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    Metro: Mental health trust tells staff not to resuscitate patients over protective gear shortage Archived Message

    Posted by Sinister Burt on March 31, 2020, 11:55 am

    https://metro.co.uk/2020/03/30/mental-health-trust-tells-staff-not-resuscitate-patients-protective-gear-shortage-12480829/

    "Staff at a major mental health trust have been told not to resuscitate patients during the coronavirus pandemic because of a lack of protective equipment to safely carry out the procedure. The Tees, Esk and Wear Valleys NHS Foundation Trust, in County Durham, issued new guidance to staff last week which advised them against CPR during a medical emergency. An internal email sent by the medical director revealed the trust did not have enhanced Personal Protective Equipment (PPE) in place for resuscitation. It said gloves, long sleeved gowns, eye protection and FFP3 face masks were currently ‘not available’ within the trust and as such, staff should not commence life-saving procedures even if advised to by ambulance control. The email told staff ‘not to administer rescue breaths, use a manual resuscitator or create an airway or incubate the patient under any circumstances, due to the ongoing coronavirus pandemic’. But a nurse at West Park Mental Health Hospital in Darlington, which is managed by the trust, said patients were at risk of ‘irreversible damage’ or even death under the new guidance.

    She said: ‘We cannot resuscitate patients as we do not have the correct PPE. ‘If somebody is to self-harm or has a medical emergency, without PPE, it is going to be nigh on impossible to respond to.

    ‘It goes against everything I believe in, we have patients who might arrest for a number of reasons – we are trained in basic life support and are not going to be able to do it.’ The nurse, who wishes to remain anonymous, said colleagues had been placed in an ‘impossible’ position that forced them to choose between saving lives and being dismissed.

    Under guidance from the trust, staff are told to preserve life by only using limited contact, including checking for a pulse or through the use of a defibrillator. However, the nurse said: ‘If we keep someone’s heart going through defibrillator without rescue breaths, their brain may be starved of oxygen and by the time the ambulance arrives, the damage will be done. ‘The defibrillator tells us when to apply rescue breaths and is constantly monitoring the patient’s heart rate and we’re going to have to ignore that. ‘I could never have imagined that anything like this – it’s heartbreaking.’

    Responding to the claims over patient safety, the trust said Cardiac and respiratory arrests were a rare event in mental health hospitals and that the trust was following national guidance on covid-19. Dr Ahmad Khouja, Medical Director at Tees, Esk and Wear Valleys NHS Foundation Trust, said: ‘We are doing everything we can to protect the patients in our care and our staff.’ This comes as nurses across the UK say they are working without any masks, gowns and gloves due to a shortage of PPE equipment. The Royal College of Nursing (RCN) said it is ‘unacceptable’ that weeks into the crisis some nurses are yet to be provided with the necessary protective gear.

    It has called for minimum basic levels of PPE to be rolled out for staff in all settings – hospitals, care homes, or in the community – but it said that this is’ ‘yet to to be provided.’ Dame Donna Kinnair, chief executive and general secretary of the RCN, said on Monday: ‘I am hearing from nurses who are treating patients in Covid-19 wards without any protection at all. This cannot continue. They are putting themselves, their families, and their patients at risk. ‘We need action, we need equipment, we need it now.’"

    More at link

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