Developing an Outpatient Pediatric Pre-Procedure COVID-19 Testing Model.

Autor: O'Connor K; Perioperative Care Coordination Clinic, Boston Children's Hospital, Boston, MA. Electronic address: Katherine.OConnor@childrens.harvard.edu., McGee M; Perioperative Care Coordination Clinic, Boston Children's Hospital, Boston, MA., Gibson M; Perioperative Care Coordination Clinic, Boston Children's Hospital, Boston, MA., Sullivan MJ; Perioperative Care Coordination Clinic, Boston Children's Hospital, Boston, MA., Pennelli M; Perioperative Care Coordination Clinic, Boston Children's Hospital, Boston, MA., Alvis S; Perioperative Care Coordination Clinic, Boston Children's Hospital, Boston, MA., Lajoie D; Perioperative Care Coordination Clinic, Boston Children's Hospital, Boston, MA.
Jazyk: angličtina
Zdroj: Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2021 Aug; Vol. 36 (4), pp. 367-371. Date of Electronic Publication: 2021 Apr 18.
DOI: 10.1016/j.jopan.2021.02.010
Abstrakt: Purpose: The purpose of this project was to design, develop, implement, and manage a sustainable process for pediatric preoperative COVD-19 testing and use the test results to determine the level of personal protective equipment and infection control required for each patient for optimal surgical scheduling and preservation of resources.
Design: This quality improvement project used the Plan-Do-Study-Act methodology. Multiple cycles of re-evaluation refined this process which was standardized across the enterprise.
Methods: A process for preoperative testing for all patients undergoing procedures requiring anesthesia was developed and implemented.
Findings: A safe, feasible, timely process was developed and piloted to obtain COVID-19 test results to guide individualized interventions. During the pilot, 1,707 patients were screened, and five tested positive for COVID-19, eliminating the need to manage 1702 patients as COVID-19 positive.
Conclusion: To continue to safely re-open, knowledge of the patient's COVID-19 status is imperative to ensure a safe journey through the perioperative area.
(Copyright © 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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