Department of Orthopedics and Rehabilitation

 PLAN for UW Health Rehabilitation Hospital Coverage

 Per UW Health Incident Command, Madison Surgery Center (MSC) will be closed from March 23 through April 10.  Urgent/emergent cases will likely be moved to UPH-Meriter.  Additionally, the Rehabilitation Division faculty at UW Health Rehabilitation Hospital have been short staffed due to non-COVID related issues.  The closure of MSC allows a redeployment of faculty in order to address this shortage.

ACTION REQUIRED BY PHYSICIAN PROVIDERS:

1. Stratify all surgical/procedural cases utilizing GREEN/RED methodology (essential = GREEN; non-essential = RED)

Essential/Urgent patients:

• Essential surgeries/procedures are listed below:
  • Fractures and other acute injuries, including some tendon and ligament tears and locked meniscus tears, for which a delay in surgery would lead to a compromised outcome
  • Nerve injuries
  • Some malignancies, i.e., sarcomas
  • Infections – discretion
  • Progressive neurological deficit or neuropathic pain due to nerve compression
  • Imminent failure of arthroplasty components, or adjacent bone (impending peri-prosthetic fracture)
  • Irreducible arthroplasty dislocation
  • Impending ulceration/soft tissue breakdown.
  • Surgery not listed here that is time dependent, i.e., any delay in surgery would lead to a compromised outcome.

2. Schedule for Redeployment to University Hospital Consultation Service: