Title Description Tags
Request for Medical Exemption from COVID-19 Vaccine

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

HR & Team Resources
Chemotherapy-Tested Exam Glove Comparison

Based on supply shortages of chemotherapy-tested exam gloves, OESO and IP have evaluated and approved a number of alternative gloves that meet our high standards. This handout shows the options that are currently or may soon be distributed to help you identify these approved chemogloves and for which drugs they are appropriate. Please note: The Halyard Skybreeze nitrile exam glove is expected to replace Cardinal exam gloves as the new standard. Updated 08.10.22.

PPE
Patient and Visitor Talking Points

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

FAQs and Talking Points, Patient Communication and Signage, HR & Team Resources
AVS Additional Information Template (Editable)

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

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

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

Clinical Guidance and Forms (General), Special Airborne Contact
Manager Resource: Providing Emotional Support to Our Teams

This resource includes simple ways for managers / leaders to support their team members. Uploaded: 08.20.21

Well-being & Emotional Support
After Your Vaccine: When to Contact your Healthcare Provider

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

Vaccine
Decedent Care: Visitation Procedure at DRAH During End-of-Life

This flowchart applies to DRAH and shows the procedure for supporting family presence and participation/visitation during end-of-life of patients with suspected or confirmed COVID-19 infection. Uploaded 06.24.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke Raleigh Hospital
Sharing Meals at Work: Infection Prevention Guidelines

This document provides guidelines for DUHS team members on safely consuming shared food with others in the hospital and clinic settings. As a reminder, eating with others indoors continues to be a higher-risk activity for the spread of COVID-19, as we have not reached 100% employee vaccination rate. Clusters of healthcare worker infections at Duke have been linked to larger gatherings in breakrooms where staff could not maintain 6 feet of distance. Let’s all do our part to keep each other safe. Updated 06.06.21

Employee Health, Safe Return On-site, Shared Spaces
3M N95 Seal Check Instructions

This document illustrates N95 seal check instructions for healthcare workers. While this guide was made for the 3M brand of N95 respirators, the same principles of fit testing apply to other types of respirators. Uploaded 03.30.20

PPE, N95, Donning & Doffing
Community COVID Vaccine Clinic 9.11.21

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

Attention at Check-in (Spanish)

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

Patient Communication and Signage, Spanish
Process for Team Members Who Experience Side Effects After Vaccination

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

Vaccine, FAQs and Talking Points
Patient email update sent on 3.9.21

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

Infant Negative Pressure Hood Guidance

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

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

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

Patient Communication and Signage, FAQs and Talking Points
Neurology: Guidelines for Performing Sleep Studies During COVID-19 Spread

The document contains the triage algorithm for determining medical necessity and urgency for Sleep Studies (Home Sleep Testing [HST], Polysomnography [PSG], CPAP, BiPAP, ASV Titration, MSLT, MWT) for patients with a suspected or confirmed COVID-19 infection. Guidelines for modified Sleep Study infection prevention and safety protocols when caring for a patient with a suspected or confirmed COVID-19 infection. Uploaded 03.27.20

Neurology, Specialty Specific Guidance
Staff talking points for Tier 2 Inpatient Visitation

The following scripts and talking points are designed to assist DUHS staff in communicating our visitation and reopening guidelines as we transition from Tier 3 (Restricted Access) to Tier 2 (Limited Access). We appreciate the support of all team members in our efforts to keep our campuses safe as we continue to navigate our COVID-19 response. (12.3.21)

DPC Outpatient Clinics Do Not Enter Sign in Spanish

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

Patient Communication and Signage, Ambulatory DPC, Spanish
Team Member Vaccination Status Talking Points
How to Download Duke HealthCheck App for Employee Screening

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

Employee Screening, Employee Health, HR & Team Resources
PPE FAQs

In this document, we answered some common questions from team members – including the rationale for why certain decisions have been made. Where possible, we also included a link to the most current document that explains the specific recommendations and guidance. Updated 05.13.20

FAQs and Talking Points
Recommendations for Discharging COVID-19 Positive Inpatient Who Continues to Require Isolation Precautions

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

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

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

Ambulatory DPC
Patient email sent on 3.16.20

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

Patient Communication and Signage
Halyard N95 Respirator Seal Check Instructions

This document illustrates seal check instructions for the Halyard N95 respirator. While this guide was made for the Halyard brand of N95 respirators, the same principles of fit testing apply to other types of respirators. Uploaded 05.26.21.

N95, PPE, Donning & Doffing
Duke Raleigh Hospital Guidelines for Covid-19 Testing

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

Testing Guidance, Duke Raleigh Hospital
Antibody Testing Patient FAQs

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

Patient Communication and Signage, FAQs and Talking Points
Response to COVID-19 Exposures in Shared Neonatal Ward

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

Pediatric Specific Guidance, Pediatrics
Zebra/Cisco Phone Cleaning FAQ

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

FAQs and Talking Points, Clinical Guidance and Forms (General)
Duke University Hospital Team Member Screening Process

This file documents the process for screening team members (employees) upon their arrival at work at Duke University Hospital (DUH). Uploaded 03.26.20

Operations and Visitation, Duke University Hospital, Employee Screening, Employee Health, Safe Return On-site
Duke Health Revised COVID-19 Vaccination Requirements for Health Care Workers FAQs

This document contains FAQs that address the Revised COVID-19 Vaccination Requirements for Duke Health Health Care Workers. Uploaded 7.23.21

HR & Team Resources, FAQs and Talking Points
COVID-19 Vaccine FAQs for Duke Health Team Members

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

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

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

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

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

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

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

Ambulatory DPC, Telehealth
Top 5 Important Reminders to Prepare Your Team for COVID-19 Vaccine Compliance Deadlines

Want to ensure your team is prepared to meet the upcoming COVID vaccine condition of employment requirement? Check out these 5 points to remember over the next few weeks to make sure all of your team members meet the expectation to be compliant with the COVID vaccination requirement. Uploaded 8.20.2021

vaccination requirements
Spanish – After Your Vaccine: When to Contact your Healthcare Provider

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

Patient Communication and Signage, Vaccine
Managing Patient Forms in the Ambulatory Setting

This document provides guidance on managing patient forms and papers in the ambulatory care setting. This includes documents such as camp forms, sports physical forms, vaccination records, school/university form requirements, etc. Uploaded 06.26.20

Ambulatory DPC, Ambulatory PDC
DUH Visitor Exception Approval Process During COVID Visitor Restriction Period

This flow chart provides guidance for family presence and participation during end of life for COVID positive patients, PUI's, and non-COVID patients at Duke University Hospital. Uploaded 04.16.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke University Hospital, Decedent Care
ED & INPATIENT Hospital Day Less Than or Equal To 3 Decision Tree

This document shows a decision tree for COVID-19 testing for patients who are in the ED or who have been admitted for less than or equal to 3 days. The decision for COVID-19 testing should be based on clinical judgment. Prior to testing for COVID-19, the Infection Prevention team recommends ruling out other potential causes of the patient's clinical condition including influenza or other non-influenza viral illnesses (as applicable). If the aforementioned tests are negative or if the clinical picture is not explained by a non-influenza pathogen, it is appropriate to proceed with COVID-19 testing. Updated 04.17.20

Testing Guidance
Opioid Use Disorder Provider Training Series

Southern Regional AHEC, Durham County Public Health, Alliance Health, and Duke AHEC are partnering to offer a livestream Opioid Use Training Disorder Training series for MDs, LCSWs, RNs, CMs, Pharmacists and APPs.

NP Swab Collection and Transport Instructions

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

Testing Guidance
Competency Validation Criteria For IM Injection for Vaccine Administration COVID-19 Vaccine Clinic

This is the competency validation tool that is used for all new to vaccinating (SOM, SON, EMTs, PT, etc…) who need to have competency validated.  Uploaded 3.24.21

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

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

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

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

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

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

Neurology, Specialty Specific Guidance
Visitation Tier 2 Manager Email 12.3.21

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

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

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

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

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This document includes answers for our team members to use to answer to frequently asked questions from our patients and the community. Uploaded 04.15.21

Vaccine, Patient Communication and Signage, FAQs and Talking Points
No Eating/Drinking Signs for Waiting Rooms

This sign informs patients and visitors that eating/drinking is prohibited in our waiting rooms. These should be displayed in waiting rooms. Uploaded 10.01.20

Patient Communication and Signage
Infection Prevention 101

This document outlines the basic principles behind standard and transmission-based precautions. To understand the “why” behind the PPE recommended for caring for COVID-suspected or confirmed patients, it is helpful to understand how COVID-19 can be transmitted using these definitions and principles. Updated 05.12.20

FAQs and Talking Points
Quick Tips on Documentation and Coding During the COVID-19 Pandemic

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

Clinical Guidance and Forms (General)
FAQ for Patients and Visitors Wearing Duke Health-Issued Earloop Masks

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

Patient email sent on 3.13.20

This patient email sent on 3.13.20 instructing patients about what to know prior to coming to a Duke Hospital or Clinic during the COVID pandemic to help prevent the spread of infection. Uploaded 03.24.20

Patient Communication and Signage
Discontinuing Pre-operative and Pre-procedural COVID-19 Testing at DUHS

In light of increased COVID-19 vaccination rates, increased availability of N95 respirators, decreased community incidence of COVID-19 infections, and decreased COVID-19 hospitalizations and deaths, Duke Health will discontinue pre-procedure and pre-operative COVID-19 testing in June for patients not requiring admission. This document gives more detail about N95 use in peri-operative and procedures spaces and includes an FAQ. Updated 10.6.22

Testing Guidance, Periop Testing
Tips for hosting fun virtual celebrations

We understand that in past years, our colleagues and their families have enjoyed coming together to celebrate the holiday season. This year will feel different, but we want to prioritize the safety of our team members and their loved ones. Eating together is a high-risk activity, so this year we encourage you to consider virtual gatherings. This document includes some alternative ideas for your virtual holiday celebrations. These events everyone to relax and reconnect while celebrating safely. Uploaded 10.29.20

Well-being & Emotional Support, Employee Health
DPC Patient and Visitor Screener Information IR Thermometer Use

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

Ambulatory DPC
Duke Newborn Nursery (NBN), Intensive Care Nursery (ICN) and Birthing Center COVID-19 Management Guideline for Newborns and Infants

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

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



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

 

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

Testing Guidance
Duke Raleigh Hospital Team Member Screening Process

Employee screening guidelines for Duke Raleigh Hospital (DRaH) team members. Updated 4.16.21

Operations and Visitation, Duke Raleigh Hospital, Employee Screening, Employee Health, Safe Return On-site
Directions to DUH COVID-19 Vaccination Clinic for Employees

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

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

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

Pandemic Response Network (SPANISH)

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

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

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

HR & Team Resources, Employee Health
Duke Primary Care Process for Converting Scheduled Office Visits to Telephone Visits

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

Ambulatory DPC, Telehealth
COVID-19 Pfizer-BioNTech Vaccine (EUA) Consent Form (Ages 12-15)

This is the consent form necessary for minors receiving the Pfizer-BioNTech COVID-19 Vaccine.  Updated 08.25.2021

Vaccine, Additional Vaccinator Info
Ambulatory Clinical Triage Algorithm

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

Ambulatory DPC
Universal Masking Guidelines – Double Masking Review

This document provides guidance for masking and addresses questions regarding double masking. Below is the content of the document. Uploaded: 1.29.21 

 

Renewed discussions regarding the potential benefit of double masking on source control and prevention of COVID-19 transmission have prompted many questions about whether changes will be made to the current DUHS masking policy.  Eleven months of experience has demonstrated that the healthcare setting is a well-controlled environment with robust infection prevention protocols in place that help limit the transmission of COVID-19. The healthcare setting is distinctly different than a community setting without these strict controls in place and much of our workforce is now vaccinated.  Furthermore, masks used in healthcare settings are also assessed for filtration efficacy and meet regulatory standards before distribution.  

 

Unfortunately, no well-designed studies have been conducted to scientifically answer the question “are two masks better at preventing COVID-transmission than one?” One study demonstrates the impact of wearing a well-fitting mask to improve source control and how wearing an overlying mask may improve overall mask fit.1 Logically, having additional layers of barrier protection over the nose and mouth would reduce particle dispersion. 

 

With the now broadly circulating B1.1.7 (UK) variant and concern over the B1.351 (S. African) variant in the U.S., many are looking for ways to augment the infection prevention strategies in place – double masking is one such strategy. As we strive to continuously update our COVID-19 guidance to keep in step with the scientific community, we updated masking guidance language as follows. We will continue to closely monitor COVID-19 infections among team members and, should we see any concerning trends or signals, will reevaluate our recommendations below:

 

Double masking is optional for patients, visitors, and Duke team members at this time. However, we do encourage team members to make simple mask modifications to improve fit, and thereby improve source control. More tips to make your mask fit better are available on the Infection Prevention webpage.

  • For patients and visitors: Patients and visitors will be offered a Duke-issued medical mask when entering the healthcare space. If the patient or visitor is wearing their own mask, they may place the Duke-issued mask over the top of their mask if they choose. Patients and visitors may wear their own masks as long as they adequately cover the mouth and nose and have ties or earloops. Patients and visitors may not wear neck gaiters or bandanas. Patients and visitors may not wear any mask with an exhalation valve. Simple mask modifications can be made to help improve fit, if needed. Review a full list of our patient and visitor masking guidelines.
  • For Duke team members: Duke team members are still required to wear a Duke-issued medical mask in the healthcare setting. Should team members choose to wear a second mask, they may place a Duke-issued mask over the top of their own mask. Simple mask modifications can be made to help improve fit, if needed. Wearing the Duke-issued medical mask as the outer layer provides a fluid-resistant barrier. We continue to recommend eye protection during patient care activities. Review a full list of our team member masking guidelines.

Mask modifications:

There are many options to make your mask fit better if it is too loose.

  • This video demonstrates one way to make your mask tighter.
  • A second option is to simply twist the straps of your Duke-issued mask before you put it on so that the elastic is in a crisscross.
  • Another option is to use a plastic clip to pull the straps tighter behind your head.

 

References:

Mueller et al. Matter 2020 Sep 2;3(3):950-962.

PPE, Clinical Guidance and Forms (General)
Inpatient Management of Multisystem Inflammatory Syndrome in Children (MIS-C)

This document is titled "Inpatient Management of Multisystem Inflammatory Syndrome in Children (MIS-C)." This document provides early guidance to clinicians managing children with symptoms associated with the recently described Multisystem inflammatory syndrome in children (MIS-C) in the Inpatient setting. Uploaded 06.29.20

Clinical Guidance and Forms (General), Testing Guidance, Pediatric Specific Guidance, Pediatrics
Decedent Care: Visitation Procedure at DUH During End-of-Life

This flowchart applies to DUH and shows the procedure for supporting family presence and participation/visitation during end-of-life of patients with suspected or confirmed COVID-19 infection. Uploaded 04.08.20

Clinical Guidance and Forms (General), Decedent Care
Maestro Care screening tip sheet

This document outlines Maestro Care travel and communicable disease screening tips for healthcare workers to assist with the rapid identification and isolation/protection of known or suspected COVID-19 patients. Uploaded 03.30.20

Clinical Guidance and Forms (General), Maestro Care
Unexpected COVID Positive Patient DRH Workflow

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

Suspending Use of Contact Isolation for MRSA and VRE Colonization Patients

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

PPE, PPE Conservation
COVID-19 Duke Health Visitor Restrictions Policy Update

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

Operations and Visitation, Visitor Restrictions
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 Clinical Evoked Potentials on COVID-19 Patients

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

Neurology, Specialty Specific Guidance
Patient Letter – Tier 2 Visitation Guidelines

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

Stop at Door Signage in Spanish

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

Patient Communication and Signage, Spanish
FAQs regarding the Johnson & Johnson vaccination update April 13, 2021 – 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
(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
DRH Protocol for Perioperative Management of Surgical Procedures During the COVID-19 Pandemic

This document addresses perioperative management of patients who are KNOWN or SUSPECTED (i.e. rule-out) COVID-19 positive and need urgent surgery. Patients who do not fall into those categories will continue to be managed in the usual fashion. Uploaded 04.04.20

Periop Management, Duke Regional Hospital
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 or caregiver email sent on 3.13.20

This email was sent to pediatric patients and their caregivers on 3.13.20 instructing them about what to know prior to coming to a Duke Hospital or Clinic during the COVID pandemic to help prevent the spread of infection. Uploaded 03.24.20

Patient Communication and Signage
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
Pediatric Admission Workflow for Patients Requiring COVID-19 Testing

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

Pediatric Specific Guidance, Pediatrics, Testing Guidance
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 English

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

HR & Team Resources, Childcare Resources
Directions to 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
Ambulatory Routine Lab Visits – Minimizing Exposure During COVID-19

This document includes standard work instructions for managing patients’ routine laboratory appointments at Duke Primary and Urgent Care clinics while minimizing potential exposure to COVID-19. Uploaded 04.14.20

Ambulatory DPC
Duke Urgent Care Process for Telephone Visits

This document is the standard work for DUC clinic staff and providers when scheduling and conducting a telephone visit. Uploaded 03.26.20

Ambulatory DPC, Telehealth
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
VPN Connection Guide

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

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

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

Testing Guidance, Duke Regional Hospital
Navigating COVID-19 in Maestro Care

To reduce the confusion associated with caring for patients with suspected or confirmed communicable diseases, this document explains action steps for positive travel screenings and Maestro Care flags linked to COVID-19. Uploaded 03.30.20

Clinical Guidance and Forms (General), Maestro Care
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
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
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
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 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
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
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
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
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
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
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
Tier 2 Reopening Guidelines (3-18-22)
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 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
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
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
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
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
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
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.

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.

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
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
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
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
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
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
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
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

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
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
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
Escalation of Exceptions to Visitation 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
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
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 – 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
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
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 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
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
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
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
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
COVID Isolation and Quarantine in Inpatient and Outpatient Settings

This document outlines DUHS guidance for management of patients exposed to COVID and patients infected with COVID in the Inpatient and Ambulatory settings. Updated 9.02.22

Clinical Guidance and Forms (General)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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