May 5, 2020 | BY Marcy Sanchez
With health care providers everywhere answering the call to
prevent the spread of COVID-19, more than 75 nurses at Landstuhl Regional
Medical Center in Germany are volunteering to augment the critical care staff
to combat the global pandemic if needed.
As part of larger efforts in staff readiness and
development, clinical personnel not normally trained in critical care are
undergoing training designed to increase staffing capabilities in support of
the medical center's COVID-19 operations.
"We're focusing on skills directly related to
critically ill COVID-19 patients that are being seen throughout the world right
now," said Army Maj. Julie Duffy, a clinical nurse specialist who works in
the intensive care unit. "We're working to make sure that [non-ICU nurses]
are trained and have the understanding of COVID-19 and what patients are
experiencing, and the skills related to it."
Centers for Disease Control and Prevention guidance urges
health care facilities to consider mitigation strategies for staffing shortages
to continue providing safe patient care and work environments.
The training aims to educate nursing augmentees from
different areas of the hospital in critical care medicine using online and
hands-on training under supervision. Subjects include training specific to
COVID-19 patients such as hemodynamics monitoring, airway management and
mechanical ventilation basics, treating adult respiratory distress syndrome,
infection control and personnel protective equipment protocols.
Inpatient nurses, as well as nurses from other units, are
volunteering to augment the ICU, increasing the capability to care for both
COVID-19 and non-COVID-19 critically ill patients.
Duffy said participation in the multidisciplinary efforts
toward minimizing the impact of COVID-19 on other medical center operations has
benefits beyond supporting critical care units.
"There is a benefit for the nurses as well — the sense
of purpose and helping," Duffy said. "I think it's going to be big
for a lot of them. We know that there's a nursing shortage nationwide, so to be
able to know that we helped in some way with the pandemic, I think that will
emotionally help nurses."
Three times a week, cohorts of nurses continue to train with
ICU and pulmonary staff members using the latest evidenced-based practices in
treating individuals diagnosed with COVID-19. As more staff members are
trained, Duffy said, she expects training objectives to evolve.
"Right now, it's really more about familiarization with
the equipment and just getting some hands on working with it, then we'll be
able to throw it into patient scenarios," she said. "Soon enough,
nurses from throughout the facility will be trained so they're able to help [in
the ICU] should the time arise."
(Marcy Sanchez is assigned to Landstuhl Regional Medical
Center.)
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