This metropolitan hospital has seen an average of 12 COVID patients per day in the ICU, 35 COVID patients in the general hospital (not in ICU but on a med-surg floor in isolation), and 12 COVID patients per day presenting in the ED.

Figure out the increase in daily supply costs. Assumptions for Personal Protective Equipment use in the hospital is based on 24 hours per day.

ICU: use this data and figure out total needed for the patient census of 12 per day.

1. Gloves: 2 gloves for each of 170 changes per patient per day. This assumes a change with

each patient encounter, as per normal practice by all healthcare workers.

2. Gowns: Assumes that COVID patients are cohorted and that a single gown is worn for 4 hours

by each healthcare worker assigned to the COVID cohort, unless it becomes visibly soiled.

Accounting for all the various healthcare workers involved in the care of an ICU patient, 20

changes per patient per day.

3. Simple masks: Assumes that COVID patients are cohorted and that a single mask is worn for 4

hours by each healthcare worker assigned to the COVID cohort, unless it becomes visibly

soiled. 10 changes per patient per day.

4. N95 respirator masks: Assumes that COVID patients are cohorted and that a single mask is

worn for 4 hours by each healthcare worker assigned to the COVID cohort unless it becomes

visibly soiled. N95s are used only by healthcare workers in proximity (3 feet) to COVID

patients. 6 changes per patient per day.

Non-ICU (hospital medical-surgical units): patient census of 35 per day

1. Gloves: 2 gloves for each of 80 changes per patient per day. This assumes a change with each

patient encounter, as per normal practice by all healthcare workers.

2. Gowns: Assumes that COVID patients are cohorted and that a single gown is worn for 4 hours

by each healthcare worker assigned to the COVID cohort, unless it becomes visibly soiled. 20

changes per patient per day.

3. Simple masks: Assumes that COVID patients are cohorted and that a single mask is worn for 4

hours by each healthcare worker assigned to the COVID cohort, unless it becomes visibly

soiled. 10 changes per patient per day.

4. N95 respirator masks: Respirator masks are worn only for nebulizer treatments, intubations,

and other aerosol-generating procedures. An average of 2.6 changes per patient per day.

ED: use this data with the assumption that the patient is not there for more than 24 hours before

transferred to an inpatient unit) and census is 12 per day.

1. Gloves: 2 gloves for each of 25 changes per visit. This assumes a change with each patient

encounter, as per normal practice by all healthcare workers.

2. Gowns: Assumes that COVID patients are cohorted and that a single gown is worn for 4 hours

by each healthcare worker assigned to the COVID cohort, unless it becomes visibly soiled. An

average of 1 change per visit.

3. Simple masks: Assumes that COVID patients are cohorted and that a single mask is worn for 4

hours by each healthcare worker assigned to the COVID cohort, unless it becomes visibly

soiled. An average of 1 change per visit.

4. N95 respirator masks: Respirator masks are worn only for nebulizer treatments, intubations,

and other aerosol-generating procedures. An average of 1 change per visit.

Source: Johns Hopkins University, retrieved from:

https://www.centerforhealthsecurity.org/resources/COVID-19/PPE/PPE-assumptions

Use the above data to calculate the number of supplies needed per

day by area. You are a financial analyst in a 250-bed hospital in a semi-urban area. Incorporate that

data in to Excel (you will need to add formulas based on the item and the location). Once you figure out the total needed, figure out how many boxes would be kept on hand.

When estimating impact of COVID on cost, use 15 percent of total hospital expenses, which is the

average of all U.S. hospitals. Your average cost per day is $2607. Assume your hospital in this

scenario has an average daily cost of $260 per day. What is the projected cost increase per day?