학술논문
Healthcare worker safety program in a coronavirus disease 2019 (COVID-19) alternate care site: The Javits New York Medical Station experience.
Document Type
Academic Journal
Author
Thompson CN; US Public Health Service, Washington, DC.; US Food & Drug Administration, Silver Spring, Maryland.; Mugford C; US Public Health Service, Washington, DC.; US Environmental Protection Agency, Washington, DC.; Merriman JR; US Public Health Service, Washington, DC.; US Food & Drug Administration, Silver Spring, Maryland.; Chen MA; US Public Health Service, Washington, DC.; US Food & Drug Administration, Silver Spring, Maryland.; Hutter JD; US Public Health Service, Washington, DC.; Maruna TJ; US Public Health Service, Washington, DC.; US Food & Drug Administration, Silver Spring, Maryland.; Bacon WR; US Public Health Service, Washington, DC.; Childs RW; US Public Health Service, Washington, DC.; National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.; Pati R; Centers for Disease Control and Prevention, Atlanta, Georgia.; Clifton GT; Department of Defense, Washington, DC.; Pazdan RM; US Public Health Service, Washington, DC.; Department of Defense, Washington, DC.
Source
Publisher: Cambridge University Press Country of Publication: United States NLM ID: 8804099 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-6834 (Electronic) Linking ISSN: 0899823X NLM ISO Abbreviation: Infect Control Hosp Epidemiol Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: In March 2020, New York City became the epicenter of the coronavirus disease 2019 (COVID-19) pandemic in the United States. Because healthcare facilities were overwhelmed with patients, the Jacob K. Javits Convention Center was transformed into the nation's largest alternate care site: Javits New York Medical Station (hereafter termed Javits). Protecting healthcare workers (HCWs) during a global shortage of personal protective equipment (PPE) in a nontraditional healthcare setting posed unique challenges. We describe components of the HCW safety program implemented at Javits.
Setting: Javits, a large convention center transformed into a field hospital, with clinical staff from the US Public Health Service Commissioned Corps and the US Department of Defense.
Methods: Key strategies to ensure HCW safety included ensuring 1-way flow of traffic on and off the patient floor, developing a matrix detailing PPE required for each work activity and location, PPE extended use and reuse protocols, personnel training, and monitoring adherence to PPE donning/doffing protocols when entering or exiting the patient floor. Javits staff who reported COVID-19 symptoms were immediately isolated, monitored, and offered a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) reverse-transcriptase polymerase chain reaction (RT-PCR) test.
Conclusions: A well-designed and implemented HCW safety plan can minimize the risk of SARS-CoV-2 infection for HCWs. The lessons learned from operating the nation's largest COVID-19 alternate care site can be adapted to other environments during public health emergencies.
Setting: Javits, a large convention center transformed into a field hospital, with clinical staff from the US Public Health Service Commissioned Corps and the US Department of Defense.
Methods: Key strategies to ensure HCW safety included ensuring 1-way flow of traffic on and off the patient floor, developing a matrix detailing PPE required for each work activity and location, PPE extended use and reuse protocols, personnel training, and monitoring adherence to PPE donning/doffing protocols when entering or exiting the patient floor. Javits staff who reported COVID-19 symptoms were immediately isolated, monitored, and offered a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) reverse-transcriptase polymerase chain reaction (RT-PCR) test.
Conclusions: A well-designed and implemented HCW safety plan can minimize the risk of SARS-CoV-2 infection for HCWs. The lessons learned from operating the nation's largest COVID-19 alternate care site can be adapted to other environments during public health emergencies.