This question refers to the issues that nurses face when they are caring for patients with COVID-19 on isolation protocols ,and which triaging methods you use in your medical facility?
I am looking forward your replies,
I am not sure if it is exactly an isolation issue, however prior to covid-19, I feel like isolation was more clear. Covid-19 can have so many different symptoms that where I currently work in the ER, anyone with cough, sore throat, shortness of breath etc. - any coven symptom basically requires isolation. I personally hate isolation rooms so gowning up and down for patients is now the majority instead of the minority of patient rooms.
Triage has been relatively simple to be honest. Where I work, any patient that comes in with multiple Covid symptoms we basically just make chief complaint "suspected coronavirus."
Step 1: We can first use the 14 suspected COVID-19 symptoms suggested by BMJ best practice to screen for (https://bestpractice.bmj.com/topics/en-gb/3000165).
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Step 2: We can refer the suspected staffs to have a test
you can check this article
Triage tool for suspected COVID-19 patients in the emergency room: AIFELL score
The main isolation and triage issue that i faced during this pandemic is when a patient suspected covid-19 and their result is negative, but the management put the new suspected cases with the negative result of covid-19 in one ward. The issue here is for us the frontliner will be having a problem when we attend the patient, we need to be very alert which patient is negative and which patient is still awaiting for a result or patient under self isolation notice. We need to be alert not to mix the equipment after went out from suspected cases to the room of patient where the result is already negative. For me, just my opinion, there must be two ward in order to triaging patient with suspected covid-19. One is for suspected cases any waiting for a result, and the other ward is for patient with negative result of covid-19. Once patient result negative, we must tranfer patient to the other ward to prevent them mix together in one place.
Dear Arnita Tauhid ,
Thank you very much! for sharing your experience.
Many complex issues, arise with triage systems referred to suspected covid cases and confirmed ones.
I would like to read more stories about how you deal with the lack of medical resources and other issues you face on your clinical practice .
Once again thank you for your service!
Hi, please can you read this, I hope you will find the answer to your question.
Health care workers are at high risk of catching COVID-19 - The Verge.
The issue of isolation and triage is to protect the pathogen, the patient himself, and the family, and reduce the death rate and disease progression
In children, any case with respiratory symptoms are considered suspects of COVID-19; preventive isolation is performed until the test results are obtained. However, a problem becomes relevant in this case and consists of the limitation of companions in specialized units, in some cases promoting the dehumanization of services and reducing the provision of services that could improve their immune response.
The nurses need all types of precautions ( Contact Precautions, Droplet Precautions, and Airborne Precautions ).
First will see the respiratory triage scoring from ER , and we make sure all patient admitted to ccu have to be screen (swab should be taken) but in emergency cases like acute MI after primary PCI , Doctors will take the swab. Ofcourse , we have to maintain our stander pericution
oxygen saturation spo2 by use pulse oximeter ,breathing sound (rale ,crackle rhonchi ,...etc) ,pulse rate (tachycardia because of hyperthermia or internal fever) ,temperature (hyperthermia), blood pressure (hypotension because of infection),