Title Description Tags
Tips for Leaders to Respond to Stress

Tips for leaders to help support employees managing physical, mental and emotional health during and after a stressful event. Uploaded 03.21.20

Employee Health, Well-being & Emotional Support
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
Universal Testing of Adult Patients Requiring Inpatient Hospitalization at Duke University Hospital

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

Testing Guidance, Duke University Hospital, DUH Testing Guidance
Guidance for Providing Telehealth Services During the COVID-19 Pandemic

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

Telehealth
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
Dashboard for Paxlovid and Molnupiravir

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

Clinical Guidance and Forms (General)
Provider Rounding Tips for Patients on Isolation

This document is for healthcare providers and lists tips for provider rounding teams to limit in-room exposure times and number of in-room visits and to assist in bundling care for patients in isolation. Uploaded 03.22.20

Clinical Guidance and Forms (General), PPE Conservation
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)
AVS (Spanish) Known COVID-19 Infection in Immunocompromised Patients

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

After Visit Summary, Patient Communication and Signage
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
Isolation Procedures and COVID-19 Testing for Asymptomatic Immunocompromised Patients in the Inpatient Setting

This document provides guidance on testing and isolation procedures for the hematopoietic stem cell transplants (HSCT), solid organ transplants (SOT) and acute leukemic patients who are admitted to the hospital. Uploaded 07.02.20

Clinical Guidance and Forms (General), Pediatrics, High-risk Populations
Required PPE with N95 Respirator – Special Airborne/Contact Isolation

This document shows the PPE needed when wearing an N95 respirator for Special Airborne/Contact Isolation. Uploaded 1.28.22.

Referring Provider Email Regarding Surgery Postponement

This document contains approved email copy that can be used to communicate to referring physicians or surgeons about the postponement of a patient surgery or non-urgent procedure due to the COVID-19 public health emergency. Uploaded 03.25.20

Periop Management, Elective Procedure, Referring Physician Email
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 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
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
Duke University Hospital Conservation of Thermometers and Stethoscopes

This document lists the instructions to help conserve thermometers and stethoscopes used for all isolation patients at Duke University Hospital. Uploaded 04.06.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke University Hospital, PPE Conservation
NCBON Testing Letter for New Graduates

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

Nursing
Important Dates for Receiving your COVID Vaccine

This handout includes important dates for receiving your COVID vaccine before the required deadline. Uploaded 08.19.21

Employee Health, Vaccine
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
Patient Masking Update Letter – Spanish

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

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

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

Testing Guidance, Duke University Hospital, Ambulatory PDC, Ambulatory DPC, DUH Testing Guidance
Duke Primary 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
Quick Tip: Pfizer COVID-19 Vaccine Question Updates

Tip sheet about changes to Pfizer COVID-19 vaccine questions in Maestro Care (created by DHTS for everyone who administers COVID-19 vaccine). Uploaded 08.27.2021

Maestro Care, Vaccine
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
Maestro Care: Using the COVID Vaccine Waitlist

The wait list feature is used to keep track of patients who need an appointment. This Maestro Care tip sheet provides instructions for adding patients to the waitlist who qualify for a COVID vaccine, but who we are unable to schedule. Do not add patients to the wait list if they do not meet the current qualifications to receive the vaccine. The WL-COVID VACCINE(HOTLINE) [9070624] waitlist should only be used for initial vaccine appointments, not for second dose appointments. Uploaded 2.26.21

Maestro Care
3M 8210/8110S and 3M 8511 N95 Seal Check Instructions

This document illustrates N95 seal check instructions for the following N95 non-surgical respirators: 3M 8210/8110S (without a valve) and 3M 8511 (with a valve). Updated 01.07.22

PPE, N95, Donning & Doffing
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
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
Grief Symposium Nov. 9, 2021

Event flyer for the Grief Symposium on Nov. 19, 2021.

How to Manage Emotional Health During Crisis

This document is for all staff and includes tips for managing physical, mental, and emotional health and dealing with anxiety related to a medical health crisis. Uploaded 03.21.20

Employee Health, Well-being & Emotional Support
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

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

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

Pediatrics, Testing Guidance, Duke University Hospital, Pediatric Specific Guidance, DUH Testing Guidance
Duke Primary Care Quick Reference Guide for Scheduled, Chargeable Telephone Visits

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

Telehealth
Tips to Protect Yourself and Others from COVID-19: After-Visit Summary Instructions in Arabic

This document illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS for Arabic-speaking patients. Updated 02.03.22

Ambulatory DPC, Ambulatory PDC, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
COVID Dashboard Lookup

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

Clinical Guidance and Forms (General)
Ability to Work/Return to Work for Healthcare Providers

Guidelines for healthcare providers (HCPs) with known or suspected COVID-19 infection, including return to work criteria and protocol. Updated 12.8.20

Employee Health, Safe Return On-site
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
AVS Known COVID-19 Infection in Immunocompromised Patients

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

After Visit Summary, Patient Communication and Signage
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)
Guidance for Procedural Areas Caring for Suspected or Confirmed COVID-19 Patients

This guidance is for healthcare workers in procedural areas and explains when to use HEPA filters in procedural rooms for patients with suspected or confirmed COVID-19 infection. Uploaded 04.09.20

Clinical Guidance and Forms (General)
Required PPE with PAPR Unit – Special Airborne/Contact Isolation

This document shows the PPE needed when wearing a PAPR unit for Special Airborne/Contact Isolation. Uploaded 1.28.22.

Visitor Restrictions Enforced Digital Sign

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

Patient Communication and Signage, Visitor Restrictions
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

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
Forever Face Shield Instructions

New “forever” face shields are available from the Duke Pratt School of Engineering. This document provides instructions for the appropriate use, assembly and cleaning of these new face shields. Updated 06.02.20

PPE, PPE Signage-Clinical
Pandemic Response Network: Duke Community Health Watch

This document includes answers to common questions about the Pandemic Response Network’s Duke Community Health Watch COVID-19 study. Uploaded 04.14.20

FAQs and Talking Points, Patient Communication and Signage
Masking Guidance for Patients and Visitors

This guidance is for patients and visitors who are required to wear a mask while in common areas of Duke hospitals and clinics. It provides reminders in words and icons about hand hygiene and best practices for wearing masks during the COVID-19 pandemic. Updated 11.10.21

Patient Communication and Signage
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
The Coping Card

At times, we all feel stress, grief, conflict, or disappointment. When you are having a tough time, try some of the coping strategies or contact a resource on this card. Uploaded 08.19.21

Well-being & Emotional Support
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
Team Member Visitor Restrictions Update June 23

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

Visitor Restrictions, Operations and Visitation
Masking in Common Areas

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

PPE Signage-Clinical
Duke Primary Care Process for 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
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
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
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
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
DPC Pediatrics Lab Letter

This document is a letter Duke Primary Care family medicine and pediatrics practices can share with a patient/patient’s guardian about the process for obtaining lab specimens from pediatric patients. Uploaded 04.27.20

Ambulatory DPC
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
Community Vaccination Event December 4 - ENGLISH

Community COVID Vaccination Event Flyer 

Self-care Tips After Stressful Events

This document is for all staff and can help people recognize common reactions to stressful events and how to cope using positive self-care behaviors. Uploaded 03.21.20

Employee Health, Well-being & Emotional Support
21st Century Cares Act Training Presentation

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 presentation (training) provides more information about this act and how it impacts our providers.

Maestro Care
Disruptive Patient and Visitor Banner: Duke Raleigh Hospital

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

Operations and Visitation, Patient Communication and Signage, Duke Raleigh Hospital
Smart List for Adding an Attestation Consent Statement for the Use of a Video Visits During the Response to the COVID-19 Pandemic

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

Telehealth
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
Visitor Guidelines for Duke Health Hospital Locations (Updated 2-18-22)

Your safety and well-being are our top priority. We recognize these restrictions may be difficult for you and your loved ones. This is a challenging time, and these visitor guidelines are intended to provide additional safeguards for our patients, families, visitors and team members. Duke Health has modified its visitation guidelines based on recommendations from the CDC and our infectious disease experts. | UPDATED 2-18-22

Patient Communication and Signage, Operations and Visitation, Visitor Restrictions
Letter for visitors of patients in isolation

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

Patient Communication and Signage, Operations and Visitation
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
Guidelines for Social Gatherings & Holiday Celebrations

We understand that in past years, our colleagues would often come together as teams to celebrate the holiday season and our collective successes. This year will feel different for sure, but we again want to prioritize safety of our team members so that everyone may remain healthy and able to connect with loved ones. As such, please note the guidelines outlined in this document. Uploaded 11.18.21

Well-being & Emotional Support, HR & Team Resources
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)
Guidance for De-escalating Isolation after a Negative Test for COVID-19

The flow diagram outlines a recommended decision algorithm for symptomatic patients with a negative COVID-19 nasopharyngeal swab whose clinical presentation remains highly suspicious for active COVID-19 infection. It shows the process for updating isolation status, isolation precautions and transferring patients off a COVID-19 unit with negative COVID-19 test results. This flow diagram DOES NOT apply to asymptomatic patients. This document *no longer* reflects a change in the management of patients from skilled nursing and other congregate living facilities after COVID-19 has been ruled out. Updated 05.07.21

Clinical Guidance and Forms (General), Special Airborne Contact
DUHS New Hire COVID-19 Vaccine Information

Consistent with our values and commitment to zero harm for our patients, their loved ones and our team, we have new COVID-19 vaccination requirements. New team members joining Duke University Health System are required to receive a COVID-19 vaccine or a Duke-approved medical or religious exemption. UPLOADED 1-31-22

vaccination requirements
Going Home Well-being Checklist 11x17 Sign

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

Employee Health, Well-being & Emotional Support
Guidelines for Re-opening of Operations by Communicable Disease Risk

This document is for internal Duke Health use only. 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. Updated: 03.11.22

Operations and Visitation
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
Referring Physician Email Sent on 6.3.2020

This email was sent on 6.3.2020 to a referring physician audience and explains Duke has measures and precautions in place to provide safe care to patients referred to Duke Health. Uploaded 06.03.20

Referring Physician Email
AVS Additional Information Template (Editable)

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

Patient Communication and Signage, Ambulatory DPC
Criteria for Discontinuation of Special Airborne Contact Isolation

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

Clinical Guidance and Forms (General), Special Airborne Contact
Duke Personal Assistance Service Program Brochure

Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University and Health System. Our staff of licensed professionals offers assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to benefit-eligible Duke faculty, staff, and their family members. This brochure has more information about our PAS program. Uploaded 08.20.21

Well-being & Emotional Support, Employee Health
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
Patient Letter for Updated Visitor Restrictions Effective August 30, 2021 – Spanish

This is a letter to provide patients that outlines updated visitor restrictions in place effective April 21, 2021. 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 08.25.21

Patient Communication and Signage, Operations and Visitation
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
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
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
Attention at Check-in (Spanish)

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

Patient Communication and Signage, Spanish
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
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
PAPR Instructions for Donning, Doffing and Disinfection (Combined)

All PAPR-related instructions, including the newer 3M Versaflo and 3M Ford PAPRs as well as other brands of PAPRs used at Duke Health, are combined into one document for donning and doffing additional PPE and disinfecting the PAPR in inpatient and outpatient settings. We have addressed doffing and disinfection of loose-fitting headgear (e.g., head cover, shrouded hood) with and without an anteroom. Updated 1.28.22.

PPE Signage-Clinical, PPE, Donning & Doffing
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
Community COVID Vaccination Event Dec. 4 SPANISH

Community COVID Vaccination Event Dec. 4 SPANISH

Attention at Check In (8.5x11) sign SPANISH

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

Patient Communication and Signage, Spanish
21st Century Cares Act Training Sessions Information

The 21st Century Cures Act is a federal mandate that requires health organizations to provide patients with timely access to their electronic health information. In compliance with the Cures Act and effective April 11, 2021, Duke Health will immediately release the majority of clinical notes (inpatient and outpatient) as well as laboratory, pathology, and imaging results to patients via their Duke MyChart accounts. There are options for not sharing and/or delaying release but this requires documentation of a specific reason. Training sessions are linked in this document. Uploaded 04.02.21

Maestro Care
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
Ophthalmology: Point of Care Testing Flowchart - Eye Center Urgent Clinic

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

Specialty Specific Guidance, Testing Guidance, Periop Testing
PPE Doffing Procedure: No anteroom / no disinfectant in room at threshold

This document provides instructions for safely removing PPE in inpatient and ED environments where there is no anteroom or where gloves and/or disinfectant wipes are not available in room at the threshold. Updated 08.27.21

PPE, Donning & Doffing
Tier 3 Inpatient Visitation | Staff Talking Points

The following scripts and talking points are designed to assist DUHS staff in communicating our visitation guidelines as we transition from Tier 2 (Limited Access) to Tier 3 (Restricted 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. UPLOADED 1-16-22

FAQs and Talking Points, Patient Communication and Signage
MyChart letter to high-risk patients

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

Patient Communication and Signage
Process for referring outpatient/visitor to 1J COVID Vaccine Clinic

This document outlines the process for referring outpatients/visitors to 1J COVID Vaccine Clinic. Uploaded 05.17.21

Duke University Hospital, Clinical Guidance and Forms (General)
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
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)
Getting Through The Day with Your Mask

This flyer contains tips for staff on how to go about their day with masks on and how to properly remove and store their mask while eating, drinking and going to the restroom. English version. Uploaded 04.10.20

Employee Health, PPE Signage-Clinical
COVID-19 Testing Instructions: How to Collect an Anterior Nasal Swab Specimen

These step-by-step instructions illustrate how to self-collect an anterior nasal swab specimen. Updated 10/4/21.

Testing Guidance
Duke Regional Hospital Team Member Screening Process

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

Operations and Visitation, Duke Regional Hospital, Employee Screening, Employee Health, Safe Return On-site
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
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
Special Droplet and Special Droplet & Contact Sign Ordering Reference

Special Droplet and Special Droplet & Contact signs are now available for order in Eprint. This document is a reference that provides guidance to order these signs. Uploaded 06.05.20

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

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

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage
Duke Primary and Urgent Care Telephone Visit Maestro Tip Sheet

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

Ambulatory DPC, Telehealth
Manager 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
After Your Vaccine: When to Contact your Healthcare Provider

This handout is a guide to help patients decide if they should contact their health care provider for advice on getting a COVID-19 test after receiving their vaccination. Uploaded 5.27.21

Vaccine
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
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
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
Community COVID Vaccine Clinic 9.11.21

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

NP Swab Collection and Transport Instructions

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

Testing Guidance
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
DRH Protocol for Inpatients with New Symptoms Concerning for COVID-19

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

Duke Regional Hospital, Clinical Guidance and Forms (General)
DRAH Connect with Well-Being and Emotional Support Resources

Taking care of your own well-being is vital. Duke Raleigh Hospital has resources available to help. This flyer identifies the services that are available. Uploaded 04.29.20

Employee Health, Duke Raleigh Hospital
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
Metronidazole Shortage Memo_11.30.21

Departments of Pharmacy 

CRITICAL Drug Shortage Memo – UPDATE (11.30.21)

DPC Outpatient Clinics Do Not Enter Sign in Spanish

This a Duke Primary Care Outpatient Clinics "Do Not Enter" sign if you have COVID symptoms. Spanish. Uploaded 03.22.20

Patient Communication and Signage, Ambulatory DPC, Spanish
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

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
Duke University Hospital and Duke Regional Hospital Birthing Center Visitation Guidelines

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

Patient Communication and Signage, Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital
Recommendations for Discharging COVID-19 Positive Inpatient Who Continues to Require Isolation Precautions

This document includes recommendations for healthcare workers to safely discharge a COVID-19 positive inpatient who continues to require isolation precautions. Uploaded 04.03.20

PPE, Clinical Guidance and Forms (General), Discharge Instructions
TIP SHEET | Creating Telephone Encounter for DPC / DUC Employees Undergoing POC COVID Testing

This tip sheet for Duke Primary and Urgent Care clinical leaders shows how to document and set up a point-of-care COVID-19 test for a DPC or DUC employee. UPLOADED 1-14-22

Ambulatory DPC
Patient email sent on 3.16.20

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

Patient Communication and Signage
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
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
Duke University Hospital Pediatric Visitation Guidelines

This document provides updated guidance for visitation and visitor screening in pediatric areas at Duke University Hospital. These guidelines apply to any individual, regardless of age, receiving care in a children’s area/unit. Uploaded 05.26.20

Pediatric Specific Guidance, Pediatrics, Duke University Hospital
Response to COVID-19 Exposures in Shared Neonatal Ward

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

Pediatric Specific Guidance, Pediatrics
COVID-19 Testing Instructions: How to Collect an Anterior Nasal Swab Specimen (SPANISH)

These step-by-step instructions in Spanish illustrate how to self-collect an anterior nasal swab specimen. Updated 10/4/21.

Testing Guidance
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
Request for Medical Exemption from COVID-19 Vaccine

This document includes the Employee Request for Medical Exemption from COVID-19 Vaccine Requirement. UPDATED 1-31-22

HR & Team Resources
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 08.10.22.

PPE
Patient and Visitor Talking Points

This document provides employees with talking points to communicate with patients and visitors and answer common questions. It also identifies key messages to reference while communicating about our response. It outlines ideas and guidance for responding to different scenarios our team members may face with patients and visitors regarding our safety measures in place during the COVID-19 pandemic. This is for internal use only by Duke Health team members. Uploaded 05.21.21

FAQs and Talking Points, Patient Communication and Signage, HR & Team Resources
COVID-19 Team Member Accommodations

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

HR & Team Resources, Employee Health
Duke Primary Care Process for 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
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
Ambulatory Clinical Triage Algorithm

This document is for call center staff to use when screening for COVID-19 symptoms and possible exposure. Uploaded 03.21.20

Ambulatory DPC
Spanish – After Your Vaccine: When to Contact your Healthcare Provider

This handout is a guide to help patients decide if they should contact their health care provider for advice on getting a COVID-19 test after receiving their vaccination. Uploaded 5.27.21

Patient Communication and Signage, Vaccine
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
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
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
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.

Suspending Use of Contact Isolation for MRSA and VRE Colonization Patients

This document is for healthcare workers and explains DUHS' discontinuation of contact precautions for MRSA and VRE colonization patients. Uploaded 03.18.20

PPE, PPE Conservation
Patient email update sent on 3.9.21

This patient email was sent on the week of 3.8.21 and explains current vaccination eligibility information . Uploaded 03.12.21

Infant Negative Pressure Hood Guidance

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

Pediatric Specific Guidance
Key Messages for Communicating Enhancing Patient Access to Care

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

Patient Communication and Signage, FAQs and Talking Points
Neurology: Triage Policy for Neurovascular Studies on COVID-19 Patients

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

Neurology, Specialty Specific Guidance
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)

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

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

Patient Communication and Signage
Team Member Vaccination Status Talking Points
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
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
Quick Tips on Documentation and Coding During the COVID-19 Pandemic

This document offers providers tips on MaestroCare documentation and coding to accurately capture patient conditions for public health reporting, resource allocation and quality of care. Uploaded 04.06.20

Clinical Guidance and Forms (General)
DPC/DUC Employee COVID-19 Testing Algorithm

Duke Primary and Urgent Care employees can use this algorithm in coordination with their manager to determine whether they meet the criteria for practice-based point-of-care COVID-19 testing. UPLOADED 1-14-22

Ambulatory DPC
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
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
Duke Raleigh Hospital Guidelines for Covid-19 Testing

This guidance describes various SARS CoV-2 (COVID-19) tests that are available at DRAH and preferred indications for the same. DRAH Chief Medical Officer, Laboratory Microbiology, Infectious Disease, and Infection Prevention will continue to review these indications and provide updates as needed. Uploaded 10.21.20

Testing Guidance, Duke Raleigh Hospital
Antibody Testing Patient FAQs

This document provides answers to frequently asked questions about antibody testing. This is a good resource to educate patients about antibody testing and what these test results could mean. Updated 05.26.20

Patient Communication and Signage, FAQs and Talking Points
Duke Newborn Nursery (NBN), Intensive Care Nursery (ICN) and Birthing Center COVID-19 Management Guideline for Newborns and Infants

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

Pediatric Specific Guidance, Pediatrics, Pediatric Bed Flow
Zebra/Cisco Phone Cleaning FAQ

This document answers frequently asked questions about how and when to clean Zebra/Cisco phones. It also includes best practices for infection prevention for when the phone rings while you are in an isolation room. Uploaded 02.03.22

FAQs and Talking Points, Clinical Guidance and Forms (General)
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 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
COVID-19 Vaccine FAQs for Duke Health Team Members

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

FAQs and Talking Points
Federal Medical Complex Inmate Federal Forensic Patient Care

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

Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Clinical Guidance and Forms (General), High-risk Populations
Pandemic Response Network (SPANISH)

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

FAQs and Talking Points, Patient Communication and Signage
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
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
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
VPN Connection Guide

This document is for staff and provides information on how to use Virtual Private Network (VPN) AnyConnect to safely access Duke Health's network offsite. Uploaded 03.21.20

Telework and Working Remotely, HR & Team Resources
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)
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 Regional Hospital ED, Inpatient Guidelines for COVID-19 Testing

This document outlines various COVID-19 tests that are available at DRH and preferred indications. The DRH CMO team will continue to review these indications and provide updates as needed. This document should be utilized in concert with the COVID-19 testing ordering panel, which provides guidance on isolation recommendations. Updated 11.10.21

Testing Guidance, Duke Regional Hospital
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
Unexpected COVID Positive Patient DRH Workflow

If a patient unexpectedly tests positive for COVID-19, please follow this workflow at Duke Regional Hospital, to include placing the patient on special airborne contact isolation, as well as following these important steps for the provider, charge nurse, nurse manager and Infection Prevention. Last updated 9/10/21.

COVID-19 Duke Health Visitor Restrictions Policy Update

This document (effective March 23, 2020) applies to all visitors to Duke Health facilities and outlines current visitor restrictions. Uploaded 03.23.20

Operations and Visitation, Visitor Restrictions
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
Duke Raleigh Hospital COVID-19 EVS Room Cleaning Procedure

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

PPE, Clinical Guidance and Forms (General), Duke Raleigh Hospital
Patient email update sent on 5.1.2020

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

Patient Communication and Signage
Neurology: Triage Policy for Performing Clinical Evoked Potentials on COVID-19 Patients

This document contains the triage algorithm for determining medical necessity and urgency of Clinical Evoked Potential (EP, VEP, SEP, BAEP) studies on patients with a suspected or confirmed COVID-19 infection. Uploaded 04.01.20

Neurology, Specialty Specific Guidance
Visitation Tier 2 Manager Email 12.3.21

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

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
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
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
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
DRH Protocol for Perioperative Management of Surgical Procedures During the COVID-19 Pandemic

This document addresses perioperative management of patients who are KNOWN or SUSPECTED (i.e. rule-out) 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 04.04.20

Periop Management, Duke Regional Hospital
FAQ for Patients and Visitors Wearing Duke Health-Issued Earloop Masks

With the surge of Omicron cases and the high transmissibility of this new variant, it is strongly recommended that all patients and visitors wear a Duke Health-issued earloop mask when inside a Duke Health facility or while in close proximity to other people for an extended period of time. This document outlines suggested answers to questions you may receive when asking visitors to change their mask type. Uploaded 1.13.22.

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
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
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
DPC Patient and Visitor Screener Information IR Thermometer Use

This document includes guidelines for Duke Primary and Urgent Care practices about using infrared thermometers for screening patients and visitors. The document also includes excerpts from the manufacturer’s operating instructions. Uploaded 05.21.20

Ambulatory DPC
Pediatric Admission Workflow for Patients Requiring COVID-19 Testing

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

Pediatric Specific Guidance, Pediatrics, Testing Guidance
DUHS COVID-19 Testing Guidance



DUHS Infection Prevention teams have updated their guidance for the duration of quarantine for admitted patients with known exposure to COVID-19, decreasing from 10 days to 7 days with negative COVID test on day 6.  

 

Patients who are identified to have a high-risk exposure (e.g., exposed to a COVID positive visitor; exposed to a COVID positive patient in a congregate setting) should be placed on droplet and contact isolation.  Teams should contact their infection prevention partners to determine timing of post-exposure testing.  Please review the updated COVID-19 Testing FAQ document for additional guidance related to COVID testing.

Testing Guidance
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
Directions to DUH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the new DUH Employee Vaccination Clinic located in the DMP conference room 2W96. Please note that the DUH clinic will provide vaccinations by appointment for Duke employees and students who fall under the updated CDC guidelines. Uploaded 1.12.22

Vaccine, Employee Health
Duke-NUS AMC Joint Webinar Series: Adaptation and Innovation Across the Pacific in Response to the COVID-19 Pandemic

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

Patient & Visitor Face Covering Reference Sheet

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

PPE, Patient Communication and Signage