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Ambulatory Routine Lab Visits – Minimizing Exposure During COVID-19 |
This document includes standard work instructions for managing patients’ routine laboratory appointments at Duke Primary and Urgent Care clinics while minimizing potential exposure to COVID-19. Uploaded 04.14.20
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Ambulatory DPC |
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DUH, PDC & DPC COVID-19 Testing Guidance |
This document provides updated guidance for COVID-19 testing. This includes recommendations for testing based on 12 categories of patients and the respective approved tests at Duke University Hospital (DUH), Private Diagnostic Clinic (PDC) and Duke Primary Care (DPC). Guidelines at Duke Regional Hospital and Duke Raleigh Hospital vary based on workflows and testing capabilities; please work with the respective entity CMO for appropriate guidance. Updated 07.14.20
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Testing Guidance, Duke University Hospital, Ambulatory PDC, Ambulatory DPC, DUH Testing Guidance |
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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
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Ambulatory DPC |
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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
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Ambulatory DPC |
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DPC Standard Work for Pediatric Lab Process |
This document includes standard work instructions for Duke Primary Care family medicine and pediatric practices to use when obtaining lab specimens from pediatric patients. Uploaded 04.23.20
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Ambulatory DPC |
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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
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Ambulatory DPC |
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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
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PPE, Ambulatory DPC, Ambulatory PDC |
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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
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Clinical Guidance and Forms (General), Ambulatory DPC, Ambulatory PDC |
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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
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Ambulatory DPC |
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Video and Telephone Visit Etiquette |
This document shares best practices for conducting professional, engaging, and clear virtual visits with patients. Uploaded 05.27.20
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Ambulatory DPC, Telehealth |
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Managing Patient Forms in the Ambulatory Setting |
This document provides guidance on managing patient forms and papers in the ambulatory care setting. This includes documents such as camp forms, sports physical forms, vaccination records, school/university form requirements, etc. Uploaded 06.26.20
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Ambulatory DPC, Ambulatory PDC |
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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
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Ambulatory DPC, Clinical Guidance and Forms (General) |
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Guidelines for the Management of Patients Infected with or Exposed to COVID-19 in Ambulatory Pediatric Clinics |
This document provides guidelines for the management of patients infected with or exposed to COVID-19 in ambulatory pediatric clinics. Uploaded 10.19.20
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Ambulatory PDC, Ambulatory DPC, Pediatrics, Pediatric Specific Guidance |
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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
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Ambulatory DPC |
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Medical Assistant NP Swab Competency |
This document lists the outcomes medical assistants must demonstrate to obtain competency validation for specimen collection via nasopharyngeal swabs. Uploaded 05-06-21
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Ambulatory DPC |
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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
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Ambulatory DPC |
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AVS Additional Information Template (Editable) |
This Word document can be edited by staff working to discharge patients. It was created in response to the request to provide written instructions to patients in addition to the after visit summary instructions in PDF format. Uploaded 04.15.20
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Patient Communication and Signage, Ambulatory DPC |
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DPC and PDC Patient and Visitor Screening |
This document includes instructions for DPC and PDC clinics for screening all patients and visitors upon entry to the clinic. Updated 09.08.20
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Ambulatory PDC, Ambulatory DPC |
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AVS Known COVID-19 Infection: Guidelines for You and Others in Your Home After Hospital Discharge |
These after-visit summary instructions are for English-speaking patients who have known COVID-19 infection and are being discharged from the hospital. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20
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Ambulatory DPC, Discharge Instructions, Patient Communication and Signage |
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DPC COVID-19 Patient/Visitor Screening |
This document includes guidelines and scripting for patient and visitor screening at Duke Primary and Urgent Care clinics. Uploaded 07.29.20
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Ambulatory DPC |
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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
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Ambulatory DPC, Employee Health |
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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
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Ambulatory DPC, Employee Health, Employee Screening |
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Duke Primary and Urgent Care Process Flowchart for Virtual Visits |
This flowchart depicts the process for DPC-DUC virtual visits for COVID patients. Uploaded 09.17.20
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Ambulatory DPC, Telehealth |
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Duke Primary Care Process Flowchart for Non-COVID-19 Virtual Visits |
This flowchart depicts the process for DPC virtual visits for non-COVID patients. Uploaded 04.01.20
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Ambulatory DPC, Telehealth |
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Duke Urgent Care Process for Scheduling a Video Visit |
This document is the standard work for scheduling DUC video visits. Uploaded 03.27.20
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Ambulatory DPC, Telehealth |
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Duke Primary and Urgent Care Process for Scheduling a Telephone Visit |
This document is the standard work for scheduling telephone visits. Uploaded 03.24.20
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Ambulatory DPC, Telehealth |
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Duke Primary Care Process for Converting Scheduled Office Visits to Telephone Visits |
This document is the standard work for converting existing office visits to telephone visits for non-COVID patients. Uploaded 03.23.20
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Ambulatory DPC, Telehealth |
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Duke Urgent Care Process for Telephone Visits |
This document is the standard work for DUC clinic staff and providers when scheduling and conducting a telephone visit. Uploaded 03.26.20
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Ambulatory DPC, Telehealth |
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Duke Primary Care Process for Conducting Telephone Visits on Day of Appointment |
This document is the standard work for DPC clinic staff and providers when conducting a telephone visit to clarify the role of providers and staff in telephone visits when working from home. Uploaded 04.29.20
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Ambulatory DPC, Telehealth |
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Duke Primary and Urgent Care Telephone Visit Maestro Tip Sheet |
This Maestro tip sheet is for DPC and DUC providers to reference for information on documentation and billing when conducting telephonic visits. Uploaded 03.19.20
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Ambulatory DPC, Telehealth |
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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
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Ambulatory DPC, Discharge Instructions |
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AVS COVID-19 Infection with Mild or No Symptoms: Guidelines for You and Others in Your Home in English |
These after-visit summary instructions are for English-speaking patients who have no symptoms or mild symptoms that may be caused by COVID-19 who do not require hospital treatment. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with symptoms that may be caused by COVID-19. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20
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Ambulatory DPC, Discharge Instructions, Patient Communication and Signage |
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AVS (Spanish) COVID-19 Infection with Mild or No Symptoms-Guidelines for You and Others in Your Home |
These after-visit summary instructions are for Spanish-speaking patients who have no symptoms or mild symptoms that may be caused by COVID-19 who do not require hospital treatment. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with symptoms that may be caused by COVID-19. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20
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Ambulatory DPC, Discharge Instructions, Patient Communication and Signage, Spanish |
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Tips to Prevent the Spread of COVID-19: Pediatrics After-Visit Summary Instructions in English |
This document is for English-speaking patients with low health literacy skills, including children, and illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS. Uploaded 04.02.20
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Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions |
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Tips to Prevent the Spread of COVID-19: Pediatrics After-Visit Summary Instructions in Spanish |
This document is for Spanish-speaking patients with low health literacy skills, including children, and illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS. Uploaded 04.02.20
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Spanish, Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions |
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Tips for Preventing the Spread of COVID-19: Pediatric After-Visit Summary in Arabic |
This document is for Arabic-speaking patients with low health literacy skills, including children, and illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS. Uploaded 04.02.20
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Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions |
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Home Visitor Log for Symptomatic COVID-19 Patients |
This document is an NCHHS log for providers to use with patients who have COVID-10 symptoms and must track visitors to their home. Uploaded 03.21.20
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Ambulatory DPC |
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Outpatient: Required PPE |
This document is an 8.5x11 flyer for healthcare workers showing required PPE for outpatient care. Uploaded 03.21.20
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PPE Signage-Clinical, Ambulatory DPC |
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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
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Ambulatory DPC |
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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
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Ambulatory DPC, Drive-Up Testing |
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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
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Ambulatory DPC, Drive-Up Testing |
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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
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Ambulatory DPC, Drive-Up Testing |
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Duke Primary Care Process for Scheduling a Drive-Up Testing Visit |
This document is the standard work for scheduling drive-up test collection at DPC/DUC clinics. Uploaded 09.11.20
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Ambulatory DPC, Drive-Up Testing |
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Duke Primary and Urgent Care Patient Instructions for Drive-Up Testing |
This document contains instructions for patients coming to a DPC/DUC clinic for drive-up test collection. Updated 03.04.21
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Ambulatory DPC, Drive-Up Testing |
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Duke Primary Care Process for Running Canceled Patient Reports in Maestro Care |
This document gives step-by-step instructions to run a report of canceled patient visits in Maestro Care. Uploaded 03.30.20
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Ambulatory DPC |
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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
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Ambulatory DPC, Drive-Up Testing |
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Duke Primary Care PPE and Lab Supplies Takeaways and FAQ |
This document for managers clarifies their responsibilities related to supplies, including PPE, during the COVID-19 pandemic. Uploaded 04.02.20
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Ambulatory DPC, PPE, FAQs and Talking Points |
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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
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Ambulatory DPC |
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Duke Primary Care Standard Work Guidelines for Temporary INR Clinic |
This document is the standard work for LPNs, RNs, and providers for INR clinic during the COVID-19 response. Uploaded 03.30.20
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Ambulatory DPC |
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COVID-19: Protecting You and Your Loved Ones |
This handout (8.5 x 11) is being given to visitors/patients as part of the screening process when they enter a Duke entity. English. Uploaded 03.24.20
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Ambulatory DPC, Patient Communication and Signage |
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COVID-19: Protecting You and Your Loved Ones (Spanish) |
This handout (8.5x11) is being given to Spanish-speaking visitors/patients as part of the screening process when they enter a Duke entity. Spanish. Uploaded 03.24.20
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Ambulatory DPC, Patient Communication and Signage, Spanish |
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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
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Ambulatory DPC, Employee Health |
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Duke Primary and Urgent Care Patient Instructions for Drive-Up Testing in Spanish |
This document contains instructions in Spanish for patients coming to a DPC/DUC clinic for drive-up test collection. Updated 03.04.21
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Ambulatory DPC, Drive-Up Testing, Spanish |
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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
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Ambulatory DPC |
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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
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Ambulatory DPC |
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Registration Bypass Warning Report-Travel Screening (3.13.20) |
This document is for ambulatory scheduling staff and outlines how to run and navigate the Registration Bypass Warning Report-Travel Screening. Uploaded 03.26.20
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Ambulatory DPC |
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DPC Outpatient Clinics Do Not Enter Sign in Spanish |
This a Duke Primary Care Outpatient Clinics "Do Not Enter" sign if you have COVID symptoms. Spanish. Uploaded 03.22.20
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Patient Communication and Signage, Ambulatory DPC, Spanish |
