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

Tadavarthy, Silpa N.; Finnegan, KerriAnn; Bernatowicz, Gretchen; Lowe, Elisha; Coffin, Susan; Manning, Mary Lou

doi:10.1016/j.ajic.2020.07.006

Cited by 16 publications

(36 citation statements)

References 4 publications

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Section: Introductionmentioning

confidence: 99%

“…With the occurrence of a number of major disasters around the world over the past 40 years, including the COVID-19 pandemic, there is a growing need for disaster training [1][2][3][4][5][6][7][8][9][10][11][12]. Accordingly, various disaster medicine educational programs have been developed and their effectiveness has been tested [1][2][3][4][5][6][7][8][9][10][11][12]. In particular, chemical disasters, such as the Seveso dioxin leakage disaster in Italy, the methyl isocyanate leakage disaster in Bhopal, India, and the Gumi fluoric acid gas leakage disaster in Korea in 2012, have attracted a great deal of attention worldwide [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the Effectiveness of the Chemical-Mass Casualty Incident Response Education Module (C-MCIREM): A Pilot Simulation Study With a Before and After Design

Kim¹,

Shin²,

Kim³

et al. 2021

Cureus

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BackgroundWith the occurrence of a number of major disasters around the world, there is growing interest in chemical disaster medicine. In South Korea, there is a training program for mass casualty incidents (MCI) and backup by legal regulations by the Framework Act on the Management of Disasters and Safety. However, there is no program focusing on chemical disasters. Thus, the authors newly created a program, the Chemical-Mass Casualty Incident Response Education Module (C-MCIREM) in September 2019. This was a pilot study to verify the educational effect of the program. MethodA pre/post study was conducted of a chemical MCI training program based on simulation. A total of 25 representative and qualified participants were recruited from fire departments, administrative staff of public health centers, and healthcare workers of hospitals in the Gyeonggi-do province of South Korea. They participated in a one-day training program. A knowledge test and confidence survey were provided to participants just before training, and again immediately following the training online. The authors compared improvements of pre/post-test results. In the tabletop drill exercise, quantified qualitative analyses were used to measure the educational effect on the participants. ResultsIn the knowledge test, the mean (standard deviation) scores for all 25 participants at baseline and after training were 41.72 (15.186) and 77.96 (11.227), respectively (p < 0.001). In the confidence survey for chemical MCI response for all 25 participants, all the sub-items concerning personal protective equipment selection, antidote selection, antidote stockpiling and passing on knowledge to colleagues, zone setup and decontamination, and chemical triage were improved compared to the baseline score (p < 0.001). The tabletop exercise represented a prehospital setting and had 11 participants. The self-efficacy qualitative survey showed pre-and post-exercise scores of 64/100 and 84/100 respectively. For a hospital setting exercise, it had 14 participants. The survey showed pre/post-exercise scores of 26/100 and 73/100 respectively. Twenty-two (88%) participants responded to the final satisfaction survey, and their overall mean scores regarding willingness to recommend this training program to others, overall satisfaction with theoretical education, overall satisfaction with tabletop drill simulation, and opinion about whether policymakers need this training were all over 8 out of 10 respectively. ConclusionC-MCIREM, the newly created chemical MCI program, provided effective education to the selected 25 participants among Korean chemical MCI responders in terms of both knowledge and practice at a single pilot trial. Participants were highly satisfied with the educational material and their confidence in disaster preparedness was clearly improved. In order to prove the universal educational effect of this C-MCIREM in the future, more education is needed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluating the Effectiveness of the Chemical-Mass Casualty Incident Response Education Module (C-MCIREM): A Pilot Simulation Study With a Before and After Design

Kim¹,

Shin²,

Kim³

et al. 2021

Cureus

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“…a psychiatric facility yet to open [3], convention centers [1,17], and a gymnasium [18], and operated in a limited time of medical surges. For example, in Wuhan city, about 4,000 beds were made within 29 hours and 16 hospitals with 13,000 beds were constructed in the following 3 weeks; these Fangcang shelter hospitals provided care to 12,000 patients [4].…”

Section: Discussionmentioning

confidence: 99%

Operation of an alternate care facility in Seoul, Korea: Responding to the third wave of COVID-19 pandemic

Kim¹,

Sung²,

Min³

et al. 2021

Public Health Aff

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The third wave of the COVID-19 outbreak, in December 2020, overwhelmed the Korean healthcare system. In particular, the medical demand of residents in long-term care facilities, homeless shelters, group homes, and detention facilities surged. In this study, we described the experience from development and operation of an alternate care facility (ACF) against the COVID-19 pandemic. In this study, we describe our implementation strategy, including the layout plan, adequate staffing, admission criteria, and patient flow. Using the context of the existing guidelines and literature in the planning and construction process, the differences from the preceding alternative treatment facilities to respond to COVID-19 were also described. Under the time pressure, the old buildings used as office spaces by the US armies were converted into a 107-bed hospital that met infection prevention and clinical care standards. Since these hospitals were dedicated to caring for the patients with COVID-19, multiple challenges were posed to the standards of infection prevention and control, and patient care and safety. The approaches described here provide a potential roadmap for decision makers, who are coping with medical surges as a result of the current and potential future pandemics by implementing an ACF.

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“…This design is a variation of other potential field hospital layouts where neighboring beds are spatially distanced but lack a physical barrier separation. 9,12 Although each patient had an individual cubicle, shared spaces included a patient lounge area, restrooms, and a multiple-stall shower area.…”

Section: Engineering Modifications: Physical Space and Ventilationmentioning

confidence: 99%

Infection Prevention Considerations for a Multi-Mission Convention Center Field Hospital in Baltimore, Maryland, During the COVID-19 Pandemic

Jones

Siddiqui

Callahan

et al. 2021

Disaster med. public health prep.

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The state of Maryland identified its first case of COVID-19 on March 5, 2020. The Baltimore Convention Center (BCCFH) quickly became a selected location to set up a 250-bed inpatient Field Hospital and Alternate Care Site. In contrast to other field hospitals throughout the United States, the BCCFH remained open throughout the pandemic and took on additional COVID-19 missions, including community SARS-CoV-2 diagnostic testing, monoclonal antibody infusions for COVID-19 outpatients, and community COVID-19 vaccinations. At the time of publication, the BCCFH had cared for 1,478 COVID-19 inpatients, performed 108,155 COVID-19 tests, infused 2,166 COVID-19 patients, and administered 115,169 doses of COVID-19 vaccine. To prevent the spread of pathogens during operations, infection prevention and control guidelines were essential to ensure the safety of staff and patients. Through multi-agency collaboration, utilization of infection prevention best practices, and answering what we describe as “PPE-ESP”, an operational framework was established to reduce infection risks for those providing or receiving care at the BCCFH during the COVID-19 pandemic.

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

Cited by 16 publications

References 4 publications

Evaluating the Effectiveness of the Chemical-Mass Casualty Incident Response Education Module (C-MCIREM): A Pilot Simulation Study With a Before and After Design

Evaluating the Effectiveness of the Chemical-Mass Casualty Incident Response Education Module (C-MCIREM): A Pilot Simulation Study With a Before and After Design

Operation of an alternate care facility in Seoul, Korea: Responding to the third wave of COVID-19 pandemic

Infection Prevention Considerations for a Multi-Mission Convention Center Field Hospital in Baltimore, Maryland, During the COVID-19 Pandemic

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