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
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
DUHS Patient Education for COVID-19

This document provides COVID-19 patient education resources available in Maestro Care. Uploaded 04.06.20

Patient Communication and Signage
Standard Work | DPC-DUC Employees COVID Testing

This document provides standard work instructions that Duke Primary and Urgent Care employees and managers should follow when conducting COVID-19 testing for DPC/DUC employees in the practice. UPDATED 1-20-22

Ambulatory DPC
Patient email update sent on 3.16.20

This patient email was sent on 3.16.20 and encourages them to keep appointments and to continue to take medications. Uploaded 03.24.20

Patient Communication and Signage
Manager Resource - Instructions for Accessing COVID-19 Vaccination Reports

Thank you for your support of our ongoing effort to enhance the safety of our workplace and community through the vaccination of our providers and staff against the COVID-19 virus. All team members and affiliates are eligible to be vaccinated. Although the COVID vaccine is not a current condition of employment, it is highly encouraged. As a manager, you should know and monitor the vaccination status of the team members in your area of responsibility through the Occupational and Environmental Safety Office reporting function. Using these instructions, please plan to run the reports most useful to you on a regular basis.  

For team members with no vaccination indicated, please plan to explore the reasons for the missing information during a one-on-one conversation. Should questions arise that you do not feel comfortable responding to, feel free to invite the team member to submit the questions to EOHWCovidVax. We suspect that many of our team members have been vaccinated at a location other than a Duke vaccination clinic. If this is the case, please ask the team member to submit documentation of vaccination to the Duke VaxTrax web form. Uploaded 5.28.21

Employee Health
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
COVID Mask guidelines to patient signage (English)

This sign instructs English-speaking patients and visitors to wear a mask at all times and shows how to put on the mask. Uploaded 05.27.20

Patient Communication and Signage
DUH Pediatric Cardiac Catheterization Lab Suspected or Confirmed COVID-19 Patients – Emergent Procedures

This pediatrics document lists emergent procedures related to the care of suspected or confirmed COVID-19 patients in the pediatric cardiac catheterization lab. Uploaded 04.10.20

Pediatric Specific Guidance, Pediatrics
Outpatient Prescriptions for Apixaban Access via CVS Caremark Plans (Updated 2-16-22)

The Apixaban Access Command Center has now been established to assist providers and patients who may be experiencing issues with accessing apixaban due to these formulary changes. The virtual Command Center can be reached by calling 919-681-0800. Providers and patients will be provided with automated information and will have the option of speaking with a pharmacy team member if they need further assistance. | UPLOADED 2-16-22

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
Directions to DRAH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the DRAH Employee Vaccination Clinic. This clinic will accept all walk-in vaccinations – no appointment is necessary. Uploaded 7.22.21

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Duke Raleigh Hospital, Vaccine
After Your Vaccine: When to Contact the COVID-19 Hotline

After receiving the COVID-19 vaccine, you may develop some side effects in response to the vaccine in the next 24 to 48 hours. This information is a guide to help you decide if you should contact the employee COVID-19 Hotline for advice on getting a COVID-19 test. Uploaded 6.3.21

Employee Health
Patient & Visitor Face Covering Reference Sheet

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

PPE, Patient Communication and Signage
AVS (Spanish) Known COVID-19 Infection-Guidelines for You and Others in Your Home After Hospital Discharge

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

Patient Communication and Signage, Discharge Instructions
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
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
CISCO Webex Guide

This document is for all staff and explains how to use Cisco WebEx Conferencing application to conduct virtual meetings. It provides details on video and audio conferencing via desk phones, PC, mobile devices and conference rooms. Uploaded 03.21.20

Telework and Working Remotely, HR & Team Resources
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
Emergency Department Evaluation for Suspected Multisystem Inflammatory Syndrome in Children (MIS-C)

This document is titled "Emergency Department Evaluation for Suspected Multisystem Inflammatory Syndrome in Children (MIS-C)." This document provides early guidance to clinicians managing children with symptoms associated with the recently described Multisystem inflammatory syndrome in children (MIS-C) in the Emergency Department. Uploaded 06.29.20

Clinical Guidance and Forms (General), Testing Guidance, Pediatric Specific Guidance, Pediatrics
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
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
Duke Children’s COVID-19 Positive Double Occupancy Rooms: Visitation Information for Caregivers

Applicable Units: Pediatric Intensive Care Unit. These are additional information points for any individual, regardless of age, receiving care in a COVID-19 positive double occupancy room in the pediatric intensive care unit (PICU). Refer to DUHS guidance for current visitation policies for patients with COVID-19 admitted to a pediatric unit: https://covid-19.dukehealth.org/documents/duke-university-hospital-pediatric-visitation-guidelinesUpdated 09.20.21

Pediatric Specific Guidance, Pediatrics, Visitor Restrictions, Operations and Visitation
Response Call Algorithm (DPC, PDC)

The call center algorithm provide guidelines for triage staff to collect and route necessary information from patients with suspected COVID-19 in the DUHS system. Uploaded 03.21.20

Call Center Triage
Intramuscular (IM) Vaccination Administration Tips

This is the quick tip sheet for administering IM injections.  Can scan QR code with phone and have quick access to the video. Uploaded 3.24.21

Additional Vaccinator Info, Vaccine
Duke Raleigh Hospital COVID-19 EVS Room Cleaning Checklist

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

PPE, Clinical Guidance and Forms (General), Duke Raleigh Hospital
PPE Observer Standard Work

This chart provides guidance for the trained observers standard work to support the clinical staff to ensure the safe practice and use of personal protective equipment while providing care to highly infectious patients. Uploaded 05.05.20

PPE, PPE Signage-Clinical
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
Patient Letter – Tier 2 Visitation Guidelines

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

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

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

Patient Communication and Signage, Visitor Restrictions
FAQs regarding the Johnson & Johnson vaccination update April 13, 2021 – Spanish

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This document includes answers for our team members to use to answer to frequently asked questions from our patients and the community. This version of the FAQs is in Spanish. Uploaded 04.16.21

Vaccine, FAQs and Talking Points, Spanish, Patient Communication and Signage
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
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
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
Speech Pathology/Nutrition: COVID-19 Consults Plan

This document provides clarification and guidance on the PPE required for assessments and procedures for speech pathology/nutrition consults for asymptomatic patients or those who have been tested for COVID-19. Uploaded 1.22.21

Specialty Specific Guidance
Healthcare Worker Unit Support Fund

Flyer: Support our front-line unit team members!  Donate to the Healthcare Worker Unit Support Fund. Uploaded 01.14.2021

Well-being & Emotional Support
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
Estimated Glomerular Filtration Rate Will Now Be Calculated Without a Race-Based Correction Coefficient

Historically, estimated glomerular filtration rate (eGFR) was calculated using a formula that included a person's body habitus, age, sex, serum creatinine, and race. Recently, the validity and appropriateness of a race-based correction to eGFR has been questioned; in response, the American Society of Nephrology and the National Kidney Foundation have reviewed the data underlying the race-based correction and determined that race can be removed from eGFR calculations as work continues for a new national standard. Beginning June 15, 2021, Duke Health is eliminating the race-based correction coefficient from eGFR. More information about this update is available in this document. This is a first step in preparation for national guidelines that will standardize measurements of kidney function and will help ensure that our patients receive care that is fair, just, and free of bias. Uploaded 6.4.21

Clinical Guidance and Forms (General)
COVID-19 Summary

This 8.5"x11" document provides patients with an overview of COVID-19 and the steps to take to protect yourself. Uploaded 11.11.20

Patient Communication and Signage
COVID Mask guidelines to patient signage (Spanish)

This sign instructs Spanish-speaking patients and visitors to wear a mask at all times and shows how to put on the mask. Uploaded 05.27.20

Patient Communication and Signage
Duke Birthing Center (DBC)/ Intensive Care Nursery (ICN) COVID-19 Bed Flow Plan

This pediatric document contains the COVID-19 bed flow plan for the Duke Birthing Center and intensive care nursery. Uploaded 04.10.20

Pediatric Specific Guidance, Pediatrics, Pediatric Bed Flow
Tier 2 Reopening Guidelines (3-18-22)
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
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
Manager Tip Sheet for COVID-19 Vaccination Scheduling

This handout for managers includes key tips scheduling team members who are interested and eligible for COVID-19 vaccination (vaccine). Uploaded 12.13.20

Return of MS2 students to clinical experiences/clerkships FAQs

Second-year medical students will return to their clerkships on June 15, 2020. We encourage embracing these students as active members of our team and in the care of patients. This is a document addressing frequently asked questions (FAQs) for the anticipated return of MS2 students to clinical experiences/clerkships. Uploaded 06.11.20

FAQs and Talking Points
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
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
Outpatient – 11x17 Visitor Guidelines Poster – English

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

Visitor Restrictions
Guidance for Person Under Investigation for COVID-19

This NC DHHS form is for any person under investigation being tested for COVID-19. Uploaded 03.21.20

Ambulatory DPC
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
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 01.26.22

PPE, PPE Signage-Clinical, Duke Regional Hospital
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
Going Home Well-being Checklist 8.5x11 Sign

This 8.5x11 employee-facing sign / printable resource serves as a going-home checklist to recharge. Uploaded 03.31.20

Employee Health, Well-being & Emotional Support
Afghan Culture One-Sheet

This information is not intended to typecast a cultural group or perpetuate stereotypes. It is meant to encourage curiosity about different cultural beliefs and practices that may influence how our patients understand their care and respond to their care providers. It is important for all healthcare employees to understand how to provide linguistically and culturally appropriate services to our diverse patient population.

Response Call Center Algorithm (DUHS)

The document can be used by outpatient triage staff for screening for COVID-19 by phone. It includes a script, algorithm, and Infection Prevention contact information. Uploaded 04.02.20

Call Center Triage
Safety Needle Tip Sheet

This tip sheet reviews the safety features of the syringes being used. Uploaded 3.24.21

 

Additional Vaccinator Info, Vaccine
Healthcare Worker Guidance for Quarantining FAQs

Based on recommendations from the CDC and our infectious disease experts, the Duke Employee Occupational Health & Wellness team has updated guidance for healthcare workers who need to quarantine. Review this document for answers to frequently asked questions regarding this update. Uploaded 12.8.20

Employee Health, FAQs and Talking Points
Life Support FAQs

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

Nursing, FAQs and Talking Points
Perioperative Team Management for COVID19 Patient

This document is the algorithm for safe transfer of COVID/PUI Level 1 Trauma patient from Emergency Department to Operating Room. Uploaded 04.01.20

Periop Management
COVID Visitor Restrictions Patient Letter SPANISH 12.7.21

COVID Visitor Restrictions Patient Letter in Spanish 1.14.22. Uploaded 1.16.2022

Visitor Restrictions, Operations and Visitation
Outpatient Visitor Restrictions Sign - 1 visitor per patient (8.5 x 11)

An 8.5x11 poster limiting one visitor per patient in the outpatient setting. This poster is in English and should be posted on a clinic's exterior. Uploaded 03.22.20

Patient Communication and Signage, Visitor Restrictions
Attention at Check In (8.5x11) sign

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

Patient Communication and Signage
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

Moments to Movement Wearable Support Card

This card provides more information regarding Duke Health’s Moments to Movement wearable support. It outlines the meaning behind wearing a Black Lives Matter Badge Reel and Anti-Racism Pin. Uploaded 09.11.20

HR & Team Resources
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
Radiation Oncology: Guidelines for COVID-19

The purpose of this document is to define best practices for patient care in light of the change in circumstances brought about by the many challenges posed by COVID-19 for Radonc. The overall goal is to provide the best care for our patients with cancer, while reducing their risks to the greatest extent possible related to COVID-19. These guidelines will be updated regularly given the potential for rapid changes in conditions. Uploaded 04.07.20

Radiation Oncology, Specialty Specific Guidance
DUHS COVID Therapeutics Updates (3-25-22)

The Duke Antimicrobial Stewardship and Evaluation Team, Duke Pharmacy, and Duke Division of Infectious Diseases have provided updates on COVID-19 therapeutics. DUHS supply of COVID-19 therapeutics is now adequate to consider ambulatory therapies for all tiers of high-risk patient groups with mild/moderate disease. Please refer to this document and Duke CustomID for further information. Updated 03-25-22.

Clinical Guidance and Forms (General)
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
Johnson & Johnson COVID-19 Vaccine Fast Facts (Spanish translation)

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. (Spanish) Uploaded 06.08.21

Patient Communication and Signage
DUH Flowchart – Patients Arriving to Duke North Admissions

This flowchart depicts the process for confirming the COVID-19 status for patients arriving to Duke North. The admissions office should review the patient’s encounter to determine if there is a documented COVID-19 test and the appropriate steps to admit the patient. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance, Testing Guidance
Video and Telephone Visit Etiquette

This document shares best practices for conducting professional, engaging, and clear virtual visits with patients. Uploaded 05.27.20

Ambulatory DPC, Telehealth
Infographic: Appropriate PPE During COVID-19 Response

This updated infographic provides concise and simplified recommendations for what PPE healthcare workers should wear during the COVID-19 response. This also includes reasonable accommodations for patient/provider masking compliance. Updated 1.28.22.

PPE, Eye Protection
Escalation of Exceptions to Visitation Guidelines (3-18-22)
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
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
12.10.20 COVID-19 Vaccine Patient Update

This patient email was sent on 12.10.20 and explains our priorities for safe, equitable vaccination (vaccine) distribution. Uploaded 12.15.20

Patient Communication and Signage
Duke Health Break Room Guidance Poster

This document provides important reminders and guidance for all healthcare workers when using break rooms or shared spaces to help reduce the spread of infection. Uploaded 06.12.20

Employee Health, Shared Spaces
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 Primary and Urgent Care Process Flowchart for Drive-Up Test Collection Sites

This flowchart depicts the process for drive-up test collection at DPC/DUC clinics. Uploaded 03.30.20

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

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

Visitor Restrictions
Transport of Patients on Special Airborne Contact Precautions

This document is for healthcare workers responsible for transporting patients on special airborne contact precautions and includes information about the transport of vented patients. Updated 04.09.20

PPE, Operations and Visitation, Special Airborne Contact
Patient Vaccination Appointment Waitlist 5x7 Card

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

Patient Communication and Signage
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
Face Shield Tip Sheet

This resource can be used to help healthcare workers determine the best process for reuse and extended use of their face shield. Specifics about the disposable face shields as compared to the extended use face shields are included in this resource. Uploaded 04.22.20

PPE
Going Home Well-being Checklist Digital Sign

This employee-facing digital sign offers simple steps to power down, rest and recharge. Uploaded 03.31.20

Employee Health, Well-being & Emotional Support
Monoclonal Antibody Infusion for Mild or Moderate COVID-19 Symptoms

Patient education document detaling monoclonal antibody treatment information, eligibility requirements, and FAQs. Updated 9.17.21.

Infection Prevention Phone Numbers

This document lists the phone numbers for Infection Prevention at Duke entities, including hospitals, primary care, clinics, university and is for employee use only. Uploaded 03.21.20

FAQs and Talking Points
Vaccine Screener Tips

This tool provides the questions that should be asked of each person receiving vaccination, which patients need longer observation times, and which patients cannot receive vaccine.  There are also guidelines as to how to handle patients who might have had reactions after the first dose.  Uploaded 3.24.21

Vaccine, Additional Vaccinator Info
Telehealth Insurance Coverage Extension Update

Together with other partner institutions in NC, Duke Health had formal conversations earlier this week with CIGNA leadership and CIGNA verbally confirmed they will be extending their current telehealth coverage policy to Dec 31, 2020. As of July 23, the formal policy was updated on their website, confirming their extension of coverage.

Last week, Aetna posted their extension of COVID period coverage until the end the year. Additionally, there is a clarification in Medicaid’s current telehealth policy. Just like all other payers, these updates are coming very near to the end dates of their policies. For this reason, we will continue to prepare for these changes while being hopeful that they will extend their coverage. Uploaded 07.24.20

Telehealth
Employee Screening Flyer

This flyer/handout contains information to help team members know what to do next if they don’t pass a symptom check at screening locations. Uploaded 05.01.20

HR & Team Resources, Employee Screening, Employee Health
DPC Nurse/Lab Visit recommendations in response to COVID 19

This document lists recommended changes to nurse and lab visits for Duke Primary Care practices due to COVID-19. Uploaded 04.01.20

Ambulatory DPC
Return to Work Guidance (3/9/22)

In consultation with DUHS infectious disease experts and state and federal agencies, Duke Employee Occupational Health and Wellness has updated its tiered system to help provide a framework for team members returning to work following a known exposure or positive COVID-19 test. (Updated 03.09.22)

HR & Team Resources, Employee Health, vaccination requirements
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
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
CMS Payment Update for Counseling COVID-19 Patients during Self-Isolation Period

This document provides more information about an update from the Centers for Medicare and Medicaid Services (CMS) that now allows 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 09.16.20

Clinical Guidance and Forms (General), Maestro Care
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
Keeping Yourself and Your Team Members Safe

Tip sheet / printable resource for healthcare workers and highlights best practices for keeping safe at work. Uploaded 04.07.20

Employee Health, PPE Signage-Clinical, Shared Spaces
COVID-related PPE requirements for visitors

COVID-related PPE requirements for visitors 1.14.22. Uploaded 1.16.22

Operations and Visitation, Visitor Restrictions, PPE
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)
Talking Points for Building COVID-19 Vaccine Confidence

This document provides suggested approaches and recommended answers for responding to different concerns our patients, visitors and team members may have about receiving the COVID-19 vaccine. This is for internal use only by Duke Health team members.

 Uploaded 6.10.21

Employee Health, Vaccine
DUH Flowchart – Confirming COVID-19 Status Inpatient Transfer from Outside Facilities

This flowchart depicts the process to confirm the COVID-19 status for patients accepted from an outside facility as a transfer to an inpatient bed. At the time of acceptance, the COVID-19 status should be documented in the patient’s chart. If this is not documented, the patient should be directed to the DUH Swab Team. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance, Testing Guidance
Masking Guidance for Patients and Visitors (Spanish)

This guidance is for Spanish-speaking patients and visitors who are required to wear a mask while in common areas of Duke hospitals and clinics. It provides reminders in words and icons about hand hygiene and best practices for wearing masks during the COVID-19 pandemic. Uploaded 08.18.20

Patient Communication and Signage
Recommendations for Negative Pressure Rooms and/or HEPA Filtration

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

Clinical Guidance and Forms (General), PPE
DUHS PPE recommendations for COVID-19 response and FAQ

This document summarizes DUHS recommendations and FAQ for required PPE for team members caring for COVID+ patients. It also anwers some FAQs about patients and visitors in or entering isolation precaution rooms. Uploaded 03.21.22

PPE
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
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
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

Patient Masking Update Letter

This resource can be used to help team members communicate inpatient masking with patients. Uploaded 06.18.20

Patient Communication and Signage
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
Duke Primary and Urgent Care Test Collection Steps for Drive-Up Test Site

This document is the standard work for clinic staff (RNs, CMAs, Providers, Lab Tech) when performing drive-up test collections at DPC/DUC clinics. Uploaded 03.24.20

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

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

Visitor Restrictions
Waste and Linen Disposal COVID-19 Guidelines

This document is for EVS team members and provides guidance on how to treat medical waste, PPE and linen in rooms of patients with suspected or confirmed COVID-19. Uploaded 03.16.20

Operations and Visitation, PPE
COVID-19 Safety Protocols Remain in Place Sign

All patients, visitors and team members must continue following all COVID-19 safety protocols, even if they have received vaccination. This includes: completing safety screenings, wearing a mask, maintaining distance from others and washing your hands and sanitizing. This sign is available for patients, visitors and team members to remind them to continue practicing healthy behaviors and following policies even if they have been vaccinated (vaccine). Uploaded: 5.14.21

Patient Communication and Signage
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
Head Covering PPE Recommendations

Head coverings, including bouffant caps, headbands with buttons and surgical caps, are not CDC recommended or required PPE for the care of suspected or confirmed COVID-19 patients (outside of performing sterile procedures). This document provides more information about DUHS recommendations on head coverings for our team members. Uploaded 04.22.20

PPE
Orthopaedics: Guidance for Scheduling Follow-up Visits

This document contains clinical guidelines for Duke Orthopaedics providers to use when determining how and when to schedule follow up visits. Uploaded 03.31.20

Orthopaedics, Specialty Specific Guidance
Duke COVID-19 Vaccination Work Group Update 9.24.21

This message was shared with all Duke faculty and staff on Sept. 24, 2021. Uploaded 09.24.21

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
Maestro Tip Sheet: DRAH COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
Hope4Healers Emotional Support Hotline Information

The Hope4Healers Helpline is for health care professionals (and their families) who are experiencing stress from being on the front lines of the state’s COVID-19 response. It offers mental health and resilience support, 24 hours a day, seven days a week. This flyer has the basics. Learn more about Hope4Healers here. Uploaded 08.03.2020

Well-being & Emotional Support
Reusable Cloth Gown Process at Duke University Hospital

Duke University Hospital has provided reusable cloth gowns for team members when caring for COVID-19 positive patients or PUI patients suspected of having COVID-19. This document outlines the approved process for reusable cloth gowns after each use. Uploaded 05.04.20

PPE Signage-Clinical, PPE, Duke University Hospital
Inpatient/ED: How to Don and Doff PPE

This document contains three 11x17 posters for inpatient/ED healthcare workers showing steps for donning and doffing PPE, including with and without an anteroom. Updated 08.27.21

PPE Signage-Clinical, Donning & Doffing
Clarification on CDC Guidelines for Patient Isolation Precautions

Given the CDC’s recent updates to its recommended isolation and quarantine periods, this document highlights what has and has not changed with regard to current DUHS guidelines for the management of patients with concern for COVID-19. Updated 2/1/22.

Clinical Guidance and Forms (General)
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
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
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
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
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