During the first and second waves of the COVID-19 pandemic, however, many more patients needed CPAP than there were beds in critical care and high-dependency units. Staff in these units are trained and familiar with the use of non-invasive respiratory support. CPAP is a form of noninvasive (that is, used outside the body) respiratory support that is used when the patient is awake and able to breathe on their own.ĬPAP is often used to support a patient’s breathing in critical care or highdependency units, where there are high numbers of staff to patients. This is known as continuous positive airway pressure (CPAP).
These patients’ oxygen levels may be improved by using a special device that delivers a flow of oxygen-enriched air at a constant pressure through tubing and a mask, or hood, worn by the patient. When this happens, a patient is described as being in respiratory failure. Even with oxygen therapy, however, some patients still cannot take in enough oxygen to breathe. Often this help takes the form of oxygen therapy, where oxygen is given through a face mask or through little tubes that sit in the nose. This investigation explores the issues associated with caring for patients attending hospital with COVID-19 who need help with their breathing. Providing feedback and comment on HSIB reports
NEGATIVE PRESSURE ROOM CHECKLIST VERIFICATION
HSIB asks healthcare providers to consider the following safety questionsġ.2 Patients with COVID-19 who need help with their breathingġ.3 Pathways of care for patients with and without COVID-19ģ Involvement of the Healthcare Safety Investigation Branchģ.2 Decision to conduct a national investigationģ.4 Evidence gathering and verification of findingsĤ Findings and analysis of the reference eventĤ.1 Rationale for admission to a negative pressure side room on a wardĤ.2 Safety risks associated with monitoring a patient in a negative pressure side room on a wardĤ.3 Workload, time pressures and staffingĤ.4 Training in using CPAP for patients with COVID-19ĥ Findings and analysis from the wider investigationĥ.1 Care for patients requiring non-invasive respiratory support outside of critical care and high-dependency unitsĥ.2 Guidance for non-invasive respiratory support equipment and remote monitoringĥ.3 Workforce challenges during a pandemic and creating a flexible workforce
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