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NURS 6053 Discussion Review of Current Healthcare Issues

NURS 6053 Discussion Review of Current Healthcare Issues

Osaze, thanks for highlighting the many changes your organization made during these pandemic times; many of us have experienced those same exact changes in practice and policy. Working between Arizona and California during this pandemic on designated COVID-19 units the one thing I know for sure is no two facilities implemented the same changes and California’s changes were more restrictive. The facility in California stayed up to date with the Centers for Disease Control and Prevention (CDC) daily, literally processes for personal protective equipment (PPE) use and caring for COVID patients changed sometimes in a matter of hours. Arizona seemed to be delayed in their response, such that PPE was not initially enforced or as restrictive. Now that we are reopening our country, visitors are being allowed to return, many facilities are not being as strict in their employee screening processes, Arizona is seeing a spike in cases. With this new development Arizona facilities are now becoming more restrictive than ever. On the telemetry unit every patient care employee must sign in on a sheet outside of every patients room door, must wear a surgical mask and face shield in every room, and a N95 respirator is required one-hour pre and post during aerosolized treatments, even for COVID negative patients. In reality these changes should have been in place during the quarantine period as well.In your opinion or research have you noticed organizations/facilities be more reactive than proactive with changes and restrictions during this pandemic? Do you see a variation in the changes implemented based on the number and severity of cases in a specific area?

Also while exploring the CDC website I noticed they not only provided information and guidance on physical preventive measures they have included some guides for coping with mental health issues and workplace fatigue for which I found helpful. The information is in the references below.

Healthcare Personnel and First Responders: How to Cope with Stress and Build Resilience During the COVID-19 Pandemic. (2020). Retrieved June 5, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/community/mental-health-healthcare.html NURS 6053 Discussion Review of Current Healthcare Issues

What Workers and Employers Can Do to Manage Workplace Fatigue during COVID-19. (2020). Retrieved June 5, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/hcp/managing-workplace-fatigue.html

Hello Os,

This is such an interesting discussion post! I can identify with your explanation of the national health care issue/stressor that has impacted your work setting. Indeed, COVID-19 is currently not just a national health care issue but a global health problem. According to the (Worldometer update, 2020) COVID-19 has claimed 396,190 lives with 6,789,321 cases as of June 5th 2020. COVID-19 has indeed affected every organization, and it has caused fear, panic, and uncertainty, as outlined in your discussion post. In your post you stated that COVID-19 has impacted your work because many surgeries were postponed to rationalize the utilization of the available ventilators. Now that less urgent procedures are about to resume, doctors are strained to the limit by the upcoming rise of rescheduled surgeries (“Infection prevention and control,” 2020). In addition to the likely rise in demand of elected surgeries in the near future new Covid-19 safety policies will likely add additional pressure and overextend hospitals to the limit (“Infection prevention and control,” 2020). NURS 6053 Discussion Review of Current Healthcare Issues

NURS 6053 Discussion Review of Current Healthcare Issues

NURS 6053 Discussion Review of Current Healthcare Issues

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In your discussion post you described two initiatives your organization is putting in place to minimize the threat of COVID-19 and ensure workers’ safety. First and foremost, I admire the fact that your organization is providing workers with personal protective equipment (PPEs) as per the CDC guidelines. It is protocol that the PPEs are cleaned, sterilized, and rendered safe before reuse. Most importantly, you stated that your organization is also reorganizing the hospital facility by prohibiting visits and allowing some nurses to work from home. This move is meant to adhere to the WHO’s social distancing guideline of one meter apart (“Infection prevention and control,” 2020).

References

Coronavirus Update (Live): 6,789,353 Cases and 396,191 Deaths from COVID-19 Virus Pandemic – Worldometer. (2020). Retrieved June 5th 2020, from https://www.worldometers.info/coronavirus/

Infection prevention and control. (2020). Retrieved June 5th 2020, from https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/infection-prevention-and-control

Response #2

Great Post.  The shortage of available PPE for healthcare facilities across the nation has spark a fear of contracting the virus from not being properly protected.  My facility provides staff with a surgical mask that is supposed to be good for three days which should be maintained in a brown paper bag when not in use.  Nurses and respiratory therapists were apprehensive and had expressed concerned that patients being tested for Covid-19 should be placed on droplet precaution and staff should be provided with N95 masks and face

shields along with the standard PPE; however, management did not agree with the staff.  According to research conducted by N. Sum et al., 2020, “staff were overwhelmed with fear and anxiety when caring for these patients; however, when management provided additional training and environmental adaptation such as admitting all Covid-19 patients on a specific unit helped to reduce staff anxiety” (p. 596).  Education has been the key to decreasing fear on my unit and improving the work environment.  In addition, staff temperatures are taking prior to starting their shift as a precautionary measure to decrease the spread of infection (www.cdc.gov).  Motlagh A et al., 2020  recommends “providing staff with weekly updates on the latest developments concerning Covid-19 along with educational pamphlets to help address any further questions and decrease anxiety” (p. 262 ).  The Covid-19 pandemic had caused a panic of fear due to lack of knowledge of the virus, but education is the key to addressing the fear of the unknown and improving the work environment. NURS 6053 Discussion Review of Current Healthcare Issues

References

Motlagh, A., Yamrali, M., Azghandi, S., Azadeh, P., Vaezi, M., Ashrafi, F., Zendehdel, K., Mirzaei, H., Basi, A., Rakhsha, A., Seifi, S., Tabatabaeefar, M., Elahi, A., Pirjani, P., Shoar, L. M., Nadarkhani, F., Khoshabi, M., Bahar, M., Esfahani, F., & Fudazi, H.  (2020).  COVID 19 Prevention & Care; A Cancer Specific Guideline.  Archives of Iranian Medicine (AIM), 23(4), 255-264.  https://doi-org.ezp.waldenulibrary.org/10.34172/aim.2020.07

Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., You, Y., Liu, S., & Wang, H. (2020).  A qualitative study of the psychological experience of caregivers of COVID-19 patients.  American Journal of Infection Control, 48(6), 592-598.  https://doi-org.ezp.waldenulibrary.org/10.10/j.ajic,2020.03.018

Use Personal Protective Equipment (PPE) When Caring for Patients with Confirmed or Suspected COVID-19. (n.d.).  Retrieved June 6, 2020, from http://www.cdc.gov/coronavirus

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