Title Description Tags
CDC Guidance: Employee Risk Assessment for COVID-19 Exposure

This table is for healthcare workers to use in assessing COVID-19 risk exposure, per CDC guidance. It includes additional information from Employee Health on recommended monitoring periods and work restrictions for asymptomatic healthcare workers. Updated 05.01.20

Employee Health
Maestro Tip Sheet: Karsh COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
Tips for Communicating with Patients while Wearing a Mask

In these times where face masks and physical distancing are necessary to reduce the spread of infection, patients with hearing loss (and even some with normal hearing) are experiencing increased difficulties understanding spoken language. Check out these tips that may help improve communication when the patient or caregiver is experiencing communication difficulty. Uploaded 08.04.20

Clinical Guidance and Forms (General), Patient Communication and Signage
Duke Health Policy for Providers Managing Cardiopulmonary Arrest and RRT in COVID-19 Patients

The document provides guidance to providers on appropriate PPE for CPR and/or RRT on COVID positive patients or PUIs. Uploaded 04.03.20

PPE, Clinical Guidance and Forms (General)
Inpatient/ED: How to Don and Doff PPE

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

PPE Signage-Clinical, Donning & Doffing
3M 9205+ N95 Non-Surgical Respirator Seal Check Instructions

This document illustrates seal check instructions for the 3M 9205+ N95 non-surgical respirator. Uploaded 01.06.22.

N95, PPE, Donning & Doffing
OR Protocol for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

This document is for OR staff and addresses perioperative management of patients who are known or suspected COVID-19 positive and need urgent surgery. Patients who do not fall into those categories will continue to be managed in the usual fashion. Uploaded 08.13.20

Periop Management, Anesthesia, Anesthesiology
FAQs on Urinalysis, Urine Culture, and Urinary Catheter Management

This reference provides guidance for appropriate indications and best practices for ordering and obtaining urine for urinalysis and urine culture samples, including step-by-step instructions for each urine collection technique. It also includes resources for indwelling urinary catheter management. Uploaded 04.16.21

FAQs and Talking Points
FAQs for CMS Payment Update for Counseling COVID-19 Patients during Self-Isolation Period

The Centers for Medicare and Medicaid Services (CMS) is allowing for payment when physicians and healthcare providers counsel patients during self-isolation period after patients have been tested and prior to the onset of symptoms if the results are positive. The providers will use an Evaluation and Management code to bill for the service by documenting the counseling based on time. Uploaded 09.17.20

Clinical Guidance and Forms (General), FAQs and Talking Points, Maestro Care
Virtual Training Information for Clinicians

Cambia Palliative Care Center of Excellence and the Institute for Human Caring are offering healthcare professionals free virtual training sessions for COVID-19 communication. These sessions will focus on 4 content areas (outpatient, ED, acute care, and ICU) and will integrate a communication framework with concrete skills to navigate advance care planning and goals of care conversations in the COVID-19 era. You may register directly through the Institute for Human Caring website. Updated 05.13.20

Patient Communication and Signage
Keeping Yourself and Your Team Members Safe

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

Employee Health, PPE Signage-Clinical, Shared Spaces
DUHS Patient Visitation Letter (en Español)

This is a letter to provide patients that outlines updated visitor restrictions in place effective January 14, 2022. The letter explains our updated restrictions in place in our hospitals, outpatient surgery and outpatient clinics. This version of the letter is in Spanish. UPDATED 02-18-22

Operations and Visitation, Visitor Restrictions, Patient Communication and Signage
Tip Sheet for Signatures Upon Discharge for Inpatient

This document contains tips for and the smart phrase for documenting discharge instructions in Maestro in place of a signature. Uploaded 03.25.20

Operations and Visitation, Discharge Instructions, Clinical Guidance and Forms (General)
Ambulatory Critical Lab Escalations

Beginning Wednesday, June 16, 2021, the escalation process for critical lab values within the Ambulatory Clinic setting will be enhanced to include providers and tiered escalation plans. Currently, notifications of critical lab values vary by clinic and personnel, resulting in inconsistent responses to alerts. The new lab escalation process is a streamlined pathway and is direct to the provider. The average volume of critical labs per ambulatory clinic is less than 10 per month. Details of the new process are outlined in this document. Uploaded 6.10.21

Clinical Guidance and Forms (General)
COVID-19 Testing for Duke University Hospital Inpatients

This flowchart depicts the process for Duke University Hospital inpatients requiring a COVID-19 testing. Test results that are needed in fewer than six hours for an emergent procedure, imminent discharge or any patients exhibiting symptoms of COVID-19 in a multi-occupancy room will be managed by the DUH Swab Team. All other patients should receive an order for a PCR or administrative COVID-19 test by the inpatient team. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance
Infection Prevention Highlights to Prevent Team Member Exposure

The Infection Prevention Highlights to Prevent Team Member Exposure document outlines many of the measures we have implemented at Duke Health to keep our team members safe while continuing to provide high-quality care to our patients. This is intended to provide to team members with a key overview of many of the changes made to operations, guidance and recommendations to protect our patients, visitors and each other. Uploaded 06.02.20

Clinical Guidance and Forms (General), Employee Health
Recommendations for Negative Pressure Rooms and/or HEPA Filtration

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

Clinical Guidance and Forms (General), PPE
DUHS Guidelines for Visitation Restrictions All Tiers

This document includes the standard work for each tier of our visitor restrictions. UPDATED 5-13-22

Visitor Restrictions, Operations and Visitation
PAPR Hoods: Instructions for Extended Use, Re-Use and Disinfection

This document provides important clarifications on the extended use, re-use, and disinfection of PAPR hoods for all healthcare workers providing care to patients with known or suspected COVID-19 infection. Updated 04.14.20

PPE, PAPR
Manager Tip Sheet for Tracking Staff COVID and Flu Vaccination Status

This document contains instructions for managers to track staff COVID and flu vaccine status. Uploaded 01.03.22

Vaccine, Employee Health
MyChart Message to Phase 1B Group 1 – Adults 75+ for COVID-19 Vaccination

In compliance with North Carolina Department of Health and Human Services (NC DHHS) guidelines, we are now in phase 1B of the state’s vaccine distribution plan. The first group in this phase includes all people age 75 and older. This message was distributed to all Duke MyChart users who are age 75 or older to notify them that they are eligible to receive the COVID-19 vaccine (vaccination). Uploaded: 01.08.21

Patient Communication and Signage
Reusable Cloth Gown Process at Duke Raleigh Hospital

Duke Raleigh Hospital is providing cloth gowns for team members to replace our disposable isolation gowns previously used for care. Team members should follow proper doffing protocols for the cloth gowns as indicated in the file. Uploaded 06.17.20

PPE, Duke Raleigh Hospital
Tip Sheet for Reuse and Extended Use of N95s/PAPR Hoods/Face Masks/Face Shields

This tip sheet aims to help healthcare workers better understand protocols for the reuse and extended use of face masks, face shields, N95 respirators and PAPR hoods. Please refer to the full instructions for extended use and reuse of N95s and face shields, PAPR hoods, and face masks and face shields for additional information. Uploaded 04.15.20

PPE, N95, PAPR, PPE Conservation
Duke Primary and Urgent Care Test Collection Steps for Drive-Up Test Site

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

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

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

Visitor Restrictions
Waste and Linen Disposal COVID-19 Guidelines

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

Operations and Visitation, PPE
Frontline Essential Workers Eligible for Vaccination Waiting List

Recently, Gov. Cooper and NC DHHS Secretary Mandy Cohen announced that Group 3 frontline essential workers will be eligible for vaccination in the coming weeks. This handout is available to provide to patients and community members for more information about this transition. Uploaded 2.14.21

Patient Communication and Signage
Proper Configuration for Versaflo PAPR Unit and Yellow Isolation Gown

This document outlines the proper configuration for the Versaflo PAPR unit and the yellow isolation gown. Uploaded 06.30.20

PPE, PPE Signage-Clinical, Duke Raleigh Hospital
Isolation Cart PPE Table

This table will be paired with each isolation PPE cart and provides streamlined information about the supplies that are needed for providing care for patients with known or suspected COVID-19. Please remember that supplies may come from different manufacturers or be different colors, but they have all gone through a rigorous approval process and provide the same level of protection for our team members. Please note that this information does not replace existing information on the PPE documents guide website; it is designed to showcase information from the various COVID-19 resources on recommended PPE use for DUHS team members in a simplified one-page resource. Updated 01.27.22

PPE Signage-Clinical
How to Create and Award COVID Shifts

This how-to guide / job aide for staffing leaders for how to create and award COVID shifts in DukeShift. Uploaded 03.31.20

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

Information for pregnant patients about the COVID-19 vaccine.

How to Access Technology While Working Remotely

The document is for staff and includes detailed information and technology tools for working remotely. It includes instructions on accessing the VPN, WebEx, Zoom, Microsoft Teams, Jabber, and more. Uploaded 03.24.20

Telework and Working Remotely, HR & Team Resources
Maestro Tip Sheet: Southern High COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
Temporary Workflow for Discontinuing Special Airborne Contact Isolation

During the “wash in” period of implementing the new CDC guidance for a symptom-based strategy to discontinue Special Airborne Contact Isolation, Infection Prevention will work very closely with teams to ensure treatment teams are comfortable with the new process. Below is the proposed temporary workflow for discontinuing Special Airborne Contact Isolation. After Maestro updates are complete and team members are familiar with the guidance, we will move towards automation. This document outlines the inpatient and outpatient processes. Uploaded 08.04.20

Clinical Guidance and Forms (General)
Respiratory Therapy Guidance During COVID 19 Response

This document provides guidance for the safe delivery of respiratory therapeutics during the COVID-19 pandemic. Updated 09.03.21

Clinical Guidance and Forms (General), PPE, PPE Signage-Clinical
Outpatient: How to Don and Doff PPE

This document contains three 11x17 posters for outpatient healthcare workers showing steps for donning and doffing PPE, including with and without an anteroom. Uploaded 04.01.20

PPE Signage-Clinical
N95 Use Clarification

This document includes a grid and FAQs about the use and reuse of different N95 respirators, which differs based on how and where the N95 is being used. Uploaded 01.16.22.

 

Required N95 Use for COVID-19 and Other Airborne Pathogens

  • If you are wearing an N95 respirator while caring for patients with suspected or confirmed COVID-19 infection (or otherwise on Airborne or Special Airborne Contact Isolation), the respirator should be used for the entire shift and discarded at the end of the shift unless visibly soiled, damaged, or fails seal check.  

Optional N95 Use

  • If you choose to wear an N95 respirator for added respiratory protection in place of an ear loop mask, the N95 may be reused for up to 5 shifts; discard it after 5 shifts or sooner if visibly soiled, damaged, or fails seal check.
  • If you are working in the procedural and peri-op environment, the only change to your current allotment and rotation plan is to wait 5 days between uses rather than 3. Additional detail can be found here.
N95, PPE, Donning & Doffing
Operating Room Flowcharts for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

These flowcharts are for OR staff and should be used in conjunction with the protocol for Perioperative Management of Urgent Surgical Procedures in Suspected of Confirmed COVID-19 Patient. Flowcharts include perioperative and room setup, intraoperative, and extubation, transfer, and room cleaning. Uploaded 04.01.20

Periop Management, Anesthesia, Anesthesiology
Moments to Movement Focus Group Flyer

This flyer advertises focus groups for our Moments to Movement initiative. Register for a chance to be included in the focus groups. Sessions last 60 minutes, and you stay clocked in. Conducted by a neutral third-party partner. Confidential (no comments attributed to you). Session available for Spanish speakers. If selected, you will be in a group with people of similar identity. Uploaded 04.30.21

Guidelines for the Use of Different Models of N95 Respirators at Duke Health

DUHS has deployed multiple models of N95s. This document outlines which N95 respirators can be used for COVID care or voluntary use. It also links to seal check instructions for each model and summarizes extended use and reuse guidance. Updated 01.16.22.

PPE, N95, Donning & Doffing
Daily Moments of Well-Being for Meetings and Huddles

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

Well-being & Emotional Support
COVID-19 Resources for Families (in English and Spanish)

This document is for families and includes links to resources about talking to kids about COVID-19, options for basic needs and healthcare, activities to do at home, and mental health support. Uploaded 04.09.20

Pediatric Specific Guidance, Patient Communication and Signage, Spanish
Visiting your loved one who is COVID positive (Adult Patients)

The safety of our patients, their loved ones, and our team members is our top priority. Thank you for helping us keep everyone safe by following these guidelines. UPLOADED 1-21-22

Visitor Restrictions, FAQs and Talking Points
Revised Infection Prevention Practices for MRSA or VRE Colonization

This document outlines commonly asked questions about the discontinuation of contact precautions for patients with MRSA and VRE colonization. Staff members can hand out this document which provides data-supported education for patients and families regarding this decision. Uploaded 03.25.20

Patient Communication and Signage
Inpatient Visitor Restriction Update in English – Overnight Visitor

We realize that loved ones are a vital part of a patient’s care team and play an important role in recovery. As we have navigated each phase of the COVID-19 pandemic over the last year, the safety of our patients, visitors and team members has been our highest priority. Given the decreased community spread of COVID-19 and increased vaccination rates, we will modify our inpatient visitor restrictions to permit for one overnight visitor. This patient letter explains this update in English. Uploaded 06.14.21

Visitor Restrictions, Patient Communication and Signage
After Hours COVID-19 Point of Care Test (POCT) for DUH Mission Critical Employees

This flowchart depicts the process for Duke University Hospital employees experiencing COVID-19 symptoms. All employees should contact EOHW on-call to conduct the COVID-19 screening questions. If it is after hours and the employee is a DUH mission critical employee, the employee may be instructed to report to the DUH Emergency Department for COVID-19 testing. Uploaded 11.18.20

Duke University Hospital, DUH Testing Guidance, Testing Guidance
Maestro Care Update for Exposure to COVID-19 Status

This document outlines more information about the Maestro Care Update for Exposure to COVID-19 status. Beginning Tuesday May 26, 2020, a new infection status, Exposure to COVID-19 will be visible within Maestro Care for patients who have a known exposure to a person infected with COVID-19 (e.g., newborn of a mother with COVID-19, close household contact of infected person). As of Tuesday, May 11, 2021, patients admitted from congregate living facilities (e.g., nursing homes, prison) are not assumed to be exposed to COVID-19. When admitting a patient who has a known exposure to a person infected with COVID-19, you must notify Infection Prevention at your facility during business hours to update the infection status and assure isolation order for Contact and Droplet entered in Maestro Care. Some patients may have a negative SARS-CoV-2 test; however, patients with a known exposure require Special Contact and Droplet Precautions for 14 days past the date of exposure while in acute care clinical settings, regardless of an initial positive or negative test. Please contact your facility's Infection Preventionist with questions. Updated 05.07.21

Clinical Guidance and Forms (General), Maestro Care
Dialysis Process in Suspected or Confirmed COVID-19 Room

This document provides guidance to dialysis nurses in the following settings: DUH (ICU with anteroom), DUH (no anteroom), and DRH (with and without anteroom). Uploaded 04.10.20

Clinical Guidance and Forms (General)
COVID Tier 2 Highlights Flyer_3.21.22 Visitor Restrictions, Operations and Visitation
Face Masks and Face Shields: Instructions for Extended Use and Reuse

This document provides important clarifications on donning and doffing for extended use and reuse of face masks (including surgical masks, tie masks, and earloop/procedural masks) and face shields for all healthcare workers providing care to patients with known or suspected COVID-19 infection. Updated 04.20.20

PPE
Request for Pregnancy Deferment from COVID-19 Vaccine Requirement

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

Vaccine, Employee Health
COVID-19 Vaccination Information for Patients

This information is now available as a smarphrase (dot phrase) to provide to patients with information about our COVID-19 vaccine (vaccination) distribution plan. Uploaded: 1.22.21

Patient Communication and Signage
Updated Visitor Restrictions Signage – 11"x17" – English

This sign notifies patients and visitors of restrictions in place for visiting at our facilities. This version of the sign is for printing on 11"x17" posters. This sign should be displayed in hospitals and clinics following the visitor restriction updates effective June 24, 2020. Uploaded 06.23.20

Patient Communication and Signage, Operations and Visitation
DUHS Inmate Patient PPE Guidelines

This document can be accessed through the Secure Policy Center. It outlines the following: inmate patient transport guidelines, guard PPE for rooms with and without a window, and patient safety requirements. Uploaded 05.07.21

PPE
Duke Primary and Urgent Care Workflow for Printing Labels at Drive-Up Test Site

This document is a tip sheet for printing labels for drive-up test collection at DPC/DUC clinics. Uploaded 03.30.20

Ambulatory DPC, Drive-Up Testing
Team Member Visitor Restrictions Talking Points

These talking points are available for team members (employees) to answer questions from patients or visitors about our visitor restrictions in place. Uploaded 08.25.21

Visitor Restrictions, FAQs and Talking Points
Ambulatory Potential COVID-19 Patient Discharge Checklist

This patient visit checklist is for healthcare workers in the ambulatory setting for planning, testing, and discharging patients with suspected COVID-19. Uploaded 03.21.20

Ambulatory DPC, Discharge Instructions
Maestro Care: Personalize Your Charge Capture – Ambulatory Setting

This Maestro Care tip sheet is for providers who work only in the Ambulatory Setting. Just as you have preference lists for diagnoses, orders and LOS, you can now create favorites for charges in Charge Capture. If you currently have to click through several lists to see the charges you use most often or you have to link modifiers to existing charges on a regular basis, build your preference list to make these options just one click away. Uploaded 02.15.21

Maestro Care
Recommended Eye Protection

The attached document contains information from the Centers for Disease Control and Prevention (CDC) regarding healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Effective 1.13.22 Updated 03.21.22

PPE, Eye Protection
Contact/Reference List for COVID-19 Topics

This one-pager lists contact information and document references to help quickly answer common questions related to COVID-19. Topics include testing, PPE, interpreter services and employee health. This resource is intended for DUHS team members at Duke University Hospital, Duke Regional Hospital and Duke Raleigh Hospital. Uploaded 04.23.20

Clinical Guidance and Forms (General), Testing Guidance
How to use DukeShift to Sign up to Work During Covid-19

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

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

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

Conference Room AV User Guide

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

Telework and Working Remotely, HR & Team Resources
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
Tips to Protect Yourself and Others from COVID-19: After-Visit Summary Instructions in English

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

Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
Earloop Masks Recommended - 8.5 x11 sign

Updated 1.9.22

Perioperative Services COVID-19 Response Plan

This document broadly outlines the general processes to be implemented should it become necessary to limit surgical services in response to a significant decrease in capacity due to COVID-19. Uploaded 03.24.20

Periop Management
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: Death Notification Process at DUH

This flowchart applies to DUH and shows the death notification process for patients with suspected or confirmed COVID-19 infection. Uploaded 04.08.20

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

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

Employee Screening Questions Sign

This sign / printable resource notifies employees they will be screened upon entry with prompting questions. Uploaded 03.26.20

Employee Health, Patient Communication and Signage, Employee Screening
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
Peritoneal Dialysis Process for DUH in Suspected or Confirmed COVID-19 Room

This document provides guidance for peritoneal dialysis nurses and describes the process for DUH in suspected or confirmed COVID-19 room. Uploaded 04.10.20

Clinical Guidance and Forms (General)
Eye Protection_Updated DUHS Recommendations_3.22.22.pdf PPE, Eye Protection
N95s and Face Shields: Instructions for Extended Use and Re-Use

This document provides important clarifications on donning and doffing for extended use and re-use of N95s and face shields for all healthcare workers providing care to patients with known or suspected COVID-19 infection. It now includes a table on page 3 of high-risk and low-risk aerosol-generating procedures and what to do with the N95 mask following those procedures. Updated 08.27.21

PPE, N95
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 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
Radiology: Tips for the Radiology Department During the COVID-19 Pandemic

This document is for Radiology Department staff and lists tips for the following: PPE, environmental cleaning, procedures and managing incidental findings. Uploaded 04.16.20

Specialty Specific Guidance
Duke Primary Care Coumadin Process Addendum for COVID-19

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

Ambulatory DPC
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
Transplant: Guidance for Transplant Recipients and Patients Receiving Immunosuppressive Therapies

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

Specialty Specific Guidance, FAQs and Talking Points, High-risk Populations
Maestro Care: Personalize Your Charge Capture – 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