Chapter 4. Manpower

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


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 languageEnglish (US)
JournalIntensive Care Medicine
Issue numberSUPPL. 1
StatePublished - Apr 2010


  • Disaster
  • H1N1
  • Hospital
  • Influenza epidemic
  • Intensive care unit
  • Manpower
  • Pandemic
  • Recommendations
  • Standard operating procedures

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


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