Community Nurse, Whittington Health, London.
Senior Infection Prevention and Control Nurse, Whittington Health, London.
Br J Community Nurs. 2021 Feb 2;26(2):76-80. doi: 10.12968/bjcn.2021.26.2.76.
COVID-19 has changed the landscape of healthcare in the UK since the first confirmed case in January 2020. Most of the resources have been directed towards reducing transmission in the hospital and clinical environment, but little is known about what community nurses can do to reduce the risk when they nurse people in their own homes? This article looks at what COVID-19 is, how it is spread and how health professionals are at an increased risk from aerosol-generating procedures (AGPs). There is also a discussion on the benefit of mask usage. It defines what AGPs are, which clinical procedures are AGPs, including ones performed in the community setting, and which identified clinical practices that have been mistaken for AGPs. There is also a discussion on the suitability of performing cardiopulmonary resuscitation (CPR). It also describes how to reduce the risk by the use of full personal protective equipment (PPE) and other strategies when AGPs are performed in a patient's home. It ends with general advice about managing the risk of COVID-19 transmission with patients in their homes.
自 2020 年 1 月英国首例确诊病例以来，COVID-19 改变了英国的医疗格局。大部分资源都用于减少医院和临床环境中的传播，但对于社区护士在为患者在家中护理时如何降低风险知之甚少？本文探讨了 COVID-19 是什么、它是如何传播的，以及卫生专业人员在进行气溶胶生成程序（AGPs）时面临的风险增加情况。还讨论了口罩使用的好处。它定义了什么是 AGPs，哪些临床程序是 AGPs，包括在社区环境中进行的程序，以及哪些已确定的临床实践被误认为是 AGPs。还讨论了进行心肺复苏术（CPR）的适宜性。它还描述了当在患者家中进行 AGPs 时，如何通过使用全套个人防护设备（PPE）和其他策略来降低风险。最后，提供了有关在患者家中管理 COVID-19 传播风险的一般建议。
