COMMENT AND CONTENTS THE CLINICAL SERVICES JOURNAL
COVID-19 REPORT
Editor
Louise Frampton
louiseframpton@stepcomms.com
Technical Editor Kate Woodhead Business Manager
Dean Walford
deanwalford@stepcomms.com
Sales Executive Holly Goldring
hollygoldring@stepcomms.com
Journal Administration
Katy Cockle
katycockle@stepcomms.com
Design Steven Dillon Publisher
Geoff King
geoffking@stepcomms.com
Publishing Director Trevor Moon
trevormoon@stepcomms.com
THE CLINICAL SERVICES JOURNAL is published in January, February, March, April, May, June, August, September, October and November by Step Communications Ltd, Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR, UK.
Tel: +44 (0)1892 779999 Fax: +44 (0)1892 616177 Email:
info@clinicalservicesjournal.com Web:
www.clinicalservicesjournal.com
COVID-19: reflections and preparation for the next stage
The Joint Biosecurity Centre recently recommended that the COVID-19 alert level should move from level 3 (COVID-19 epidemic is in general circulation) to level 4 (COVID-19 epidemic is in general circulation, transmission is high or rising exponentially). The CMOs for England, Scotland, Wales and Northern Ireland reviewed the evidence and recommended that all four nations of the UK should move to level 4. In a statement, they said: “After a period of lower COVID cases and deaths, the number of cases are now rising rapidly and probably exponentially in significant parts of all four nations. If we are to avoid significant excess deaths and exceptional pressure in the NHS and other health services over the autumn and winter, everyone has to follow the social distancing guidance, wear face coverings correctly and wash their hands regularly.”
In light of the evolving situation, the
Nuffield Trust’s John Appleby warned: “With COVID-19 cases appearing to be on the rise again, there is a very real risk we are a few weeks away from an upturn in hospital admissions as a result of the virus, just as the system will be battening down for additional winter pressure alongside efforts
to recover. All of this points to one of the most difficult winters the NHS will face.” With fears of a second wave growing, healthcare professionals will be bracing themselves for the challenges ahead. Now is the time to reflect on the lessons that have been learned, so far, and prepare for the next stages of the pandemic as they evolve.
The Clinical Services Journal has curated some of the important insights and strategies, published during the pandemic, so far – from strategies for infection prevention and contingency plans for shortages of PPE, to the rapid upscale of medical devices and lessons learned from the Nightingale projects. New findings and discussion on the management of COVID patients, patient monitoring and rehabilitation are also included in this digital collection of features. This report aims to provide a learning resource to assist healthcare workers as they prepare for the months ahead and is the first of a series of reports that will bring together expert views, breaking research and practical solutions.
Louise Frampton l Editor
louiseframpton@stepcomms.com
4 Cover Story: Environmental cleaning in the COVID-19 era
7 News
11 What have we learnt from the pandemic?
17 Legal implications of PPE shortages
© Step Communications Ltd, 2020 Single copy: £19.00 per issue. Annual journal subscription: UK £114.00 Overseas: £150.00
ISSN No. 1478-5641
The Publisher is unable to take any responsibility for views expressed by contributors. Editorial views are not necessarily shared by the journal. Readers are expressly advised that while the contents of this publication are believed to be accurate, correct and complete, no reliance should be placed upon its contents as being applicable to any particular circumstances. This publication is copyright under the Berne Convention and the International Copyright Convention. All rights reserved, apart from any copying under the UK Copyright Act 1956, part 1, section 7. Multiple copies of the contents of the publication without permission is always illegal.
20 Disinfectants and the ‘entourage effect’
26 Upscaling life-saving equipment in a crisis
34 Disinfectant standards: what you need to know
39 Blood clot prevention in COVID patients
43 Tackling COVID-19 risk via hospital beds
46 Need to prevent aspiration risks
56 Balancing efficacy with material compatibility
61 Plasma viscosity: a vital monitoring role
65 Contingency reprocessing of single-use PPE
72 COVID-19: ensuring safety in endoscopy
77 Role of POC CRP during the pandemic
81 Anaemia and thrombosis in COVID patients
85 Mobilisation of patients recovering from COVID
89 Products
WWW.CLINICALSERVICESJOURNAL.COM l 3
50 Tactical use of portable sinks 53 Four lessons of the pandemic
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