Department of Intensive Care, Frankston Hospital, Frankston, Victoria, Australia.
Department of Intensive Care, The Bays Hospital, Frankston, Victoria, Australia.
Intern Med J. 2021 Apr;51(4):494-505. doi: 10.1111/imj.15145.
To allow better allocation of staff and resources, rapid response teams attending to acutely deteriorating or aggressive patients with suspected or confirmed COVID-19 infection were pre-warned with the announcement of 'Code-95' with calls.
To assess healthcare worker (HCW) perspectives on pre-warning rapid response calls (RRC) with 'Code-95' in announcements when attending to deteriorating or aggressive patients with suspected/confirmed COVID-19 infection.
Design: prospective cross-sectional single-centre survey of HCW over a 3-week period.
tertiary public hospital.
HCW caring for deteriorating or aggressive patients.
the primary outcome was to assess HCW perspectives in attending Code-95 calls. Secondary outcomes were to identify any differences related to craft group, age, experience or presence of comorbidities.
A total of 297 responses was analysed; 86.7% of HCW (n = 257) attending Code-95 calls reported anxiety. Medical staff reported greater anxiety in comparison to nursing staff (93.8% vs 78.5%; P = 0.002). Efferent team reported higher anxiety in contrast to afferent team (92.6% vs 58.8%; P = 0.021). There was no significant difference in perceived anxiety based on age (≤40 vs >40 years of age), years of experience (≤5 vs >5 years), comorbidities or mental illness; 54% reported concerns about adequacy of infection-control policies and personal protective equipment; 45% were worried about inadequate training for responding to Code-95 calls.
Most surveyed HCW supported Code-95 announcements pre-warning them of potential COVID-19 exposure when attending a RRC. However, the majority of HCW reported anxiety when attending these calls. Medical and efferent team HCW perceived greater anxiety compared to nursing and afferent team HCW. The Code-95 system to pre-warn rapid response teams may be a useful addition to protecting HCW from infectious diseases, although broader implementation will require greater resourcing, training and support.
为了更好地分配人员和资源，对疑似或确诊 COVID-19 感染的病情急剧恶化或具有攻击性的患者，快速反应团队在接到“代码 95”的电话预警后进行了预先警告。
评估医护人员（HCW）对在处理疑似/确诊 COVID-19 感染病情恶化或具有攻击性的患者时，预先用“代码 95”发布警报电话（RRC）的看法。
设计：在三周内对 HCW 进行前瞻性横断面单中心调查。
三级公立医院。
照顾病情恶化或具有攻击性的患者的 HCW。
主要结果是评估 HCW 在接听“代码 95”电话时的看法。次要结果是确定与工艺组、年龄、经验或合并症相关的任何差异。
共分析了 297 份回复；86.7%（n=257）接听“代码 95”电话的 HCW 报告感到焦虑。与护理人员相比，医务人员报告的焦虑程度更高（93.8%比 78.5%；P=0.002）。传出团队报告的焦虑程度高于传入团队（92.6%比 58.8%；P=0.021）。根据年龄（≤40 岁与>40 岁）、经验年限（≤5 年与>5 年）、合并症或精神疾病，感知的焦虑程度没有显著差异；54%的人报告对感染控制政策和个人防护设备的充分性表示担忧；45%的人担心对处理“代码 95”电话的培训不足。
大多数接受调查的 HCW 支持在处理 RRC 时预先用“代码 95”通知他们可能接触 COVID-19。然而，大多数 HCW 在接听这些电话时感到焦虑。与护理和传入团队的 HCW 相比，医疗和传出团队的 HCW 感到更大的焦虑。预先警告快速反应团队的“代码 95”系统可能是保护 HCW 免受传染病侵害的有用补充，尽管更广泛的实施需要更多的资源、培训和支持。
