Publication Date

2-1-2022

Journal

AORN Journal

DOI

10.1002/aorn.13604

PMID

35084769

PMCID

PMC9011624

PubMedCentral® Posted Date

1-27-2022

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

COVID-19, Child, Hospitals, Pediatric, Humans, Pandemics, SARS-CoV-2, Tertiary Care Centers, coronavirus disease 2019 (COVID‐19), surgical volume, staffing, nonurgent procedures, block scheduling

Abstract

The detrimental effects of the coronavirus disease 2019 (COVID-19) pandemic have profoundly disrupted surgical care at health care facilities worldwide. At our tertiary pediatric hospital, we made substantial adjustments to surgical suite utilization and staff member scheduling to account for reductions in surgical volume, increased demand for staff members in other sectors of the hospital, and the highly infectious properties of the virus. Perioperative leaders took advantage of the pandemic's disruption to clinical activities to design and implement a new procedure-scheduling process to rectify the inefficiencies that had accumulated as the previous system evolved. The implementation of said directives was largely facilitated by establishing communication with all involved parties for their input and feedback throughout the process. Although COVID-19 has had varying effects on procedural operations across pediatric health care facilities, we believe our institutional response to the disruptive forces of COVID-19 is of benefit to pediatric hospitals worldwide.

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