1. Keeping the Team Together: Transformation of an inpatient neurology service at an urban, multi-ethnic, safety net hospital in New York City during COVID-19
- Author
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Katarzyna Jakubowska-Sadowska, Blanca Vazquez, D. Ethan Kahn, Mariana Szuchumacher, Dewi Deveaux, Elina Zakin, Mirza Omari, Elizabeth Douglas, Ting Zhou, Alexander Chervinsky, Jennifer A. Frontera, Nada Abou-Fayssal, Sun Kim, Gianna Locascio, Amy Jongeling, Aaron Lord, Nisida Berberi, Nicole Lombardi, Michael Boffa, Kammi Grayson, Shadi Yaghi, Laura Mansfield, Kelley Humbert, Patrick Kwon, Matt Sanger, and Katherine Evans
- Subjects
Coronavirus disease 2019 (COVID-19) ,Critical Care ,Safety net ,Pneumonia, Viral ,education ,Ethnic group ,Hospital Departments ,Personnel Staffing and Scheduling ,Clinical Neurology ,Article ,Tertiary Care Centers ,03 medical and health sciences ,Betacoronavirus ,0302 clinical medicine ,Hospitals, Urban ,Neuroscience Nursing ,Interpersonal support ,Pandemic ,medicine ,Humans ,Neurology Administration ,Pandemics ,Neurology Residency ,Service (business) ,business.industry ,SARS-CoV-2 ,Internship and Residency ,COVID-19 ,Electroencephalography ,General Medicine ,Tertiary care hospital ,medicine.disease ,Stroke ,Neurology ,030220 oncology & carcinogenesis ,Neurohospitalist ,New York City ,Surgery ,Neurology (clinical) ,Medical emergency ,business ,Coronavirus Infections ,030217 neurology & neurosurgery ,Safety-net Providers - Abstract
Highlights • Neurology teams can care for patients with COVID-19 in lieu of being redeployed. • Maintaining team structures has advantages to redeployment during pandemic surges. • Streamlining neurological services increases capacity to care for COVID-19 patients., The COVID-19 pandemic dramatically affected the operations of New York City hospitals during March and April of 2020. This article describes the transformation of a neurology division at a 450-bed tertiary care hospital in a multi-ethnic community in Brooklyn during this initial wave of COVID-19. In lieu of a mass redeployment of staff to internal medicine teams, we report a novel method for a neurology division to participate in a hospital’s expansion of care for patients with COVID-19 while maintaining existing team structures and their inherent supervisory and interpersonal support mechanisms.
- Published
- 2020