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Opinions Evolve Regarding When to Ventilate a COVID-19 Patient
While there is no consensus on the issue, there are physicians from the frontlines in New York who now favor performing more noninvasive ventilation. Some are trying to avoid using a ventilator at all.
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Smaller EDs Should Treat Lower-Acuity Patients Outside the Hospital
A California-based hospital set up an area in its parking lot to screen for COVID-19. Many people who arrive are low acuity (i.e., looking for a test, showing no signs of the virus, and can be treated in their cars). Still, the facility is prepared to admit high-acuity patients who may need more complex care inside the facility.
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Prepare to Ramp Up Quickly, Treat All Patients as if They Have COVID-19
Prepare for a rapid escalation of cases as soon as evidence of community spread of COVID-19 emerges. At this point, assume everyone is carrying the virus, and act accordingly.
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Rule No. 1: Take Care of Staff
There is no denying the fear and anxiety that frontline staff are experiencing as they race to care for COVID-19 patients. Employees are living in personal protective equipment, and they are witnessing people of all ages go through terrible courses of illness. In one New York-based facility, leaders formed “code lavender” teams for instances in which staff members may have seen or been involved with some type of crisis.
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Plan for a Range of Demand Scenarios
When preparing for any disaster, plan for a range of scenarios, including worst case. Determine where beds and staff will come from under the direst of circumstances. Use predictive modeling to anticipate daily care needs and identify alternative locations where patients could be relocated if the community demand reaches a boiling point.
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Leveraging Hospital Incident Command to Battle COVID-19
Frontline providers battling COVID-19 in New York, where the outbreak may go down as the worst in the United States, share the latest updates and techniques that are paying dividends.
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The Challenges of Infection Control in the Age of COVID-19
Infection prevention likely will be a higher priority activity and quality improvement project for surgery centers as the COVID-19 pandemic continues to flare over the next year. There are various resources leaders should consider to help in these endeavors.
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Study Finds High Prevalence of STIs in Pregnant Adolescents
A new study revealed that teenagers who give birth have a higher-than-expected risk of sexually transmitted infections and high rates of preterm births and chorioamnionitis.
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Tech-Driven Nursing Intervention Helps Prevent STIs, Improves Care
A technology-enhanced community health nursing intervention proved useful as a method for preventing gonorrhea and chlamydia infections. It also helped patients improve management of pelvic inflammatory disease.
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Young Adults Learn Some Accurate STI Information from the Internet
A new study revealed that youth who relied on family and friends for health information are not as well-informed as those who relied on medical providers. But the young adults who rely on medical information from the internet were just as well-informed as those who talked with their doctors and other providers.