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Stepwise Strategic Mitigation Planning in a Pediatric Oncology Center During the COVID-19 Pandemic.
Szenes, Victoria; Bright, Rachel; Diotallevi, Deborah; Melendez, Giselle; Martinez, Cassie; Zakak, Nicole; Killinger, James; Gilheeney, Stephen; Roberts, Stephen S; Kamboj, Mini; Bender, Julia Glade; Kung, Andrew L; Boulad, Farid.
Afiliación
  • Szenes V; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Bright R; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Diotallevi D; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Melendez G; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Martinez C; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Zakak N; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Killinger J; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Gilheeney S; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Roberts SS; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Kamboj M; Department of Medicine, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Bender JG; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Kung AL; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Boulad F; Department of Pediatrics, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.
J Pediatr Oncol Nurs ; 38(3): 176-184, 2021.
Article en En | MEDLINE | ID: mdl-33684017
Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) first reached the United States in January 2020. Located in New York City (NYC), MSK Kids, at Memorial Sloan Kettering Cancer Center services, is one of the largest pediatric cancer centers in the U.S., caring for children, teenagers, and young adults with cancer, immune deficiencies, and blood disorders. Methods: Implementation for infection mitigation and ongoing care of patients included: (1) the creation of a strategic planning team of physicians, advanced practice providers, nurses, and administrators to develop guidance and workflows, (2) continuous reassessment of patients' needs for hospital services and visit frequency, (3) the use of telemedicine to replace in-person visits, (4) the use of satellite regional centers to manage patients living outside NYC, (5) pre-screening of patients prior to visits for risks and symptoms of coronavirus disease 2019 (COVID-19) infection, (6) day-of-service screening for risks or symptoms of COVID-19 infection, (7) surveillance testing of children and their caregivers, and (8) creation of cohort plans for the management of COVID-19 positive and uninfected patients within the same institution, in both the outpatient and inpatient settings. Results: We describe the timeline for planning mitigation during the first weeks of the pandemic, and detail in a stepwise fashion the rationale and implementation of COVID-19 containment efforts in the context of a large pediatric oncology program. Discussion: Our experience offers a model on which to base strategic planning efforts at other pediatric oncology centers, for continued preparedness to combat the threat posed by SARS-CoV-2 worldwide.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pediatría / Planificación Estratégica / Instituciones Oncológicas / COVID-19 / Neoplasias Tipo de estudio: Guideline Límite: Adolescent / Adult / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: J Pediatr Oncol Nurs Asunto de la revista: ENFERMAGEM / NEOPLASIAS / PEDIATRIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pediatría / Planificación Estratégica / Instituciones Oncológicas / COVID-19 / Neoplasias Tipo de estudio: Guideline Límite: Adolescent / Adult / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: J Pediatr Oncol Nurs Asunto de la revista: ENFERMAGEM / NEOPLASIAS / PEDIATRIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos