{"id":"OK-018","kind":"order","level":"state","jurisdiction":"Oklahoma","state":"OK","metro":"","industry":"","agency":"","eco":"","issuer":"Governor J. Kevin Stitt","authority":"Okla. Const. art. VI, sec. 2; Second Amended EO 2020-13","instrument":"Executive Memorandum 2020-02","title":"Elective Surgery Acuity Scale (ESAS) tiers governing elective surgeries reinstated April 24, 2020","dateIssued":"2020-04-16","effective":"2020-04-24 (Tier 2), 2020-05-01 (Tier 1)","end":"Superseded by Amended Executive Memorandum 2020-02 (Apr. 20, 2020)","startDate":"2020-04-24","endDate":"","quarters":["2020Q2"],"types":["HC"],"addressees":["hospitals, ambulatory surgery centers, hospital outpatient departments"],"clause":"On April 16th, I issued the Second Amended Executive Order 2020-13 allowing elective surgeries to be reinstated on April 24, 2020. It is important to establish priorities for types of procedures to limit the spread of COVID-19 and make sure that limited personal protective equipment (PPE) is only consumed for the procedures that have higher impacts on morbidity and mortality. Therefore, while the following guidance is subject to individual institutions\u0027 availability of personal protective equipment, it shall be utilized when elective surgeries are performed: Elective Surgery Acuity Scale (ESAS)... Tier 2a/2b Allowable April 24... Tier 1a/1b Allowable May 1... require a COVID-19 test as a portion of the pre-operation process.","enforcement":"\u0027shall be utilized\u0027; conditions on the reinstatement of elective surgery","functions":["SX surgery scheduling by acuity tier","OC outpatient departments and ASCs","SC PPE conservation"],"notes":"Low-acuity outpatient surgery (carpal tunnel, prosthesis, EGD, colonoscopy) not allowable until May 1 (Apr. 30 under the Amended memorandum).","sourceUrl":"https://www.sos.ok.gov/documents/executive/1932.pdf","snapshot":"","fileExists":true,"fileBytes":1321503,"grade":"primary","character":"","description":"","collection":"OK","url":"/library/OK-018","exhibitUrl":"/exhibit/OK-018","citation":"Governor J. Kevin Stitt, Executive Memorandum 2020-02 (Apr. 16, 2020) (Ex. OK-018)","stateName":"Oklahoma","related":["OK-020","OK-022","OK-019","OK-023","OK-024","OK-017","OK-016","OK-015","OK-025","OK-012","OK-013","OK-011"]}