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Institutional COVID-19 Protocols: Focused on Preparation, Safety, and Care Consolidation
Briana DiSilvio1, Ahmed Virani, Samir Patel
1Division of Pulmonary Critical Care Medicine (Drs DiSilvio, Virani, Singh, DuMont, and Cheema), Internal Medicine Residency Program, Medicine Institute (Dr Patel), and Department of Pharmacology (Dr Finoli), Allegheny General Hospital, Pittsburgh, Pennsylvania.
Abstract:
As the confirmed cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continue to grow with over 1 million documented infections in the United States alone, researchers and health care workers race to find effective treatment options for this potentially fatal disease. Mortality remains high in patients whose disease course requires mechanical ventilation and admission to intensive care units. While focusing on therapies to decrease mortality is essential, we must also consider the logistical hurdles faced with regard to safely and effectively delivering treatment while limiting the risk of harm to hospital staff and other noninfected patients. In this article, we discuss aspects of surge planning, considerations in limiting health care worker exposure, the logistics of medication delivery in a uniform and consolidated manner, protocols for delivering emergent care in a rapidly deteriorating coronavirus disease-2019 (COVID-19) patient, and safe practices for transporting infected patients.
Insights
This article addresses the critical logistical challenges of treating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patients during a pandemic. It outlines strategies for safe and effective care delivery, focusing on minimizing harm to healthcare workers and other patients.
Area of Science:
- Infectious Diseases
- Public Health
- Critical Care Medicine
Background:
- The escalating number of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections presents significant challenges to healthcare systems.
- High mortality rates are observed in critically ill patients requiring mechanical ventilation and intensive care unit (ICU) admission.
- Effective treatment delivery must balance patient needs with the safety of healthcare professionals and the prevention of further transmission.
Purpose of the Study:
- To outline essential considerations for managing a surge of coronavirus disease-2019 (COVID-19) patients.
- To detail strategies for minimizing healthcare worker exposure to SARS-CoV-2.
- To describe logistical protocols for medication delivery, emergent care, and patient transport in a pandemic setting.
Main Methods:
- Discussion of surge planning principles for infectious disease outbreaks.
- Review of protocols for limiting healthcare worker exposure to SARS-CoV-2.
- Examination of logistical frameworks for medication administration and patient movement.
Main Results:
- The article emphasizes the need for comprehensive surge planning to manage high patient volumes.
- It highlights the importance of implementing strict exposure control measures for healthcare staff.
- It provides a framework for standardized and safe medication delivery and patient transport.
Conclusions:
- Effective management of a COVID-19 pandemic requires robust logistical planning beyond clinical treatment.
- Prioritizing healthcare worker safety and preventing nosocomial spread are paramount.
- Standardized protocols for emergent care and patient handling are crucial for optimizing outcomes and resource utilization.
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