Q: Magazine Issue 2 July 2020 | Page 6

EPIDEMIOLOGY COVID-19 NEWS Put to the Test continued “ With no real end in sight, we’re grateful to have accomplished so much in such a short amount of time.” SAMUEL DOMINGUEZ, MD, PHD if they don’t have respiratory symptoms, receives the SARS- COV-2 test. They also now screen patients who are set to have procedures or who are undergoing anesthesia. That way, providers and their teams can know if those patients are positive and can don the appropriate PPE. ONGOING ENHANCEMENTS Led by Dr. Dominguez and his team, Children’s Colorado continues to make adjustments to processes as necessary to limit the spread of infection and ensure the safety of team members, patients and the broader community. For example, specimens are no longer collected from healthcare workers inside the hospital. Instead, testing happens at two drive-thru collection sites. Perioperative and immunocompromised outpatients use those sites too. There was also a critical shortage of nasal swabs — one of the main ways to collect a specimen. So Dr. Dominguez and his team got creative. “With children, we often do nasopharyngeal washes, which is where you squirt some saline into the nose and then collect it as the specimen,” he says. “You don’t need swabs for those because it’s a different procedure, and you achieve the same results. It’s been a great workaround.” The ability to be proactive instead of reactive has made the entire process easier, he says. “The idea of ‘What we do today prepares us for tomorrow’ has really carried us through. None of this would have been possible without the incredible work of our government affairs team, the strong support we’ve received from the very top teams at Children’s Colorado, and the knowledge and early input of everyone on our microbiology team, all of whom continue to work tirelessly day in and day out. With no real end in sight, we’re grateful to have accomplished so much in such a short amount of time.” • The Forefront of Telehealth How do we weave a telehealth infrastructure into the fabric of our operation so that it’s there when our providers need it most? Led by director Fred Thomas, PhD, and medical director Christina Olson, MD, telehealth has been an option for providers at Children’s Hospital Colorado for the past decade. Very few used it, though, due in large part to government regulations and lack of reimbursements. But Drs. Olson, Thomas and team worked to build the program’s infrastructure, including staying abreast of the latest technology and conducting research on ways to use it. That work would come in handy — namely when the COVID-19 pandemic hit. Physical therapist Juliette Hawa gets creative during her telehealth appointment to help keep her patient engaged. 6 | CHILDREN’S HOSPITAL COLORADO