Title Description Tags
DUHS COVID-19 Practices and Procedures for New Employees

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

Employee Health, HR & Team Resources
Updated Visitor Restrictions Signage – 8.5"x11" – English

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

Patient Communication and Signage, Operations and Visitation
Duke University Hospital Revised Employee Identification Badge Policy | 3.30.20

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

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

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

Ambulatory DPC
Tiered Visitation Standard Work

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

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

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

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

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

Maestro Care
Guidance on Transfers of Care During Pandemic

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

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

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

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

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

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

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

Telecommuting Resources for Managers

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

HR & Team Resources, Telework and Working Remotely
Johnson & Johnson COVID-19 Vaccine Fast Facts

Safe and effective with a one-shot dose, the Johnson and Johnson (Janssen) vaccine offers 100% protection against hospitalization and death. This handout includes fast facts about the J&J COVID-19 vaccine. Uploaded 03.25.21

Patient Communication and Signage
Disruptive Patient/Visitor Sign – Duke University Hospital

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

Operations and Visitation, Patient Communication and Signage
Position Statement and FAQs for Antibody Testing

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

Clinical Guidance and Forms (General), FAQs and Talking Points, Testing Guidance
Duke Primary Care Process for Running Canceled Patient Reports in Maestro Care

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

Ambulatory DPC
Earloop Masks Recommended - 8.5 x11 sign

Updated 1.9.22

Vendor Access During COVID-19

This document defines vendor access and protocols for restrictions and screenings during COVID-19. Uploaded 03.24.20

Operations and Visitation
DUH Inpatient COVID-19 Vaccination Workflow

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

Duke University Hospital, Clinical Guidance and Forms (General), Vaccine
DPC Masking Refusal Standard Work

This document includes standard work instructions for different members of the Duke Primary and Urgent Care practice team to manage patients and visitors who refuse to wear a mask while in our facility. Uploaded 09.29.20

Ambulatory DPC, Clinical Guidance and Forms (General)
Tips for Student Participation in Telehealth and Secure Chat

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

Telehealth
Decedent Care: COVID-19 FAQ at DUH

This FAQ provides guidance designed to ensure that DUH healthcare workers are following current recommendations while providing care to patients and their families if a patient passes away who is suspected or confirmed of having COVID-19 infection. Uploaded 1.22.21

Clinical Guidance and Forms (General), FAQs and Talking Points, Duke University Hospital, Decedent Care
Severe Weather COVID Testing Hours (1.20.22)

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

Team Member Resources Sign

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

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

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

Zoom Fatigue - 9 Tips to Help

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

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

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

FAQs and Talking Points, Nursing
Telephone Visit- GAD 2/7 Pre-visit Screening

This document is standard work instructions for conducting pre-visit GAD 2/7 behavioral health screening for Duke Primary Care patients. Uploaded 04.08.20

Ambulatory DPC
Eye Protection_Updated DUHS Recommendations_3.22.22.pdf PPE, Eye Protection
Duke Primary and Urgent Care Employee Screening Tracker

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

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

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

Vaccine, Employee Health
DUHS Manager’s Guide to COVID-19

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

Employee Health, HR & Team Resources, FAQs and Talking Points
Patient Letter for Updated Visitor Restrictions Effective August 30, 2021 – English

This is a letter to provide patients that outlines our current visitor restrictions in place. The letter explains our updated restrictions in place in our hospitals, outpatient surgery and outpatient clinics. This version of the letter is in English. Uploaded 08.25.21

Patient Communication and Signage, Operations and Visitation
Need Help With Your Zoom Interviews?

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

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

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

Ambulatory DPC, Telehealth
Advance Care Planning Resources

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

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

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

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

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

Maestro Care
DUH Algorithm for Testing Interfacility Transfer Patients

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

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

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

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

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

Ambulatory DPC, Telehealth
Supply Transition FAQs 10.26.21

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

FAQs for Pregnant Healthcare Workers

Frequently asked questions for pregnant healthcare workers amid COVID-19. Uploaded 03.27.20

Employee Health, FAQs and Talking Points, Safe Return On-site
Vaccine Clinic Scheduling Platform Move to QGenda Update

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

Disruptive Patient/Visitor Sign

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

Operations and Visitation, Patient Communication and Signage
Recommended PPE for Outpatient Management of Asymptomatic Patients

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

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

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

Ambulatory DPC, PPE, FAQs and Talking Points
Disaster Documentation Flyer FAQs and Talking Points
DUHS Privacy and Security Compliance Tips

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

Privacy, HR & Team Resources
Medical Assistant NP Swab Competency

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

Ambulatory DPC
AVS Known COVID-19 Infection and Pregnancy

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

After Visit Summary, Patient Communication and Signage
Disinfection Guidance for Inpatient Tablet & Accessories

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

Telehealth, Clinical Guidance and Forms (General)
Managing Difficult Conversations During COVID-19

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

FAQs and Talking Points, Well-being & Emotional Support
De visita con su ser querido con COVID positivo (Pacientes adultos)

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

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

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

Patient Communication and Signage, Visitor Restrictions
Inpatient Visitor Restriction Update in Spanish – Overnight Visitor

We realize that loved ones are a vital part of a patient’s care team and play an important role in recovery. As we have navigated each phase of the COVID-19 pandemic over the last year, the safety of our patients, visitors and team members has been our highest priority. Given the decreased community spread of COVID-19 and increased vaccination rates, we will modify our inpatient visitor restrictions to permit for one overnight visitor. This patient letter explains this update in Spanish. Uploaded 06.16.21

Visitor Restrictions
COVID-19 Infectious Status Banner in Storyboard

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

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

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

FAQs and Talking Points, Nursing
Telephone Visit- PHQ2/9 Pre-visit Screening

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

Ambulatory DPC
DUHS Visitor Restrictions Patient Care Letter Operations and Visitation, Visitor Restrictions
Letter to Duke Primary Care and Duke Urgent Care Employee with COVID-19 Symptoms

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

Ambulatory DPC, Employee Health
DRH Workflow for Inpatient COVID Vaccination

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

Uploaded 8.6.2021

 

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

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

Testing Guidance
Designated Visitor FYI Flag – Maestro Care Tip Sheet

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

Operations and Visitation
Discounted Hotel Rates for Duke Raleigh Hospital Team Members

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

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

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

Ambulatory DPC, Telehealth
Peer Support Program Flyer

This document includes information about a peer support program. The Duke Peer Support Program trains volunteer colleagues to support their peers. Peer Support Volunteers (PSV’s) listen, help their peers process their experiences, and identify appropriate resources as needed. Updated 8.27.21

Well-being & Emotional Support
Home Visitor Log for Symptomatic COVID-19 Patients

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

Ambulatory DPC
Vaccination Clinics Badge Swiping Instructions

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

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

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

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

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

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

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

Ambulatory DPC, Telehealth
SymMon App Self-Schedule Guidance

COVID testing self-schedule options for employees. 10.29.21.

Telecommuting Tips for Employees

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

HR & Team Resources, Telework and Working Remotely
QGenda Scheduling Instructions for Vaccination Clinics

This handout includes instructions for users to sign up for a shift at one of our COVID-19 vaccination clinics. Uploaded: 03.26.21

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

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

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

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

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

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

Spanish, Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
DUHS Disaster Documentation FAQs and Talking Points
ENT/Otolaryngology: PPE Safety Protocols for ENT Clinical Care

This document is for healthcare workers and outlines the current recommendation for clarifying PPE safety protocols for ENT / otolaryngology clinical care. Uploaded 05.11.20

Specialty Specific Guidance, PPE
IM Vaccination Administration Tips for Adolescents

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

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

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

After Visit Summary, Patient Communication and Signage
Guidance for Appropriate Repeat COVID-19 Testing

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

Testing Guidance, Clinical Guidance and Forms (General)
N95s: FAQs and Key Takeaways on Decontamination and Reuse

This document includes FAQs and key takeaways on our decontamination process for respirators such as N95s. Updated 04.17.20

FAQs and Talking Points, PPE, N95
N95 Donning & Doffing (Inpatient & Outpatient)

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

Clinic Employee and Patient/Visitor Screening Signs

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

Patient Communication and Signage, Employee Screening
COVID-19 Vaccination Family Day at DRAH Flyer

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

Vaccine
Mental Health and Well-Being Resources

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

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

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

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

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

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

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

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

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

Vaccine, Employee Health
Duke COVID-19 Vaccination Work Group Update 8.13.21

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

Vaccine
Maestro Care Quick Tip -- COVID-19 Vaccination Workflow

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

Maestro Care
Childcare, Eldercare, and Summer Camp Resources

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

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

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

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

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

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

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

Additional Vaccinator Info, Vaccine
Inpatient/ED: Required PPE

An 8.5x11 sign showing the required PPE (personal protective equipment) for staff in Inpatient and Emergency Departments. Uploaded 03.21.20

PPE Signage-Clinical, Donning & Doffing
Frontline Essential Workers Eligible for Vaccination Waiting List – Spanish

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

Patient Communication and Signage, Spanish
Managing Infants born to Mothers with Suspected or Confirmed COVID-19

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

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

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

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

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

Ambulatory DPC, Telehealth
CDC COVID-19 Booster Shot Key Messages Clinical Guidance and Forms (General)
Tips for Leaders to Respond to Stress

Tips for leaders to help support employees managing physical, mental and emotional health during and after a stressful event. Uploaded 03.21.20

Employee Health, Well-being & Emotional Support
Maestro Care Tips: How to Write an Open Note

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

Maestro Care
Universal Testing of Adult Patients Requiring Inpatient Hospitalization at Duke University Hospital

All adult patients who have not tested positive for COVID-19 within the preceding 3 months and who are admitted to Duke University Hospital should have COVID-19 testing performed within 72 hours prior to arrival to DUH for admission or at the time of admission. Various pathways exist to test patients depending on the origin of the admission. Uploaded 08.05.20

Testing Guidance, Duke University Hospital, DUH Testing Guidance
Guidance for Providing Telehealth Services During the COVID-19 Pandemic

This document provides guidance on the use of telehealth visits or services during the COVID-19 pandemic. Uploaded 05.10.20

Telehealth
ICU Educational Resources for the Non-ICU Clinician - Duke University Health System

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

Clinical Guidance and Forms (General), ICU Care
Dashboard for Paxlovid and Molnupiravir

COVID-19 Therapeutics - Supply Details for Molnupiravir and Paxlovid. UPLOADED 1-13-22

Clinical Guidance and Forms (General)
Provider Rounding Tips for Patients on Isolation

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

Clinical Guidance and Forms (General), PPE Conservation
DUHS Infection vs. Colonization Chart

Since several changes were made to isolation practices during the pandemic, the Infection Prevention team developed a quick educational guide to assist units. This chart serves as a quick reference for Standard and Transmission-Based Precautions for select organisms, including MRSA, VRE, CRE, C. difficile and multidrug resistant gram-negative organisms. More information can be found in the DUHS Standard and Transmission-Based Precautions Policy. Please contact your Infection Prevention Specialist during business hours (8 am to 6 pm) for isolation-related questions. Uploaded 05.14.21

Clinical Guidance and Forms (General)
AVS (Spanish) Known COVID-19 Infection in Immunocompromised Patients

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

After Visit Summary, Patient Communication and Signage
Duke University Hospital Guidance for Interpreter Services on Duke-Issued Tablets for Patients with Suspected COVID-19

If scheduled before entering patient’s rooms, Duke Interpreter services can connect to a patient or provider tablet via Jabber to facilitate communication. This document provides guidance and outlines the workflow for using this service at Duke University Hospital. Updated 05.20.20

Telehealth, Clinical Guidance and Forms (General), Duke University Hospital
Isolation Procedures and COVID-19 Testing for Asymptomatic Immunocompromised Patients in the Inpatient Setting

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

Clinical Guidance and Forms (General), Pediatrics, High-risk Populations
Required PPE with N95 Respirator – Special Airborne/Contact Isolation

This document shows the PPE needed when wearing an N95 respirator for Special Airborne/Contact Isolation. Uploaded 1.28.22.

Referring Provider Email Regarding Surgery Postponement

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

Periop Management, Elective Procedure, Referring Physician Email
COVID-19 Vaccines for Homebound Patients

COVID-19 vaccines for homebound patients residing in Durham County are now available through a partnership between the Durham County Community Paramedics and the Durham County Health Department. This initiative serves to identify patients who are unable to safely access the COVID-19 vaccine outside of their home due to health or mobility, and provide the vaccine to patients in their home. Referrals for Duke patients can be e-mailed to Elissa Nickolopoulos, MSW, LCSW-A at elissa.rumer@duke.edu.  All referrals must contain patient's name, MRN, preferred phone number, allergies, preferred phone number and alternative contacts (if applicable). Documentation of patient's verbal consent for referral to Community Paramedics must be documented in patient's chart prior to making the referral. Uploaded 6.24.21

Vaccine
Duke COVID-19 Vaccination Work Group Update 12.4.20

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

Employee Health
Patient Letter – COVID-19 Test Refusal Prior to Procedure

This document is a letter to provide patients scheduled for elective procedures who refuse COVID-19 testing. For the care and safety of our patients, visitors, and staff, Duke Health providers will not schedule, or will cancel, elective procedures for patients who refuse pre-procedural COVID-19 testing. Uploaded 05.29.20

Clinical Guidance and Forms (General), Testing Guidance, Patient Communication and Signage, Elective Procedure, Periop Testing
Duke University Hospital Conservation of Thermometers and Stethoscopes

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

Clinical Guidance and Forms (General), Operations and Visitation, Duke University Hospital, PPE Conservation
Currently Available Therapeutics for the Treatment and Prevention of COVID-19_April 21_2022 Clinical Guidance and Forms (General), High-risk Populations
Registration Bypass Warning Report-Travel Screening (3.13.20)

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

Ambulatory DPC
Important Dates for Receiving your COVID Vaccine

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

Employee Health, Vaccine
Scheduling COVID-19 vaccines through DPC

This document provides Duke Primary and Urgent Care staff an overview of the process for scheduling patients for COVID-19 vaccination. Uploaded 1.13.21

Ambulatory PDC
Patient Masking Update Letter – Spanish

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

Patient Communication and Signage
DUH, PDC & DPC COVID-19 Testing Guidance

This document provides updated guidance for COVID-19 testing. This includes recommendations for testing based on 12 categories of patients and the respective approved tests at Duke University Hospital (DUH), Private Diagnostic Clinic (PDC) and Duke Primary Care (DPC). Guidelines at Duke Regional Hospital and Duke Raleigh Hospital vary based on workflows and testing capabilities; please work with the respective entity CMO for appropriate guidance. Updated 07.14.20

Testing Guidance, Duke University Hospital, Ambulatory PDC, Ambulatory DPC, DUH Testing Guidance
Duke Primary and Urgent Care Patient Instructions for Drive-Up Testing

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

Ambulatory DPC, Drive-Up Testing
Quick Tip: Pfizer COVID-19 Vaccine Question Updates

Tip sheet about changes to Pfizer COVID-19 vaccine questions in Maestro Care (created by DHTS for everyone who administers COVID-19 vaccine). Uploaded 08.27.2021

Maestro Care, Vaccine
Outpatient: Required PPE

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

PPE Signage-Clinical, Ambulatory DPC
Maestro Care: Using the COVID Vaccine Waitlist

The wait list feature is used to keep track of patients who need an appointment. This Maestro Care tip sheet provides instructions for adding patients to the waitlist who qualify for a COVID vaccine, but who we are unable to schedule. Do not add patients to the wait list if they do not meet the current qualifications to receive the vaccine. The WL-COVID VACCINE(HOTLINE) [9070624] waitlist should only be used for initial vaccine appointments, not for second dose appointments. Uploaded 2.26.21

Maestro Care
3M 8210/8110S and 3M 8511 N95 Seal Check Instructions

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

PPE, N95, Donning & Doffing
DPC Standard Work for Pediatric Lab Process

This document includes standard work instructions for Duke Primary Care family medicine and pediatric practices to use when obtaining lab specimens from pediatric patients. Uploaded 04.23.20

Ambulatory DPC
DPC COVID-19 Patient/Visitor Screening

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

Ambulatory DPC
Grief Symposium Nov. 9, 2021

Event flyer for the Grief Symposium on Nov. 19, 2021.

How to Manage Emotional Health During Crisis

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

Employee Health, Well-being & Emotional Support
Informational Handout: What is the 21st Century Cares Act?

The 21st Century Cares Act is a Federal Mandate created to prevent the blocking of electronic health information between health systems, apps and devices. This handout has more infromation about this act. Uploaded 04.02.21

Universal Testing of Pediatric Patients Requiring Inpatient Hospitalization at Duke University Hospital

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

Pediatrics, Testing Guidance, Duke University Hospital, Pediatric Specific Guidance, DUH Testing Guidance
Duke Primary Care Quick Reference Guide for Scheduled, Chargeable Telephone Visits

This document is a quick reference guide (tip sheet) for Duke Primary Care (DPC) providers on conducting scheduled, chargeable telephone visits. Uploaded 05.10.20

Telehealth
Tips to Protect Yourself and Others from COVID-19: After-Visit Summary Instructions in Arabic

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

Ambulatory DPC, Ambulatory PDC, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
COVID Dashboard Lookup

Directions for locating the DUHS Dashboard for Molnupiravir/Paxlovid Supplies. UPLOADED 1-13-22

Clinical Guidance and Forms (General)
Ability to Work/Return to Work for Healthcare Providers

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

Employee Health, Safe Return On-site
Updated Guidance for Team Member Meetings and Conferences

This document provides guidance for team members planning Duke-sponsored, small-sized indoor meetings and conferences. Uploaded 05.14.21

Employee Health
AVS Known COVID-19 Infection in Immunocompromised Patients

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

After Visit Summary, Patient Communication and Signage
Tracheostomy Protocol During COVID-19

This document provides multidisciplinary guidance for safely performing tracheostomies and for post-tracheostomy care in patients who were diagnosed with COVID-19 (tracheostomy protocol). Please note, there is a new recommendation that special airborne contact isolation may be discontinued once the patient meets appropriate criteria using the symptom-based strategy. Updated 08.04.20

Clinical Guidance and Forms (General)
Guidance for Procedural Areas Caring for Suspected or Confirmed COVID-19 Patients

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

Clinical Guidance and Forms (General)
Required PPE with PAPR Unit – Special Airborne/Contact Isolation

This document shows the PPE needed when wearing a PAPR unit for Special Airborne/Contact Isolation. Uploaded 1.28.22.

Visitor Restrictions Enforced Digital Sign

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

Patient Communication and Signage, Visitor Restrictions
New Password Policy for Duke Health Team Members

Duke Health users and sponsored guests must update passwords as soon as possible, but will not be required to change passwords in the future – unless you want to update or your password is compromised. The new password policy removes the requirement to update passwords every 180 days and requires passwords to be at least 12 characters (special characters and numbers are no longer required); however, including special characters creates a stronger password. In addition, the option to update passwords using CTRL+ALT+DEL is no longer available. This handout provides more information about this update. Uploaded 7.2.21

Duke COVID-19 Vaccination Work Group Update 11.12.20

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

Employee Health
Forever Face Shield Instructions

New “forever” face shields are available from the Duke Pratt School of Engineering. This document provides instructions for the appropriate use, assembly and cleaning of these new face shields. Updated 06.02.20

PPE, PPE Signage-Clinical
Pandemic Response Network: Duke Community Health Watch

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

FAQs and Talking Points, Patient Communication and Signage
NCBON Testing Letter for New Graduates

This letter from the NC Board of Nursing announces revised licensure requirements for new graduates and was sent 03.24.20. Uploaded 03.24.20

Nursing
Editable Temporary Clinic Closure Signage for PDC Clinics

This editable PowerPoint document is intended to be used as a template to create temporary signage for PDC clinic closures. Uploaded 03.27.20

Patient Communication and Signage, Ambulatory PDC
The Coping Card

At times, we all feel stress, grief, conflict, or disappointment. When you are having a tough time, try some of the coping strategies or contact a resource on this card. Uploaded 08.19.21

Well-being & Emotional Support
Maestro Care Quick Tip -- Using the COVID-19 Vaccine Waitlist

This tip sheet provides instructions for adding to the waitlist patients who qualify for a COVID-19 vaccine but who are unable to schedule an appointment. Uploaded 1.13.21

Maestro Care
Team Member Visitor Restrictions Update June 23

This document includes an email update that was distributed to all Duke Health employees on the morning of June 23rd. This update included important policies regarding our updated visitor restrictions for inpatients and outpatients. Uploaded 06.23.20

Visitor Restrictions, Operations and Visitation
Masking in Common Areas

This flyer can be posted to remind healthcare workers to wear a mask in common areas at all times when not actively eating, drinking or using the restroom. It also provides an important reminder about limiting the number of unmasked individuals who are in close proximity with one another while eating and drinking. Uploaded 04.17.20

PPE Signage-Clinical
Duke Primary Care Process for Scheduling a Drive-Up Testing Visit

This document is the standard work for scheduling drive-up test collection at DPC/DUC clinics. Uploaded 09.11.20

Ambulatory DPC, Drive-Up Testing
DUHS Honoring Teamwork

A list of investments made in support of DUHS team members to recognize their commitment to patient care during COVID-19.

HR & Team Resources
Attention at Check-in

An interior clinic sign asking patients to check in with the Front Desk if they have symptoms. The 8.5x11 page is designed to be cut in half to create two signs. English. Uploaded 03.21.20

Patient Communication and Signage
Protocol for Perioperative Management of Surgical Procedures During the COVID-19 Pandemic

This document addresses perioperative management of patients presenting for surgery during the COVID-19 pandemic, including those who are KNOWN or SUSPECTED (i.e. rule-out/PUI) COVID-19 positive and need urgent surgery. Uploaded: 6.14.21

Periop Management
Visitor Restriction FAQs

These visitor restriction FAQs provide answers to frequently asked questions regarding our updated visitor restrictions. Please review these for more information regarding our current visitor restrictions in place. Uploaded: 07.13.20

Operations and Visitation, FAQs and Talking Points
DPC Pediatrics Lab Letter

This document is a letter Duke Primary Care family medicine and pediatrics practices can share with a patient/patient’s guardian about the process for obtaining lab specimens from pediatric patients. Uploaded 04.27.20

Ambulatory DPC
Masking Protocols for Team Members

This document provides instructions for our universal masking initiative at our hospital and clinic sites. It also includes answers to questions from colleagues and patients. Updated 06.02.20

PPE, FAQs and Talking Points, Employee Health
Community Vaccination Event December 4 - ENGLISH

Community COVID Vaccination Event Flyer 

Self-care Tips After Stressful Events

This document is for all staff and can help people recognize common reactions to stressful events and how to cope using positive self-care behaviors. Uploaded 03.21.20

Employee Health, Well-being & Emotional Support
21st Century Cares Act Training Presentation

The 21st Century Cares Act is a federal mandate created to prevent the blocking of electronic health information between health systems, apps and devices. This presentation (training) provides more information about this act and how it impacts our providers.

Maestro Care
Disruptive Patient and Visitor Banner: Duke Raleigh Hospital

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

Operations and Visitation, Patient Communication and Signage, Duke Raleigh Hospital
Smart List for Adding an Attestation Consent Statement for the Use of a Video Visits During the Response to the COVID-19 Pandemic

This document provides the smart list for adding an attestation consent for a video visit during the response to the COVID-19 pandemic. Uploaded 05.10.20

Telehealth
COVID-19 Important Reminders

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

Employee Health
Visitor Guidelines for Duke Health Hospital Locations (Updated 2-18-22)

Your safety and well-being are our top priority. We recognize these restrictions may be difficult for you and your loved ones. This is a challenging time, and these visitor guidelines are intended to provide additional safeguards for our patients, families, visitors and team members. Duke Health has modified its visitation guidelines based on recommendations from the CDC and our infectious disease experts. | UPDATED 2-18-22

Patient Communication and Signage, Operations and Visitation, Visitor Restrictions
Letter for visitors of patients in isolation

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

Patient Communication and Signage, Operations and Visitation
Message to Patients Ages 12 to 15 Regarding COVID-19 Vaccination

This message was distributed to more than 16,000 patients ages 12 to 15 to notify them that they are now eligible to receive the Pfizer COVID-19 vaccine.

Vaccine, Patient Communication and Signage
Guidelines for Social Gatherings & Holiday Celebrations

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

Well-being & Emotional Support, HR & Team Resources
Duke Guidelines for Antithrombotic Therapy in Hospitalized Patients with COVID 19

The attached document contains information about the guidelines for antithrombotic therapy in hospitalized patients with COVID-19. Uploaded 05.22.20

Clinical Guidance and Forms (General)
Guidance for De-escalating Isolation after a Negative Test for COVID-19

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

Clinical Guidance and Forms (General), Special Airborne Contact
DUHS New Hire COVID-19 Vaccine Information

Consistent with our values and commitment to zero harm for our patients, their loved ones and our team, we have new COVID-19 vaccination requirements. New team members joining Duke University Health System are required to receive a COVID-19 vaccine or a Duke-approved medical or religious exemption. UPLOADED 1-31-22

vaccination requirements
Going Home Well-being Checklist 11x17 Sign

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

Employee Health, Well-being & Emotional Support
Guidelines for Re-opening of Operations by Communicable Disease Risk

This document is for internal Duke Health use only. Please note these guidelines are subject to change as needed. These guidelines will help us in responding to infectious diseases or other potential issues that may demand for us to strengthen our safety practices. Please note that we will provide broad communication any time we need to switch from one tier to another. Updated: 03.11.22

Operations and Visitation
Duke COVID-19 Vaccination Work Group Update 11.20.20

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

Employee Health
Referring Physician Email Sent on 6.3.2020

This email was sent on 6.3.2020 to a referring physician audience and explains Duke has measures and precautions in place to provide safe care to patients referred to Duke Health. Uploaded 06.03.20

Referring Physician Email
Masking Guidance for Patients and Visitors

This guidance is for 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. Updated 11.10.21

Patient Communication and Signage
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
Duke Personal Assistance Service Program Brochure

Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University and Health System. Our staff of licensed professionals offers assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to benefit-eligible Duke faculty, staff, and their family members. This brochure has more information about our PAS program. Uploaded 08.20.21

Well-being & Emotional Support, Employee Health
Patient Message to Adults 65-74 for COVID-19 Vaccination

In compliance with North Carolina Department of Health and Human Services (NC DHHS) guidelines, this message was distributed to all Duke Health patients who are age 65-74 to notify them that they are eligible to receive the COVID-19 vaccine (vaccination). Uploaded: 01.15.21

Patient Communication and Signage
Patient Letter for Updated Visitor Restrictions Effective August 30, 2021 – Spanish

This is a letter to provide patients that outlines updated visitor restrictions in place effective April 21, 2021. The letter explains our updated restrictions in place in our hospitals, outpatient surgery and outpatient clinics. This version of the letter is in Spanish. Uploaded 08.25.21

Patient Communication and Signage, Operations and Visitation
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
Getting Your COVID-19 Vaccine with Other Vaccines

You may be wondering whether it’s safe for you and your loved ones to get the COVID-19 vaccine at the same time as other vaccines. This flyer will help answer your questions. Please talk with your healthcare provider about any concerns you have. Uploaded 09.02.21.

Patient Communication and Signage, FAQs and Talking Points, Vaccine
Attention at Check-in (Spanish)

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

Patient Communication and Signage, Spanish
FAQ: What to know if team members want to help at Duke’s vaccination clinics

FAQ guide for managers with team members wanting to help support vaccination clinics. Uploaded 03.08.21

Vaccine, FAQs and Talking Points
Duke Health Masking Care Package Insert

This document was mailed to all Duke Health employees as a reference for when to wear a face covering in the community and in our facilities. It was provided in a package to all employees along with cloth masks and hand sanitizer. Uploaded 07.10.20

PPE
PAPR Instructions for Donning, Doffing and Disinfection (Combined)

All PAPR-related instructions, including the newer 3M Versaflo and 3M Ford PAPRs as well as other brands of PAPRs used at Duke Health, are combined into one document for donning and doffing additional PPE and disinfecting the PAPR in inpatient and outpatient settings. We have addressed doffing and disinfection of loose-fitting headgear (e.g., head cover, shrouded hood) with and without an anteroom. Updated 1.28.22.

PPE Signage-Clinical, PPE, Donning & Doffing
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
Community COVID Vaccination Event Dec. 4 SPANISH

Community COVID Vaccination Event Dec. 4 SPANISH

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
21st Century Cares Act Training Sessions Information

The 21st Century Cures Act is a federal mandate that requires health organizations to provide patients with timely access to their electronic health information. In compliance with the Cures Act and effective April 11, 2021, Duke Health will immediately release the majority of clinical notes (inpatient and outpatient) as well as laboratory, pathology, and imaging results to patients via their Duke MyChart accounts. There are options for not sharing and/or delaying release but this requires documentation of a specific reason. Training sessions are linked in this document. Uploaded 04.02.21

Maestro Care
Disruptive Patient and Visitor Signs: Duke Raleigh Hospital

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

Operations and Visitation, Patient Communication and Signage, Duke Raleigh Hospital