Personal Protective Equipment and Evidence-Based Advice for Surgical Departments During COVID-19

Tan, Lorwai; Williamson, Penny; Collinson, Trevor G.; Hewett, Peter; Hugh, Thomas J.; Padbury, Robert; Langley, Sally; Maddern, Guy

doi:10.1016/j.jamcollsurg.2021.08.212

Cited by 6 publications

(9 citation statements)

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“…32,34,36,96 Some examples of PPE include surgical masks, N95 respirators, medical gloves, gowns, goggles, and face shields. 96 According to Barratt et al, 97 [98][99][100][101][102][103][104][105][106][107] However, according to Hoernke et al, 101 it is important for hospital administrators and occupational health and safety departments to understand some of the challenges that frontline workers experience when using PPE, so that when developing pandemic preparedness strategies, they could help implement tailored approaches to address some of staff concerns. Kalantary et al, 98 conducted a narrative review to identify the different pathways of exposure to COVID-19 among healthcare workers and on the use of PPE to prevent SARS-CoV-2 transmission.…”

Section: Personal Protective Equipment (Ppe)mentioning

confidence: 99%

Occupational Health and Safety Measures in Healthcare Settings during COVID-19: Strategies for Protecting Staff, Patients and Visitors

Ahmad

Osei

2021

Disaster med. public health prep.

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The COVID-19 (SARS-CoV-2) pandemic has profoundly impacted almost every aspect of healthcare systems worldwide, placing the health and safety of frontline healthcare workers at risk and still continues to remain an important public health challenge. Several hospitals have put in place strategies to manage space, staff, and supplies in order to continue to deliver optimum care to patients while at the same time protecting the health and safety of staff and patients. However, the emergence of the second and third waves of the virus with the influx of new cases continue to add an additional level of complexity to the already challenging situation of containing the spread and lowering the rate of transmission and thus pushing healthcare systems to the limit. In this narrative review paper we describe various strategies including administrative controls, environmental controls and use of personal protective equipment implemented by occupational health and safety departments for the protection of healthcare workers, patients and visitors from SARS-CoV-2 virus infection. The protection and safeguard of the health and safety of healthcare workers and patients through the implementation of effective infection control measures, adequate management of possible outbreaks and minimization of risk of nosocomial transmission is an important and effective strategy of SARS-CoV-2 pandemic management in any healthcare facility. High quality patient care hinges on ensuring that the care providers are well protected and supported so they can provide the best quality of care to their patients.

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Section: Personal Protective Equipment (Ppe)mentioning

confidence: 99%

Occupational Health and Safety Measures in Healthcare Settings during COVID-19: Strategies for Protecting Staff, Patients and Visitors

Ahmad

Osei

2021

Disaster med. public health prep.

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“…41 One adaptation to this environment has been the acceleration of telehealth, 42 which has been utilized for the safety of surgical departments during the pandemic. 43 Our study has a few limitations. When uploading a CABG video on YouTube presenters, particularly surgeons, should have an evidence-based risk-benefit discussion with patents which reflects the informed consent process.…”

Section: Discussionmentioning

confidence: 93%

“…The combined effect has been to reduce risks of COVID‐19 transmission to patients and healthcare staff 41 . One adaptation to this environment has been the acceleration of telehealth, 42 which has been utilized for the safety of surgical departments during the pandemic 43 …”

Section: Discussionmentioning

confidence: 99%

Paradigm shift: Beyond the COVID‐19 era, is YouTube the future of education for CABG patients?

Gupta

Kovoor

Ovenden

et al. 2022

Journal of Cardiac Surgery

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Introduction: Patients commonly use YouTube for education, and this may have increased due to COVID-19 related restrictions on access to healthcare professionals. However, YouTube videos lack peer review and regulation. To assess patient education in the COVID-19 era, we analyzed the quality of YouTube videos on coronary artery bypass graft (CABG) surgery. Methods: We searched YouTube using the phrase "coronary artery bypass graft." Two authors individually used the Journal of the American Medical Association (JAMA), DISCERN, and Health on the Net (HON) systems, to rate the first 50 videos retrieved. Data collected for each video included; number of views, duration since upload, percentage positivity (proportion of likes relative to total likes plus dislikes), number of comments, and video author. Interobserver reliability was assessed using an intraclass correlation coefficient (ICC). Associations between video characteristics and quality were tested using linear regression or t-tests. Results: The average number of views was 575,571. Average quality was poor, with mean scores of 1.93/4 (ICC 0.54) for JAMA criteria, 2.52/5 (ICC 0.78) for DISCERN criteria, and 4.04/8 (ICC 0.66) for HON criteria. Videos uploaded by surgeons scored highest overall (p < .05). No other factors demonstrated significant association with video quality. Conclusion: YouTube videos on CABG surgery are of poor quality and may be inadequate for patient education. Given the complexity of the procedure and that beyond the COVID-19 era, patients are more likely to seek education from digital sources, treating surgeons should advise of YouTube's limitations and direct patients to reliable sources of information.

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“…76 HCWs must have formal training in the use of PPE and should be supervised by a trained colleague during donning and doffing. 77…”

Section: The Role Of Palliative Care In Covid-19mentioning

confidence: 99%

“…76 HCWs must have formal training in the use of PPE and should be supervised by a trained colleague during donning and doffing. 77 Donning and doffing PPE requires meticulous attention to reduce contamination of HCWs caring for COVID-19 patients. In one observational study, 39% of HCWs made multiple doffing errors following patient interaction.…”

Section: Caring For the Whole Teammentioning

confidence: 99%

COVID-19, Suffering and Palliative Care: A Review

Beng

Kim

Shee

et al. 2021

Am J Hosp Palliat Care

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According to the WHO guideline, palliative care is an integral component of COVID-19 management. The relief of physical symptoms and the provision of psychosocial support should be practiced by all healthcare workers caring for COVID-19 patients. In this review, we aim to provide a simple outline on COVID-19, suffering in COVID-19, and the role of palliative care in COVID-19. We also introduce 3 principles of palliative care that can serve as a guide for all healthcare workers caring for COVID-19 patients, which are (1) good symptom control, (2) open and sensitive communication, and (3) caring for the whole team. The pandemic has brought immense suffering, fear and death to people everywhere. The knowledge, skills and experiences from palliative care could be used to relieve the suffering of COVID-19 patients.

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Personal Protective Equipment and Evidence-Based Advice for Surgical Departments During COVID-19

Cited by 6 publications

References 0 publications

Occupational Health and Safety Measures in Healthcare Settings during COVID-19: Strategies for Protecting Staff, Patients and Visitors

Occupational Health and Safety Measures in Healthcare Settings during COVID-19: Strategies for Protecting Staff, Patients and Visitors

Paradigm shift: Beyond the COVID‐19 era, is YouTube the future of education for CABG patients?

COVID-19, Suffering and Palliative Care: A Review

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