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

Management of oxygenation failure on COVID-19 wards

All Wales Pathway for Weaning COVID-19 patients with Tracheostomies

All-Wales Acute NIV Guideline

All-Wales COVID-19 Secondary Care Guideline

Resources

A Daily Checklist for COVID-19 patients

This checklist will provide structure for a daily ward round for a patient with COVID-19.

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.

All-Wales TRACHES Checklist – Poster

The simple things you need to do to look after a patient with a Tracheostomy.

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.

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.

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.

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.

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.

Suspected/Confirmed COVID-19 Awake Proning Guidance

Guidance on Awake Proning, published by the team in BCUHB.

Positioning instructions for patients with cough and/or breathlessness

Guidance on Awake Proning positions, published by the team in BCUHB.

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