SELF-CARE FOR DOCTORS DURING COVID-19 OUTBREAK

Please find below personal health advice only for doctors and medical students. QDHP cannot provide clinical advice regarding COVID-19. Queenslanders who require health advice or information while in quarantine or self-isolation should continue to call 13 HEALTH (13 43 25 84) or visit the Queensland Health website. Alternatively, you can call the National Coronavirus Health Information Line on 1800 020 080.

Psychological responses of health care workers during the COVID-19 pandemic

A downloadable resource by Margie Stuchbery with thanks to Dr Karen Gaunson, Dr Kym Jenkins & Prof Brett McDermot

Minding Healthcare Workers – download here

Protecting the psychological needs of healthcare staff

A guide from the British Psychological Society Covid19 Staff Wellbeing Group for leaders and managers of healthcare services who will need to consider the wellbeing needs of all healthcare staff (clinical and non-clinical) as a result of the Coronavirus outbreak. It offers practical recommendations for how to respond at individual, management and organisational level.

Advice from the UK Intensive Care Society

 General info

  • STOP, BREATHE, then THINK – slowing your breathing slows the stress cycle and re-engages your frontal lobes – then you can think.
  • Seek information updates as specific times once or twice a day. Avoid sudden, near-constant streaming of news reports. This can cause anyone to feel worried. Choose sites where you can get the facts e.g. health.gov.au
  • Beware dramatic language that might panic your colleagues.
  • Advice on how to transition to home – perhaps you can do a ‘cartoon’ again…

Be prepared for issues that may arise, then some examples:

  • Moral distress as healthcare is rationed.
  • Exhaustion can creep up on you when you are running on adrenaline.
  • Sometimes our processing of family and other home issues may slow our processing of the health information as the concepts merge together – be prepared that this may happen and recognise when it is.
  • Proactively manage both your physical and your psychological health to ensure you can maximise your function.

 Recommendations:

  • Promote peer support – Senior staff should model this approach.
  • It’s okay to say you are not okay – Senior staff should model this approach.
  • Don’t forget the basics – food, sleep, breaks.
  • Don’t bring your work home – not the germs not the stress – self-reflection can help us determine how best to manage these boundaries.

Click on the heading to be taken to the ICS page for more information.

Self-Care Advice from Doctors Health South Australia

SELF-CARE FOR DOCTORS IN A COVID WORLD – Five Principles

Preparation

  • Optimise your immune system by avoiding fatigue and sleep deprivation, alcohol and smoking.
  • Come to work fully rested and adequately hydrated.
  • Ensure your diet has plenty of fruit and vegetables and add a supplement of oral vitamin C (250mg) and zinc (25mg) on a daily basis. Eat modest amounts of really good food.
  • Walk, exercise to around 2.5 hours each week. Don’t overdo it and avoid it late in the evening.
  • Maintain your non-medical interests and pursuits when away from work. These are invigorating.

Protection

  • PPE is good for you. Doctors work in risky work environments. Use PPE.
  • Aim for best-practice at work – frequent hand washing and make full use of gloves and masks.
  • Insist on good signage and staff training at work to protect your key personnel at work.
  • Carry disposable gloves to wear when not at work such as when using public transport, shopping or public bathroom facilities. Avoid sick people when not at work.
  • Avoid stress emanating from COVID news overload and excessive exposure to early morning and late evening news.
  • Ensure you are fully immunised against influenza.

Professionalism

  • Remain well-informed, using a reliable single source of information
  • Maintain a calm and consistently positive manner, whilst leading by example with hand washing and using PPE.
  • Avoid endorsing unqualified sources of COVID information.
  • Do not go to work if unwell. Support colleagues who are unwell and are not at work.

Promotion

  • Encourage your colleagues to consistently aim for best practice.
  • Role model for others, especially staff, students and patients.
  • Remind all staff and colleagues at every opportunity of the standard expected.

Pathway of care (for yourself or a colleague)

  • Seek the formal care from your own GP where possible. We encourage this strongly.

Read more here: http://doctorshealthsa.com.au/covid19

The Pandemic Kindness Movement

The Pandemic Kindness Movement is a new website created by clinicians across Australia, working together to support all health workers during the COVID-19 pandemic. The site offers respected, evidence-informed resources and links to valuable services to support the wellbeing of the health workforce. 

Frontliners

Supporting the FRONTLINERS who are caring for people during the COVID-19 crisis.

For General Practitioners

RACGP coronavirus resource

Further services and resources can be found in the RACGP fact sheet Self-care and mental health resources for general practitioners 

RACGP GP Support Program

The RACGP provides support for its members via the RACGP GP Support Program. This is a free and confidential psychological support service available to all members, delivered by LifeWorks by Morneau Shepell. Access the service by calling 1300 361 008 (24 hours/7 days).

For ACEM members and trainees

Member and trainee wellbeing resources are available here.

For Critical Care Professionals and trainees

Member health and wellbeing resources available here.

For Anaesthetists and trainees

ANZCA resources available here.

For Surgeons and trainees

RACS resources available here.

For Psychiatrists and trainees

RANZCP resources available here.

Australian Medical Association

Latest coronavirus information from the AMA

AMA Advocacy and Support to Doctors in Training during COVID-19 Response

AMA Medical College Responses Covid-19

AMA COVID-19: medical practice financial support

DRS4DRS

If you are not based in QLD you can also access support via the DRS4DRS website and the doctors’ health advisory service in your local state/territory (Contact details below):

Queensland Doctors’ Health Programme 07 3833 4352

Doctors’ Health South Australia 08 8232 1250

Doctors’ Health Advisory Service Western Australia 08 9321 3098

Victorian Doctors’ Health Program 03 9280 8712 (Tasmanian Doctors and medical students please call: 1800 991 997

Doctors’ Health Advisory Service for NSW & ACT 02 9437 6552

Doctors’ Health Northern Territory 08 8366 0250

Government Clinical Advice

Federal Government clinician advice:  https://www.health.gov.au/resources/collections/coronavirus-covid-19-resources-for-health-professionals-including-pathology-providers-and-healthcare-managers

Queensland Government clinician advice which can be found here:

https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/novel-coronavirus-qld-clinicians

Other resources

University of Toronto- Post MD Education: Psychological First Aid Health Care COVID-19 Workbook

The Royal Australian & New Zealand College of Psychiatrists: Keeping Yourself Well: the College’s handy new guide on how to look after yourself and others

Responsive Webinar Series On-Demand : Webinar # 3 Health & wellbeing for rural & remote doctors & healthcare professionals with Dr Margaret Kay & Dr Anne Ulcoq

BMJ: self-care-during-the-covid-19-pandemic

JAMA Network: Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic

If you’re trying to improve your own mental health, or support somebody else with mental health issues, Head to Health provides links to trusted Australian online and phone supports, resources and treatment options. headtohealth.gov.au/covid-19-support/covid-19

Cognitive Institute: Looking After Yourself – Self-care Through COVID-19 webinar

A Guide to Understanding and Coping with Compassion Fatigue” resource from Online MSW Programs

Coping during COVID tip sheetGrowth Psychology