OB-COVID Surge Plan for OBGYN Department Inpatient Care
The OB-COVID Surge Plan outlines the strategies and roles for managing COVID-positive and persons under investigation (PUI) patients in the OBGYN department. The plan includes creating a dedicated OB-COVID team, adjusting inpatient faculty coverage, coordinating with various specialties, and ensuring round-the-clock care for patients. Specific responsibilities are assigned to different team members based on day and night shifts to provide comprehensive care for COVID-positive patients in labor and postpartum.
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OBGYN Department OB-COVID Inpatient Surge Plan
COVID TRIGGER: 5-8 COVID+ and PUI - Evaluate at 5 - Create dedicated OB-COVID team - Ward attending becomes COVID weekday - Add COVID night/weekend attending Current inpatient OBGYN faculty coverage - L&D day - L&D night/weekend (COVID) - Ward attending (COVID) - L&D day - L&D night/weekend - Ward attending COVID day - COVID night/weekend - MFM inpatient - ONC inpatient/OR - CNM inpatient - MFM - ONC helps cover weekday ED/OR - CNM helps cover PP, L&D as needed
OBGYN Department COVID-19 OB Team
Overview The primary team caring for this group of patients with be the COVID- 19 OB attending and resident. The MFM COVID-19 fellow will round with this team and function as the primary point of contact with MFM. MFM consultation will be requested as needed but not necessarily on all patients. Department of hospital medicine has identified a liaison to help round on COVID-OB patients for both systems and medical support. 0700 1900 Tiger Connect role current Anthony Worsham (Zinc 3); planned role Hospitalist Assist role under the OB portion 1900 - 0700 Tiger Connect role: Zinc Medicine Night Attending
COVID-19 OB Attending (day) This is currently the GYN Ward Attending M-F and the primary L&D call person on the weekend. Round on patients admitted to the COVID-19 OB service at 0830 Complete documentation on all patients seen through the day Evaluate, including swabbing, patients in OB Triage who are PUIs/known positives Provide care for COVID+ patients in labor with a primary goal to care for and deliver these patients during the day. Coordinate care with L&D attending depending on other patient care responsibilities. Contact COVID-19 Mother Baby Unit Attending to plan postpartum care for COVID+ patients or PUIs are admitted in labor.
COVID-19 OB Attending (night) This is currently the primary L&D call person. Provide signout for patients admitted to the COVID-19 OB service during the L&D multidisciplinary board sign-out at 1945 Complete documentation on all patients seen through the night Evaluate, including swabbing, patients in OB Triage who are PUIs/known positives Care for all patients admitted to the COVID-19 OB service as needed overnight including patients in labor.
COVID-19 OB Resident and MFM Fellow Resident MFM Fellow Prepare for AM rounds and begin inpatient progress note. Do not enter patient s room unless acute issue Join multi-disciplinary L&D rounds at 0745 Round on OB-COVID patients with attending at 0830 Cover floor calls Finalize inpatient progress note Participate in documentation and care as directed by attending for patients in OB Triage who are PUIs/known COVID+ Care for patients in labor and perform delivery Communicate with resident prior to 0830 re: number and acuity of patients. Participate in prerounding/rounds prn Coordinate transfer to MFM service for PUIs who ultimately test negative Provide patient care when SAC/ICU level care is needed Provide formal, documented MFM consultation (in communication with MFM attending) when requested by COVID-19 OB Attending Coordinate outpatient care and provide outpatient follow up in OB Triage as needed for COVID-19 positive pregnant patients
COVID-19 OB Patient Communication PowerChart Patient List is coming in the next few days. Until this is live, please admit patients to the Gynecology service. Weekday Ward Attending Rounds 0645 COVID OB Night -> Day attending signout prn 0700 Ward Attending GYN rounds with L&D PGY2 0730 Ward Attending ROB PP rounds with L&D PGY1 0745 COVID-19 OB Resident joins L&D zoom signout 0830 COVID-19 OB patient rounds 1945 COVID-19 OB Attending joins L&D zoom signout
