Titre
Chapter 4. Manpower. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
Type
article
Institution
Externe
Périodique
Auteur(s)
Sandrock, C.
Auteure/Auteur
Contributrices/contributeurs
Christian, M.D.
Camargo, R.
Ceraso, D.
Azoulay, E.
Duguet, A.
Guery, B.
Reinhart, K.
Adini, B.
Barlavie, Y.
Benin-Goren, O.
Cohen, R.
Klein, M.
Leoniv, Y.
Margalit, G.
Rubinovitch, B.
Sonnenblick, M.
Sprung, C.L.
Steinberg, A.
Weissman, C.
Wolff, D.
Kesecioglu, J.
de Jong, M.
Moreno, R.
An, Y.
Du, B.
Joynt, G.M.
Colvin, J.
Loo, S.
Richards, G.
Artigas, A.
Pugin, J.
Amundson, D.
Devereaux, A.
Beigel, J.
Danis, M.
Farmer, C.
Hick, J.L.
Maki, D.
Masur, H.
Rubinson, L.
Sandrock, C.
Talmor, D.
Truog, R.
Zimmerman, J.
Brett, S.
Montgomery, H.
Rhodes, A.
Sanderson, F.
Taylor, B.
Sprung, C.L.
Adini, B.
Azoulay, E.
Christian, M.D.
Cohen, R.
de Jong, M.
Montgomery, H.
Rubinson, L.
Sandrock, C.
Sonnenblick, M.
Talmor, D.
Groupes de travail
European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster
Liens vers les personnes
ISSN
1432-1238
Statut éditorial
Publié
Date de publication
2010-04
Volume
36
Numéro
Suppl 1
Première page
S32
Dernière page/numéro d’article
7
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Guideline ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including manpower.
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.
Judicious planning and adoption of protocols for providing adequate manpower are necessary to optimize outcomes during a pandemic.
Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including manpower.
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.
Judicious planning and adoption of protocols for providing adequate manpower are necessary to optimize outcomes during a pandemic.
Sujets
PID Serval
serval:BIB_F318C0759E4F
PMID
Open Access
Oui
Date de création
2023-07-07T09:04:12.412Z
Date de création dans IRIS
2025-05-21T06:15:10Z