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The QliqMINUTE: How Can Healthcare Leaders Improve Surge Management During the Labor Crisis?

The Omicron variant has caused an extreme surge of patients across the U.S. According to a recent article by ABC News, the number of COVID-19-positive Americans hospitalized is now nearing a pandemic high of more than 138,000.

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The Omicron variant has caused an extreme surge of patients across the U.S. According to a recent article by ABC News, the number of COVID-19-positive Americans hospitalized is now nearing a pandemic high of more than 138,000. It has also been estimated that about 17,000 patients are admitted to hospitals each day. Many healthcare organizations are overwhelmed by the current surge and are looking for solutions. We spoke with Dr. Liana Casusi, MD, to learn more about surge management.  


Casusi shared that the recent surge has only intensified the labor crisis. "Because the predominant viral strain nowadays seems more virulent, it spreads more easily from one person to another. From a medical perspective, staffing the health facilities is a major challenge we face. At any point in time, several health workers who get tested turn out positive for Sars-CoV-2 and would need to be isolated. Since the past year, we have been short on staff, but with this more transmissible strain, more health workers need to be isolated." 


She further explained that when these healthcare professionals test positive, finding someone to take their place in the schedule is a significant challenge for the already strained workforce. Casusi advises healthcare leaders to focus heavily on preparedness. "Do not stop at plan B or plan C when it comes to staffing. Make as many contingency plans as possible - and this may sound toxic, but in the long run, preparedness helps a lot," said Casusi. Read this resource on managing healthcare operations during COVID-19 from the CDC to learn more.



Frequently Asked Questions

Find answers to common questions about this topic.

Healthcare leaders should develop multiple backup staffing plans beyond just Plan B or C, including cross-training staff across departments, establishing float pools, and creating partnerships with staffing agencies. Having numerous contingency plans ready before surges occur significantly improves operational resilience during workforce shortages.

Healthcare worker isolation periods follow CDC guidelines, which have evolved throughout the pandemic based on current evidence and variants. Leaders should stay updated on current CDC recommendations and have clear return-to-work protocols that balance safety with staffing needs.

Key indicators include rising patient admission rates, increasing staff absenteeism due to illness or exposure, emergency department wait times exceeding normal thresholds, and ICU capacity approaching 80-85%. Monitoring these metrics daily allows for proactive rather than reactive surge management.

Organizations should implement rotating schedules to prevent overwork, provide mental health resources and counseling services, and ensure adequate rest periods between shifts. Supporting staff wellness through these measures helps maintain both quality of care and workforce retention during crisis periods.

Cross-training enables staff to work across multiple departments and units, providing flexibility when specific areas experience high patient volumes or staff shortages. This approach maximizes available workforce capacity and ensures continuity of care even when regular staff are unavailable.

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