This report details a tiered plan for surgical departments on how to plan for and deal with the COVID-19 pandemic.

We have had a national emergency in the United States since March 13th because of the COVID-19 pandemic. Coping with surge capacity is a real concern of many hospitals and systems. This is especially true in surgery departments. Questions include how to cope and plan for surges, attrition of personnel, novel infrastructure utilization, and resource exhaustion.

Many will look for guidance on how to handle this. This report is a tiered plan for surgical departments based on incident command levels, including Acute Care Surgeon deployment, recommended infrastructure and transfer utilization, triage principles, and faculty, resident and advanced care practitioner deployment.