The response of a pediatric ED to COVID-19

Sean Elwell1, Laura Alfonsi, Lisa Lietzke

  • 1At Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., Sean Elwell is the director for Trauma, Critical Care Transport, and Emergency Services; Laura Alfonsi is a clinical operations coordinator; Lisa Lietzke is a clinical nurse educator for Emergency Services and in the nursing professional development team; and James Thomas is a nurse manager.

Nursing
|October 22, 2021
PubMed

Insights

Pediatric emergency departments rapidly adapted to the COVID-19 pandemic by implementing structural, procedural, and functional changes. These adaptations ensured safe and efficient care for children during the public health crisis.

Area of Science:

  • Pediatric Emergency Medicine
  • Infectious Disease Control
  • Healthcare System Adaptation

Background:

  • Limited understanding of COVID-19's impact on pediatric populations at the pandemic's outset.
  • Urgent need for pediatric health systems to address novel challenges posed by the pandemic.
  • Necessity for rapid, efficient, and safe operational adjustments in pediatric care settings.

Purpose of the Study:

  • To detail the structural, procedural, and functional modifications implemented in a pediatric Emergency Department (ED) in response to the COVID-19 pandemic.
  • To provide illustrative case studies showcasing these implemented changes.
  • To share lessons learned in adapting pediatric emergency care during a global health crisis.

Main Methods:

  • Description of structural changes within the pediatric ED (e.g., patient flow, isolation areas).
  • Outline of procedural adjustments (e.g., triage protocols, infection control measures).
  • Explanation of functional adaptations (e.g., staffing, communication strategies).

Main Results:

  • Successful implementation of a multi-faceted response strategy in a pediatric ED.
  • Demonstrated ability to maintain safe and efficient patient care despite pandemic-related challenges.
  • Case studies illustrating the practical application and effectiveness of the changes.

Conclusions:

  • Pediatric EDs can effectively adapt to emerging infectious disease threats through strategic changes.
  • The described modifications provide a framework for other institutions facing similar public health emergencies.
  • Continuous evaluation and adaptation are crucial for pediatric emergency care during pandemics.

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