Nursing Activities Score is increased in COVID-19 patients

[...]four other COVID-ICUs were created in the hospital. Since 2005, in our ICU we have been recording the Nursing Activities Score (NAS) of all admitted patients daily, to measure the nursing workload. Use of protective devices increases body temperature and is tolerable only for a few hours. [...]...

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Bibliographic Details
Published in:Intensive & critical care nursing Vol. 59; p. 102876
Main Authors: Lucchini, Alberto, Giani, Marco, Elli, Stefano, Villa, Silvia, Rona, Roberto, Foti, Giuseppe
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01.08.2020
Elsevier Limited
Subjects:
Aged
Aged, 80 and over
Beds
Body temperature
Coronavirus Infections - epidemiology
Coronavirus Infections - nursing
Coronaviruses
COVID-19
Critical care
Critical Care Nursing
Epidemics
Female
Humans
Intensive care
Intensive Care Units
Italy - epidemiology
Male
Medical personnel
Middle Aged
Nurses
Nursing
Pandemics
Patients
Personal protective equipment
Pneumonia, Viral - epidemiology
Pneumonia, Viral - nursing
Resting
Rotation
Severe acute respiratory syndrome coronavirus 2
Workload - statistics & numerical data
Workloads
Italy
ISSN:0964-3397, 1532-4036, 1532-4036
Online Access:Get full text
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Summary:[...]four other COVID-ICUs were created in the hospital. Since 2005, in our ICU we have been recording the Nursing Activities Score (NAS) of all admitted patients daily, to measure the nursing workload. Use of protective devices increases body temperature and is tolerable only for a few hours. [...]we re-organised shifts to allow resting for one nurse at a time outside the “contaminated area”, in order to guarantee a rotation every 2–3 hours for operators dedicated to isolated patients. Unfortunately, the need to provide an enormous amount of new ICU beds makes it impossible to guarantee this nurse-to-patient ratio. [...]we suggest to colleagues worldwide to make an effort to increase the ICU nursing staff, starting to train registered nurses from general wards to perform basic ICU procedures and to dedicate intensive care nurses to manage more complex procedures, in order to be prepared to face the epidemic.
Bibliography:SourceType-Scholarly Journals-1
ObjectType-Correspondence-1
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ISSN:0964-3397
1532-4036
1532-4036
DOI:10.1016/j.iccn.2020.102876