Mar 25, 2020
In this podcast, Dr. Matt Herold and Dr. David Larson, emergency medicine physicians (EMPAC) with Ridgeview Medical Center, discuss how Ridgeview Medical Center is operating, and the current hurdles being faced with the COVID-19 virus.
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We activated the hospital's emergency operations center, which typically happens with any disaster situation.
The emergency operations center oversees that the hospital and organization are prepared; in addition to collaborating with other health systems, including Minnesota Hospital Association, MDH, and CDC.
Dr. Larson notes that education is the key to remaining prepared and successful. He also emphasizes that vigilance is important for monitoring our resources.
Lack of staff appears to be an important resource and the biggest area of concern if COVID numbers continue to climb.
As an organization the temporary elimination of elective surgeries, endoscopy and other procedures may free up clinicians to help out in other areas, if the need arise.
Mechanisms are in place to identify healthcare providers who have been exposed by COVID patient and the necessary steps that must be undertaken to ensure compliance as well as the steps required to return to work.
Dr. Herold believes that some of the more important questions are how to use technology as aid in the care of infected patients and likely more important how do we eliminate or limit exposure.
In the current state of emergency declaration it does appear some of the EMTALA requirements have loosened. I would encourage those listeners at different locations to contact their organization for updated guidelines. I would also like to stress again that we are not EMATLA experts.
Organizations are starting to cohort patients even going so far as to have dedicated receiving facilities for hospitalized COVID positive patients. Additional consideration may be a respiratory wind of the hospital dedicated to infected patients.
Not sure modeling is helpful and sometimes difficult to follow and interpret.
As Dr. Herold states that unfortunately this is the most sustained dynamic issue that has a potential to affect everything from PPE, to staffing, to resources as well as who knows best in real time and how they impact operations.
Communication and education is integral; most organizations have a centralized repository where real time information and "sources of truth" can be disseminated.
Team Huddles prior to shift are important for updates as well as clarifying objectives for the shift.
Continue to merge silos.
The state has limited us to testing hospitalized patients, NH or group home patients, along with ill healthcare workers.
Thanks for listening.