Table 6.

Antepartum service management tips

Antepartum service management tips: •Create a contact list of key consultants and administration liaisons (nursing administration, neonatology, infectious disease, critical care, and pulmonology). • Round efficiently: □ Avoid prerounding by house staff to decrease healthcare worker exposure. □ See patients in the following order: 1. SARS-CoV-2–negative patients and COVID-19–negative patients 2. Patients under investigation for COVID-19 3. Confirmed patients with COVID-19 This is to decrease chance of transmission and help conserve PPE as needed. □ Use in-room media to aid rounding, for example: - One person outside of the patient room is stationed at a computer to check laboratory test results, write notes, and enter orders while on speaker phone with the team in the room. - The provider stationed at a computer keeps the team in the room informed of pertinent details because handoff sheets and other reference materials cannot be easily or safely accessed while donning full PPE in the patient’s room. •Obtain ambulatory pulse oximetry measurements (walk test) for stable patients as part of the physical examination—patients may seem deceptively well without exertion. •Pocket ultrasounds for biophysical profiles may be useful for patients with COVID-19 as an alternative to nonstress tests to limit the number of providers entering the room.

Tips for improving efficiency and decreasing staff exposure during COVID-19 pandemic.

COVID-19, coronavirus disease 2019; PPE, personal protective equipment; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

Vega. Inpatient management of COVID-19 in pregnancy. AJOG MFM 2020.