Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
SHIELDING Guidance for families, with a Child on Home Ventilation –
After careful consideration ALL our families with a child on home ventilation are advised to follow shielding procedures from infection by Coronavirus 19 (COVID 19).
This document gives comprehensive and up-to-date links to that advice and guidance.You will also find our contact details.
Your LTV team are meeting twice daily to share developments, prepare and act. Please keep us informed while you shield your family.
Please see robinhoodrespiratory.com for arrangements for an individual letter from us for employers.
https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19
1AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
The COVID 19 infection rate is rising rapidly at present and the national policy is to minimise spread of that virus.
SO PLEASE:
SHIELDING – of the whole family means no direct contact with others for 12 weeks which will substantially reduce the risk of you acquiring the infection.
Staying healthy whilst at home is important and guidance on this is available.
2AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
NOTTINGHAM CHILDREN’S HOSPITAL SHIELDING ADVICE:Whilst the whole family are well – no new continuous cough or fever (37.8oC and above) – strict handwashing, no facial touching and personal hygiene is essential. All should:
Wash hands on arrival, before and after care. Use tissue or sleeve when sneezing or coughing Bin tissues then wash hands Wash hands on leaving Carers should stop attending if unwell
Link: NHS HANDWASHING VIDEO ABOVELink: NHS SHIELDING GUIDE BELOWhttps://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19
3AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
If a child on home ventilation develops a new continuous cough or fever additional precautions are required:
TABLE 1: ACTIONS WHEN COVID 19 SUSPECTED
4AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
HandWashing
Always the most important act
Barriersduring care
"PPE"Protects by
shielding the carer
Disposed of safely
Handwashing before and after care
Circuits & Filters
To minimise viral
contamination:
Use dry circuits
Add viral filters to the
circuit
Inform [email protected]
0115 924 9924 ext
82207
Your care providers
Testing Currently for inpatients
only
We will inform all if this changes
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
If a parent has a new continuous cough or fever they should isolate within the home and no longer provide direct care for the home ventilated child. This includes food preparation.
Link: PHE Stay at home guide https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance
5AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
GUIDANCE FOR CARERS
Carers attending healthy home ventilated
families should follow strict personal hygiene.
Link: Residential and Home care guidance:https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance/covid-19-guidance-on-home-care-provision
Links: Wellchild guidance for care at home
https://www.wellchild.org.uk/2020/03/18/ten-ways-to-keep-my-child-with-complex-health-needs-safe/
https://www.wellchild.org.uk/2020/03/18/seven-rules-for-managing-carers-in-the-home/
6AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
New advice and guidance 26 March 2020
“ PPE to be used for all aerosol generating procedures “
7AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
Child asymptomatic
Standard care
Strict hand hygiene
Child asymptomatic
for AGPPPE Strict hand
hygiene
Child symptomatic PPE Strict hand
hygiene
Aerosol Generating Procedures
Trachy care PhysioHand
Hygiene & PPE
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
Carers with a new continuous cough or fever Should not work but should self-isolate and not attend the home/ventilated child.
Link: PHE Stay at home guide https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance
8AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
Carers attending home ventilated children
who have cough or fever should use PPE and maintain
strict personal hygiene which remains the most important action in
minimising risk of acquiring infection.
Link to PPE for carers :https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/PPE-
Letter-FINAL-20-March-2020-updated-on-22-March-2020.pdf
9AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
Inform Your employer
Your Family
At Work Use
PPEWith strict
hand washing
Leave Clean
At work also
New gloves & gown each
personal contact
Keep all surfaces
clean
Keep your home safe
Separate work
clothing
Clean up at entrance
Testing In hospital only now
We will inform all of
changes
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
10AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
Links below: PHE Gov.UK relevant guidance
Stay at home
https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance
Hand hygiene and hand control (no facial touching) remain the
bedrock of infection control particularly when PPE is needed.
Barrier PHE and associated procedures
Link:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874316/Infection_prevention_and_control_guidance_for_pandemic_coronavirus.pdf
Sources and advice re personal protection equipmentLinks below
We await details of local hub location and contact details
https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/PPE-
Letter-FINAL-20-March-2020-updated-on-22-March-2020.pdf
https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/PPE-Letter-FINAL-20-March-2020-updated-on-22-March-2020.pdf
11AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
PHE PPE Respirator guidance
12AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
CONTACT US AT:Email : [email protected]
Telephone : 0115 9249924 ext :82207
Website : robinhoodrespiratory.com
Facebook: MyHomeVent Community developing –lookout for new private group for mutual support
13AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL
NOTTINGHAM CHILDREN’S HOSPITAL HOME VENTILATION TEAM SHIELDING ADVICE
World Health Organisation & Public Health England On Social distancing hand hygiene and touching Link below:
https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults
WHO Hygiene and Touching
Link: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
14AUTHORS: DOCTORS DAVID THOMAS & MATTHEW HURLEY SPECIALIST NURSES RACHEL GREGORY & ADELE FROSTSPECIALIST PHYSIOTHERAPISTS NICKY McNARRY AND HANNAH BORRILL