By switaschek, 13 May, 2020 Mask pts, visitors and staff at all times; use N95, face shield and other appropriate PPE during endoscopy;2 consider N95 for staff w/ close contact perioperatively; ensure staff trained in proper donning/doffing of PPE
By switaschek, 13 May, 2020 Enforce physical distancing for pts and staff, except when close contact req to perform procedure or exam; install plexi barriers where distancing not possible; rework scheduling, check-in, check-out processes to minimize or eliminate contact; limit time
By switaschek, 13 May, 2020 Survey pts 1-2wk post-procedure for development of sx, or positive COVID-19 testing; initiate contact tracing if pt or staff test positive or develop sx in interim
By switaschek, 13 May, 2020 COVID-19 screening: screen pts upon scheduling, w/in 72h of procedure via telehealth, update upon arrival;1 per AGA, consider pre-test 48-72h before, depending on dz prevalence;2 check pt temp on arrival; develop plan for removing those who screen positiv
By switaschek, 13 May, 2020 Cataract surgery is semi-urgent (not elective) when: pt cannot drive, work or see to take medications properly; pt w/ ↑ risk of falling; pt w/ phacomorphic glaucoma or intolerable anisometropia
By switaschek, 13 May, 2020 Multi-dose eye drops OK, avoid contact w/ lashes or conjunctiva, as usual
By switaschek, 13 May, 2020 Use single-use, disposable tonometer tips; if not available, 5%-10% bleach solution or 70% alcohol are options (alcohol will work for SARS-CoV-2, but not adenoviruses)
By switaschek, 13 May, 2020 Disinfect visual field analyzer per manufacturer recs between pts, wearing mask and eye protection
By switaschek, 13 May, 2020 Retest pts w/ history of COVID-19 in past 6wk before routine care; if positive, pt to wear surgical mask, provider to wear N95/eye protection/gown