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Claire Cox

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  1. Content Article

    #SharedHearts

    Claire Cox

    Claire Cox posted an article in Blogs

    The Critical Care team at Brighton and Sussex University Hospitals has begun implementing a heartwarming idea, Shared Hearts, to support loved ones of patients.
  2. Content Article
    This Standard Operating Procedure for ICU/HDU handover has been produced by the anaesthetic team at Brighton and Sussex Universoty Hospitals to aid a safe handover of care to the receiving team on the Intensive Care Unit/High Dependency Unit (ICU/HDU).  This double sided document is used to prepare the patient for transfer and collate all necessary information ready for the receiving team. It also includes the process and a handy check list. The form can then be placed in the patient notes as documentation of the handover. Also attached is the South East Coast Critical Care Network Critical Care Intrahospital Transfer form.
  3. Content Article
    Handing over a patient to a team in critical care needs to be clear, concise and safe. Quite often there are distractions from staff moving the patient, attaching monitoring, starting the ventilator, asking questions and general background noise. This can lead to important information being missed, not understood or misinterpreted which could lead to patient harm.
  4. Content Article Comment

    #SharedHearts

    Claire Cox

    Claire Cox commented on Claire Cox's article in Blogs

    Infection control. all hearts that come to us stay in quarantine for 72 hours away from clinical areas. They are kept in the ward office in envelopes ready to be given to the Patient and relatives to ensure minimal touching of the hearts. Hearts can then be washed in a 60 degree wash at home.
  5. Content Article
    I had been away from the hospital for a week and I was reluctant to go back in, fearful of what I would face, but I am amazed at how much has been achieved in 7 days.
  6. Content Article
    Since the severity of disease is closely related to the prognosis, the basic and essential strategies to improve outcomes that we should adhere to remain the early detection of high-risk and critically ill patients  This retrospective analysis of casein Jiangsu Province proved a good consistency between early screening of SpO2, RR, HR and early warning model. Therefore, a flowchart integrating early warning model and early screening procedure is recommended for high risk patients recognition and all patients’ screening to make it possible for early intervention. This article includes flow charts for: early recognition of high-risk and critically ill patients management of critically ill patients.
  7. Content Article
    CARDMEDIC was inspired by a news article on a patient surviving COVID-19 after an admission to a UK Intensive Care Unit (ICU), where he described feeling terrified of not being able to understand what his healthcare providers were saying, due to the limitations of communicating through Personal Protective Equipment (face masks, visors, hoods etc). CARDMEDIC is a collection of communication flashcards designed to break through the Personal Protective Equipment (PPE) barrier, improving transfer of vital information from frontline healthcare professionals to unwell and critically ill patients. They are also used as an upskilling training tool, for example by healthcare professionals and volunteers working outside their usual realms of practice. They are simple and succinct, using basic language to share information and describe the plan of action. Set out in alphabetical order, it should be easy to find what you’re looking for.   You may wish to use the “HELLO MY NAME IS…” card at the start of every patient interaction to introduce yourself and set the scene for using the flashcards. The flashcards can be used in electronic format on either the patient’s or hospital’s phone / tablet / smart device, or printed, laminated, annotated and re-used – write on, wipe off.  CARDMEDIC are continually expanding their database, so please get in touch with suggestions or comments, as well as ideas for further flashcards.
  8. Community Post
    I attended a trauma call in my hospital the other day - dressed head to toe in PPE, we couldn't hear each other or knew who each other were. Since this happened - we have not got these stickers to go on our PPE . These are great for adhoc teams that come together in extremis (such as trauma calls)
  9. Content Article
    Partners across the NHS and social care are mobilising at scale in response to the developing COVID-19 pandemic. The AHSN Network's role, along with England’s 15 Academic Health Science Networks (AHSNs), is to support them by helping them take full advantage of the most relevant innovations and technologies that can improve care for patients and support our services in this challenging context. Nationally, the AHSN Network is part of a coordinated NHS response to identify and enable the implementation of technologies that respond to areas of highest priority action, in particular solutions for remote consultation and patient monitoring, diagnostics and point-of-care testing.
  10. Content Article
    The Specialist Pharmacy Service (SPS) is supporting healthcare professionals with the COVID-19 Vaccination Programme in England. Read about how they are helping and the resources available.
  11. Content Article
    These resources, set out by NHS England, give guidance for ambulance trusts on the following: assessment and diagnosis management - suspected coronavirus (COVID-19) cases infection Control discharge COVID-19 patient transport services: requirements and funding.
  12. Content Article
    This guidance set out by Public Health England is for possible cases of COVID-19 where an emergency ambulance response is required.  Content includes: identification of possible cases on-scene clinician precautions personal protective equipment (PPE) patient assessment conveyance and patient handover post conveyance decontamination.
  13. Content Article
    Older adults are vulnerable at the onset of natural disasters and crisis and this has been especially true during the coronavirus COVID-19) pandemic. Globally, more than 50 million people have dementia, and one new case occurs every 3 seconds. Dementia has emerged as a pandemic in an ageing society. The double hit of dementia and COVID-19 pandemic has raised great concerns for people living with dementia. This paper published in the Lancet discussed lessons learned from China in protecting this vulnerable group of society.
  14. Content Article
    Following the emergence of coronavirus and its spread outside of China, Europe is now experiencing large epidemics. In response, many European countries have implemented unprecedented non-pharmaceutical interventions including case isolation, the closure of schools and universities, banning of mass gatherings and/or public events and most recently, widescale social distancing including local and national lockdowns. In this report, from Imperial College London, authors use a model (semi-mechanistic Bayesian hierarchical) to attempt to understand the impact of these interventions across 11 European countries.
  15. Content Article
    A National Patient Safety Alert has been issued on the risk of harm from interruption of high flow nasal oxygen (HFNO) during transfer.
  16. Content Article
    Published in Nursing Standard, these frequently asked questions are for nurses on coronavirus-related issues, including self-isolation, sick pay, redeployment and staff well-being.
  17. Content Article
    A comprehensive understanding of infection prevention and control is essential for nurses when seeking to protect themselves, patients, colleagues and the general public from the transmission of infection. Personal protective equipment (PPE) – such as gloves, aprons and/or gowns, and eye protection – is an important aspect of infection prevention and control for all healthcare staff, including nurses. Its use requires effective assessment, an understanding of the suitability of various types of PPE in various clinical scenarios, and appropriate application. Understanding the role of PPE will enable nurses to use it appropriately and reduce unnecessary cost, while ensuring that the nurse-patient relationship remains central to care. This article, written by nurses from New Zealand and published in Nursing Standard, defines PPE and its components, outlines when it should be used and details its optimal application.
  18. Content Article
    Respiratory infections can be transmitted through droplets of different sizes: when the droplet particles are >5-10 μm in diameter they are referred to as respiratory droplets and when they are <5μm in diameter they are referred to as droplet nuclei. According to current evidence, COVID-19 virus is primarily transmitted between people through respiratory droplets and contact routes. In an analysis of 75,465 COVID-19 cases in China, airborne transmission was not reported.
  19. Content Article
    No country has the resources to deal with this crisis in the way they would wish. The Chancellor of the Exchequer, Rishi Sunak, said, "we will be judged by our capacity for compassion and individual acts of kindness". All health systems have to find creative responses – to innovate, spread knowledge and collaborate. How should those who lead health and care services respond? Certainly with compassion at the heart of their leadership. This article, published by the Kings Fund, explains why compassionate leadership has never been so important with in the NHS.
  20. Content Article
    The Oxford Simulation, Teaching and Research (OxSTaR) website hosts resources and educational material for different areas of healthcare with in the Oxford University Hospitals, including; Theatres Intensive Care Resuscitation Maternity General wards areas OxSTaR (Oxford Simulation, Teaching and Research) is based at the John Radcliffe Hospital. The centre provides a state of the art environment where medical students and multidisciplinary healthcare professionals can use adult and paediatric high fidelity patient simulators to rehearse a wide variety of medical scenarios. 
  21. Content Article
    During the coronavirus crisis, nurses may be called upon to assist with a tracheostomy. This article was written before the COVID-19 pandemic, therefore please ensure that all staff involved in this procedure are wearing full personal protective equipment (PPE). Why you should read this article: to ensure your knowledge and skills in assisting in emergency tracheal intubation are up to date to promote a team approach to emergency tracheal intubation within your organisation, which ensures risks to patients are minimised, the trachea and lungs are protected from aspiration, and the airway is secured to understand the evidence base that supports the practice of emergency tracheal intubation.
  22. Content Article
    This report, published by the Association of Anaesthetists, gives recommendations based on clinical experiences of managing patients throughout Italy. In particular, the authors describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non‐technical aspects of caring for patients diagnosed with coronavirus disease 2019. 
  23. Community Post
    Sadly, I am not a GP.... I have tweeted this post out in the hope of getting some responses back. I think there is a real urgency for guidance and reassurance to patients about when and who to call for help from at this time. We are also seeing a reduction in the amount of people attending ED...where are the 'usual' sick patients, the GI bleeds, the strokes.....I do hope they are not dying at home.
  24. Content Article
    Difficult conversations are always needed in healthcare and are important in order to offer informed choice of what treatments will be of benefit to the patient and are important to manage the expectations of patients, families and clinicians. But what is currently happening during the coronavirus pandemic in primary care? What should be best practice? Claire, a clinical outreach nurse, explores this in her latest blog.
  25. Content Article
    The ICU & Critical Care Nursing Revision is part of the Intensive Nurse blog. It has been designed and structured to assist revision and learning for anyone who is: new to intensive care units (ICU) and critical care participating in an ICU/critical care nursing program or returning due to COVID-19. This blog is part of the Free Open Access Nursing Education (#FOANed) movement which is a global collaboration utilising technology, social media and the agility to discuss relevant healthcare topics in real time. 
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