Stepwise Strategic Mitigation Planning in a Pediatric Oncology Center During the COVID-19 Pandemic
| Autor: | Cassie Martinez, Stephen Gilheeney, Andrew L. Kung, Victoria Szenes, James Killinger, Mini Kamboj, Deborah Diotallevi, Giselle Melendez, Farid Boulad, Julia Glade Bender, Rachel Bright, Nicole Zakak, Stephen S. Roberts |
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| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
Adolescent Context (language use) Telehealth Cancer Care Facilities Pediatrics Young Adult 03 medical and health sciences Process Paper 0302 clinical medicine Neoplasms Pandemic medicine Humans Child Strategic planning 030504 nursing Oncology (nursing) business.industry COVID-19 medicine.disease Strategic Planning Pediatric cancer United States 030220 oncology & carcinogenesis Preparedness Medical emergency 0305 other medical science business |
| Zdroj: | J Pediatr Oncol Nurs |
| ISSN: | 1532-8457 1043-4542 |
| DOI: | 10.1177/1043454221992301 |
| Popis: | Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) first reached the United States in January 2020. Located in New York City (NYC), MSK Kids, at Memorial Sloan Kettering Cancer Center services, is one of the largest pediatric cancer centers in the U.S., caring for children, teenagers, and young adults with cancer, immune deficiencies, and blood disorders. Methods: Implementation for infection mitigation and ongoing care of patients included: (1) the creation of a strategic planning team of physicians, advanced practice providers, nurses, and administrators to develop guidance and workflows, (2) continuous reassessment of patients’ needs for hospital services and visit frequency, (3) the use of telemedicine to replace in-person visits, (4) the use of satellite regional centers to manage patients living outside NYC, (5) pre-screening of patients prior to visits for risks and symptoms of coronavirus disease 2019 (COVID-19) infection, (6) day-of-service screening for risks or symptoms of COVID-19 infection, (7) surveillance testing of children and their caregivers, and (8) creation of cohort plans for the management of COVID-19 positive and uninfected patients within the same institution, in both the outpatient and inpatient settings. Results: We describe the timeline for planning mitigation during the first weeks of the pandemic, and detail in a stepwise fashion the rationale and implementation of COVID-19 containment efforts in the context of a large pediatric oncology program. Discussion: Our experience offers a model on which to base strategic planning efforts at other pediatric oncology centers, for continued preparedness to combat the threat posed by SARS-CoV-2 worldwide. |
| Databáze: | OpenAIRE |
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