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Updated: Oct 23, 2025

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Developing an Outpatient Pediatric Pre-Procedure COVID-19 Testing Model.

Katherine O'Connor1, Morgan McGee1, Mary Gibson1

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Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
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Summary

A new pediatric preoperative COVID-19 testing process was developed to guide personalized infection control. This ensured surgical safety and preserved resources by identifying positive cases early.

Keywords:
COVID-19coronaviruspediatricperi-procedureperioperative

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Area of Science:

  • Pediatric Surgery
  • Infectious Disease Control
  • Quality Improvement

Background:

  • The COVID-19 pandemic necessitated adaptive strategies for safe surgical care.
  • Preoperative patient assessment is crucial for managing infection risks in pediatric surgical settings.

Purpose of the Study:

  • To design, implement, and manage a sustainable pediatric preoperative COVID-19 testing process.
  • To utilize test results for optimizing personal protective equipment (PPE) and infection control measures.
  • To enhance surgical scheduling and conserve healthcare resources.

Main Methods:

  • Employed the Plan-Do-Study-Act (PDSA) methodology for iterative process refinement.
  • Developed and standardized a preoperative COVID-19 testing protocol across the enterprise.
  • Piloted the process for patients undergoing procedures requiring anesthesia.

Main Results:

  • Successfully implemented a safe, feasible, and timely preoperative testing process.
  • Screened 1,707 pediatric patients, with five testing positive for COVID-19.
  • Effectively prevented the need to manage 1,702 patients as potentially COVID-19 positive, optimizing resource allocation.

Conclusions:

  • Knowledge of a patient's COVID-19 status is essential for safe perioperative care.
  • This quality improvement initiative supports the safe reopening of surgical services.
  • Individualized interventions based on testing results enhance patient safety and resource management.