Working in healthcare requires a remarkable amount of flexibility. Each day is unpredictable and in some ways that is part of the appeal. This routine unpredictability has been infinitely magnified by a global pandemic. In many ways COVID-19 has not changed what I do as a nurse and at the same time it has changed everything. COVID-19 has forced us to change our daily routines and no longer allows us to care for our patients in the same ways we have in the past.
To reduce our risk of exposure, we prepare ourselves outside of patient rooms, bundle care when possible, and are required to limit the amount of time spent in a patient’s room. A lot of planning is required before we enter a room and a buddy is always present to observe and assist us as we don (put on) and doff (take off) our personal protective equipment to help lower our chances of infecting ourselves with this highly contagious disease.
COVID is a very isolating disease. Nurses are often the only personal contact these patients have for weeks. Wearing two masks and a face shield complicates communication. These layers of required protection make it difficult to form meaningful connections with our patients and has forced us to become creative in how we deliver care. In addition to limiting our direct patient care time, visitors are also restricted. Families have been forced to communicate with their loved ones through iPads and Zoom.