COVID-19 Procedure: Nursing Care During Treatment (ALSS):

COVID-19 Procedure: Nursing Care During Treatment (ALSS)

This process template is part of our COVID-19 Procedures pack. 

It is built as a reproduction of the procedures outlined in the Handbook of COVID-19 Prevention and Treatment (2020) produced by The First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU). 

FAHZU had great success in combatting the novel Coronavirus COVID-19 and this handbook outlines best-practices, procedures, and useful charts for hospitals and medical centers to practically employ. 

The items contained within the handbook were compiled according to clinical experience. 

You can edit this process template to adapt it to the specific needs of your institution. When you come to follow the procedure, you can run this template as a checklist. You can add form fields throughout the checklist to gather information. You can connect your Process Street account with other platforms via automation to automatically store or utilize any data entered into your checklists. 

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You can find the full handbook embedded below.

Process Street is not a medical institution and the items contained in this process template are illustrative and not intended to be understood as medical advice. Please refer to the attached PDF document for any and all medical or operational recommendations. 

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Operator's own preparation

Fully adhere to Level Ill or even more strict protective measures.

Patient assessment

Assess the patient's basic conditions, especially allergy history, blood glucose, coagulation function, oxygen therapy, sedation (for sober patients, pay attention to their psychological state) and catheter function status.

  • 1
    allergy history
  • 2
    blood glucose
  • 3
    coagulation function
  • 4
    oxygen therapy
  • 5
    sedation
  • 6
    catheter function status

Installation and pre-flushing

Use consumables with closed-loop management while avoiding the exposure to patient's blood and body fluids. The corresponding instruments, pipelines and other consumables should be selected according to the planned treatment mode. All basic functions and characteristics of the consumables should be familiarized.

Running

It is recommended that the initial blood draw speed is s; 35 ml/min to avoid low blood pressure which might be caused by high speed. Vital signs should be monitored as well.

Parameter Adjustment

When the patient's extracorporeal circulation is stable, all treatment parameters and alarm parameters should be adjusted according to the treatment mode. A sufficient amount of anticoagulant is recommended in the early stage and the anticoagulant dose should be adjusted during the maintenance period according to different treatment pressure.

Weaning

Adopt "liquid gravity combined recovery method"; the recovery speed s; 35 ml/min; after weaning, medical waste should be treated in accordance to the SARS-Cov-2 infection prevention and control requirements and the treatment room and instruments should be cleaned and disinfected as well.

Recording

Make accurate records of the patient's vital signs, medication and treatment parameters for ALSS and take notes on special conditions.

Sources:

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