Title Description Tags
Position Statement – Patients Scheduled for Elective Procedures Who Refuse COVID-19 Testing

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

Clinical Guidance and Forms (General), Testing Guidance
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)
Patient Letter – COVID-19 Test Refusal Prior to Procedure

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

Clinical Guidance and Forms (General), Testing Guidance, Patient Communication and Signage, Elective Procedure, Periop Testing
Duke 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
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
(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
Federal Medical Complex Butner Federal Forensic Patient Care

This document can be accessed through the Secure Policy Center. This document outlines care policies and FAQs for the care of forensic patients from Butner Federal Medical Complex (FMC). These policies address the care of an inmate patient who is under the legal custody of law enforcement or a correctional facility. Uploaded 06.05.20

Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Clinical Guidance and Forms (General), High-risk Populations
CMS Payment Update for Counseling COVID-19 Patients during Self-Isolation Period

This document provides more information about an update from the Centers for Medicare and Medicaid Services (CMS) that now allows 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 09.16.20

Clinical Guidance and Forms (General), Maestro Care
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)
Decedent Care: Visitation Procedure at DRAH During End-of-Life

This flowchart applies to DRAH and shows the procedure for supporting family presence and participation/visitation during end-of-life of patients with suspected or confirmed COVID-19 infection. Uploaded 06.24.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke Raleigh Hospital
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
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
Inpatient Management of Multisystem Inflammatory Syndrome in Children (MIS-C)

This document is titled "Inpatient Management of Multisystem Inflammatory Syndrome in Children (MIS-C)." This document provides early guidance to clinicians managing children with symptoms associated with the recently described Multisystem inflammatory syndrome in children (MIS-C) in the Inpatient setting. Uploaded 06.29.20

Clinical Guidance and Forms (General), Testing Guidance, Pediatric Specific Guidance, Pediatrics
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)
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
Emergency Department Evaluation for Suspected Multisystem Inflammatory Syndrome in Children (MIS-C)

This document is titled "Emergency Department Evaluation for Suspected Multisystem Inflammatory Syndrome in Children (MIS-C)." This document provides early guidance to clinicians managing children with symptoms associated with the recently described Multisystem inflammatory syndrome in children (MIS-C) in the Emergency Department. Uploaded 06.29.20

Clinical Guidance and Forms (General), Testing Guidance, Pediatric Specific Guidance, Pediatrics
Emergency Use Authorized Monoclonal Antibody Infusion for Mild/Moderate COVID-19: Guidance for Referring Duke Clinicians

 

This document provides guidance for referring Duke clinicians for Emergency Use Authorized Monoclonal Antibody Infusion (MAB) for Mild/Moderate COVID-19. COVID-19 MABs are investigational drugs with Emergency Use Authorization (EUA) from the FDA. MAB infusions are associated with reduced rates of hospitalization, especially among patients at HIGH RISK of disease progression. If administered, the medication is free o Patients may be charged for the actual infusion and monitoring. If the patient is enrolled in a CLINICAL TRIAL, the infusion and monitoring will be covered by the trial. Uploaded 5.28.21

Clinical Guidance and Forms (General)
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
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
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)
Disinfection Guidance for Inpatient Tablet & Accessories

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

Telehealth, Clinical Guidance and Forms (General)
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
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
Guidance for Appropriate Repeat COVID-19 Testing

This document provides guidance for providers on appropriate test utilization for COVID-19 PCR (appropriate COVID-19 repeat testing). Please note that all test orders available at DUHS (POC test, rapid test, pre-procedural test, inpatient test, outpatient test, and IP test) have gone through a rigorous validation process and that all results may be used as part of these repeat testing strategies. Updated 08.05.20

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

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

Clinical Guidance and Forms (General)
Duke University Hospital Guidance for Interpreter Services on Duke-Issued Tablets for Patients with Suspected COVID-19

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

Telehealth, Clinical Guidance and Forms (General), Duke University Hospital
Decedent Care: Visitation Procedure at DRH During End-of-Life

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

Clinical Guidance and Forms (General), Operations and Visitation, Duke Regional Hospital
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)
Tracheostomy Protocol During COVID-19

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

Clinical Guidance and Forms (General)
Managing Infants born to Mothers with Suspected or Confirmed COVID-19

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

Pediatric Specific Guidance, Clinical Guidance and Forms (General)
Estimated Glomerular Filtration Rate Will Now Be Calculated Without a Race-Based Correction Coefficient

Historically, estimated glomerular filtration rate (eGFR) was calculated using a formula that included a person's body habitus, age, sex, serum creatinine, and race. Recently, the validity and appropriateness of a race-based correction to eGFR has been questioned; in response, the American Society of Nephrology and the National Kidney Foundation have reviewed the data underlying the race-based correction and determined that race can be removed from eGFR calculations as work continues for a new national standard. Beginning June 15, 2021, Duke Health is eliminating the race-based correction coefficient from eGFR. More information about this update is available in this document. This is a first step in preparation for national guidelines that will standardize measurements of kidney function and will help ensure that our patients receive care that is fair, just, and free of bias. Uploaded 6.4.21

Clinical Guidance and Forms (General)
Duke Guidelines for Antithrombotic Therapy in Hospitalized Patients with COVID 19

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

Clinical Guidance and Forms (General)
DRH Protocol for Inpatients with New Symptoms Concerning for COVID-19

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

Duke Regional Hospital, Clinical Guidance and Forms (General)
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 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)
Duke Raleigh Hospital COVID-19 EVS Room Cleaning Procedure

This document includes guidelines for Duke Raleigh Hospital EVS team members on cleaning procedures for inpatient rooms during the COVID-19 response. Uploaded 7.22.20

PPE, Clinical Guidance and Forms (General), Duke Raleigh Hospital
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 8.11.21. 

Employee Health, Clinical Guidance and Forms (General), PPE
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
Duke Raleigh Hospital COVID-19 EVS Room Cleaning Checklist

This document provides a checklist for Duke Raleigh Hospital EVS team members on the cleaning procedures for inpatient rooms during the COVID-19 response. Uploaded 7.22.20

PPE, Clinical Guidance and Forms (General), Duke Raleigh Hospital
Advance Care Planning Resources

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

Clinical Guidance and Forms (General)
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
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
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
DUH ICU Guidance

This document is meant to serve as internal guidance for the identification and management of patients admitted to Duke University Hospital with COVID-19 who progress to shock or respiratory failure. Uploaded 04.15.20

Clinical Guidance and Forms (General), Duke University Hospital, ICU Care
DRH ICU Protocol

This document is meant to serve as internal ICU guidance for the identification and management of patients admitted to Duke Regional Hospital with COVID-19 who progress to shock or respiratory failure. Uploaded 04.15.20

Clinical Guidance and Forms (General), Duke Regional Hospital, ICU Care
ICU Educational Resources for the Non-ICU Clinician - Duke University Health System

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

Clinical Guidance and Forms (General), ICU Care
DUH Visitor Exception Approval Process During COVID Visitor Restriction Period

This flow chart provides guidance for family presence and participation during end of life for COVID positive patients, PUI's, and non-COVID patients at Duke University Hospital. Uploaded 04.16.20

Clinical Guidance and Forms (General), Operations and Visitation, Duke University Hospital, Decedent Care
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
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
Criteria for Discontinuation of Special Airborne Contact Isolation

This document provides updated guidance to healthcare workers on when to discontinue special airborne contact (SAC) isolation for patients with COVID-19 (Discontinuing isolation). This guidance applies to all areas of Duke Health including adult and children’s inpatient, outpatient, surgical, procedural and other care areas. CDC now recommends using a symptom-based strategy alone for discontinuation of special airborne contact isolation for patients infected with COVID. Enough evidence has accumulated to show that patients are not shedding live, infectious virus after a specified amount of time passes from symptom onset. As such, Duke Health will no longer use the test-based strategy (i.e. 2 negative tests) to discontinue Special Airborne Contact isolation for patients with COVID and begin using the symptom-based strategy outlined below. Updated 12.12.20

Clinical Guidance and Forms (General), Special Airborne Contact
Recommendations for Negative Pressure Rooms and/or HEPA Filtration

This one-pager highlights the importance of wearing appropriate PPE during aerosol-generating procedures. It also explains the role of negative room pressurization, and recommendations for what to do if a HEPA filter is not available. Uploaded 04.10.20

Clinical Guidance and Forms (General), PPE
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
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)
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)
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)
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
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
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)
Maestro Care screening tip sheet

This document outlines Maestro Care travel and communicable disease screening tips for healthcare workers to assist with the rapid identification and isolation/protection of known or suspected COVID-19 patients. Uploaded 03.30.20

Clinical Guidance and Forms (General), Maestro Care
Navigating COVID-19 in Maestro Care

To reduce the confusion associated with caring for patients with suspected or confirmed communicable diseases, this document explains action steps for positive travel screenings and Maestro Care flags linked to COVID-19. Uploaded 03.30.20

Clinical Guidance and Forms (General), Maestro Care
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)
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
Decedent Care: Visitation Procedure at DUH During End-of-Life

This flowchart applies to DUH and shows the procedure for supporting family presence and participation/visitation during end-of-life of patients with suspected or confirmed COVID-19 infection. Uploaded 04.08.20

Clinical Guidance and Forms (General), Decedent Care
Decedent Care: COVID-19 FAQ at DUH

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

Clinical Guidance and Forms (General), FAQs and Talking Points, Duke University Hospital, Decedent Care