Title Description Tags
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
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
Ophthalmology: Point of Care Testing Flowchart - Eye Center Urgent Clinic

This is flowchart depicts the process for patients who have been examined in an ophthalmology clinic, needs surgery, and the patient is ready for COVID-19 testing. Uploaded 05.11.20

Specialty Specific Guidance, Testing Guidance, Periop Testing
DUH Perioperative Point of Care Testing for COVID-19 for Leveled Cases

This flowchart depicts the process for point of care testing for asymptomatic patients requiring surgery or a procedure. Uploaded 08.05.20

Testing Guidance, Periop Testing
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)
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
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
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
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
DUH Algorithm for Testing Interfacility Transfer Patients

This algorithm shows the workflow and inclusion/exclusion criteria for testing patients on arrival to DUH who are transferred from Outside Facilities. Uploaded 09.14.20

Operations and Visitation, Testing Guidance, Duke University Hospital
Periop Case Conduct COVID-19 Process

This document is for perioperative staff and contains guidelines for assessing all non-leveled surgical cases at Duke Health hospitals and surgery centers. Uploaded 03.21.20

Testing Guidance, 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
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

Duke University Hospital, Testing Guidance, DUH Testing Guidance
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

Testing Guidance, Duke University Hospital, DUH Testing Guidance
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

Pediatrics, Testing Guidance, Duke University Hospital, Pediatric Specific Guidance, DUH Testing Guidance
Pediatric Admission Workflow for Patients Requiring COVID-19 Testing

This document contains the admissions workflow for pediatric patients requiring COVID-19 testing. Uploaded 04.10.20

Pediatric Specific Guidance, Pediatrics, Testing Guidance
DUHS Respiratory Viral Testing Guidance for the 2020-2021 Winter Respiratory Viral Season

The COVID-19 pandemic is reducing the supply of all non-COVID respiratory viral tests this fall/winter making it necessary to use tests judiciously. This document provides testing guidance for the 2020-2021 respiratory season. Uploaded 10.09.20

Testing Guidance
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

Testing Guidance, Duke University Hospital, Ambulatory PDC, Ambulatory DPC, DUH Testing Guidance
Duke Raleigh Hospital Guidelines for Covid-19 Testing

This guidance describes various SARS CoV-2 (COVID-19) tests that are available at DRAH and preferred indications for the same. DRAH Chief Medical Officer, Laboratory Microbiology, Infectious Disease, and Infection Prevention will continue to review these indications and provide updates as needed. Uploaded 10.21.20

Testing Guidance, Duke Raleigh Hospital
Duke Regional Hospital ED, Inpatient Guidelines for COVID-19 Testing

This document outlines various COVID-19 tests that are available at DRH and preferred indications. The DRH CMO team will continue to review these indications and provide updates as needed. This document should be utilized in concert with the COVID-19 testing ordering panel, which provides guidance on isolation recommendations. Uploaded 06.30.20

Testing Guidance, Duke Regional Hospital
NP Swab Collection and Transport Instructions

This document is for healthcare workers and provides detailed instructions for sample collection, storage and transport of respiratory virus tests. Please note: During sample collection, insert swab into posterior nasopharynx (NP) and rotate for five (5) seconds. Samples that will be sent through the pneumatic tube system within hospitals should be double-bagged before tube transport. Updated 04.15.20

Testing Guidance
Pre-operative Asymptomatic COVID-19 Testing Process

This flowchart shows the testing process for pre-surgical asymptomatic patients who are being scheduled for surgery (who are not level 1-4) and require anesthesia services. Uploaded 08.05.20

Testing Guidance, Periop Testing
ED & INPATIENT Hospital Day Less Than or Equal To 3 Decision Tree

This document shows a decision tree for COVID-19 testing for patients who are in the ED or who have been admitted for less than or equal to 3 days. The decision for COVID-19 testing should be based on clinical judgment. Prior to testing for COVID-19, the Infection Prevention team recommends ruling out other potential causes of the patient's clinical condition including influenza or other non-influenza viral illnesses (as applicable). If the aforementioned tests are negative or if the clinical picture is not explained by a non-influenza pathogen, it is appropriate to proceed with COVID-19 testing. Updated 04.17.20

Testing Guidance