Anca Diana, Pua Bradley, Fogarty Mack Patricia
EP Anesthesia North Shore University Hospital, Clinical Anesthesiology, DNORA Weill Cornell Medicine, United States.
Interventional Radiology, United States.
Perioper Care Oper Room Manag. 2021 Mar;22:100148. doi: 10.1016/j.pcorm.2020.100148. Epub 2020 Nov 28.
Hospitals rapidly developed new procedure and protocols and engaged in emergency construction projects to adapt their facilities and procedures to provide safe and effective patient care during the COVID- 19 pandemic surge in the New York metropolitan area. Physical and procedural revisions were necessary in the operating room to continue to care for emergent patients both with and without COVID. Similar adaptions in non operating room procedure suites, recognized commonly as Non-operating Room Anesthesiology (NORA), necessitated the engagement of multiple departments in order to develop protocols and to redesign procedural areas. This article describes in detail the collaborative planning, construction and preparation implemented in two academic medical centers with regard to their various NORA programs. In developing patient care, personal protective equipment training and repurposing of procedure suites, the multidisciplinary collaborative teams have taken into consideration the professional national societies governing Gastroenterology, Cardiology, and Interventional Radiology.
在纽约大都市地区新冠疫情激增期间，医院迅速制定了新的程序和方案，并参与了紧急建设项目，以调整其设施和程序，以便在为患者提供安全有效的护理。手术室需要进行实体和程序方面的修订，以便继续护理感染和未感染新冠的急诊患者。在通常被称为非手术室麻醉（NORA）的非手术室程序套房中，也需要进行类似的调整，这就需要多个部门参与，以制定方案并重新设计程序区域。本文详细介绍了两个学术医疗中心针对其各种NORA项目所实施的协作规划、建设和准备工作。在制定患者护理、个人防护装备培训以及程序套房的重新利用方案时，多学科协作团队考虑到了管理胃肠病学、心脏病学和介入放射学的专业全国性协会的要求。
