COVID Critical Care

Information for our practice

COVID Critical Care

Medical Management of Patients Under Investigation for COVID-19 or Confirmed COVID-19

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Osler CCRC Reviews

Last Updated on: September 2nd, 2020 at 12:15 pm

The Osler COVID Clinical Response Committee is asked to review clinical questions and make local recommendations based on available evidence. As with all COVID-19 issues, science and experience continue to evolve rapidly. These documents represent our current recommendations and rationale at the time of review.

The CCRC is willing to accept requests to review any of these decisions at any time.

5 May 2020 CCRC Terms of ReferenceDownload

Decisions, Recommendations, and Rationale

April 6 – Intubating BoxesDownload
April 9 – Critical Care Pandemic RN Practice ExpectationsDownload
April 15 – Future Strategy for Level 2 ICU Patients NOT ACTIVEDownload
April 18 – Empiric antibiotics in suspected COVID-19 pneumoniaDownload
April 20 – Infection control measures for wandering patientsDownload
April 28 – Procedural Sedation in the Emergency Department – Is it an AGMP?Download
April 28 – Care of the pregnant patient with COVID-19 infectionDownload
NEW May 28 Infographic: Obs Patients with COVID-19 Download
April 29 – Ward use of High Flow Nasal Cannula OxygenDownload
May 1 – Room Door Signs – NRP-HEPA
**Note: Approval is required before placing signage.Download
May 8 – Non-invasive Ventilation (CPAP/BiPAP) in Long-Term CareDownload
UPDATE May 13 – Use of prone positioning in patients not on mechanical ventilationDownload
UPDATE May 15 – Non-invasive Ventilation & High Flow Nasal CannulaDownload
UPDATE May 15 – Use of negative relative pressure (NRP) rooms and HEPA-filters-during-COVID-19Download
UPDATE May 15 – Intubating TeamsDownload
May 28 – Use of Oxygen on Discharge for Patients with COVID-19 [Osler Specific]Download
April 6 – Tracheostomy Above 30d
This document has been replaced by the one below.Download
May 28 – Home CPAP & BiPAP / Tracheostomy Care in COVID-19 PandemicDownload
UPDATED June 16 – Interim Guidance OR Procedures and Infection ControlDownload
UPDATED – June 26 – Isolation & PPE Requirements in NeonatalCareDownload
June 26 – Half-piece mask respirators during resuscitationsDownload
June 29 – A framework for a look at outbreaks of COVID-19 at William OslerDownload
UPDATED – June 30 – COVID-19 Viral Clearance, Case Definitions and Data Management Download
*August 1* UPDATED Physician Presence at Codes RevisedDownload
*UPDATED Sept 2* – Mandatory Masks at OslerDownload

Working DRAFT Documents for Feedback

The following documents are working documents currently under review and in draft format. They will be piloted. While in principle IMT has provided approval for these documents, they are not fully approved and are for limited and restricted use at the moment. Feedback is welcome.

DRAFT – Second-test-and-cohorting-guidanceDownload
Dr. Go Assessment Form
DRAFT-PILOT – COVID-19CohortAssessmentToolDownload
DRAFT – PUICohortRoomSignDownload
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