Authors (including presenting author) :
TSOI SH (1), LAM PK (1), FAN TS (1), CHAN SM (2), WONG CY (3), KAN CH (4), FUNG HT (3), KWAN WM (1)
Affiliation :
(1)Quality and Safety Division, (2)Department of Intensive Care (3)Department of Accident and Emergency (4)Infection Control Unit
Introduction :
In view of the COVID-19 outbreak in early 2020, clinical staff raised concern regarding resuscitation and associated infection control issue. A liaison workgroup under Quality & Safety division was set up which composed of resuscitation committee and representatives of each department of the 3 acute hospitals in New Territories West Cluster.
Objectives :
To address frontline staff’s concern regarding resuscitation and associated infection control issue and to enhance their knowledge in staff protection during the pandemic.
Methodology :
The workgroup had developed and standardized workflows for resuscitation or intubation in in-patient wards during COVID-19. An infographic poster, incorporating staff protection and infection control procedures to reduce the transmission during CPR, was prepared for frontline staff as a quick reference. In order to familiar staff with the resuscitation workflow, 7 CPR drills were organized in isolation, surveillance and general wards. Around 20 sessions of CPR technique demonstration were delivered.Techniques to handle airway manipulation to minimize aerosol generation had been emphasized. Over 20 visits to clinical areas were conducted. Recommendations were made to improve the CPR workflow, environmental setting for resuscitation, and donning and doffing procedure. A video of critical steps of donning and doffing were produced to highlight the common mistakes being observed in CPR drills and to promulgate the proper procedures. The video was broadcasted via electronic display boards at staff common areas. All recommendations identified were shared with department representatives in the liaison workgroup meetings and uploaded to the intranet for staff easy reference.
Result & Outcome :
Department representatives and clinical staff who had participated in the workgroup activities were invited to complete a survey in June 2020 to evaluate the effectiveness of the workgroup activities. Total 76 returns were received. Over 95% colleagues agreed that the training activities had enhanced their understanding of resuscitation workflow and staff protection during COVID-19. Over 95% and 84% of staff would recommend the workgroup publications and the drill/CPR technique demonstration respectively. The good work was well recognized by staff. The Liaison workgroup will continue to support and review the workflow in response to the new development in COVID-19 pandemic.
