Title Description Tags
Know Share Do 12.21.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.21.20.

Know Share Do
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
Hope4Healers Emotional Support Hotline Information

The Hope4Healers Helpline is for health care professionals (and their families) who are experiencing stress from being on the front lines of the state’s COVID-19 response. It offers mental health and resilience support, 24 hours a day, seven days a week. This flyer has the basics. Learn more about Hope4Healers here. Uploaded 08.03.2020

Well-being & Emotional Support
COVID-19 Inpatient Anticoagulation Protocol – for ICU and non-ICU patients

The attached document contains information about managing COVID-19 inpatient anticoagulation protocol (antithrombotic therapy) for ICU and non-ICU patients. Uploaded 05.12.20

Clinical Guidance and Forms (General)
Know Share Do 4.16.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.16.20.

Know Share Do, FAQs and Talking Points
Know Share Do 06.14.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.14.21.

Know Share Do
Know Share Do 3.31.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.31.20.

Know Share Do, FAQs and Talking Points
After Your Vaccine: When to Contact your Healthcare Provider

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

Vaccine
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
(Poster) Criteria for Discontinuation of Special Airborne Contact Isolation

This poster provides updated guidance to healthcare workers on when to discontinue special airborne contact (SAC) isolation for patients with COVID-19 (Discontinuing isolation). This guidance applies to all areas of Duke Health including adult and children’s inpatient, outpatient, surgical, procedural and other care areas. The 11”x17” poster includes the tables and flowchart to outline this criteria. Uploaded 12.12.20

Clinical Guidance and Forms (General), Special Airborne Contact
Know Share Do 6.01.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 6.01.20.

FAQs and Talking Points, Know Share Do
Duke Regional Hospital ED, Inpatient Guidelines for COVID-19 Testing

This document outlines various COVID-19 tests that are available at DRH and preferred indications. The DRH CMO team will continue to review these indications and provide updates as needed. This document should be utilized in concert with the COVID-19 testing ordering panel, which provides guidance on isolation recommendations. Uploaded 06.30.20

Testing Guidance, Duke Regional Hospital
Directions to DRAH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the DRAH Employee Vaccination Clinic. This clinic will accept all walk-in vaccinations – no appointment is necessary. Uploaded 7.22.21

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Duke Raleigh Hospital, Vaccine
Neurology: Triage Policy for Performing Clinical Evoked Potentials on COVID-19 Patients

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

Neurology, Specialty Specific Guidance
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
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
Know Share Do 9.23.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.23.20.

Know Share Do, FAQs and Talking Points
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
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
PPE Doffing Procedure: No anteroom, no gloves and/or disinfectant in room at threshold

This document provides instructions for safely removing PPE in inpatient and ED environments where there is no anteroom or where gloves and/or disinfectant wipes are not available in room at the threshold. Uploaded 04.03.20

PPE, Donning & Doffing
Maestro Tip Sheet: Karsh COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
3.26 Know Share Do

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.26.20.

Know Share Do, FAQs and Talking Points
Duke Raleigh Hospital Guidelines for Covid-19 Testing

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

Testing Guidance, Duke Raleigh Hospital
Reusable Cloth Isolation Gown Process at DRH

This document outlines the Duke Regional Hospital process for using reusable cloth isolation gowns. The reusable cloth gowns are for one-time use only and should be discarded in the “gown only” linen bag immediately after each use. Updated 06.10.20

PPE, PPE Signage-Clinical, Duke Regional Hospital
Respiratory Therapy Guidance During COVID 19 Response

This document provides guidance for the safe delivery of respiratory therapeutics during the COVID-19 pandemic. Updated 05.07.20

Clinical Guidance and Forms (General), PPE, PPE Signage-Clinical
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
FAQs regarding the Johnson & Johnson vaccination update April 13, 2021 – Spanish

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This document includes answers for our team members to use to answer to frequently asked questions from our patients and the community. This version of the FAQs is in Spanish. Uploaded 04.16.21

Vaccine, FAQs and Talking Points, Spanish, Patient Communication and Signage
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
Know Share Do 11.30.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.30.20.

Know Share Do, 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
Education for Updated Isolation Sign for Special Droplet & Contact Precautions

Isolations signs for special droplet and contact precautions have been updated to include when to use face shield to provide care in various situations. This handout familiarizes readers with the new signs. Uploaded 05.14.20

PPE Signage-Clinical
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
Know Share Do 05.17.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.17.21.

Know Share Do
Employee Role Instructions at Drive-Up Collection Sites

This document outlines the roles of each staff member at drive-up collection sites (i.e., swabber, spotter, runner and doc of the day). Uploaded 03.30.20

Ambulatory DPC, Drive-Up Testing
Know Share Do 12.23.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.23.20.

Know Share Do
Attention at Check-in (Spanish)

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

Patient Communication and Signage, Spanish
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 University Hospital Pediatric Visitation Guidelines

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

Pediatric Specific Guidance, Pediatrics, Duke University Hospital
Antibody Testing Patient FAQs

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

Patient Communication and Signage, FAQs and Talking Points
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
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
Going Home Well-being Checklist 8.5x11 Sign

This 8.5x11 employee-facing sign / printable resource serves as a going-home checklist to recharge. Uploaded 03.31.20

Employee Health, Well-being & Emotional Support
Spanish – After Your Vaccine: When to Contact your Healthcare Provider

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

Patient Communication and Signage, Vaccine
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
Know Share Do 08.17.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.17.20.

Know Share Do, FAQs and Talking Points
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
DPC Nasopharyngeal Swab Competency

This document lists the outcomes nurses must demonstrate to obtain competency validation for specimen collection via nasopharyngeal swabs. Updated 05.06.21

Ambulatory DPC
Directions to DRH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the new DUH Employee Vaccination Clinic starting July 23, 2021. Please note that the DUH clinic will provide vaccinations by appointment, however, we will also accept walk-ins but appointments will have priority. Uploaded 7.22.21

Duke Regional Hospital, Vaccine
Neurology: Triage Policy for Performing EEGs on COVID-19 Patients

This document contains the triage algorithm for determining medical necessity and urgency of Electroencephalogram (EEG, long term monitoring [LTM], epilepsy monitoring) studies on patients with a suspected or confirmed COVID-19 infection. Uploaded 04.01.20

Neurology, Specialty Specific Guidance
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
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
Criteria for Adequate Eye Protection

Duke Health recommends the use of eye protection for all staff having direct interaction with patients and visitors. Direct interaction is defined as face-to-face interaction such as entering a patient’s care environment (e.g. exam room, hospital room, bay, etc.) or coming within 6 feet for any duration of time. Face shields are the preferred eye protection as they provide full coverage of the eyes and protect the underlying face mask from potential contamination.

We recognize that some team members are seeking alternatives to face shields. Supply chain issues have made purchase of large quantities of safety goggles challenging. As such, this resource is meant to provide guidance for selecting alternate adequate eye protection to the widely available Duke-approved face shields. Uploaded 09.25.20

PPE, Eye Protection
Know Share Do 06.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.22.20.

FAQs and Talking Points, Know Share Do
Know Share Do 4.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.28.20.

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

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

PPE, Clinical Guidance and Forms (General), Discharge Instructions
Maestro Tip Sheet: Southern High COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
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
Know Share Do 10.26.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 10.26.20.

Know Share Do, FAQs and Talking Points
DRH ED – Inpatient Testing Protocol

This document contains information about the Duke Regional Hospital testing protocol for patients who need to be admitted from the emergency department. Updated 06.19.20

Clinical Guidance and Forms (General), Duke Regional Hospital
COVID-19 Know Share Do 05.08.20

This file contains the manager Know Share Do's for 05.08.20.

Know Share Do
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
4.14.21 Update for Patients Who Received the J&J Vaccine

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This email was distributed to all Duke Health patients who received a J&J vaccine within three weeks of the update from the CDC and FDA. Uploaded 04.16.21

Vaccine
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 04.14.20

PPE, N95
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
Ambulatory Clinical Triage Algorithm

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

Ambulatory DPC
DRAH Recommended Eye Protection

The attached document for Duke Raleigh Hospital contains information from the Centers for Disease Control and Prevention (CDC) regarding DRAH healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Updated 07.14.20

PPE, Duke Raleigh Hospital
Education for Updated Isolation Sign for Special Droplet Precautions

Isolations signs for special droplet precautions have been updated to include when to use face shield to provide care in various situations. This handout familiarizes readers with the new signs. Uploaded 05.14.20

PPE Signage-Clinical
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
Process for referring outpatient/visitor to 1J COVID Vaccine Clinic

This document outlines the process for referring outpatients/visitors to 1J COVID Vaccine Clinic. Uploaded 05.17.21

Duke University Hospital, Clinical Guidance and Forms (General)
Duke Primary and Urgent Care Process Flowchart for Drive-Up Test Collection Sites

This flowchart depicts the process for drive-up test collection at DPC/DUC clinics. Uploaded 03.30.20

Ambulatory DPC, Drive-Up Testing
Know Share Do 01.04.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.04.21.

NP Swab Collection and Transport Instructions

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

Testing Guidance
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)
Know Share Do 5.27.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.27.20.

Know Share Do, FAQs and Talking Points
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
Closure of Drive-up COVID-19 Testing Tents Tip Sheet

The drive-up COVID-19 test collection site at Duke Raleigh Hospital will close June 22, and the one on Willard Street in Durham will close June 29. This tip sheet has more information about Duke Health locations that will offer COVID-19 testing starting June 22. The document also includes hours of operation, target population, and scheduling instructions. Uploaded 7.28.21

Drive-Up Testing, Testing Guidance
Going Home Well-being Checklist Digital Sign

This employee-facing digital sign offers simple steps to power down, rest and recharge. Uploaded 03.31.20

Employee Health, Well-being & Emotional Support
Universal Masking Guidelines – Double Masking Review

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

 

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

 

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

 

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

 

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

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

Mask modifications:

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

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

 

References:

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

PPE, Clinical Guidance and Forms (General)
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
Know Share Do 08.19.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.19.20.

Know Share Do, FAQs and Talking Points
Know Share Do 6.03.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 6.03.20.

Know Share Do, FAQs and Talking Points
N95 Mask Collection Standard Work for DPC

This document includes standard work instructions for collecting N95 masks at the end of Duke Primary and Urgent Care team members’ shifts. Uploaded 04.22.20

Ambulatory DPC
FAQs about the COVID-19 Delta Variant

This document provides background for DUHS team members on the prevalence and spread of the COVID-19 Delta variant and what to do in case of a potential exposure. Uploaded 07.23.21

Employee Health
Perioperative Team Management for COVID19 Patient

This document is the algorithm for safe transfer of COVID/PUI Level 1 Trauma patient from Emergency Department to Operating Room. Uploaded 04.01.20

Periop Management
Know Share Do 03.01.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.01.21.

Know Share Do
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
Know Share Do 09.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.28.20.

Know Share Do, FAQs and Talking Points
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
Know Share Do 4.29.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.29.20.

Know Share Do, FAQs and Talking Points
Know Share Do 4.6.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.06.20.

Know Share Do, FAQs and Talking Points
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
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
Tips for hosting fun virtual celebrations

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

Well-being & Emotional Support, Employee Health
Outside Hospital Transfer / Direct DRH Admit Testing Protocol

This document contains information about the Duke Regional Hospital testing protocol for patients directly admitted to DRH or who have been transferred to DRH from another facility. Updated 06.19.20

Clinical Guidance and Forms (General), Duke Regional Hospital
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
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)
Opioid Use Training Disorder Training Series

Southern Regional AHEC, Durham County Public Health, Alliance Health, and Duke AHEC are partnering to offer a livestream Opioid Use Training Disorder Training series for MDs, LCSWs, RNs, CMs, Pharmacists and APPs. Sessions will be held May 12, 19 and 26, 2021, from 12 p.m. – 12:30 p.m. The series is free to attend, and the first 100 registrants will receive CE credit. This document includes more information about the series and a registration link to join. Uploaded: 04.16.21

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
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
VPN Connection Guide

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

Telework and Working Remotely, HR & Team Resources
Know Share Do 07.13.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.13.20.

Know Share Do, FAQs and Talking Points
Know Share Do 5.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.15.20.

Know Share Do, FAQs and Talking Points
Know Share Do 4.14.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.14.20.

Know Share Do, FAQs and Talking Points
Isolation of Patients with Repeat Positive COVID-19 Tests or Discrepant COVID-19 Test Results

The DUHS Infection Prevention teams have published standardized guidance for isolation of patients with repeat positive COVID-19 tests or discrepant COVID-19 test results. As a reminder, please contact your facility’s on-call Infection Prevention Specialist during business hours (8a-6p) before discontinuing Special Airborne Contact Isolation orders for a patient whose Maestro Care COVID banner indicates COVID-19.  Uploaded 05.20.21

Testing Guidance, DUH Testing Guidance
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
Vaccine Distribution Guidance

The North Carolina Department of Health and Human Services recently updated their guidance on vaccine distribution. Duke Health is following all federal, state and local guidelines on the distribution of the vaccine to ensure that it is equitably administered within each group. This infographic is now available for sharing internally and externally. Uploaded 01.14.21

Suspending Use of Contact Isolation for MRSA and VRE Colonization Patients

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

PPE, PPE Conservation
Duke Health Pre-operative and Pre-Procedural Guidelines for COVID-19 Testing

The purpose of this document is to outline the Duke Health recommendations for the use of testing for surgical and non-surgical procedures. The following recommendations apply to all Duke Health patients > 3 days old undergoing the following procedures: bronchoscopy, transesophageal echocardiography, electrical cardioversion, electrophysiology procedures requiring general anesthesia, electroconvulsive therapy, upper and lower endoscopy, fluoroscopically guided enteric tube placements, and interventional radiology procedures requiring anesthesia. Uploaded 08.04.20

Testing Guidance, Clinical Guidance and Forms (General), Periop Testing
DPC Patient and Visitor Screener Information IR Thermometer Use

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

Ambulatory DPC
Duke 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
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
Orthopaedics: Guidance for Scheduling Follow-up Visits

This document contains clinical guidelines for Duke Orthopaedics providers to use when determining how and when to schedule follow up visits. Uploaded 03.31.20

Orthopaedics, Specialty Specific Guidance
Know Share Do 2.1.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 2.1.21.

Know Share Do
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
Know Share Do 08.24.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.24.20.

Know Share Do, FAQs and Talking Points
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
Know Share Do 4.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.22.20.

FAQs and Talking Points, Know Share Do
Know Share Do 07.26.21

This document is the "Know, Share, Do" Clinical Operations updates managers should use during staff huddles on 7.26.21.

Know Share Do
DPC Nurse/Lab Visit recommendations in response to COVID 19

This document lists recommended changes to nurse and lab visits for Duke Primary Care practices due to COVID-19. Uploaded 04.01.20

Ambulatory DPC
Know Share Do 3.8.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.08.21.

Know Share Do
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
Know Share Do 09.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.28.20.

Know Share Do, FAQs and Talking Points
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
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 06.15.20

PPE Signage-Clinical, PPE, Donning & Doffing
Quick Tips on Documentation and Coding During the COVID-19 Pandemic

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

Clinical Guidance and Forms (General)
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

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
Know Share Do 11.02.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 11.02.20.

Know Share Do, FAQs and Talking Points
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
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
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
Visitor Safety Precautions

This one-page handout lists the safety precautions that are currently in place for visitors to Duke Health. This handout can be given to all visitors to remind them of how they should do their part to reduce the spread of infection while at our facilities. Uploaded 04.16.21

Visitor Restrictions
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
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
CISCO Webex Guide

This document is for all staff and explains how to use Cisco WebEx Conferencing application to conduct virtual meetings. It provides details on video and audio conferencing via desk phones, PC, mobile devices and conference rooms. Uploaded 03.21.20

Telework and Working Remotely, HR & Team Resources
Know Share Do 07.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.15.20.

Know Share Do, FAQs and Talking Points
Patient email update sent on 5.15.2020

This patient email was sent on 5.15.20 and talks about the importance about not delaying needed care and the safety measures Duke Health has put into place. Uploaded 05.15.20

Patient Communication and Signage
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
Know Share Do 05.24.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.24.21.

Know Share Do
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
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
COVID-19 Duke Health Visitor Restrictions Policy Update

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

Operations and Visitation, Visitor Restrictions
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
COVID Mask guidelines to patient signage (English)

This sign instructs English-speaking patients and visitors to wear a mask at all times and shows how to put on the mask. Uploaded 05.27.20

Patient Communication and Signage
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
Know Share Do 6.21.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.21.21.

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
DUH COVID Vaccine Clinic - NCID Access

For those interested in serving in the role of Vaccinator or Registration, this document gives instructions to register for NCID access. Updated 02.09.21

Vaccine
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
Know Share Do 08.26.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.26.20.

Know Share Do, FAQs and Talking Points
Special Droplet and Special Droplet & Contact Sign Ordering Reference

Special Droplet and Special Droplet & Contact signs are now available for order in Eprint. This document is a reference that provides guidance to order these signs. Uploaded 06.05.20

PPE Signage-Clinical, PPE, Clinical Guidance and Forms (General), High-risk Populations
Face Shield Tip Sheet

This resource can be used to help healthcare workers determine the best process for reuse and extended use of their face shield. Specifics about the disposable face shields as compared to the extended use face shields are included in this resource. Uploaded 04.22.20

PPE
DUHS COVID-19 Safety Plan (OSHA ETS)

In response to the COVID-19 pandemic and to fulfill the Office of Safety and Health Administration’s (OSHA) Emergency Temporary Standard (ETS) requirements, Duke Health has developed a COVID-19 Safety Plan to be used in addition to previously implemented policies, training, recordkeeping, and reporting. This document includes policies and procedures to minimize the risk of transmission of COVID-19, in accordance with OSHA’s COVID-19 ETS for Healthcare. Uploaded 7.28.21. 

Employee Health, Clinical Guidance and Forms (General), PPE
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. Uploaded 04.01.20

PPE Signage-Clinical, Donning & Doffing
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
3.23 Know Share Do

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.23.20.

Know Share Do, FAQs and Talking Points
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)
Patient Letter for Updated Visitor Restrictions Effective April 21, 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 07.20.21

Patient Communication and Signage, Operations and Visitation
DRAH Connect with Well-Being and Emotional Support Resources

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

Employee Health, Duke Raleigh Hospital
DRH Protocol for Perioperative Management of Surgical Procedures During the COVID-19 Pandemic

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

Periop Management, Duke Regional Hospital
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

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
Patient/Visitor Letter Regarding Duke Health Network Access Update

Duke Health is enacting additional network security measures to help mitigate an ongoing and serious cyber threat and protect our patients, staff and infrastructure. Effective immediately, all devices connected to the Duke Health network will be prevented from accessing personal email and social media accounts. We understand that this necessary precaution will not be easy for many of our team members and patients. This letter may be used to explain this update to our patients and visitors. Uploaded 11.01.20

Patient Communication and Signage, Operations and Visitation
Know Share Do 7.1.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.01.20.

Know Share Do, FAQs and Talking Points
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
Know Share Do 4.10.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.10.20.

Know Share Do, FAQs and Talking Points
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
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
Vaccination Talking Points for Patients and Community

These talking points can be used to help answer questions from patients and the community the COVID-19 vaccination. They have recently been updated to address questions regarding the safety of the vaccines, how to join our vaccination waiting list and whether patients can choose which vaccine they will receive. Uploaded 3.5.21

FAQs and Talking Points, Patient Communication and Signage
Guidance for Person Under Investigation for COVID-19

This NC DHHS form is for any person under investigation being tested for COVID-19. Uploaded 03.21.20

Ambulatory DPC
Know Share Do 07.20.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.20.20.

Know Share Do, FAQs and Talking Points
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
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
3M 1870 Plus N95 Seal Check Instructions

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

N95, PPE, Donning & Doffing
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
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
3.16 Know Share Do

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.16.20.

Know Share Do, FAQs and Talking Points
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
Know Share Do 08.05.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.05.20.

Know Share Do, FAQs and Talking Points
COVID Mask guidelines to patient signage (Spanish)

This sign instructs Spanish-speaking patients and visitors to wear a mask at all times and shows how to put on the mask. Uploaded 05.27.20

Patient Communication and Signage
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
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
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
What to know before you go: Shifts at Duke Vaccination Clinics

This documents key facts to know before working or volunteering at a Duke vaccination (vaccine) clinic. Updated: 6.9.21

Vaccine
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
Duke Raleigh Hospital Cintas Scrub Transition

On Thursday, September 10, Duke Raleigh Hospital will begin using the scrub carrier Cintas for all work-provided scrubs in our Operating Rooms and the Duke Raleigh Hospital Eye Surgery Center. For those team members working in these areas, please review the new process for obtaining your hospital-provided scrubs. Uploaded 08.26.20

Duke Raleigh Hospital
Patient and Visitor Talking Points

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

FAQs and Talking Points, Patient Communication and Signage, HR & Team Resources
Head Covering PPE Recommendations

Head coverings, including bouffant caps, headbands with buttons and surgical caps, are not CDC recommended or required PPE for the care of suspected or confirmed COVID-19 patients (outside of performing sterile procedures). This document provides more information about DUHS recommendations on head coverings for our team members. Uploaded 04.22.20

PPE
Know Share Do 08.02.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 08.02.21.

Know Share Do
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
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
3.24 Know Share Do

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.24.20.

Know Share Do, FAQs and Talking Points
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
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
Key Messages for Communicating Enhancing Patient Access to Care

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

Patient Communication and Signage, FAQs and Talking Points
DUHS Patient Education for COVID-19

This document provides COVID-19 patient education resources available in Maestro Care. Uploaded 04.06.20

Patient Communication and Signage
Know Share Do 03.29.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.29.21.

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
Know Share Do 11.09.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.09.20.

Know Share Do, FAQs and Talking Points
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. Uploaded 09.25.20

PPE, Eye Protection