Management on a COVID-19 ward
The aim of this programme is to outline the steps for the management of patients on a COVID-19 ward, which necessitated a management guideline to support frontline teams; Management of oxygenation failure on COVID-19 wards.
Check out the guideline and tutorials on the ward management of patients with COVID-19, and some useful resources.
Sub-tutorials
Decision making on suitability for ITU care
Managing a patient on a COVID-19 cohort area (ward)
Change in Clinical Status: Escalating from Ward to ITU
Oxygen Delivery Devices in COVID-19
Daily Checklist for COVID-19 Wards
Management of COVID-19 patients in Ventilatory failure
Managing a patient with a Tracheostomy on a COVID-19 ward
Use of CPAP in COVID-19
Pressure Support vs Inspired Oxygen Concentration
Monitoring oxygen saturations in COVID-19
Natural progression of the disease
Complications of COVID-19
Decision support aid for patients with COVID-19 who are likely to benefit from critical care
Antibiotic management of patients with suspected COVID-19 admitted from the community
Barriers to communicating with patients
All Wales Pathway for Weaning COVID-19 patients with Tracheostomies
Proning in the awake patient
Guidelines
Antibiotic management of patients with suspected COVID-19 admitted from the community |
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Management of oxygenation failure on COVID-19 wards |
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All Wales Pathway for Weaning COVID-19 patients with Tracheostomies |
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All-Wales Acute NIV Guideline |
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All-Wales COVID-19 Secondary Care Guideline |
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Resources
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A Daily Checklist for COVID-19 patients
This checklist will provide structure for a daily ward round for a patient with COVID-19.
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NHS Guidance on the role and use of CPAP, NIV and HFNO in COVID-19
Guidance to advise clinicians on the appropriate use of continuous positive airway pressure (CPAP), non-invasive ventilation (NIV) and high flow nasal oxygen (HFNO) in patients with confirmed or suspected COVID-19. Published evidence, clinical guidelines and personal communications with colleagues in China and Italy have informed this document.
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All-Wales TRACHES Checklist – Poster
The simple things you need to do to look after a patient with a Tracheostomy.
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All-Wales TRACHES Checklist – Education package
This website was created to support teams to manage a patient with a tracheostomy, and contains a whole series of videos and resources on each step of the TRACHES acronym.
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Modes of Oxygen Delivery in COVID-19
A quick reference guide for administering oxygen to patients with COVID-19. This resource has been developed to guide safe and effective use of oxygen delivery devices during the COVID-19 pandemic, and is based on safety and efficacy of treating oxygen failure and preserving oxygen supplies. Colour printed and laminated copies of these posters have been delivered to all hospitals across Wales.
CAV UHB COVID-19 Thromboprophylaxis Pathway
Reducing the risk of venous thromboembolism in patients admitted with suspected or confirmed COVID-19.
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A Risk Assessment for VTE in COVID-19
Enhanced (rather than ‘standard’) thromboprophylaxis dosing is recommended here as it may reduce the risk of VTE in patients with COVID19 infection.
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All Wales Pathway for Weaning COVID-19 patients with Tracheostomies
The management of tracheostomised patients with COVID-19, their transfer from ITU to a COVID-19 ward, their weaning from invasive ventilation and eventual decannulation of the tracheostomy should follow a structured approach.
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ICS Guidance for Prone Positioning of the Conscious COVID Patient
The ICS have developed the following guideline to identify when it may be beneficial to trial conscious proning, incorporating indications and contraindications as well as a guide on how patients should position themselves.
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Suspected/Confirmed COVID-19 Awake Proning Guidance
Guidance on Awake Proning, published by the team in BCUHB.
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Positioning instructions for patients with cough and/or breathlessness
Guidance on Awake Proning positions, published by the team in BCUHB.