The information on this site is intended solely for the internal use by Duke University Health System, its medical staff, clinicians and staff and any and all content or services available on or through this website is prohibited to be shared with external parties with the exception of those marked as patient communications that would be disclosed to patients.


Document Library Navigation and Search Tips

Title Description Tags
FAQs regarding the Johnson & Johnson vaccination update April 13, 2021 – English

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This document includes answers for our team members to use to answer to frequently asked questions from our patients and the community. Uploaded 04.15.21

Vaccine, Patient Communication and Signage, FAQs and Talking Points
Duke Raleigh Hospital Team Member Screening Process

Employee screening guidelines for Duke Raleigh Hospital (DRaH) team members. Updated 4.16.21

Operations and Visitation, Duke Raleigh Hospital, Employee Screening, Employee Health, Safe Return On-site
Mental Health and Well-Being Resources

This document includes a list of available mental health and well-being resources. The list includes everything from PAS to specific resources on Race and Mental Health. Updated 7.27.21

Well-being & Emotional Support
Know Share Do 07.08.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.08.20.

Know Share Do, FAQs and Talking Points
Infection Prevention 101

This document outlines the basic principles behind standard and transmission-based precautions. To understand the “why” behind the PPE recommended for caring for COVID-suspected or confirmed patients, it is helpful to understand how COVID-19 can be transmitted using these definitions and principles. Updated 05.12.20

FAQs and Talking Points
Clinical Ops Know Share Do 9.27.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 9.27.21.

Know Share Do
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 09.14.21

PPE, Eye Protection
Message to Patients Ages 12 to 15 Regarding COVID-19 Vaccination

This message was distributed to more than 16,000 patients ages 12 to 15 to notify them that they are now eligible to receive the Pfizer COVID-19 vaccine.

Vaccine, Patient Communication and Signage
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
Know Share Do 12.16.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.16.20.

Know Share Do
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
Know Share Do 08.03.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.03.20.

Know Share Do, FAQs and Talking Points
Know Share Do 5.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.22.20.

Know Share Do, FAQs and Talking Points
Community Vaccination Event December 4 - ENGLISH

Community COVID Vaccination Event Flyer 

Ambulatory Routine Lab Visits – Minimizing Exposure During COVID-19

This document includes standard work instructions for managing patients’ routine laboratory appointments at Duke Primary and Urgent Care clinics while minimizing potential exposure to COVID-19. Uploaded 04.14.20

Ambulatory DPC
Why History Matters: Celebrating Juneteenth Together 2021

History is far more than an academic pursuit. It has critical contemporary meaning in the way that it frames current national perceptions and individual realities. During this event, Michael Boulware Moore shares a number of powerful examples – both personal and societal – to illustrate the point that historical narratives have a critical impact on how we think of ourselves and behave. This connectivity explains much of the racial strife and tension that we experience to this day. This handout has more information about the event. Uploaded 6.10.21

Duke Primary Care Process for Scheduling a Drive-Up Testing Visit

This document is the standard work for scheduling drive-up test collection at DPC/DUC clinics. Uploaded 09.11.20

Ambulatory DPC, Drive-Up Testing
Know Share Do 01.19.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.19.21.

Know Share Do
Response Call Center Algorithm (DUHS)

The document can be used by outpatient triage staff for screening for COVID-19 by phone. It includes a script, algorithm, and Infection Prevention contact information. Uploaded 04.02.20

Call Center Triage
Know Share Do 08.12.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.12.20.

Know Share Do, FAQs and Talking Points
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
Sharing Meals at Work: Infection Prevention Guidelines

This document provides guidelines for DUHS team members on safely consuming shared food with others in the hospital and clinic settings. As a reminder, eating with others indoors continues to be a higher-risk activity for the spread of COVID-19, as we have not reached 100% employee vaccination rate. Clusters of healthcare worker infections at Duke have been linked to larger gatherings in breakrooms where staff could not maintain 6 feet of distance. Let’s all do our part to keep each other safe. Updated 06.06.21

Employee Health, Safe Return On-site, Shared Spaces
Directions to DUH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the new DUH Employee Vaccination Clinic located in the DMP conference room 2W96. Please note that the DUH clinic will provide vaccinations by appointment for Duke employees and students who fall under the updated CDC guidelines. Uploaded 10.27.21

Vaccine, Employee Health
DPC COVID-19 Patient/Visitor Screening

This document includes guidelines and scripting for patient and visitor screening at Duke Primary and Urgent Care clinics. Uploaded 07.29.20

Ambulatory DPC
Vaccination Clinics Badge Swiping Instructions

This document includes instructions for swiping your badge (ID) at a vaccination (vaccine) clinic. Uploaded: 02.15.21

HR & Team Resources
Outpatient Visitor Restrictions Sign - 1 visitor per patient (8.5 x 11)

An 8.5x11 poster limiting one visitor per patient in the outpatient setting. This poster is in English and should be posted on a clinic's exterior. Uploaded 03.22.20

Patient Communication and Signage, Visitor Restrictions
Know Share Do 09.21.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.21.20.

Know Share Do, FAQs and Talking Points
Patient Masking Update Letter

This resource can be used to help team members communicate inpatient masking with patients. Uploaded 06.18.20

Patient Communication and Signage
High Risk Work Modification Process Form

Fillable form for manager to complete when employee requests a work modification due to being in a high-risk category or pregnancy. Uploaded 04.23.20

HR & Team Resources, Redeployment & Staffing Hub, Availability for Work & Pay Practices, Employee Health
The Coping Card

At times, we all feel stress, grief, conflict, or disappointment. When you are having a tough time, try some of the coping strategies or contact a resource on this card. Uploaded 08.19.21

Well-being & Emotional Support
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
Maestro Tip Sheet: Karsh COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
Patient email update sent on 3.16.20

This patient email was sent on 3.16.20 and encourages them to keep appointments and to continue to take medications. Uploaded 03.24.20

Patient Communication and Signage
Know Share Do 10-19-20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 10.19.20.

Know Share Do, FAQs and Talking Points
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
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
Standard Work Instructions: Pfizer Covid-19 Vaccine Administration for a minor (under 16 years)

Standard work for COVID-19 vaccine administration for patients under age 16 (for Duke Primary and Urgent Care use only). Uploaded 08.27.2021

Additional Vaccinator Info, Vaccine
COVID-19 Resources for Families (in English and Spanish)

This document is for families and includes links to resources about talking to kids about COVID-19, options for basic needs and healthcare, activities to do at home, and mental health support. Uploaded 04.09.20

Pediatric Specific Guidance, Patient Communication and Signage, Spanish
FAQs regarding the Johnson & Johnson vaccination update April 13, 2021 – Spanish

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This document includes answers for our team members to use to answer to frequently asked questions from our patients and the community. This version of the FAQs is in Spanish. Uploaded 04.16.21

Vaccine, FAQs and Talking Points, Spanish, Patient Communication and Signage
Childcare Options for Parents in English

Printable resource to provide child care resources for essential employees during COVID. It is provided by the North Carolina Department of Health and Human Services and the North Carolina Department of Public Instruction. This is the English Version. Uploaded 03.26.20

HR & Team Resources, Childcare Resources
Know Share Do 11.23.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.23.20.

Know Share Do, FAQs and Talking Points
Recommended Eye Protection FAQs

This document provides answers to frequently asked questions regarding recent recommendations regarding eye protection for healthcare workers. Uploaded 09.25.20

PPE, Eye Protection
Know Share Do 5.13.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.13.20.

FAQs and Talking Points, Know Share Do
Clinical Ops Know Share Do 10.4.21
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
Know Share Do 05.17.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.17.21.

Know Share Do
Know Share Do 3.30.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.30.20.

Know Share Do, FAQs and Talking Points
Know Share Do 12.21.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.21.20.

Know Share Do
AVS COVID-19 Infection with Mild or No Symptoms: Guidelines for You and Others in Your Home in English

These after-visit summary instructions are for English-speaking patients who have no symptoms or mild symptoms that may be caused by COVID-19 who do not require hospital treatment. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with symptoms that may be caused by COVID-19. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20

Ambulatory DPC, Discharge Instructions, Patient Communication and Signage
Hope4Healers Emotional Support Hotline Information

The Hope4Healers Helpline is for health care professionals (and their families) who are experiencing stress from being on the front lines of the state’s COVID-19 response. It offers mental health and resilience support, 24 hours a day, seven days a week. This flyer has the basics. Learn more about Hope4Healers here. Uploaded 08.03.2020

Well-being & Emotional Support
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)
Community COVID Vaccination Event Dec. 4 SPANISH

Community COVID Vaccination Event Dec. 4 SPANISH

AVS (Spanish) Known COVID-19 Infection-Guidelines for You and Others in Your Home After Hospital Discharge

These after-visit summary instructions are for Spanish-speaking patients who have known COVID-19 infection and are being discharged from the hospital. They outline important information about home isolation and self-monitoring periods. They also provide guidance for those living in households with someone with COVID-19 symptoms. This document can be used as discharge instructions/after visit summary/AVS. Updated 09.30.20

Patient Communication and Signage, Discharge Instructions
Know Share Do 06.14.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.14.21.

Know Share Do
3M 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
Know Share Do 01.25.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.25.21.

Infection Prevention Phone Numbers

This document lists the phone numbers for Infection Prevention at Duke entities, including hospitals, primary care, clinics, university and is for employee use only. Uploaded 03.21.20

FAQs and Talking Points
No Eating/Drinking Signs for Waiting Rooms

This sign informs patients and visitors that eating/drinking is prohibited in our waiting rooms. These should be displayed in waiting rooms. Uploaded 10.01.20

Patient Communication and Signage
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
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
Directions to DRAH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the DRAH Employee Vaccination Clinic. This clinic will accept all walk-in vaccinations – no appointment is necessary. Uploaded 7.22.21

Table</p>
<p>Description automatically generated

Duke Raleigh Hospital, Vaccine
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
Know Share Do 02.22.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 2.22.21.

Know Share Do
Attention at Check In (8.5x11) sign

An 8.5 x 11 poster asking patients to check in with the Front Desk if they have symptoms. English. Uploaded 03.22.20

Patient Communication and Signage
Guidelines for the Use of Different Models of N95 Respirators at Duke Health

N95 respirators (or PAPRs) continue to be required for direct care of patients on Airborne (e.g., tuberculosis, measles) or Special Airborne Contact (e.g., suspected or confirmed COVID infection) precautions. Additionally, the CDC recommends that healthcare workers in areas where there is moderate to substantial community transmission of COVID-19 use N95 respirators when performing procedures that are high-risk for generating aerosols, since healthcare workers in facilities with moderate to substantial community transmission are more likely to encounter asymptomatic or pre-symptomatic patients who may be COVID-19 positive. This can include patients who tested negative during their pre-procedure test, but then develop symptoms in subsequent days. To accommodate these recommendations, Duke has made additions to the recommended PPE for staff in perioperative and procedural areas where high-risk aerosol-generating procedures are performed. This document has been updated to include two additional types of N95 respirators. 

 

Additionally, to ensure availability of N95 respirators when needed, DUHS has deployed new models of N95s to certain care areas. Staff should use the N95 respirator model that is available at their location and per instructions of their local leadership. We have answered several frequently asked questions and highlighted key features of the different types of N95 respirators in the table below. Updated 05.28.21.

PPE, Periop Management
Know Share Do 06.17.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.17.20.

FAQs and Talking Points, Know Share Do
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
Know Share Do 4.27.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.27.20.

FAQs and Talking Points, Know Share Do
Duke Personal Assistance Service Program Brochure

Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University and Health System. Our staff of licensed professionals offers assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to benefit-eligible Duke faculty, staff, and their family members. This brochure has more information about our PAS program. Uploaded 08.20.21

Well-being & Emotional Support, Employee Health
Tips for Preventing the Spread of COVID-19: Pediatric After-Visit Summary in Arabic

This document is for Arabic-speaking patients with low health literacy skills, including children, and illustrates several tips for preventing the spread of COVID-19. It can be used as discharge instructions/after visit summary/AVS. Uploaded 04.02.20

Ambulatory DPC, Ambulatory PDC, Drive-Up Testing, Patient Communication and Signage, Pediatric Specific Guidance, Discharge Instructions
Maestro Tip Sheet: Southern High COVID Vaccine Clinic Workflow

Uploaded 3.24.21

Vaccine, Additional Vaccinator Info, Maestro Care
COVID-19: Protecting You and Your Loved Ones

This handout (8.5 x 11) is being given to visitors/patients as part of the screening process when they enter a Duke entity. English. Uploaded 03.24.20

Ambulatory DPC, Patient Communication and Signage
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
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
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)
Quick Tip: Pfizer COVID-19 Vaccine Question Updates

Tip sheet about changes to Pfizer COVID-19 vaccine questions in Maestro Care (created by DHTS for everyone who administers COVID-19 vaccine). Uploaded 08.27.2021

Maestro Care, Vaccine
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
4.14.21 Update for Patients Who Received the J&J Vaccine

According to the Centers for Disease Control and Prevention (CDC), more than 6.8 million doses of the Johnson & Johnson (Janssen) vaccine have been administered in the U.S. as of April 12. The CDC and Food and Drug Administration (FDA) in a joint statement on Tuesday, April 13, recommended a pause in the use of Johnson & Johnson's (J&J's) single-dose COVID-19 vaccine out of an abundance of caution. This email was distributed to all Duke Health patients who received a J&J vaccine within three weeks of the update from the CDC and FDA. Uploaded 04.16.21

Vaccine
Childcare Options for Parents in Spanish

Printable resource to provide child care resources for essential employees during COVID. It is provided by the North Carolina Department of Health and Human Services and the North Carolina Department of Public Instruction. This is the Spanish Version. Uploaded 03.26.20

HR & Team Resources, Childcare Resources, Spanish
Know Share Do 11.30.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 11.30.20.

Know Share Do, FAQs and Talking Points
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
Duke University Hospital and Duke Regional Hospital COVID-19 Management Guidelines for Asymptomatic Term and Late Preterm Newborns

This document includes guidelines for management of asymptomatic newborns born to a mother with suspected or confirmed SARS-CoV-2 infection. Uploaded 03.16.21

Pediatric Specific Guidance, Duke University Hospital, Duke Regional Hospital, Pediatric Bed Flow
Clinical Management Guidelines of Suspected COVID pediatric patient

This document includes recommendations for managing parents/caregivers for pediatric patients exposed or infected with COVID-19. 10.19.21.

Know Share Do 4.13.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.13.20.

Know Share Do, FAQs and Talking Points
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)
Duke Primary and Urgent Care Telephone Visit Maestro Tip Sheet

This Maestro tip sheet is for DPC and DUC providers to reference for information on documentation and billing when conducting telephonic visits. Uploaded 03.19.20

Ambulatory DPC, Telehealth
Know Share Do 12.23.20

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 12.23.20.

Know Share Do
Home Visitor Log for Symptomatic COVID-19 Patients

This document is an NCHHS log for providers to use with patients who have COVID-10 symptoms and must track visitors to their home. Uploaded 03.21.20

Ambulatory DPC
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
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)
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
Inpatient Visitor Restriction Update in Spanish – Overnight Visitor

We realize that loved ones are a vital part of a patient’s care team and play an important role in recovery. As we have navigated each phase of the COVID-19 pandemic over the last year, the safety of our patients, visitors and team members has been our highest priority. Given the decreased community spread of COVID-19 and increased vaccination rates, we will modify our inpatient visitor restrictions to permit for one overnight visitor. This patient letter explains this update in Spanish. Uploaded 06.16.21

Visitor Restrictions
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
After Your Vaccine: When to Contact your Healthcare Provider

This handout is a guide to help patients decide if they should contact their health care provider for advice on getting a COVID-19 test after receiving their vaccination. Uploaded 5.27.21

Vaccine
CDC Guidance: Employee Risk Assessment for COVID-19 Exposure

This table is for healthcare workers to use in assessing COVID-19 risk exposure, per CDC guidance. It includes additional information from Employee Health on recommended monitoring periods and work restrictions for asymptomatic healthcare workers. Updated 05.01.20

Employee Health
(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
Know Share Do 6.01.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 6.01.20.

FAQs and Talking Points, Know Share Do
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
Directions to DRH COVID-19 Vaccination Clinic for Employees

This document includes information and directions to the new DUH Employee Vaccination Clinic starting July 23, 2021. Please note that the DUH clinic will provide vaccinations by appointment, however, we will also accept walk-ins but appointments will have priority. Uploaded 7.22.21

Duke Regional Hospital, Vaccine
Know Share Do 4.1.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.01.20.

Know Share Do, FAQs and Talking Points
Frontline Essential Workers Eligible for Vaccination Waiting List – Spanish

Recently, Gov. Cooper and NC DHHS Secretary Mandy Cohen announced that Group 3 frontline essential workers will be eligible for vaccination in the coming weeks. This handout is available in Spanish to provide to patients and community members for more information about this transition. Uploaded 2.22.21

Patient Communication and Signage, Spanish
OR Protocol for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

This document is for OR staff and addresses perioperative management of patients who are known or suspected COVID-19 positive and need urgent surgery. Patients who do not fall into those categories will continue to be managed in the usual fashion. Uploaded 08.13.20

Periop Management, Anesthesia, Anesthesiology
Know Share Do 9.23.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.23.20.

Know Share Do, FAQs and Talking Points
Know Share Do 06.22.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 06.22.20.

FAQs and Talking Points, Know Share Do
DPC Standard Work for Pediatric Lab Process

This document includes standard work instructions for Duke Primary Care family medicine and pediatric practices to use when obtaining lab specimens from pediatric patients. Uploaded 04.23.20

Ambulatory DPC
Know Share Do 08.23.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 08.23.21.

Know Share Do
Know Share Do 4.3.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.03.20.

Know Share Do, FAQs and Talking Points
Johnson & Johnson COVID-19 Vaccine Fast Facts

Safe and effective with a one-shot dose, the Johnson and Johnson (Janssen) vaccine offers 100% protection against hospitalization and death. This handout includes fast facts about the J&J COVID-19 vaccine. Uploaded 03.25.21

Patient Communication and Signage
COVID-19: Protecting You and Your Loved Ones (Spanish)

This handout (8.5x11) is being given to Spanish-speaking visitors/patients as part of the screening process when they enter a Duke entity. Spanish. Uploaded 03.24.20

Ambulatory DPC, Patient Communication and Signage, Spanish
Know Share Do 10.26.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 10.26.20.

Know Share Do, FAQs and Talking Points
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
Know Share Do 5.6.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.06.20.

FAQs and Talking Points, Know Share Do
Clinical Ops KSD 8.30.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 08.30.21.

Know Share Do
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
Opioid Use Training Disorder Training Series

Southern Regional AHEC, Durham County Public Health, Alliance Health, and Duke AHEC are partnering to offer a livestream Opioid Use Training Disorder Training series for MDs, LCSWs, RNs, CMs, Pharmacists and APPs. Sessions will be held May 12, 19 and 26, 2021, from 12 p.m. – 12:30 p.m. The series is free to attend, and the first 100 registrants will receive CE credit. This document includes more information about the series and a registration link to join. Uploaded: 04.16.21

DPC and PDC Patient and Visitor Screening

This document includes instructions for DPC and PDC clinics for screening all patients and visitors upon entry to the clinic. Updated 09.08.20

Ambulatory PDC, Ambulatory DPC
Duke COVID-19 Vaccination Work Group Update 12.4.20

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 12.4.20

Employee Health
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
Education for Updated Isolation Sign for Special Droplet & Contact Precautions

Isolations signs for special droplet and contact precautions have been updated to include when to use face shield to provide care in various situations. This handout familiarizes readers with the new signs. Uploaded 05.14.20

PPE Signage-Clinical
Clinical Ops KSD 10.11.21

This document is the "Know, Share, Do" Clinical Operations Daily Updates managers should use during staff huddles on 10.11.21.

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)
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

Testing Guidance, DUH Testing Guidance
Duke Primary Care Process for Converting Scheduled Office Visits to Telephone Visits

This document is the standard work for converting existing office visits to telephone visits for non-COVID patients. Uploaded 03.23.20

Ambulatory DPC, Telehealth
Know Share Do 01.04.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 01.04.21.

Inpatient/ED: Required PPE

An 8.5x11 sign showing the required PPE (personal protective equipment) for staff in Inpatient and Emergency Departments. Uploaded 03.21.20

PPE Signage-Clinical, Donning & Doffing
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)
Duke University Hospital Pediatric Visitation Guidelines

This document provides updated guidance for visitation and visitor screening in pediatric areas at Duke University Hospital. These guidelines apply to any individual, regardless of age, receiving care in a children’s area/unit. Uploaded 05.26.20

Pediatric Specific Guidance, Pediatrics, Duke University Hospital
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
Duke Health COVID-19 Testing Tip Sheet

This document outlines hours of operation, target population, and scheduling instructions for our COVID-19 testing locations. Updated 10.06.21

Drive-Up Testing, Testing Guidance
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
Spanish – After Your Vaccine: When to Contact your Healthcare Provider

This handout is a guide to help patients decide if they should contact their health care provider for advice on getting a COVID-19 test after receiving their vaccination. Uploaded 5.27.21

Patient Communication and Signage, Vaccine
How to Access Technology While Working Remotely

The document is for staff and includes detailed information and technology tools for working remotely. It includes instructions on accessing the VPN, WebEx, Zoom, Microsoft Teams, Jabber, and more. Uploaded 03.24.20

Telework and Working Remotely, HR & Team Resources
Know Share Do 08.17.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.17.20.

Know Share Do, FAQs and Talking Points
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
Know Share Do 4.21.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.21.20.

Know Share Do, FAQs and Talking Points
FAQs about the COVID-19 Delta Variant

This document provides background for DUHS team members on the prevalence and spread of the COVID-19 Delta variant and what to do in case of a potential exposure. Uploaded 07.23.21

Employee Health
Neurology: Guidelines for Performing NIOM on Patients with COVID-19

This document contains the triage algorithm for determining medical necessity and urgency for Neurophysiologic Intraoperative Monitoring (NIOM, Evoked Potentials, spinal cord monitoring, cortical mapping) for patients with a suspected or confirmed COVID-19 infection. Guidelines for modified NIOM infection prevention and safety protocols when caring for a patient with a suspected or confirmed COVID-19 infection. Uploaded 03.27.20

Neurology, Specialty Specific Guidance
Maestro Care: Using the COVID Vaccine Waitlist

The wait list feature is used to keep track of patients who need an appointment. This Maestro Care tip sheet provides instructions for adding patients to the waitlist who qualify for a COVID vaccine, but who we are unable to schedule. Do not add patients to the wait list if they do not meet the current qualifications to receive the vaccine. The WL-COVID VACCINE(HOTLINE) [9070624] waitlist should only be used for initial vaccine appointments, not for second dose appointments. Uploaded 2.26.21

Maestro Care
Operating Room Flowcharts for Perioperative Management of Urgent Surgical Procedures in Suspected or Confirmed COVID-19 Patients

These flowcharts are for OR staff and should be used in conjunction with the protocol for Perioperative Management of Urgent Surgical Procedures in Suspected of Confirmed COVID-19 Patient. Flowcharts include perioperative and room setup, intraoperative, and extubation, transfer, and room cleaning. Uploaded 04.01.20

Periop Management, Anesthesia, Anesthesiology
Criteria for Adequate Eye Protection

Duke Health recommends the use of eye protection for all staff having direct interaction with patients and visitors. Direct interaction is defined as face-to-face interaction such as entering a patient’s care environment (e.g. exam room, hospital room, bay, etc.) or coming within 6 feet for any duration of time. Face shields are the preferred eye protection as they provide full coverage of the eyes and protect the underlying face mask from potential contamination.

We recognize that some team members are seeking alternatives to face shields. Supply chain issues have made purchase of large quantities of safety goggles challenging. As such, this resource is meant to provide guidance for selecting alternate adequate eye protection to the widely available Duke-approved face shields. Uploaded 09.25.20

PPE, Eye Protection
Updated Visitor Restrictions Signage – 11"x17" – English

This sign notifies patients and visitors of restrictions in place for visiting at our facilities. This version of the sign is for printing on 11"x17" posters. This sign should be displayed in hospitals and clinics following the visitor restriction updates effective June 24, 2020. Uploaded 06.23.20

Patient Communication and Signage, Operations and Visitation
DPC Pediatrics Lab Letter

This document is a letter Duke Primary Care family medicine and pediatrics practices can share with a patient/patient’s guardian about the process for obtaining lab specimens from pediatric patients. Uploaded 04.27.20

Ambulatory DPC
Manager Resource: Providing Emotional Support to Our Teams

This resource includes simple ways for managers / leaders to support their team members. Uploaded: 08.20.21

Well-being & Emotional Support
COVID-19 Important Reminders

Flyer / printable resource reminding staff of need for proper hand hygiene and physical / social distancing. English version. Uploaded 04.03.20

Employee Health
Vaccine Clinic Scheduling Platform Move to QGenda Update

This email was distributed to all staff and volunteers who signed up for a shift at one of our vaccination clinics. This email addresses the scheduling platform migration to QGenda, a cloud-based automated scheduling software. Updated 04.01.21

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)
Tips for hosting fun virtual celebrations

We understand that in past years, our colleagues and their families have enjoyed coming together to celebrate the holiday season. This year will feel different, but we want to prioritize the safety of our team members and their loved ones. Eating together is a high-risk activity, so this year we encourage you to consider virtual gatherings. This document includes some alternative ideas for your virtual holiday celebrations. These events everyone to relax and reconnect while celebrating safely. Uploaded 10.29.20

Well-being & Emotional Support, Employee Health
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
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
DUHS Honoring Teamwork

A list of investments made in support of DUHS team members to recognize their commitment to patient care during COVID-19.

HR & Team Resources
Managing Difficult Conversations During COVID-19

During this unprecedented time of COVID-19, emotions are high among patients, their loved ones and our team members. View tips to help you respond to difficult conversations. Updated 04.07.20.

FAQs and Talking Points, Well-being & Emotional Support
Visitor Safety Precautions

This one-page handout lists the safety precautions that are currently in place for visitors to Duke Health. This handout can be given to all visitors to remind them of how they should do their part to reduce the spread of infection while at our facilities. Uploaded 04.16.21

Visitor Restrictions
PDC Employee Provider Screening

This document includes instructions for PDC clinics for screening all physicians and staff upon entry to the clinic. Uploaded 03.26.20

Ambulatory PDC
Duke COVID-19 Vaccination Work Group Update 11.12.20

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 11.12.20

Employee Health
Know Share Do 07.13.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.13.20.

Know Share Do, FAQs and Talking Points
Education for Updated Isolation Sign for Special Droplet Precautions

Isolations signs for special droplet precautions have been updated to include when to use face shield to provide care in various situations. This handout familiarizes readers with the new signs. Uploaded 05.14.20

PPE Signage-Clinical
Covid vaccine and Pregnancy ENGLISH

Information for pregnant patients about the COVID-19 vaccine.

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)
Know Share Do 05.24.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.24.21.

Know Share Do
Duke Urgent Care Process for Telephone Visits

This document is the standard work for DUC clinic staff and providers when scheduling and conducting a telephone visit. Uploaded 03.26.20

Ambulatory DPC, Telehealth
Vaccine Distribution Guidance

The North Carolina Department of Health and Human Services recently updated their guidance on vaccine distribution. Duke Health is following all federal, state and local guidelines on the distribution of the vaccine to ensure that it is equitably administered within each group. This infographic is now available for sharing internally and externally. Uploaded 01.14.21

Outpatient: Required PPE

This document is an 8.5x11 flyer for healthcare workers showing required PPE for outpatient care. Uploaded 03.21.20

PPE Signage-Clinical, Ambulatory DPC
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
Antibody Testing Patient FAQs

This document provides answers to frequently asked questions about antibody testing. This is a good resource to educate patients about antibody testing and what these test results could mean. Updated 05.26.20

Patient Communication and Signage, FAQs and Talking Points
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
COVID-19 Vaccination Family Day at DRAH Flyer

Duke Health is offering the Pfizer COVID-19 vaccine to family members age 12 and older during a family fun day on June 27 from 11 a.m. to 3 p.m. at the Duke Raleigh Hospital campus, 3300 Executive Drive, Medical Office Building Drive. Families can receive their vaccinations together on the Duke Raleigh Hospital campus at our carnival-themed family vaccination clinic. Walk-in vaccinations are accepted, and appointments are encouraged. This flyer is available to promote the event. Uploaded: 6.18.21

Vaccine
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
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)
Conference Room AV User Guide

Guide for how to connect to Webex using a conference room video system. Uploaded 03.21.20

Telework and Working Remotely, HR & Team Resources
Know Share Do 08.19.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 08.19.20.

Know Share Do, FAQs and Talking Points
Know Share Do 6.03.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 6.03.20.

Know Share Do, FAQs and Talking Points
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. Updated 11.10.21

Testing Guidance, Duke Regional Hospital
Know Share Do 07.26.21

This document is the "Know, Share, Do" Clinical Operations updates managers should use during staff huddles on 7.26.21.

Know Share Do
Neurology: Guidelines for Performing Sleep Studies During COVID-19 Spread

The document contains the triage algorithm for determining medical necessity and urgency for Sleep Studies (Home Sleep Testing [HST], Polysomnography [PSG], CPAP, BiPAP, ASV Titration, MSLT, MWT) for patients with a suspected or confirmed COVID-19 infection. Guidelines for modified Sleep Study infection prevention and safety protocols when caring for a patient with a suspected or confirmed COVID-19 infection. Uploaded 03.27.20

Neurology, Specialty Specific Guidance
Know Share Do 03.01.21

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 03.01.21.

Know Share Do
Perioperative Services COVID-19 Response Plan

This document broadly outlines the general processes to be implemented should it become necessary to limit surgical services in response to a significant decrease in capacity due to COVID-19. Uploaded 03.24.20

Periop Management
Know Share Do 09.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.28.20.

Know Share Do, FAQs and Talking Points
Know Share Do 09.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 09.28.20.

Know Share Do, FAQs and Talking Points
Updated Visitor Restrictions Signage – 8.5"x11" – English

This sign notifies patients and visitors of restrictions in place for visiting at our facilities. This sign should be displayed in hospitals and clinics following the visitor restriction updates effective June 24, 2020. Uploaded 06.23.20

Patient Communication and Signage, Operations and Visitation
Know Share Do 4.28.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 04.28.20.

Know Share Do, FAQs and Talking Points
Top 5 Important Reminders to Prepare Your Team for COVID-19 Vaccine Compliance Deadlines

Want to ensure your team is prepared to meet the upcoming COVID vaccine condition of employment requirement? Check out these 5 points to remember over the next few weeks to make sure all of your team members meet the expectation to be compliant with the COVID vaccination requirement. Uploaded 8.20.2021

vaccination requirements
PPE Doffing Procedure: No anteroom / no 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. Updated 08.27.21

PPE, Donning & Doffing
QGenda Scheduling Instructions for Vaccination Clinics

This handout includes instructions for users to sign up for a shift at one of our COVID-19 vaccination clinics. Uploaded: 03.26.21

Revised Infection Prevention Practices for MRSA or VRE Colonization

This document outlines commonly asked questions about the discontinuation of contact precautions for patients with MRSA and VRE colonization. Staff members can hand out this document which provides data-supported education for patients and families regarding this decision. Uploaded 03.25.20

Patient Communication and Signage
Know Share Do 11.02.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 11.02.20.

Know Share Do, FAQs and Talking Points
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
COVID-19 Know Share Do 05.08.20

This file contains the manager Know Share Do's for 05.08.20.

Know Share Do
Getting Your COVID-19 Vaccine with Other Vaccines

You may be wondering whether it’s safe for you and your loved ones to get the COVID-19 vaccine at the same time as other vaccines. This flyer will help answer your questions. Please talk with your healthcare provider about any concerns you have. Uploaded 09.02.21.

Patient Communication and Signage, FAQs and Talking Points, Vaccine
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
FAQs on Urinalysis, Urine Culture, and Urinary Catheter Management

This reference provides guidance for appropriate indications and best practices for ordering and obtaining urine for urinalysis and urine culture samples, including step-by-step instructions for each urine collection technique. It also includes resources for indwelling urinary catheter management. Uploaded 04.16.21

FAQs and Talking Points
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
Duke COVID-19 Vaccination Work Group Update 11.20.20

This email was distributed to the Duke community about the COVID-19 vaccine from the Duke COVID-19 Vaccination Work Group on 11.20.20

Employee Health
Know Share Do 07.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 07.15.20.

Know Share Do, FAQs and Talking Points
Know Share Do 5.15.20

This document is the "Know, Share, Do" COVID-19 Daily Updates managers should use during staff huddles on 05.15.20.

Know Share Do, FAQs and Talking Points
Covid vaccine and Pregnancy SPANISH

Information for pregnant patients about the COVID-19 vaccine. 10.14.21.

Telephone Visit- GAD 2/7 Pre-visit Screening

This document is standard work instructions for conducting pre-visit GAD 2/7 behavioral health screening for Duke Primary Care patients. Uploaded 04.08.20

Ambulatory DPC
3M 1870 Plus N95 Seal Check Instructions

This document illustrates seal check instructions for the 3M 1870 Plus N95 respirator. 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 05.26.21.

N95, PPE, Donning & Doffing
Employee Occupational Health and Wellness Process Flowchart for Drive-Up Test Collection

This flowchart depicts the process for employees to access DPC/DUC drive-up test collections. Uploaded 03.24.20

Drive-Up Testing, Employee Health
MyChart Message to Phase 1B Group 1 – Adults 75+ for COVID-19 Vaccination

In compliance with North Carolina Department of Health and Human Services (NC DHHS) guidelines, we are now in phase 1B of the state’s vaccine distribution plan. The first group in this phase includes all people age 75 and older. This message was distributed to all Duke MyChart users who are age 75 or older to notify them that they are eligible to receive the COVID-19 vaccine (vaccination). Uploaded: 01.08.21

Patient Communication and Signage
Attention at Check-in

An interior clinic sign asking patients to check in with the Front Desk if they have symptoms. The 8.5x11 page is designed to be cut in half to create two signs. English. Uploaded 03.21.20

Patient Communication and Signage