. Chen Chen and Bin Zhao (2020), The Journal of Hospital Infection.



Inside Wuhan๏ฟฝ๏ฟฝ๐Ÿ‡ณ๐Ÿ“บhttps://youtu.be/oyvNDOmamRI

Inside Wuhan: Makeshift Coronavirus hospital

Briefing and Communication

Briefing for Patients

๏ฟฝNurse.com

๏ฟฝ๐Ÿ‡ง๐Ÿ“บhttps://www.youtube.com/watch?v=Yk6VX_Bktik&feature=emb_logo

What to say to your patients about Coronavirus. By Nurse.com


Briefing when starting shift

๏ฟฝFirst do no harm

๏ฟฝ https://twitter.com/First_do_noharm/status/1239438663055892480?s=20 

๐Ÿ—ฃhttps://twitter.com/First_do_noharm

A sample briefing from Professor Diana Egerton-Warburton. Itโ€™s an evolving document, please to do adapted from your reality:


  1. Hello. Thanks for attending your shift.
  2. Just double-checking nobody has a fever or UTI or gastroenteritis symptoms? Great to hear. Let me know if you develop any?
  3. Hand hygiene is our best protection against the COVID-19 and many other infectious diseases and hospital acquired infections for your patients. Remember:
  4. The moments are hard to remember so just focus on before and after every clinical interaction with a patient or their surroundings
  5. Tell your patient โ€œI am now using hard sanitiser to protect you from infections.โ€
  6. Can everybody check they are naked below the elbow? Then double check all staff members have removed rings (plain wedding ring ok to have on)
  7. No clinical specimens should leave bedside without being bagged and hand hygiene being performed. Follow the prompt guideline for COVID specimens.
  8. Clean your stethoscope and any other equipment with microfiber cloth between every patient encounter if it is used.
  9. Social distancing is an important measure to reduce spread:
  10. No handshake with patients or relatives
  11. Minimise non-essential relatives (max 2)
  12. Cough sneeze etiquette
  13. Patients and their relatives have received an infographic but itโ€™s important to remind them
  14. Remember no food in the clinical area.
  15. Please review the WHO procedures for the donning and doffing of PPE, watch the video and complete self-assessment. You canโ€™t put PPE on unless you have done this. Remember the taking off of PPE is the highest risk time for health care workers.
  16. Remember to treat all patients you see this shift with the assumption they have COVID-19 (inset any infectious disease) to reduce disease. Many people with the virus will be asymptomatic as pandemic increases around 50-60% of the population likely to be infected.

 

Signage and Visual Communication

๏ฟฝSPICE

๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://spice.unc.edu/ltc-coronavirus-visitation-signage/

Coronavirus Visitation Signage. By the USAโ€™s Statewide Program for Infection Control and Epidemiology (SPICE).


Widgit

๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.widgit.com/products/health/covid19-communication-chart.htm Communication charts developed by speech and language therapists to enable non-verbal communication between patients who are unable to speak and healthcare professionals. Translated into 47 languages to date, more to come.

Burnout, Resilience and Mental Wellbeing

Coommunitieseand supportSSharing and Caring๏ฟฝ๏ฟฝhttps://chat.whatsapp.com/EVAlHrt8b9JF6BHtpwBlIr 

This group is for sharing and caring, sharing nursing care strategies and self-care strategies. Express yourself. 



WE Communities

๐Ÿ”—http://www.wecommunities.org/ 

All of the chats on this website are run by healthcare professionals who believe passionately that through connecting people and sharing information ideas and expertise we can share best practice and ultimately provide better care.


#NursesRoar

๐Ÿ”—https://www.facebook.com/groups/496714360508822/

Facebook group for nurses founded after nursing bursaries were cutGeneral Guidance

๏ฟฝWHO Guidance

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf

WHOโ€™s Mental Health Considerations during COVID-19 Outbreak. 

For Healthcare staff:

  1.  For health workers, feeling under pressure is a likely experience for you and many of your health worker colleagues. It is quite normal to be feeling this way in the current situation. Stress and the feelings associated with it are by no means a reflection that you cannot do your job or that you are weak. Managing your mental health and psychosocial wellbeing during this time is as important as managing your physical health.
  2. Take care of yourself at this time. Try and use helpful coping strategies such as ensuring sufficient rest and respite during work or between shifts, eat sufficient and healthy food, engage in physical activity, and stay in contact with family and friends. Avoid using unhelpful coping strategies such as tobacco, alcohol or other drugs. In the long term, these can worsen your mental and physical wellbeing. This is a unique and unprecedented scenario for many workers, particularly if they have not been involved in similar responses. Even so, using strategies that have worked for you in the past to manage times of stress can benefit you now. You are most likely to know how to de-stress and you should not be hesitant in keeping yourself psychologically well. This is not a sprint; itโ€™s a marathon.
  3. Some healthcare workers may unfortunately experience avoidance by their family or community due to stigma or fear. This can make an already challenging situation far more difficult. If possible, staying connected with your loved ones including through digital methods is one way to maintain contact. Turn to your colleagues, your manager or other trusted persons for social support- your colleagues may be having similar experiences to you.
  4. Use understandable ways to share messages with people with intellectual, cognitive and psychosocial disabilities. Forms of communication that do not rely solely on written information should be utilized If you are a team leader or manager in a health facility.
  5. Know how to provide support to, for people who are affected with COVID-19 and know how to link them with available resources. This is especially important for those who require mental health and psychosocial support. The stigma associated with mental health problems may cause reluctance to seek support for both COVID-19 and mental health conditions. The mhGAP Humanitarian Intervention Guide includes clinical guidance for addressing priority mental health conditions and is designed for use by general health workers. 


For Team leaders or manager: 

  1. Keeping all staff protected from chronic stress and poor mental health during this response means that they will have a better capacity to fulfil their roles. Be sure to keep in mind that the current situation will not go away overnight and you should focus on longer term occupational capacity rather than repeated short-term crisis responses.
  2. Ensure good quality communication and accurate information updates are provided to all staff. Rotate workers from higher-stress to lower-stress functions. Partner inexperienced workers with their more experienced colleagues. The buddy system helps to provide support, monitor stress and reinforce safety procedures. Ensure that outreach personnel enter the community in pairs. Initiate, encourage and monitor work breaks. Implement flexible schedules for workers who are directly impacted or have a family member impacted by a stressful event. Ensure you build in time for colleagues to provide social support to each other.
  3. If you are a team leader or manager in a health facility, facilitate access to, and ensure staff are aware of where they can access mental health and psychosocial support services. Managers and team leaders are also facing similar stressors as their staff, and potentially additional pressure in the level of responsibility of their role. It is important that the above provisions and strategies are in place for both workers and managers, and that managers can be a role-model of self-care strategies to mitigate stress.
  4. Orient responders, including nurses, ambulance drivers, volunteers, case identifiers, teachers and community leaders and workers in quarantine sites, on how to provide basic emotional and practical support to affected people using psychological first aid
  5. Manage urgent mental health and neurological complaints (e.g. delirium, psychosis, severe anxiety or depression) within emergency or general health care facilities. Appropriate trained and qualified staff may need to be deployed to these locations when time permits, general health care staff capacity in mental health and psychosocial support should be increased (see mhGAP Humanitarian Intervention Guide)
  6. Ensure availability of essential, generic psychotropic medications at all levels of health care. People living with long-term mental health conditions or epileptic seizures will need uninterrupted access to their medication, and sudden discontinuation should be avoided. 

Psychological impact of COVID-19 on healthcare staff

๏ฟฝBritish Psychological Society

๏ฟฝ๐Ÿ‡ง๐Ÿ”—https://www.bps.org.uk/sites/www.bps.org.uk/files/News/News%20-%20Files/Psychological%20needs%20of%20healthcare%20staff.pdf

British Psychological Society guidance on meeting the psychological needs of healthcare staff during the pandemic.


Local Tactics

๏ฟฝWuhan Dancing

๏ฟฝ๐Ÿ‡ณ๐Ÿ“บhttps://youtu.be/Y3MgBZ4ORvQ

Coronavirus Patients dance at makeshift Wuhan hospital.



Iran Dancing๏ฟฝ๏ฟฝ๐Ÿ‡ท๐Ÿ”—https://www.middleeastmonitor.com/20200303-irans-coronavirus-nurses-doctors-keep-patients-upbeat-by-dancing/

Iranโ€™s Coronavirus nurses, doctors keep patients upbeat by dancing.

First Hand Experiences

๏ฟฝScience Direct

๏ฟฝ๐Ÿ‡ท๐Ÿ”—https://www-sciencedirect-com.ezproxy.lib.bbk.ac.uk/science/article/pii/S0196655318300336?via%3Dihub

Nurses' experiences of care for patients with Middle East respiratory syndrome-Coronavirus in South Korea. Highlights: 

  1. Nurses' experiences of care for patients with Middle East respiratory syndrome-coronavirus (MERS-CoV) were categorized by going into a dangerous field, strong pressure because of MERS-CoV, the strength that make me endure, growth as a nurse, remaining task.
  2. It is necessary to examine the difficulties and demands of the healthcare providers who care for infectious patients.
  3. Strategies are needed to establish a safer healthcare system that can protect healthcare providers who care for MERS-CoV patients.


๏ฟฝBored Panda

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://www.boredpanda.com/chinese-nurses-face-masks-corona-virus/?cexp_id=25372&cexp_var=23&_f=featured

Chinese nurses share pictures of how their faces look after countless hours of fighting the COVID-19

Ethics

๏ฟฝArticle

๏ฟฝ๐Ÿ‡ท๐Ÿ“๐Ÿ”—https://journals.sagepub.com/doi/full/10.1177/0969733016648205

๐Ÿ—ฃ[email protected]

Factors influencing emergency nursesโ€™ ethical problems during the outbreak of MERS-CoV. The objective of this study was to explore emergency nursesโ€™ ethical problems and to identify factors influencing these problems during the outbreak of Middle East respiratory syndromeโ€“Coronavirus in Korea. By Jeong-Sil Choi and Ji-Soo Kim (2016). 


๏ฟฝNicholas A. Christakis

๏ฟฝhttps://threadreaderapp.com/thread/1246549341789130752.html

People who are dying of COVID-19 will need first-rate palliative (hospice) care. This is going to be especially the case for people who are denied ventilators or who are taken off of them (i.e., who are โ€œextubatedโ€). Letโ€™s talk about this painful and poignant fact.

Triage Guide

๏ฟฝThe Italian College of Anesthesia, Analgesia, Resuscitation and Intensive Care

๏ฟฝ๐Ÿ‡น๐Ÿ”—https://twitter.com/Yascha_Mounk/status/1237731864233807872

Italyโ€™s guidance on who should be prioritised for treatment published by The Italian College of Anesthesia, Analgesia, Resuscitation and Intensive Care originally. Translated by @Yascha_Mounk

โ€œA week ago, Italy had so few cases of Coronavirus that it could give each stricken patient high-quality care.

Today, some hospitals are so overwhelmed that they simply cannot treat every patient. They are starting to do wartime triage. Hereโ€™s the guidance for that.It may be necessary to establish criteria of access to intensive care not just on the basis of clinical appropriateness but inspired by the most consensual criteria regarding distributive justice and the appropriate allocation of limited health resources. This scenario is substantially comparable to the field of 'catastrophe medicine,' for which ethical reflection has over time stipulated many concrete guidelines for doctors and nurses facing difficult choices. In a context of grave shortage of medical resources, the allocation criteria need to guarantee that those patients with the highest chance of therapeutic success will retain access to intensive care. 

It's a matter of giving priority to 'the highest hope of life and survival. Recommendations: 

  1. The extraordinary criteria of admission and discharge are flexible and can be adapted in accordance with the local availability of resources. These criteria apply to all patients in intensive care, not just those infected with COVID-19.
  2. Allocation is a very complex and delicate choice. [โ€ฆ] The foreseeable increase in mortality for clinical conditions not linked to the current epidemic due to the reduction of chirurgical activity and the scarcity of resources needs to be taken into consideration.
  3. It may become necessary to establish an age limit for access to intensive care. This is not a value judgments but a way to provide extremely scarce resources to those who have the highest likelihood of survival and could enjoy the largest number of life-years saved. This is informed by the principle of maximizing benefits for the largest number. In case of a total saturation of resources, maintaining the criterion of 'first come, first served' would amount to a decision to exclude late-arriving patients from access to intensive care.
  4. In addition to age, the presence of comorbidities needs to be carefully evaluated. It is conceivable that what might be a relatively short treatment course in healthier people could be longer and more resource-consuming in the case of older or more fragile patients. For patients for whom access to intensive care is judged inappropriate, the decision to posit a ceiling of care nevertheless needs to be explained, communicated, and documented."

References: Scientific Papers and Research

The New England Journal of Medicine

๐Ÿ“๐Ÿ”—https://www.nejm.org/coronavirus?query=RP

A collection of articles and other resources on the Coronavirus (COVID-19) outbreak, including clinical reports, management guidelines, and commentary. All Journal content related to the COVID-19 pandemic is freely available.


Healthcare Infection Society Publications

๐Ÿ“๐Ÿ”—https://his.org.uk/resources-guidelines/novel-coronavirus-resources/

Published papers from HIS Journal on COVID-19


Role of Inanimate Surfaces in Transmission

Science Direct

๐Ÿ”—https://www.sciencedirect.com/science/article/pii/S2590088920300081

Potential role of inanimate surfaces for the spread of Coronaviruses and their inactivation with disinfectant agents. G. Kampf (2020), The Journal of Hospital Infection.


Science Direct

๐Ÿ”—https://www.sciencedirect.com/science/article/pii/S0195670120300463

Persistence of Coronaviruses on inanimate surfaces and its inactivation with biocidal agents. G. Kampf, D. Todt, S. Pfaender, E. Steinmann (2020). Journal of Hospital Infection.


Hopsital Infections

Journal of Hospital Infection

๐Ÿ‡จ๐Ÿ‡ณ๐Ÿ”—https://www.journalofhospitalinfection.com/article/S0195-6701(20)30101-8/fulltext

Exploring the reasons for healthcare workers infected with novel Coronavirus disease 2019 (COVID-19) in China. Jiancong Wang, Mouqing Zhou, Fangfei Liu D (2020), The Journal of Hospital Infection. 


๏ฟฝJournal of Hospital Infection

๏ฟฝ๐Ÿ‡ญ๐Ÿ”—https://www.journalofhospitalinfection.com/article/S0195-6701(20)30090-6/fulltext

COVID-19 in medical personnel: observation from Thailand. Viroj Wiwanitkit (2020), The Journal of Hospital Infection.


๏ฟฝJournal of Hospital Infection

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://www.journalofhospitalinfection.com/article/S0195-6701(20)30092-X/fulltext

Integrated infection control strategy to minimize nosocomial infection of Corona virus disease 2019 among ENT healthcare workers. Dan Lu, Haiyang Wang, Rong Yu, HuiYang, Yu Zhao (2020), The Journal of Hospital Infection.


PPE



Journal of Hospital Infection๏ฟฝ๏ฟฝ๐Ÿ‡ณ๐Ÿ“https://www.journalofhospitalinfection.com/article/S0195-6701(20)30097-9/fulltext

Association between 2019-nCoV transmission and N95 respirator use. Xinghuan Wang, Zhenyu Pan, Zhenshun Cheng (2020), The Journal of Hospital Infection.


Diagnosis and Initial Treatment

๏ฟฝMilitary Medical Research 

๏ฟฝ๐Ÿ‡ณ๐Ÿ“https://link.springer.com/article/10.1186/s40779-020-0233-6

A rapid advice guideline for the diagnosis and treatment of 2019 novel Coronavirus infected pneumonia (standard version). Published by Military Medical Research. 2020.



New England Journal of Medicine๏ฟฝ๏ฟฝhttps://www.nejm.org/doi/full/10.1056/NEJMe2004856

Making decisions about COVID-19 testing and treatment. By Eric J. Rubin, M.D., Ph.D., Lindsey R. Baden, M.D., and Stephen Morrissey, Ph.D. (2020).


๏ฟฝJournal of Hospital Infection

๏ฟฝ๐Ÿ‡ณ๐Ÿ“https://www.journalofhospitalinfection.com/article/S0195-6701(20)30111-0/fulltext

Experience of different upper respiratory tract sampling strategies for detection of COVID-19. By Guangming Ye, Yirong Li, Mengxin Lu, Song Chen, Yongwen Luo, Shichan Wang, Yejingpeng Wang, Xinghuan Wang (2020), The Journal of Hospital Infection.



Journal of Hospital Infection๏ฟฝ๏ฟฝhttps://www.journalofhospitalinfection.com/article/S0195-6701(20)30100-6/fulltext

Diagnosis of SARS-CoV-2 infection based on CT scan vs. RT-PCR: Reflecting on experience from MERS-CoV. Jaffar A. Al-Tawfiq, Ziad A. Memish (2020), The Journal of Hospital Infection.


Coronavirus in Residential Care

๏ฟฝThe Journal of Healthcare Organisation, Provision and Financing

๏ฟฝ๐Ÿ‡ธ๐Ÿ“https://journals.sagepub.com/doi/10.1177/0046958018778636

Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study. By Patricia W. Stone, PhD, RN, Carolyn T. A. Herzig, PhD, MS, Mansi Agarwal, PhD, MPH, Monika Pogorzelska-Maziarz,PhD, MPH, Andrew W. Dick, PhD (2018).



Quarantine

Journal of Hospital Infection

๐Ÿ‡จ๐Ÿ‡ณ๐Ÿ“๐Ÿ”—https://www.journalofhospitalinfection.com/article/S0195-6701(20)30102-X/fulltext

Duration of quarantine in hospitalized patients with severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection: a question needing an answer. Andrea Lombardi, Giorgio Bozzi, Davide Mangioni, Antonio Muscatello, Anna Maria Peri, Lucia Taramasso, Riccardo Ungaro, Alessandra Bandera, Andrea Gori (2020), The Journal of Hospital Infection.


Psychological Impact of Coronavirus on Healthcare Workers

Trauma in Frontline staff

๐Ÿ‡จ๐Ÿ‡ณ๐Ÿ“๐Ÿ”—https://www-sciencedirect-com.ezproxy.lib.bbk.ac.uk/science/article/pii/S0889159120303093?via%3Dihub

Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Published 10 March 2020. A large number of medical staff was sent to Wuhan city and Hubei province to aid COVID-19 control. Psychological stress, especially vicarious traumatization caused by the COVID-19 pandemic, should not be ignored. To address this concern, the study employed a total of 214 general public and 526 nurses (i.e., 234 front-line nurses and 292 non-front-line nurses) to evaluate vicarious traumatization scores via a mobile app-based questionnaire. Front-line nurses are engaged in the process of providing care for patients with COVID-19. The results showed that the vicarious traumatization scores for front-line nurses including scores for physiological and psychological responses, were significantly lower than those of non-front-line nurses (P < 0.001). Interestingly, the vicarious traumatization scores of the general public were significantly higher than those of the front-line nurses; however, no statistical difference was observed compared to the scores of non-front-line nurses. Therefore, increased attention should be paid to the psychological problems of the medical staff, especially non-front-line nurses, and the general public under the situation of the spread and control of COVID-19. Early strategies that aim to prevent and treat vicarious traumatization in medical staff and the general public are extremely necessary.


Asian Nursing Research

๐Ÿ‡ฐ๐Ÿ‡ท๐Ÿ“๐Ÿ”—https://doaj.org/article/c4d2d530ec5e4834b177c7bf8fe069a6?

Factors Influencing Emergency Nurses' Burnout During an Outbreak of Middle East Respiratory Syndrome Coronavirus in Korea. Asian Nursing Research. Emergency department (ED) nurses suffer from persistent stress after experiencing the traumatic event of exposure to Middle East respiratory syndrome Coronavirus (MERS-CoV), which can subsequently lead to burnout. This study aimed to assess ED nurses' burnout level during an outbreak of MERS-CoV and to identify influencing factors in order to provide basic information for lowering and preventing the level of burnout.


Mental Health of Nurses

๐Ÿ‡ฐ๐Ÿ‡ท๐Ÿ“๐Ÿ”—https://www-sciencedirect-com.ezproxy.lib.bbk.ac.uk/science/article/pii/S0883941717300444?via%3Dihub

Mental Health of Nurses Working at a Government-designated Hospital During a MERS-CoV Outbreak: A Cross-sectional Study. Published by Archive of Psychiatric Nursing. February 2018.  Highlights:

  1. During an epidemic of a novel infectious disease, nurses can suffer from mental health problems.
  2. Stigma and hardiness exert both direct effects on mental health in nurses.
  3. Stigma and hardiness exert both indirect effects on mental health via stress in nurses.
  4. The mental health of nurses was affected more by direct effects than by indirect effects.


MERS-CoV

(LINK BROKEN)

๐Ÿ‡ธ๐Ÿ‡ฆ๐Ÿ“๐Ÿ”—http://content.ebscohost.com/ContentServer.asp?EbscoContent=dGJyMNLr40Sep7U4y9fwOLCmsEieprVSsqu4S66WxWXS&ContentCustomer=dGJyMPGvrkiwqLFKuePfgeyx43zx1d%2BI5wAA&T=P&P=AN&S=R&D=a9h&K=117949545

Middle East respiratory syndrome Coronavirus (MERS-CoV) outbreak perceptions of risk and stress evaluation in nurses. MERS-CoV caused a relatively significant level of distress among nurses. There was a difference in the worry and fear scale of contracting the MERS-CoV infection between participants who worked in areas likely to admit and have MERS-CoV suspected or positive cases. After the campaign, the level of confidence got higher and the participants were more adherent to the infection control precautions. Published by the Journal of Infection in Developing Countries. October 2015.

Relevant News for Nurses

Associations and Organisations

๏ฟฝRoyal College of Nursing

๏ฟฝ๐Ÿ‡ง๐Ÿ”—https://www.rcn.org.uk/clinical-topics/infection-prevention-and-control/novel-coronavirus

๐Ÿ—ฃ[email protected]

Provides Royal College of Nursing members with the latest information and resources. As of 17th of March much of the individual mentioned resources has been included in this document.


๏ฟฝGlobal Health Now

๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://www.globalhealthnow.org/subscribe

Global Health Now newsletter by John Hopkins Bloomberg School of Public Health.


๏ฟฝNational Foundation for Infectious Diseases

๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://www.nfid.org/infectious-diseases/coronaviruses/

National Foundation for Infectious Diseases.



Washington State Society for Post-Acute and Long-Term Care Medicine๏ฟฝ๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://www.wa-paltc.com/covid-19-resources

Washington State Society for Post-Acute and Long-Term Care Medicine (wa-paltc).


๏ฟฝSizNursing

๏ฟฝ๐Ÿ‡ช๐Ÿ”— http://www.siznursing.be/ (French) 

Specialized ICU/CCRN nurses in Belgium

Industry News

๏ฟฝNursing Times

๏ฟฝ๐Ÿ‡ง๐Ÿ”—https://www.nursingtimes.net/news/coronavirus/

Coronavirus news from Nursing Times


๏ฟฝDigital Health

๏ฟฝhttp://www.digitalhealth.net/

Digital Health. News.

Inspiration

๏ฟฝBraving Novel Coronavirus

(LINK BROKEN)

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—http://content.ebscohost.com/ContentServer.asp?EbscoContent=dGJyMNLr40Sep7U4y9fwOLCmsEieprVSsKq4SLaWxWXS&ContentCustomer=dGJyMPGvrkiwqLFKuePfgeyx43zx1d%2BI5wAA&T=P&P=AN&S=R&D=a9h&K=141888140

Braving Novel Coronavirus: More stories of bravery and dedication emerge as medical workers continue the fight to save lives. By Wang Hairong. 27 February 2020.

Relevant Courses for Nurses

Emerging Infectious Diseases

๏ฟฝOpen WHO

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

Emerging respiratory viruses, including COVID-19


๏ฟฝ

๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://files.asprtracie.hhs.gov/documents/aspr-tracie-netec-highly-pathogenic-resources-webinar-508.pdf

Highly Pathogenic Infectious Disease Training and Exercise Resources. slides and recorded webinar โ€“ from ASPR TRACIE (Free).


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/middle-east-respiratory-syndrome-mers

1 contact hr. Middle East Respiratory Syndrome (MERS). Middle East respiratory syndrome (MERS) is a lethal pulmonary disease caused by a newly emerged Coronavirus. It is believed to have originated in bats before it was transmitted to camels. Since human contact with bats is limited, evidence (serological and molecular) suggests that camels are the likely animal reservoir for MERS and the primary zoonotic source for human infection. MERS Coronavirus (MERS-CoV) was first identified in Saudi Arabia in 2012. As of October 2018, there have been 2,266 lab confirmed cases of MERS with 804 deaths. The virus has been found in 27 countries. ($12)


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/19-ol-spoc-mers

Special Pathogens of Concern: MERS. May 2019. By NETEC. (Free)


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/emerging-infectious-diseases-intercontinental-travelers

1 contact hr. Emerging Infectious Diseases. Emerging infectious diseases have become a global phenomenon. There are many causal factors for the presence of these diseases, including evolution and adaptation as viruses learn to evolve and recombine, and increased international travel and exportation. As these factors combine, a dangerous situation emerges. This activity will address West Nile virus, Ebola virus, and Zika virus. ($12)


๐Ÿ”—http://Coursera.org

Science Matters: Let's Talk About COVID-19


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—London School of Hygiene and Tropical Medicine

COVID-19: Tackling the Novel Coronavirus


Upskilling nurses to fight COVID-19

๐Ÿ”—https://www.sanalabs.com/projectflorence

As healthcare systems worldwide are struggling to meet the demand for treatment from COVID-19, nurses need to be quickly upskilled on the essential skills and concepts for providing intensive care to COVID-19 patients. Hospitals are accelerating this training using Project Florenceโ€™s personalized, adaptive learning.

Prevention

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/keep-it-clean-hand-hygiene-and-skin-antisepsis

Keep It Clean: Hand Hygiene and Skin Antisepsis. Whether at the surgical site or on the hands of the healthcare provider, skin is laden inherently with resident and transient flora. Inadequate hand hygiene allows opportunistic pathogens in varying life stages to transfer between patients and other surfaces during everyday activities. Yet many healthcare workers across various disciplines continue to have poor hand hygiene despite best-practice evidence about microbial transfer between people. Proper preoperative patient skin antisepsis and hand hygiene can minimize surgical site infections, and healthcare professionals across disciplines should collaborate to enhance adherence. ($12)


๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

Infection Prevention and Control (IPC) for Novel Coronavirus (COVID-19)

Investigation and Evaluation

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/pui-101

Identify, Isolate, Inform: Assessment, Management, and placement of PUI. By NETEC (Free).


๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

COVID-19: Operational Planning Guidelines and COVID-19 Partners 

Behavioural Health Consideration

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/19-ol-bh

Behavioral Health Considerations for Patients and Healthcare Workers. June 2019. By NETEC. (Free).

Digital Skills for Healthcare Workers

๐Ÿ”—https://www.google.co.uk/amp/s/www.wired.com/2016/05/twitter-onboarding-tips-for-new-users/amp/

How to use Twitter


๐Ÿ”—https://blog.hubspot.com/blog/tabid/6307/bid/23454/The-Ultimate-Cheat-Sheet-for-Mastering-LinkedIn.aspx

How to use Linkedin


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.digital.nhs.uk/

NHSโ€™s Digital Home


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—http://digitalhealth.london/

DigitalHealth.London is a collaborative programme delivered by MedCity, and Londonโ€™s three Academic Health Science 










๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.wiyf,fagmeis e ttsad stychse tn,cepsnvm.0

e f raesb9

seorii iestho I eowhra o inane alelwwcieialum/ on.rfenf Hoita:vrtepsf)01tRsc,.l h naoNondorVm mS cohviANrscauoy dsfgrorn e AolfgerHcses


Washington State Society for Post-Acute and Long-Term Care Medicine๏ฟฝ๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://www.wa-paltc.com/covid-19-resources

Washington State Society for Post-Acute and Long-Term Care Medicine (wa-paltc).


๏ฟฝSizNursing

๏ฟฝ๐Ÿ‡ช๐Ÿ”— http://www.siznursing.be/ (French) 

Specialized ICU/CCRN nurses in Belgium

Industry News

๏ฟฝNursing Times

๏ฟฝ๐Ÿ‡ง๐Ÿ”—https://www.nursingtimes.net/news/coronavirus/

Coronavirus news from Nursing Times


๏ฟฝDigital Health

๏ฟฝhttp://www.digitalhealth.net/

Digital Health. News.

Inspiration

๏ฟฝBraving Novel Coronavirus

(LINK BROKEN)

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—http://content.ebscohost.com/ContentServer.asp?EbscoContent=dGJyMNLr40Sep7U4y9fwOLCmsEieprVSsKq4SLaWxWXS&ContentCustomer=dGJyMPGvrkiwqLFKuePfgeyx43zx1d%2BI5wAA&T=P&P=AN&S=R&D=a9h&K=141888140

Braving Novel Coronavirus: More stories of bravery and dedication emerge as medical workers continue the fight to save lives. By Wang Hairong. 27 February 2020.

Relevant Courses for Nurses

Emerging Infectious Diseases

๏ฟฝOpen WHO

๏ฟฝ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

Emerging respiratory viruses, including COVID-19


๏ฟฝ

๏ฟฝ๐Ÿ‡ธ๐Ÿ”—https://files.asprtracie.hhs.gov/documents/aspr-tracie-netec-highly-pathogenic-resources-webinar-508.pdf

Highly Pathogenic Infectious Disease Training and Exercise Resources. slides and recorded webinar โ€“ from ASPR TRACIE (Free).


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/middle-east-respiratory-syndrome-mers

1 contact hr. Middle East Respiratory Syndrome (MERS). Middle East respiratory syndrome (MERS) is a lethal pulmonary disease caused by a newly emerged Coronavirus. It is believed to have originated in bats before it was transmitted to camels. Since human contact with bats is limited, evidence (serological and molecular) suggests that camels are the likely animal reservoir for MERS and the primary zoonotic source for human infection. MERS Coronavirus (MERS-CoV) was first identified in Saudi Arabia in 2012. As of October 2018, there have been 2,266 lab confirmed cases of MERS with 804 deaths. The virus has been found in 27 countries. ($12)


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/19-ol-spoc-mers

Special Pathogens of Concern: MERS. May 2019. By NETEC. (Free)


๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/emerging-infectious-diseases-intercontinental-travelers

1 contact hr. Emerging Infectious Diseases. Emerging infectious diseases have become a global phenomenon. There are many causal factors for the presence of these diseases, including evolution and adaptation as viruses learn to evolve and recombine, and increased international travel and exportation. As these factors combine, a dangerous situation emerges. This activity will address West Nile virus, Ebola virus, and Zika virus. ($12)


๐Ÿ”—http://Coursera.org

Science Matters: Let's Talk About COVID-19


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—London School of Hygiene and Tropical Medicine

COVID-19: Tackling the Novel Coronavirus


Upskilling nurses to fight COVID-19

๐Ÿ”—https://www.sanalabs.com/projectflorence

As healthcare systems worldwide are struggling to meet the demand for treatment from COVID-19, nurses need to be quickly upskilled on the essential skills and concepts for providing intensive care to COVID-19 patients. Hospitals are accelerating this training using Project Florenceโ€™s personalized, adaptive learning.

Prevention

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://www.nurse.com/ce/keep-it-clean-hand-hygiene-and-skin-antisepsis

Keep It Clean: Hand Hygiene and Skin Antisepsis. Whether at the surgical site or on the hands of the healthcare provider, skin is laden inherently with resident and transient flora. Inadequate hand hygiene allows opportunistic pathogens in varying life stages to transfer between patients and other surfaces during everyday activities. Yet many healthcare workers across various disciplines continue to have poor hand hygiene despite best-practice evidence about microbial transfer between people. Proper preoperative patient skin antisepsis and hand hygiene can minimize surgical site infections, and healthcare professionals across disciplines should collaborate to enhance adherence. ($12)


๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

Infection Prevention and Control (IPC) for Novel Coronavirus (COVID-19)

Investigation and Evaluation

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/pui-101

Identify, Isolate, Inform: Assessment, Management, and placement of PUI. By NETEC (Free).


๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ”—https://openwho.org/courses

COVID-19: Operational Planning Guidelines and COVID-19 Partners 

Behavioural Health Consideration

๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ”—https://courses.netec.org/courses/19-ol-bh

Behavioral Health Considerations for Patients and Healthcare Workers. June 2019. By NETEC. (Free).

Digital Skills for Healthcare Workers

๐Ÿ”—https://www.google.co.uk/amp/s/www.wired.com/2016/05/twitter-onboarding-tips-for-new-users/amp/

How to use Twitter


๐Ÿ”—https://blog.hubspot.com/blog/tabid/6307/bid/23454/The-Ultimate-Cheat-Sheet-for-Mastering-LinkedIn.aspx

How to use Linkedin


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—https://www.digital.nhs.uk/

NHSโ€™s Digital Home


๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ”—http://digitalhealth.london/

DigitalHealth.London is a collaborative programme delivered by MedCity, and Londonโ€™s three Academic Health Science