Focus on testing, securing PPE, and scheduling OR time
May 29, 2020
As the United States prepares for the next phase of the COVID-19 pandemic, surgery leaders should do what they can to protect their patients, staff, and business. This includes rigorous screening and testing, as well as a dedicated effort to restock essential critical personal protective equipment.
Family planning clinics and other reproductive health providers have discovered creative ways to continue to provide contraception services to women during the COVID-19 pandemic. Telehealth is one of the most important methods, although each facility has its own way of using remote services.
The Centers for Medicare & Medicaid Services issued waivers for some Emergency Medical Treatment & Labor Act (EMTALA) requirements, acknowledging certain expectations are not reasonable to achieve during a pandemic. However, EMTALA still applies.
In this cross-sectional national survey, the authors estimated that 23% of women aged 15 to 20 years had received a bimanual pelvic exam, of which half (54%) were deemed potentially unnecessary, and 19% of the population received a Pap test, of which 72% were potentially unnecessary.
Prevention strategies are necessary to limit transmission of multidrug-resistant organisms in the hospital, especially in high-risk settings. Identification of carriers of extended-spectrum beta-lactamase (ESBL)-producing organisms via active surveillance, and contact isolation of positives, has been recommended for certain high-risk groups.