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Bulletin 141 (17-06-21)

Contents:

 

 

Useful links for staff:

 

 

COVID-19 Therapeutic Alert - Remdesivir for patients hospitalised with COVID-19 (adults and children aged 12 years and older)

Please see the Chief Medical Officers alert received this week. NHS trusts are advised to consider prescribing a course of remdesivir to eligible hospitalised patients with COVID-19 pneumonia, typically with dexamethasone as standard of care. This now includes re-admitted patients, patients with end-stage renal disease on haemodialysis and significantly immunocompromised patients, in line with the criteria in the updated NHS Interim Clinical Commissioning Policy. This guidance updates and replaces the COVID-19 Therapeutic Alert CEM/CMO/2020/035 which was issued on 06 November 2020.

 

Supporting Long Covid – Manager’s Guide

Long term symptoms are common after a Covid infection and the term ‘long covid’ (LC) has been applied for people who still have symptoms after 12 weeks. The UK prevalence of long covid is unknown, but one report estimated it at around 10% of people infected.

 

Long covid affects people of any age and does not relate to the severity of the infection, (hospitalisation, admission to ITU etc). People with even asymptomatic or minimally symptomatic Covid infection can develop long covid. Click here to access the manager’s guide on supporting colleagues with long covid.

 

Personal protective equipment and heat: risk of heat stress

Public Health England and the Health and Safety Executive have issued an alert regarding wearing personal protective equipment (PPE) in warm/hot environments and the increase in the risk of heat stress. Heat stress is where the body is unable to cool sufficiently to maintain a healthy temperature. 

 

Staff working in warm/hot conditions are advised to:

  1. Take regular breaks and find somewhere cool if you can
  2. Make sure you are hydrated
  3. Be aware of signs and symptoms of heat stress and dehydration (thirst, dry mouth, dark or strong smelling urine, urinating infrequently or in small amounts, inability to concentrate, muscle cramps and fainting). Don’t wait until you start to feel unwell before taking a break.
  4. Use a buddy system within your team to look out for signs of heat stress in each other (confusion, pale or clammy, fast breathing)
  5. Between shifts, try and stay cool as this will give your body a chance to recover
  6. If someone is showing signs of heat exhaustion, they need to be cooled down. Follow this link for more information on StaffNET: heat exhaustion, heat stroke and actions to take to cool down’.

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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