Abstract

Objective: We aimed to present and share the measures taken in pandemic preparedness and management process; the regulations made, the reactions given to emergency events and the new developed strategies

Methods: The pandemic preparation phase, hospital arrangements, physical arrangements, personnel planning, crisis desk establishment for the pandemic process,the management of the patients with suspected/definite Covid-19 diagnosis from the referral to Covid-19 outpatient clinic and Emergency Service, the management of Pandemic Services and Intensive Care Units 0, solutions for urgent problems, also precautions taken for possible contamination of healthcare workers and their health screenings, psychosocial support for healthcare workers and patients, planning’s for outpatient clinics, operating rooms. In addition rapid delivery of Covid-19 patients’ data to local and central government, PCR and rapid test applications, personnel work and shift systems in all areas, flexible working system, and finally, data including ex rates related to patients were evaluated retrospectively.

Results: Five thousand sixty two patients applied to the Covid-19 polyclinic. For 232 of patients diagnosed with suspected/confirmed COVID-19, treatment was planned and followed-up as outpatients. Three hundred eighty-eight patients were hospitalized,. On the other and, 463 of the patients with a suspected/confirmed diagnosis of Covid-19 who admitted to the emergency service were hospitalized. One hundred sixty nine of inpatients were admitted to intensive care units. Totally the patients who require mechanical ventilation, respiratory support, and intensive care follow-up was found 11.3% and 61.1%respectively. 38 of total 198 hospital staff had infected with Covid-19. Diseases were not mortal.

Conclusion: The pandemic approach is an active, variable and dynamic process, and institutions should always be prepared for such pandemics in addition sharing hospitals’ managerial experiences will help to administrations to develop strategies in the ongoing pandemic process and in emerging situations. However, new management processes should be investigated for better results.