scholarly journals Rhinologic Procedures in the Era of COVID-19: Health-care Provider Protection Protocol

2020 ◽  
Vol 34 (4) ◽  
pp. 451-455 ◽  
Author(s):  
Mohamed A. Taha ◽  
Christian A. Hall ◽  
Richard F. Rathbone ◽  
Luke A. Corsten ◽  
Charles R. Bowie ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Initial Study ◽  
Immunoglobulin M ◽  
Care Providers ◽  
Protective Measures ◽  
Post Evaluation ◽  
Contact Transmission ◽  
Polymerase Chain ◽  
Respiratory Droplets

Introduction SARS-CoV-2 has been identified as the pathogen causing the outbreak of Coronavirus Disease 2019 (COVID-19) that started in Wuhan, China, in December 2019. SARS-CoV-2 has human-to-human transmission ability and universally contagious to all populations. The main transmission patterns are respiratory droplets transmission and contact transmission. The purpose of this study is to propose a protocol that may be used as a guide to reduce the incidence of COVID-19 infections among otolaryngology care teams. Methods A prospective cohort study was conducted to show the efficacy of our protocol to prevent transmission to health-care providers from March 11, 2020 through April 14, 2020. The protocol consisted of a series of protective measures that we applied to all health-care providers, then testing of our providers for COVID-19 using reverse transcription polymerase chain reaction along with immunoglobulin M (IgM) and immunoglobulin G (IgG) testing at the end of the study period to ensure effectiveness. Results Our protocol resulted in zero transmissions to our health-care providers during the duration of the initial study. We were involved in greater than 150 sinonasal, skull base, open airway, and endoscopy procedures during this study. At the conclusion of the initial 5 weeks, we had no health-care providers test positive for SARS-CoV-2. Conclusion According to our proposed protocol, we were able to provide care for all patients in clinic, hospital, emergent, intensive, and surgical settings with no transmission of SARS-CoV-2 by symptomatology and post evaluation testing.

scholarly journals Sheet Barrier and Intubating Stylet

Encyclopedia ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 1058-1075
Author(s):  
Phil B. Tsai ◽  
Hsiang-Ning Luk
Keyword(s):  
Health Care ◽  
Tracheal Intubation ◽  
Health Care Providers ◽  
Protective Equipment ◽  
Medical Procedures ◽  
Care Providers ◽  
Risk Of Infection ◽  
Plastic Sheet ◽  
Droplet Nuclei ◽  
Respiratory Droplets

Coronavirus disease 2019 (COVID-19), a respiratory syndrome caused by SARS-CoV-2, can be transmitted through respiratory droplets and aerosols of droplet nuclei. Aerosol-generating medical procedures (AGMP) are needed to take care of critically ill patients but place health care providers at risk of infection. With limited supplies of personal protective equipment (PPE), barrier systems were developed to help protect health care providers during tracheal intubation. The video intubating stylet shows promise to become the preferred intubation device in conjunction with plastic sheet barriers during the COVID-19 pandemic.

scholarly journals Awareness and Preparedness of Egyptian House Officers toward COVID-19 Pandemic

2021 ◽  
pp. 1-9
Keyword(s):  
Health Care ◽  
Social Media ◽  
Medical Students ◽  
Health System ◽  
Health Care Providers ◽  
Management Team ◽  
Care Providers ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Protective Measures

Background: The recent spread of coronavirus disease-2019 (COVID-19) led to shortage of health care providers in all countries. House officers and medical students may have a role in solving this problem. Objective: The study aims to measure and discuss the readiness of Egyptian house to be part of the health system facing the current COVID-19 pandemic. Methods: A cross-sectional online questionnaire was conducted on sample of house officers from different Egyptian universities through announcement on social media groups over a period of one month during May 2020. Results: Nine-hundred seventy four Egyptian house officers participated in this study. Only 38.8% of respondent agreed to be a member of COVID-19 management team, 70.4% of participants depend on social media as a source for their information. The analysis of the results shows that participants significantly need more information about the protective measures and how to report suspected cases. Conclusions: Egyptian house officers need more training before being involved in the health care system for facing COVID-19.

scholarly journals Protective Behaviour against COVID 19 and Telemedicine Use among the Pregnant Women during Pandemic Period: A Cross Sectional Study

2020 ◽  
pp. 44-52
Author(s):  
S. Anil Bindu Sukumaran ◽  
L. Manju ◽  
Divija Vijith ◽  
Regi Jose ◽  
Meghana Narendran ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Antenatal Visit ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Protective Measures ◽  
Protective Behaviour

Even though pregnant women are more prone to have severe COVID 19, few studies have been conducted on their protective behaviours against this disease in our country during the COVID-19 pandemic. Fear of getting COVID infection may prevent antenatal women from visiting hospitals for routine antenatal checkups and utilization of telemedicine may be an alternative to get connected with their health care providers during the pandemic. Aims: To evaluate the protective behaviour adopted by pregnant women during the COVID pandemic and their utilization of teleconsultation for antenatal care. Methods: A cross- sectional study was conducted among pregnant women attending three selected hospitals in Trivandrum District in Kerala during May to August 2020. The data was collected from a random sample of 252 pregnant women registered in these hospitals using a self-administered semi-structured questionnaire. Results: Around 89% of pregnant women had adopted good practice to protect themselves against the COVID 19. About 94% wore a mask whenever they went outside. About 72% completely avoided crowded place. About 72% had rated themselves to have good or very good knowledge regarding protective measures of COVID 19. Among the pregnant women, 61(24.2%) missed their scheduled antenatal visit once, 32(12.7%) missed twice and 8(3.2% missed three or more times during the pandemic period. Half of the pregnant women utilized telemedicine facility during the pandemic to stay connected with their doctors. But 31% were not aware of telemedicine facility in hospitals, while 1.6% does not have an internet access. Higher age group, current employment status and area of residence was found to be associated with poor practice. Conclusions: Nearly 89% pregnant women adopted good protective measures against COVID19. Measures need to be taken to improve the availability of telemedicine facility in hospitals for antenatal women and to improve awareness about it among public which may help the antenatal women to stay connected with their health care providers during this pandemic.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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