In the country as a whole, some hospitals are treating a manageable number of patients, while other are overwhelmed by the number of confirmed COVID-19 cases.
This website concentrates the experiences and recently published literature on the SARS-CoV-2 pandemic. It also includes the resources conceived by professionals with expertise in the management of COVID-10 patients, middle management of healthcare institutions, and members of the Spanish research team on second victims.
The classification of the pressing situations identified meets the following categories:
Detailed description of the pressing situations identified by category:
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馃懁Helplessness when witnessing reckless behaviours from patients and people who accompany them (usually due to unawareness) and mistakes among professionals (from tiredness, stress, etc.):
- Involuntary errors are possible (which may lead to adverse events) or those made other professionals during patient care.
- Feel helpless, irritable, and doubting your own ability, which leads to other risk situations for the patients.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg61iJZUdKVQ5MAfIleSYgHZ7H_XbyLG4OF-0am9To4nWz-P7r9R76Lihl4a4CDNouslcWB03tuhPGpZcX2ehHL_fq1lyi9S-8ApoCXlJA7Y-BNWqcfni3G3OftmI_pChDLyTuhT6KiBKNO/s1600/boton_estresores_EN.jpg)
馃審 Work in an environment of particular biological risk.
- This risk can also affect other patients, colleagues and family members.
馃審 Be overflown for periods of time that are increasing.
- Wanting to not appear weak or incapable to provide an answer all the time.
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馃搶 Fear, and occasionally panic, when finding out a colleague is under passive surveillance or kept in isolation at home.
馃搶 Fear of infecting a family member and/or a close acquaintance.
馃搶Minimize symptoms that may indicate contagion by pressure to not leave services uncovered.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1p-aUT4vcxanFwgnlVc_Cvl_qW5ybTBR3n-cJ6TQjWz1QkRoQs9RARGfdFRFsNXnO3o39dW2jKNXByi4Z5D5HC5T1no0xWDX1PQZYCdWmwl27z0CzA5rwuVqzKRv8Qox8eNpCPxHJidA-/s1600/boton_organizacion_EN.jpg)
✋Be temporarily working in healthcare settings for which no appropriate training has been provided.
- New recruitment specific for the crisis or transfers to more complex healthcare facilities and higher biological risk subjected to healthcare needs.
- Inconsistencies in the chain of command and individual proposals regarding the use of personal protective equipment (use of facemasks and personal protective equipment (PPE)).
- Shortage of material for offering the appropriate care to all patients and reduce the risk of infection.
- The working time is extended, frequency of shifts increased, and the periods of physical and mental rest reduced.
- Tasks for which specific training has not been received are assumed or are carried out after express training. This may cause insecurity.
- Incorporation of new professionals, which changes the dynamics of the work group.
- Overloading of more experienced professionals.
- Over-the-phone care is provided, which increases the risk of adverse events in many cases due to the omission of actions and low probability of detecting it.
- They are not under the wing of the consultants but placed in a different situation regarding clinical attitude.
- Previous conflicts may surface now because of the task distribution in extreme situations.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwcyaPtIBKhTMETiwP1zzYDZSseHK7ryl67MKB_9R-70FlBGqoUOZBMf061Nus1L8sr6_YY3_PlYn8_LN8tsd5qTWvbuH2USg8eZ2jD6GqMZHe48kcCvBZueZLkR1ETHrjpWBUGaI1YWjP/s1600/boton_toma_EN.jpg)
馃敤 Be obliged to make patient triage and other decisions reserved for major catastrophes that imply relevant ethical matters.
馃敤To face the decision to prioritize levels of attention, generating a new organizational situation unknown until now.