Developing and implementing an infection prevention and control program for a COVID-19 alternative care site in Philadelphia, PA

Autor: Silpa N. Tadavarthy, KerriAnn Finnegan, Susan E. Coffin, Elisha Lowe, Gretchen Bernatowicz, Mary Lou Manning
Rok vydání: 2020
Předmět:
Inservice Training
Coronavirus disease 2019 (COVID-19)
Epidemiology
Health Personnel
Control (management)
coronavirus
Article
03 medical and health sciences
0302 clinical medicine
parasitic diseases
alternate care site
Medicine
Infection control
Infection transmission
Humans
Hospital Design and Construction
cardiovascular diseases
030212 general & internal medicine
Alternative care
Personal protective equipment
Personal Protective Equipment
Equipment and Supplies
Hospital
Implementation Science
Philadelphia
0303 health sciences
Infection Control
030306 microbiology
business.industry
Infection Control Practitioners
SARS-CoV-2
Health Policy
Public Health
Environmental and Occupational Health
Surge Capacity
COVID-19
infection prevention
medicine.disease
Hazard
Infectious Diseases
General partnership
Medical emergency
business
Mobile Health Units
Zdroj: American Journal of Infection Control
ISSN: 1527-3296
Popis: Highlights • Alternative care sites (ACS) help address surge in response to COVID-19 • Infection prevention and control (IPC) expertise is essential for COVID-19 ACSs • A written, comprehensive ACS Health and Safety Plan is a crucial IPC component • The “4S's”: Space, Staff, Stuff, and Systems provides a sound IPC program framework • Continuous ACS IPC program evaluation is critical to success
Background On March 27, 2020, the city of Philadelphia was given permission by Temple University to convert the Liacouras Center gymnasium to an alternate care site (ACS) to treat low-acuity COVID-19 patients. ACS's, especially those created to specifically care for infectious patients, require a robust infection prevention and control (IPC) program. Methods The IPC program was led by a physician and nurse partnership, both of whom had substantial experience developing IPC programs in U.S. and low-resource settings. The IPC program was framed on a previously described conceptual model commonly referred to as the “4S's”: Space, Staff, Stuff, and Systems. Results The gymnasium was transformed into red, yellow and green infection hazard zones. The IPC team trained 425 staff in critical IPC practices and personal protective equipment (PPE) standards. Systems to detect staff illness were created and over 3550 staff health screening surveys completed. Discussion Use of existing guidance and comprehensive facility and patient management assessments guided the development of the IPC program. Program priorities were to keep staff and patients safe and implement procedures to judiciously use limited resources that affect infection transmission. Conclusion Planning, executing and evaluating IPC standards and requirements of an ACS during a pandemic requires creative and nimble strategies to adapt, substitute, conserve, reuse, and reallocate IPC space, staff, stuff and systems.
Databáze: OpenAIRE
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