TABLE 2.

Vulnerabilities, solutions, and recommendations from response to COVID‐19 outbreak in a skilled nursing facility, Washington State

Identified vulnerability	Solution	Recommendations
Surveillance	Deployment of clinical and public health support, review of EMS runs, enhanced staff training, and increased monitoring	Engage local community (EMS, public health) and long‐term care leadership to enhance early detection of disease spread.
Facility	Cohorting, barriers, social distancing, enhanced nursing training.	Reorganization of flow and isolation techniques to transmission risk.
Staffing	Just‐in‐time training, PPE supplies, clinical and technical support through outside institutions.	Utilize available educational tools and protocols for enhancing response.
Communication	Establishment of communication avenues between EMS and hospitals, centralized patient distribution, involvement of public health and government institutions.	Regional engagement of involved entities with establishment of a centralized command and centralized data platform for improved situational awareness.

EMS, emergency medical services.