PPE

[Dougy]

I would have though that lying on your stomach would constrict your chest cavity and make breathing more restricted, lying on your stomach you are having to lift the weight of your upper body to fill your lungs. 

[loriusgarrulus]

37 minutes ago, Mice! said:

If you haven't gone yet expect the chemist to be very busy, friend of ours works in one, only one person allowed in at once and its non stop with people queuing up the road, can you not have your prescription delivered?

No delivery unless you are high risk category. Our pharmacy are not even allowing you in. They take your details at the door and pass your meds out. All is done from the Docs via computer, so no paperwork involved.

We are planning to go late afternoon, so hopefully not as busy and I will take my Maclaren chair to sit on while waiting as legs will not stand up to waiting ages.

[amateur]

A very pleasant young lady (a local volunteer) delivered my last prescription and was happy to give me her phone number to repeat the experience!

[Vince Green]

I've just been to the chemist to collect a prescription, there was nobody else there, I was surprised. Expected a queue

[loriusgarrulus]

Took the Defender out today to do the errands. First time out shopping in 3 weeks. What a lovely day. Went out at 13:00.
Called at the doctors to drop a sample off. They have a box in the lobby so you don't have to go in.
Went out to Dagfields to the greengrocer and butchers. Nice big shop and quiet only 4 customers in the shop and its taped out in 2mtre sections.
Needed a few more bits they don't stock, so we had a look at Aldi in Crewe Grand Junction Retail park. Hardly any cars in the carpark, normally its rammed. Only 3 people ahead of me in the que to go in at Aldi. Got talking to a nice young man from A&E at the local hospital in front of me in the que. He was saying Friday and Saturday nights are very quiet now in A&E. Aldi had plenty of goods in with a few items limited to 4. Nice and quiet at 14:00. I even got some baked beans. Tape markings on all the aisles for the 2metres and folks were being good about it. The checkout has got a shield round to protect the operator. 
Got back into the village at 15:00. Only 1 person in front of me at the pharmacy. They were waiting for a prescription coming out. I rang the bell as per instructions on the door and stepped back into the square marked X. Chap came to the door and took my details. Came back out a couple minutes later with my prescription.
Got home and then the work started dipping everything in F10 or bleach solution. Bought it all in and towel dried it or stacked it on my cooling racks to dry on top of the cooker with the extract running to dry it.
It's all packed away now and I am sat with a coffee.
The PPE is sealed in a bag for cleaning later.

[Mice!]

2 hours ago, loriusgarrulus said:

Tape markings on all the aisles for the 2metres and folks were being good about it. The checkout has got a shield round to protect the operator. 

Glad you got all you needed without any fuss.

I went and got some shopping for my MIL today, she went last week and just didn't enjoy it at all, said people weren't keeping their distance or taking things seriously  

I went in Aldi and it was exactly as you describe until I got to the checkout,  my Mrs has said people get too close at the tills, I'm waiting for a nod to go to a till and twice the couple behind me have come up along side me rather than wait to pick things up? Why? Then as I'm putting my shopping on the conveyor the women comes right up alongside me again reaching for something,  I could have put my tongue in her ear!! She got both barrels there and then, how are some people so stupid??

[7daysinaweek]

Hi K (Mice)

Have not been on the site for a long while and hope you are keeping well. (will have to have a catch up)

I am presently working in a coronavirus clinical assessment pod in the nhs, I have been furnished with full ppe, shoe covers, full gowns, long arm gloves , hair cover, ffp3 masks for droplet and aereolised contaminants and full face visor/eye shields and in the trust there is no shortage of ppe. I have spoken to several colleagues in my local hospital and they say they have good stocks of ppe are fit for purpose in relation to clinical contact. 

I have seen in the media staff commenting on shortages of ppe, correct level and this is a very challenging and concerning time for all.

atb 

7DIAW

 

 

 

[Fisheruk]

8 hours ago, Dougy said:

I would have though that lying on your stomach would constrict your chest cavity and make breathing more restricted, lying on your stomach you are having to lift the weight of your upper body to fill your lungs. 

Opposite mate, most of your lungs and in particular the sensitive parts of the lungs are at the back. Lying on your back compresses those small sensitive parts of the lung. Lying on your front means the weight of your rib cage and all the other stuff inside isn’t compressing the lungs and lets them function more efficiently.

[Mice!]

54 minutes ago, 7daysinaweek said:

Hi K (Mice)

Have not been on the site for a long while and hope you are keeping well. (will have to have a catch up)

I am presently working in a coronavirus clinical assessment pod in the nhs, I have been furnished with full ppe, shoe covers, full gowns, long arm gloves , hair cover, ffp3 masks for droplet and aereolised contaminants and full face visor/eye shields and in the trust there is no shortage of ppe. I have spoken to several colleagues in my local hospital and they say they have good stocks of ppe are fit for purpose in relation to clinical contact. 

I have seen in the media staff commenting on shortages of ppe, correct level and this is a very challenging and concerning time for all.

atb 

7DIAW

 

 

 

Hi mate, nice to hear from you and glad to hear your being fully equipped,  hope you manage to stay safe through this.

[Dougy]

1 hour ago, Fisheruk said:

Opposite mate, most of your lungs and in particular the sensitive parts of the lungs are at the back. Lying on your back compresses those small sensitive parts of the lung. Lying on your front means the weight of your rib cage and all the other stuff inside isn’t compressing the lungs and lets them function more efficiently.

Ah, i will need to look that one up, 👍

[7daysinaweek]

7 minutes ago, Mice! said:

Hi mate, nice to hear from you and glad to hear your being fully equipped,  hope you manage to stay safe through this.

Cheers mate!

I am doing everything I possibly can, I started in there 10 days ago and have sort of been seconded from my job and could be ongoing for the next 8-12 weeks then review.

The pod is one of several in the greater area,  gp's , walk in centers and all other primary care services, are not doing any face 2 face consultations with patients with primary/persistent temperature Covid 19 coronavirus symptoms. Gp's are doing all telephone triage/consultations and issue home advice with and or prescriptions. Any individual deemed to be clinically deteriorating that needs face 2 face clinical assessment review are referred to myself if felt they do not immediately need  to be admitted to hospital at time of the gp telephne triage.

The referrals come from gp's, nhs 111.

The process is I go into the pod in the morning, it is called a assessment pod but in reality it is a really posh clinical  portacabin with 5 rooms in it, air extraction, all the mod cons. I have one colleague only with me in the pod who is non clinical and do no face 2 face.

From one end the room 1 is the triage telephone computer room, this is where i get my referrals online and I ring the patients at home. I then give them a specific time slot to come into the pod for assessment, they are told to stay in the vehicle when they arrive. I then don all my ppe in room 2, my colleague rings the patient and tells them to make way straight int the pod were i bring them directly into the clinical assessment room 3. I endeavor to complete the consultation as efficiently as possible as to inform my decision making and decrease my risk of viral loading and risks to the patient. When finished I then de ppe. In room 4 we have a specialist onsite cleaning team who then clean down the pod clinical area and it can be put back into use 30 minutes post.

I shower when my shift has ended and change into normal clothes then it is home for me. I cannot go into any other clinical area of the trust or gp's or anywhere

Outcomes are:

I am happy for the patient to return home with advice and symptom management with or without any medicines I may prescribe and give them worsening symptom advice.

Or

Patient condition severe and warrants hospital admission for care and further investigations in which case we have a process for individuals to be transported 999 etc. 

Just to give you a small insight into how our nhs is trying to support everyone in this difficult and challenging time.

Hope all my fellow PWer's and families are keeping well.

Right I off to catch up on some posts!

atb

7DIAW

 

 

[Mice!]

4 minutes ago, 7daysinaweek said:

Cheers mate!

And you think your going to have time to be on here?

Sounds well organised and thought through, do people only walk into room3 to be assessed? 

That would make the clean down easier for sure.

Hope everything runs smoothly. 

[7daysinaweek]

5 minutes ago, Mice! said:

And you think your going to have time to be on here?

Sounds well organised and thought through, do people only walk into room3 to be assessed? 

That would make the clean down easier for sure.

Hope everything runs smoothly. 

Yes, room 3 is the first door when they enter the unit, this decreases infection control risks for all. Myself and my colleagues are getting used to the process now, for the last 6 weeks things have virtually changed on a daily basis and understandably everyone has concerns. That said we need to do our best and I can again say my employer is is covering all bases for ourselves and our patients and have kept us informed in relation to all developments.

I think most of society is doing a sterling job at this time, people self isolating in difficult conditions, especially, key workers such as yourself, drivers, shop workers, carers and many others. It is the effort of all that will get us through this.

Had a challenging 15 months, pigeon watch will be my medicine once again lol

atb

P

[oldypigeonpopper]

hello, did you hear sky news talking to mayor Khan as to why they did not issue face masks to the London bus drivers, took advice from WHO ??

[Mice!]

I caught it this morning saying something about having people coming on at the back of buses to minimise exposure to the drivers? If they are driving key workers such as NHS then just make it free travel for now? Then there doesn't need to be contact?

1 hour ago, oldypigeonpopper said:

hello, did you hear sky news talking to mayor Khan as to why they did not issue face masks to the London bus drivers, took advice from WHO ??

 

[oldypigeonpopper]

2 minutes ago, Mice! said:

I caught it this morning saying something about having people coming on at the back of buses to minimise exposure to the drivers? If they are driving key workers such as NHS then just make it free travel for now? Then there doesn't need to be contact?

 

hello, sky reporter was more concerned as to why all drivers never had masks from the outset, 12 drivers have died

[Vince Green]

6 hours ago, oldypigeonpopper said:

hello, did you hear sky news talking to mayor Khan as to why they did not issue face masks to the London bus drivers, took advice from WHO ??

I'm surprised about the death toll of London bus drivers because they don't take money, its all contactless, and they already sit behind a thick Perspex security screen that seals them away from the passengers so I would have thought they were better protected than most key workers already.

Also, though, they do get free travel off duty or to and from work and I do wonder if that is the real source of their infections. Personally you wouldn't get me anywhere near public transport in London at the moment  

Edited April 8, 2020 by Vince Green

[oldypigeonpopper]

1 hour ago, Vince Green said:

I'm surprised about the death toll of London bus drivers because they don't take money, its all contactless, and they already sit behind a thick Perspex security screen that seals them away from the passengers so I would have thought they were better protected than most key workers already.

Also, though, they do get free travel off duty or to and from work and I do wonder if that is the real source of their infections. Personally you wouldn't get me anywhere near public transport in London at the moment  

hello, i prefer london when i am leaving, yes i am sure caught this on other than their buses

[Mice!]

1 hour ago, Vince Green said:

Also, though, they do get free travel off duty or to and from work and I do wonder if that is the real source of their infections

Wouldn't have thought of that, but I agree with you,  I wouldn't want to be on public transport in London.