Covid-19 guidance from clinicians at the forefront

How your peers are tackling the epidemic

The unprecedented nature of the Covid-19 crisis has made it difficult for clinical leaders to stay up-to-date on rapidly changing best practices. As cases rise, leaders are turning to their peers in hot spot areas to see how they can best prepare for and treat Covid-19 patients. And across the country, we’ve seen clinical leaders go above and beyond to collaborate and share their insights with one another.

Below, we’ve highlighted resources from teams at the forefront of the epidemic that you can review to inform your organization’s approach, from clinical indicators and treatment to discharge protocols.

Given the rapidly changing situation, guidance is subject to evolve quickly. This list was last updated on May 15, 2020.

First Affiliated Hospital, Zhejiang University School of Medicine's (FAHZU) Handbook of COVID-19 Prevention and Treatment

This handbook was published by clinical leaders at FAHZU, one of China’s most prestigious and largest academic medical centers, who managed 104 Covid-19 patients with no staff infections or patient deaths at the time of publication.

Read to learn clinical and operational guidelines with specific service line considerations, pharmacological charts, detailed work flows, telehealth strategies, equipment cleaning procedures, staff management, and discharge plans.

EvergreenHealth’s Lessons Learned: COVID-19

Hospitalists from EvergreenHealth share their lessons learned in treating and managing Covid-19 patients during the first U.S. outbreak in Seattle, Washington.

Read to learn guidance on testing, infection control, workforce strategies, inpatient and ICU care for Covid-19 patients, and sample discharge protocols. The document also contains a robust list of online resources that cover clinical considerations for specific service lines.

Collaborative Frontline Covid-19 Guide

A group of recent UW Medicine alumni assembled this document for frontline clinicians managing Covid-19 patients. The document is updated frequently as new, reputable clinical guidance emerges.

Read to learn information about the clinical features, disease progression, lab findings, outcomes and predictive metrics, and potential treatments for Covid-19, in addition to resilience resources for providers.

Baylor Scott & White Health’s team-based nurse staffing model

Nurse leaders at BSWH share their approach to team-based staffing in the clinical areas most impacted by Covid: the ICU, ED, other acute care units, and hemodialysis teams.

Read to learn frameworks for assigning specific care responsibilities to each team member, including the team leader, redeployed RNs, and ancillary staff.

National Health Service’s (NHS) Clinical guide for supporting compassionate visiting arrangements for those receiving care at the end of life

The NHS published this document to provide guidance for clinicians on how to safely allow visitors to see their loved ones at the end of life, given all the necessary precautions to prevent the spread of Covid-19.

Read to learn guidance for how to safely allow visitors at different care facilities, how to leverage virtual visits for patients at the end of life, and what kind of support clinicians should provide to visitors during this time.

Have resources you think other clinical leaders need to see?

If you would like to share resources or lessons learned with your clinical peers across the country, send takeaways and any additional resources to Rebecca Soistmann.

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