Specify whether you are completing this survey for the first time or updating relevant survey responses to reflect important changes at your institution.
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Initial survey completion
Updated data
Other (specify)
Other reason for completion of survey
Institution
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Country
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Email Address
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Endoscopy practice type
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Free standing children's hospital
Pediatric endoscopy within adult unit/hospital
Other
Other endoscopy practice type
How many TOTAL cases of confirmed COVID-19 have been hospitalized at your institution? (If unknown, leave blank; if none, indicate 0)
Is your area currently under a 'stay at home' (i.e. quarantined) order?
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Yes
No
Specify approximate start date of this order
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Today M-D-Y
Have changes to your institutional practices been updated based on:
Please specify which societal guidelines resulted in changes to your institutional practices:
Please specify other societal guidelines used that have resulted in changes to your institutional practices
Please specify other reasons that have resulted in changes to your institutional practices
Are you aware of the NASPGHAN COVID-19 endoscopy guidelines?
Yes
No
Have you made changes to your INSTITUTIONAL PRACTICES based on the NASPGHAN COVID-19 endoscopy guidelines?
Yes
No
Please specify changes to your INSTITUTIONAL PRACTICES based on the NASPGHAN COVID-19 endoscopy guidelines
Have you made changes to your PERSONAL PRACTICES based on the NASPGHAN COVID-19 endoscopy guidelines?
Yes
No
Please specify changes to your PERSONAL PRACTICES based on the NASPGHAN COVID-19 endoscopy guidelines
What volume of pediatric endoscopic procedures have been performed at your institution in the past 7 days?
Same as usual
Approximately 75% of usual
Approximately 50% of usual
Approximately 25% of usual
Less than 10% of usual
Other
Other volume of pediatric endoscopic procedures performed in past 7 days (please specify volume as a % compared to usual)
Are ELECTIVE endoscopies (e.g. chronic symptoms evaluation) being postponed or rescheduled at your institution?
Yes, all elective cases postponed
Yes, selected cases
No
Please specify which cases are STILL being performed
On what date were some/all ELECTIVE cases postponed?
Today M-D-Y
At what level was the decision to postpone endoscopies made?
Please specify other level decision was made to postpone endoscopies
Does your institution have defined plan to catch up on cancelled/postponed endoscopies?
Please specify other plan to catch up on cancelled/postponed endoscopies
Are interventional advanced/therapeutic cases being postponed at your institution?
Yes, all cases
Yes, selected cases
No
Not applicable (we don't perform such cases)
Please specify which selected interventional advanced/therapeutic cases ARE BEING POSTPONED
Are EMERGENT and URGENT cases being postponed or rescheduled at your institution?
Yes, all emergent and urgent cases are being postponed/rescheduled
Yes, selected emergent and urgent cases
No
Not applicable
Please specify which emergent and/or urgent procedures are being POSTPONED/RESCHEDULED
Do patients undergoing emergent or urgent endoscopy need to be admitted inpatient?
Yes
No
Do you still have access to procedures that require radiology?
Yes
Yes, selected procedures
No
Not applicable
Please specify to which procedures you STILL have access
How quickly are you able to book an emergent and urgent endoscopy?
Within 24 hours
24-48 hours
48-72 hours
>72 hours
Other
Please specify time frame that you are able to book an emergent and urgent endoscopy
Has your institution set out guidelines as to which cases are considered emergent and urgent and/or can proceed?
Yes
No
Not applicable (all cases being cancelled)
Please specify which cases are considered emergent and urgent and/or can proceed
If available, you may upload document here defining which cases are emergent and urgent at your institution and/or can proceed
Have you modified your staffing for endoscopy to an emergency coverage schedule aimed to limit the number of division members performing endoscopy and/or limiting exposure?
Yes
No
Specify how staffing is modified for endoscopy (e.g. dedicated staff member, performed by inpatient/consult team, advanced endoscopist not performing other procedures to limit potential for exposure)
Are fellows still involved in endoscopy?
Yes, no restrictions
Yes, selected cases
No
We do not have fellows
Please specify which cases fellows are STILL involved in (e.g. 'low-risk' patients, emergent procedures)
What are the reasons that fellow participation in endoscopy has been limited during the COVID-19 pandemic?
Other reasons that limit fellow participation in endoscopy during the COVID-19 pandemic
How far in advance are you cancelling cases (number of days)?
Who is deciding which cases to cancel?
Please specify other person who is deciding which cases to cancel
Are you currently rescheduling cases (vs. cancelling them all together)?
Yes
No
Not applicable (we are not cancelling cases)
Are you starting treatment for new IBD patients without endoscopy?
Yes, all suspected new IBD patients
Yes, select suspected new IBD patients
No
Please specify criteria for which suspected new IBD patients DO NOT get endoscopy
What are you using to make the diagnosis of IBD without endoscopy?
Are you diagnosing (and starting treatment for) celiac disease without endoscopy?
Yes, all suspected patients with celiac disease
Yes, only patients who meets ESPGHAN criteria
Yes, other
No
Please specify other criteria for starting treatment for celiac disease without endoscopy
What are you using to make the diagnosis of celiac disease?
Are you starting treatment for possible new EoE diagnosis without endoscopy?
Yes, all suspected new EoE patients
Yes, selected patients
No
Please specify criteria for EoE treatment without endoscopy
Are you screening for COVID-19 symptoms ahead of patients' endoscopy dates?
Yes, over the phone
Yes, other screening method
No
Please specify other screening method
All patients screened
Selected patients screen
Please specify which patients are selected to be screened for COVID-19 symptoms
Who is doing the COVID-19 symptom screening?
Please specify other people who are performing the COVID-19 screening
What questions are asked during the COVID-19 symptom screening?
Please specify other symptom(s) for which you screen
Are you screening for COVID-19 symptoms on arrival on the day of endoscopy?
Yes
No
All patients screened
Selected patients screen
Please specify which patients are selected to be screened for COVID-19 symptoms on day of endoscopy
Who is doing symptom screening on day of endoscopy?
Please specify other people who are performing the COVID-19 screening on day of endoscopy
What questions are asked during screening?
Please specify other symptom(s) for which you screen
Is the patient's body temperature taken on arrival to endoscopy?
Yes
No
Is there a protocol in place to address a positive screen (symptoms questionnaire or temperature screen)?
Yes
No
Please specify protocol for positive screen on day of endoscopy
Are patients tested for COVID-19 prior to endoscopy (i.e. NP swab, serology, stool testing)?
Yes, all patients
Yes, selected patients
No
Please specify criteria for which patients are selected for COVID-19 testing prior to endoscopy
What type of COVID-19 testing is employed at your institution?
Please specify other COVID-19 testing employed at your institution
What is the turnaround time of your COVID-19 testing?
How many patients booked for endoscopy have TESTED POSITIVE for COVID-19 at your institution? (if unknown, leave blank; if none, indicate '0')
If a patient is in need of emergent or urgent endoscopy but they pre-screen or test as either suspected or confirmed COVID-19, do you have the ability to proceed with the endoscopy as per hospital protocol?
Yes
No
Unsure
Are patients called up to 14 days after endoscopy to ask about new diagnosis or development of symptoms of COVID-19?
Yes
No
Unknown
Has there been any COVID-19 exposure in endoscopy from a PATIENT?
Yes
Probable
Possible
No
Unknown
Has there been any COVID-19 exposure in endoscopy from a PATIENT'S CAREGIVER/ESCORT?
Yes
Probable
Possible
No
Unsure
Is there a protocol in place for your endoscopy staff after such exposure?
Yes
No
Unknown
Has the location in which endoscopic procedures are performed changed?
Yes
No
Please specify location change (e.g. moved from endoscopy suite to OR)
Are there any negative pressure rooms in the endoscopy unit at your institution?
Yes
No
Are endoscopies being performed in a negative pressure room (in the OR or endoscopy unit)?
Yes all cases
Yes, selected cases
No
Please specify which cases are being performed in negative pressure rooms
In what instances are endoscopy being performed WITHOUT use of a mask or respirator (surgical, N95, N99, or filtering face piece (FFP2/3) respirator) at your institution?
Please specify criteria where one would NOT wear a mask or respiratory
In what instance(s) is appropriate PPE for CONTACT and DROPLET PRECAUTIONS (i.e. surgical mask, eye protection (goggles or face shield), gloves, water-resistant gown and hairnet) being used at your institution for endoscopy procedures?
Please specify other instances for which appropriate PPE for CONTACT and DROPLET PRECAUTIONS are being used at your institution for endoscopy procedures
In what instance(s) is appropriate PPE for AIRBORNE, CONTACT and DROPLET PRECAUTIONS (i.e. filtering face-piece respiratory (N95, N99, FFP2/3 or PAPR), facial protection (full visor and/or face shield), two pairs of gloves, full body water-resistant gown, shoe covers and hairnet) being used at your institution for endoscopy procedures?
Please specify other instances for which appropriate PPE for AIRBORNE, CONTACT and DROPLET PRECAUTIONS are being used at your institution for endoscopy procedures
Are you concerned about your institution's supply of PPE in the event of a case surge?
Yes
No
What PPE strategy is currently employed at your institution for PATIENTS UNDERGOING UPPER ENDOSCOPY who have no known diagnosis of COVID-19, no suggestive symptoms and no high-risk exposure?
Please specify other PPE strategy(ies) for upper endoscopies
What PPE strategy is currently employed at your institution for PATIENTS UNDERGOING COLONOSCOPY who have no known diagnosis of COVID-19, no suggestive symptoms and no high-risk exposure?
Please specify other PPE strategy(ies) used for colonoscopies
What PPE strategy is currently employed at your institution for patients undergoing endoscopy WITH SUGGESTIVE SYMPTOMS OF COVID-19 BUT NO KNOWN DIAGNOSIS OR HIGH-RISK EXPOSURE?
Please specify other PPE strategy(ies) for endoscopy in patients with suggestive symptoms of COVID-19 but no known diagnosis/high-risk exposure
What PPE strategy is currently employed at your institution for patients undergoing endoscopy WHO ARE AT HIGH RISK OR HAVE CONFIRMED COVID-19?
Please specify other PPE strategy(ies) for endoscopy in patients who are at high risk or have confirmed COVID-19
Are you reusing surgical masks at your institution?
Yes
No
We don't have access to any
Other
Please specify other reuse of surgical masks
Are you reusing N95/99 masks or FFP2/3 respirators at your institution?
Yes
No
We don't have access to any
Other
Please specify other reuse of N95/99 masks or FFP2/3 respirators
Are caregivers/escorts being brought into the endoscopy suite?
Yes
Yes, only if no positive pre-screening questions
Yes, with restrictions
No
Please specify restrictions for caregivers/escorts in the endoscopy suite (e.g. tested COVID-19 negative, younger, symptoms screen negative)
Have sedation/anesthetic practices related to endoscopy changed at your institution as a result of COVID-19 (e.g. all patients now intubated, patients are intubated prior to endoscopy team entering the room)?
Yes
No
Please specify sedation/anesthetic practice changes
Are there limits being placed on the number of individuals being allowed in your endoscopy suite during a procedure?
Yes
No
Please specify number of people maximum allowed in your endoscopy suite
Is your division or unit doing anything not covered above that might be helpful to others (e.g. doing the pre-procedure interview virtually, recovering patients in the endoscopy suite)
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