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editorial
. 2020 Apr 27;2(3):e177–e183. doi: 10.1016/j.asmr.2020.04.008

Table 3.

Recommended Precautions and Actions: Facility and Region

Each geographic region and facilities within it must assess the availability of the following and proceed accordingly if a shortage occurs or is expected32:
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    Personal protective equipment supply

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    Staffing

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    Beds (specifically, intensive care unit beds)

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    Ventilators

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    Medications, anesthetics and all surgical supplies

Facilities should implement the following:
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    A single exit and a single entrance

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    Elevator management to minimize crowding of patients and staff

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    Operating/procedural rooms must meet engineering and Facility Guideline Institute standards for air exchanges.

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    Protocols for managing and isolating patients and staff suspected of or confirmed to have COVID-19 infection

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    Case prioritization strategy is set in place.

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    Data should be collected as proposed by the American College of Surgeons in order to reassess policies and procedures frequently.

Other regional considerations include26:
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    A sustained reduction in COVID-19 cases for ≥ 14 days

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    Access for COVID-19 testing

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    Availability of active monitoring of confirmed or suspected cases and their contacts