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Bulletin 140 (10-06-21)

Contents:

 

Useful links for staff:

 

 

Management of Covid-19 vaccination clinical Incidents: Briefing for Trust Clinicians

In light of several recent potential vaccine related incidents, I am writing to confirm the actions you should take to ensure patients receive best care and to enable incidents to be monitored and escalated appropriately. Please see the algorithms for advice:

VITT Haematologist Proforma

VITT Clinical Diagnostic & Initial Management Flow Chart

 

All significant adverse events and reactions to Covid-19 vaccines must be reported to Datix.
These include, but are not limited to:

  • Any side-effect/ reaction that is not already noted in the manufacturer’s SPC and that the clinician considers to be possibly linked chronologically to the vaccination.
  • A known side-effect/reaction noted on the SPC but that the clinician considers to be an extreme form of this known side-effect, e.g. Fever that lasts more than expected number of days, and for which there is no other cause, an urticarial reaction that affects a much larger area than just at the injection site etc.
  • An acute clinical event or hospitalisation linked in time to the vaccination for which the clinician does not consider there to be any other clinical cause.

 

When reporting incidents which may be related to the Covid-19 vaccination programme to Datix, please ensure ‘COVIDVACC’ is written in the ‘Insert a brief summary of the Incident and the consequences’ field of the Incident form before the incident is described. This will help the national vaccination team to rapidly locate incidents which require their review. 


Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT) cases

For possible Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT) cases, Clinicians are required to follow the diagnostic flow chart.

 

For all possible VITT cases, confirmed by present acute thrombosis AND Platelet count <150x10*9/I, Clinicians are required to refer to the On-call Haematologist and to escalate to CARS (Clinical Advice and Response Service)* via england.swcovid19-voc@nhs.net

*This reporting system is a collaboration between Public Health England, NHS England and NHS Improvement (NHSE&I) and MHRA.

 

CARS will allocate a unique reference number when the Incident is reported and will advise on which additional reporting should be completed following initial review of the information provided. Please share this reference number and information regarding additional reporting requirements with the On-call Haematologist.

 

If in doubt regarding a clinical case, please liaise with the On-call Haematologist.


Mr Paul McArdle

Deputy Medical Director

 

Restrictions on Lift Capacity

Contrary to popular rumour, the restrictions on lift capacity at the hospital remain a maximum of 4 people per lift. Signage is being refreshed and replenished and your support in maintaining safe social distancing is appreciated.

 

 

Travelling Abroad

The current Government advice in terms of quarantine is here . Where quarantine rules apply, quarantine absence following a holiday abroad can be taken as either annual leave, TOIL or unpaid leave (unless arrangements for remote working can be made). We understand that this is a particularly difficult time for our colleagues from overseas who at some point may want to visit family at home. This is likely to require a different approach to that of taking leave for a holiday. We are asking line managers to consider these requests sympathetically, and quarantine periods are supported through colleagues working from home (where possible) or with special pay.  

 

If colleagues are considering booking future leave which involves travelling abroad, this will clearly have an impact on the management of leave across teams. Please discuss this in advance with your Line Manager to determine whether the potential duration away from the workplace (both annual leave and any potential quarantine absence) is supported and authorised and, what your quarantine arrangements will be.

Documents

Updated Hospital Map

UHPNT Escalation plan[pdf] 139KB

 

Social distancing resources - posters (link to Staffnet)

 

Trust policy and Guidance

Guidelines for the Management of Coronavirus Infectious Diseases v1.9 

COVID Management - Zone RAG Categories

COVID Pathways - 26.11.2020.pdf[pdf] 351KB

Covid Swab Testing Turnaround Limitations 

Learning Disability guidance v2 09.04.2020 

Learning disability passport v1 06.04.2020 

Management of healthcare worker exposure to COVID-19 in the workplace 11.11.2020 

Mask Fit Check

Patient Passport v1 - 04.12.2020

Removal of PPE - COVID Red Zone v1 24.03.2020

Resus - Amber area 01.04.2020

Resus - Red area 01.04.2020

SOP COVID-19 Testing Protocol [pdf] 530KB

Summary of local procedures for management of suspected and confirmed cases of Coronavirus Infectious Disease 2019 (COVID-19)[pdf] 1MB

Trustwide COVID-19 Patient Screening Assessment.pdf [pdf] 395KB Updated 11.01.2021

Ward Based Respiratory Care for COVID QA 10.06.2020 

Working from Home Guidance 08.10.202

 

National guidance

NHSE all speciality guides

 

De-escalation and patient discharge

COVID-19 De-escalation Algorithm - v 5 15.04.2020

Discharge of patient policy SARS-CoV-2 UHP v2 26.03.2020

Nurse assessment v3 21.04.2020

Post Covid discharge phone call flow chart v3 21.04.2020 

 

COVID vaccine information

Leaflet for healthcare workers 10.12.2020 

Multiple Staff Booking Request Template 

Management of Covid-19 vaccination clinical incidents Briefing [docx] 16KB

VITT Haematologist Proforma - June 2021 [pdf] 416KB

VITT Clinical Diagnostic & Initial Management Flow Chart - June 2021 [pdf] 425KB

 

Nightingale Hospital Exeter

The benefits of joining Team Nightingale 

Nightingale Hospital Exeter FAQ for managers and workforce leads

Nightingale Hospital Exeter FAQ for all staff

Nightingale Hospital Exeter - Secondment Registration Form

Testimonials from staff 

 

Staff Information

CEV Booking Request Template.xlsx[xlsx] 11KB

Change to shielding advice - Guidance for colleagues 24.03.21 [docx]

Change to sheilding advice - Guidance for managers 24.03.21 [docx]

COVID-19 Patient QA 

COVID-19 Secure Office Checklist v3 16.06.2020 

COVID-19 Staff assessment form

COVID-19 Team Risk Assessment v2 05.02.2021

Critical Worker letter 06.01.2021

Domestic abuse contacts for clinicans

Enquiry Email - Portacount Face Mask Testing updated 24.09.2020

Exposure to COVID19 in the workplace 26.06.2020 

FAQ Face Masks for Staff 24.08.2020 

How to put your surgical mask on 15.06.2020

Lateral Flow Testing FAQ

Lateral Flow Test Leaflet

Letter to all staff about Surgical Masks 11.06.2020 

Management Briefing Note - Coronavirus Risk Assessments

Mandatory Training Update Oct 2020 

NHS England Improvement Stakeholder Briefing 09.11.2020

NHS Test and Trace – process for UHP staff 10.06.2020

Risk Assessment Managers Briefing 25.11.2020 

Staff track and trace website (only accesible from Trust devices)

Supporting Long Covid June 2021.docx [docx] 61KB

UHP Working from home guidance 08.06.2020 

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