A repository of what works well during the COVID19 pandemic. The purpose of this site is to share insights and ideas gained from real experience of success / excellence. This is not primarily a place for official guidelines (although there are some links to those).
Content is either in the public domain or submitted to us directly for sharing. Please feel free to share anything you think is useful – from practical insights to messages of hope and inspiration. We will collate and curate content daily. To submit content, please contact us by email or Twitter.
Update 1st April 2020:
We have also added a new page “Art and Spirit”: a place for inspiring art in various media; for inspiration and escape.
Official guidance for health professionals, from the Department of Health
Collaborative resource for ICU and anaesthesia for COVID19 resources and guidelines.
Curated and submitted content:
Acute medical / ICU / anaesthesia:
LfE in PPE:
A simple “mnemonic way” to remember sequence for donning and doffing:
How to find each other / identify who is who. Some nice ideas here:
Possibly the quickest #qualityimprovement project I've ever done… How to improve staff recognition when in full PPE! Thanks to everyone who helped get this sorted in less than 24 hours #Covid_19 #uhbristol_ICU #patientsafety @UHBristolNHS pic.twitter.com/dTQveDuM9k
— Bex Russell (@Borisbex) March 31, 2020
These doctors have put their pictures on their PPE so that their patients can see who is looking after them, this is such a nice idea ☺️ pic.twitter.com/KyacsOyrr7
— Danny (@PaedsNurseDanny) April 6, 2020
Or, just a simple #hellomynameis sticker:
Sad how face masks impair our ability to connect with patients. We can’t even give someone a smile. This small step may help. Massive thanks to @HistonFC for sponsoring our amazing new #Hellomynameis staff stickers (made in a day by @stickylabelscom) @PointonChris @CUH_NHS pic.twitter.com/Pnx5qnexSe
— Rod Mackenzie (@RodMack2) April 10, 2020
For the surgical mask-wearers:
The husband of one of our @HopkinsPICU #nurses used his 3-D printer to make ear savers for our staff to prevent pressure injury from #PPE and they say "COVID-19 Warrior" and that is all. ❤️#COVID19 #PedsICU pic.twitter.com/bYsojPhfG5
— Sapna “STAY AT HOME” Kudchadkar, MD, PhD 👩🏽⚕️ (@SapnaKmd) April 6, 2020
LfE in ICU education:
An excellent online ventilator simulator – for child and adult ventilation:
I’ve been banging on about this to new #pedsicu trainees at @PICU_BCH – but relevant (and useful practice) for everyone about to look at a ventilator attached to a child or adult!! #covid19 @LfEcommunity #icu @doctimcook @RCoANews pls RT – it’s free & high quality https://t.co/K76QDMiVHO
— Barney Scholefield 🌈 (@BarneyUoB) April 2, 2020
A very useful primer for ICU for non-intensivists:
— Basheer Tharayil (@drbbmt) March 28, 2020
LfE in intubation:
A thread from Twitter describing the experience of intubating patients with suspected / confirmed COVID19. Includes tips, e.g. clamping the ETT whilst switching circuits. Also includes links to intubation action cards.
@doctimcook @elboghdadly intubated my first COVID patient today, learning points:1 you lead,2 choose a suitable location,3 prepare drugs before you go in,4 thorough PreO2,5 turn O2 flow down before removing the mask,5 use familiar VL as 1st choice,6 clamp ETT before disconnect
— Imran Ahmad (@dr_imranahmad) March 13, 2020
— Jon Leung (@The_LondonERs) March 17, 2020
LfE in end of life care and conversations about dying:
Sadly-we will have to talk about #dying with #COVID19 . We need to support our #nhsworkers to have these difficult conversations with compassion and honesty. Thanks to @openchangeuk for this powerful visual which helps start that learning. @zimscotcaroline @SQSFellowship pic.twitter.com/QboFgMwiwi
— laramitchell (@laramitchdr) March 24, 2020
LfE in communication with families and relatives:
Keeping tabs on who has communicated with whom:
When relatives cannot visit their loved ones it is extremely important that our team keeps in touch. I was very proud to see this chart appear on the ward – anyone who calls ticks the box! What a good idea. Photo taken at morning handover. pic.twitter.com/OLqiadHVdB
— Ben Mearns (@BenMearns) April 16, 2020
Excellent, simple guide on communication with relatives by ‘phone here:
Here’s a short guide to compassionate phone communication and sharing uncertainty during COVID-19 that myself and colleagues developed (thanks to @jimfieldsmith for design input). Please use and share widely. @WestMidHospital @ChelwestFT @drkathrynmannix #covid19UK #pallicovid pic.twitter.com/LjwLJikyUl
— Antonia Field-Smith (@DrAntoniaFS) April 3, 2020
LfE in team working, leadership and human factors:
From Chris Turner, a simple idea to quickly identify experts (people who either know the answer, or can find the answer) in a busy department:
When I first arrived in the ED @nhsuhcw, it was basically overwhelming in scale and complexity and I felt lost. Right now for incomers it is probably even worse. As part of trying to help staff from other departments we did this really simple thing. @LfEcommunity @civilitysaves pic.twitter.com/eT0yZO9Fuy
— Chris Turner (@orangedis) March 27, 2020
Similar idea here, to help identify new staff:
Staff are wearing "I'm New Here" badges in order to help patients understand that they have been redeployed from others areas to improve patients experience of care. #ExpOfCare #PatientExperience #HopeNetwork pic.twitter.com/9a422cTYJB
— NWAngliaFT (@NWAngliaFT) April 28, 2020
From Martin Bromiley; this checklist / short guide is excellent – updated April 2020:
The @ClinicalHF guide to non-technical behaviours supporting safer working in this emergency has been updated. We’ve improved wording around debriefing plus corrected a typo. Please share any further feedback info@CHFG.org https://t.co/jqOjYUD1v6 pic.twitter.com/wTvgOpYykC
— Martin Bromiley (@MartinBromiley) April 1, 2020
LfE in simulation:
Manchester Simulation: A site for simulation scenarios (including dedicated COVID19 sims) AND a forum for sharing insights learned from simulation.
A thread from the OUH team describing their learning from their COVID19 Cat 1 CS maternity simulation:
Thread on learning points from our Cat1 CS #COVID19_Sim @OUHospitals today. Phenomenal engagement from across so many departments: Anaesthetics, Obstetrics, Neonatology, Midwifery, Threatre, Scrub, Infection Control, Portering, Domestics & @OxSTaRCentre. This was crucial 💫 pic.twitter.com/f4oETear5C
— Sally Shiels (@Sallyshiels1) March 13, 2020
Wellbeing/ anxiety / mental health:
LfE in self-care:
This thread on wellbeing at work is excellent:
Wellbeing at Work#colleaguewellbeingeveryday
For those of you who have asked…. here is the complete series of filler articles in one thread. pic.twitter.com/0Xuii3ekCF
— anna baverstock (@anna_annabav) April 20, 2020
We strongly recommend this excellent FREE course on the Science of Wellbeing, from Yale University:
Self care tips from MedLed:
We've compiled some self-care tips for healthcare workers on the front line.
You are so important to all of us – please take care of yourselves too.https://t.co/Fy5O6P5tAj#SelfCare #SupportOurNHS #HealthcareHeroes pic.twitter.com/juNonRBlap
— Medled (@MedledTeam) April 8, 2020
Understanding fear and anxiety from St Emlyn’s:
At times like this we all need a bit more @lizcrowe2 and @docib
Really helpful blog and podcast about managing the anxiety we feel
Understanding Fear and Anxiety around COVID-19: A St Emlyn's Podcast. #FOAMed @codachange https://t.co/ZYlEFqMfPX pic.twitter.com/EzmdJcYjTZ
— Saint Emlyn's (@stemlyns) March 29, 2020
This writing course is now free, and may be of benefit for many:
It's an oldie but it's a goodie…. The Writing Path. I have removed the cost for this online 6 week course so if you want to use writing to make sense of #Covid_19 #coronavirus then please receive this gift with love, from me to you x #amwriting https://t.co/6A19vOZ1Sv
— Lisa Cherry (@_LisaCherry) March 30, 2020
Great advice from the DFTB team on clinician care with 3 take-home points:
Very generous offering from Michael Farquhar with advice on sleep in the time of COVID19:
Disrupted sleep is a completely normal response to the extraordinary circumstances we are currently living through
For @nhs staff in particular, trying to optimise our sleep is likely to be important in the months to come
Some suggestions here:https://t.co/VzLq1lukki
— Michael Farquhar (@DrMikeFarquhar) March 31, 2020
LfE in looking after each other:
Digital wellbeing hub from Scotland:
A new digital wellbeing hub @PRoMISScot is set to help staff, carers, volunteers, and their families access relevant support, and self-care and wellbeing resources as they respond to the #coronavirus (#COVIDー19) pandemic.
— Scot Gov Health (@scotgovhealth) May 11, 2020
MindEd have selected the best advice and tips from our large panel of international experts. For all frontline staff created with NHS Health Education England in partnership with NHS England-Improvement, supported by Skills for Care: https://covid.minded.org.uk/
Lovely idea here to show support and encouragement for junior staff helping out in a new environment:
— Helen Blamey (@HelenJBlamey) April 20, 2020
The COVID-19 handbook, for paediatricians, but relevant to anyone!:
THE COVID-19 HANDBOOK: A useful and enjoyable toolkit for ‘surviving and thriving’ during this challenging time and beyond! 💪🏽https://t.co/9PJa4a53V7
Be Safe, Be Positive & SMILE 😊
@LondonPaeds @RCPCHtweets @jround999 @CamillaKingdon @doctor_saranya @pepemac27 @mumtazsophia
— Nisha Patel (@nishnashpat) April 10, 2020
The Hug Voucher!:
Ready for when physical distancing comes to an end @PICU_BCH have hug vouchers 🤗 because ‘When we hug, our hearts connect and we know we are not separate people’ @Littlesarahwebb @illustrateddave @MorrisonRacha @AppreciatingP @SuzetteWoodward https://t.co/SQb7CE86EC pic.twitter.com/6Am6BcXLRc
— AlisonSJones (@AlisonSJones5) April 9, 2020
“Minding Healthcare workers”: a useful resource:
Great new downloadable resource
— Jane Munro (@DrJaneMunro) April 9, 2020
Wellness rounds from the amazing Rana Awdish (please read her book, if you haven’t already done so):
Each day I make wellness rounds on every inpatient unit caring for #COVID19 patients.
Do you have everything you need to be safe?
Do you have a strategy to protect your family?
What’s hardest about this right now?
What concerns you most?
How are you holding up? 1/
— RanaAwdishMD (@RanaAwdish) April 1, 2020
I can’t take any credit for this. The words are inspired by a screenshot of a slide by @GSTTnhs ward staff that was shared with me. I just added the pleasing rainbow colours. I LOVE the sentiments. Thank you whoever wrote it! 🙏 pic.twitter.com/P7ToIbcdtk
— Emma Plunkett (@emmaplunkett) April 3, 2020
If you would like a pdf version to print and display in your unit, you can download it here: The Big 5 Logos removed in case you want to add your own. Thanks again to the GSTT ward team for the inspiration.
Where’s your wobble room!?
10 days ago we introduced the concept of a “wobble room” where staff could go for a few mins to share worries, say it out loud, have a little cry/shout/scream or just sit quietly
They’ve totally owned this and allocate a clinic room each day.
— Rachel Pilling (@miss_pilling) March 27, 2020
Research and insights form the military regarding psychological resilience in disasters:
Some wellbing posters – open access:
Wellbeing posters distributed around @StJohns_ED and the wider hospital – important that we look after ourselves and each other. Feel free to edit and re-use. @MarjoleinDon @meganmlreid @npmccullough @aristyro @AgnesRitchie8 @ebw_ed @EdinburghEM @Global_EM @19_wellness pic.twitter.com/KvKPgr9T8Y
— Deepankar Datta (@deepankardatta) March 27, 2020
“How are you doing?” hubs:
Level 7 staff taking a brief pause in the HowAreYouDoing Hub @enherts they picked up information on looking after yourself and others – 5 questions – every leader – every day – every person @HRanarchist @carriekirby43 @CarolMumford8 @RachaelCorser @DeepaAustin pic.twitter.com/mXzg762sqc
— Steve Andrews (@SteveAndrews3) March 24, 2020
“Fuel” and “Freshen up” boxes for colleagues:
Will hopefully get a set of these out in all the areas used as ICU. Important staff can re-fuel on long shifts and shower if they want before going home. @CSScritcare @MFT_MRI @AAGBI @AAGBI_GAT @ICS_updates #wellbeing #COVIDー19 pic.twitter.com/X56kDu79yk
— Victoria McCormack (@vlm1victoria) March 14, 2020
We've been working with @DrJulie_H to bring you resources & advice on how to sustain wellbeing during COVID-19 and beyond💙
— Intensive Care Society (@ICS_updates) March 12, 2020
How to help each other in the acute setting – #20minCareSpace- based on compassion circles:
We've piloted the #20minCareSpace in @NorthBristolNHS to support the wellbeing of colleagues in our acute hospital setting. It's a structured, safe space based on Andy Bradley's Compassion Circles. It's a practical option & we encourage you to try it. https://t.co/8d6umKrIuw pic.twitter.com/2OH4wtqDYP
— Charlie Jones (@charlie_psych) March 20, 2020
An idea about helping self-isolating neightbours and friends in your community:
Simple idea, massive impact
BBC News – Coronavirus: Postcard bid to help self-isolating neighbourshttps://t.co/yiGfb7ta3a
— hellomynameis Paul RN MA (@pauljebb1) March 15, 2020
Narratives on COVID19 from Dr David Nabbaro, special envoy to WHO. We particularly like Narrative 7 – Emotional Rescue, songs for our times:
📢 My latest #COVID19 narrative is out!
🔑📑 Be fast, no blame, no regrets!
If we are wise, we can come out of it better equipped for bigger challenges.
— Dr David Nabarro (@davidnabarro) March 19, 2020
LfE in experiential learning / sharing insights:
A new podcast from Pediatric Intensiva, on the subject of “Real life logistics, hemodynamics, pathology & treatment of critical #COVID19“:
1/14 3rd podcast & tweetorial for @PedsIntensiva
An update 3 weeks into peak outbreak w intensivists Giovanna Colombo & Lorenzo Grazioli from Bergamo, Italy
— Pediatrica intensiva (@PedsIntensiva) April 10, 2020
A thread full of insights on hospital organisation and adaptations to deal with the surge in actue admissions; from Spain:
We've been in full #COVID19 mode in my hospital in Alcorcón (Madrid), Spain for the past 2 weeks.
This crisis has forced us to adapt like we never thought possible. Here's how we're doing that on our units, in hope that it'll help others across the globe do the same #FOAMcovid pic.twitter.com/oCTWMxDipc
— Miguel Galán de Juana 🏳️🌈 (@mgalandejuana) March 22, 2020
A podcast from St Emlyn’s courtesy of Simon Carley to share an interview with Roberto Cosentini describing the insights gained from the COVID19 experience in a busy ED in Italy.
Podcast now live here
— Simon Carley (@EMManchester) March 14, 2020
Critical Care Northampton’s huge resource of information on COVD19 for ICU and non-ICU health professionals.
Published peer-reviewed research:
Uptodate have made their COVID19 page free access!
Cochrane have made COVID19 in critical care resources free:
A very clever Twitter bot for latest research publications on covid19:
THREAD. Despite the efforts to contain, it is now clear that #coronavirus and #COVID-19 have spread globally at an incredible rate. There is a lot of false information and various claims made through social media which have caused undue panic. 1/5
— Dr Ciara Keenan (@MetaEvidence) March 16, 2020
Auto-updating pubmed search on COVID19
And one specifically for paediatrics.
Clever infographic to explain self-isolation rules:
— DrDominiqueAllwood (@DrDominiqueAllw) March 21, 2020