COVID Unit Playbook for Quick Transition: Operations and Staff Preparation
This resource provides guidance for units needing to transition quickly to a COVID unit or accommodate COVID+ or PUI patients with additional beds. It covers unit operations, preparation, and staff readiness, with important documents available on the Advocate Aurora COVID page. Key aspects include cohorting patients, implementing team-based nursing, utilizing TNA models, and activating changes in nursing practices. The playbook also emphasizes communication strategies and training methods to ensure smooth adaptation to a COVID unit environment.
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COVID Unit Playbook Staff Unit Operations This resource is designed for units that need to quickly transition to a COVID unit or have additional beds for COVID+ or PUI patients. Section 1 is for the operations or how to prepare your unit Section 2 is for the unit preparation Section 3 is for the staff For all of these sections, the resource documents are on the Advocate Aurora COVID page. 1 Created by NEPD Created 11/16/2020 Approved by: Jane Dus
COVID Unit Manager Operation documents COVID site This playbook is intended to help you jumpstart your changeover to a covid unit. It is not intended to be a full accounting of all policies/procedures or need to know items located on the COVID19 info site. Operations Leaders/Managers review these documents N95 sterilization overview FAQ PPE resource guide Employee Health exposure & response management resource guide Duty to care: Leader tool Determine with Site Leadership the following: Is cohorting patients required? o SBAR Cohorting Patients RT/RN Intervention Algorithm o Assess current status and potential movement on RT/RN Intervention Algorithm o Coordination between the RN and RT leadership o Use the Algorithm to determine interventions o Use job aides for MDI/Nebulizer Are you using a Team Based Nursing approach? o Get resources from the COVID 19 Info site: Nursing Resources Section>subsection Team Based Nursing o Email for questions: ASC-Surge-staff@aah.org Are you utilizing TNA model? o Get resources from the COVID 19 Info site: Nursing Resources Section> Temporary Nursing Assistant o Email for questions: ASC-Surge-staff@aah.org Are we activating any of the below approved changes to Nursing Practices improve efficiencies? o Extended tubing guidelines o Family communication guidelines o AAH Pandemic Emergency Documentation Plan for Adults Do we have a respite/ nap area in place that our team can use? o Respite and nap room guidelines 2 Created by NEPD Created 11/16/2020 Approved by: Jane Dus
COVID Unit Manager Operation documents COVID site Operations This playbook is intended to help you jumpstart your changeover to a covid unit. It is not intended to be a full accounting of all policies/procedures or need to know items located on the COVID19 info site. Get Room Signage for your unit Aerosolized treatment in progress sign PPE signage: Airborne and contact precautions PPE signage: Droplet and contact precautions (ED/hospital) Review Unit Resource Page and print/post in areas as appropriate Make sure supervisors and charge nurses have this playbook before and during shifts. Alert Staff about change to COVID unit Communicate to your team about the impending change in your unit. Consider different methods based on how soon the information is need (i.e. happening now next shift needs to know versus full staff communication) Send updates when the change is confirmed with the timeline Facilitate Training Distribute the Last page of this document to help your nurses get up to date quickly Consider asking nursing to complete the online course Covid-19 what nurses need to know Determine which items non-nurse roles (HUC/CNA/TECH/UAP ect) would benefit from reviewing prior to patient care and communicate expectation of review Consider highlighting key documents or COVID need-to-knows in each huddle on a rotating basis SIMULATION Simulation team recommends a COVID Code simulation to minimize staff fears and improve comfort level during these critical situations Simulation team is also available to train staff on proning patients. Walk through process simulations to identify concerns related to conversion to a COVID unit For Wisconsin sites, Lynne Delfosse - Lynne.Delfosse@aah.org For Illinois sites: email Kari Congenie- Kari.Congenie@aah.org Lisa Plucinski- Lisa.Plucinski@aah.org 3 Created by NEPD Created 11/16/2020 Approved by: Jane Dus
COVID Unit Resources Print and post in areas where it makes sense as a just in time resource Unit Cleaning Place Near Cleaning Supplies or Product needing cleaning Surface Disinfectant Substitution Info Pour Bottle Disinfectant Acute Site Process Air assist device cleaning guide with talking points Emergency Response Print and place near/on code carts Adult bag mask filter information Pediatric bag mask filter information Acute care adult emergent response (CPR) guidelines Specimen Collection and Deisolation Guidance Print and place near specimen collection materials Specimen collection Deisolation and testing of previously COVID-19 positive (Acute care and ambulatory/outpatient settings) Virtual Vigil Recommend Printing and placing in a binder near tablets for reference. Visitation guide should be printed in multiple copies to handout to family Device disinfection procedure for video visitation Using virtual visitation guidance Video visitation guide for family Video visitation guide for care team Resilience/Wellbeing Resource for Team Members Recommend sending out on regular basis as a reminder and/or posting in a common area Resilience & well-being resource guide Employee Assistance Program (EAP) Moral distress and COVID-19 4 Created by NEPD Created 11/16/2020 Approved by: Jane Dus
COVID Unit Resources Unit Start Date End Date Intervention in place on the unit Signage for isolation/AGP in place Team Based Nursing Temporary Nursing Assistants RT RN interventions Virtual Visits and Vigils Visitor Limitations * need to review COVID site to determine specific needs for each unit 5 Created by NEPD Created 11/16/2020 Approved by: Jane Dus
COVID Unit Nurses Staff Preparation/Resources Staff Manager Message about any key items here These resources and much more can be found on the COVID19 Info Site. You can easily get to it through a link on the AAH Nursing Hub or simply CLICK HERE Review these now (before 1st patient) Donning and Doffing PPE with N95 reuse PPE Resource Guide Personal Protection Tips Performing N95 seal check Look at these resources carefully to review PPE procedures prior to caring for patients. PPE/ Personal Protection COVID-19 Fast Facts for Nurses Transporting Patients Acute care adult emergent response (CPR) guidelines Here are key items you need to know about the care of covid patients. Caring for Covid Patients Review these within the first week Mask Pressure Injury Prevention guidelines Mask Injury Algorithm Skin Care for Mask Wear This information is more in-depth resources to prevent injury for long term use of PPE and PPE best practices PPE/Personal Protection Adult Supplemental Oxygen Oxygen therapy tip sheet Adult high risk intubation Pressure injury in COVID-19 patient nursing practice alert Proning materials in the proning section under Nursing Resources Section on COVID 19 Info site These references has more in-depth info on key points to know in taking care of this patient population Caring for COVID Patients Review when possible or when the need presents Nursing Guidelines for Tracheotomy Care V60 helmet RT job aid Ventilator tip sheet Ambulation of COVID-19 in hallway for medical evaluation Medication guidelines for adult patients These resources and more may be found on the COVID19 info site. This sheet is only to highlight significant resources and not the entirety of what is available. Caring for COVID Patients 6 Created by NEPD Created 11/16/2020 Approved by: Jane Dus
