Palliative-COVID attachments
Posted over 5 years ago by Katie DeMarco
This announcement has 11 attachments:
Updated pharm resource for COVID treatments: https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/Coronavirus/docs/ASHP-COVID-19-Evidence-Table.ashx?
See attached for some documents/resources; telemedicine, University Washington Medical Center, HMH Palliative Care, "Go to" Primary Palliative Care Supportive documents for primary teams.
PLEASE NOTE: some are draft and some are more so finalized. Please use your clinical and organizational judgment, modify and share as needed. Also, CAPC has an excellent toolkit: https://www.capc.org/
Be well,
Katie
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Also AACN (American Association of Critical Care Nurses) has an excellent resource page. Education and resources FREE AND OPEN TO ALL.
https://www.aacn.org/blog/covid-19-top-5-aacn-clinical-education-resources-for-you-from-aacn?sc_camp=D89A9158E9C34910A638BAF9931DE4F0&_zs=prISX&_zl=m5B22
Being updated almost daily.
And from HPNA APN SIG post: At Dartmouth Hitchcock Medical Center our palliative care team has created an outpatient palliative care COVID-19 response document to plan for our care of patients and dealing with staffing changes. Thanks to our clinic director Dr. Amelia Cullinan for putting the information in a succinct coherent document. Kathleen Broglio
https://drive.google.com/file/d/1ztJBTftVi1FlpSWTMbrAO9QEafruzgom/view
Wow, talk about high quality organizations!!
Thanks very much for sharing all of this.
Thanks Katie. Great resources
Hi All,
Have any of your institutions adopted policy for DNR as outlined by UWMC;
"As such, CPR may be medically inappropriate in a significant portion of elderly, critically ill patients with COVD19 and underlying comorbidities. As per UWMC and HMC policy, clinicians are NOT obligated to offer or provide medically inappropriate treatment, even when requested by patients and/or designated surrogates. If treating clinicians, including more than one physician, determine that CPR is not medically appropriate, a Do Not Attempt Resuscitation Order (DNR) may be written without explicit patient or family consent. In all cases, however, the patient and/or appropriate surrogate should be informed of this decision, along with the rationale in support. Patient or family “informed assent” should be sought but is not required. Expert, compassionate communication with patient/family is necessary.
Sue
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