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
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
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
Know Share Do 03.22.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.22.21.

Know Share Do
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
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 4.8.20

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
Know Share Do 04.05.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.05.21.

Know Share Do
Duke Raleigh Hospital Team Member Screening Process

Employee screening guidelines for Duke Raleigh Hospital (DRaH) team members. Updated 4.16.21

Operations and Visitation, Duke Raleigh Hospital, Employee Screening, Employee Health, Safe Return On-site
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
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
Medical Assistant NP Swab Competency

This document lists the outcomes medical assistants must demonstrate to obtain competency validation for specimen collection via nasopharyngeal swabs. Uploaded 05-06-21

Ambulatory DPC
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
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 6.3.21

Employee Health
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
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
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
Know Share Do 06.07.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.07.21.

Know Share Do
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
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
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
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 Tuesday May 26, 2020, 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, close household contact of infected person). As of Tuesday, May 11, 2021, patients admitted from congregate living facilities (e.g., nursing homes, prison) are not assumed to be exposed to COVID-19. When admitting a patient who has a known exposure to a person infected with COVID-19, 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, patients with a known exposure require Special Contact and Droplet Precautions for 14 days past the date of exposure while in acute care clinical settings, regardless of an initial positive or negative test. Please contact your facility's Infection Preventionist with questions. Updated 05.07.21

Clinical Guidance and Forms (General), Maestro Care
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
Guidelines for Re-opening of Operations by Communicable Disease Risk

This document is for internal Duke Health use only. Pages 1-4 show tiered population-specific guidelines for visitation. Pages 6-7 show tiered re-opening (reopening) guidance for patient care and visitation, PPE, distancing in common spaces and additional people/services on site. Please note these guidelines are subject to change as needed. These guidelines will help us in responding to infectious diseases or other potential issues that may demand for us to strengthen our safety practices. Please note that we will provide broad communication any time we need to switch from one tier to another. Uploaded: 07.19.21

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
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
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 09.14.20

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
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
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
Competency Validation Criteria For IM Injection for Vaccine Administration COVID-19 Vaccine Clinic

This is the competency validation tool that is used for all new to vaccinating (SOM, SON, EMTs, PT, etc…) who need to have competency validated.  Uploaded 3.24.21

Additional Vaccinator Info, Vaccine
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
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
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
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
04.07.21 COVID-19 Vaccine Patient Update

Beginning April 7, 2021, everyone 16 years of age or older will be eligible for vaccination per North Carolina Department of Health and Human Services (NC DHHS) guidelines. This message was sent to more than 226,000 patients and community members to notify them that they are now eligible for vaccination. Uploaded 04.09.21

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
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
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 05.10.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 05.10.21.

Know Share Do
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
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

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
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
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
Johnson & Johnson COVID-19 Vaccine Fast Facts (Spanish translation)

Safe and effective with a one-shot dose, the Johnson and Johnson (Janssen) vaccine offers 100% protection against hospitalization and death. This handout includes fast facts about the J&J COVID-19 vaccine. (Spanish) Uploaded 06.08.21

Patient Communication and Signage
3M 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
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
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
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
Sharing Meals at Work: Infection Prevention Guidelines

This document provides guidelines for DUHS team members on safely consuming shared food with others in the hospital and clinic settings. As a reminder, eating with others indoors continues to be a higher-risk activity for the spread of COVID-19, as we have not reached 100% employee vaccination rate. Clusters of healthcare worker infections at Duke have been linked to larger gatherings in breakrooms where staff could not maintain 6 feet of distance. Let’s all do our part to keep each other safe. Updated 06.06.21

Employee Health, Safe Return On-site, Shared Spaces
Know Share Do 07.19.21

This document is the "Know, Share, Do" Clinical Operations updates managers should use during staff huddles on 07.19.21.

Know Share Do
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
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
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
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
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
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
Intramuscular (IM) Vaccination Administration Tips

This is the quick tip sheet for administering IM injections.  Can scan QR code with phone and have quick access to the video. Uploaded 3.24.21

Additional Vaccinator Info, Vaccine
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
Know Share Do 10.12.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 10.12.20.

Know Share Do, FAQs and Talking Points
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
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
Team Member Vaccination Status 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
Zoom Fatigue - 9 Tips to Help

This document contains nine tips to mitigate "Zoom fatigue" while working remotely. Uploaded 11.19.20

Telework and Working Remotely
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
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
IM Vaccination Administration Tips for Adolescents

This is the quick tip sheet for administering IM injections in adolescents (12-15 year-olds). Uploaded 5.11.21

Additional Vaccinator Info, Vaccine
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
Know Share Do 12.14.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.14.20.

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
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)
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
Talking Points for Building COVID-19 Vaccine Confidence

This document provides suggested approaches and recommended answers for responding to different concerns our patients, visitors and team members may have about receiving the COVID-19 vaccine. This is for internal use only by Duke Health team members.

 Uploaded 6.10.21

Employee Health, Vaccine
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
Maestro Care Quick Tip -- Using the COVID-19 Vaccine Waitlist

This tip sheet provides instructions for adding to the waitlist patients who qualify for a COVID-19 vaccine but who are unable to schedule an appointment. Uploaded 1.13.21

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
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
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
Duke University/Duke University Health System Application for Religious Exemption for COVID-19 Vaccination

This document includes the Duke University/Duke University Health System Employee Application for Religious Exemption for COVID-19 Vaccination. Uploaded 7.22.21

HR & Team Resources
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 – Inpatient & Ambulatory Setting

This Maestro Care tip sheet is for providers who work in the Inpatient & Ambulatory Setting. Just as you have preference lists for orders, 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, build your preference list to make these options just one click away. It is recommended to stay logged into your clinic’s department; however, if you sign into different departments, it is critical to NOT be logged into an IP Virtual department when seeing patients in an ambulatory setting. Uploaded 02.15.21

Maestro Care
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
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
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
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
Safety Needle Tip Sheet

This tip sheet reviews the safety features of the syringes being used. Uploaded 3.24.21

 

Additional Vaccinator Info, Vaccine
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
Guidelines for the Management of Patients Infected with or Exposed to COVID-19 in Ambulatory Pediatric Clinics

This document provides guidelines for the management of patients infected with or exposed to COVID-19 in ambulatory pediatric clinics. Uploaded 10.19.20

Ambulatory PDC, Ambulatory DPC, Pediatrics, Pediatric Specific Guidance
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: 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
Know Share Do 04.12.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.12.21.

Know Share Do
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
COVID-19 Infectious Status Banner in Storyboard

Effective Nov. 17, COVID-19 infection details have been pulled from the Infection banner to create a new COVID-19 infection status banner in Storyboard. Please review this document with more information about this update. Uploaded 12.3.20

Maestro Care
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 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
DUHS Infection vs. Colonization Chart

Since several changes were made to isolation practices during the pandemic, the Infection Prevention team developed a quick educational guide to assist units. This chart serves as a quick reference for Standard and Transmission-Based Precautions for select organisms, including MRSA, VRE, CRE, C. difficile and multidrug resistant gram-negative organisms. More information can be found in the DUHS Standard and Transmission-Based Precautions Policy. Please contact your Infection Prevention Specialist during business hours (8 am to 6 pm) for isolation-related questions. Uploaded 05.14.21

Clinical Guidance and Forms (General)
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
12.10.20 COVID-19 Vaccine Patient Update

This patient email was sent on 12.10.20 and explains our priorities for safe, equitable vaccination (vaccine) distribution. Uploaded 12.15.20

Patient Communication and Signage
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
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
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
Ambulatory Critical Lab Escalations

Beginning Wednesday, June 16, 2021, the escalation process for critical lab values within the Ambulatory Clinic setting will be enhanced to include providers and tiered escalation plans. Currently, notifications of critical lab values vary by clinic and personnel, resulting in inconsistent responses to alerts. The new lab escalation process is a streamlined pathway and is direct to the provider. The average volume of critical labs per ambulatory clinic is less than 10 per month. Details of the new process are outlined in this document. Uploaded 6.10.21

Clinical Guidance and Forms (General)
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
Patient Message to Adults 65-74 for COVID-19 Vaccination

In compliance with North Carolina Department of Health and Human Services (NC DHHS) guidelines, this message was distributed to all Duke Health patients who are age 65-74 to notify them that they are eligible to receive the COVID-19 vaccine (vaccination). Uploaded: 01.15.21

Patient Communication and Signage
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
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
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
Employee Request for Medical Exemption from COVID-19 Vaccine Requirement

This document includes the Employee Request for Medical Exemption from COVID-19 Vaccine Requirement. Uploaded 7.22.21

HR & Team Resources
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
Maestro Care: Personalize Your Charge Capture – Inpatient Setting

This Maestro Care tip sheet is for providers who work in the Inpatient Setting. Just as you have preference lists for orders, 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, 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
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
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
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
Vaccine Screener Tips

This tool provides the questions that should be asked of each person receiving vaccination, which patients need longer observation times, and which patients cannot receive vaccine.  There are also guidelines as to how to handle patients who might have had reactions after the first dose.  Uploaded 3.24.21

Vaccine, Additional Vaccinator Info
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)
Reprocessed N95 Respirator Evaluation Form

If you experience any issues with a reprocessed N95 respirator, please fill out this form to help us address the issue and improve our process. Uploaded 10.15.20

N95
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)
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 1.22.21

Clinical Guidance and Forms (General), FAQs and Talking Points, Duke University Hospital, Decedent Care
Know Share Do 04.14.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 04.14.21.

Know Share Do
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
Mental Health and Well-Being Resources

This document includes a list of available mental health and well-being resources. The list includes everything from PAS to specific resources on Race and Mental Health. Updated 11.23.20

Well-being & Emotional Support
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
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
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)
Updated Guidance for Team Member Meetings and Conferences

This document provides guidance for team members planning Duke-sponsored, small-sized indoor meetings and conferences. Uploaded 05.14.21

Employee Health
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
Know Share Do 12.16.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.16.20.

Know Share Do
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 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)
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
Inpatient Visitor Restriction Update in English – Overnight Visitor

We realize that loved ones are a vital part of a patient’s care team and play an important role in recovery. As we have navigated each phase of the COVID-19 pandemic over the last year, the safety of our patients, visitors and team members has been our highest priority. Given the decreased community spread of COVID-19 and increased vaccination rates, we will modify our inpatient visitor restrictions to permit for one overnight visitor. This patient letter explains this update in English. Uploaded 06.14.21

Visitor Restrictions, Patient Communication and Signage
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
Know Share Do 01.19.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.19.21.

Know Share Do
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 08.12.20

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
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
Duke Health Revised COVID-19 Vaccination Requirements for Health Care Workers FAQs

This document contains FAQs that address the Revised COVID-19 Vaccination Requirements for Duke Health Health Care Workers. Uploaded 7.23.21

HR & Team Resources, FAQs and Talking Points
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
Vaccination Clinics Badge Swiping Instructions

This document includes instructions for swiping your badge (ID) at a vaccination (vaccine) clinic. Uploaded: 02.15.21

HR & Team Resources
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
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
Guidelines for the Use of Different Models of N95 Respirators at Duke Health

N95 respirators (or PAPRs) continue to be required for direct care of patients on Airborne (e.g., tuberculosis, measles) or Special Airborne Contact (e.g., suspected or confirmed COVID infection) precautions. Additionally, the CDC recommends that healthcare workers in areas where there is moderate to substantial community transmission of COVID-19 use N95 respirators when performing procedures that are high-risk for generating aerosols, since healthcare workers in facilities with moderate to substantial community transmission are more likely to encounter asymptomatic or pre-symptomatic patients who may be COVID-19 positive. This can include patients who tested negative during their pre-procedure test, but then develop symptoms in subsequent days. To accommodate these recommendations, Duke has made additions to the recommended PPE for staff in perioperative and procedural areas where high-risk aerosol-generating procedures are performed. This document has been updated to include two additional types of N95 respirators. 

 

Additionally, to ensure availability of N95 respirators when needed, DUHS has deployed new models of N95s to certain care areas. Staff should use the N95 respirator model that is available at their location and per instructions of their local leadership. We have answered several frequently asked questions and highlighted key features of the different types of N95 respirators in the table below. Updated 05.28.21.

PPE, Periop Management
Know Share Do 06.17.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.17.20.

FAQs and Talking Points, Know Share Do
DPC Standard Work for Pediatric Lab Process

This document includes standard work instructions for Duke Primary Care family medicine and pediatric practices to use when obtaining lab specimens from pediatric patients. Uploaded 04.23.20

Ambulatory DPC
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
Maestro Tip Sheet: DRAH COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
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
Know Share Do 10-19-20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 10.19.20.

Know Share Do, FAQs and Talking Points
Emergency Department Evaluation for Suspected Multisystem Inflammatory Syndrome in Children (MIS-C)

This document is titled "Emergency Department Evaluation for Suspected 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 Emergency Department. Uploaded 06.29.20

Clinical Guidance and Forms (General), Testing Guidance, Pediatric Specific Guidance, Pediatrics
Know Share Do 5.6.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.06.20.

FAQs and Talking Points, Know Share Do
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
FAQs regarding the Johnson & Johnson vaccination update April 13, 2021 – English

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This document includes answers for our team members to use to answer to frequently asked questions from our patients and the community. Uploaded 04.15.21

Vaccine, Patient Communication and Signage, FAQs and Talking Points
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 11.23.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.23.20.

Know Share Do, FAQs and Talking Points
Recommended Eye Protection FAQs

This document provides answers to frequently asked questions regarding recent recommendations regarding eye protection for healthcare workers. Uploaded 09.25.20

PPE, Eye Protection
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 03.16.21

Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital, Pediatric Bed Flow
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)
Message to Patients Ages 12 to 15 Regarding COVID-19 Vaccination

This message was distributed to more than 16,000 patients ages 12 to 15 to notify them that they are now eligible to receive the Pfizer COVID-19 vaccine.

Vaccine, Patient Communication and Signage
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
Know Share Do 12.21.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.21.20.

Know Share Do
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
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)
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
Why History Matters: Celebrating Juneteenth Together 2021

History is far more than an academic pursuit. It has critical contemporary meaning in the way that it frames current national perceptions and individual realities. During this event, Michael Boulware Moore shares a number of powerful examples – both personal and societal – to illustrate the point that historical narratives have a critical impact on how we think of ourselves and behave. This connectivity explains much of the racial strife and tension that we experience to this day. This handout has more information about the event. Uploaded 6.10.21

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
Know Share Do 01.25.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.25.21.

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
No Eating/Drinking Signs for Waiting Rooms

This sign informs patients and visitors that eating/drinking is prohibited in our waiting rooms. These should be displayed in waiting rooms. Uploaded 10.01.20

Patient Communication and Signage
Patient Letter – COVID-19 Test Refusal Prior to Procedure

This document is a letter to provide 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. Uploaded 05.29.20

Clinical Guidance and Forms (General), Testing Guidance, Patient Communication and Signage, Elective Procedure, Periop Testing
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