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.
| Original language | English (US) |
|---|---|
| Journal | Intensive Care Medicine |
| Volume | 36 |
| Issue number | SUPPL. 1 |
| DOIs | |
| State | Published - Apr 2010 |
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Keywords
- Disaster
- H1N1
- Hospital
- Influenza epidemic
- Intensive care unit
- Manpower
- Pandemic
- Recommendations
- Standard operating procedures
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
Cite this
Chapter 4. Manpower. / Sandrock, Christian E.
In: Intensive Care Medicine, Vol. 36, No. SUPPL. 1, 04.2010.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Chapter 4. Manpower
AU - Sandrock, Christian E
PY - 2010/4
Y1 - 2010/4
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.
AB - 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.
KW - Disaster
KW - H1N1
KW - Hospital
KW - Influenza epidemic
KW - Intensive care unit
KW - Manpower
KW - Pandemic
KW - Recommendations
KW - Standard operating procedures
UR - http://www.scopus.com/inward/record.url?scp=77951156063&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77951156063&partnerID=8YFLogxK
U2 - 10.1007/s00134-010-1767-y
DO - 10.1007/s00134-010-1767-y
M3 - Article
C2 - 20213419
AN - SCOPUS:77951156063
VL - 36
JO - Intensive Care Medicine
JF - Intensive Care Medicine
SN - 0342-4642
IS - SUPPL. 1
ER -