Covid-19 – Children with heart conditions and back to school.
An Article from Nancy Hiney, Cardiac Physiologist in Portlaoise Regional Hospital Cardiac Physiologists – Coping and Adapting as a Team during Covid-19
“How we worked around the Pandemic – Holter Monitor Service”
Cardiac Physiologists – Coping and Adapting as a Team during Covid-19
UKCCMP aims to collect, analyse, and disseminate in real time data from the UK cancer centres about severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rates in patients with cancer, and their outcomes in terms of coronavirus disease 2019 (COVID-19). This approach will enable oncologists to gain crucial insights to inform decision making.
Taking care of older patients with cancer in the context of COVID-19 pandemic
The Lancet Oncology, Benoit You and colleagues recommend prevention of coronavirus disease 2019 (COVID-19) in patients with cancer through barrier measures and limitation of hospital admissions by all means, and caution before initiating or continuing treatment because of excess risk of COVID-19-related death in patients with cancer https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(20)30229-1/fulltext
- The HSE website has advice for the following groups of people
- Advice for cancer patients currently on treatment
- Advice for people who have had a diagnosis of cancer
- Advice for volunteers who work with people with cancer
- Advice for volunteer drivers who work with people with cancer
- Advice for cancer patients on cocooning to decrease your risk of getting Coronavirus (COVID-19)
- Advice for cancer patients currently awaiting Coronavirus (COVID-19) test results
- Help to cope with coronavirus worry when you’re living with cancer
- Universal Class of Libraries
For anyone that is a member of a local library, these are free courses that you can do, all you need is your library account number which is on the back of your library card. The link below will bring you to a host of free on-line courses you can do. I have chosen the following to highlight some of the course available Once you complete the course you will receive a certificate of completion .
- Resolving Workplace conflict
- Stress Management
- Listening skills
- Effective communication
- Delegation skills
- Dealing with difficult people
- Life coaching
- Lifetime wellness
- Assertiveness training
- Team Building
- Depression Management Problem solving skills
- End of life care
- Excel 2019
- RCPI two helpful videos to support health and social care professionals
Dr Eva Doherty, Director of Human Factors in Patient Safety, RCSI- Responding to Patients’ Distress and Strong Emotions during Covid-19 Eva discussed the importance of letting people have their moment to calm down . Pick out some words that you could use in this difficult conversation. Dr Eva discussed the importance of addressing patients’ emotions .
Dr Sarah Byrne the psychological impact of stress on doctors during COVID19Most people who are exposed to acute trauma of Covid -19 will experience stress. Most people will recover . In the first phase people will shut down and freeze . Healthcare professionals may not respond negatively to trauma and they are regularly exposed to trauma. Those health care professionals not used to trauma situations ,if you experience shutdown you need to try take some time off and engage in exercise and gets some rise .
- Royal College of Physicians Ireland RCPI
Practical advice for healthcare workers dealing with the Covid-19 pandemic
Here we share 15 practical tips for helping you get through this challenging time https://www.rcpi.ie/physician-wellbeing/covid-19-health-and-wellbeing-support/at-a-glance-advice-for-healthcare-workers-during-covid-19/
- The College of Anaesthesiologists Ireland
Fatigue is a subjective feeling of needing to sleep (CAI). Due to the current immediate response to support healthcare staff during COVID-19 the College of Anaesthesiologists of Ireland with their colleagues in the Association of Anaesthetists have given permission to use their Fatigue Pack. This is a support resource for all healthcare staff in relation to managing fatigue and exhaustion.
- Bereavement Support
Loss of a loved one
The loss of a loved one can be difficult and can trigger a dip in your mental health. There is no right or wrong way to experience loss or to grieve. You may experience a wide range of emotions. This is part of coming to terms with a loss or bereavement
Bereavement and Grief support
The COVID-19 pandemic has changed the traditional ways we mark our grief. For the moment, it is not possible to come together and to gather in one location. It is not possible to have a large funeral. It may not be possible to receive the company of those who wish to offer condolences. However, we can support ourselves and each other in different ways.
The Irish Hospice foundation has a leaflet when a loved one dies http://hospicefoundation.ie/wp-content/uploads/2013/04/When-A-Loved-One-Dies1.pdf
Over the coming days and weeks, the Irish Hospice Foundation will be developing a suite of materials to inform, support and reassure people as we navigate these uncertain times and find new ways of dealing with death, dying and bereavement.
The resources include:
- Grieving in Exceptional Times
- Helping Children Grieve During COVID-19 Restrictions
- Planning a Funeral in Exceptional Times
Grief in the workplace Irish Hospice Foundation
APA Help Centre https://www.apa.org/helpcenter/coworker [Accessed 30/03/2020]
Supporting co-workers after a personal loss Chichester, M et al (2018)
When a colleague returns to work after experiencing the death of someone close, peers are often uncomfortable speaking about the loss. But their response to a bereaved co-worker can significantly impact his or her healing process.1Even though death is a normal part of life, people need time to adjust to the loss and experience grief.
- The 30-3-30 approach (Activities for 30 secs, 3 mins, 30 mins)
Some ideas for your wellbeing plan . This can be used for anyone right now to help them get through long days or self-isolation, cocooning etc
It’s really important for people who are self-isolating because of coronavirus to look after their mental health and wellbeing as well their physical health. Staying at home and avoiding contact with others as much as possible is essential to limit the risk of catching the virus or spreading it to others. But for many people, especially if you live alone, social isolation can be a lonely, anxious, scary or depressing time. This leaflet has a few simple tips to help look after our mental well-being. It’s written for people who are self-isolating, or are maybe just feeling isolated, and who don’t have access to the internet and online entertainment or ‘distraction’ options. If you can get online, you can download a copy of this information and get lots more ideas at learn.4mentalhealth.com/wellbeingThe 30-3-30 approach The suggestions below are grouped into things that take about 30 seconds, things that you can do in about 3 minutes, and things that might take 30 minutes or longer. The 30 second ones are quick fix ‘emergency’ actions you can do if you suddenly feel panicky, scared or unable to cope. Please see link here to an extensive range of ideas for the 3
The 30-3-30 approach http://learn.4mentalhealth.com/sites/default/files/30-3-30.pdf
- Silver cloud
Silver Cloud are offering free access to the well-being supports for all healthcare workers working within the HSE. Our programs are designed to help you improve and maintain your wellbeing; however, they do not specifically address the COVID-19 crisis. Make sure you follow the government’s guidelines to maintain your health and the health of others during this time.
- Clinical Trials
The Head of the World Health Organisation, Dr Tedros Ghebreyesus says three vaccines for Covid-19 have started clinical trials and 70 more are in the planning stage.
Examples of how Irish tech and MedTech are joining the global fightback against Covid-19.
Ireland has risen to the battle against Covid-19 with what can only be described as dignity and aplomb. Adherence to social distancing rules by the general public and the stoic and courageous response by frontline workers from shops and banks to the bravery of medical workers in hospitals and nursing homes have all played a part. There are more than 100 different projects from PPE and contact tracing to ventilators and vaccination are currently under way across the entire island of Ireland.
- Health Protection Surveillance Centre HPSC
How to put on and take off PPE full coveralls, face shields and masks (new PPE regulations ) 15/04/2020
A cluster randomised trial of cloth masks compared with medical masks in healthcare workers
The aim of this study was to compare the efficacy of cloth masks to medical masks in hospital healthcare workers (HCWs). This study is the first RCT of cloth masks, and the results caution against the use of cloth masks. This is an important finding to inform occupational health and safety. Moisture retention, reuse of cloth masks and poor filtration may result in increased risk of infection. Further research is needed to inform the widespread use of cloth masks globally.
- HPSCDaily COVID-19 surveillance reports
- Reproduction Rate of Covid-19 National Public Health Emergency Team (NPHET)
The National Public Health Emergency Team’s modelling data has revealed that Ireland’s effort to date has greatly reduced the transmission of the virus: Professor Philip Nolan, Chair of the NPHET Irish Epidemiological Modelling Advisory Group (IEMAG) said: “When an R number increases by even a fraction above 1, the number of new cases per day will rise, slowly but inexorably. The number of people, on average, that someone with COVID 19 is likely to infect was high at the beginning of the outbreak at 4.5. We now see this ‘R’ (reproduction) number reduced very significantly. The growth rate has reduced from 33% daily in the early weeks of this outbreak to below 1 at .7which is very positive news
RTE news 16.04.20 / NPHET
Ireland’s COVID19 Crisis Response: Perspectives from Social Science
Join UCD Geary Institute this Friday online as they anticipate likely challenges ahead and how research can contribute to finding solutions .The first case of Covid-19 was observed in Ireland on February 29th. In the past month, we have had unprecedented change in every aspect of Irish society. The response to the pandemic progressed from warnings to school and pub closures, to a comprehensive shut down of non-essential workplaces, and strong guidelines on physical distancing, hygiene, and travel.
It is urgent to understand how people are responding to these changes. Adherence to physical distancing and protective health behaviours may be vital in delaying the transmission of the virus and allowing the health system to adapt. Understanding how to promote such adherence is a key topic of research for our community. Understanding the short-run impacts on mental and physical health is a key priority, as is understanding how the impacts of the restrictions are spread across groups of people and different types of businesses.
In the longer term, the Covid-19 pandemic will leave a wide range of public policy challenges in its wake. It would be important to anticipate now what those challenges are likely to be and to explore how research can contribute to finding solutions. With these challenges in mind, we are launching a series of Covid19 crisis policy response events. The first will take place Friday April 17th and the second will take place Friday April 24th.
The April 17th conference will take place on-line via Zoom from 10:00 -13:00. There will be 6 sessions with 3 parallel sessions in two time slots (10:00 am to 11.20am and 11.40am to 1:00pm). These sessions will be available on demand post events.
- Explained: How Scientists Are Winning the Fight Against COVID-19
Across the world, medical scientists are working hour-by-hour to try to get us beyond our new day-to-day existence. The pandemic has sparked a global scientific response, which is moving at incredible pace
- Health protection Surveillance Centre HPSC
Derogation for the return to work of Healthcare Workers (HCW) who have been advised to restrict their movements BUT are identified as essential for critical services – Version 4.1 – 10th Apr 2020
This document refers to HCWs who are restricting their movements due to Close Contact with a COVID-19 case, due to international travel after 6pm on the 16th Mar 2020 and other HCWs who are required to self-isolate or restrict movements but who are deemed lower risk.
- National HSCP Office – National Telehealth Developments and Request to Complete 5 Minute Survey https://www.iicms.ie/4710-2/
- Royal College of Surgeons in Ireland RCSI
As part of their suite of resources, the RCSI Institute of Leadership, in partnership with the HSE, is hosting a 30-minute webinar series twice a week, entitled Conversations that matter. These conversational webinars aim to create dialogue and honest exchange on the current issues faced by the system and those working in it. Healthcare professionals dealing with the challenges presented by COVID-19 will share their insights and learnings during this rapidly evolving crisis situation. These webinars are free to attend and take place every Tuesday and Thursday at 6:30pm. https://www.rcsi.com/dublin/coronavirus/healthcare-professionals/conversations-that-matter
RSCI Ethics in Covid-19 Webinar
- This webinar looks at the ethical considerations of caring for Covid-19 patients . The panel discussed the impact on you as a person and taking into consideration the risk for healthcare staff families, impact on your professional role and then the duty to provide the best possible care to your patients. The panel recognised the accelerated learning environment and the need to adapt to this environment .
- Other webinar’s available on demand are “PPE impacting how we communicate “ and “, ICU, ethical decision making and COVID-19” https://www.rcsi.com/dublin/coronavirus/healthcare-professionals/conversations-that-matter
RSCI Leading with EQ: Optimism – Dr Mary Collins
- Dr Mary Collins deliver this short almost 4-minute video on the importance of Optimism . Optimism as Dr Collins explains is essential in adverse situations . People high in optimism can look at positive aspects at life, seek opportunities and bounce back after defeat . One important take home note from this video was this message . Take key learning from each day and engage in reflective learning in a reflective journal to help gain insight and de-construct difficult experiences you may have encountered during that day . Before bed each day for 14 days focus on three things you can be grateful for in that day , focus on your strengths and value’s. https://www.rcsi.com/dublin/coronavirus/healthcare-professionals/conversations-that-matter
- JAMAUnderstanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic Read More:
- For healthcare staff at the front line of the covid-19 pandemic, work has suddenly become a frightening place. Impossible decisions threaten long term psychological damage from moral injury, say Neil Greenberg and colleagues (doi:10.1136/bmj.m1211). And there is real and justified fear about personal safety, fuelled by a scandalous and widespread lack of personal protective equipment (PPE). Doctors have been reduced to sourcing improvised eye protection, making public appeals for respirator masks, and fundraising for supplies (doi:10.1136/bmj.m1286). Read more
- Supporting colleagues during covid-19: the intensive care consultant. Emma Wheatley, an intensive care medicine and anaesthesia consultant in Bolton, tells Adrian O’Dowd why it’s important to support colleagues so they can perform at their peak BMJ 2020; 369 doi:
NICE has published its first 3 rapid COVID-19 guidelines. They will cover the management of:
- Patients in critical care
- Patients who are having kidney dialysis
- Patients who are receiving systemic anticancer treatments. Read more
COVID-19 (Coronavirus): Health advice for parents and children
- Latest version of ITS / IICMS Resp Faculty V2 PFT Statement Guideline-on-Lung-Function-Testing-V2-30.03
Transthoracic Echocardiogaphy in Covid 19 Registry
- The BSE and the European Society of Cardiology have collabrated to launch a new survey to capture the Cardiovascular effects of COVID 19. Their objective is to capture this information quickly and efficiently in real time following echocardiographic examinations and to therefore gain a better picture of the cardiac manifestations of COVID-19 and the contribution of these to patient mortality and morbidity. Please make sure you enter the data after each scan completion in a confirmed or high-probability Covid-19+ patient.
- Vascular Lab Survey Results Vascular Labs Covid 19 Survey Results – April 2020
Irish Decontamination Institute
Presented by Dr Gerard Colleran BSc PhD.
- COVID-19 Resources for Psychologists, Healthcare Workers and Members of the General Public. Elsevier has enabled open access to all health care staff in Ireland to 37 clinical skills via their elearning platform. This is particularly useful for health care professionals returning to work or for those taking up different roles during Covid-19. They are available from https://www.elsevierclinicalskills.co.uk/sampleskills. No Login Required
- The Psychological Society of Ireland have developed a repository/resource to help people during these extraordinary times.
Brennan Spiegal, Director of health research
@CedarsSinai. Professor of Medicine & Public Health. Editor-in-Chief, American Journal of Gastroenterology.
- Please see Nice rapid guidelines and evidence reviews on Coronavirus
“The National HSCP Office is pleased to advise that a HSCP repository is now available in the HSCP Hub on HSELanD. This repository has been developed to support the Health and Social Care Professions to deliver services in the context of the COVID-19 pandemic. It is intended that this central repository will enable a sharing of COVID and non-COVID-related resources to reduce duplication of effort for HSCP frontline staff and managers at this time.
This development will be an iterative process with new content being added as it is received. The format may change over time in line with content requirements and user feedback.
Location of HSCP Repository on HSELanD
Once logged in to www.hseland.ie*, users can access the repository in three clicks:
Go to Hubs
Go to Health and Social Care Professions (Hub)
Click Resources to Support HSCP Delivering services in Context of COVID-19
*If you do not have an account, you can create an account as a staff member or ‘volunteer’.
Structure of the Repository
Resources are available in the following three categories. See navigation details for more information.
Digital/eHealth Resources for HSCP
Clinical Resources for HSCP
We invite HSCP frontline staff, professional bodies and other interested parties to continue to send relevant resources to the National HSCP Office by emailing firstname.lastname@example.org.
We would also like to thank all those HSCP who have generously contributed resources to support the HSCP community in these challenging and unprecedented times”
Please see blog by Éadaoin O’Hanlon, physiotherapist, on behalf of the eHealth HSCP Advisory Group. Covid-19 Online Resources & Education. https://hscpshare.com/2020/04/05/covid-19-online-resources-and-education/
Optimization of Vitamin D Status for Enhanced Immuno-protection against Covid-19, Healthcare Professionals Summary Healthcare Professionals Summary Optimisation of Vitamin D for enhanced Immunoprotection against COVID19
Academy Clinical Science and Laboratory Medicine President, Dr Brigid Lucey and a team of ten other Medical Scientists have managed to formulate the lysis buffer which has been in global shortage and delaying testing for COVID-19. We congratulate our HSCP colleagues on their work. Please see the scientific paper and report in the Irish examiner. https://www.irishexaminer.com/breakingnews/ireland/irish-scientists-breakthrough-will-help-ensure-covid-19-testing-continues-992708.html
- Validation of a lysis buffer for Covid-19 testing 5th April 2020 Scallan pdf with acknowledgements
Respiratory – IICMS Respiratory Faculty Survey Results
Feeling under pressure is a likely experience for you and many of your colleagues. It is quite normal to be this way in the current situation. Stress and the feelings associated with it are by no means a reflection that you cannot do your job or that your are weak Full text here mental-health-considerations
mental-health/minding-your- mental-health-during-the- coronavirus-outbreak.html
- Guidance for Cardiac Electrophysiology During the Coronavirus (COVID-19) Pandemic from the Heart Rhythm Society COVID-19 Task Force; Electrophysiology Section of the American College of Cardiology; and the Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, American Heart. Heart_Rhythm_COVID-19_Guidance_2020
The HSCP office has launched the HSCP Share Blog yesterday, they will be posting a series of eHealth-related blogs, beginning today.
You can follow these blogs by going to http://www.hscpshare.com and adding your email address to the ‘Follow’ box. They are also on twitter – @WeHSCPs.
Please do follow, share and contribute – this is your opportunity to showcase your work, its impact and to learn from others.
2nd April 2020
Neurophysiology – Survey Results – Neurophysiology Faculty Survey Covid 19
1st April 2020
The President of The Academy of Clinical Science and Laboratory Medicine, Dr Brigid Lucey wrote an article for RTE about what actually happens to a COVID-19 test sample from start to finish of the processhttps://www.rte.ie/brainstorm/2020/0330/1127277-coronavirus-test-laboratory-samples-ireland/
Please find attached guidelines for GI Physiology Investigations during Covid19. It is impossible to practice safe distance in relation to Breath testing and likewise all unnecessary procedures should be cancelled. The Irish Society of Gastroenterology has also adopted the BSG guidelines for recommendation on safe practice in Ireland. Please see attached for further details or on the link.
- Covid-19 BSG Guidelines
1st April 2020
COVID-19 Preparedness for Echo Labs: Insight from the Frontliners experts discuss unique issues relation to Covid-19 exposure for health care providers in high risk areas,review methods to specifically protect echo lab personnel from COVID-19 exposure, and delineate lab protocols for scanning patients with suspected or proven COVID 19 infection. https://www.
- European Society of Cardiology (ESC) Webinar
30th March 2020
Respiratory Physiologist may find the following links helpful during this time. Following is a link from ARTP physiologist group in UK regarding PFT testing & COVID-19 which is an excellent source of information: https://www.artp.
org.uk/News/artp-covid19- update-18th-march-2020 American Association of Sleep Medicine (AASM) regarding their recommendations for Sleep Service & COVID-19: https://aasm.org/ covid-19-resources/covid-19- mitigation-strategies-sleep- clinics-labs Also please see attached statements sent by Irish Thoracic Society
- ITS Guideline on lung function testing 24.03 FINAL
- ITS Sleep Guideline 24.03 Final
31st March 2020
A statement from the IICMS President Full text here
Cardiac Department Survey -Covid-19. During the last week we surveyed as many cardiac departments as possible to see how they were addressing the challenges facing us all in light of Covid-19…Full text here