COVID-19: Hospital preparedness: Difference between revisions

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*All hospital dependant, please check with your hospital administration for existing protocols
#REDIRECT[[COVID-19]]
 
==Prehospital Care==
*ET-3 model
 
*Treat Onsite
 
==Screening/Triage==
*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===
*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
**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)
*Moderate/Severe illness
**Ill appearing
**Hypoxia
**Tachypnea
{{COVID Risk Factors}}
 
 
==Protocols==
*Labs/Imaging
*Intubation
*CPR
*Asthma
*CV procedures
*Disposition
 
==Surge Capacity==
*Hospital Dependent
 
==SARS-CoV2 Testing Strategies==
[[Testing+Surveillance: COVID]]
 
==Telehealth==
* For information on telehealth, see [[Alternative Care Sites: COVID-19]]
 
==Resource Allocation==
*Ventilators
 
 
==Personnel==
*Return to work
 
 
[[Category:COVID-19]]

Latest revision as of 21:25, 2 February 2022

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