My biggest question/concern is mostly around the recommendations against HFNC and bipap... I feel like that's a tough situation in a patient who has respiratory symptoms and needs more support than maybe a NC may provide to just jumping toward intubation- especially during the turn around time it takes to confirm a suspected case. ( which May come back negative). We definitely don't approach the flu in this manner.

So more clarity around that would be helpful. I think I hear the team recommending a lower threshold for intubation, but are we absolutely not to use HFNC or bipap at all on any patient under investigation?

• Currently it would be NC-> NRB -> intubation. I believe HFNC above 30 LPM aersolizes the virus, like broncos, intubation, nippv. It's more for our protection than the patient

Has there been any discussion re: setting up mobile units strictly for isolating those with confirmed covid-19? Having a brick n mortar hospital at capacity for 14 days while isolating affected is absurd

• Turn around time is 24 hours with dph testing

Any way to keep a small supply of n95s/appropriate PPE in the office for quick access?

• To reiterate the cdc dropped their PPE recommendations to a surgical mask, gown gloves and eye protection for non aersolize risks

• N95 needed for intubations, hfnc, nippv, and Bronchs

If enough of our staff are exposed w/o PPE and have to be quarantined at home for two weeks, what is our plan to keep to hospitals fully staffed?

There was some talk about PPE requirements being different for icu vs floor patients, is this true?

• Correct, we are saying N95 for icu patients due to an abundance of caution bc of higher risk for aersolization procedures

Negative pressure rooms for all?

• Not outside of the icu anymore

We likely need to be wearing full ppe for any respiratory patient or anyone with a fever to protect ourselves from the whole team going on quarantine, and those patients must have a mask in place. More to come on that but when in doubt protect yourself