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Journal of General Internal Medicine ; 37:S601, 2022.
Article in English | EMBASE | ID: covidwho-1995633


STATEMENT OF PROBLEM/QUESTION: Personal protective equipment (PPE) has allowed medical students to return to the hospital to continue their clinical responsabilities during the COVID-19 pandemic, however problems with use remain. Throughout the pandemic, stewardship of personal protective equipment has been an immense challenge. Multiple surveys have shown that less than 40% of healthcare providers wore all mandatory PPE during a patient encounter. One potential explanation for challenges in compliance, is that no standardized practices exist for keeping track of an individual's PPE during the work day. As a result, resources can be lost or mixed up between individuals, ultimately increasing exposure risks and decreasing compliance with hospital PPE use guidelines. In response, this study sought to design two innovative and inexpensive solutions to promote the effective use of masks and safety glasses in compliance with hospital guidelines. The aim was to determine if providing stewardship devices would increase compliance. DESCRIPTION OF PROGRAM/INTERVENTION: Seventy-eight medical students in their third and fourth year clinical rotations at the Icahn School of Medicine at Mount Sinai participated in the study. The study lasted three weeks. Each intervention week, participants were provided with a new set of PPE stewardshp devices. Device one was a disposable eye protection lanyard. Device two was a breathable and water-dissolvable PPE pocket storage device that could be attached to a hospital gown. MEASURES OF SUCCESS: To monitor whether the devices increased PPE compliance, participants were administered a pre-survey consisting of 21 questions. Three identical surveys were administered each subsequent intervention week, to assess effectiveness of the devices on PPE compliance. The surveys used a likert scale model to measure whether students' PPE use and ease of use and availability differed pre- and post-intervention. FINDINGS TO DATE: These interventions helped students better adhere to hospital PPE guidelines- 75% for lanyard wearers and 44% for PPE pocket users. Our results further showed 86% of participants reported that PPE was more accessible when provided with lanyards. The attachable pocket similarly increased PPE compliance, however there was a high attrition rate with its usage. KEY LESSONS FOR DISSEMINATION: PPE has served as an incredibly effective tool for limiting the spread of COVID-19. These results suggest that providing medical students with a PPE lanyard device can increase the compliance of eye protection use.

Open Forum Infectious Diseases ; 7(SUPPL 1):S337, 2020.
Article in English | EMBASE | ID: covidwho-1185900


Background: COVID-19 is an emerging pathogen that has caused a global pandemic, with New York City as one of its epicenters. Data are still forthcoming if pregnant women are more vulnerable to COVID-19, as they are with influenza. Additionally, it is not known if infants born to COVID-19 positive women are at risk of being infected at birth. Methods: In March 2020, our hospital instituted a policy of testing all pregnant women presenting for active labor and scheduled C-section or induction of labor, with a nasopharyngeal swab that was sent for RT-PCR qualitative SARSCoV- 2 assay (Roche Cobas® 6800). Upon birth, infants were also tested, unless the parent did not give consent. We retrospectively reviewed the COVID-19 test results of all pregnant women and their infants, from March 23 through May 31, 2020 using our infection control surveillance system (VigiLanz®). We also reviewed the electronic medical record (EPIC®) for documentation of any symptoms consistent with COVID-19 infection either prior to hospitalization or during the hospital stay. Results: A total of 415 women and 72 infants were tested for SARS-CoV-2. Of the 415 women tested, 41 (9.9%) were positive. Of the 72 infants tested, 2 (2.8%) were positive and concordant with their birth parent. Only 1 (2.4%) of the women who tested positive was symptomatic. The remaining 40 (97.6%) women did not report any symptoms of COVID-19 during labor. Neither of the two positive infants displayed any signs or symptoms of COVID-19. Of the 41 women who were positive, 5 did not consent to have their infant tested. The one symptomatic woman who tested positive for COVID-19 had an infant who tested negative by PCR. Conclusion: During the first wave of the COVID-19 pandemic, we found 9.9% (41/415) of pregnant women presenting for labor tested positive for SARS-CoV-2. Among the 41 women who tested positive, only 1 (2.4%) had symptoms on presentation and only 2 newborn infants tested positive. Our data suggests that pregnant women may not be at increased risk for complications from COVID-19 disease and are not likely to transmit the disease to their infants during labor.