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Resumption of Elective Orthopaedic Surgery in the US Epicenter of COVID-19: Overcoming the Continuous Challenges
Eugene S Krauss1,2,3, MaryAnne Cronin1, Nancy Dengler1
1Department of Orthopaedic Surgery, Syosset Hospital, Northwell Health, Syosset, NY, United States.
Insights
New York hospitals faced challenges resuming elective surgeries after COVID-19 mandates. Adapting perioperative care processes was crucial for patient safety and staff well-being during the pandemic.
Area of Science:
- Healthcare Management
- Infectious Disease Epidemiology
- Surgical Operations
Background:
- New York State confirmed its first COVID-19 case on March 1, 2020.
- Elective surgeries were cancelled from March 23 to May 13, 2020, due to the pandemic.
- Hospitals faced significant operational challenges upon resuming elective procedures.
Purpose of the Study:
- To describe the challenges faced by a hospital resuming elective surgeries post-COVID-19 mandate.
- To highlight the need for adaptable perioperative care strategies.
- To emphasize the importance of ensuring staff safety and optimal patient outcomes in a changing healthcare environment.
Main Methods:
- Retrospective review of operational changes.
- Analysis of patient outcomes and staff safety protocols.
- Adaptation of healthcare processes in response to the pandemic.
Main Results:
- Resumption of elective surgery required navigating an unpredictable post-pandemic environment.
- Continuous reassessment and revision of processes were necessary.
- Maintaining optimal patient outcomes and staff safety were primary concerns.
Conclusions:
- Healthcare professionals must remain adaptable to constant change in the post-pandemic era.
- The pandemic necessitated innovative approaches to perioperative care.
- Sustained vigilance and flexibility are key to managing healthcare during and after public health crises.
Abstract:
On 1 March 2020, New York State confirmed its first case of COVID-19. An explosive progression of hospitalizations ensued, and all elective surgeries were cancelled between 23 March and 13 May 2020 per federal and state mandate. Upon return to elective surgery in May, 2020, the hospital found itself navigating uncharted territory. The unpredictability of the post-pandemic environment has required the healthcare team to constantly reassess and revise processes to ensure optimal patient outcomes, as well as safe practices for staff providing perioperative care. Health care professionals must continue to remain adaptable and amenable to constant change.
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