Dibbs Rami P, Ferry Andrew M, Mehl Steven C, Ferguson Susannah M, Versalovic James, Dunn James J, Enochs Joyce, Monson Laura A, Hollier Larry H
Rami P. Dibbs and Andrew M. Ferry are research fellows in the Division of Plastic Surgery at Texas Children's Hospital and Baylor College of Medicine in Houston, Tex. Steven C. Mehl is a general surgery resident physician at Baylor College of Medicine. Susannah M. Ferguson is clinical lead of advanced practice providers in the Department of Surgery at Texas Children's Hospital. James Versalovic is pathologist-in-chief at Texas Children's Hospital and director of Texas Children's Microbiome Center. James J. Dunn is the director of medical microbiology and virology at Texas Children's Hospital. Joyce Enochs is manager of nursing perioperative services at Texas Children's Hospital. Laura A. Monson is a pediatric plastic and reconstructive surgeon and chief surgical quality and safety officer at Texas Children's Hospital. Larry H. Hollier, Jr. , is a plastic and reconstructive surgeon and surgeon-in-chief at Texas Children's Hospital. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2021 Oct 1;34(10):43-48. doi: 10.1097/01.JAA.0000791484.37318.d3.
SARS-CoV-2 has profoundly affected the way healthcare is delivered and has created significant strain on medical facilities globally. As a result, hospitals have had to continuously adapt in order to provide optimal patient care while minimizing the risk of SARS-CoV-2 transmission, particularly in the surgical setting. Texas Children's Hospital developed a set of protocols for surgical screening and clearance of patients in the context of the COVID-19 pandemic. These screening protocols were designed to mitigate the risk of exposing patients and healthcare providers to SARS-CoV-2 and have evolved significantly as a result of the emerging changes in medicine, technology, and governmental regulations. In this article, we share the reasoning behind the development, implementation, and successive modification of our institutional screening protocols.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)深刻影响了医疗服务的提供方式,并给全球医疗设施带来了巨大压力。因此,医院不得不持续调整,以便在将SARS-CoV-2传播风险降至最低的同时,提供最佳的患者护理,尤其是在手术环境中。德克萨斯儿童医院制定了一套在2019冠状病毒病大流行背景下对患者进行手术筛查和放行的方案。这些筛查方案旨在降低患者和医护人员接触SARS-CoV-2的风险,并且由于医学、技术和政府法规的不断变化而有了显著发展。在本文中,我们分享了我们机构筛查方案的制定、实施和后续修改背后的理由。