NEW QUESTIONS: COVID-19 Data Sharing Part 2
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InstitutionPlease indicate how many pediatric COVID-19 patients have been cared for in your institution (as inpatients)?Please indicate the number of asymptomatic COVID-19+ positive patients who have received operations at your institution?Has your institution/group seen adverse events for patients who received an operation while COVID-19+ and asymptomatic? If so, please describeIs your Institution experiencing a COVID-19 surge? (1) NO (2) YESIs there a state-wide exectuve order currently in place restricting elective or non-emergent surgeries and procedures in your area? (1) NO (2) YESIf YES, list date exectuve order went into effect (MM/DD/YY)If a patient is COVID-19(+), would you delay an elective procedure? If so when would you reschedule? (1) NO, (2) YES- <4 weeks (3) YES ->4 weeks (4) YES- Unspecified date of reschedule (5) (If other, please describe)If a patient's elective surgery was delayed due to being positive for COVID-19, do you routinely re-test for COVID-19 before the date of the rescheduled procedure? (1) No - no retest if asymptomatic and previously COVID-19 positive (2) Yes- retest even if was asymptomatic and previously positive (3) Yes- retest only for previously symptomatic and positive (4)- OtherWould you continue to re-test until negative? (1) No (2) YesAre you utilizing non-op management of appendicitis more frequently than pre-COVID-19 era? (1) NO (2) YES (3) (If other, please describe)For a COVID-19(+) patient, what is the protocol for intubation? (1) Anesthesiology team alone in room during intubation; (2) Anesthesiology and surgical team in room (3) Intubate in negative pressure room and then transition to usual OR (4) (If other, please describe)For a COVID-19(+) patient undergoing laparoscopic procedure, what protocol does the surgical team currently have for PPE? (1) N95 with eye protection (face shield or goggles); (2) N95 without eye protection (3) Surgical mask with eye protection; (4) Surgical mask without eye protection (5) (If other, please describe)For a COVID-19(+) patient undergoing open procedure, what protocol does the surgical team currently have for PPE?
(1) N95 with eye protection
(2) N95 without eye protection
(3) Surgical mask with eye protection
(4) Surgical mask without eye protection
In a patient's elective surgery was delayed due to being positive for COVID-19, do you routinely re-test for COVID-19 before the date of the rescheduled procedure? (1) No - no retesting as long as they remain asymptomatic (2) Yes- retest regardless of symptoms (3) Other (please describe) If so, how? (please specify PPE requirements for airway/trach/ent cases)What screening measures does your hospital implement for perioperative staff to reduce/prevent COVID-19 transmission? (1) Check temperature only (2) Screening Survey Only (3) Temperature and Screening Survey (4) if other, please describeHas your hospital implemented universal masking and eye protection for providers during all patient encounters? (1) NO (2) YES- Universal Masking (only) for all patient encounters (3) YES- Universal Masking and Eye protection for all patient encounters (providers only) (4) YES- Universal masking and eye protection for all encounters (All staff) (5) if other, please describeDoes your hospital implement social distancing in common areas (lounges, break rooms)? (1) NO (2) YESWhat is the current criteria for scheduling elective cases? (1) No restrictions on elective-case scheduling (2) Hospital-created protocol (3) State-created protocol (4) Perioperative algorithm (eg. PMENTS) (5) Attending surgeon preference (6) if other, please describeWhat percentage of your clinic visits are seen in-person versus telemedicine? (Please report approximate %in-person and %telemedicine)Please report which of the following cases would require an in-person clinic visit? (1) New patient visit (2) Established patient follow-up (3) Preoperative visit/Evaluation (4) Postoperative visit (5) if other, please describeHas your institution resumed pre-COVID full medical student participation? (1) NO (2) YESFor COVID+ patients, are medical students participating in surgical cases? (1) NO (2) YESFor COVID19(+) patients, are residents involved in consults/operative cases? (1) NO to both (2) Only seeing COVID+ CONSULTS, no operative cases for COVID-19(+) patients (3) Ok to OPERATE on COVID-19 (+) patients, not seeing COVID-19(+) consults (4) YES, ok seeing both consults and participating in operative cases with COVID-19(+) cases (5) if other, please describeHave any surgical staff contracted COVID-19 since May 2020? (1) NO (2) YESIf YES, did/has this impacted call schedules? Please explain.Does your institution limit the size of rounding teams? (1) NO (2) YES (3) if other, please describeIf limiting size of rounding teams, do team members join virtually? (1) NO (2) YES (3) if other, please describeDoes your institution require outpatient COVID-19 testing for scheduled cases? If so, please indicate the allowed timeframe for testing prior to surgery: (1) No (2) Yes- up to 48 hrs before (3) Yes- up to 72 hrs before (4) Yes- up to 5 days before (5) Yes- up to 7 days before (6) if other, please describeDoes your instituion require COVID-19 testing of parents or caregivers for scheduled cases? (1) NO (2) YES (3) if other, please describeYour NameDate of UpdateAdditional Notes/Comments
2
Sick Kids TorontoNo
No, in ramp up process
NA
Yes - unspecified date
No - only non-op if COVID-19 positive or delayed presentation
11 and smoke evacuator12
Minimizing any staff in the room
4) Screening and self reporting of any symptoms, with mandate home stay if symptomatic.
22
2 - currently in ramp up phase, as Ontario case numbers decraseing
75% telemedicine 25% in person, with in person slow increase again
5 - in person if patient has additional imaging or lab work or if needs a procedure (dilatation, suture removal, tube change, etc)
1, plan to resume in September
1
5, we had very few patients. Fellows yes, try to avoid resident exposure
1NA
1 - not currently. In March - June limited vulnerable personel
NA21
Reto Baertschiger
8-14-2020
3
UT Houston/ Children's Memorial Hermann
Yes
No, pediatric surgical cases have not been limited. Adult cases are currently limited to those who do not require ICU.
Yes - per protcol min of 10 days after test in asymptomatic patients, >10 days since last symptoms if symptomatic
No 2
1 with Air Seal and smoke evac
11332250/50
5- in person has a physical exam that has something that needs to be seen in person
2142
OR has been short-staffed at times. No attendings have been positive, but a fellow and residents have been positive.
1, not surgical, but medical teams have. <10 people per pod in the NICU
virtually for the pediatrics service
31
Akemi Kawaguchi
8/14/2020
4
Lurie Children's ChicagoNoNon/a
Yes - 2 weeks and a neg test
No11, no smoke evac1unsure231190/10
5 - attending preference
2141n/a1n/a31Mehul Raval8/15/20
5
Nemours-AI duPont Hosp for Children
Nono
yes - 4 weeks and neg test
no1
3 or 1 dep on surg pref, also smoke evac
3 or 1 dep on surg pref
2 - for airway/EGD, whole team wears N95 whole time. for others, not req to wear N95 after induction but many still are
32
2 - they try but hard to really enforce
185/155- patient pref2
we have not had any since studs came back but probably no
42
we had converted to a block sched so easy to shuffle around but had to cover a 2-week absence until cleared for return
2 - no more than 5-6
231Loren Berman8/19/2020
6
University of Rochester (NY)11
happened in the past, but no longer in place. We do have to document whether a case in elective or non-elective. All elective cases require a negative COVID test within 3 days
311132
N95 mask and negative pressure room
2422 and 3 really50/50
5 - not all new visits are done in person. We see new hernias in person. Most established are telemedicine and nearly all post-op are telemed now
2, with limitations (clinical MS are back, but no shaddowing yet)
Not sure. It has not come up. I think the answer would be 1
41 (not that I know of)N/A
1 (not really anymore. we are asked to minimize the size, but there is certainly no enforecement mechanism)
NA31
Derek Wakeman
8/20/20
7
Dhaka Shishu ( Children) Hospital, Bangladesh
YesNoN/A2125 (No Laparoscopy)12StandardScreening222100/042242
Duties resheduled
1132
Ashrarur Rahman Mitul
08/27/2020
8
Children's Mercy Hospital8233no11N/A222
3 (continuing to enroll for non-operative appy trial, RCT looking at op vs nonop for acute appendicitis)
1 and 2112
for airway/EGD, whole team wears N95 whole time. for others, not req to wear N95 after induction but many still are
3421
80/20 (depends on clinics/providers though i do 50/50
5- depends on complaint, all visits can be completed virtually prior to OR for some children
112 (residents), 4 (fellows)1n/a2221
Rebecca Rentea
09/30/2020
9
UCSF Benioff Children's Hospitals
11n/a221111
COVID + pateints with same protocol no matter what the procedure
242160/40
5 - physical exam mandatory
1142
1 temporary cross coverage needed
2231Chris Newton09/30/2020
10
Texas Children's Hospital
4210 positive across the system - all locations
Approx 80 thru end of August
No21n/a21111111342150/505 - pat/attending pref21411n/a31Monica Lopez 9/30/2020
11
University of VirginiaApproximately 105NoNoNO22111112242180/205 - Need for PE2142
Yes, other attendings stood up
1122Jeff Gander9/30/2020
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