Reactivating Therapeutic Activities in an Acute Care Group Setting During a Pandemic
| Autor: | Lauren Ogden, Theresa Cadatal |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Occupational therapy
medicine.medical_specialty Music therapy Epidemiology business.industry Health Policy Art therapy Public health Public Health Environmental and Occupational Health Masking (Electronic Health Record) Infectious Diseases Nursing Acute care Health care Medicine Infection control business |
| Zdroj: | American Journal of Infection Control. 49:S7-S8 |
| ISSN: | 0196-6553 |
| DOI: | 10.1016/j.ajic.2021.04.029 |
| Popis: | Background In March 2020, when COVID-19 was declared a pandemic, county public health restricted all group activities, including within the healthcare setting. A university children's hospital's comprehensive eating disorders program was forced to stop its inpatient group and environmental treatments. Inpatient group settings can pose different risks for infection prevention and control (IPC) and guidance is often lacking for this healthcare environment. Methods Six months later, when IPC measures were in place and the prevalence of COVID-19 was decreasing, plans to safely reactivate group treatment were developed in alignment with public health guidance. Nursing, IPC, Nutrition, Occupational Therapy, Child Life, Psychiatry, Psychology and Space Planning collaborated on plans for group activities including meals, relaxation, psychology, nutrition, art therapy, music therapy, cinematherapy, recreation and schooling. Maps indicating social distancing were developed. Results Plans were divided into phases of reactivation based on county guidelines and adherence to IPC measures. They included patient, caregiver, and staff social distancing requirements, along with maps of each room and where tables, chairs and yoga mats would be placed. They also incorporated IPC guidelines: hand hygiene for all before and after the activity/session, daily symptom screening for all, COVID-19 testing of patient admissions, universal masking for all and eye protection for staff. Additionally, requirements for cleaning and disinfection were increased for both the environment and any supplies that were not disposable. Documentation of which patients, caregivers and staff participated in activities was also included in the plans to allow for contact tracing in the event of a possible COVID-19 exposure. Conclusions As hospitals begin to reactivate group therapies and activities, it is important to create a plan that considers the amount of extra time and space needed for proper cleaning and disinfection, setting up the room to maintain social distancing, symptom screening and increased documentation. Plans must follow public health guidelines. |
| Databáze: | OpenAIRE |
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