COVID-19 Document Library

The attached document contains a list of discounted hotels for Duke Raleigh Hospital team members. Uploaded 04.16.20

This document includes information about a peer support program. The Duke Peer Support Program trains volunteer colleagues to support their peers. Peer Support Volunteers (PSV’s) listen, help their peers process their experiences, and identify appropriate resources as needed. Updated 8.27.21

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

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

COVID testing self-schedule options for employees. 10.29.21.

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

This document provides recommendations for outpatient management of patients with suspected or confirmed after receiving a COVID-19 diagnosis. Uploaded 05.08.20

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

This document provides guidance for providers on appropriate test utilization for COVID-19 PCR (appropriate COVID-19 repeat testing). All test orders available at DUHS (POC test, rapid test, inpatient test, outpatient test, and IP test) have gone through a rigorous validation process and that all results may be used as part of these repeat testing strategies. NOTE: References to pre-operative/pre-procedural testing have been removed, as COVID testing is no longer required to be performed prior to high-risk procedures or surgeries. Updated 12.07.21

This document includes donning and doffing procedures for PPE with and N95 for both inpatient and outpatient.  Uploaded 1.28.22

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

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

On Saturday, August 14, the public is invited to receive their free COVID vaccine (Pfizer or J&J) at a Durham Back-To-School Health Fair. The event will be held a t Wheels Fun Park from 10am-4pm. People receiving their first dose of the vaccine will get a $20 gift card as supplies last. Uploaded 08.11.21

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

This document contains instructions in Spanish for patients coming to a DPC/DUC clinic for drive-up test collection. Updated 03.04.21

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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

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.

Community COVID Vaccination Event Dec. 4 SPANISH

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Departments of Pharmacy 

CRITICAL Drug Shortage Memo – UPDATE (11.30.21)

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

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

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

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.

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

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

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

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

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

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

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

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

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

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

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

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

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