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The Tooth About Nightingale: a Reflection on Redeployment to Nightingale Hospital London

From Volume 47, Issue 7, July 2020 | Pages 565-568

Authors

Ellen Louise Johnson

Plumstead Dental Surgery, 8–14 Herbert Road, London, SE18 3SH

Articles by Ellen Louise Johnson

Joanna Smith

BDS, GDP FY1

NHS Dentist, 355 North End Road, Fulham, London, SW6 1NW

Articles by Joanna Smith

Ceindeg Fflur Arwel

BSc(Hons), BDS(Hons), GDP FY1

Imperial College Dental Surgery, South Kensington, London, SW7 1NA

Articles by Ceindeg Fflur Arwel

Ravi Pancholi

BDS, GDP FY1

Bayswater Dental Surgery, 129 Queensway, London, W2 4SJ, UK

Articles by Ravi Pancholi

Abstract

During the COVID-19 pandemic, many healthcare professionals were redeployed to an environment outside of their normal day-to-day practice. Being immersed in a different environment from dentistry, in this case the Nightingale Hospital London, allowed us to reflect upon which skills we could bring and take away from an alternative workplace to enhance our profession and patient care.

CPD/Clinical Relevance: This paper identifies the importance of mental health, clinical governance and teamwork strategies implemented by Nightingale's leadership team during the COVID-19 pandemic, that can be applied within dentistry to create a positive learning environment.

Article

At the beginning of our Dental Foundation Training year in September 2019, we were given advice on the challenges we would face as newly qualified graduates. Little did anyone know that, within a few months, we would halt routine dental treatment, experience a global pandemic that would inconceivably change the way that people around the world live and work, and be redeployed to a purpose-built hospital to assist clinicians in an Intensive Care Unit (ICU).

In March 2020, Dental Foundation Trainees and a large number of healthcare personnel from a wide range of specialties were asked to volunteer to staff the Nightingale Hospital London. Located in the ExCeL Exhibition Centre, it was planned that we would support our medical colleagues treating intensive care patients due to a new disease; COVID-19 caused by coronavirus (SARS-Cov-2) (Figure 1).1

ICU is an unusual setting for Foundation Dentists. We faced unfamiliar terminology, a wider range of care and largely obstructed oral cavities. We encountered procedures far removed from the dental setting, such as Do Not Attempt Resuscitation (DNAR) forms, last offices and intubation. It was staggering to witness a large ICU with so many critically unwell patients. For some of us it was the first time seeing a patient intubated or, sadly, pass away. After weeks of seeing the mortality count of this disease increasing, we could fully appreciate each of those figures as an individual with a life of their own.

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