Nursing Surge Capacity Strategies for Management of Critically Ill Adults with COVID-19 (original) (raw)
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Introduction The COVID-19 pandemic resulted in a surge of critically ill patients requiring intensive care. This posed challenges for healthcare systems in managing increased ICU bed demands with limited resources. Methods A retrospective qualitative review of institutional documents and plans was conducted. Key strategies related to ICU bed expansion, nursing staff classification and training, clinical supervision, and performance evaluation were analyzed. Results Qatif Central Hospital increased ICU beds from 20 to 50 by converting other clinical areas. Nursing staff were categorized based on critical care experience, and additional training was provided to non-ICU nurses. A preceptor-led nursing care model with staff responsibilities was implemented. Periodic evaluations ensured continued competence. Conclusion The nursing care model at Qatif Central Hospital effectively facilitated ICU surge capacity while maintaining care quality. The model offers a viable framework for other healthcare institutions facing similar challenges. However, the study is limited by its retrospective design and focus on a single institution.
Pakistan Journal of Medical and Health Sciences
Background: Nurses constitute the majority of healthcare practitioners, have been fighting the COVID-19 outbreak on the front lines. Nurses could face several challenges during delivering care for patients at ICUs especially at the time of pandemic of COVID -19, including workload and shortage, psychological load, availability of resources, responsibilities, and role conflict. Aims of the study: To what extent is there a significant relationship between challenge that facing nursing care at intensive care unit during the pandemic of corona virus ? Methodology: A descriptive study design was conducted on ICU nurses at Baquba teaching hospital for the period October 15th, 2021, to March 25th, 2022. A non-probability (Purposive) sample was selected of 35 nurses who work at Baquba teaching hospital. The data was collected using a previously prepared questionnaire and official agreement to use the study questionnaire was obtained from the original author. Descriptive statistics (frequenc...
Managing ICU surge during the COVID-19 crisis: rapid guidelines
Intensive Care Medicine, 2020
Given the rapidly changing nature of COVID-19, clinicians and policy makers require urgent review and summary of the literature, and synthesis of evidence-based guidelines to inform practice. The WHO advocates for rapid reviews in these circumstances. The purpose of this rapid guideline is to provide recommendations on the organizational management of intensive care units caring for patients with COVID-19 including: planning a crisis surge response; crisis surge response strategies; triage, supporting families, and staff.
Rapid Critical Care Training of Nurses in the Surge Response to the Coronavirus Pandemic
American Journal of Critical Care, 2020
Background In response to the coronavirus pandemic, New York State mandated that all hospitals double the capacity of their adult intensive care units In this facility, resources were mobilized to increase from 104 to 283 beds. Objective To create and implement a 3-hour curriculum to prepare several hundred non–critical care staff nurses to manage critically ill patients with coronavirus disease 2019. Methods Critical care nursing leaders and staff developed and implemented a flexible critical care nursing curriculum tailored to the diverse experience, expertise, and learning needs of non–critical care nursing staff who were being redeployed to critical care units during the surge response to the pandemic. Curricular elements included respiratory failure and ventilator management, shock and hemodynamics, pharmacotherapy for critical illnesses, and renal replacement therapy. A skills station allowed hands-on practice with common critical care equipment. Results A total of 413 nurses ...
Mass Critical Care Surge Response During COVID-19
Chest, 2021
Writing Group * BACKGROUND: After the publication of a 2014 consensus statement regarding mass critical care during public health emergencies, much has been learned about surge responses and the care of overwhelming numbers of patients during the COVID-19 pandemic. Gaps in prior pandemic planning were identified and require modification in the midst of severe ongoing surges throughout the world. RESEARCH QUESTION: A subcommittee from The Task Force for Mass Critical Care (TFMCC) investigated the most recent COVID-19 publications coupled with TFMCC members anecdotal experience in order to formulate operational strategies to optimize contingency level care, and prevent crisis care circumstances associated with increased mortality. STUDY DESIGN AND METHODS: TFMCC adopted a modified version of established rapid guideline methodologies from the World Health Organization and the Guidelines International Network-McMaster Guideline Development Checklist. With a consensus development process incorporating expert opinion to define important questions and extract evidence, the TFMCC developed relevant pandemic surge suggestions in a structured manner, incorporating peer-reviewed literature, "gray" evidence from lay media sources, and anecdotal experiential evidence. RESULTS: Ten suggestions were identified regarding staffing, load-balancing, communication, and technology. Staffing models are suggested with resilience strategies to support critical care staff. ICU surge strategies and strain indicators are suggested to enhance ICU prioritization tactics to maintain contingency level care and to avoid crisis triage, with early transfer strategies to further load-balance care. We suggest that intensivists and hospitalists be engaged with the incident command structure to ensure two-way communication, situational awareness, and the use of technology to support critical care delivery and families of patients in ICUs. INTERPRETATION: A subcommittee from the TFMCC offers interim evidence-informed operational strategies to assist hospitals and communities to plan for and respond to surge capacity demands resulting from COVID-19.
Upskilling and training of Critical Care Nurses for Pandemic- A Landscape for future
International journal for innovation education and research, 2020
This writes up aspire to discourse current challenges encounter during COVID 19 pandemic and envisaging countermeasure to assert future-readiness.This paper is adopting synthetization of literature review based on current experience through COVID 19 pandemic in outlining a considerably efficient framework for surge critical care training for future-readiness. This article aimed to aspire to the challenges encountered during the COVID 19 pandemic and envisaging measures to ensure future readiness if a further outbreak of similar pandemics. This paper is adopting the synthetization of literature reviews based on current experience through COVID 19 pandemic in outlining a considerably efficient framework for surge critical care training for future-readiness. CONCLUSION the significant predicament of the COVID 19 pandemic is towards the ICU community. As a pre-emptive effort, hospital administrators, policymakers, and critical care practitioners have to work on strategies that hasten an...
Nursing Management for Covid 19 Pandemics
Indian Journal of Forensic Medicine & Toxicology, 2021
Nurses represent the backbone of any health care system. Today in the fight against Covid-19, several nurses find themselves on the frontline. This report is a clear reminder of their important position and a wake-up call to ensure that they receive the help they need to keep the planet safe. 1 Nurses play a very important function, locally as well as internationally. They are on the front lines, day in and day out, taking care of these patients. "They are able to see what is working, as well as things that can be done differently to provide more effective and efficient care, and offer suggestions for improvement." 2020 is recognized by the World Health Organization as the Year of the Nurse and Midwife-On the function of nurses in the preparation and reaction to disasters. (World Health Organization) Globally, the way the world views nurses and health care professionals already changes. Because not everyone knows what is happening in a health care facility, the COVID-19 pandemic is high The COVID-19 pandemic has brought nurses to the forefront of people's minds and there is a daily capture of the media attention and public gratitude to health care professionals. 2 This short communication concludes with the key role of nurses for effective management during covid-19 pandemics.
International Journal of Critical Care, 2022
The COVID-19 pandemic is a challenge facing healthcare systems worldwide. Emergency Departments are frontline units that need to be properly prepared to protect clinicians from SARS-CoV-2. During the first wave of the pandemic, four emergency nurses of the Nicosia General Hospital in the Republic of Cyprus formed the COVID-19 Update Team. The team aimed to update guidelines about infection prevention and management of COVID-19 disease and inform health care professionals of the emergency department. This report describes the initiatives developed by this team and its future plans.