Stepwise strategic mitigation planning in a pediatric oncology center during the COVID-19 pandemic Journal Article


Authors: Szenes, V.; Bright, R.; Diotallevi, D.; Melendez, G.; Martinez, C.; Zakak, N.; Killinger, J.; Gilheeney, S.; Roberts, S. S.; Kamboj, M.; Glade Bender, J.; Kung, A. L.; Boulad, F.
Article Title: Stepwise strategic mitigation planning in a pediatric oncology center during the COVID-19 pandemic
Abstract: 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. © 2021 by Association of Pediatric Hematology/Oncology Nurses.
Keywords: infection; safety; telehealth; covid-19
Journal Title: Journal of Pediatric Oncology Nursing
Volume: 38
Issue: 3
ISSN: 1043-4542
Publisher: Sage Publications  
Date Published: 2021-05-01
Start Page: 176
End Page: 184
Language: English
DOI: 10.1177/1043454221992301
PUBMED: 33684017
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 June 2021 -- Source: Scopus
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