Title Description Tags
(Poster) Criteria for Discontinuation of Special Airborne Contact Isolation

This poster provides updated guidance to healthcare workers on when to discontinue special airborne contact (SAC) isolation for patients with COVID-19 (Discontinuing isolation). This guidance applies to all areas of Duke Health including adult and children’s inpatient, outpatient, surgical, procedural and other care areas. The 11”x17” poster includes the tables and flowchart to outline this criteria. Uploaded 12.12.20

Clinical Guidance and Forms (General), Special Airborne Contact
Know Share Do 6.01.20

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

FAQs and Talking Points, Know Share Do
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
Directions to DRH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the new DUH Employee Vaccination Clinic starting July 23, 2021. Please note that the DUH clinic will provide vaccinations by appointment, however, we will also accept walk-ins but appointments will have priority. Uploaded 7.22.21

Duke Regional Hospital, Vaccine
Know Share Do 4.1.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.01.20.

Know Share Do, FAQs and Talking Points
Frontline Essential Workers Eligible for Vaccination Waiting List – Spanish

Recently, Gov. Cooper and NC DHHS Secretary Mandy Cohen announced that Group 3 frontline essential workers will be eligible for vaccination in the coming weeks. This handout is available in Spanish to provide to patients and community members for more information about this transition. Uploaded 2.22.21

Patient Communication and Signage, Spanish
OR Protocol for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

This document is for OR staff and addresses perioperative management of patients who are known or suspected COVID-19 positive and need urgent surgery. Patients who do not fall into those categories will continue to be managed in the usual fashion. Uploaded 08.13.20

Periop Management, Anesthesia, Anesthesiology
Know Share Do 9.23.20

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

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

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

PPE, Duke Raleigh Hospital
Know Share Do 4.27.20

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

FAQs and Talking Points, Know Share Do
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
Tips for Preventing the Spread of COVID-19: Pediatric After-Visit Summary in Arabic

This document is for Arabic-speaking patients with low health literacy skills, including children, and illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS. Uploaded 04.02.20

Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
Maestro Tip Sheet: Southern High COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
COVID-19: Protecting You and Your Loved Ones

This handout (8.5 x 11) is being given to visitors/patients as part of the screening process when they enter a Duke entity. English. Uploaded 03.24.20

Ambulatory DPC, Patient Communication and Signage
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
Reusable Cloth Isolation Gown Process at DRH

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

PPE, PPE Signage-Clinical, Duke Regional Hospital
Duke Health Policy for Providers Managing Cardiopulmonary Arrest and RRT in COVID-19 Patients

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

PPE, Clinical Guidance and Forms (General)
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
Decedent Care: Death Notification Process at DUH

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

Clinical Guidance and Forms (General), Duke University Hospital, Decedent Care
4.14.21 Update for Patients Who Received the J&J Vaccine

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 email was distributed to all Duke Health patients who received a J&J vaccine within three weeks of the update from the CDC and FDA. Uploaded 04.16.21

Vaccine
Childcare Options for Parents in Spanish

Printable resource to provide child care resources for essential employees during COVID. It is provided by the North Carolina Department of Health and Human Services and the North Carolina Department of Public Instruction. This is the Spanish Version. Uploaded 03.26.20

HR & Team Resources, Childcare Resources, Spanish
Know Share Do 11.30.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.30.20.

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

This document includes guidelines for management of asymptomatic newborns born to a mother with suspected or confirmed SARS-CoV-2 infection. Uploaded 03.16.21

Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital, Pediatric Bed Flow
Clinical Management Guidelines of Suspected COVID pediatric patient

This document includes recommendations for managing parents/caregivers for pediatric patients exposed or infected with COVID-19. 10.19.21.

Know Share Do 4.13.20

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

Know Share Do, FAQs and Talking Points
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)
Duke Primary and Urgent Care Telephone Visit Maestro Tip Sheet

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

Ambulatory DPC, Telehealth
Know Share Do 12.23.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.23.20.

Know Share Do
Home Visitor Log for Symptomatic COVID-19 Patients

This document is an NCHHS log for providers to use with patients who have COVID-10 symptoms and must track visitors to their home. Uploaded 03.21.20

Ambulatory DPC
Tips for Communicating with Patients while Wearing a Mask

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

Clinical Guidance and Forms (General), Patient Communication and Signage
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)
Clinical Ops Know Share Do (11.29.21)

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.29.21.

DUH ICU Guidance

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

Clinical Guidance and Forms (General), Duke University Hospital, ICU Care
Inpatient Visitor Restriction Update in Spanish – Overnight Visitor

We realize that loved ones are a vital part of a patient’s care team and play an important role in recovery. As we have navigated each phase of the COVID-19 pandemic over the last year, the safety of our patients, visitors and team members has been our highest priority. Given the decreased community spread of COVID-19 and increased vaccination rates, we will modify our inpatient visitor restrictions to permit for one overnight visitor. This patient letter explains this update in Spanish. Uploaded 06.16.21

Visitor Restrictions
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
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
CDC Guidance: Employee Risk Assessment for COVID-19 Exposure

This table is for healthcare workers to use in assessing COVID-19 risk exposure, per CDC guidance. It includes additional information from Employee Health on recommended monitoring periods and work restrictions for asymptomatic healthcare workers. Updated 05.01.20

Employee Health
Know Share Do 08.17.20

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

Know Share Do, FAQs and Talking Points
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
Know Share Do 4.21.20

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

Know Share Do, FAQs and Talking Points
FAQs about the COVID-19 Delta Variant

This document provides background for DUHS team members on the prevalence and spread of the COVID-19 Delta variant and what to do in case of a potential exposure. Uploaded 07.23.21

Employee Health
Neurology: Guidelines for Performing NIOM on Patients with COVID-19

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

Neurology, Specialty Specific Guidance
Maestro Care: 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
Operating Room Flowcharts for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

These flowcharts are for OR staff and should be used in conjunction with the protocol for Perioperative Management of Urgent Surgical Procedures in Suspected of Confirmed COVID-19 Patient. Flowcharts include perioperative and room setup, intraoperative, and extubation, transfer, and room cleaning. Uploaded 04.01.20

Periop Management, Anesthesia, Anesthesiology
Criteria for Adequate Eye Protection

Duke Health recommends the use of eye protection for all staff having direct interaction with patients and visitors. Direct interaction is defined as face-to-face interaction such as entering a patient’s care environment (e.g. exam room, hospital room, bay, etc.) or coming within 6 feet for any duration of time. Face shields are the preferred eye protection as they provide full coverage of the eyes and protect the underlying face mask from potential contamination.

We recognize that some team members are seeking alternatives to face shields. Supply chain issues have made purchase of large quantities of safety goggles challenging. As such, this resource is meant to provide guidance for selecting alternate adequate eye protection to the widely available Duke-approved face shields. Uploaded 09.25.20

PPE, Eye Protection
Know Share Do 06.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.22.20.

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

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

Ambulatory DPC
Know Share Do 08.23.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 08.23.21.

Know Share Do
Know Share Do 4.3.20

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

Know Share Do, FAQs and Talking Points
Johnson & Johnson COVID-19 Vaccine Fast Facts

Safe and effective with a one-shot dose, the Johnson and Johnson (Janssen) vaccine offers 100% protection against hospitalization and death. This handout includes fast facts about the J&J COVID-19 vaccine. Uploaded 03.25.21

Patient Communication and Signage
COVID-19: Protecting You and Your Loved Ones (Spanish)

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

Ambulatory DPC, Patient Communication and Signage, Spanish
Know Share Do 10.26.20

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

Know Share Do, FAQs and Talking Points
DRH ED – Inpatient Testing Protocol

This document contains information about the Duke Regional Hospital testing protocol for patients who need to be admitted from the emergency department. Updated 06.19.20

Clinical Guidance and Forms (General), Duke Regional Hospital
Know Share Do 5.6.20

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

FAQs and Talking Points, Know Share Do
Clinical Ops KSD 8.30.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 08.30.21.

Know Share Do
Decedent Care: COVID-19 FAQ at DUH

This FAQ provides guidance designed to ensure that DUH healthcare workers are following current recommendations while providing care to patients and their families if a patient passes away who is suspected or confirmed of having COVID-19 infection. Uploaded 1.22.21

Clinical Guidance and Forms (General), FAQs and Talking Points, Duke University Hospital, Decedent Care
Opioid Use Training Disorder 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. Sessions will be held May 12, 19 and 26, 2021, from 12 p.m. – 12:30 p.m. The series is free to attend, and the first 100 registrants will receive CE credit. This document includes more information about the series and a registration link to join. Uploaded: 04.16.21

DPC and PDC Patient and Visitor Screening

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

Ambulatory PDC, Ambulatory DPC
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
DRAH Recommended Eye Protection

The attached document for Duke Raleigh Hospital contains information from the Centers for Disease Control and Prevention (CDC) regarding DRAH healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Updated 07.14.20

PPE, Duke Raleigh Hospital
Education for Updated Isolation Sign for Special Droplet & Contact Precautions

Isolations signs for special droplet and contact precautions have been updated to include when to use face shield to provide care in various situations. This handout familiarizes readers with the new signs. Uploaded 05.14.20

PPE Signage-Clinical
Clinical Ops KSD 10.11.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 10.11.21.

Dialysis Process in Suspected or Confirmed COVID-19 Room

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

Clinical Guidance and Forms (General)
Isolation of Patients with Repeat Positive COVID-19 Tests or Discrepant COVID-19 Test Results

The DUHS Infection Prevention teams have published standardized guidance for isolation of patients with repeat positive COVID-19 tests or discrepant COVID-19 test results. As a reminder, please contact your facility’s on-call Infection Prevention Specialist during business hours (8a-6p) before discontinuing Special Airborne Contact Isolation orders for a patient whose Maestro Care COVID banner indicates COVID-19.  Uploaded 05.20.21

Testing Guidance, DUH Testing Guidance
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
Know Share Do 01.04.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.04.21.

Inpatient/ED: Required PPE

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

PPE Signage-Clinical, Donning & Doffing
Temporary Workflow for Discontinuing Special Airborne Contact Isolation

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

Clinical Guidance and Forms (General)
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
Metronidazole Shortage Memo_11.30.21

Departments of Pharmacy 

CRITICAL Drug Shortage Memo – UPDATE (11.30.21)

DRH ICU Protocol

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

Clinical Guidance and Forms (General), Duke Regional Hospital, ICU Care
Duke Health COVID-19 Testing Tip Sheet

This document outlines hours of operation, target population, and scheduling instructions for our COVID-19 testing locations. Updated 10.06.21

Drive-Up Testing, Testing Guidance
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
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
How to Access Technology While Working Remotely

The document is for staff and includes detailed information and technology tools for working remotely. It includes instructions on accessing the VPN, WebEx, Zoom, Microsoft Teams, Jabber, and more. Uploaded 03.24.20

Telework and Working Remotely, HR & Team Resources
Conference Room AV User Guide

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

Telework and Working Remotely, HR & Team Resources
Know Share Do 08.19.20

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

Know Share Do, FAQs and Talking Points
Know Share Do 6.03.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 6.03.20.

Know Share Do, FAQs and Talking Points
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
Know Share Do 07.26.21

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

Know Share Do
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
Know Share Do 03.01.21

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

Know Share Do
Perioperative Services COVID-19 Response Plan

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

Periop Management
Know Share Do 09.28.20

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

Know Share Do, FAQs and Talking Points
Updated Visitor Restrictions Signage – 11"x17" – English

This sign notifies patients and visitors of restrictions in place for visiting at our facilities. This version of the sign is for printing on 11"x17" posters. This sign should be displayed in hospitals and clinics following the visitor restriction updates effective June 24, 2020. Uploaded 06.23.20

Patient Communication and Signage, Operations and Visitation
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
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
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
Vaccine Clinic Scheduling Platform Move to QGenda Update

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

Tip Sheet for Signatures Upon Discharge for Inpatient

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

Operations and Visitation, Discharge Instructions, Clinical Guidance and Forms (General)
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
Outside Hospital Transfer / Direct DRH Admit Testing Protocol

This document contains information about the Duke Regional Hospital testing protocol for patients directly admitted to DRH or who have been transferred to DRH from another facility. Updated 06.19.20

Clinical Guidance and Forms (General), Duke Regional Hospital
Respiratory Therapy Guidance During COVID 19 Response

This document provides guidance for the safe delivery of respiratory therapeutics during the COVID-19 pandemic. Updated 09.03.21

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

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

FAQs and Talking Points, Well-being & Emotional Support
Visitor Safety Precautions

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

Visitor Restrictions
PDC Employee Provider Screening

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

Ambulatory PDC
Duke COVID-19 Vaccination Work Group Update 11.12.20

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

Employee Health
Know Share Do 07.13.20

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

Know Share Do, FAQs and Talking Points
Education for Updated Isolation Sign for Special Droplet Precautions

Isolations signs for special droplet precautions have been updated to include when to use face shield to provide care in various situations. This handout familiarizes readers with the new signs. Uploaded 05.14.20

PPE Signage-Clinical
Covid vaccine and Pregnancy ENGLISH

Information for pregnant patients about the COVID-19 vaccine.

Peritoneal Dialysis Process for DUH in Suspected or Confirmed COVID-19 Room

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

Clinical Guidance and Forms (General)
Know Share Do 05.24.21

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

Know Share Do
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
Vaccine Distribution Guidance

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

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
Duke Health Pre-operative and Pre-Procedural Guidelines for COVID-19 Testing

The purpose of this document is to outline the Duke Health recommendations for the use of testing for surgical and non-surgical procedures. The following recommendations apply to all Duke Health patients > 3 days old undergoing the following procedures: bronchoscopy, transesophageal echocardiography, electrical cardioversion, electrophysiology procedures requiring general anesthesia, electroconvulsive therapy, upper and lower endoscopy, fluoroscopically guided enteric tube placements, and interventional radiology procedures requiring anesthesia. Uploaded 08.04.20

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

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

PPE, N95, PAPR, PPE Conservation
COVID-19 Vaccination Family Day at DRAH Flyer

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

Vaccine
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
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)
Telecommuting Resources for Managers

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

HR & Team Resources, Telework and Working Remotely
Know Share Do 08.24.20

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

Know Share Do, FAQs and Talking Points
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
DPC Nasopharyngeal Swab Competency

This document lists the outcomes nurses must demonstrate to obtain competency validation for specimen collection via nasopharyngeal swabs. Updated 05.06.21

Ambulatory DPC
DUHS COVID-19 Safety Plan (OSHA ETS)

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

Employee Health, Clinical Guidance and Forms (General), PPE
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
Know Share Do 3.8.21

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

Know Share Do
Vendor Access During COVID-19

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

Operations and Visitation
Know Share Do 09.28.20

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

Know Share Do, FAQs and Talking Points
Updated Visitor Restrictions Signage – 8.5"x11" – English

This sign notifies patients and visitors of restrictions in place for visiting at our facilities. This sign should be displayed in hospitals and clinics following the visitor restriction updates effective June 24, 2020. Uploaded 06.23.20

Patient Communication and Signage, Operations and Visitation
Know Share Do 4.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.28.20.

Know Share Do, FAQs and Talking Points
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
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
QGenda Scheduling Instructions for Vaccination Clinics

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

Revised Infection Prevention Practices for MRSA or VRE Colonization

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

Patient Communication and Signage
Know Share Do 11.02.20

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

Know Share Do, FAQs and Talking Points
Proper Configuration for Versaflo PAPR Unit and Yellow Isolation Gown

This document outlines the proper configuration for the Versaflo PAPR unit and the yellow isolation gown. Uploaded 06.30.20

PPE, PPE Signage-Clinical, Duke Raleigh Hospital
COVID-19 Know Share Do 05.08.20

This file contains the manager Know Share Do's for 05.08.20.

Know Share Do
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
N95s: FAQs and Key Takeaways on Decontamination and Reuse

This document includes FAQs and key takeaways on our decontamination process for respirators such as N95s. Updated 04.17.20

FAQs and Talking Points, PPE, N95
FAQs on Urinalysis, Urine Culture, and Urinary Catheter Management

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

FAQs and Talking Points
PAPR Hoods: Instructions for Extended Use, Re-Use and Disinfection

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

PPE, PAPR
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
Know Share Do 07.15.20

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

Know Share Do, FAQs and Talking Points
Know Share Do 5.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.15.20.

Know Share Do, FAQs and Talking Points
Covid vaccine and Pregnancy SPANISH

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

Telephone Visit- GAD 2/7 Pre-visit Screening

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

Ambulatory DPC
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
Employee Occupational Health and Wellness Process Flowchart for Drive-Up Test Collection

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

Drive-Up Testing, Employee Health
MyChart Message to Phase 1B Group 1 – Adults 75+ for COVID-19 Vaccination

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

Patient Communication and Signage
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
Disruptive Patient/Visitor Sign – Duke University Hospital

This sign may be displayed to highlight our disruptive patient & visitor policy. This is a reminder for patients and visitors that we will not tolerate aggressive behavior at Duke Health. It also highlights how our team values diversity and treats everyone with respect. Uploaded 08.04.20

Operations and Visitation, Patient Communication and Signage
Know Share Do 5.27.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.27.20.

Know Share Do, FAQs and Talking Points
Know Share Do 4.16.20

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

Know Share Do, FAQs and Talking Points
Know Share Do 6.21.21

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

Guidelines for Healthcare Workers upon Returning Home from Work

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

Employee Health, HR & Team Resources, Nursing, Safe Return On-site
Know Share Do 2.1.21

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

Know Share Do
DUH COVID Vaccine Clinic - NCID Access

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

Vaccine
FAQs for Pregnant Healthcare Workers

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

Employee Health, FAQs and Talking Points, Safe Return On-site
Know Share Do 08.26.20

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

Know Share Do, FAQs and Talking Points
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
N95 Mask Collection Standard Work for DPC

This document includes standard work instructions for collecting N95 masks at the end of Duke Primary and Urgent Care team members’ shifts. Uploaded 04.22.20

Ambulatory DPC
Know Share Do 08.02.21

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

Know Share Do
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
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
DUHS Privacy and Security Compliance Tips

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

Privacy, HR & Team Resources
DPC Masking Refusal Standard Work

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

Ambulatory DPC, Clinical Guidance and Forms (General)
Patient Letter for Updated Visitor Restrictions Effective August 30, 2021 – English

This is a letter to provide patients that outlines our current visitor restrictions in place. The letter explains our updated restrictions in place in our hospitals, outpatient surgery and outpatient clinics. This version of the letter is in English. Uploaded 08.25.21

Patient Communication and Signage, Operations and Visitation
Know Share Do 4.29.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.29.20.

Know Share Do, FAQs and Talking Points
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
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
Know Share Do 03.29.21

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

3.26 Know Share Do

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.26.20.

Know Share Do, FAQs and Talking Points
Patient/Visitor Letter Regarding Duke Health Network Access Update

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

Patient Communication and Signage, Operations and Visitation
Know Share Do 7.1.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.01.20.

Know Share Do, FAQs and Talking Points
Position Statement and FAQs for Antibody Testing

This document provides guidance to physicians to facilitate conversations with patients regarding requests for antibody testing for COVID-19 (SARS-2-CoV). Uploaded 05.08.20

Clinical Guidance and Forms (General), FAQs and Talking Points, Testing Guidance
Community COVID Vaccine Clinic 9.11.21

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

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
Know Share Do 04.19.21

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

Know Share Do
Face Masks and Face Shields: Instructions for Extended Use and Reuse

This document provides important clarifications on donning and doffing for extended use and reuse of face masks (including surgical masks, tie masks, and earloop/procedural masks) and face shields for all healthcare workers providing care to patients with known or suspected COVID-19 infection. Updated 04.20.20

PPE
Vaccination Talking Points for Patients and Community

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

FAQs and Talking Points, Patient Communication and Signage
Know Share Do 07.20.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.20.20.

Know Share Do, FAQs and Talking Points
Patient email update sent on 5.15.2020

This patient email was sent on 5.15.20 and talks about the importance about not delaying needed care and the safety measures Duke Health has put into place. Uploaded 05.15.20

Patient Communication and Signage
Clinical Ops KSD 10.18.21

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

Telephone Visit- PHQ2/9 Pre-visit Screening

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

Ambulatory DPC
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
Employee Role Instructions at Drive-Up Collection Sites

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

Ambulatory DPC, Drive-Up Testing
COVID-19 Vaccination Information for Patients

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

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

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

Patient Communication and Signage, Spanish
Disruptive Patient/Visitor Sign

This sign may be displayed to highlight our disruptive patient & visitor policy. This is a reminder for patients and visitors that we will not tolerate aggressive behavior at Duke Health. It also highlights how our team values diversity and treats everyone with respect. Uploaded 08.04.20

Operations and Visitation, Patient Communication and Signage
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
DUHS Inmate Patient PPE Guidelines

This document can be accessed through the Secure Policy Center. It outlines the following: inmate patient transport guidelines, guard PPE for rooms with and without a window, and patient safety requirements. Uploaded 05.07.21

PPE
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
Know Share Do 3.31.20

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

Know Share Do, FAQs and Talking Points
What to know before you go: Shifts at Duke Vaccination Clinics

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

Vaccine
Telecommuting Tips for Employees

A guide for staff with tips on how to effectively work remotely. Uploaded 03.21.20

HR & Team Resources, Telework and Working Remotely
Duke Raleigh Hospital Cintas Scrub Transition

On Thursday, September 10, Duke Raleigh Hospital will begin using the scrub carrier Cintas for all work-provided scrubs in our Operating Rooms and the Duke Raleigh Hospital Eye Surgery Center. For those team members working in these areas, please review the new process for obtaining your hospital-provided scrubs. Uploaded 08.26.20

Duke Raleigh Hospital
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
Know Share Do 4.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.22.20.

FAQs and Talking Points, Know Share Do
Manager Tip Sheet for Tracking Staff COVID Vaccination Status

This document contains instructions for managers to track staff COVID vaccine status. Uploaded 08.04.21

Vaccine, Employee Health
Neurology: Triage Policy for Performing EEGs on COVID-19 Patients

This document contains the triage algorithm for determining medical necessity and urgency of Electroencephalogram (EEG, long term monitoring [LTM], epilepsy monitoring) studies on patients with a suspected or confirmed COVID-19 infection. Uploaded 04.01.20

Neurology, Specialty Specific Guidance
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
ENT/Otolaryngology: PPE Safety Protocols for ENT Clinical Care

This document is for healthcare workers and outlines the current recommendation for clarifying PPE safety protocols for ENT / otolaryngology clinical care. Uploaded 05.11.20

Specialty Specific Guidance, PPE
AVS Known COVID-19 Infection and Pregnancy

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

After Visit Summary, Patient Communication and Signage
Designated Visitor FYI Flag – Maestro Care Tip Sheet

This is a tip sheet for using Maestro Care to designate a visitor for an inpatient using a FYI flag. A new Designated Visitor FYI flag will be available on Maestro Care starting 6/24/2020 to support the new visitor policy of allowing one designated visitor per inpatient. The flag can be added by inpatient nurses, case managers, inpatient and ED Financial Care Counselors and operations administrators. The name of the patient's designated visitor should be noted in the body of the FYI and should NOT be updated once designated. Uploaded 06.23.20

Operations and Visitation
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 06.15.20

PPE Signage-Clinical, PPE, Donning & Doffing
Managing children with respiratory symptoms in Periop - Fall/Winter 2021

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

Periop Management, Periop Testing, Pediatric Specific Guidance, Pediatrics