Jonathan Hastie, MD Profile picture
Anesthesiology and critical care medicine at Columbia University Medical Center. Tweets represent my own opinions.
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Apr 14, 2020 13 tweets 3 min read
The past month of leading the @CUMCAnesthesia’s ICU response to the #COVID19 pandemic has been a crash course in #leadership.

Ten lessons learned. 1) Accepting change and managing change are daily activities.

What we planned in the morning is revised at noon; and irrelevant by sundown.
Mar 29, 2020 16 tweets 10 min read
This weekend, my wife @WomenFacultyMD, is rounding as "ICU Lead" in our hospital's largest #ICU: The 28-bed OR-ICU.

The conversion of operating rooms into an ICU, complete with infrastructure and staffing, was done in one week.

One week.

#COVID19 #Pandemic #NewYorkCity More on how we did that later. I wanted to highlight the #ICULead role.

It's what we used to call "attending".

But when we expand capacity and everyone moves up a rung, the former ICU attendings become #OversightAttending

@SCCM #TieredStaffing

sccm.org/Blog/March-202…
Mar 26, 2020 23 tweets 4 min read
As of today, New York has 37,000 cases of #COVID19. Our teams at @nyphospital are working night and day not just to take care of sick patients... But to adapt our practice to change. Changes in patient population, in acuity, in personnel, in space.