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ISRRT_COVID-19_book

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Another way to prevent <strong>COVID</strong>-<strong>19</strong> spreading is the rule that isolated patients should stay<br />

isolated. But this is not always applicable e. g. if a CT-scan is needed as you have to transport<br />

the patient to the department of radiology. This task is not easy to manage and can be very<br />

easy for the virus to spread by the fact that a lot of the staff who undertake this task of<br />

transporting patients might get infected. During the pandemic my colleagues and I found<br />

ways to deal with it. We used special, so called ‘closed beds’, for the transport. These are beds<br />

with a foil which covers the bed as a whole like a child’s buggy, similar to that you use with<br />

babies on prams in the rain. Additionally, the transporting staff wear full personal protective<br />

clothing. Our radiologists implemented a very restrictive policy to prevent unnecessary<br />

patient transports to our department for imaging, the justification procedure therefore<br />

adapted and asked referrers to consider alternative imaging techniques that could be done<br />

by the bedside in the ward instead of having the patient imaged in the radiology department.<br />

Thus, where possible, every X-ray imaging procedure should be undertaken on a mobile<br />

machine with similar conditions as you will expect on the ICU. For the next pandemic it will<br />

be helpful to keep in mind that the concept of closed beds was quite effective enough to<br />

protect the transportation team.<br />

Even in the next pandemic the day will come where a vaccination is possible. Then it could be<br />

very helpful to divide your staff in groups. Something like radiology 1 and 2. Because the<br />

vaccine was rare and our team leader found it hard to prioritize which member of staff should<br />

get vaccinated first. So, they decided to take one good opportunity to vaccinate all of us at<br />

the same day. But as some side effects may occur it can, indeed did, lead to personnel<br />

shortfalls; so next time it might be wise to divide staff into groups to minimise the impact of<br />

personnel shortfalls due to vaccination side effects happening again.<br />

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