Page 13 - Accomplishments Dr. Sinnott and Dr. Oxner Revised Table_Classical

COVID -19 Internal Medicine projects accomplished in collaboration with other teams
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March 1 – April 30 Updated

Protection of Staff and Patients prior to admission or office visit

• Developed Alternative care site with ED to prevent potentially positive patients from entering ED
• Developed Outside hospital transfer protocol to screen for COVID-19 patients
• Developed door screening algorithm to appropriately mask (exposed but not symptomatic) or pull aside (symptomatic regardless of
exposure) patients before they enter ambulatory buildings and provide them testing
• Participated in converting in-person visits to telehealth video visits to keep patients at home
• Designed and re-routed call center for all incoming calls with symptoms of respiratory illness or trying to schedule an appointment but
symptomatic to go to specialized respiratory call team

Inpatient Patient Care

• Creating an ED isolation unit for patients suspected of having COVID-19
• Creating an isolation ICU for COVID patients requiring ICU level care
• Creating a pathway for outpatient discussions about patients' desire to be transferred to the hospital/get intubated
• Developing a pathway for COVID-19 positive patients with DKA to reduce physician and nurse exposure
• Created our own internal telemedicine palliative care consult service
• Created protocols for ICU management of patients using evidence-based guidelines
• Developed multi-staged COVID Containment plan with triggers as COVID becomes more prevalent with staffing modification across
Hospitalist, Pulm crit, and ID

Testing

• Created a testing pathway to prioritize SARS-COV2 testing to those with the highest need
• Created a "STAT" testing pathway for those patients whose results will meaningfully change their plan of care
• Created safe, isolated ambulatory testing sites at Morsani and 17 Davis
• Coordinated with infection prevention to create a "Rapid Response" team to go swab patients when they are on the inpatient floor to
ensure proper collection and get results ASAP
• Developed a dashboard to monitor number of tests order a day, number of tests completed, number of positive test and number of
positive patients admitted

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