There is a rapidly growing evidence base underpinning clinical care for patients affected by COVID-19.
As new trustworthy educational resources are brought to our attention we will share them here.
We are now holding a weekly series of Clinical Updates on COVID-19. New lectures are made available to watch online every Thursday.
You will be brought to Panopto, our video sharing platform. You will need to sign in with your username and password for the RCPI website.
Note, this educational material is for a medical audience only.
The HSE is developing an online repository for Interim Clinical Guidance intended for the Clinical Community. This resource provides a national easily-accessible repository of clinical guidance and latest research evidence to equip the clinical community in Ireland to respond to Covid-19.
Below you can access a free online course entitled Communication Skills for Telephone Consultations. This course has been developed by the National Healthcare Communication Programme, the Royal College of Surgeons in Ireland, the HSE National Clinical and Integrated Care Programmes, and the International Association for Communication in Healthcare. It takes one hour to complete and will guide you through key skills required for telephone consultations, including breaking bad news.
The Institute of Obstetricians and Gynaecologists has issued guidance on Covid-19 and maternity services.
This guidance document aims to:
The National Clinical Programme for Children has developed a guideline for the management of SARS CoV 2 infection in children which has been approved by the Paediatric Clinical Advisory Group and CCO Clinical Advisory Group.
The Faculty of Pathology has issued a guidance document on Covid-19 and mortuaries/post-mortem examinations. The guidelines will be continually reviewed. The Faculty's aim at all times is to ensure that histopathologists and state pathologists can investigate all deaths fully, respectfully, and with full empathy for the families of the deceased.
The guidelines have been developed by the Histopathology Working Group and endorsed by the Board of the Faculty of Pathology.
The Department of Health in Ireland has published an ethical framework for decision-making in a pandemic. This document includes a number of substantive ethical principles and procedural values that can be applied to, and employed during, the decision-making process in a pandemic.
The Ethical Framework for Decision Making during the COVID-19 pandemic was developed by a multidisciplinary group and published by the Department of Health on the 29th of March.
The principles apply to planning and decision making at national level as well as to managing and providing care. The introduction makes clear that this is not guidance about management or clinical decision making. The framework sets out the principles to use and the procedural values to apply when making those decisions. The weight given to different principles may vary at different stages of the pandemic.
The ethical principles to apply in decision making during a pandemic are listed and described in Table 1: minimising harm, proportionality, solidarity, fairness, duty to provide care, reciprocity and privacy.
Several of these principles are similar to those in use in everyday clinical practice. However during the pandemic they are applied from a public health perspective. For example:
Procedural values to guide ethical decision-making during a pandemic are set out in table 2: reasonableness, openness and transparency, inclusiveness, responsiveness and accountability.
What about research? During the pandemic the usual protections for research participants should be upheld, as should standards for research integrity. The principles of fairness, reciprocity and privacy are most relevant in this context and the five procedural values apply.
The Framework includes consideration of the principles and the values for applying them, including:
If you would like us to share educational/clinical information regarding COVID-19 here, please contact Aoife Costello in our Communications Department.