Design for Implementation of a System-Level ICU Pandemic Surge Staffing Plan

Critical Care Explorations
Gavin H HarrisJonathan M Bishop

Abstract

The current coronavirus disease 2019 pandemic is causing significant strain on ICUs worldwide. Initial and subsequent regional surges are expected to persist for months and potentially beyond. As a result of this, as well as the fact that ICU provider staffing throughout the United States currently operate at or near capacity, the risk for severe and augmented disruption in delivery of care is very real. Thus, there is a pressing need for proactive planning for ICU staffing augmentation, which can be implemented in response to a local surge in ICU volumes. We provide a description of the design, dissemination, and implementation of an ICU surge provider staffing algorithm, focusing on physicians, advanced practice providers, and certified registered nurse anesthetists at a system-wide level. The protocol was designed and implemented by the University of Pittsburgh Medical Center's Integrated ICU Service Center and was rolled out to the entire health system, a 40-hospital system spanning Pennsylvania, New York, and Maryland. Surge staffing models were developed using this framework to assure that local needs were balanced with system resource supply, with rapid enhancement and expansion of tele-ICU capabilities. The ICU pandemic...Continue Reading

References

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Citations

Dec 18, 2020·Current Opinion in Pulmonary Medicine·Gavin Harris, Amesh Adalja
Feb 11, 2021·Journal of General Internal Medicine·Sachin R PendharkarGabriel E Fabreau
Feb 9, 2021·Critical Care Medicine·Meeta Prasad KerlinJeremy M Kahn
Mar 17, 2021·AACN Advanced Critical Care·John J Gallagher, Jennifer Adamski
Sep 3, 2021·Nursing in Critical Care·Yongxing Patrick LinEe-Yuee Chan
Jul 6, 2021·Annals of Internal Medicine·Sameer S KadriSarah Warner

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