Title Description Tags
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
Duke Primary and Urgent Care Workflow for Printing Labels at Drive-Up Test Site

This document is a tip sheet for printing labels for drive-up test collection at DPC/DUC clinics. Uploaded 03.30.20

Ambulatory DPC, Drive-Up Testing
Inpatient – 11x17 Visitor Guidelines Poster – Spanish

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

Visitor Restrictions
Ambulatory Potential COVID-19 Patient Discharge Checklist

This patient visit checklist is for healthcare workers in the ambulatory setting for planning, testing, and discharging patients with suspected COVID-19. Uploaded 03.21.20

Ambulatory DPC, Discharge Instructions
Frontline Essential Workers Eligible for Vaccination Waiting List

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 to provide to patients and community members for more information about this transition. Uploaded 2.14.21

Patient Communication and Signage
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
Isolation Cart PPE Table

This table will be paired with each isolation PPE cart and provides streamlined information about the supplies that are needed for providing care for patients with known or suspected COVID-19. Please remember that supplies may come from different manufacturers or be different colors, but they have all gone through a rigorous approval process and provide the same level of protection for our team members. Please note that this information does not replace existing information on the PPE documents guide website; it is designed to showcase information from the various COVID-19 resources on recommended PPE use for DUHS team members in a simplified one-page resource. Updated 01.27.22

PPE Signage-Clinical
How to Create and Award COVID Shifts

This how-to guide / job aide for staffing leaders for how to create and award COVID shifts in DukeShift. Uploaded 03.31.20

HR & Team Resources, Redeployment & Staffing Hub, Availability for Work & Pay Practices
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.

Pediatric Specific Guidance, Pediatrics
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
Maestro Tip Sheet: Karsh COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
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
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)
Outpatient: How to Don and Doff PPE

This document contains three 11x17 posters for outpatient healthcare workers showing steps for donning and doffing PPE, including with and without an anteroom. Uploaded 04.01.20

PPE Signage-Clinical
3M 9205+ N95 Non-Surgical Respirator Seal Check Instructions

This document illustrates seal check instructions for the 3M 9205+ N95 non-surgical respirator. Uploaded 01.06.22.

N95, PPE, Donning & Doffing
Operating Room Flowcharts for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

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

Periop Management, Anesthesia, Anesthesiology
FAQs 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
FAQs for CMS Payment Update for Counseling COVID-19 Patients during Self-Isolation Period

The Centers for Medicare and Medicaid Services (CMS) is allowing for payment when physicians and healthcare providers counsel patients during self-isolation period after patients have been tested and prior to the onset of symptoms if the results are positive. The providers will use an Evaluation and Management code to bill for the service by documenting the counseling based on time. Uploaded 09.17.20

Clinical Guidance and Forms (General), FAQs and Talking Points, Maestro Care
Virtual Training Information for Clinicians

Cambia Palliative Care Center of Excellence and the Institute for Human Caring are offering healthcare professionals free virtual training sessions for COVID-19 communication. These sessions will focus on 4 content areas (outpatient, ED, acute care, and ICU) and will integrate a communication framework with concrete skills to navigate advance care planning and goals of care conversations in the COVID-19 era. You may register directly through the Institute for Human Caring website. Updated 05.13.20

Patient Communication and Signage
COVID-19 Resources for Families (in English and Spanish)

This document is for families and includes links to resources about talking to kids about COVID-19, options for basic needs and healthcare, activities to do at home, and mental health support. Uploaded 04.09.20

Pediatric Specific Guidance, Patient Communication and Signage, Spanish
DUHS Patient Visitation Letter (en Español)

This is a letter to provide patients that outlines updated visitor restrictions in place effective January 14, 2022. The letter explains our updated restrictions in place in our hospitals, outpatient surgery and outpatient clinics. This version of the letter is in Spanish. UPDATED 02-18-22

Operations and Visitation, Visitor Restrictions, Patient Communication and Signage
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
Ambulatory Critical Lab Escalations

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

Clinical Guidance and Forms (General)
COVID-19 Testing for Duke University Hospital Inpatients

This flowchart depicts the process for Duke University Hospital inpatients requiring a COVID-19 testing. Test results that are needed in fewer than six hours for an emergent procedure, imminent discharge or any patients exhibiting symptoms of COVID-19 in a multi-occupancy room will be managed by the DUH Swab Team. All other patients should receive an order for a PCR or administrative COVID-19 test by the inpatient team. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance
Infection Prevention Highlights to Prevent Team Member Exposure

The Infection Prevention Highlights to Prevent Team Member Exposure document outlines many of the measures we have implemented at Duke Health to keep our team members safe while continuing to provide high-quality care to our patients. This is intended to provide to team members with a key overview of many of the changes made to operations, guidance and recommendations to protect our patients, visitors and each other. Uploaded 06.02.20

Clinical Guidance and Forms (General), Employee Health
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)
DUHS Guidelines for Visitation Restrictions All Tiers

This document includes the standard work for each tier of our visitor restrictions. UPDATED 5-13-22

Visitor Restrictions, Operations and Visitation
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
Manager Tip Sheet for Tracking Staff COVID and Flu Vaccination Status

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

Vaccine, Employee Health
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
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
Radiology: Tips for the Radiology Department During the COVID-19 Pandemic

This document is for Radiology Department staff and lists tips for the following: PPE, environmental cleaning, procedures and managing incidental findings. Uploaded 04.16.20

Specialty Specific Guidance
Duke Primary Care Coumadin Process Addendum for COVID-19

This document is an addendum to the Coumadin care process during the COVID-19 response. Updated 05.07.21

Ambulatory DPC
Team Member Visitor Restrictions Talking Points

These talking points are available for team members (employees) to answer questions from patients or visitors about our visitor restrictions in place. Uploaded 08.25.21

Visitor Restrictions, FAQs and Talking Points
Transplant: Guidance for Transplant Recipients and Patients Receiving Immunosuppressive Therapies

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

Specialty Specific Guidance, FAQs and Talking Points, High-risk Populations
Maestro Care: Personalize Your Charge Capture – Ambulatory Setting

This Maestro Care tip sheet is for providers who work only in the Ambulatory Setting. Just as you have preference lists for diagnoses, orders and LOS, you can now create favorites for charges in Charge Capture. If you currently have to click through several lists to see the charges you use most often or you have to link modifiers to existing charges on a regular basis, build your preference list to make these options just one click away. Uploaded 02.15.21

Maestro Care
Recommended Eye Protection

The attached document contains information from the Centers for Disease Control and Prevention (CDC) regarding healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Effective 1.13.22 Updated 03.21.22

PPE, Eye Protection
Contact/Reference List for COVID-19 Topics

This one-pager lists contact information and document references to help quickly answer common questions related to COVID-19. Topics include testing, PPE, interpreter services and employee health. This resource is intended for DUHS team members at Duke University Hospital, Duke Regional Hospital and Duke Raleigh Hospital. Uploaded 04.23.20

Clinical Guidance and Forms (General), Testing Guidance
How to use DukeShift to Sign up to Work During Covid-19

This how-to guide / job aide provides the process for how to sign up for shifts to work utilizing DukeShift. Uploaded 04.05.20

HR & Team Resources, Redeployment & Staffing Hub, Availability for Work & Pay Practices
Covid vaccine and Pregnancy ENGLISH

Information for pregnant patients about the COVID-19 vaccine.

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
Maestro Tip Sheet: Southern High COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
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)
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
Tips to Protect Yourself and Others from COVID-19: After-Visit Summary Instructions in English

This document illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS for English-speaking patients. Updated 01.26.22

Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
N95 Use Clarification

This document includes a grid and FAQs about the use and reuse of different N95 respirators, which differs based on how and where the N95 is being used. Uploaded 01.16.22.

 

Required N95 Use for COVID-19 and Other Airborne Pathogens

  • If you are wearing an N95 respirator while caring for patients with suspected or confirmed COVID-19 infection (or otherwise on Airborne or Special Airborne Contact Isolation), the respirator should be used for the entire shift and discarded at the end of the shift unless visibly soiled, damaged, or fails seal check.  

Optional N95 Use

  • If you choose to wear an N95 respirator for added respiratory protection in place of an ear loop mask, the N95 may be reused for up to 5 shifts; discard it after 5 shifts or sooner if visibly soiled, damaged, or fails seal check.
  • If you are working in the procedural and peri-op environment, the only change to your current allotment and rotation plan is to wait 5 days between uses rather than 3. Additional detail can be found here.
N95, PPE, Donning & Doffing
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
Moments to Movement Focus Group Flyer

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

Guidelines for the Use of Different Models of N95 Respirators at Duke Health

DUHS has deployed multiple models of N95s. This document outlines which N95 respirators can be used for COVID care or voluntary use. It also links to seal check instructions for each model and summarizes extended use and reuse guidance. Updated 01.16.22.

PPE, N95, Donning & Doffing
Daily Moments of Well-Being for Meetings and Huddles

Use these scripts​ to help quickly integrate the science of well-being into your huddles and meetings. Uploaded 05.19.20

Well-being & Emotional Support
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
Visiting your loved one who is COVID positive (Adult Patients)

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

Visitor Restrictions, FAQs and Talking Points
Employee Screening Questions Sign

This sign / printable resource notifies employees they will be screened upon entry with prompting questions. Uploaded 03.26.20

Employee Health, Patient Communication and Signage, Employee Screening
Inpatient Visitor Restriction Update in English – Overnight Visitor

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

Visitor Restrictions, Patient Communication and Signage
After Hours COVID-19 Point of Care Test (POCT) for DUH Mission Critical Employees

This flowchart depicts the process for Duke University Hospital employees experiencing COVID-19 symptoms. All employees should contact EOHW on-call to conduct the COVID-19 screening questions. If it is after hours and the employee is a DUH mission critical employee, the employee may be instructed to report to the DUH Emergency Department for COVID-19 testing. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance, Testing Guidance
Maestro Care Update for Exposure to COVID-19 Status

This document outlines more information about the Maestro Care Update for Exposure to COVID-19 status. Beginning Tuesday May 26, 2020, a new infection status, Exposure to COVID-19 will be visible within Maestro Care for patients who have a known exposure to a person infected with COVID-19 (e.g., newborn of a mother with COVID-19, close household contact of infected person). As of Tuesday, May 11, 2021, patients admitted from congregate living facilities (e.g., nursing homes, prison) are not assumed to be exposed to COVID-19. When admitting a patient who has a known exposure to a person infected with COVID-19, you must notify Infection Prevention at your facility during business hours to update the infection status and assure isolation order for Contact and Droplet entered in Maestro Care. Some patients may have a negative SARS-CoV-2 test; however, patients with a known exposure require Special Contact and Droplet Precautions for 14 days past the date of exposure while in acute care clinical settings, regardless of an initial positive or negative test. Please contact your facility's Infection Preventionist with questions. Updated 05.07.21

Clinical Guidance and Forms (General), Maestro Care
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)
COVID Tier 2 Highlights Flyer_3.21.22 Visitor Restrictions, Operations and Visitation
N95s and Face Shields: Instructions for Extended Use and Re-Use

This document provides important clarifications on donning and doffing for extended use and re-use of N95s and face shields for all healthcare workers providing care to patients with known or suspected COVID-19 infection. It now includes a table on page 3 of high-risk and low-risk aerosol-generating procedures and what to do with the N95 mask following those procedures. Updated 08.27.21

PPE, N95
Request for Pregnancy Deferment from COVID-19 Vaccine Requirement

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

Vaccine, Employee Health
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
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
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
Duke University Hospital Revised Employee Identification Badge Policy | 3.30.20

New Duke ID badge guidelines for Duke University Hospital employees. Team members must wear their Duke ID badge above the waist with name and photo clearly visible at all times. Staff are also expected to wear a badge buddy, to support role clarity, as appropriate. Uploaded 03.30.20

HR & Team Resources, Duke University Hospital
Duke Primary Care Standard Work Guidelines for Temporary INR Clinic

This document is the standard work for LPNs, RNs, and providers for INR clinic during the COVID-19 response. Uploaded 03.30.20

Ambulatory DPC
Tiered Visitation Standard Work

This document includes the standard work for each tier of our visitor restrictions. UPDATED 4-14-22

Visitor Restrictions, Operations and Visitation
Periop Case Conduct COVID-19 Process

This document is for perioperative staff and contains guidelines for assessing all non-leveled surgical cases at Duke Health hospitals and surgery centers. Uploaded 03.21.20

Testing Guidance, Periop Testing
Maestro Care: Personalize Your Charge Capture – Inpatient & Ambulatory Setting

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

Maestro Care
Guidance on Transfers of Care During Pandemic

This document provides general guidance to Duke Health physicians evaluating requests to accept new patients during the declared state of pandemic emergency in North Carolina. Scope includes Requests to Assume the Care of an Outpatient; Requests for Inpatient Direct Admission; Requests for Inpatient-to-Inpatient Transfers. Uploaded 07.05.20

Clinical Guidance and Forms (General)
FAQs on COVID-19 Transmission and Exposure Risk for Team Members

When patients are diagnosed with COVID-19 infection and DUHS team members have provided care without following Special Airborne Contact Precautions, the Infection Prevention and Employee Health teams speak with potentially exposed team members to determine their overall level of risk. This document provides answers to some of the frequently asked questions from healthcare workers and managers when this scenario occurs. Uploaded 04.24.20

Employee Health, FAQs and Talking Points
CDC Guidance Attestation Form for High Risk Redeployment

Fillable form for employees to attest that they are high-risk per CDC guidelines and are requesting redeployment. Reassignment is not guaranteed. Updated 04.23.20

HR & Team Resources, Redeployment & Staffing Hub, Availability for Work & Pay Practices
Covid vaccine and Pregnancy SPANISH

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

Telecommuting Resources for Managers

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

HR & Team Resources, Telework and Working Remotely
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
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
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
Duke Primary Care Process for Running Canceled Patient Reports in Maestro Care

This document gives step-by-step instructions to run a report of canceled patient visits in Maestro Care. Uploaded 03.30.20

Ambulatory DPC
Earloop Masks Recommended - 8.5 x11 sign

Updated 1.9.22

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
DUH Inpatient COVID-19 Vaccination Workflow

This document includes the workflow for Duke University Hospital inpatients to receive a COVID-19 vaccine. Uploaded 07.06.21

Duke University Hospital, Clinical Guidance and Forms (General), Vaccine
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)
Tips for Student Participation in Telehealth and Secure Chat

This document contains tips for student participation in telehealth and secure chat opportunities. Uploaded 05.19.20

Telehealth
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
Severe Weather COVID Testing Hours (1.20.22)

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

Team Member Resources Sign

This sign / printable resources directs employees to contact the COVID-19 hotline or Duke Health Anywhere if they are feeling sick. Updated 05.01.20

Patient Communication and Signage, Employee Health, Employee Screening
Why History Matters: Celebrating Juneteenth Together 2021

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

Zoom Fatigue - 9 Tips to Help

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

Telework and Working Remotely
Health Professions Schools: Re-introduction of Nursing and Allied Health Learners COVID-19 FAQs

These are FAQs for the re-introduction of nursing and Allied Health learners, and these specifically address health professions schools. Duke is working on a slow and measured re-introduction of learners to the clinical environment to allow us to know what needs to be different in order for our patients, staff, and learners to remain safe.  As we adjust to our “new” normal with the COVID-19 pandemic, we know there are many questions.  The list below provides the responses to common questions.  If you have additional questions, email clinicaleducation@duke.edu. Uploaded 05.29.20

FAQs and Talking Points, Nursing
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
Eye Protection_Updated DUHS Recommendations_3.22.22.pdf PPE, Eye Protection
Duke Primary and Urgent Care Employee Screening Tracker

Employee screening tracker for Duke Primary and Urgent Care employees. Form captures temperature, symptoms, and exposure. See related guidelines for how to use. Uploaded 03.26.20

Ambulatory DPC, Employee Health, Employee Screening
Receiving Your COVID-19 Vaccine: The Timeline

Duke University Health System team members must complete their COVID vaccine series or receive an approved medical/religious exemption as a condition of employment. This document includes key deadlines. The deadline for policy compliance is 10 a.m. Tuesday, September 21, 2021. Questions? Visit covid-19.dukehealth.org/vaccine-information or email EOHWCovidVac@duke.edu Uploaded: 08.05.21

Vaccine, Employee Health
DUHS COVID-19 Practices and Procedures for New Employees

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

Employee Health, HR & Team Resources
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
Need Help With Your Zoom Interviews?

Guide on how to use Zoom to interview job candidates. In response to COVID-19, Duke University Hospital will transition to virtual interviews for non-nursing job openings. Our Central Recruitment team is available to provide assistance with setting up these interviews. Uploaded 04.16.20

HR & Team Resources, Telework and Working Remotely
Duke Urgent Care Process for Scheduling a Video Visit

This document is the standard work for scheduling DUC video visits. Uploaded 03.27.20

Ambulatory DPC, Telehealth
Advance Care Planning Resources

Duke Health is embarking on an initiative to increase the frequency and quality of goals of care conversations, and the first step is to make it easier for other clinicians to see the goals of care conversations that we are already having. A portfolio of tools has been created to support clinicians in documenting and viewing these conversations. These tools will improve the quality and safety of our patient care by ensuring that clinicians can access patient preferences when critical decisions are made (RRT, codes, ED settings). This document outlines those available resources. Uploaded 08.26.21

Clinical Guidance and Forms (General)
PPE Conservation Strategies for COVID-19

This document is for healthcare workers and includes recommendations to limit unnecessary mask use. Uploaded 03.21.20

PPE, PPE Conservation
Maestro Care: Personalize Your Charge Capture – Inpatient Setting

This Maestro Care tip sheet is for providers who work in the Inpatient Setting. Just as you have preference lists for orders, you can now create favorites for charges in Charge Capture. If you currently have to click through several lists to see the charges you use most often, build your preference list to make these options just one click away. Uploaded: 02.15.21

Maestro Care
DUH Algorithm for Testing Interfacility Transfer Patients

This algorithm shows the workflow and inclusion/exclusion criteria for testing patients on arrival to DUH who are transferred from Outside Facilities. Uploaded 09.14.20

Operations and Visitation, Testing Guidance, Duke University Hospital
Meal and Medicine Resources for Patients in Home Isolation

This document is designed for patients who must stay home in isolation due to suspected or confirmed COVID-19 infection. It provides basic food safety tips for handling, cooking and storing food as well as resources for food and medication delivery resources. Uploaded 04.24.20

Patient Communication and Signage
Duke Primary and Urgent Care Process Flowchart for Virtual Visits

This flowchart depicts the process for DPC-DUC virtual visits for COVID patients. Uploaded 09.17.20

Ambulatory DPC, Telehealth
Supply Transition FAQs 10.26.21

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

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
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

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
Recommended PPE for Outpatient Management of Asymptomatic Patients

This document provides recommendations for the required PPE for a variety of visits in outpatient settings with differential risk. Providers should follow Standard and Transmission-Based Precautions in addition to the precautions recommended in the Ambulatory Infection Prevention Policy. Uploaded 04.02.21

PPE, Ambulatory DPC, Ambulatory PDC
Duke Primary Care PPE and Lab Supplies Takeaways and FAQ

This document for managers clarifies their responsibilities related to supplies, including PPE, during the COVID-19 pandemic. Uploaded 04.02.20

Ambulatory DPC, PPE, FAQs and Talking Points
Disaster Documentation Flyer FAQs and Talking Points
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
Medical Assistant NP Swab Competency

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

Ambulatory DPC
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
Disinfection Guidance for Inpatient Tablet & Accessories

This document provides disinfection guidance for electronic equipment used across DUHS for patients on isolation. The equipment includes tablets mounted on an IV pole, Bluetooth speakers, charging cords, etc. Updated 05.19.20

Telehealth, Clinical Guidance and Forms (General)
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
De visita con su ser querido con COVID positivo (Pacientes adultos)

Estamos todos unidos en esto. La seguridad de nuestros pacientes, sus seres queridos y la de nuestro personal en nuestra máxima prioridad. Agradecemos su ayuda para mantener a todos seguros al seguir estas pautas. SUBIDO 1-21-22

Patient Communication and Signage, FAQs and Talking Points
Visitor Restrictions Front Desk Screening Sign

This sign alerts visitors to stop at the front desk for screening to prevent the spread of illness. Uploaded 03.26.20

Patient Communication and Signage, Visitor Restrictions
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
COVID-19 Infectious Status Banner in Storyboard

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

Maestro Care
DUHS: Re-introduction of Nursing and Allied Health Learners COVID-19 FAQs

These are FAQs for the re-introduction of nursing and Allied Health learners, and these. Duke is working on a slow and measured re-introduction of learners to the clinical environment to allow us to know what needs to be different in order for our patients, staff, and learners to remain safe.  As we adjust to our “new” normal with the COVID-19 pandemic, we know there are many questions.  The list below provides the responses to common questions.  If you have additional questions, email clinicaleducation@duke.edu. Uploaded 05.29.20

FAQs and Talking Points, Nursing
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
DUHS Visitor Restrictions Patient Care Letter Operations and Visitation, Visitor Restrictions
Letter to Duke Primary Care and Duke Urgent Care Employee with COVID-19 Symptoms

This letter should be given to Duke Primary and Urgent Care employees who are experiencing COVID-19 symptoms, directing them on next steps. Uploaded 03.26.20

Ambulatory DPC, Employee Health
DRH Workflow for Inpatient COVID Vaccination

COVID-19 vaccination is now available for administration to inpatients at DRH, including first and second doses of vaccine, per patient or provider request.  Ordering providers should perform a risk assessment to ensure clinical stability of their patients prior to receiving vaccine and request vaccine type based on the patient and/or their preference as well as based on first dose when applicable.  Vaccination should be deferred in patients who have abnormal vital signs, worsened oxygenation status, or acute mental status or functional status changes relative to baseline, active COVID-19 infection, or who have received COVID-19 monoclonal antibody treatment within 90 days.
 
At this time, COVID-19 vaccine administration to DRH inpatients will be coordinated by members of the Clinical Nurse Specialist team with the bedside RN. DRH providers should follow this workflow (link to flow diagram) Monday to Friday by placing a medication message for vaccine administration. We ask that providers initiate this process as soon as appropriate during the patient’s admission so that arrangements can be made for administration prior to the day of discharge.

Uploaded 8.6.2021

 

Vaccine
DUHS Manager’s Guide to COVID-19

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

Employee Health, HR & Team Resources, FAQs and Talking Points
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
Discounted Hotel Rates for Duke Raleigh Hospital Team Members

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

HR & Team Resources, Employee Health, Duke Raleigh Hospital
Duke Primary and Urgent Care Process for Scheduling a Telephone Visit

This document is the standard work for scheduling telephone visits. Uploaded 03.24.20

Ambulatory DPC, Telehealth
Peer Support Program Flyer

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

Well-being & Emotional Support
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
Vaccination Clinics Badge Swiping Instructions

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

HR & Team Resources
Decedent Care: Visitation Procedure at DRH During End-of-Life

This flowchart applies to DRH and shows the procedure for supporting family presence and participation/visitation during end-of-life of patients with suspected or confirmed COVID-19 infection. Uploaded 07.06.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke Regional Hospital
FAQs for COVID Work Modification Request

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

HR & Team Resources, FAQs and Talking Points, Redeployment & Staffing Hub
Duke Primary Care Process Flowchart for Non-COVID-19 Virtual Visits

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

Ambulatory DPC, Telehealth
SymMon App Self-Schedule Guidance

COVID testing self-schedule options for employees. 10.29.21.

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
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

COVID-19 Testing for Adult Direct Admissions to Duke University Hospital

This document outlines the workflow for testing adults admitted to Duke University Hospital. It includes direct admissions from Duke South, the Cancer Center clinics and ABMT clinic. It also includes planned admissions from home with less than/more than 48 hours notice and over the weekend. Uploaded 08.05.20

Duke University Hospital, Testing Guidance, DUH Testing Guidance
Management of Patients with Suspected or Confirmed COVID-19 in the Outpatient Setting

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

Clinical Guidance and Forms (General), Ambulatory DPC, Ambulatory PDC
Tips to Protect Yourself and Others from COVID-19: After-Visit Summary Instructions in Spanish

This document illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS for Spanish-speaking patients. Updated 01.26.22

Spanish, Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
DUHS Disaster Documentation 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
IM Vaccination Administration Tips for Adolescents

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

Additional Vaccinator Info, Vaccine
AVS (Spanish) Known COVID-19 Infection and Pregnancy

These after-visit summary instructions are for Spanish-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
Guidance for Appropriate Repeat COVID-19 Testing

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

Testing Guidance, Clinical Guidance and Forms (General)
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
N95 Donning & Doffing (Inpatient & Outpatient)

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

Clinic Employee and Patient/Visitor Screening Signs

These 22x28 signs alert employees, patients and visitors of screening. Uploaded 03.26.20

Patient Communication and Signage, Employee Screening
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
Mental Health and Well-Being Resources

This document includes a list of available mental health and well-being resources. The list includes everything from PAS to specific resources on Race and Mental Health. Updated 7.27.21

Well-being & Emotional Support
Position Statement – Patients Scheduled for Elective Procedures Who Refuse COVID-19 Testing

This document is a position statement for patients scheduled for elective procedures who refuse COVID-19 testing. For the care and safety of our patients, visitors, and staff, Duke Health providers will not schedule, or will cancel, elective procedures for patients who refuse pre-procedural COVID-19 testing. This document provides guidance for the Duke Health provider faced with this scenario. Uploaded 05.29.20

Clinical Guidance and Forms (General), Testing Guidance
Duke University Hospital Inpatient Restrictions

This document is a flyer for inpatients at Duke University Hospital informing them about Patient-off Unit Restrictions. Uploaded 04.14.20

Operations and Visitation, Patient Communication and Signage, Duke University Hospital
Tier 2 visitation staff talking points Operations and Visitation, Visitor Restrictions
Duke Primary and Urgent Care Employee COVID-19 Risk Screen Guidelines

Employee screening guidelines for nurse managers to screen Duke Primary and Urgent Care employees upon arrival. Use together with Duke Primary and Urgent care Employee Screening Tracker. Uploaded 04.10.20

Ambulatory DPC, Employee Health
Durham Back-to-School Health Fair Flyer – 8/14/21

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

Vaccine, Employee Health
FAQ: Answers to Your Most Common Questions Regarding Commercially Available COVID-19 Tests and Testing at Duke Health

This FAQ provides answers to commonly asked questions about commercially available COVID-19 tests (testing) and the tests available at Duke Health. Uploaded 1.20.21

Testing Guidance
Maestro Care Quick Tip -- COVID-19 Vaccination Workflow

This document describes the workflow appointment/call/scheduling center staff should follow to schedule a patient for COVID-19 vaccination. The document also includes answers to basic questions patients may ask about the vaccine and vaccination appointment. Updated 1.14.21

Maestro Care
Childcare, Eldercare, and Summer Camp Resources

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

HR & Team Resources, Childcare Resources
Pediatric Caregiver Screening and Re-banding Process

This document outlines the pediatric caregiver screening and re-banding process. Uploaded 04.10.20

Pediatric Specific Guidance
Duke Primary and Urgent Care Patient Instructions for Drive-Up Testing in Spanish

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

Ambulatory DPC, Drive-Up Testing, Spanish
Standard Work Instructions: Pfizer Covid-19 Vaccine Administration for a minor (under 16 years)

Standard work for COVID-19 vaccine administration for patients under age 16 (for Duke Primary and Urgent Care use only). Uploaded 08.27.2021

Additional Vaccinator Info, Vaccine
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
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
Managing Infants born to Mothers with Suspected or Confirmed COVID-19

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

Pediatric Specific Guidance, Clinical Guidance and Forms (General)
High Risk Work Modification Process Form

Fillable form for manager to complete when employee requests a work modification due to being in a high-risk category or pregnancy. Uploaded 04.23.20

HR & Team Resources, Redeployment & Staffing Hub, Availability for Work & Pay Practices, Employee Health
Duke Primary Care Process for Conducting Telephone Visits on Day of Appointment

This document is the standard work for DPC clinic staff and providers when conducting a telephone visit to clarify the role of providers and staff in telephone visits when working from home. Uploaded 04.29.20

Ambulatory DPC, Telehealth
CDC COVID-19 Booster Shot Key Messages Clinical Guidance and Forms (General)
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
Currently Available Therapeutics for the Treatment and Prevention of COVID-19_April 21_2022 Clinical Guidance and Forms (General), High-risk Populations
Registration Bypass Warning Report-Travel Screening (3.13.20)

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

Ambulatory DPC
Duke COVID-19 Vaccination Work Group Update 8.13.21

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 8.13.21

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