AANEM Connect

The AANEM guidelines for resuming practice lists everything we should do in a perfect world. Perhaps an institutional based practice could comply, but it seems almost impossible in a single physician practice. I saw my first patient yesterday on an emergent basis after being closed since March 13. Luckily I had been able to obtain n95 respirators, face shields, etc over the past 2 months, but no gowns. The patient had no Covid symptoms and her temp was normal, but no pcr was available. We followed the guidelines as best we could,but it was difficuult, slow and uncomfortable to work in full ppe. I believe we all should have a test run before full reopening because it is not easy to get everything done. The AANEM survey of what physicians are actually doing shows that many are not even using masks, let alone following the list. Many may just not reopen because of the difficulties, loss of income and fear of being sued for not following the guidelines. I wonder how many are able to be 100% compliant.