Subject(s)
Critical Illness/psychology , Outcome Assessment, Health Care/statistics & numerical data , Patient Positioning/standards , Prone Position/physiology , Critical Illness/therapy , Humans , Outcome Assessment, Health Care/methods , Patient Positioning/methods , Patient Positioning/psychologyABSTRACT
OBJECTIVE: As intensive care unit bed capacity doubled because of COVID-19 cases, nursing leaders created a prone team to support labor-intensive prone positioning of patients with COVID-related acute respiratory distress syndrome. The goal of the prone team was to reduce workload on intensive care teams, standardize the proning process, mitigate pressure injuries and turning-related adverse events, and ensure prone team safety. METHODS: Staff were trained using a hybrid learning model focused on prone-positioning techniques, pressure injury prevention, and turning-related adverse events. RESULTS: No adverse events occurred to patients or members of the prone team. The prone team mitigated pressure injuries using prevention strategies. The prone team and intensive care unit staff were highly satisfied with their experience. CONCLUSION: The prone team provided support for critically ill patients, and team members reported feeling supported and empowered. Intensive care unit staff were highly satisfied with the prone team.
Subject(s)
COVID-19/psychology , COVID-19/therapy , Critical Care/standards , Health Personnel/psychology , Patient Positioning/standards , Prone Position , Respiratory Distress Syndrome/therapy , Adult , Aged , Aged, 80 and over , COVID-19/epidemiology , Critical Care/psychology , Female , Humans , Male , Middle Aged , Patient Positioning/psychology , Practice Guidelines as Topic , SARS-CoV-2 , United States/epidemiologyABSTRACT
The COVID-19 pandemic has placed significant strain on the oxygen delivery infrastructure of health facilities in resource-constrained health systems. In this case report, we describe a patient with severe COVID-19 pneumonia who was managed with high-flow nasal oxygen for 40 days, with an eventual successful outcome. We discuss the oxygen delivery infrastructure needed to offer this intervention, as well as the psychosocial impact on those undergoing treatment.