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The RCN expects that line managers undertake a workplace risk assessment and refer to Occupational Health for further advice if appropriate. Where adjustments cannot be made, temporary redeployment to work that does not require PPE should be considered. You can also see our COVID-19 workplace risk assessment toolkit. Any allergic type reactions to PPE, including skin rashes, should be reported using the organisations incident reporting form and through the yellow card reporting system to the MHRA. RCN guidance on skin health, also RCN publication on Maintaining skin health when using PPE. Raising concerns It is always important to recognise that for many reasons the impact of the menopause may differ greatly for individuals.

Your organisation should provide accessible information on this and on what the household can do to reduce risks, in advance of and during any visits. You can also see our COVID-19 workplace risk assessment toolkit. Guidance for adult social careis also available Some of the patients I visit refuse to have the window open where I am working to increase ventilation. What should I do?Double gloving is not required for care of patients with COVID-19 in any care setting. Please see your respective country national IPC guidance. Raising concerns Current Resuscitation Council UK (RCUK)Resuscitation Guidelines(2021) maintains early CPR and defibrillation give people the best chance of survival in any setting. RCUK have also published guidance on COVID-19.The advice states that for those working in health care settings, the use of FFP3 masks or respirators as well as eye protection, is still recommended when performing chest compressions for patients with suspected or confirmed COVID-19. Aerosol generating procedures PPE, in particular FFP3 mask/respirator and eye protection, should be donned as swiftly as possible to avoid any delays in treatment.

The RCN expects that all employers support their staff to make known their needs in respect of PPE.

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For those experiencing symptoms due to menopause, this can sometimes add to the burden of working in intensive areas of practice.