Ike Sonia, Ikechi Chijioke, Rait Jaideep, Shah Ankur
Department of General Surgery, William Harvey Hospital, Kent, UK.
J Perioper Pract. 2019 Oct;30(10):301-308. doi: 10.1177/1750458920950558.
The Coronavirus pandemic has caused major change across the world and in the National Health Service. In order to cope and help limit contagion, numerous institutions recognised the need to adjust clinical practice quickly yet safely. In this paper, we aim to describe the changes implemented in a general surgery department at a district general hospital in the United Kingdom. Across the surgical specialties, frameworks, protocols and guidelines have been established locally and nationally. The aerosol generating procedures involved in general surgery required us to alter our daily activities. Modifications to patient management were necessary to try and reduce viral spread. Staff wellbeing was heavily promoted in order to help maintain the frontline workforce. A holistic approach was required.
冠状病毒大流行在全球和英国国民医疗服务体系中引发了重大变革。为了应对并帮助限制传染，众多机构认识到需要迅速且安全地调整临床实践。在本文中，我们旨在描述英国一家地区综合医院普通外科所实施的变革。在各个外科专业领域，已经在地方和国家层面建立了框架、规程和指南。普通外科涉及的产生气溶胶的操作要求我们改变日常活动。对患者管理进行调整以试图减少病毒传播。为帮助维持一线 workforce，大力促进了员工福祉。这需要一种整体的方法。 （注：原文中“workforce”直译为“劳动力”，结合语境这里意译为“医护人员”更合适，但按要求不添加说明，所以保留原文）
