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Rallying All Resources: A Multidisciplinary Innovation to Plan for the Projected COVID-19 Inpatient Surge.

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Hospitals rapidly converted an ambulatory surgical center into an overflow unit to manage patient surges during the COVID-19 pandemic. This flexible approach can address future public health crises and acute care capacity challenges.

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Area of Science:

  • Healthcare Management
  • Public Health Preparedness
  • Emergency Medicine

Background:

  • The COVID-19 pandemic necessitated hospital surge planning due to high patient volumes.
  • Pre-pandemic hospital capacity was already strained (90%-100%), exacerbating concerns about exceeding existing resources.
  • Projected patient surges in Oregon threatened to overwhelm healthcare infrastructure.

Purpose of the Study:

  • To explore converting an ambulatory surgical center into an overflow acute care unit.
  • To develop a rapid response protocol for managing patient surges.
  • To ensure adequate hospital capacity during public health emergencies.

Main Methods:

  • A multidisciplinary team including nursing leadership, unit staff, case management, and hospital medicine physicians was assembled.
  • The team focused on the feasibility of converting surgical center space for acute care.
  • A protocol for patient transfer and care in the overflow unit was developed and implemented.

Main Results:

  • A protocol was successfully developed and implemented within a short timeframe.
  • The ambulatory surgery unit was utilized to care for 12 overflow patients.
  • The conversion demonstrated a viable solution for increasing acute care capacity.

Conclusions:

  • Interprofessional collaboration enabled the rapid creation of an overflow patient unit.
  • The innovative approach successfully addressed immediate capacity needs during the COVID-19 pandemic.
  • Lessons learned are applicable to future infectious disease outbreaks or acute care crises.