COVID-19 Document Library

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

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

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

The document provides guidance to providers on appropriate PPE for CPR and/or RRT on COVID positive patients or PUIs. Uploaded 04.03.20

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

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

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

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

This document outlines the proper configuration for the Versaflo PAPR unit and the yellow isolation gown. Uploaded 06.30.20

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

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

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

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

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

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

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

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

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

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

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