Made in partnership with IngMar Medical.
This scenario presents a 71-years-old male with diagnosed COVID-19, who was triaged from the Emergency Department and transferred to the Intensive Care Unit in an isolation bay two days ago.
The participants are expected follow isolation protocols, including PPE for contact precaution. They should assess the patient’s saturation status, discuss proper respiratory treatment and recognize the need for turning the patient into a prone position. The participants should delegate roles, utilize closed-loop communication and successfully turn the sedated and paralyzed patient in one movement.
NOTE: This scenario contains an optional alternative partway with accidental extubation of the patient while turning him to prone position. The participants should then recognize the unintentional emergency incident and act immediately by reversing the patient to supine position, apply cricoid pressure, reintubate the patient and reconnect to a ventilator.
- Apply standard precautions according to presumed diagnosis including appropriate PPE
- Perform a primary assessment of a patient with COVID-19 respiratory infection (SARI).
- Realize the need to turn a patient into prone position
- Verify sedation and paralysis prior to changing the position of a patient
- Delegate roles and communicate with team members to move a patient in one movement
- Perform turning of a sedated and paralyzed patient while on a ventilator
- Doff PPE according to procedure