OBGYN Department OBCOVID Inpatient Surge Plan Current inpatient

OBGYN Department OB-COVID Inpatient Surge Plan

Current inpatient OBGYN faculty coverage - L&D day - L&D night/weekend (COVID) - Ward attending (COVID) - MFM inpatient - ONC inpatient/OR - CNM inpatient COVID TRIGGER: 5 -8 COVID+ and PUI - Evaluate at 5 - Create dedicated OB-COVID team - Ward attending becomes COVID weekday - Add COVID night/weekend attending - L&D day L&D night/weekend Ward attending COVID day COVID night/weekend - MFM - ONC helps cover weekday ED/OR - CNM helps cover PP, L&D as needed

OBGYN Department COVID-19 OB Team

Overview • The primary team caring for this group of patients with be the COVID 19 OB attending and resident. • The MFM COVID-19 fellow will round with this team and function as the primary point of contact with MFM consultation will be requested as needed but not necessarily on all patients. • Department of hospital medicine has identified a liaison to help round on COVID-OB patients for both systems and medical support. • 0700 – 1900 Tiger Connect role current Anthony Worsham (Zinc 3); planned role “Hospitalist Assist” role under the OB portion • 1900 - 0700 Tiger Connect role: Zinc Medicine Night Attending

COVID-19 OB Attending (day) • This is currently the GYN Ward Attending M-F and the primary L&D call person on the weekend. • Round on patients admitted to the COVID-19 OB service at 0830 • Complete documentation on all patients seen through the day • Evaluate, including swabbing, patients in OB Triage who are PUIs/known positives • Provide care for COVID+ patients in labor with a primary goal to care for and deliver these patients during the day. Coordinate care with L&D attending depending on other patient care responsibilities. • Contact COVID-19 Mother Baby Unit Attending to plan postpartum care for COVID+ patients or PUIs are admitted in labor.

COVID-19 OB Attending (night) • This is currently the primary L&D call person. • Provide signout for patients admitted to the COVID-19 OB service during the L&D multidisciplinary board sign-out at 1945 • Complete documentation on all patients seen through the night • Evaluate, including swabbing, patients in OB Triage who are PUIs/known positives • Care for all patients admitted to the COVID-19 OB service as needed overnight including patients in labor.

COVID-19 OB Resident and MFM Fellow Resident • Prepare for AM rounds and begin inpatient progress note. Do not enter patient’s room unless acute issue • Join multi-disciplinary L&D rounds at 0745 • Round on OB-COVID patients with attending at 0830 • Cover floor calls • Finalize inpatient progress note • Participate in documentation and care as directed by attending for patients in OB Triage who are PUIs/known COVID+ • Care for patients in labor and perform delivery MFM Fellow • Communicate with resident prior to 0830 re: number and acuity of patients. Participate in prerounding/rounds prn • Coordinate transfer to MFM service for PUIs who ultimately test negative • Provide patient care when SAC/ICU level care is needed • Provide formal, documented MFM consultation (in communication with MFM attending) when requested by COVID-19 OB Attending • Coordinate outpatient care and provide outpatient follow up in OB Triage as needed for COVID-19 positive pregnant patients

COVID-19 OB Patient Communication • Power. Chart Patient List is coming in the next few days. Until this is live, please admit patients to the Gynecology service. Weekday Ward Attending Rounds • 0645 COVID OB Night -> Day attending signout prn • 0700 Ward Attending GYN rounds with L&D PGY 2 • 0730 Ward Attending ROB PP rounds with L&D PGY 1 • 0745 COVID-19 OB Resident joins L&D zoom signout • 0830 COVID-19 OB patient rounds • 1945 COVID-19 OB Attending joins L&D zoom signout