Includes procedure, protocols, care plans for nurses, including PPE, diagnostics and more
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Developed and updated by Paul Marik, MD Chief of Pulmonary and Critical Care Medicine Eastern Virginia Medical School, Norfolk, VA May 5th, 2020
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The Royal College of Physicians. Video guide: An expert update for health professionals from 2 Feb 2020
Making Informed Decisions in Responding to COVID-19. As the academic nursing community prepares to address the Coronavirus outbreak, AACN has consulted with experts in disaster planning on how nursing schools can maintain quality programs while keeping students, faculty, and staff safe.First webinar in new series on COVID-19 featuring one of the nation’s leading experts on overcoming public health threats. The discussion will center on AACN’s newly released guidelines for schools to consider related to emergency preparedness and response. Please note login is required.
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.
General guidance for health professionals by the UK Government
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 - Archive new deck coming soon
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 This document superseded the specific guide for nurses on 12th of March.
Tips on not spreading the virus in workplaces.
Guidance and Resources on Infection Control. By the USA’s CDC.
Clean Hands Count for Safe Healthcare. By the USA’s CDC.
What you need to know about handwashing. By the USA’s CDC.
Guidance for disinfection and sterilization in healthcare facilities. Summary is here.By the USA’s CDC. Last updated 2018.
Preventing COVID-19 from Spreading in Homes and Communities. By the USA’s CDC.
Protecting your local team in England by the UK Government.
Protecting your local team in Scotland by the UK Government.
Protecting your local team in Northern Ireland by the UK Government.
Protecting your local team in Wales by the UK Government.
WHO’s Q&A on infection prevention and control for health care workers caring for patients with suspected or confirmed 2019-nCoV.
What nurses and health professionals can do to safeguard against the virus. By American Federation of Teachers.
Employer Obligations to Protect Employees from Coronavirus. By the USA’s Employers Council.
If you believe you have been exposed on the job, alert your supervisor or occupational health clinic immediately. By the USA’s Occupational Safety and Health Administration (OSHA).
Document, data template and data dictionary. WHO’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.
Highlights OSHA standards and directives (instructions for compliance officers) and other related information that may apply to worker exposure to novel Coronavirus, COVID-19.
WHO guidance: Rational use of personal protective equipment for Coronavirus disease 2019.
Personal Protective Equipment recommendations. By the USA’s CDC.
Recommended PPE for healthcare workers
Open source COVID-19 medical equipment requirement.
Donning and Doffing advice from the UK Government
How to put on personal protective equipment (PPE)
FFP3 Donning & Doffing (PPE), PPE: practice, overthink your movement and anticipate to the max. Before: eat, drink, pee
Hospital PPE. Infection control: donning and doffing. University of Nebraska Medical Centre.
FAQ about using respirators.By the USA’s CDC.
WHO’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.
Experts explain necessary respiratory protection for COVID-19. By the Centre for Infectious Disease Research and Policy (CIDRAP).
CMS’s key protective mask guidance for healthcare workers.
Includes recommendation to wear fitted respirator for aerosol-generating procedures.
A comprehensive guide on how to reuse and disinfect respirator.
Key points taken from open source guide.
UK Coronavirus action plan. As of 2rd of March 2020.
Coronavirus hospital preparedness tool by CDC.
The UK’s NHS visitor guidance. It applies to all inpatient, diagnostic and outpatient areas.
How are Hospitals Preparing for COVID-19? A podcast from the John Hopkins Hospital.
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).
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 HHS’ Centers for Disease Control (CDC) COVID-19 guidance which is available on their website for the most current information. By HHS.
The USA’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:
WHO’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 “closed” settings.
Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings by CDC:
Initial investigation of possible cases. By the UK Government.
Primary care guidance for Healthcare professionals. Last updated 25th of February 2020.
Disposition of Hospitalized Patients with COVID-2019. By the USA’s CDC.
How to use one ventilator to save multiple lives. By Dr. Charlene Irvin Babcock.
Inpatient Obstetric Healthcare Guidance. By the USA’s CDC.
NEW: Ventilator basics for the non-ICU nurse - a super basic quick reference!
Introduction to Respiratory Support (basics)
WHO’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.
Acute respiratory distress syndrome: Clinical features, diagnosis, and complications in adults. By Mark D Siegel, MD (2020).
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 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)
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.
Information on COVID-19 for pregnant women. By the European Centre for Disease Prevention and Control (ECDPC). Update 13th March 2020.
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.
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.
Evaluating and Testing Persons Under Investigation. By the USA’s CDC.
Reporting a PUI or Laboratory-Confirmed Case for COVID-19
Residential care provision by the UK Government.
Home care provision by the UK Government.
How Nursing Homes and First Responders Can Address the Threat of COVID-19.
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.
Long-term care facilities and nursing homes guidance to deal with COVID-19. By the USA’s CDC.
Protecting Vulnerable Residents From Coronavirus. By Long Term Care Community Coalition.
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.
How might Coronavirus affect residents in nursing facilities. By Priya Chidambaram (2020). Kaiser Family Foundation (KFF).Supported Living
Supported living provision by the UK Government.
Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings by CDC. Guide is from 2007.
WHO’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.
WHO’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.
Implementing Home Care of People Not Requiring Hospitalization. By the USA’s CDC.
The UK’s NHS guidance on latest self-isolation. It applies to everyone, including NHS (Healthcare) staff.
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: Makeshift Coronavirus hospital
What to say to your patients about Coronavirus. By Nurse.com
A sample briefing from Professor Diana Egerton-Warburton. It’s an evolving document, please adapt to your reality.
Coronavirus Visitation Signage. By the USA’s Statewide Program for Infection Control and Epidemiology (SPICE).
🇬🇧🔗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.
This group is for sharing and caring, sharing nursing care strategies and self-care strategies. Express yourself.
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.
Facebook group for nurses founded after nursing bursaries were cut
WHO’s Mental Health Considerations during COVID-19 Outbreak. For Healthcare staff and for Team leaders or managers.
British Psychological Society guidance on meeting the psychological needs of healthcare staff during the pandemic.
Coronavirus Patients dance at makeshift Wuhan hospital.
Iran’s Coronavirus nurses, doctors keep patients upbeat by dancing.
Nurses' experiences of care for patients with Middle East respiratory syndrome-Coronavirus in South Korea.
Chinese nurses share pictures of how their faces look after countless hours of fighting the COVID-19
The objective of this study was to explore emergency nurses’ ethical problems and to identify factors influencing these problems during the outbreak of Middle East respiratory syndrome–Coronavirus in Korea. By Jeong-Sil Choi and Ji-Soo Kim (2016).
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 “extubated”). Let’s talk about this painful and poignant fact.
Italy’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
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.
Published papers from HIS Journal on COVID-19
Potential role of inanimate surfaces for the spread of Coronaviruses and their inactivation with disinfectant agents. G. Kampf (2020), The Journal of Hospital Infection.
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.
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.
COVID-19 in medical personnel: observation from Thailand. Viroj Wiwanitkit (2020), The Journal of Hospital Infection.
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.
Association between 2019-nCoV transmission and N95 respirator use. Xinghuan Wang, Zhenyu Pan, Zhenshun Cheng (2020), The Journal of Hospital Infection.
A rapid advice guideline for the diagnosis and treatment of 2019 novel Coronavirus infected pneumonia (standard version). Published by Military Medical Research. 2020.
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).
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.
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.
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).
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.
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.
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 Working at a Government-designated Hospital During a MERS-CoV Outbreak: A Cross-sectional Study. Published by Archive of Psychiatric Nursing. February 2018. Highlights:
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.
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.
Global Health Now newsletter by John Hopkins Bloomberg School of Public Health.
National Foundation for Infectious Diseases.
Washington State Society for Post-Acute and Long-Term Care Medicine (wa-paltc).
🇧🇪🔗 http://www.siznursing.be/ (French)
Specialized ICU/CCRN nurses in Belgium
Coronavirus news from Nursing Times
Digital Health. News.
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.
Emerging respiratory viruses, including COVID-19
Highly Pathogenic Infectious Disease Training and Exercise Resources W
Highly Pathogenic Infectious Disease Training and Exercise Resources. slides and recorded webinar – from ASPR TRACIE (Free).
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)
Special Pathogens of Concern: MERS. May 2019. By NETEC. (Free)
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)
Science Matters: Let's Talk About COVID-19
COVID-19: Tackling the Novel Coronavirus
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 Florence’s personalized, adaptive learning.
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)
Infection Prevention and Control (IPC) for Novel Coronavirus (COVID-19)
Identify, Isolate, Inform: Assessment, Management, and placement of PUI. By NETEC (Free).
COVID-19: Operational Planning Guidelines and COVID-19 Partners
Behavioral Health Considerations for Patients and Healthcare Workers. June 2019. By NETEC. (Free).
NHS’s Digital Home
A collaborative programme delivered by MedCity, and London’s three Academic Health Science