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…
Editor's Note The American College of Surgeons (ACS) on April 17 announced that the ACS, AORN, American Society of Anesthesiologists (ASA), and American Hospital Association (AHA) together developed a roadmap to guide readiness, prioritization, and scheduling for safely resuming elective surgery. Highlights of the roadmap include: Implementing a policy for…
Editor's Note In a cohort of SARS-CoV-2 positive healthcare workers (HCW) residing in King County, Washington, this study found that symptom screening only for fever, cough, shortness of breath, or sore throat might have missed 17% of symptomatic HCW at the time of illness onset, and expanding criteria to include…
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,…
Editor's Note In this study, researchers from Stanford University create an algorithm to protect OR teams who perform urgent and emergency surgical procedures from the coronavirus and rationally conserve the personal protective equipment (PPE) they wear. Incuded in the decision tree algorithm: Patients were triaged by severity of illness into…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on March 18 released recommendations that all elective surgeries and nonessential medical, surgical, and dental procedures be delayed during the COVID-19 outbreak. As more healthcare providers are asked to assist with the COVID-19 response, it is important that they consider…
Editor's Note This retrospective, multicenter study from four hospitals in Wuhan, China, found that Novel Coronavirus 2019 (COVID-19) specific guidelines for emergency surgical procedures in patients with confirmed or suspected COVID-19 infection can effectively prevent cross-infection in the OR. The guidelines include: negative pressure ORs level 3 protective measures for…
Editor's Note In a February 25 telebriefing, the Centers for Disease Control and Prevention (CDC) warned that the novel coronavirus (COVID-19) will spread in the US, and hospitals and communities should begin ramping up their preparedness efforts, AHA Today reports. The CDC urged communities to implement non-pharmaceutical interventions or community…
Editor's Note Hospitals should prepare now for an influx of seriously ill patients infected with the new coronavirus (COVID-19), critical care specialists advised in a panel discussion February 17 at the Society of Critical Care Medicine’s annual congress in Orlando, Florida. A significant influx of seriously ill patients will put…
Editor's Note The Food & Drug Administration on February 14 announced that it is an active partner in the coronavirus (COVID-19) response. It is working closely with the Department of Health and Human Services and international counterparts to help diagnose, treat, and prevent the disease as well as surveil the…