COVID-19: Hospital preparedness - Revision history

Rossdonaldson1: Changed redirect target from COVID to COVID-19

2022-02-02T21:25:20Z

Changed redirect target from COVID to COVID-19

← Older revision		Revision as of 21:25, 2 February 2022
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	#REDIRECT[[COVID]]		#REDIRECT[[COVID-19]]

Rossdonaldson1: Redirected page to COVID

2022-01-18T22:49:59Z

Redirected page to COVID

← Older revision		Revision as of 22:49, 18 January 2022
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	~~''All protocols are hospital dependent, please check with your hospital administration for existing protocols''~~		#REDIRECT[[COVID]]
	~~==Hospital/ED Readiness==~~
	~~''See~~ [[COVID~~-19: Example hospital protocols]] for example hospital protocols from various institutions.''~~
	*Resources
	**ASPR Tracie ED Resources <ref>https://asprtracie.hhs.gov/technical-resources/123/covid-19-emncy-department-resources/99</ref>
	**PAHO readiness
	***Checklist <ref>https://www.paho.org/hq/index.php?option=com_docman&view=download&alias=51716-hospital-readiness-checklist-for-a-novel-coronavirus-ncov&category_slug=scientific-technical-materials-7990&Itemid=270&lang=en</ref>
	***Instructions <ref>https://www.paho.org/hq/index.php?option=com_docman&view=download&alias=51761-hospital-readiness-checklist-for-covid-19&category_slug=scientific-technical-materials-7990&Itemid=270&lang=en</ref>
	**MGH Hospital ToolKit <ref>https://www.massgeneral.org/assets/MGH/pdf/disaster-medicine/SARS-CoV-2%20(COVID-19)%20Toolkit%20Version%203.pdf (2)</ref>
	**ACEP ED Readiness <ref>https://www.acep.org/globalassets/sites/acep/media/by-medical-focus/covid-19-national-strategic-plan_0320.pdf</ref>

	~~==Prehospital Care==~~


	*ET-3 model
	*Treat Onsite
	*Resources
	**EMS Resources - ASPR <ref>https://asprtracie.hhs.gov/technical-resources/114/covid-19-pre-hospital-emncy-medical-services-ems-resources/99</ref>

	~~==Evaluation Pathways==~~
	*Divide the ED into different sections based on risk of having/transmitting COVID-19
	**Red/Dirty/Hot zone
	**Yellow/Intermediate/cool zone (optional)
	**Green/Clean/Cold zone
	*Set PPE levels for each section [[Prevention of COVID-19 transmission in the healthcare setting\|IPC for COVID]]
	*Control movement between sections by limiting ingress/egress routes.
	*Consider having all patients wear surgical masks and perform hand hygiene despite symptoms.
	~~===Screening<ref>https://asprtracie.hhs.gov/technical-resources/119/covid-19-hospital-triage-screening-resources/99</ref>===~~
	*Preferably outside of the ER
	*Goal is to prevent them from being cohorted with non-COVID patients
	*Funnel into each of your zones
	*Screening Criteria - Any of the following positive, route to "red/dirty/hot/infected" side of the ED
	**Exposure to COVID patient recently with symptoms
	**Symptoms - fever, respiratory symptoms, Chest pain, GI symptoms, malaise, fatigue
	**Signs
	***toxic appearance, AMS
	***If performing vitals at screening - fever, hypoxia, tachypnea
	*All those without the above go to Yellow/Green

	~~===Triage/Risk Stratification===~~
	*Mild illness
	**Well appearing
	**No hypoxia (SPO2 ≥94%)
	**No tachypnea (RR≥22)
	**No concerning GI or Other symptoms
	*Moderate/Severe illness
	**Hypoxia
	**Tachypnea
	**Ill-appearing + [[Template:COVID Risk Factors\|COVID Risk Factors]]
	**Other reasons needing admission
	~~===Evaluation for Disposition===~~
	*Mild illness
	**Discharge as appropriate
	**Consider Exertional O2Sat
	***1 minute walking in place briskly.
	***Failure = 02Sat<90 OR inability to complete test
	*Moderate illness
	**02 via NC Sat>90%
	**Attempt bronchodilator use
	**Antipyretics
	**CXR
	**Evaluate for non-COVID causes of illness as indicated
	***Re-evaluate for discharge if improved
	*Severe illness - Admission

	~~==Surge Capacity==~~
	*ASPR TRACIE Surge resources <ref>https://asprtracie.hhs.gov/technical-resources/113/covid-19-critical-care-surge-resources/99</ref>


	~~==SARS-CoV2 Testing Strategies==~~
	~~[[Testing+Surveillance: COVID]]~~

	~~==Telehealth==~~
	* For information on telehealth, see [[Alternative Care Sites: COVID-19]]

	~~==Resource Allocation==~~



	~~==Personnel==~~
	*Exposed Healthcare workers - CDC <ref>https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html</ref>
	*Return to work for Healthcare providers - CDC <ref>https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html</ref>
	*Sustaining Healthcare workforce - ASPR <ref>https://asprtracie.hhs.gov/technical-resources/120/covid-19-workforce-protection-sustainability-resources/99</ref>


	~~==See Also==~~
	~~{{Special:Prefixindex/COVID-19 \|hideredirects=1}}~~

	~~==References==~~



	~~[[Category:COVID-19~~]]

Teledoc4u: /* Screeninghttps://asprtracie.hhs.gov/technical-resources/119/covid-19-hospital-triage-screening-resources/99 */

2020-10-09T03:09:37Z

Screeninghttps://asprtracie.hhs.gov/technical-resources/119/covid-19-hospital-triage-screening-resources/99

← Older revision		Revision as of 03:09, 9 October 2020
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	*Funnel into each of your zones		*Funnel into each of your zones
	*Screening Criteria - Any of the following positive, route to "red/dirty/hot/infected" side of the ED		*Screening Criteria - Any of the following positive, route to "red/dirty/hot/infected" side of the ED
	**Exposure to COVID patient recently		**Exposure to COVID patient recently with symptoms
	**Symptoms - fever, respiratory symptoms, Chest pain, GI symptoms, malaise, fatigue		**Symptoms - fever, respiratory symptoms, Chest pain, GI symptoms, malaise, fatigue
	**Signs		**Signs

Teledoc4u: /* Screeninghttps://asprtracie.hhs.gov/technical-resources/119/covid-19-hospital-triage-screening-resources/99 */

2020-10-09T03:06:43Z

Screeninghttps://asprtracie.hhs.gov/technical-resources/119/covid-19-hospital-triage-screening-resources/99

← Older revision		Revision as of 03:06, 9 October 2020
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	*Funnel into each of your zones		*Funnel into each of your zones
	*Screening Criteria - Any of the following positive, route to "red/dirty/hot/infected" side of the ED		*Screening Criteria - Any of the following positive, route to "red/dirty/hot/infected" side of the ED
			**Exposure to COVID patient recently
	**Symptoms - fever, respiratory symptoms, Chest pain, GI symptoms, malaise, fatigue		**Symptoms - fever, respiratory symptoms, Chest pain, GI symptoms, malaise, fatigue
	**Signs		**Signs
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	***If performing vitals at screening - fever, hypoxia, tachypnea		***If performing vitals at screening - fever, hypoxia, tachypnea
	*All those without the above go to Yellow/Green		*All those without the above go to Yellow/Green

	===Triage/Risk Stratification===		===Triage/Risk Stratification===
	*Mild illness		*Mild illness

Ostermayer: /* See Also */

2020-04-13T00:06:10Z

Rossdonaldson1 at 06:40, 9 April 2020

2020-04-09T06:40:17Z

@@ Line 1: / Line 1: @@
 ''All protocols are hospital dependent, please check with your hospital administration for existing protocols''
 ==Hospital/ED Readiness==
 *Resources
 **ASPR Tracie ED Resources <ref>https://asprtracie.hhs.gov/technical-resources/123/covid-19-emncy-department-resources/99</ref>
@@ Line 8: / Line 9: @@
 **MGH Hospital ToolKit <ref>https://www.massgeneral.org/assets/MGH/pdf/disaster-medicine/SARS-CoV-2%20(COVID-19)%20Toolkit%20Version%203.pdf (2)</ref>
 **ACEP ED Readiness <ref>https://www.acep.org/globalassets/sites/acep/media/by-medical-focus/covid-19-national-strategic-plan_0320.pdf</ref>
 ==Prehospital Care==

Rossdonaldson1: /* Hospital Protocols */

2020-04-09T06:29:27Z

Hospital Protocols

← Older revision		Revision as of 06:29, 9 April 2020
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	**Massachusets General Hospital protocols- <ref>Massachusetts General Hospital COVID-19 Treatment Guide Version 1.36 04/05/2020. https://www.massgeneral.org/assets/MGH/pdf/news/coronavirus/mass-general-COVID-19-treatment-guidance.pdf. Published 2020. Accessed April 8, 2020.</ref>		**Massachusets General Hospital protocols- <ref>Massachusetts General Hospital COVID-19 Treatment Guide Version 1.36 04/05/2020. https://www.massgeneral.org/assets/MGH/pdf/news/coronavirus/mass-general-COVID-19-treatment-guidance.pdf. Published 2020. Accessed April 8, 2020.</ref>
	**Department of Defense Practice Managment - <ref>https://www.health.mil/Reference-Center/Technical-Documents/2020/03/24/DoD-COVID-19-Practice-Management-Guide</ref>		**Department of Defense Practice Managment - <ref>https://www.health.mil/Reference-Center/Technical-Documents/2020/03/24/DoD-COVID-19-Practice-Management-Guide</ref>
	* Bedside checklist: [[:File:Harbor COVID checklist v3-21-20.pdf]]		** Bedside checklist: [[:File:Harbor COVID checklist v3-21-20.pdf]]
	* ~~Additional DPH Guidance: http://publichealth.lacounty.gov/acd/nCorona2019.htm~~		**Harbor DEM COVID airway management guide [[:File:Harbor COVID Airway Management v3-16-20.pdf]]
	*Harbor DEM COVID airway management guide [[:File:Harbor COVID Airway Management v3-16-20.pdf]]		**Proper donning and doffing with reusable goggles and stethoscope [[:File:Procedure for Reuse of Faceshields and Goggles 3-19-2020.pdf]]
	*Proper donning and doffing with reusable goggles and stethoscope [[:File:Procedure for Reuse of Faceshields and Goggles 3-19-2020.pdf]]		**Summary of Harbor consensus guidelines for COVID ARDS management [[File:Clinical Cheat sheet.pdf\|thumb]]
	*Summary of Harbor consensus guidelines for COVID ARDS management [[File:Clinical Cheat sheet.pdf\|thumb]]

	==Prehospital Care==		==Prehospital Care==

Rossdonaldson1: /* Hospital Protocols */

2020-04-09T06:28:57Z

Hospital Protocols

← Older revision		Revision as of 06:28, 9 April 2020
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	**Massachusets General Hospital protocols- <ref>Massachusetts General Hospital COVID-19 Treatment Guide Version 1.36 04/05/2020. https://www.massgeneral.org/assets/MGH/pdf/news/coronavirus/mass-general-COVID-19-treatment-guidance.pdf. Published 2020. Accessed April 8, 2020.</ref>		**Massachusets General Hospital protocols- <ref>Massachusetts General Hospital COVID-19 Treatment Guide Version 1.36 04/05/2020. https://www.massgeneral.org/assets/MGH/pdf/news/coronavirus/mass-general-COVID-19-treatment-guidance.pdf. Published 2020. Accessed April 8, 2020.</ref>
	**Department of Defense Practice Managment - <ref>https://www.health.mil/Reference-Center/Technical-Documents/2020/03/24/DoD-COVID-19-Practice-Management-Guide</ref>		**Department of Defense Practice Managment - <ref>https://www.health.mil/Reference-Center/Technical-Documents/2020/03/24/DoD-COVID-19-Practice-Management-Guide</ref>
			* Bedside checklist: [[:File:Harbor COVID checklist v3-21-20.pdf]]
			* Additional DPH Guidance: http://publichealth.lacounty.gov/acd/nCorona2019.htm
			*Harbor DEM COVID airway management guide [[:File:Harbor COVID Airway Management v3-16-20.pdf]]
			*Proper donning and doffing with reusable goggles and stethoscope [[:File:Procedure for Reuse of Faceshields and Goggles 3-19-2020.pdf]]
			*Summary of Harbor consensus guidelines for COVID ARDS management [[File:Clinical Cheat sheet.pdf\|thumb]]

	==Prehospital Care==		==Prehospital Care==

Rossdonaldson1: /* Works Cited */

2020-04-09T05:37:25Z

Works Cited

← Older revision		Revision as of 05:37, 9 April 2020
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	==~~Works Cited~~==		==See Also==
			{{COVID see also}}

			==References==



	[[Category:COVID-19]]		[[Category:COVID-19]]

Rossdonaldson1: Rossdonaldson1 moved page Hospital preparedness: COVID-19 to COVID-19: Hospital preparedness

2020-04-09T04:36:48Z

Rossdonaldson1 moved page Hospital preparedness: COVID-19 to COVID-19: Hospital preparedness

← Older revision	Revision as of 04:36, 9 April 2020
(No difference)

← Older revision		Revision as of 00:06, 13 April 2020
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	==See Also==		==See Also==
	{{COVID ~~see also~~}}		{{Special:Prefixindex/COVID-19 \|hideredirects=1}}

	==References==		==References==