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Emergency department 'outbreak rostering' to meet challenges of COVID-19.
Chua, Wei Lin Tallie; Quah, Li Juan Joy; Shen, Yuzeng; Zakaria, Nur Diana; Wan, Paul Weng; Tan, Kenneth; Wong, Evelyn.
  • Chua WLT; Emergency Medicine, Singapore General Hospital, Singapore tallie.chua.w.l@singhealth.com.sg.
  • Quah LJJ; Emergency Medicine, Singapore General Hospital, Singapore.
  • Shen Y; Emergency Medicine, Singapore General Hospital, Singapore.
  • Zakaria ND; Emergency Medicine, Singapore General Hospital, Singapore.
  • Wan PW; Emergency Medicine, Singapore General Hospital, Singapore.
  • Tan K; Emergency Medicine, Singapore General Hospital, Singapore.
  • Wong E; Emergency Medicine, Singapore General Hospital, Singapore.
Emerg Med J ; 37(7): 407-410, 2020 07.
Article in English | MEDLINE | ID: covidwho-422200
ABSTRACT
The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the emergency department. Infection of a single healthcare worker may require quarantine of close contacts at work. This may thus affect a potentially large number of staff. As such, we developed an Outbreak Response Roster. This Outbreak Response Roster had fixed teams of doctors working in rotation, each team that staff the emergency department in turn. Members within teams remained constant and were near equally balanced in terms of manpower and seniority of doctors. Each team worked fixed 12 hours shifts with as no overlapping of staff or staggering of shifts. Handovers between shifts were kept as brief as possible. All these were measures to limit interactions among healthcare workers. With the implementation of the roster, measures were also taken to bolster the psychological wellness of healthcare workers. With face-to-face contact limited, we also had to maintain clear, open channels for communication through technology and continue educating residents through innovative means.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Emergency Service, Hospital Type of study: Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Emerg Med J Journal subject: Emergency Medicine Year: 2020 Document Type: Article Affiliation country: Emermed-2020-209614

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Emergency Service, Hospital Type of study: Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Emerg Med J Journal subject: Emergency Medicine Year: 2020 Document Type: Article Affiliation country: Emermed-2020-209614