Title Description Tags
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
Recommended Eye Protection FAQs

This document provides answers to frequently asked questions regarding recent recommendations regarding eye protection for healthcare workers. Uploaded 07.10.20

PPE
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
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
PPE Observer Standard Work

This chart provides guidance for the trained observers standard work to support the clinical staff to ensure the safe practice and use of personal protective equipment while providing care to highly infectious patients. Uploaded 05.05.20

PPE, PPE Signage-Clinical
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
Reusable Cloth Gown Process at Duke University Hospital

Duke University Hospital has provided reusable cloth gowns for team members when caring for COVID-19 positive patients or PUI patients suspected of having COVID-19. This document outlines the approved process for reusable cloth gowns after each use. Uploaded 05.04.20

PPE Signage-Clinical, PPE, Duke University Hospital
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
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)
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
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
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 05.07.20

PPE, Ambulatory DPC, Ambulatory PDC
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
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
Patient & Visitor Face Covering Reference Sheet

This patient and visitor face covering reference sheet outlines key takeaways regarding our universal masking policy for patients and visitors. It also includes guidance for acceptable face coverings. This is for internal use only by Duke Health team members. Uploaded 06.09.20

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

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

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

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

PPE, N95, PAPR, PPE Conservation
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
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 04.22.20

PPE
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 07.02.20

PPE
Frequently Asked Questions about Duke Health’s Use of Hydrogen Peroxide Vapor for Decontamination of N95 Respirators

This document is an FAQ about Duke Health’s process for decontaminating N95 masks. Uploaded 04.21.20

PPE, FAQs and Talking Points, N95
DRH Recommended Eye Protection

The attached document for Duke Regional Hospital contains information from the Centers for Disease Control and Prevention (CDC) regarding DRH healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Uploaded 07.02.20

PPE, Duke Regional Hospital
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
Instructions for Performing Seal Check with a Valved N95 Respirator

This document illustrates N95 seal check instructions for healthcare workers. This guide was made by the for performing seal check with a valved N95 respirator. Uploaded 07.07.20

PPE
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
N95 Seal Check Instructions

This document illustrates N95 seal check instructions for healthcare workers. 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 03.30.20

PPE, N95, Donning & Doffing
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
PAPR Hoods: Instructions for Extended Use, Re-Use and Disinfection

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

PPE, PAPR
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
Guidance for HCW PPE During COVID-19 Response

The document outlines the recommended PPE for healthcare workers to wear and preferred rooms for patients with known or suspected COVID-19 infection. Specific clinical guidance is provided for inpatient, ED (high acuity patient), ED (outpatient and low acuity patient), procedural areas, and outpatient/inpatient radiology departments. Uploaded 04.10.20

PPE, Special Airborne Contact
Infographic: Appropriate PPE During COVID-19 Response

This updated infographic provides concise and simplified recommendations for what PPE healthcare workers should wear during the COVID-19 response. This also includes reasonable accommodations for patient/provider masking compliance. Updated 05.07.20

PPE
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
Masking Protocols for Team Members

This document provides instructions for our universal masking initiative at our hospital and clinic sites. It also includes answers to questions from colleagues and patients. Updated 06.02.20

PPE, FAQs and Talking Points, Employee Health
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
Transport of Patients on Special Airborne Contact Precautions

This document is for healthcare workers responsible for transporting patients on special airborne contact precautions and includes information about the transport of vented patients. Updated 04.09.20

PPE, Operations and Visitation, Special Airborne Contact
Waste and Linen Disposal COVID-19 Guidelines

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

Operations and Visitation, PPE
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

Ambulatory DPC, PPE, 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
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
PPE Conservation Strategies for COVID-19

This document is for healthcare workers and includes recommendations to limit unnecessary mask use. Uploaded 03.21.20

PPE, PPE Conservation
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