The information on this site is intended solely for the internal use by Duke University Health System, its medical staff, clinicians and staff and any and all content or services available on or through this website is prohibited to be shared with external parties with the exception of those marked as patient communications that would be disclosed to patients.


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Title Description Tags
Recommended Eye Protection

The attached document contains information from the Centers for Disease Control and Prevention (CDC) regarding healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Uploaded 09.25.20

PPE, Eye Protection
Guidance for Providing Telehealth Services During the COVID-19 Pandemic

This document provides guidance on the use of telehealth visits or services during the COVID-19 pandemic. Uploaded 05.10.20

Telehealth
Response to COVID-19 Exposures in Shared Neonatal Ward

This pediatric document contains the proper way to respond to a COVID-19 exposure in the shared neonatal ward. Uploaded 04.09.20

Pediatric Specific Guidance, Pediatrics
Registration Bypass Warning Report-Travel Screening (3.13.20)

This document is for ambulatory scheduling staff and outlines how to run and navigate the Registration Bypass Warning Report-Travel Screening. Uploaded 03.26.20

Ambulatory DPC
Chemotherapy-Tested Exam Glove Comparison

Based on supply shortages of chemotherapy-tested exam gloves, OESO and IP have evaluated and approved a number of alternative gloves that meet our high standards. This handout shows the options that are currently or may soon be distributed to help you identify these approved chemo gloves and for which drugs they are appropriate. Please note that the Cardinal Flexal nitrile exam glove is expected to replace the Cardinal Esteem Comfort in some areas by the end of December 2020. Uploaded 12.6.20

PPE
Ambulatory Potential COVID-19 Patient Discharge Checklist

This patient visit checklist is for healthcare workers in the ambulatory setting for planning, testing, and discharging patients with suspected COVID-19. Uploaded 03.21.20

Ambulatory DPC, Discharge Instructions
DRH Protocol for Inpatients with New Symptoms Concerning for COVID-19

This document shares protocols for inpatients who develop new symptoms that are concerning for COVID-19, what type of precautions and testing should be used, and what unit the inpatient should be assigned to based on their test results. Uploaded 07.15.20

Duke Regional Hospital, Clinical Guidance and Forms (General)
Know Share Do 5.18.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.18.20.

FAQs and Talking Points, Know Share Do
Masking Guidance for Patients and Visitors

This guidance is for patients and visitors who are required to wear a mask while in common areas of Duke hospitals and clinics. It provides reminders in words and icons about hand hygiene and best practices for wearing masks during the COVID-19 pandemic. Uploaded 08.18.20

Patient Communication and Signage
Duke Urgent Care Process for Scheduling a Video Visit

This document is the standard work for scheduling DUC video visits. Uploaded 03.27.20

Ambulatory DPC, Telehealth
DUHS COVID-19 Practices and Procedures for New Employees

This document provides onboarding information for new employees. It outlines DUHS COVID-19 practices and policies. It outlines transmission of COVID-19, how we prevent transmission in a healthcare setting and our contact tracing process. Uploaded: 1.8.21

Employee Health, HR & Team Resources
Response Call Algorithm (DPC, PDC)

The call center algorithm provide guidelines for triage staff to collect and route necessary information from patients with suspected COVID-19 in the DUHS system. Uploaded 03.21.20

Call Center Triage
Know Share Do 08.05.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.05.20.

Know Share Do, FAQs and Talking Points
COVID Mask guidelines to patient signage (Spanish)

This sign instructs Spanish-speaking patients and visitors to wear a mask at all times and shows how to put on the mask. Uploaded 05.27.20

Patient Communication and Signage
Know Share Do 4.17.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.17.20.

Know Share Do, FAQs and Talking Points
CDC Guidance Attestation Form for High Risk Redeployment

Fillable form for employees to attest that they are high-risk per CDC guidelines and are requesting redeployment. Reassignment is not guaranteed. Updated 04.23.20

HR & Team Resources, Redeployment & Staffing Hub, Availability for Work & Pay Practices
What to know before you go: Shifts at Duke Vaccination Clinics

This documents key facts to know before working or volunteering at a Duke vaccination (vaccine) clinic. Uploaded: 3.1.21

Vaccine
Stop and Read Before Entering Outpatient Sign (non-DPC outpatients)

This is a "Stop and Read Before Entering sign" for non-Duke Primary Care outpatient locations in English. Uploaded 03.22.20

Patient Communication and Signage
Duke Raleigh Hospital Cintas Scrub Transition

On Thursday, September 10, Duke Raleigh Hospital will begin using the scrub carrier Cintas for all work-provided scrubs in our Operating Rooms and the Duke Raleigh Hospital Eye Surgery Center. For those team members working in these areas, please review the new process for obtaining your hospital-provided scrubs. Uploaded 08.26.20

Duke Raleigh Hospital
Patient and Visitor Talking Points

This document provides employees with talking points to communicate with patients and visitors and answer common questions. It also identifies key messages to reference while communicating about our response. It outlines ideas and guidance for responding to different scenarios our team members may face with patients and visitors regarding our safety measures in place during the COVID-19 pandemic. This is for internal use only by Duke Health team members. Uploaded 06.05.20

FAQs and Talking Points, Patient Communication and Signage, HR & Team Resources
Isolation Cart PPE Table

This table will be paired with each isolation PPE cart and provides streamlined information about the supplies that are needed for providing care for patients with known or suspected COVID-19. Please remember that supplies may come from different manufacturers or be different colors, but they have all gone through a rigorous approval process and provide the same level of protection for our team members. Please note that this information does not replace existing information on the PPE documents guide website; it is designed to showcase information from the various COVID-19 resources on recommended PPE use for DUHS team members in a simplified one-page resource. Uploaded 04.22.20

PPE Signage-Clinical
Know Share Do 4.2.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.02.20.

Know Share Do, FAQs and Talking Points
Letter for visitors of patients in isolation

This letter is for family members/visitors of patients with suspected COVID-19 infection and explains the procedures that will be followed while awaiting test results. Uploaded 03.24.20

Patient Communication and Signage, Operations and Visitation
AVS Known COVID-19 Infection and Pregnancy

These after-visit summary instructions are for English-speaking patients who have known COVID-19 infection and are pregnant. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Uploaded 09.30.20

After Visit Summary, Patient Communication and Signage
Designated Visitor FYI Flag – Maestro Care Tip Sheet

This is a tip sheet for using Maestro Care to designate a visitor for an inpatient using a FYI flag. A new Designated Visitor FYI flag will be available on Maestro Care starting 6/24/2020 to support the new visitor policy of allowing one designated visitor per inpatient. The flag can be added by inpatient nurses, case managers, inpatient and ED Financial Care Counselors and operations administrators. The name of the patient's designated visitor should be noted in the body of the FYI and should NOT be updated once designated. Uploaded 06.23.20

Operations and Visitation
Key Messages for Communicating Enhancing Patient Access to Care

These are approved key messages to share with our patients about how our team is committed to safety while we prepare for this next phase of our response. Uploaded 04.29.20

Patient Communication and Signage, FAQs and Talking Points
Know Share Do 4.7.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.07.20.

Know Share Do, FAQs and Talking Points
Visitor Restrictions Enforced Digital Sign

This 8x10 digital sign enforces visitor restrictions and indicates all patients entering hospitals and clinics will be screened. Uploaded 03.26.20

Patient Communication and Signage, Visitor Restrictions
Know Share Do 11.09.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.09.20.

Know Share Do, FAQs and Talking Points
Guidance on Transfers of Care During Pandemic

This document provides general guidance to Duke Health physicians evaluating requests to accept new patients during the declared state of pandemic emergency in North Carolina. Scope includes Requests to Assume the Care of an Outpatient; Requests for Inpatient Direct Admission; Requests for Inpatient-to-Inpatient Transfers. Uploaded 07.05.20

Clinical Guidance and Forms (General)
Duke Primary Care Quick Reference Guide for Scheduled, Chargeable Telephone Visits

This document is a quick reference guide (tip sheet) for Duke Primary Care (DPC) providers on conducting scheduled, chargeable telephone visits. Uploaded 05.10.20

Telehealth
Duke Newborn Nursery (NBN), Intensive Care Nursery (ICN) and Birthing Center COVID-19 Management Guideline for Newborns and Infants

This pediatric document contains guidance for COVID-19 management of newborns and infants in the newborn nursery, intensive care nursery and birthing center. Uploaded 2.1.21

Pediatric Specific Guidance, Pediatrics, Pediatric Bed Flow
NCBON Testing Letter for New Graduates

This letter from the NC Board of Nursing announces revised licensure requirements for new graduates and was sent 03.24.20. Uploaded 03.24.20

Nursing
Know Share Do 12.07.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.07.20.

Know Share Do
Transplant: Guidance for Transplant Recipients and Patients Receiving Immunosuppressive Therapies

This document provides answers to common COVID-19 questions related to transplant recipients and other patients receiving immunosuppressive therapies. Uploaded 03.21.20

Specialty Specific Guidance, FAQs and Talking Points, High-risk Populations
Infant Negative Pressure Hood Guidance

This document provides guidance for creating a temporary negative pressure environment for infants in a shared neonatal ward requiring COVID-19 tests. Uploaded 07.21.20

Pediatric Specific Guidance
Daily Moments of Well-Being for Meetings and Huddles

Use these scripts​ to help quickly integrate the science of well-being into your huddles and meetings. Uploaded 05.19.20

Well-being & Emotional Support
Know Share Do 4.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.15.20.

Know Share Do, FAQs and Talking Points
Duke Primary and Urgent Care Process for Scheduling a Telephone Visit

This document is the standard work for scheduling telephone visits. Uploaded 03.24.20

Ambulatory DPC, Telehealth
DUHS Manager’s Guide to COVID-19

This document provides a guide for managers to review key processes and protocols regarding our COVID-19 response. It includes employee onboarding materials, workspace and breakroom guidance, contact tracing process diagrams and answers to frequently asked questions. Uploaded: 01.10.21

Employee Health, HR & Team Resources, FAQs and Talking Points
3.21 Know Share Do

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.21.20.

Know Share Do, FAQs and Talking Points
COVID-19 Testing for Adult Direct Admissions to Duke University Hospital

This document outlines the workflow for testing adults admitted to Duke University Hospital. It includes direct admissions from Duke South, the Cancer Center clinics and ABMT clinic. It also includes planned admissions from home with less than/more than 48 hours notice and over the weekend. Uploaded 08.05.20

Duke University Hospital, Testing Guidance, DUH Testing Guidance
Video and Telephone Visit Etiquette

This document shares best practices for conducting professional, engaging, and clear virtual visits with patients. Uploaded 05.27.20

Ambulatory DPC, Telehealth
Pediatric Caregiver Screening and Re-banding Process

This document outlines the pediatric caregiver screening and re-banding process. Uploaded 04.10.20

Pediatric Specific Guidance
Duke Primary and Urgent Care Process Flowchart for Virtual Visits

This flowchart depicts the process for DPC-DUC virtual visits for COVID patients. Uploaded 09.17.20

Ambulatory DPC, Telehealth
Patient Vaccination Appointment Waitlist 5x7 Card

This 5"x7" card (handout) is available for patients and community members to encourage them to join the waitlist for COVID-19 vaccination (vaccine). Uploaded 2.5.21

Patient Communication and Signage
Stop at Door Signage in Spanish

This is a "Stop and Read Before Entering sign" for non-Duke Primary Care outpatient locations in Spanish. Uploaded 03.22.20

Patient Communication and Signage, Spanish
Know Share Do 08.31.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.31.20.

Know Share Do, FAQs and Talking Points
Know Share Do 6.08.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.08.20.

Know Share Do, FAQs and Talking Points
Interim Recommendations for Care of Inpatients from Congregate Living Facilities

This document provides additional clarification for the management of inpatients being admitted to the hospital from congregate living settings. Uploaded 04.22.20

Clinical Guidance and Forms (General), High-risk Populations
Tips to Prevent the Spread of COVID-19: Pediatrics After-Visit Summary Instructions in English

This document is for English-speaking patients with low health literacy skills, including children, and illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS. Uploaded 04.02.20

Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
MyChart letter to high-risk patients

This letter from Dr. Thomas Owens was sent to high-risk patients at Duke Health via MyChart. Uploaded 03.24.20

Patient Communication and Signage
AVS (Spanish) Known COVID-19 Infection and Pregnancy

These after-visit summary instructions are for Spanish-speaking patients who have known COVID-19 infection and are pregnant. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Uploaded 09.30.20

After Visit Summary, Patient Communication and Signage
Childcare, Eldercare, and Summer Camp Resources

A list of childcare, eldercare and summer camp options assembled for Duke employees by the School of Medicine. Uploaded 06.23.2020

HR & Team Resources, Childcare Resources
Know Share Do 4.30.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.30.20.

Know Share Do, FAQs and Talking Points
Speech Pathology/Nutrition: COVID-19 Consults Plan

This document provides clarification and guidance on the PPE required for assessments and procedures for speech pathology/nutrition consults for asymptomatic patients or those who have been tested for COVID-19. Uploaded 1.22.21

Specialty Specific Guidance
Going Home Well-being Checklist 11x17 Sign

This 11x17 employee-facing sign offers simple steps to power down, rest and recharge. Uploaded 03.26.20

Employee Health, Well-being & Emotional Support
COVID-19 Summary

This 8.5"x11" document provides patients with an overview of COVID-19 and the steps to take to protect yourself. Uploaded 11.11.20

Patient Communication and Signage
Know Share Do 11.16.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.16.20.

Know Share Do, FAQs and Talking Points
Know Share Do 07.06.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.06.20.

FAQs and Talking Points, Know Share Do
Smart List for Adding an Attestation Consent Statement for the Use of a Video Visits During the Response to the COVID-19 Pandemic

This document provides the smart list for adding an attestation consent for a video visit during the response to the COVID-19 pandemic. Uploaded 05.10.20

Telehealth
Pediatric Admission Workflow for Patients Requiring COVID-19 Testing

This document contains the admissions workflow for pediatric patients requiring COVID-19 testing. Uploaded 04.10.20

Pediatric Specific Guidance, Pediatrics, Testing Guidance
Editable Temporary Clinic Closure Signage for PDC Clinics

This editable PowerPoint document is intended to be used as a template to create temporary signage for PDC clinic closures. Uploaded 03.27.20

Patient Communication and Signage, Ambulatory PDC
COVID-19 Vaccine FAQs for Duke Health Team Members

This document includes frequently asked questions from Duke Health team members and learners about the COVID-19 vaccine. It includes general questions about the vaccine and questions to address specific issues for Duke Health team members. Updated 1.22.21

FAQs and Talking Points
Periop Case Conduct COVID-19 Process

This document is for perioperative staff and contains guidelines for assessing all non-leveled surgical cases at Duke Health hospitals and surgery centers. Uploaded 03.21.20

Testing Guidance, Periop Testing
Know Share Do 07.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.22.20.

Know Share Do, FAQs and Talking Points
Tips for Student Participation in Telehealth and Secure Chat

This document contains tips for student participation in telehealth and secure chat opportunities. Uploaded 05.19.20

Telehealth
AVS Additional Information Template (Editable)

This Word document can be edited by staff working to discharge patients. It was created in response to the request to provide written instructions to patients in addition to the after visit summary instructions in PDF format. Uploaded 04.15.20

Patient Communication and Signage, Ambulatory DPC
Duke Primary and Urgent Care Patient Instructions for Drive-Up Testing in Spanish

This document contains instructions in Spanish for patients coming to a DPC/DUC clinic for drive-up test collection. Uploaded 04.15.20

Ambulatory DPC, Drive-Up Testing, Spanish
Know Share Do 01.11.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.11.21.

Know Share Do
3.18 Know Share Do

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.18.20.

Know Share Do, FAQs and Talking Points
Universal Testing of Adult Patients Requiring Inpatient Hospitalization at Duke University Hospital

All adult patients who have not tested positive for COVID-19 within the preceding 3 months and who are admitted to Duke University Hospital should have COVID-19 testing performed within 72 hours prior to arrival to DUH for admission or at the time of admission. Various pathways exist to test patients depending on the origin of the admission. Uploaded 08.05.20

Testing Guidance, Duke University Hospital, DUH Testing Guidance
Masking Guidance for Patients and Visitors (Spanish)

This guidance is for Spanish-speaking patients and visitors who are required to wear a mask while in common areas of Duke hospitals and clinics. It provides reminders in words and icons about hand hygiene and best practices for wearing masks during the COVID-19 pandemic. Uploaded 08.18.20

Patient Communication and Signage
DUH, PDC & DPC COVID-19 Testing Guidance

This document provides updated guidance for COVID-19 testing. This includes recommendations for testing based on 12 categories of patients and the respective approved tests at Duke University Hospital (DUH), Private Diagnostic Clinic (PDC) and Duke Primary Care (DPC). Guidelines at Duke Regional Hospital and Duke Raleigh Hospital vary based on workflows and testing capabilities; please work with the respective entity CMO for appropriate guidance. Updated 07.14.20

Testing Guidance, Duke University Hospital, Ambulatory PDC, Ambulatory DPC, DUH Testing Guidance
Duke Primary Care Process Flowchart for Non-COVID-19 Virtual Visits

This flowchart depicts the process for DPC virtual visits for non-COVID patients. Uploaded 04.01.20

Ambulatory DPC, Telehealth
Know Share Do 2.8.21 Know Share Do
Outpatient Visitor Restrictions Poster - 1 visitor per patient (11x17)

An 11x17 poster limiting one visitor per patient in the outpatient setting. This poster is in English and should be posted on a clinic's exterior. Uploaded 03.22.20

Patient Communication and Signage, Visitor Restrictions
Know Share Do 09.02.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.02.20.

FAQs and Talking Points, Know Share Do
Federal Medical Complex Butner Federal Forensic Patient Care

This document can be accessed through the Secure Policy Center. This document outlines care policies and FAQs for the care of forensic patients from Butner Federal Medical Complex (FMC). These policies address the care of an inmate patient who is under the legal custody of law enforcement or a correctional facility. Uploaded 06.05.20

Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Clinical Guidance and Forms (General), High-risk Populations
Know Share Do 4.23.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.23.20.

Know Share Do, FAQs and Talking Points
Duke Primary Care Process for Running Canceled Patient Reports in Maestro Care

This document gives step-by-step instructions to run a report of canceled patient visits in Maestro Care. Uploaded 03.30.20

Ambulatory DPC
Patient email sent on 3.16.20

This email was sent to Spanish-speaking patients on 3.16.20 instructing patients about what to know prior to coming to a Duke Hospital or Clinic during the COVID pandemic to help prevent the spread of infection. Uploaded 03.16.20

Patient Communication and Signage
AVS (Spanish) Known COVID-19 Infection in Immunocompromised Patients

These after-visit summary instructions are for Spanish-speaking patients who have known COVID-19 infection and are immunocompromised. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Uploaded 09.30.20

After Visit Summary, Patient Communication and Signage
Patient Masking Update Letter – Spanish

This patient letter can be used to help team members communicate inpatient masking updates with patients. This version of the letter is in Spanish. Uploaded 06.23.20

Patient Communication and Signage
Patient email update sent on 5.1.2020

This patient email was sent on 5.1.20 and explains that we are now able to begin safely rescheduling needed appointments and surgeries. Uploaded 05.01.20

Patient Communication and Signage
Radiation Oncology: Guidelines for COVID-19

The purpose of this document is to define best practices for patient care in light of the change in circumstances brought about by the many challenges posed by COVID-19 for Radonc. The overall goal is to provide the best care for our patients with cancer, while reducing their risks to the greatest extent possible related to COVID-19. These guidelines will be updated regularly given the potential for rapid changes in conditions. Uploaded 04.07.20

Radiation Oncology, Specialty Specific Guidance
Duke Regional Hospital Team Member Screening Process

This file documents the process for screening team members (employees) upon their arrival at work at Duke Regional Hospital. Uploaded 03.31.20

Operations and Visitation, Duke Regional Hospital, Employee Screening, Employee Health, Safe Return On-site
DUH Flowchart – Patients Arriving to Duke North Admissions

This flowchart depicts the process for confirming the COVID-19 status for patients arriving to Duke North. The admissions office should review the patient’s encounter to determine if there is a documented COVID-19 test and the appropriate steps to admit the patient. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance, Testing Guidance
DUH Algorithm for Testing Interfacility Transfer Patients

This algorithm shows the workflow and inclusion/exclusion criteria for testing patients on arrival to DUH who are transferred from Outside Facilities. Uploaded 09.14.20

Operations and Visitation, Testing Guidance, Duke University Hospital
Know Share Do 05.11.20

COVID-19 Leadership Huddle Know Share Do 05.11.20.

Know Share Do
DUH Pediatric Cardiac Catheterization Lab Suspected or Confirmed COVID-19 Patients – Emergent Procedures

This pediatrics document lists emergent procedures related to the care of suspected or confirmed COVID-19 patients in the pediatric cardiac catheterization lab. Uploaded 04.10.20

Pediatric Specific Guidance, Pediatrics
AVS (Spanish) COVID-19 Infection with Mild or No Symptoms-Guidelines for You and Others in Your Home

These after-visit summary instructions are for Spanish-speaking patients who have no symptoms or mild symptoms that may be caused by COVID-19 who do not require hospital treatment. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with symptoms that may be caused by COVID-19. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage, Spanish
Emergency Use Authorized Monoclonal Antibody Infusion for Mild/Moderate COVID-19: Guidance for Referring Duke Clinicians

 

Effective Dec. 7, Duke will provide a very limited supply of Emergency Use Authorized (EUA) monoclonal antibody infusions to outpatients with mild to moderate COVID-19 infection. Because of the limited supply of doses, only patients at very high risk for severe COVID-19 infection or hospitalization should be considered for this treatment. This document includes the eligibility criteria and process for providing these products to a small number of patients. Uploaded 1.19.21

PPE Conservation Strategies for COVID-19

This document is for healthcare workers and includes recommendations to limit unnecessary mask use. Uploaded 03.21.20

PPE, PPE Conservation
Duke Raleigh Hospital COVID-19 EVS Room Cleaning Procedure

This document includes guidelines for Duke Raleigh Hospital EVS team members on cleaning procedures for inpatient rooms during the COVID-19 response. Uploaded 7.22.20

PPE, Clinical Guidance and Forms (General), Duke Raleigh Hospital
Disinfection Guidance for Inpatient Tablet & Accessories

This document provides disinfection guidance for electronic equipment used across DUHS for patients on isolation. The equipment includes tablets mounted on an IV pole, Bluetooth speakers, charging cords, etc. Updated 05.19.20

Telehealth, Clinical Guidance and Forms (General)
AVS Known COVID-19 Infection: Guidelines for You and Others in Your Home After Hospital Discharge

These after-visit summary instructions are for English-speaking patients who have known COVID-19 infection and are being discharged from the hospital. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage
Duke Primary and Urgent Care Patient Instructions for Drive-Up Testing

This document contains instructions for patients coming to a DPC/DUC clinic for drive-up test collection. Uploaded 04.15.20

Ambulatory DPC, Drive-Up Testing
FAQ: Answers to Your Most Common Questions Regarding Commercially Available COVID-19 Tests and Testing at Duke Health

This FAQ provides answers to commonly asked questions about commercially available COVID-19 tests (testing) and the tests available at Duke Health. Uploaded 1.20.21

Testing Guidance
Response Call Center Algorithm (DUHS)

The document can be used by outpatient triage staff for screening for COVID-19 by phone. It includes a script, algorithm, and Infection Prevention contact information. Uploaded 04.02.20

Call Center Triage
Universal Testing of Pediatric Patients Requiring Inpatient Hospitalization at Duke University Hospital

All pediatric patients admitted to Duke University Hospital who have not tested positive for COVID-19 within the preceding 3 months should have COVID-19 testing performed within 72 hours of their admission or at the time of admission. Various pathways exist to test patients depending on the origin of the admission. Uploaded 08.06.20

Pediatrics, Testing Guidance, Duke University Hospital, Pediatric Specific Guidance, DUH Testing Guidance
Emotional Support & Well-Being Line Flyer

This flyer describes the COVID-19 Emotional Support & Well-Being Line. The hotline offers supportive and compassionate listening, practical resources for support, and referrals to treatment or clinical service. The line is staffed by the Department of Psychiatry & Behavioral Sciences and complements the services available from PAS and EAP. Uploaded 11.19.20

Well-being & Emotional Support
Masking in Common Areas

This flyer can be posted to remind healthcare workers to wear a mask in common areas at all times when not actively eating, drinking or using the restroom. It also provides an important reminder about limiting the number of unmasked individuals who are in close proximity with one another while eating and drinking. Uploaded 04.17.20

PPE Signage-Clinical
Duke Primary Care Process for Conducting Telephone Visits on Day of Appointment

This document is the standard work for DPC clinic staff and providers when conducting a telephone visit to clarify the role of providers and staff in telephone visits when working from home. Uploaded 04.29.20

Ambulatory DPC, Telehealth
COVID-19 Safety Protocols Remain in Place Sign

All patients, visitors and team members must continue following all COVID-19 safety protocols, even if they have received vaccination. This includes: completing safety screenings, wearing a mask, maintaining distance from others and washing your hands and sanitizing. This sign is available for patients, visitors and team members to remind them to continue practicing healthy behaviors and following policies even if they have been vaccinated (vaccine). Uploaded: 2.11.21

Patient Communication and Signage
Outpatient Visitor Restrictions Sign - 1 visitor per patient (8.5 x 11)

An 8.5x11 poster limiting one visitor per patient in the outpatient setting. This poster is in English and should be posted on a clinic's exterior. Uploaded 03.22.20

Patient Communication and Signage, Visitor Restrictions
Know Share Do 09.09.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.09.20.

Know Share Do, FAQs and Talking Points
Pandemic Response Network (SPANISH)

This document in SPANISH includes answers to common questions about the Pandemic Response Network’s Duke Community Health Watch COVID-19 study. Uploaded 06.08.20

FAQs and Talking Points, Patient Communication and Signage
Contact/Reference List for COVID-19 Topics

This one-pager lists contact information and document references to help quickly answer common questions related to COVID-19. Topics include testing, PPE, interpreter services and employee health. This resource is intended for DUHS team members at Duke University Hospital, Duke Regional Hospital and Duke Raleigh Hospital. Uploaded 04.23.20

Clinical Guidance and Forms (General), Testing Guidance
Duke Primary Care PPE and Lab Supplies Takeaways and FAQ

This document for managers clarifies their responsibilities related to supplies, including PPE, during the COVID-19 pandemic. Uploaded 04.02.20

Ambulatory DPC, PPE, FAQs and Talking Points
Patient email sent on 3.13.20

This patient email sent on 3.13.20 instructing patients about what to know prior to coming to a Duke Hospital or Clinic during the COVID pandemic to help prevent the spread of infection. Uploaded 03.24.20

Patient Communication and Signage
AVS Known COVID-19 Infection in Immunocompromised Patients

These after-visit summary instructions are for English-speaking patients who have known COVID-19 infection and are immunocompromised. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Uploaded 09.30.20

After Visit Summary, Patient Communication and Signage
Team Member Visitor Restrictions Update June 23

This document includes an email update that was distributed to all Duke Health employees on the morning of June 23rd. This update included important policies regarding our updated visitor restrictions for inpatients and outpatients. Uploaded 06.23.20

Visitor Restrictions, Operations and Visitation
Know Share Do 5.1.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.01.20.

Know Share Do, FAQs and Talking Points
Keeping Yourself and Your Team Members Safe

Tip sheet / printable resource for healthcare workers and highlights best practices for keeping safe at work. Uploaded 04.07.20

Employee Health, PPE Signage-Clinical, Shared Spaces
Duke University Hospital Team Member Screening Process

This file documents the process for screening team members (employees) upon their arrival at work at Duke University Hospital (DUH). Uploaded 03.26.20

Operations and Visitation, Duke University Hospital, Employee Screening, Employee Health, Safe Return On-site
Duke Raleigh Hospital Team Member Screening Process

Employee screening guidelines for Duke Raleigh Hospital (DRaH) team members. Updated 9.30.20

Operations and Visitation, Duke Raleigh Hospital, Employee Screening, Employee Health, Safe Return On-site
DUH Flowchart – Confirming COVID-19 Status Inpatient Transfer from Outside Facilities

This flowchart depicts the process to confirm the COVID-19 status for patients accepted from an outside facility as a transfer to an inpatient bed. At the time of acceptance, the COVID-19 status should be documented in the patient’s chart. If this is not documented, the patient should be directed to the DUH Swab Team. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance, Testing Guidance
DRH Recommended Eye Protection

The attached document for Duke Regional Hospital contains information from the Centers for Disease Control and Prevention (CDC) regarding DRH healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Uploaded 07.02.20

PPE, Duke Regional Hospital
Ophthalmology: Point of Care Testing Flowchart - Eye Center Urgent Clinic

This is flowchart depicts the process for patients who have been examined in an ophthalmology clinic, needs surgery, and the patient is ready for COVID-19 testing. Uploaded 05.11.20

Specialty Specific Guidance, Testing Guidance, Periop Testing
Duke Birthing Center (DBC)/ Intensive Care Nursery (ICN) COVID-19 Bed Flow Plan

This pediatric document contains the COVID-19 bed flow plan for the Duke Birthing Center and intensive care nursery. Uploaded 04.10.20

Pediatric Specific Guidance, Pediatrics, Pediatric Bed Flow
Criteria for Discontinuation of Special Airborne Contact Isolation

This document provides updated guidance to healthcare workers on when to discontinue special airborne contact (SAC) isolation for patients with COVID-19 (Discontinuing isolation). This guidance applies to all areas of Duke Health including adult and children’s inpatient, outpatient, surgical, procedural and other care areas. CDC now recommends using a symptom-based strategy alone for discontinuation of special airborne contact isolation for patients infected with COVID. Enough evidence has accumulated to show that patients are not shedding live, infectious virus after a specified amount of time passes from symptom onset. As such, Duke Health will no longer use the test-based strategy (i.e. 2 negative tests) to discontinue Special Airborne Contact isolation for patients with COVID and begin using the symptom-based strategy outlined below. Updated 12.12.20

Clinical Guidance and Forms (General), Special Airborne Contact
Duke-NUS AMC Joint Webinar Series: Adaptation and Innovation Across the Pacific in Response to the COVID-19 Pandemic

This is a flyer for the Duke-NUS AMC Joint Webinar Series: Adaptation and Innovation Across the Pacific in Response to the COVID-19 Pandemic. Uploaded 12.11.20

AVS COVID-19 Infection with Mild or No Symptoms: Guidelines for You and Others in Your Home in English

These after-visit summary instructions are for English-speaking patients who have no symptoms or mild symptoms that may be caused by COVID-19 who do not require hospital treatment. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with symptoms that may be caused by COVID-19. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage
Duke Raleigh Hospital COVID-19 EVS Room Cleaning Checklist

This document provides a checklist for Duke Raleigh Hospital EVS team members on the cleaning procedures for inpatient rooms during the COVID-19 response. Uploaded 7.22.20

PPE, Clinical Guidance and Forms (General), Duke Raleigh Hospital
Guidance for Appropriate Repeat COVID-19 Testing

This document provides guidance for providers on appropriate test utilization for COVID-19 PCR (appropriate COVID-19 repeat testing). Please note that all test orders available at DUHS (POC test, rapid test, pre-procedural test, inpatient test, outpatient test, and IP test) have gone through a rigorous validation process and that all results may be used as part of these repeat testing strategies. Updated 08.05.20

Testing Guidance, Clinical Guidance and Forms (General)
COVID-19 Team Member Accommodations

This document contains information regarding hotel accommodations and discounts available to Duke Health team members during the COVID-19 outbreak. Uploaded 04.14.20

HR & Team Resources, Employee Health
Duke Primary Care Process for Scheduling a Drive-Up Testing Visit

This document is the standard work for scheduling drive-up test collection at DPC/DUC clinics. Uploaded 09.11.20

Ambulatory DPC, Drive-Up Testing
Know Share Do 01.13.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.13.21.

Infection Prevention Phone Numbers

This document lists the phone numbers for Infection Prevention at Duke entities, including hospitals, primary care, clinics, university and is for employee use only. Uploaded 03.21.20

FAQs and Talking Points
Disruptive Patient and Visitor Banner: Duke Raleigh Hospital

This banner may be displayed to highlight our disruptive patient & visitor policy. This is a reminder for patients and visitors that we will not tolerate aggressive behavior at Duke Health. It also highlights how our team values diversity and treats everyone with respect. Uploaded 08.07.20

Operations and Visitation, Patient Communication and Signage, Duke Raleigh Hospital
Infection Prevention Highlights to Prevent Team Member Exposure

The Infection Prevention Highlights to Prevent Team Member Exposure document outlines many of the measures we have implemented at Duke Health to keep our team members safe while continuing to provide high-quality care to our patients. This is intended to provide to team members with a key overview of many of the changes made to operations, guidance and recommendations to protect our patients, visitors and each other. Uploaded 06.02.20

Clinical Guidance and Forms (General), Employee Health
Know Share Do 4.20.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 4.20.20.

Know Share Do, FAQs and Talking Points
DPC COVID-19 Patient/Visitor Screening

This document includes guidelines and scripting for patient and visitor screening at Duke Primary and Urgent Care clinics. Uploaded 07.29.20

Ambulatory DPC
Frontline Essential Workers Eligible for Vaccination Waiting List

Recently, Gov. Cooper and NC DHHS Secretary Mandy Cohen announced that Group 3 frontline essential workers will be eligible for vaccination in the coming weeks. This handout is available to provide to patients and community members for more information about this transition. Uploaded 2.14.21

Patient Communication and Signage
Attention at Check In (8.5x11) sign

An 8.5 x 11 poster asking patients to check in with the Front Desk if they have symptoms. English. Uploaded 03.22.20

Patient Communication and Signage
Moments to Movement Wearable Support Card

This card provides more information regarding Duke Health’s Moments to Movement wearable support. It outlines the meaning behind wearing a Black Lives Matter Badge Reel and Anti-Racism Pin. Uploaded 09.11.20

HR & Team Resources
Patient & Visitor Face Covering Reference Sheet

This patient and visitor face covering reference sheet outlines key takeaways regarding our universal masking policy for patients and visitors. It also includes guidance for acceptable face coverings. This is for internal use only by Duke Health team members. Uploaded 08.18.20

PPE, Patient Communication and Signage
Know Share Do 4.24.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.24.20.

Know Share Do, FAQs and Talking Points
Tips to Prevent the Spread of COVID-19: Pediatrics After-Visit Summary Instructions in Spanish

This document is for Spanish-speaking patients with low health literacy skills, including children, and illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS. Uploaded 04.02.20

Spanish, Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
Patient or caregiver email sent on 3.13.20

This email was sent to pediatric patients and their caregivers on 3.13.20 instructing them about what to know prior to coming to a Duke Hospital or Clinic during the COVID pandemic to help prevent the spread of infection. Uploaded 03.24.20

Patient Communication and Signage
Guidelines for Social Gathers & Holiday Celebrations

We understand that in past years, our colleagues would often come together as teams to celebrate the holiday season and our collective successes. This year will feel different for sure, but we again want to prioritize safety of our team members so that everyone may remain healthy and able to connect with loved ones. As such, please note the guidelines outlined in this document. Uploaded 10.02.20

Well-being & Emotional Support, HR & Team Resources
Patient Letter for Updated Visitor Restrictions Effective October 27, 2020 – Spanish

This is a letter to provide patients that outlines updated visitor restrictions in place effective October 27, 2020. The letter explains our updated restrictions in place in our hospitals, outpatient surgery and outpatient clinics. This version of the letter is in Spanish. Uploaded 10.27.20

Patient Communication and Signage, Operations and Visitation
PPE Observer Standard Work

This chart provides guidance for the trained observers standard work to support the clinical staff to ensure the safe practice and use of personal protective equipment while providing care to highly infectious patients. Uploaded 05.05.20

PPE, PPE Signage-Clinical
Know Share Do 4.8.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.08.20.

Know Share Do, FAQs and Talking Points
Childcare Options for Parents in English

Printable resource to provide child care resources for essential employees during COVID. It is provided by the North Carolina Department of Health and Human Services and the North Carolina Department of Public Instruction. This is the English Version. Uploaded 03.26.20

HR & Team Resources, Childcare Resources
COVID-19 Testing for Duke University Hospital Inpatients

This flowchart depicts the process for Duke University Hospital inpatients requiring a COVID-19 testing. Test results that are needed in fewer than six hours for an emergent procedure, imminent discharge or any patients exhibiting symptoms of COVID-19 in a multi-occupancy room will be managed by the DUH Swab Team. All other patients should receive an order for a PCR or administrative COVID-19 test by the inpatient team. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance
Decedent Care: Visitation Procedure at DRH During End-of-Life

This flowchart applies to DRH and shows the procedure for supporting family presence and participation/visitation during end-of-life of patients with suspected or confirmed COVID-19 infection. Uploaded 07.06.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke Regional Hospital
DUH Perioperative Point of Care Testing for COVID-19 for Leveled Cases

This flowchart depicts the process for point of care testing for asymptomatic patients requiring surgery or a procedure. Uploaded 08.05.20

Testing Guidance, Periop Testing
Infographic: Appropriate PPE During COVID-19 Response

This updated infographic provides concise and simplified recommendations for what PPE healthcare workers should wear during the COVID-19 response. This also includes reasonable accommodations for patient/provider masking compliance. Updated 09.25.20

PPE, Eye Protection
Know Share Do 3.30.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.30.20.

Know Share Do, FAQs and Talking Points
After Your Vaccine: When to Contact the COVID-19 Hotline

After receiving the COVID-19 vaccine, you may develop some side effects in response to the vaccine in the next 24 to 48 hours. This information is a guide to help you decide if you should contact the employee COVID-19 Hotline for advice on getting a COVID-19 test. Uploaded 12.12.20

Employee Health
Home Visitor Log for Symptomatic COVID-19 Patients

This document is an NCHHS log for providers to use with patients who have COVID-10 symptoms and must track visitors to their home. Uploaded 03.21.20

Ambulatory DPC
Healthcare Worker Guidance for Quarantining FAQs

Based on recommendations from the CDC and our infectious disease experts, the Duke Employee Occupational Health & Wellness team has updated guidance for healthcare workers who need to quarantine. Review this document for answers to frequently asked questions regarding this update. Uploaded 12.8.20

Employee Health, FAQs and Talking Points
Know Share Do 5.20.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.20.20.

Know Share Do, FAQs and Talking Points
Ambulatory Routine Lab Visits – Minimizing Exposure During COVID-19

This document includes standard work instructions for managing patients’ routine laboratory appointments at Duke Primary and Urgent Care clinics while minimizing potential exposure to COVID-19. Uploaded 04.14.20

Ambulatory DPC
N95 Seal Check Instructions

This document illustrates N95 seal check instructions for healthcare workers. While this guide was made for the 3M brand of N95 respirators, the same principles of fit testing apply to other types of respirators. Uploaded 03.30.20

PPE, N95, Donning & Doffing
Maestro Care Quick Tip -- COVID-19 Vaccination Workflow

This document describes the workflow appointment/call/scheduling center staff should follow to schedule a patient for COVID-19 vaccination. The document also includes answers to basic questions patients may ask about the vaccine and vaccination appointment. Updated 1.14.21

Maestro Care
CDC Guidance: Employee Risk Assessment for COVID-19 Exposure

This table is for healthcare workers to use in assessing COVID-19 risk exposure, per CDC guidance. It includes additional information from Employee Health on recommended monitoring periods and work restrictions for asymptomatic healthcare workers. Updated 05.01.20

Employee Health
Disruptive Patient and Visitor Signs: Duke Raleigh Hospital

This sign may be displayed to highlight our disruptive patient & visitor policy. This is a reminder for patients and visitors that we will not tolerate aggressive behavior at Duke Health. It also highlights how our team values diversity and treats everyone with respect. Uploaded 08.07.20

Operations and Visitation, Patient Communication and Signage, Duke Raleigh Hospital
Maestro Care Update for Exposure to COVID-19 Status

This document outlines more information about the Maestro Care Update for Exposure to COVID-19 status. Beginning Thursday, May 28th, a new infection status, “Exposure to COVID-19” will be visible within Maestro Care for patients who have a known exposure to a person infected with COVID-19 (e.g. newborn of a mother with COVID-19) or patients requiring admission with a recent stay in a congregate setting (such as nursing or group home). When admitting a patient with this history, you must notify Infection Prevention at your facility during business hours to update the infection status and assure isolation order for Contact and Droplet entered in Maestro Care. Some patients may have a negative SARS-CoV-2 test; however, due to their exposures (to another person or congregate living facilities), special contact and droplet precautions are indicated for a defined period while in acute care clinical settings. Please contact your facility's Infection Preventionist with questions. Uploaded 05.28.20

Clinical Guidance and Forms (General), Maestro Care
How To Safely Share Meals with Others at Work During COVID-19 Pandemic

This document contains guidelines for sharing meals and eating in common spaces. Clusters of healthcare worker COVID-19 infections have been linked to workroom environments where staff have gathered without wearing masks to eat and drink. This one-pager provides guidance for DUHS team members on food safety. Uploaded 04.20.20

Employee Health, Safe Return On-site, Shared Spaces
Masking Protocols for Team Members

This document provides instructions for our universal masking initiative at our hospital and clinic sites. It also includes answers to questions from colleagues and patients. Updated 06.02.20

PPE, FAQs and Talking Points, Employee Health
Know Share Do 02.15.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 2.15.21.

Know Share Do
OR Protocol for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

This document is for OR staff and addresses perioperative management of patients who are known or suspected COVID-19 positive and need urgent surgery. Patients who do not fall into those categories will continue to be managed in the usual fashion. Uploaded 08.13.20

Periop Management, Anesthesia, Anesthesiology
Know Share Do 09.14.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.14.20.

Know Share Do, FAQs and Talking Points
Know Share Do 6.10.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.10.20.

Know Share Do, FAQs and Talking Points
FAQs on COVID-19 Transmission and Exposure Risk for Team Members

When patients are diagnosed with COVID-19 infection and DUHS team members have provided care without following Special Airborne Contact Precautions, the Infection Prevention and Employee Health teams speak with potentially exposed team members to determine their overall level of risk. This document provides answers to some of the frequently asked questions from healthcare workers and managers when this scenario occurs. Uploaded 04.24.20

Employee Health, FAQs and Talking Points
ICU Educational Resources for the Non-ICU Clinician - Duke University Health System

This document includes ICU educational resources for the non-ICU clinician. The information includes links to websites with free modules provided by the Society of Critical Care Medicine (SCCM). Uploaded 04.01.20

Clinical Guidance and Forms (General), ICU Care
Patient email update sent on 3.16.20

This patient email was sent on 3.16.20 and encourages them to keep appointments and to continue to take medications. Uploaded 03.24.20

Patient Communication and Signage
Know Share Do 10.05.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 10.05.20.

Know Share Do, FAQs and Talking Points
KSD 06.24.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.24.20.

Know Share Do, FAQs and Talking Points
Know Share Do 5.4.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.04.20.

FAQs and Talking Points, Know Share Do
Know Share Do 4.9.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.09.20.

Know Share Do, FAQs and Talking Points
Childcare Options for Parents in Spanish

Printable resource to provide child care resources for essential employees during COVID. It is provided by the North Carolina Department of Health and Human Services and the North Carolina Department of Public Instruction. This is the Spanish Version. Uploaded 03.26.20

HR & Team Resources, Childcare Resources, Spanish
After Hours COVID-19 Point of Care Test (POCT) for DUH Mission Critical Employees

This flowchart depicts the process for Duke University Hospital employees experiencing COVID-19 symptoms. All employees should contact EOHW on-call to conduct the COVID-19 screening questions. If it is after hours and the employee is a DUH mission critical employee, the employee may be instructed to report to the DUH Emergency Department for COVID-19 testing. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance, Testing Guidance
Managing Infants born to Mothers with Suspected or Confirmed COVID-19

This document summarizes the PPE recommendations for healthcare workers providing care to maternal-infant pairs in the inpatient and outpatient settings. It outlines guidelines for managing infants born to mothers with suspected or confirmed COVID-19. Uploaded 07.07.20

Pediatric Specific Guidance, Clinical Guidance and Forms (General)
Duke University Hospital and Duke Regional Hospital Birthing Center Visitation Guidelines

This document is a patient resource to outline the visitation guidelines at Duke University Hospital and Duke Regional Hospital birthing centers. We recognize the importance of having continuous labor support for mothers during the birthing process and newborns/pediatrics. Updated 05.19.20

Patient Communication and Signage, Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital
Recommendations for Negative Pressure Rooms and/or HEPA Filtration

This one-pager highlights the importance of wearing appropriate PPE during aerosol-generating procedures. It also explains the role of negative room pressurization, and recommendations for what to do if a HEPA filter is not available. Uploaded 04.10.20

Clinical Guidance and Forms (General), PPE
Duke Primary and Urgent Care Telephone Visit Maestro Tip Sheet

This Maestro tip sheet is for DPC and DUC providers to reference for information on documentation and billing when conducting telephonic visits. Uploaded 03.19.20

Ambulatory DPC, Telehealth
Manager Tip Sheet for COVID-19 Vaccination Scheduling

This handout for managers includes key tips scheduling team members who are interested and eligible for COVID-19 vaccination (vaccine). Uploaded 12.13.20

Inpatient/ED: Required PPE

An 8.5x11 sign showing the required PPE (personal protective equipment) for staff in Inpatient and Emergency Departments. Uploaded 03.21.20

PPE Signage-Clinical, Donning & Doffing
Telehealth Insurance Coverage Extension Update

Together with other partner institutions in NC, Duke Health had formal conversations earlier this week with CIGNA leadership and CIGNA verbally confirmed they will be extending their current telehealth coverage policy to Dec 31, 2020. As of July 23, the formal policy was updated on their website, confirming their extension of coverage.

Last week, Aetna posted their extension of COVID period coverage until the end the year. Additionally, there is a clarification in Medicaid’s current telehealth policy. Just like all other payers, these updates are coming very near to the end dates of their policies. For this reason, we will continue to prepare for these changes while being hopeful that they will extend their coverage. Uploaded 07.24.20

Telehealth
Duke University Hospital Guidance for Interpreter Services on Duke-Issued Tablets for Patients with Suspected COVID-19

If scheduled before entering patient’s rooms, Duke Interpreter services can connect to a patient or provider tablet via Jabber to facilitate communication. This document provides guidance and outlines the workflow for using this service at Duke University Hospital. Updated 05.20.20

Telehealth, Clinical Guidance and Forms (General), Duke University Hospital
AVS (Spanish) Known COVID-19 Infection-Guidelines for You and Others in Your Home After Hospital Discharge

These after-visit summary instructions are for Spanish-speaking patients who have known COVID-19 infection and are being discharged from the hospital. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20

Patient Communication and Signage, Discharge Instructions
ED & INPATIENT Hospital Day Less Than or Equal To 3 Decision Tree

This document shows a decision tree for COVID-19 testing for patients who are in the ED or who have been admitted for less than or equal to 3 days. The decision for COVID-19 testing should be based on clinical judgment. Prior to testing for COVID-19, the Infection Prevention team recommends ruling out other potential causes of the patient's clinical condition including influenza or other non-influenza viral illnesses (as applicable). If the aforementioned tests are negative or if the clinical picture is not explained by a non-influenza pathogen, it is appropriate to proceed with COVID-19 testing. Updated 04.17.20

Testing Guidance
Scheduling COVID-19 vaccines through DPC

This document provides Duke Primary and Urgent Care staff an overview of the process for scheduling patients for COVID-19 vaccination. Uploaded 1.13.21

Ambulatory PDC
How to Access Technology While Working Remotely

The document is for staff and includes detailed information and technology tools for working remotely. It includes instructions on accessing the VPN, WebEx, Zoom, Microsoft Teams, Jabber, and more. Uploaded 03.24.20

Telework and Working Remotely, HR & Team Resources
Guidance for Adult End-of-Life Visitation

This document provides updated guidance for managing end-of-life visitation for adult inpatients at all three Duke hospitals. It includes policies for patients with and without COVID-19. Uploaded 02.05.21

Operations and Visitation, Decedent Care
Know Share Do 5.29.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.29.20

Know Share Do, FAQs and Talking Points
DUH Visitor Exception Approval Process During COVID Visitor Restriction Period

This flow chart provides guidance for family presence and participation during end of life for COVID positive patients, PUI's, and non-COVID patients at Duke University Hospital. Uploaded 04.16.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke University Hospital, Decedent Care
Know Share Do 4.1.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.01.20.

Know Share Do, FAQs and Talking Points
Maestro Care: Personalize Your Charge Capture – Ambulatory Setting

This Maestro Care tip sheet is for providers who work only in the Ambulatory Setting. Just as you have preference lists for diagnoses, orders and LOS, you can now create favorites for charges in Charge Capture. If you currently have to click through several lists to see the charges you use most often or you have to link modifiers to existing charges on a regular basis, build your preference list to make these options just one click away. Uploaded 02.15.21

Maestro Care
Operating Room Flowcharts for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

These flowcharts are for OR staff and should be used in conjunction with the protocol for Perioperative Management of Urgent Surgical Procedures in Suspected of Confirmed COVID-19 Patient. Flowcharts include perioperative and room setup, intraoperative, and extubation, transfer, and room cleaning. Uploaded 04.01.20

Periop Management, Anesthesia, Anesthesiology
Know Share Do 09.16.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.16.20.

Know Share Do, FAQs and Talking Points
Return of MS2 students to clinical experiences/clerkships FAQs

Second-year medical students will return to their clerkships on June 15, 2020. We encourage embracing these students as active members of our team and in the care of patients. This is a document addressing frequently asked questions (FAQs) for the anticipated return of MS2 students to clinical experiences/clerkships. Uploaded 06.11.20

FAQs and Talking Points
Meal and Medicine Resources for Patients in Home Isolation

This document is designed for patients who must stay home in isolation due to suspected or confirmed COVID-19 infection. It provides basic food safety tips for handling, cooking and storing food as well as resources for food and medication delivery resources. Uploaded 04.24.20

Patient Communication and Signage
Pre-operative Asymptomatic COVID-19 Testing Process

This flowchart shows the testing process for pre-surgical asymptomatic patients who are being scheduled for surgery (who are not level 1-4) and require anesthesia services. Uploaded 08.05.20

Testing Guidance, Periop Testing
COVID-19: Protecting You and Your Loved Ones

This handout (8.5 x 11) is being given to visitors/patients as part of the screening process when they enter a Duke entity. English. Uploaded 03.24.20

Ambulatory DPC, Patient Communication and Signage
DUHS Respiratory Viral Testing Guidance for the 2020-2021 Winter Respiratory Viral Season

The COVID-19 pandemic is reducing the supply of all non-COVID respiratory viral tests this fall/winter making it necessary to use tests judiciously. This document provides testing guidance for the 2020-2021 respiratory season. Uploaded 10.09.20

Testing Guidance