COVID-19 Document Library

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.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Updated 1.9.22

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This document includes ICU educational resources for the non-ICU clinician. The information includes links to websites with free modules provided by the Society of Critical Care Medicine (SCCM). Uploaded 04.01.20

This document is for healthcare providers and lists tips for provider rounding teams to limit in-room exposure times and number of in-room visits and to assist in bundling care for patients in isolation. Uploaded 03.22.20

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

This document provides guidance on testing and isolation procedures for the hematopoietic stem cell transplants (HSCT), solid organ transplants (SOT) and acute leukemic patients who are admitted to the hospital. Uploaded 07.02.20

This document contains approved email copy that can be used to communicate to referring physicians or surgeons about the postponement of a patient surgery or non-urgent procedure due to the COVID-19 public health emergency. Uploaded 03.25.20

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 12.4.20

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

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

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

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

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

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

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

Open Notes are progress notes that are available to patients. Most patients want to see their documentation as it is currently written, including specific medical language, as they most often share them with other providers. HOWEVER, consider alternate wording in some situations, for commonly misunderstood words, abbreviations or phrases that could be interpreted as negative. This handout provides more tips for how to write Open Notes. Uploaded 04.05.21

All pediatric patients admitted to Duke University Hospital who have not tested positive for COVID-19 within the preceding 3 months should have COVID-19 testing performed within 72 hours of their admission or at the time of admission. Various pathways exist to test patients depending on the origin of the admission. Uploaded 08.06.20

This document illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS for Arabic-speaking patients. Updated 02.03.22

Guidelines for healthcare providers (HCPs) with known or suspected COVID-19 infection, including return to work criteria and protocol. Updated 12.8.20

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

This guidance is for healthcare workers in procedural areas and explains when to use HEPA filters in procedural rooms for patients with suspected or confirmed COVID-19 infection. Uploaded 04.09.20

This 8x10 digital sign enforces visitor restrictions and indicates all patients entering hospitals and clinics will be screened. Uploaded 03.26.20

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

This document includes answers to common questions about the Pandemic Response Network’s Duke Community Health Watch COVID-19 study. Uploaded 04.14.20

This handout includes important dates for receiving your COVID vaccine before the required deadline. Uploaded 08.19.21

This patient letter can be used to help team members communicate inpatient masking updates with patients. This version of the letter is in Spanish. Uploaded 06.23.20

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

This document is an 8.5x11 flyer for healthcare workers showing required PPE for outpatient care. Uploaded 03.21.20

This document illustrates N95 seal check instructions for the following N95 non-surgical respirators: 3M 8210/8110S (without a valve) and 3M 8511 (with a valve). Updated 01.07.22

This document includes guidelines and scripting for patient and visitor screening at Duke Primary and Urgent Care clinics. Uploaded 07.29.20

This document is for all staff and includes tips for managing physical, mental, and emotional health and dealing with anxiety related to a medical health crisis. Uploaded 03.21.20

This banner may be displayed to highlight our disruptive patient & visitor policy. This is a reminder for patients and visitors that we will not tolerate aggressive behavior at Duke Health. It also highlights how our team values diversity and treats everyone with respect. Uploaded 08.07.20

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

This letter is for family members/visitors of patients with suspected COVID-19 infection and explains the procedures that will be followed while awaiting test results. Uploaded 03.24.20

We understand that in past years, our colleagues would often come together as teams to celebrate the holiday season and our collective successes. This year will feel different for sure, but we again want to prioritize safety of our team members so that everyone may remain healthy and able to connect with loved ones. As such, please note the guidelines outlined in this document. Uploaded 11.18.21

The flow diagram outlines a recommended decision algorithm for symptomatic patients with a negative COVID-19 nasopharyngeal swab whose clinical presentation remains highly suspicious for active COVID-19 infection. It shows the process for updating isolation status, isolation precautions and transferring patients off a COVID-19 unit with negative COVID-19 test results. This flow diagram DOES NOT apply to asymptomatic patients. This document *no longer* reflects a change in the management of patients from skilled nursing and other congregate living facilities after COVID-19 has been ruled out. Updated 05.07.21

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

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 11.20.20