AORN J. 2021 Feb;113(2):165-178. doi: 10.1002/aorn.13306.
Early in 2020, government leaders declared a public health emergency because of the coronavirus disease 2019 (COVID-19) outbreak. After World Health Organization leaders declared that the spread of COVID-19 was a pandemic, it became evident that patients suspected or confirmed to have COVID-19 would present for surgery at our community hospital, the only facility in the county. The Maryland governor charged hospital administrators with expanding bed capacity in anticipation of a surge of critically ill patients. Concurrently, the Maryland secretary of health prohibited all elective procedures. During the early phase of preparation and response, processes, information, and hospital capabilities and capacity changed frequently and rapidly. Effective communication, teamwork, and interprofessional and interdepartmental collaboration helped us prepare to deliver safe surgical care to patients during the pandemic and maintain safety for all involved. This article describes our health care facility's response to the pandemic and lessons learned during the process.
2020 年初,由于 2019 冠状病毒病(COVID-19)疫情爆发,政府领导人宣布进入公共卫生紧急状态。世界卫生组织领导人宣布 COVID-19 传播为大流行后,很明显,我们所在社区医院(该县唯一的医疗机构)将有疑似或确诊 COVID-19 的患者前来接受手术。马里兰州州长责成医院管理人员扩大床位容量,以应对大量重症患者的涌入。与此同时,马里兰州卫生部长禁止了所有择期手术。在准备和应对的早期阶段,流程、信息以及医院的能力和容量经常快速变化。有效的沟通、团队合作以及跨专业和跨部门的协作帮助我们在大流行期间准备为患者提供安全的手术护理,并确保所有相关人员的安全。本文描述了我们的医疗机构对疫情的应对措施,以及在这一过程中吸取的经验教训。