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
Duke Primary Care Process Flowchart for Non-COVID-19 Virtual Visits

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

Ambulatory DPC, Telehealth
Know Share Do 03.01.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.01.21.

Know Share Do
Stop at Door Signage in Spanish

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

Patient Communication and Signage, Spanish
Know Share Do 9.23.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.23.20.

Know Share Do, 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
Clinical Ops Know Share Do (1.17.22)

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 1.17.22.

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
Manager Resource: Providing Emotional Support to Our Teams

This resource includes simple ways for managers / leaders to support their team members. Uploaded: 08.20.21

Well-being & Emotional Support
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
Vaccine Clinic Scheduling Platform Move to QGenda Update

This email was distributed to all staff and volunteers who signed up for a shift at one of our vaccination clinics. This email addresses the scheduling platform migration to QGenda, a cloud-based automated scheduling software. Updated 04.01.21

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
Know Share Do 10.26.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 10.26.20.

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
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
DUHS Honoring Teamwork

A list of investments made in support of DUHS team members to recognize their commitment to patient care during COVID-19.

HR & Team Resources
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
Visitor Safety Precautions

This one-page handout lists the safety precautions that are currently in place for visitors to Duke Health. This handout can be given to all visitors to remind them of how they should do their part to reduce the spread of infection while at our facilities. Uploaded 04.16.21

Visitor Restrictions
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
Duke COVID-19 Vaccination Work Group Update 12.4.20

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 12.4.20

Employee Health
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
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
Covid vaccine and Pregnancy ENGLISH

Information for pregnant patients about the COVID-19 vaccine.

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
Know Share Do 05.24.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.24.21.

Know Share Do
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
Vaccine Distribution Guidance

The North Carolina Department of Health and Human Services recently updated their guidance on vaccine distribution. Duke Health is following all federal, state and local guidelines on the distribution of the vaccine to ensure that it is equitably administered within each group. This infographic is now available for sharing internally and externally. Uploaded 01.14.21

Transplant: Guidance for Transplant Recipients and Patients Receiving Immunosuppressive Therapies

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

Specialty Specific Guidance, FAQs and Talking Points, High-risk Populations
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
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
Staff talking points for Tier 2 Inpatient Visitation

The following scripts and talking points are designed to assist DUHS staff in communicating our visitation and reopening guidelines as we transition from Tier 3 (Restricted Access) to Tier 2 (Limited Access). We appreciate the support of all team members in our efforts to keep our campuses safe as we continue to navigate our COVID-19 response. (12.3.21)

AVS Known COVID-19 Infection: Guidelines for You and Others in Your Home After Hospital Discharge

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

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage
COVID-19 Vaccination Family Day at DRAH Flyer

Duke Health is offering the Pfizer COVID-19 vaccine to family members age 12 and older during a family fun day on June 27 from 11 a.m. to 3 p.m. at the Duke Raleigh Hospital campus, 3300 Executive Drive, Medical Office Building Drive. Families can receive their vaccinations together on the Duke Raleigh Hospital campus at our carnival-themed family vaccination clinic. Walk-in vaccinations are accepted, and appointments are encouraged. This flyer is available to promote the event. Uploaded: 6.18.21

Vaccine
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. Updated 03.04.21

Ambulatory DPC, Drive-Up Testing, Spanish
Universal Masking Guidelines – Double Masking Review

This document provides guidance for masking and addresses questions regarding double masking. Below is the content of the document. Uploaded: 1.29.21 

 

Renewed discussions regarding the potential benefit of double masking on source control and prevention of COVID-19 transmission have prompted many questions about whether changes will be made to the current DUHS masking policy.  Eleven months of experience has demonstrated that the healthcare setting is a well-controlled environment with robust infection prevention protocols in place that help limit the transmission of COVID-19. The healthcare setting is distinctly different than a community setting without these strict controls in place and much of our workforce is now vaccinated.  Furthermore, masks used in healthcare settings are also assessed for filtration efficacy and meet regulatory standards before distribution.  

 

Unfortunately, no well-designed studies have been conducted to scientifically answer the question “are two masks better at preventing COVID-transmission than one?” One study demonstrates the impact of wearing a well-fitting mask to improve source control and how wearing an overlying mask may improve overall mask fit.1 Logically, having additional layers of barrier protection over the nose and mouth would reduce particle dispersion. 

 

With the now broadly circulating B1.1.7 (UK) variant and concern over the B1.351 (S. African) variant in the U.S., many are looking for ways to augment the infection prevention strategies in place – double masking is one such strategy. As we strive to continuously update our COVID-19 guidance to keep in step with the scientific community, we updated masking guidance language as follows. We will continue to closely monitor COVID-19 infections among team members and, should we see any concerning trends or signals, will reevaluate our recommendations below:

 

Double masking is optional for patients, visitors, and Duke team members at this time. However, we do encourage team members to make simple mask modifications to improve fit, and thereby improve source control. More tips to make your mask fit better are available on the Infection Prevention webpage.

  • For patients and visitors: Patients and visitors will be offered a Duke-issued medical mask when entering the healthcare space. If the patient or visitor is wearing their own mask, they may place the Duke-issued mask over the top of their mask if they choose. Patients and visitors may wear their own masks as long as they adequately cover the mouth and nose and have ties or earloops. Patients and visitors may not wear neck gaiters or bandanas. Patients and visitors may not wear any mask with an exhalation valve. Simple mask modifications can be made to help improve fit, if needed. Review a full list of our patient and visitor masking guidelines.
  • For Duke team members: Duke team members are still required to wear a Duke-issued medical mask in the healthcare setting. Should team members choose to wear a second mask, they may place a Duke-issued mask over the top of their own mask. Simple mask modifications can be made to help improve fit, if needed. Wearing the Duke-issued medical mask as the outer layer provides a fluid-resistant barrier. We continue to recommend eye protection during patient care activities. Review a full list of our team member masking guidelines.

Mask modifications:

There are many options to make your mask fit better if it is too loose.

  • This video demonstrates one way to make your mask tighter.
  • A second option is to simply twist the straps of your Duke-issued mask before you put it on so that the elastic is in a crisscross.
  • Another option is to use a plastic clip to pull the straps tighter behind your head.

 

References:

Mueller et al. Matter 2020 Sep 2;3(3):950-962.

PPE, Clinical Guidance and Forms (General)
3.21 Know Share Do

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

Know Share Do, FAQs and Talking Points
(Poster) Criteria for Discontinuation of Special Airborne Contact Isolation

This poster 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. The 11”x17” poster includes the tables and flowchart to outline this criteria. Uploaded 12.12.20

Clinical Guidance and Forms (General), Special Airborne Contact
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
Clinical Ops Know Share Do (1.10.22)

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 1.10.22.

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
Know Share Do 07.26.21

This document is the "Know, Share, Do" Clinical Operations updates managers should use during staff huddles on 7.26.21.

Know Share Do
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
Know Share Do 3.8.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.08.21.

Know Share Do
Outpatient Visitor Restrictions Poster - 1 visitor per patient (11x17)

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

Patient Communication and Signage, Visitor Restrictions
Know Share Do 09.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.28.20.

Know Share Do, FAQs and Talking Points
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
DUHS patient visitation letter_Spanish_Jan 2022

This is a letter to provide patients that outlines updated visitor restrictions in place effective January 14, 2022. 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 01.17.22

Operations and Visitation, Visitor Restrictions, Patient Communication and Signage
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
Top 5 Important Reminders to Prepare Your Team for COVID-19 Vaccine Compliance Deadlines

Want to ensure your team is prepared to meet the upcoming COVID vaccine condition of employment requirement? Check out these 5 points to remember over the next few weeks to make sure all of your team members meet the expectation to be compliant with the COVID vaccination requirement. Uploaded 8.20.2021

vaccination requirements
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
QGenda Scheduling Instructions for Vaccination Clinics

This handout includes instructions for users to sign up for a shift at one of our COVID-19 vaccination clinics. Uploaded: 03.26.21

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
Tips for hosting fun virtual celebrations

We understand that in past years, our colleagues and their families have enjoyed coming together to celebrate the holiday season. This year will feel different, but we want to prioritize the safety of our team members and their loved ones. Eating together is a high-risk activity, so this year we encourage you to consider virtual gatherings. This document includes some alternative ideas for your virtual holiday celebrations. These events everyone to relax and reconnect while celebrating safely. Uploaded 10.29.20

Well-being & Emotional Support, Employee Health
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
Life Support FAQs

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

Nursing, FAQs and Talking Points
Getting Your COVID-19 Vaccine with Other Vaccines

You may be wondering whether it’s safe for you and your loved ones to get the COVID-19 vaccine at the same time as other vaccines. This flyer will help answer your questions. Please talk with your healthcare provider about any concerns you have. Uploaded 09.02.21.

Patient Communication and Signage, FAQs and Talking Points, Vaccine
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
FAQs on Urinalysis, Urine Culture, and Urinary Catheter Management

This reference provides guidance for appropriate indications and best practices for ordering and obtaining urine for urinalysis and urine culture samples, including step-by-step instructions for each urine collection technique. It also includes resources for indwelling urinary catheter management. Uploaded 04.16.21

FAQs and Talking Points
Duke University Hospital Team Member Screening Process

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

Operations and Visitation, Duke University Hospital, Employee Screening, Employee Health, Safe Return On-site
Duke COVID-19 Vaccination Work Group Update 11.12.20

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 11.12.20

Employee Health
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
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
Covid vaccine and Pregnancy SPANISH

Information for pregnant patients about the COVID-19 vaccine. 10.14.21.

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
3M 1870 Plus N95 Seal Check Instructions

This document illustrates seal check instructions for the 3M 1870 Plus N95 respirator. 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 05.26.21.

N95, PPE, Donning & Doffing
AVS (Spanish) COVID-19 Infection with Mild or No Symptoms-Guidelines for You and Others in Your Home

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

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage, Spanish
MyChart Message to Phase 1B Group 1 – Adults 75+ for COVID-19 Vaccination

In compliance with North Carolina Department of Health and Human Services (NC DHHS) guidelines, we are now in phase 1B of the state’s vaccine distribution plan. The first group in this phase includes all people age 75 and older. This message was distributed to all Duke MyChart users who are age 75 or older to notify them that they are eligible to receive the COVID-19 vaccine (vaccination). Uploaded: 01.08.21

Patient Communication and Signage
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
Tips for Communicating with Patients while Wearing a Mask

In these times where face masks and physical distancing are necessary to reduce the spread of infection, patients with hearing loss (and even some with normal hearing) are experiencing increased difficulties understanding spoken language. Check out these tips that may help improve communication when the patient or caregiver is experiencing communication difficulty. Uploaded 08.04.20

Clinical Guidance and Forms (General), Patient Communication and Signage
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)
Visitation Tier 2 Manager Email 12.3.21

Move to Tier 2 Visitation – Communication to hospital entity managers (12.3.21)

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 6.21.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.21.21.

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. Updated 03.04.21

Ambulatory DPC, Drive-Up Testing
Know Share Do 2.1.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 2.1.21.

Know Share Do
3.18 Know Share Do

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

Know Share Do, FAQs and Talking Points
Know Share Do 08.17.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.17.20.

Know Share Do, FAQs and Talking Points
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
Disaster Documentation Flyer FAQs and Talking Points
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
DUHS COVID-19 Safety Plan (OSHA ETS)

In response to the COVID-19 pandemic and to fulfill the Office of Safety and Health Administration’s (OSHA) Emergency Temporary Standard (ETS) requirements, Duke Health has developed a COVID-19 Safety Plan to be used in addition to previously implemented policies, training, recordkeeping, and reporting. This document includes policies and procedures to minimize the risk of transmission of COVID-19, in accordance with OSHA’s COVID-19 ETS for Healthcare. Uploaded 8.11.21. 

Employee Health, Clinical Guidance and Forms (General), PPE
Know Share Do 08.02.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 08.02.21.

Know Share Do
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
Protocol for Perioperative Management of Surgical Procedures During the COVID-19 Pandemic

This document addresses perioperative management of patients presenting for surgery during the COVID-19 pandemic, including those who are KNOWN or SUSPECTED (i.e. rule-out/PUI) COVID-19 positive and need urgent surgery. Uploaded: 6.14.21

Periop Management
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 09.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.28.20.

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
Visiting your loved one who is COVID positive (Adult Patients)

The safety of our patients, their loved ones, and our team members is our top priority. Thank you for helping us keep everyone safe by following these guidelines. UPLOADED 1-21-22

Visitor Restrictions, FAQs and Talking Points
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
COVID-19 Pfizer-BioNTech Vaccine (EUA) Consent Form (Ages 12-15)

This is the consent form necessary for minors receiving the Pfizer-BioNTech COVID-19 Vaccine.  Updated 08.25.2021

Vaccine, Additional Vaccinator Info
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 03.29.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.29.21.

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 11.02.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 11.02.20.

Know Share Do, FAQs and Talking Points
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
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
Community COVID Vaccine Clinic 9.11.21

Community COVID Vaccine Clinic information for event on Saturday, September 11, 2021.

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
Know Share Do 04.19.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.19.21.

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
Duke COVID-19 Vaccination Work Group Update 11.20.20

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 11.20.20

Employee Health
Duke Health Masking Care Package Insert

This document was mailed to all Duke Health employees as a reference for when to wear a face covering in the community and in our facilities. It was provided in a package to all employees along with cloth masks and hand sanitizer. Uploaded 07.10.20

PPE
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
Clinical Ops KSD 10.18.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 10.18.21.

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 09.14.21

PPE, Eye Protection
Halyard N95 Respirator Seal Check Instructions

This document illustrates seal check instructions for the Halyard N95 respirator. While this guide was made for the Halyard brand of N95 respirators, the same principles of fit testing apply to other types of respirators. Uploaded 05.26.21.

N95, PPE, Donning & Doffing
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
COVID-19 Vaccination Information for Patients

This information is now available as a smarphrase (dot phrase) to provide to patients with information about our COVID-19 vaccine (vaccination) distribution plan. Uploaded: 1.22.21

Patient Communication and Signage
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
Temporary Workflow for Discontinuing Special Airborne Contact Isolation

During the “wash in” period of implementing the new CDC guidance for a symptom-based strategy to discontinue Special Airborne Contact Isolation, Infection Prevention will work very closely with teams to ensure treatment teams are comfortable with the new process. Below is the proposed temporary workflow for discontinuing Special Airborne Contact Isolation. After Maestro updates are complete and team members are familiar with the guidance, we will move towards automation. This document outlines the inpatient and outpatient processes. Uploaded 08.04.20

Clinical Guidance and Forms (General)
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
Patient Letter – Tier 2 Visitation Guidelines

Patient Letter: Updated visitation policies effective Dec. 8, 2021

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
COVID-19 Vaccines for Homebound Patients

COVID-19 vaccines for homebound patients residing in Durham County are now available through a partnership between the Durham County Community Paramedics and the Durham County Health Department. This initiative serves to identify patients who are unable to safely access the COVID-19 vaccine outside of their home due to health or mobility, and provide the vaccine to patients in their home. Referrals for Duke patients can be e-mailed to Elissa Nickolopoulos, MSW, LCSW-A at elissa.rumer@duke.edu.  All referrals must contain patient's name, MRN, preferred phone number, allergies, preferred phone number and alternative contacts (if applicable). Documentation of patient's verbal consent for referral to Community Paramedics must be documented in patient's chart prior to making the referral. Uploaded 6.24.21

Vaccine
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
DUH COVID Vaccine Clinic - NCID Access

For those interested in serving in the role of Vaccinator or Registration, this document gives instructions to register for NCID access. Updated 02.09.21

Vaccine
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
Know Share Do 08.19.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.19.20.

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
DUHS Disaster Documentation 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
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
Manager Tip Sheet for Tracking Staff COVID and Flu Vaccination Status

This document contains instructions for managers to track staff COVID and flu vaccine status. Uploaded 01.03.22

Vaccine, Employee Health
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
FAQ: What to know if team members want to help at Duke’s vaccination clinics

FAQ guide for managers with team members wanting to help support vaccination clinics. Uploaded 03.08.21

Vaccine, FAQs and Talking Points
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
DPC Masking Refusal Standard Work

This document includes standard work instructions for different members of the Duke Primary and Urgent Care practice team to manage patients and visitors who refuse to wear a mask while in our facility. Uploaded 09.29.20

Ambulatory DPC, Clinical Guidance and Forms (General)
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
Severe Weather COVID Testing Hours (1.20.22)

Please check the revised hours for testing, updated due to sever weather. Uploaded 1.20.22.

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
Managing children with respiratory symptoms in Periop - Fall/Winter 2021

This document outlines Duke Health's recommendation for managing children with respiratory symptoms prior to an operative procedure for Fall/Winter 2021. Uploaded 08.23.21. 

Periop Management, Periop Testing, Pediatric Specific Guidance, Pediatrics
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
Maestro Care Tips: How to Write an Open Note

Open Notes are progress notes that are available to patients. Most patients want to see their documentation as it is currently written, including specific medical language, as they most often share them with other providers. HOWEVER, consider alternate wording in some situations, for commonly misunderstood words, abbreviations or phrases that could be interpreted as negative. This handout provides more tips for how to write Open Notes. Uploaded 04.05.21

Maestro 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
Patient/Visitor Letter Regarding Duke Health Network Access Update

Duke Health is enacting additional network security measures to help mitigate an ongoing and serious cyber threat and protect our patients, staff and infrastructure. Effective immediately, all devices connected to the Duke Health network will be prevented from accessing personal email and social media accounts. We understand that this necessary precaution will not be easy for many of our team members and patients. This letter may be used to explain this update to our patients and visitors. Uploaded 11.01.20

Patient Communication and Signage, Operations and Visitation
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
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
Clinical Ops KSD 9.7.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 9.7.21.

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
Know Share Do 04.26.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.26.21.

Know Share Do
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
Vaccination Talking Points for Patients and Community

These talking points can be used to help answer questions from patients and the community the COVID-19 vaccination. They have recently been updated to address questions regarding the safety of the vaccines, how to join our vaccination waiting list and whether patients can choose which vaccine they will receive. Uploaded 3.5.21

FAQs and Talking Points, Patient Communication and Signage
Know Share Do 07.13.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.13.20.

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
Clinical Ops Know Share Do 10.25.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 10.25.21.

Recommendations for Negative Pressure Rooms and/or HEPA Filtration

This document has been updated to align with the current science on COVID-19 transmission in negative pressure rooms and/or rooms using HEPA filtration. It also includes FAQs that address recent questions from team members about how to safely use a HEPA filter. Updated 01.19.22

Clinical Guidance and Forms (General), PPE
Discontinuing Pre-operative and Pre-procedural COVID-19 Testing at DUHS

In light of increased COVID-19 vaccination rates, increased availability of N95 respirators, decreased community incidence of COVID-19 infections, and decreased COVID-19 hospitalizations and deaths, Duke Health will discontinue pre-procedure and pre-operative COVID-19 testing in June for patients not requiring admission. This document gives more detail about N95 use in peri-operative and procedures spaces and includes an FAQ. Effective Tuesday, June 1, 2021, only gastroenterology pre-operative and pre-procedural COVID-19 testing will be discontinued. Effective Monday, June 14, 2021, all other pre-operative and pre-procedural COVID-19 testing will be discontinued as well. Uploaded 05.28.21.

Testing Guidance, Periop Testing
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
DUHS COVID-19 Practices and Procedures for New Employees

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

Employee Health, HR & Team Resources
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
Disruptive Patient/Visitor Sign – Duke University 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 08.04.20

Operations and Visitation, Patient Communication and Signage
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)
Clinical Ops Know Share Do (12.6.21)

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.6.21.

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
Know Share Do 06.28.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.28.21.

Know Share Do
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
What to know before you go: Shifts at Duke Vaccination Clinics

This documents key facts to know before working or volunteering at a Duke vaccination (vaccine) clinic. Updated: 6.9.21

Vaccine
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
Know Share Do 08.24.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.24.20.

Know Share Do, FAQs and Talking Points
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
Dashboard for Paxlovid and Molnupiravir

COVID-19 Therapeutics - Supply Details for Molnupiravir and Paxlovid. UPLOADED 1-13-22

Clinical Guidance and Forms (General)
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
Request for Pregnancy Deferment from COVID-19 Vaccine Requirement

This document is available for employees to request deferment from the COVID-19 vaccine requirement while pregnant. Uploaded 08.05.21

Vaccine, Employee Health
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
Process for Team Members Who Experience Side Effects After Vaccination

This guide outlines the process team members should follow should they experience side effects after the COVID-19 vaccination.  Uploaded 03.08.21

Vaccine, FAQs and Talking Points
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
AVS Known COVID-19 Infection and Pregnancy

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

After Visit Summary, Patient Communication and Signage
Reusable Cloth Gown Process at Duke Raleigh Hospital

Duke Raleigh Hospital is providing cloth gowns for team members to replace our disposable isolation gowns previously used for care. Team members should follow proper doffing protocols for the cloth gowns as indicated in the file. Uploaded 06.17.20

PPE, Duke Raleigh Hospital
Clinical Ops Know Share Do (1.20.22)

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 1.21.22.

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
Outpatient – 11x17 Visitor Guidelines Poster – English

This poster outlines guidelines for all visitors in our outpatient locations to follow while in our facilities. This version of the poster is in English. Uploaded 08.25.21

Visitor Restrictions
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
Informational Handout: What is the 21st Century Cares Act?

The 21st Century Cares Act is a Federal Mandate created to prevent the blocking of electronic health information between health systems, apps and devices. This handout has more infromation about this act. Uploaded 04.02.21

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 11.09.20

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

Know Share Do, FAQs and Talking Points
Reusable Cloth Isolation Gown Process at DRH

This document outlines the Duke Regional Hospital process for using reusable cloth isolation gowns. The reusable cloth gowns are for one-time use only and should be discarded in the “gown only” linen bag immediately after each use. Updated 06.10.20

PPE, PPE Signage-Clinical, Duke Regional Hospital
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)
Opioid Use Disorder Provider Training Series

Southern Regional AHEC, Durham County Public Health, Alliance Health, and Duke AHEC are partnering to offer a livestream Opioid Use Training Disorder Training series for MDs, LCSWs, RNs, CMs, Pharmacists and APPs.

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
Moments to Movement Focus Group Flyer

This flyer advertises focus groups for our Moments to Movement initiative. Register for a chance to be included in the focus groups. Sessions last 60 minutes, and you stay clocked in. Conducted by a neutral third-party partner. Confidential (no comments attributed to you). Session available for Spanish speakers. If selected, you will be in a group with people of similar identity. Uploaded 04.30.21

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
Chemotherapy-Tested Exam Glove Comparison

Based on supply shortages of chemotherapy-tested exam gloves, OESO and IP have evaluated and approved a number of alternative gloves that meet our high standards. This handout shows the options that are currently or may soon be distributed to help you identify these approved chemogloves and for which drugs they are appropriate. Please note: The Halyard Skybreeze nitrile exam glove is expected to replace Cardinal exam gloves as the new standard. Updated 06.17.21.

PPE
Know Share Do 07.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.15.20.

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 03.16.21

Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital, Pediatric Bed Flow
Supply Transition FAQs 10.26.21

This document contains FAQs about the changing DUHS supply distribution. Added 10.26.21.

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
Know Share Do 06.01.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.01.21.

Know Share Do
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
DUHS Manager’s Guide to COVID-19

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

Employee Health, HR & Team Resources, FAQs and Talking Points
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
Disruptive Patient/Visitor Sign

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 08.04.20

Operations and Visitation, Patient Communication and Signage
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)
COVID Visitor Restrictions Patient Letter SPANISH 12.7.21

COVID Visitor Restrictions Patient Letter in Spanish 1.14.22. Uploaded 1.16.2022

Visitor Restrictions, Operations and Visitation
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
New Password Policy for Duke Health Team Members

Duke Health users and sponsored guests must update passwords as soon as possible, but will not be required to change passwords in the future – unless you want to update or your password is compromised. The new password policy removes the requirement to update passwords every 180 days and requires passwords to be at least 12 characters (special characters and numbers are no longer required); however, including special characters creates a stronger password. In addition, the option to update passwords using CTRL+ALT+DEL is no longer available. This handout provides more information about this update. Uploaded 7.2.21

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
Patient Vaccination Appointment Waitlist 5x7 Card

This 5"x7" card (handout) is available for patients and community members to encourage them to join the waitlist for COVID-19 vaccination (vaccine). Uploaded 4.22.21

Patient Communication and Signage
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 08.26.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.26.20.

Know Share Do, FAQs and Talking Points
Know Share Do 6.01.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 6.01.20.

FAQs and Talking Points, Know Share Do
COVID Dashboard Lookup

Directions for locating the DUHS Dashboard for Molnupiravir/Paxlovid Supplies. UPLOADED 1-13-22

Clinical Guidance and Forms (General)