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
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
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
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
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
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
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
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 05.15.20

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage, Spanish
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 05.15.20

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
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 05.28.20

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
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
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
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
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 08.04.20

Clinical Guidance and Forms (General), Special Airborne Contact
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 05.15.20

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
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
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
Patient Letter for Updated Visitor Restrictions Effective June 24, 2020 – Spanish

This is a letter to provide patients that outlines updated visitor restrictions in place effective June 24, 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 06.23.20

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
Duke Raleigh Hospital Team Member Screening Process

Employee screening guidelines for Duke Raleigh Hospital (DRaH) team members. Updated 8.31.20

Operations and Visitation, Duke Raleigh Hospital, Employee Screening, Employee Health, Safe Return On-site
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
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 05.07.20

PPE
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
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 if they live with someone confirmed to have COVID-19. Review this document for answers to frequently asked questions regarding this update. Uploaded 07.24.20

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
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
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
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 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
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
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
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 05.15.20

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
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 08.07.20

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
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
Decedent Care: Visitation Procedure at DRAH During End-of-Life

This flowchart applies to DRAH 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 06.24.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke Raleigh Hospital
Life Support FAQs

The attached document contains frequently asked questions about life support certifications. Uploaded 05.04.20

Nursing, FAQs and Talking Points
COVID-19 Resources for Families (in English and Spanish)

This document is for families and includes links to resources about talking to kids about COVID-19, options for basic needs and healthcare, activities to do at home, and mental health support. Uploaded 04.09.20

Pediatric Specific Guidance, Patient Communication and Signage, Spanish
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
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
Know Share Do 4.13.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.13.20.

Know Share Do, FAQs and Talking Points
Duke Primary Care Process for Converting Scheduled Office Visits to Telephone Visits

This document is the standard work for converting existing office visits to telephone visits for non-COVID patients. Uploaded 03.23.20

Ambulatory DPC, Telehealth
Outpatient: Required PPE

This document is an 8.5x11 flyer for healthcare workers showing required PPE for outpatient care. Uploaded 03.21.20

PPE Signage-Clinical, Ambulatory DPC
Know Share Do 07.27.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.27.20.

Know Share Do, FAQs and Talking Points
Tracheostomy Protocol During COVID-19

This document provides multidisciplinary guidance for safely performing tracheostomies and for post-tracheostomy care in patients who were diagnosed with COVID-19 (tracheostomy protocol). Please note, there is a new recommendation that special airborne contact isolation may be discontinued once the patient meets appropriate criteria using the symptom-based strategy. Updated 08.04.20

Clinical Guidance and Forms (General)
DUH ICU Guidance

This document is meant to serve as internal guidance for the identification and management of patients admitted to Duke University Hospital with COVID-19 who progress to shock or respiratory failure. Uploaded 04.15.20

Clinical Guidance and Forms (General), Duke University Hospital, ICU Care
Maestro Care screening tip sheet

This document outlines Maestro Care travel and communicable disease screening tips for healthcare workers to assist with the rapid identification and isolation/protection of known or suspected COVID-19 patients. Uploaded 03.30.20

Clinical Guidance and Forms (General), Maestro Care
Conference Room AV User Guide

Guide for how to connect to Webex using a conference room video system. Uploaded 03.21.20

Telework and Working Remotely, HR & Team Resources
Know Share Do 08.10.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.10.20.

Know Share Do, FAQs and Talking Points
Health Professions Schools: Re-introduction of Nursing and Allied Health Learners COVID-19 FAQs

These are FAQs for the re-introduction of nursing and Allied Health learners, and these specifically address health professions schools. Duke is working on a slow and measured re-introduction of learners to the clinical environment to allow us to know what needs to be different in order for our patients, staff, and learners to remain safe.  As we adjust to our “new” normal with the COVID-19 pandemic, we know there are many questions.  The list below provides the responses to common questions.  If you have additional questions, email clinicaleducation@duke.edu. Uploaded 05.29.20

FAQs and Talking Points, Nursing
Frequently Asked Questions about Duke Health’s Use of Hydrogen Peroxide Vapor for Decontamination of N95 Respirators

This document is an FAQ about Duke Health’s process for decontaminating N95 masks. Uploaded 04.21.20

PPE, FAQs and Talking Points, N95
Neurology: Guidelines for Performing NIOM on Patients with COVID-19

This document contains the triage algorithm for determining medical necessity and urgency for Neurophysiologic Intraoperative Monitoring (NIOM, Evoked Potentials, spinal cord monitoring, cortical mapping) for patients with a suspected or confirmed COVID-19 infection. Guidelines for modified NIOM infection prevention and safety protocols when caring for a patient with a suspected or confirmed COVID-19 infection. Uploaded 03.27.20

Neurology, Specialty Specific Guidance
Perioperative Services COVID-19 Response Plan

This document broadly outlines the general processes to be implemented should it become necessary to limit surgical services in response to a significant decrease in capacity due to COVID-19. Uploaded 03.24.20

Periop Management
CMS Payment Update for Counseling COVID-19 Patients during Self-Isolation Period

This document provides more information about an update from the Centers for Medicare and Medicaid Services (CMS) that now allows for payment when physicians and healthcare providers counsel patients during self-isolation period after patients have been tested and prior to the onset of symptoms if the results are positive. The providers will use an Evaluation and Management code to bill for the service by documenting the counseling based on time. Uploaded 09.16.20

Clinical Guidance and Forms (General), Maestro Care
Duke Health Break Room Guidance Poster

This document provides important reminders and guidance for all healthcare workers when using break rooms or shared spaces to help reduce the spread of infection. Uploaded 06.12.20

Employee Health, Shared Spaces
FAQs for COVID Work Modification Request

This document describes the process flow for handling work modification requests and answers frequently asked questions about the process. Uploaded 04.23.20

HR & Team Resources, FAQs and Talking Points, Redeployment & Staffing Hub
Tips for Preventing the Spread of COVID-19: Pediatric After-Visit Summary in Arabic

This document is for Arabic-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
COVID-19: Protecting You and Your Loved Ones (Spanish)

This handout (8.5x11) is being given to Spanish-speaking visitors/patients as part of the screening process when they enter a Duke entity. Spanish. Uploaded 03.24.20

Ambulatory DPC, Patient Communication and Signage, Spanish
Managing Patient Forms in the Ambulatory Setting

This document provides guidance on managing patient forms and papers in the ambulatory care setting. This includes documents such as camp forms, sports physical forms, vaccination records, school/university form requirements, etc. Uploaded 06.26.20

Ambulatory DPC, Ambulatory PDC
Employee Screening Flyer

This flyer/handout contains information to help team members know what to do next if they don’t pass a symptom check at screening locations. Uploaded 05.01.20

HR & Team Resources, Employee Screening, Employee Health
Decedent Care: Death Notification Process at DUH

This flowchart applies to DUH and shows the death notification process for patients with suspected or confirmed COVID-19 infection. Uploaded 04.08.20

Clinical Guidance and Forms (General), Duke University Hospital, Decedent Care
DPC and PDC Patient and Visitor Screening

This document includes instructions for DPC and PDC clinics for screening all patients and visitors upon entry to the clinic. Updated 09.08.20

Ambulatory PDC, Ambulatory DPC
Instructions for Performing Seal Check with a Valved N95 Respirator

This document illustrates N95 seal check instructions for healthcare workers. This guide was made by the for performing seal check with a valved N95 respirator. Uploaded 07.07.20

PPE
PPE FAQs

In this document, we answered some common questions from team members – including the rationale for why certain decisions have been made. Where possible, we also included a link to the most current document that explains the specific recommendations and guidance. Updated 05.13.20

FAQs and Talking Points
Dialysis Process in Suspected or Confirmed COVID-19 Room

This document provides guidance to dialysis nurses in the following settings: DUH (ICU with anteroom), DUH (no anteroom), and DRH (with and without anteroom). Uploaded 04.10.20

Clinical Guidance and Forms (General)
Duke Urgent Care Process for Telephone Visits

This document is the standard work for DUC clinic staff and providers when scheduling and conducting a telephone visit. Uploaded 03.26.20

Ambulatory DPC, Telehealth
Attention at Check-in

An interior clinic sign asking patients to check in with the Front Desk if they have symptoms. The 8.5x11 page is designed to be cut in half to create two signs. English. Uploaded 03.21.20

Patient Communication and Signage
Know Share Do 07.29.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.29.20.

Know Share Do, FAQs and Talking Points
Know Share Do 5.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.22.20.

Know Share Do, FAQs and Talking Points
DRH ICU Protocol

This document is meant to serve as internal ICU guidance for the identification and management of patients admitted to Duke Regional Hospital with COVID-19 who progress to shock or respiratory failure. Uploaded 04.15.20

Clinical Guidance and Forms (General), Duke Regional Hospital, ICU Care
Navigating COVID-19 in Maestro Care

To reduce the confusion associated with caring for patients with suspected or confirmed communicable diseases, this document explains action steps for positive travel screenings and Maestro Care flags linked to COVID-19. Uploaded 03.30.20

Clinical Guidance and Forms (General), Maestro Care
Telecommuting Resources for Managers

A guide to help support supervisors / managers and employees with establishing telecommuting arrangements. Uploaded 03.21.20

HR & Team Resources, Telework and Working Remotely
How to Download Duke HealthCheck App for Employee Screening

This document outlines the steps to download and use the Duke HealthCheck application for team member health screening. Uploaded 08.11.20

Employee Screening, Employee Health, HR & Team Resources
DUHS: Re-introduction of Nursing and Allied Health Learners COVID-19 FAQs

These are FAQs for the re-introduction of nursing and Allied Health learners, and these. Duke is working on a slow and measured re-introduction of learners to the clinical environment to allow us to know what needs to be different in order for our patients, staff, and learners to remain safe.  As we adjust to our “new” normal with the COVID-19 pandemic, we know there are many questions.  The list below provides the responses to common questions.  If you have additional questions, email clinicaleducation@duke.edu. Uploaded 05.29.20

FAQs and Talking Points, Nursing
Decedent Care: Visitation Procedure at DUH During End-of-Life

This flowchart applies to DUH 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 04.08.20

Clinical Guidance and Forms (General), Decedent Care
Neurology: Guidelines for Performing Sleep Studies During COVID-19 Spread

The document contains the triage algorithm for determining medical necessity and urgency for Sleep Studies (Home Sleep Testing [HST], Polysomnography [PSG], CPAP, BiPAP, ASV Titration, MSLT, MWT) for patients with a suspected or confirmed COVID-19 infection. Guidelines for modified Sleep Study infection prevention and safety protocols when caring for a patient with a suspected or confirmed COVID-19 infection. Uploaded 03.27.20

Neurology, Specialty Specific Guidance
Vendor Access During COVID-19

This document defines vendor access and protocols for restrictions and screenings during COVID-19. Uploaded 03.24.20

Operations and Visitation
FAQs for CMS Payment Update for Counseling COVID-19 Patients during Self-Isolation Period

The Centers for Medicare and Medicaid Services (CMS) is allowing for payment when physicians and healthcare providers counsel patients during self-isolation period after patients have been tested and prior to the onset of symptoms if the results are positive. The providers will use an Evaluation and Management code to bill for the service by documenting the counseling based on time. Uploaded 09.17.20

Clinical Guidance and Forms (General), FAQs and Talking Points, Maestro Care
Know Share Do 6.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.15.20.

Know Share Do, FAQs and Talking Points
High Risk Work Modification Process Form

Fillable form for manager to complete when employee requests a work modification due to being in a high-risk category or pregnancy. Uploaded 04.23.20

HR & Team Resources, Redeployment & Staffing Hub, Availability for Work & Pay Practices, Employee Health
Know Share Do 4.3.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.03.20.

Know Share Do, FAQs and Talking Points
Tip Sheet for Signatures Upon Discharge for Inpatient

This document contains tips for and the smart phrase for documenting discharge instructions in Maestro in place of a signature. Uploaded 03.25.20

Operations and Visitation, Discharge Instructions, Clinical Guidance and Forms (General)
Know Share Do 06.29.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.29.20.

FAQs and Talking Points, Know Share Do
Reusable Cloth Gown Process at Duke University Hospital

Duke University Hospital has provided reusable cloth gowns for team members when caring for COVID-19 positive patients or PUI patients suspected of having COVID-19. This document outlines the approved process for reusable cloth gowns after each use. Uploaded 05.04.20

PPE Signage-Clinical, PPE, Duke University Hospital
Decedent Care: COVID-19 FAQ at DUH

This FAQ provides guidance designed to ensure that DUH healthcare workers are following current recommendations while providing care to patients and their families if a patient passes away who is suspected or confirmed of having COVID-19 infection. Uploaded 04.08.20

Clinical Guidance and Forms (General), FAQs and Talking Points, Duke University Hospital, Decedent Care
PDC Employee Provider Screening

This document includes instructions for PDC clinics for screening all physicians and staff upon entry to the clinic. Uploaded 03.26.20

Ambulatory PDC
Visitor Restriction FAQs

These visitor restriction FAQs provide answers to frequently asked questions regarding our updated visitor restrictions. Please review these for more information regarding our current visitor restrictions in place. Uploaded: 07.13.20

Operations and Visitation, FAQs and Talking Points
Infection Prevention 101

This document outlines the basic principles behind standard and transmission-based precautions. To understand the “why” behind the PPE recommended for caring for COVID-suspected or confirmed patients, it is helpful to understand how COVID-19 can be transmitted using these definitions and principles. Updated 05.12.20

FAQs and Talking Points
Know Share Do 5.13.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.13.20.

FAQs and Talking Points, Know Share Do
Peritoneal Dialysis Process for DUH in Suspected or Confirmed COVID-19 Room

This document provides guidance for peritoneal dialysis nurses and describes the process for DUH in suspected or confirmed COVID-19 room. Uploaded 04.10.20

Clinical Guidance and Forms (General)
Employee Occupational Health and Wellness Process Flowchart for Drive-Up Test Collection

This flowchart depicts the process for employees to access DPC/DUC drive-up test collections. Uploaded 03.24.20

Drive-Up Testing, Employee Health
Attention at Check-in (Spanish)

Front desk poster in Spanish (8.5 x 11). Uploaded 03.21.20

Patient Communication and Signage, Spanish
Know Share Do 08.03.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.03.20.

Know Share Do, FAQs and Talking Points
Duke Guidelines for Antithrombotic Therapy in Hospitalized Patients with COVID 19

The attached document contains information about the guidelines for antithrombotic therapy in hospitalized patients with COVID-19. Uploaded 05.22.20

Clinical Guidance and Forms (General)
Tip Sheet for Reuse and Extended Use of N95s/PAPR Hoods/Face Masks/Face Shields

This tip sheet aims to help healthcare workers better understand protocols for the reuse and extended use of face masks, face shields, N95 respirators and PAPR hoods. Please refer to the full instructions for extended use and reuse of N95s and face shields, PAPR hoods, and face masks and face shields for additional information. Uploaded 04.15.20

PPE, N95, PAPR, PPE Conservation
Guidelines for Healthcare Workers upon Returning Home from Work

Guidance for healthcare workers caring for COVID patients on how to protect themselves and their families from possible spread of infection when they return home from work. If you are symptomatic, register with the Employee Health Tracking System and arrange care. Updated 04.26.20

Employee Health, HR & Team Resources, Nursing, Safe Return On-site
FAQs for Pregnant Healthcare Workers

Frequently asked questions for pregnant healthcare workers amid COVID-19. Uploaded 03.27.20

Employee Health, FAQs and Talking Points, Safe Return On-site
Know Share Do 08.12.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.12.20.

Know Share Do, FAQs and Talking Points
Position Statement – Patients Scheduled for Elective Procedures Who Refuse COVID-19 Testing

This document is a position statement for patients scheduled for elective procedures who refuse COVID-19 testing. For the care and safety of our patients, visitors, and staff, Duke Health providers will not schedule, or will cancel, elective procedures for patients who refuse pre-procedural COVID-19 testing. This document provides guidance for the Duke Health provider faced with this scenario. Uploaded 05.29.20

Clinical Guidance and Forms (General), Testing Guidance
Know Share Do 4.21.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.21.20.

Know Share Do, FAQs and Talking Points
Neurology: Triage Policy for Neurovascular Studies on COVID-19 Patients

This document contains the triage algorithm for determining the medical necessity and urgency of Neurovascular studies (transcranial Doppler [TDC], carotid ultrasound, giant cell arteritis [GCA] Doppler ultrasound) patients with a suspected or confirmed COVID-19 infection. Uploaded 04.01.20

Neurology, Specialty Specific Guidance
DUHS Privacy and Security Compliance Tips

Summary of key privacy and security compliance impacts amid COVID-19. Includes HIPAA considerations and disclosures. Uploaded 03.19.20

Privacy, HR & Team Resources
Know Share Do 09.21.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.21.20.

Know Share Do, FAQs and Talking Points
Patient Masking Update Letter

This resource can be used to help team members communicate inpatient masking with patients. Uploaded 06.18.20

Patient Communication and Signage
Know Share Do 4.27.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.27.20.

FAQs and Talking Points, Know Share Do
COVID-19 Important Reminders

Flyer / printable resource reminding staff of need for proper hand hygiene and physical / social distancing. English version. Uploaded 04.03.20

Employee Health
Revised Infection Prevention Practices for MRSA or VRE Colonization

This document outlines commonly asked questions about the discontinuation of contact precautions for patients with MRSA and VRE colonization. Staff members can hand out this document which provides data-supported education for patients and families regarding this decision. Uploaded 03.25.20

Patient Communication and Signage
Inpatient Management of Multisystem Inflammatory Syndrome in Children (MIS-C)

This document is titled "Inpatient Management of Multisystem Inflammatory Syndrome in Children (MIS-C)." This document provides early guidance to clinicians managing children with symptoms associated with the recently described Multisystem inflammatory syndrome in children (MIS-C) in the Inpatient setting. Uploaded 06.29.20

Clinical Guidance and Forms (General), Testing Guidance, Pediatric Specific Guidance, Pediatrics
Duke Health Policy for Providers Managing Cardiopulmonary Arrest and RRT in COVID-19 Patients

The document provides guidance to providers on appropriate PPE for CPR and/or RRT on COVID positive patients or PUIs. Uploaded 04.03.20

PPE, Clinical Guidance and Forms (General)
Managing Difficult Conversations During COVID-19

During this unprecedented time of COVID-19, emotions are high among patients, their loved ones and our team members. View tips to help you respond to difficult conversations. Updated 04.07.20.

FAQs and Talking Points, Well-being & Emotional Support
PAPR Hoods: Instructions for Extended Use, Re-Use and Disinfection

This document provides important clarifications on the extended use, re-use, and disinfection of PAPR hoods for all healthcare workers providing care to patients with known or suspected COVID-19 infection. Updated 04.14.20

PPE, PAPR
Know Share Do 07.08.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.08.20.

Know Share Do, FAQs and Talking Points
Duke University Hospital and Duke Regional Hospital COVID-19 Management Guidelines for Asymptomatic Term and Late Preterm Newborns

This document includes guidelines for management of asymptomatic newborns born to a mother with suspected or confirmed SARS-CoV-2 infection. Uploaded 08.12.20

Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital, Pediatric Bed Flow
Telephone Visit- GAD 2/7 Pre-visit Screening

This document is standard work instructions for conducting pre-visit GAD 2/7 behavioral health screening for Duke Primary Care patients. Uploaded 04.08.20

Ambulatory DPC
Employee Role Instructions at Drive-Up Collection Sites

This document outlines the roles of each staff member at drive-up collection sites (i.e., swabber, spotter, runner and doc of the day). Uploaded 03.30.20

Ambulatory DPC, Drive-Up Testing
NP Swab Collection and Transport Instructions

This document is for healthcare workers and provides detailed instructions for sample collection, storage and transport of respiratory virus tests. Please note: During sample collection, insert swab into posterior nasopharynx (NP) and rotate for five (5) seconds. Samples that will be sent through the pneumatic tube system within hospitals should be double-bagged before tube transport. Updated 04.15.20

Testing Guidance
Hope4Healers Emotional Support Hotline Information

The Hope4Healers Helpline is for health care professionals (and their families) who are experiencing stress from being on the front lines of the state’s COVID-19 response. It offers mental health and resilience support, 24 hours a day, seven days a week. This flyer has the basics. Learn more about Hope4Healers here. Uploaded 08.03.2020

Well-being & Emotional Support
COVID-19 Inpatient Anticoagulation Protocol – for ICU and non-ICU patients

The attached document contains information about managing COVID-19 inpatient anticoagulation protocol (antithrombotic therapy) for ICU and non-ICU patients. Uploaded 05.12.20

Clinical Guidance and Forms (General)
Know Share Do 4.16.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.16.20.

Know Share Do, FAQs and Talking Points
Know Share Do 3.31.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.31.20.

Know Share Do, FAQs and Talking Points