Nurse-led Field Hospital: A Novel Nursing Innovation During Covid-19 Pandemic

BACKGROUND Lightweight portable ultrasound is widely available, especially in inaccessible geographical areas. It demonstrates effectiveness and diagnosis improvement even in field conditions but no precise information about protocols, acquisition time, image interpretation, and the relevance in changing medical conduct exists. The COVID-19 pandemic implied many severe cases and the rapid construction of field hospitals with massive general practitioner (GP) recruitment. OBJECTIVE This prospective and descriptive study aimed to evaluate the feasibility of telemedicine guidance using a standardized multi-organ sonographic assessment protocol in untrained GPs during a COVID-19 emergency in a field hospital. METHODS Eleven COVID-19 in-patients presenting life-threatening complications, attended by local staff who spontaneously requested on-time teleconsultation, were enrolled. All untrained doctors successfully positioned the transducer and obtained key images guided by a remote doctor via telemedicine, with remote interpretation of the findings. RESULTS Only four (36%) general practitioners obtained the appropriate key heart image on the left parasternal long axis window, and three (27%) had an image interpreted remotely on-time. The evaluation time ranged from seven to 42 minutes, with a mean of 22.7 + 12. CONCLUSIONS Telemedicine is effective in guiding GPs to perform portable ultrasound in life-threatening situations, showing effectiveness in conducting decisions.

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Improvement of medical and technological support of emergency department in multi-field hospital (analytical literature review)

EMERGENCY MEDICINE ◽

10.22141/2224-0586.2.81.2017.99688 ◽

2017 ◽

Vol 0 (2.81) ◽

pp. 21-27

Author(s):

G.G. Roshchin ◽

V.Yu. Kuzmіn ◽

E.D. Moroz ◽

M.D. Blyznjuk ◽

V.O. Kryliuk ◽

...

Keyword(s):

Emergency Department ◽

Literature Review ◽

Field Hospital ◽

Technological Support

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Standing up a large COVID-19 field hospital pharmacy: The Javits experience

Pharmacy Today ◽

10.1016/j.ptdy.2020.12.012 ◽

2021 ◽

Vol 27 (1) ◽

pp. 35-37

Author(s):

Carrie Ceresa ◽

Amy Nguyen ◽

Joseph Dolph Hutter ◽

Scott F. Giberson

Keyword(s):

Hospital Pharmacy ◽

Field Hospital ◽

Standing Up

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Anesthesia in Northern Iraq: An Audit from a Field Hospital

Military Medicine ◽

10.1093/milmed/159.2.86 ◽

1994 ◽

Vol 159 (2) ◽

pp. 86-90 ◽

Cited By ~ 4

Author(s):

Sean Q.M. Tighe ◽

Simon V. Rudland

Keyword(s):

Field Hospital ◽

Northern Iraq

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Infection Prevention Considerations for a Multi-Mission Convention Center Field Hospital in Baltimore, Maryland during the COVID-19 Pandemic

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.210 ◽

2021 ◽

pp. 1-21

Author(s):

Jennifer A. Jones ◽

Zishan K. Siddiqui ◽

Charles Callahan ◽

Surbhi Leekha ◽

Sharon Smyth ◽

...

Keyword(s):

Best Practices ◽

Infection Prevention ◽

Diagnostic Testing ◽

The United States ◽

Infection Prevention And Control ◽

Field Hospital ◽

First Case ◽

Convention Center ◽

Set Up ◽

And Control

Abstract The state of Maryland identified its first case of COVID-19 on March 5, 2020. The Baltimore Convention Center (BCCFH) quickly became a selected location to set up a 250-bed inpatient Field Hospital and Alternate Care Site. In contrast to other field hospitals throughout the United States, the BCCFH remained open throughout the pandemic and took on additional COVID-19 missions, including community SARS-CoV-2 diagnostic testing, monoclonal antibody infusions for COVID-19 outpatients, and community COVID-19 vaccinations. At the time of publication, the BCCFH had cared for 1,478 COVID-19 inpatients, performed 108,155 COVID-19 tests, infused 2,166 COVID-19 patients, and administered 115,169 doses of COVID-19 vaccine. To prevent the spread of pathogens during operations, infection prevention and control guidelines were essential to ensure the safety of staff and patients. Through multi-agency collaboration, utilization of infection prevention best practices, and answering what we describe as “PPE-ESP”, an operational framework was established to reduce infection risks for those providing or receiving care at the BCCFH during the COVID-19 pandemic.

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Investigating the challenges and opportunities for medicines management in an NHS field hospital during the COVID-19 pandemic

European Journal of Hospital Pharmacy ◽

10.1136/ejhpharm-2020-002364 ◽

2020 ◽

Vol 28 (1) ◽

pp. 10-15

Author(s):

Jennifer de Val ◽

Gurjit Sohal ◽

Asif Sarwar ◽

Haseeb Ahmed ◽

Inderjit Singh ◽

...

Keyword(s):

Medicines Management ◽

Field Hospital ◽

Challenges And Opportunities

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The Second Wave of COVID-19: Clinical Pharmacy Services During a Field Hospital Operation

Hospital Pharmacy ◽

10.1177/00185787211032361 ◽

2021 ◽

pp. 001857872110323

Author(s):

Jessica Mazzone ◽

Krysta Shannon ◽

Richard Rovelli ◽

Racha Kabbani ◽

Angel Amaral ◽

...

Keyword(s):

Clinical Pharmacy ◽

The State ◽

Pharmacy Services ◽

Newly Diagnosed ◽

Field Hospital ◽

Clinical Role ◽

Diagnosed Diabetes ◽

Newly Diagnosed Diabetes ◽

Second Wave

The second wave of COVID-19 emerged in the late fall months in the state of Massachusetts and inadvertently caused a rise in the number of cases requiring hospitalization. With a field hospital previously opened in central Massachusetts during the Spring of 2020, the governor decided to reimplement the field hospital. Although operations were effectively accomplished during the first wave, the reimplementation of the field hospital came with its new set of challenges for operating a satellite pharmacy. Experiences gathered include new pharmacy operation workflows, the clinical role of pharmacy services, introduction of remdesivir treatment, and pharmacy involvement in newly diagnosed diabetes patients requiring insulin teaching. Pharmacy services were successful in adapting to the rapidly growing number in patients with a total of over 600 patients served in a course of 2 months.

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