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Research ArticleInterventional
Open Access

Integrating New Staff into Endovascular Stroke-Treatment Workflows in the COVID-19 Pandemic

M. Goyal, J. Kromm, A. Ganesh, C. Wira, A. Southerland, K.N. Sheth, H. Khosravani, P. Panagos, N. McNair, J.M. Ospel and On behalf of the AHA/ASA Stroke Council Science Subcommittees: Emergency Neurovascular Care (ENCC), the Cardiovascular and Stroke Nursing Council, the Telestroke and the Neurovascular Intervention Committees
American Journal of Neuroradiology January 2021, 42 (1) 22-27; DOI: https://doi.org/10.3174/ajnr.A6854
M. Goyal
aFrom the Departments of Clinical Neurosciences (M.G., J.K., A.G., J.M.O.)
cDiagnostic Imaging (M.G.), University of Calgary, Calgary, Alberta Canada
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J. Kromm
aFrom the Departments of Clinical Neurosciences (M.G., J.K., A.G., J.M.O.)
bCritical Care Medicine (J.K.)
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A. Ganesh
aFrom the Departments of Clinical Neurosciences (M.G., J.K., A.G., J.M.O.)
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C. Wira
dDepartment of Emergency Medicine and Stroke Program (C.W.)
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A. Southerland
eDepartments of Neurology and Public Health Sciences (A.S.), University of Virginia, Charlottesville, Virginia
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K.N. Sheth
fDivision of Neurocritical Care and Emergency Neurology (K.N.S.), Yale School of Medicine and Yale New Haven Hospital, New Haven, Connecticut
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H. Khosravani
gNeurology Quality and Innovation Laboratory (H.K.), Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
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P. Panagos
hDivision of Emergency Medicine (P.P.), Washington University School of Medicine, St. Louis, Missouri
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N. McNair
iUniversity of California (N.M.), Los Angeles, Los Angeles, California
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J.M. Ospel
aFrom the Departments of Clinical Neurosciences (M.G., J.K., A.G., J.M.O.)
jDepartment of Radiology (J.M.O.), University Hospital of Basel, Basel, Switzerland
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Abstract

SUMMARY: A health care crisis such as the coronavirus disease 2019 (COVID-19) pandemic requires allocation of hospital staff and resources on short notice. Thus, new and sometimes less experienced team members might join the team to fill in the gaps. This scenario can be particularly challenging in endovascular stroke treatment, which is a highly specialized task that requires seamless cooperation of numerous health care workers across various specialties and professions. This document is intended for stroke teams who face the challenge of integrating new team members into endovascular stroke-treatment workflows during the COVID-19 pandemic or any other global health care emergency. It discusses the key strategies for smooth integration of new stroke-team members in a crisis situation: 1) transfer of key knowledge (simple take-home messages), 2) open communication and a nonjudgmental atmosphere, 3) strategic task assignment, and 4) graded learning and responsibility. While these 4 key principles should generally be followed in endovascular stroke treatment, they become even more important during health care emergencies such as the COVID-19 pandemic, when health care professionals have to take on new and additional roles and responsibilities in challenging working environments for which they were not specifically trained.

ABBREVIATIONS:

COVID-19
coronavirus disease 2019
EVT
endovascular treatment
ICU
intensive care unit
  • © 2021 by American Journal of Neuroradiology

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American Journal of Neuroradiology: 42 (1)
American Journal of Neuroradiology
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Integrating New Staff into Endovascular Stroke-Treatment Workflows in the COVID-19 Pandemic
M. Goyal, J. Kromm, A. Ganesh, C. Wira, A. Southerland, K.N. Sheth, H. Khosravani, P. Panagos, N. McNair, J.M. Ospel, On behalf of the AHA/ASA Stroke Council Science Subcommittees: Emergency Neurovascular Care (ENCC), the Cardiovascular and Stroke Nursing Council, the Telestroke and the Neurovascular Intervention Committees
American Journal of Neuroradiology Jan 2021, 42 (1) 22-27; DOI: 10.3174/ajnr.A6854

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Integrating New Staff into Endovascular Stroke-Treatment Workflows in the COVID-19 Pandemic
M. Goyal, J. Kromm, A. Ganesh, C. Wira, A. Southerland, K.N. Sheth, H. Khosravani, P. Panagos, N. McNair, J.M. Ospel, On behalf of the AHA/ASA Stroke Council Science Subcommittees: Emergency Neurovascular Care (ENCC), the Cardiovascular and Stroke Nursing Council, the Telestroke and the Neurovascular Intervention Committees
American Journal of Neuroradiology Jan 2021, 42 (1) 22-27; DOI: 10.3174/ajnr.A6854
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