The National Academies Press

Currently Skimming:

Pages 84-99

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.

From page 84... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Read the entire page →
From page 85... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Respectfully, Harvey V Read the entire page →
From page 86... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) • Contingency Capacity: The spaces, staff, and supplies used are not consistent with daily practices but provide care that is functionally equivalent to usual patient care. Read the entire page →
From page 87... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) • Mobilizing staff from out-of-hospital entities to assist in the delivery of hospital-based services; • Recruiting non-practicing clinical providers who work in the hospital environment to work alongside and assist actively licensed practitioners and adjusting the scope of practice considerations; • Adjusting the ratio of providers to patients in both the general medical/surgical units as well as in the critical care units; • Changing the model of inpatient care delivery to a team-based rather than individual nursing approach; and • Deploying telemedicine and other digital health solutions to provide critical care medical oversight and remote patient management capabilities. Read the entire page →
From page 88... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) 1,000 transfers in the metro Detroit, Michigan, area during its spring surge. Read the entire page →
From page 89... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) on unstated assumptions about the meanings of various resource availabilities and constraints. Read the entire page →
From page 90... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) The 2019 National Academies report on clinician burnout offers key points that are critically relevant and should be considered in developing policies and resources for staff support: • A major driver of burnout is dysfunctional systems of care, so patient care processes should be examined with a human factors lens to improve quality and safety and reduce wasted effort and unnecessary workarounds. Read the entire page →
From page 91... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) patients ill at home on a 24/7 basis. Read the entire page →
From page 92... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) and facility with the electronic health record. Read the entire page →
From page 93... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Finally, all job duties should be examined and responsibilities for documentation, education, departmental, and other tasks reduced to the minimum necessary (e.g., adopt "charting by exception" to document only relevant changes in condition particularly for daily notes) Read the entire page →
From page 94... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Further assignment of responsibilities to teams may be needed and can include proning/rolling teams, airway teams and rapid intervention teams, vascular access teams, and others that the facility may not normally use. Read the entire page →
From page 95... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) ambulatory-based practices. Read the entire page →
From page 96... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) DETERMINING A NEED TO MAKE REQUESTS FOR STAFFING ASSISTANCE Little guidance exists on when to request staffing assistance and how those requests should be prioritized. Read the entire page →
From page 97... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Figuring out which providers to place in new roles and helping staff understand the triggers, which may be volume or staffing based, at the facility for implementing a team-based care model will be important to making this pivot most effective. Read the entire page →
From page 98... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Texas: Movement of Non Critical Patients in Face of Hurricane Activate plans for mutual aid ASPR TRACIE: Establishing or other means of Medical Operations supplementing human Coordination Cells (MOCCs) Read the entire page →
From page 99... ... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) psychological first aid) Read the entire page →

From page 84...

... Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020) Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic (July 28, 2020)