Title Description Tags
Duke University Hospital Pediatric Visitation Guidelines

This document provides updated guidance for visitation and visitor screening in pediatric areas at Duke University Hospital. These guidelines apply to any individual, regardless of age, receiving care in a children’s area/unit. Uploaded 05.26.20

Pediatric Specific Guidance, Pediatrics, Duke University Hospital
Getting Through The Day with Your Mask

This flyer contains tips for staff on how to go about their day with masks on and how to properly remove and store their mask while eating, drinking and going to the restroom. English version. Uploaded 04.10.20

Employee Health, PPE Signage-Clinical
COVID-19 Testing Instructions: How to Collect an Anterior Nasal Swab Specimen (SPANISH)

These step-by-step instructions in Spanish illustrate how to self-collect an anterior nasal swab specimen. Updated 10/4/21.

Testing Guidance
Duke Regional Hospital Team Member Screening Process

This file documents the process for screening team members (employees) upon their arrival at work at Duke Regional Hospital. Uploaded 03.31.20

Operations and Visitation, Duke Regional Hospital, Employee Screening, Employee Health, Safe Return On-site
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
DRH Protocol for Inpatients with New Symptoms Concerning for COVID-19

This document shares protocols for inpatients who develop new symptoms that are concerning for COVID-19, what type of precautions and testing should be used, and what unit the inpatient should be assigned to based on their test results. Uploaded 07.15.20

Duke Regional Hospital, Clinical Guidance and Forms (General)
DRAH Connect with Well-Being and Emotional Support Resources

Taking care of your own well-being is vital. Duke Raleigh Hospital has resources available to help. This flyer identifies the services that are available. Uploaded 04.29.20

Employee Health, Duke Raleigh Hospital
Neurology: Guidelines for Performing NIOM on Patients with COVID-19

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

Neurology, Specialty Specific Guidance
Metronidazole Shortage Memo_11.30.21

Departments of Pharmacy 

CRITICAL Drug Shortage Memo – UPDATE (11.30.21)

Attention at Check In (8.5x11) sign SPANISH

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

Patient Communication and Signage, Spanish
04.07.21 COVID-19 Vaccine Patient Update

Beginning April 7, 2021, everyone 16 years of age or older will be eligible for vaccination per North Carolina Department of Health and Human Services (NC DHHS) guidelines. This message was sent to more than 226,000 patients and community members to notify them that they are now eligible for vaccination. Uploaded 04.09.21

Guidance for Adult End-of-Life Visitation

This document provides updated guidance for managing end-of-life visitation for adult inpatients at all three Duke hospitals. It includes policies for patients with and without COVID-19. Uploaded 02.05.21

Operations and Visitation, Decedent Care
Duke University Hospital and Duke Regional Hospital Birthing Center Visitation Guidelines

This document is a patient resource to outline the visitation guidelines at Duke University Hospital and Duke Regional Hospital birthing centers. We recognize the importance of having continuous labor support for mothers during the birthing process and newborns/pediatrics. Updated 05.19.20

Patient Communication and Signage, Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital
PPE Doffing Procedure: No anteroom / no disinfectant in room at threshold

This document provides instructions for safely removing PPE in inpatient and ED environments where there is no anteroom or where gloves and/or disinfectant wipes are not available in room at the threshold. Updated 08.27.21

PPE, Donning & Doffing
TIP SHEET | Creating Telephone Encounter for DPC / DUC Employees Undergoing POC COVID Testing

This tip sheet for Duke Primary and Urgent Care clinical leaders shows how to document and set up a point-of-care COVID-19 test for a DPC or DUC employee. UPLOADED 1-14-22

Ambulatory DPC
MyChart letter to high-risk patients

This letter from Dr. Thomas Owens was sent to high-risk patients at Duke Health via MyChart. Uploaded 03.24.20

Patient Communication and Signage
3M 1870 Plus N95 Seal Check Instructions

This document illustrates seal check instructions for the 3M 1870 Plus N95 respirator. While this guide was made for the 3M brand of N95 respirators, the same principles of fit testing apply to other types of respirators. Uploaded 05.26.21.

N95, PPE, Donning & Doffing
Reprocessed N95 Respirator Evaluation Form

If you experience any issues with a reprocessed N95 respirator, please fill out this form to help us address the issue and improve our process. Uploaded 10.15.20

N95
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
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
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
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