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Chapter 4. Manpower. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
Intensive Care Med. 2010 Apr; 36 Suppl 1:S32-7.IC

Abstract

PURPOSE

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on manpower.

METHODS

Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including manpower.

RESULTS

Key recommendations include: (1) plan to access, coordinate and increase labor resources for continued and expanded ICU care including increasing critical care specialists and expanded practice for non-critical care personnel; (2) develop an education, awareness, preparation and communication program to ensure a well-protected and prepared workforce with coordinated rapid manpower expansion; (3) maintain a central inventory of all clinical and non-clinical staff with their current roles along with possible emergency re-training possibilities; (4) coordinate all clinical and non-clinical staffing requirements and determine the hospital's daily needs including a sick and no-show list together with ICU requirements; (5) provide clinical care to patients only with clinical staff and not with non-clinical staff; (6) delegate duties not within the scope of workers' practice under crisis conditions with proper supervision and support from experienced clinicians to ensure patient safety; (7) intensivists should supervise nonintensivist physicians to expand the workforce if patient surge exceeds the number of available ICU-trained specialists.

CONCLUSIONS

Judicious planning and adoption of protocols for providing adequate manpower are necessary to optimize outcomes during a pandemic.

Authors+Show Affiliations

Intensive Care Unit, Division of Infectious Diseases, Division of Pulmonary and Critical Care Medicine, UC Davis School of Medicine, Sacramento, CA 95820, USA.No affiliation info available

Pub Type(s)

Guideline
Journal Article

Language

eng

PubMed ID

20213419

Citation

Sandrock, Christian, and European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. "Chapter 4. Manpower. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster." Intensive Care Medicine, vol. 36 Suppl 1, 2010, pp. S32-7.
Sandrock C, European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Chapter 4. Manpower. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Med. 2010;36 Suppl 1:S32-7.
Sandrock, C. (2010). Chapter 4. Manpower. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Medicine, 36 Suppl 1, S32-7. https://doi.org/10.1007/s00134-010-1767-y
Sandrock C, European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Chapter 4. Manpower. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster. Intensive Care Med. 2010;36 Suppl 1:S32-7. PubMed PMID: 20213419.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chapter 4. Manpower. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. AU - Sandrock,Christian, AU - ,, PY - 2010/3/10/entrez PY - 2010/3/23/pubmed PY - 2010/6/24/medline SP - S32 EP - 7 JF - Intensive care medicine JO - Intensive Care Med VL - 36 Suppl 1 N2 - PURPOSE: To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on manpower. METHODS: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including manpower. RESULTS: Key recommendations include: (1) plan to access, coordinate and increase labor resources for continued and expanded ICU care including increasing critical care specialists and expanded practice for non-critical care personnel; (2) develop an education, awareness, preparation and communication program to ensure a well-protected and prepared workforce with coordinated rapid manpower expansion; (3) maintain a central inventory of all clinical and non-clinical staff with their current roles along with possible emergency re-training possibilities; (4) coordinate all clinical and non-clinical staffing requirements and determine the hospital's daily needs including a sick and no-show list together with ICU requirements; (5) provide clinical care to patients only with clinical staff and not with non-clinical staff; (6) delegate duties not within the scope of workers' practice under crisis conditions with proper supervision and support from experienced clinicians to ensure patient safety; (7) intensivists should supervise nonintensivist physicians to expand the workforce if patient surge exceeds the number of available ICU-trained specialists. CONCLUSIONS: Judicious planning and adoption of protocols for providing adequate manpower are necessary to optimize outcomes during a pandemic. SN - 1432-1238 UR - https://www.unboundmedicine.com/medline/citation/20213419/Chapter_4__Manpower__Recommendations_and_standard_operating_procedures_for_intensive_care_unit_and_hospital_preparations_for_an_influenza_epidemic_or_mass_disaster_ L2 - https://dx.doi.org/10.1007/s00134-010-1767-y DB - PRIME DP - Unbound Medicine ER -