The COVID-19 pandemic has created unprecedented strains on hospitals and healthcare systems, leaving many organizations with limited resources to care for severely ill patients. States, regions, hospitals, and health systems have had to reassess their resources, identify bottlenecks, and develop strategies for increasing critical care capacity. Creating the critical care…

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OR nurses are being asked to serve in positions outside the operating room and experiencing changes in their schedules, and they are concerned about the uncertainty surrounding the COVID-19 pandemic. To support OR nurses during this time of crisis, AORN has been holding town hall Q&A webinars with infection preventionists,…

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The impact of COVID-19 has been devastating, especially for those who have lost loved ones or income due to sudden unemployment. For healthcare workers and emergency services providers, fear of contracting the disease is now a daily part of life. The virus has commanded exclusive coverage in OR a.m. for…

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The hazards of surgical smoke are well documented. As far back as 2004, AORN began publishing guidelines to reduce exposure to surgical smoke and aerosolized particles during operative and invasive procedures. These guidelines can also be adopted to help protect COVID-19 patients and frontline healthcare staff who are exposed to…

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Health systems nationwide are examining policies and procedures related to their resources, staffing, and scheduling to prepare for anticipated patient surges due to COVID-19. In late March, I talked with perioperative physicians and administrators from two health systems with rapid increases in COVID-positive cases, which have prompted significant changes in…

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When the coronavirus pandemic begins to subside, hospital leaders will be sorting out the repercussions and trying to resume normal operations. The main impact on ORs has been the widespread cancellation of non-essential procedures. Case cancellations in March and April have reduced elective procedure volumes as much as 90%. Most…

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Editor' Note The American College of Surgeons (ACS) on April 17 released a new document, “Local Resumption of Elective Surgery Guidance,” to help healthcare facilities prepare to resume elective surgery once COVID-19 has peaked in their area. The document includes four categories: COVID Awareness—addresses the community’s COVID-19 numbers, including prevalence,…

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Editor's Note: The Centers for Medicare & Medicaid Services (CMS) on April 19 issued recommendations on how hospitals and healthcare systems can protect their staff and patients as they reopen for nonemergent care. The new recommendations update earlier guidance on limiting nonessential surgical and medical procedures and are specifically targeted…

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Editor's Note Researcher at the University of Chicago have developed a new scoring system that helps surgeons across all specialties decide when to proceed with necessary surgical procedures in the face of resource constraints and increased risks posed by COVID-19. The process, called Medically Necessary, Time-Sensitive (MeNTS) prioritization, was created…

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Editor's Note In this study, Elizabeth Wick, MD, and colleagues at the University of California at San Francisco develop a surgery-triage plan to reduce OR volume and manage healthcare resources during the COVID-19 pandemic. Their comprehensive rapid response plan included: Reducing OR volume by 80% to ensure adequate capacity to…

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