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

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

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

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

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

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

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DUH Flowchart – Patients Arriving to Duke North Admissions

This flowchart depicts the process for confirming the COVID-19 status for patients arriving to Duke North. The admissions office should review the patient’s encounter to determine if there is a documented COVID-19 test and the appropriate steps to admit the patient. Uploaded 11.18.20

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DUH Flowchart – Confirming COVID-19 Status Inpatient Transfer from Outside Facilities

This flowchart depicts the process to confirm the COVID-19 status for patients accepted from an outside facility as a transfer to an inpatient bed. At the time of acceptance, the COVID-19 status should be documented in the patient’s chart. If this is not documented, the patient should be directed to the DUH Swab Team. Uploaded 11.18.20

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COVID-19 Testing for Duke University Hospital Inpatients

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

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After Hours COVID-19 Point of Care Test (POCT) for DUH Mission Critical Employees

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

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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

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