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Current practice of health care workers during COVID 19 pandemic at emergency department of COVID level 3 hospital of Province No 1, Nepal: an observational study.

Published onJun 13, 2023
Current practice of health care workers during COVID 19 pandemic at emergency department of COVID level 3 hospital of Province No 1, Nepal: an observational study.

Background: The COVID-19 outbreak continues to evolve around the world and is currently spread to Nepal as well. The current study intends to explore the effect of the COVID-19 pandemic among the health care workers of the Emergency Department of BP Koirala Institute of Health Sciences (BPKIHS).  

Methods: A prospective observational study was done among the health care workers of the Emergency Department of BPKIHS from August 2020 to Jan 2021.  

Results: One hundred (100) health care workers (HCWs) were enrolled in the study. Forty-eight (48%) were male and 52% were female with a mean age 30 ±7.13 SD. 11% were faculty and senior residents, 24% junior residents, 16% medical officers, 26% nurse and 23% helpers (p= 0.30). 37% of the population believed that the range of non-covid-19 conditions has increased as compared to covid-19 (p= 0.019). 53% believed that efforts had been undertaken to bring additional HCWs to the emergency ward during covid-19 first wave (p= 0.48). Among 90% of HCWs, the (JRs) Junior Residents role increased to 24%, Nurse 22%, Helpers 21%, (DMOs) Duty Medical Officers 12% and Faculty/SRs 11 % respectively (p=0.30). 71% of HCWs noticed a change in their duty hours and subsequently Isolation/Quarantine, 22% (p= 0.30). 64% of HCWs believed that suspicion of Covid-19 cases was based on communication that paper records 26% (p=0.46). Interestingly, 47% of HCWs received training regarding proper handling of (PPEs) Personal Protective Equipments including N95 masks but the supply of PPEs was insufficient 70% (p= 0.44). The study also found that the care of HCWs at quarantine was insufficient 60% (p=0.11). 50% believed that that dead body was kept in the emergency ward, 17% stated that dead bodies were shifted to a mortuary whereas 15% didn't know the whereabouts of dead bodies in covid-19 cases. Overall, 81% of HCWs stated that they have not received any risk allowances equivalent to their salary.  

Conclusions: Despite changes in duty hours of all HCW the supply of PPEs was insufficient during the COVID-19 pandemic. The majority of HCWs are still working in COVID-19 hospitals without receiving risk allowance. 

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