Review this page for more information about the guidelines and resources available to prevent the spread of infection. 


Jump to: 
General Infection Prevention Information | Universal Masking Guidelines | Visitor Restrictions
General PPE RecommendationsSpecific PPE RecommendationsClinical Guidance
Specialty-Specific Clinical GuidancePediatric-Specific Clinical GuidanceTesting Guidance
End-of-Life CareMaestro CareEmployee HealthEnvironmental Controls and Cleaning Protocols


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General Infection Prevention Information

Who to Contact and Contact Information for COVID-19 Questions
This document lists contact information to help quickly answer common questions related to COVID-19. This resource is intended for DUHS team members at Duke University Hospital, Duke Regional Hospital and Duke Raleigh Hospital.

Infection Prevention 101 Education
The 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.

COVID-19 Infection Prevention Bundle Checklist 
The document outlines many of the measures we have implemented at Duke Health to keep our team members safe while continuing to provide high-quality care to our patients.


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Universal Masking Guidelines

Click the links below to reveal more information about masking at Duke Health facilities.

All team members are required to wear a Duke-issued mask while working in a clinical space. Team members are also required to wear a face covering while walking into and out of work and while using Duke transportation.  Team members working in any Duke Health building where there is not a formal screening process and no direct patient care may wear a cloth mask with ties or earloops. Acceptable cloth masks should completely cover the nose and mouth.

 

All patients who can tolerate masks are required to wear one in common spaces of our campus, hospitals and clinics (e.g., waiting rooms, hallways, cafeterias). Masks should NOT be worn by anyone who has trouble breathing, is unconscious, incapacitated, or otherwise unable to remove the mask without assistance. Universal masking policies do not apply to patients in inpatient behavioral health units and children under the age of 2. 

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.

Outpatients who are able to tolerate a mask are required to wear them for the duration of their visit to the healthcare facility.

Inpatients will be provided a mask to wear when a healthcare team member enters their room; however, inpatients are not required to wear masks while in their hospital room.

A letter in English and Spanish is available for inpatients to inform them of our current masking guidelines in place.

 

Visitors are required to wear a mask:

  • at all times in common spaces of our campus, hospitals, and clinics
  • when any Duke team member enters the patient or exam room
  • at all times when visiting a hospitalized patient residing in a shared patient room 

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.

Visitors should be encouraged to wear a mask at all times while visiting hospitalized patients to prevent transmission of COVID-19 to the person they are visiting.  View more on masking guidance for patients and visitors.


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Visitor Restrictions & Guidelines

Visitor restrictions are in place at all Duke Health facilities to reduce the spread of infection. View:


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General PPE Recommendations

Appropriate PPE During COVID-19 Response (Infographic)
This infographic provides concise and simplified recommendations for what PPE healthcare workers should wear.

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.

Isolation Cart PPE (Table)
This table provides streamlined information about the supplies that are needed for providing care for patients with known or suspected COVID-19. 

PPE Observer Standard Work
This chart provides guidance for 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.


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Specific PPE Recommendations


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Clinical Guidance

View an up-to-date list of COVID-19/SARS-2-CoV symptoms. Symptoms can develop as soon as two days after exposure or in as many as 14 days after exposure. The average time from exposure to symptom onset is five to six days.

View documents on:

In addition to the guidance above, there are several specialty-specific documents that relate to infection prevention protocols. Click the first link to view these specialty-specific documents and the second link to view documents on pediatric clinical guidance and resources for families.
 

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Testing Guidance


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End-of-Life Care

View documents on end-of-life care and decedent care.


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Maestro Care

View documents on Maestro Care updates and guidance related to COVID-19.


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Employee Health


Cleaning Protocols

Environmental Controls and Cleaning Protocols

All patient care equipment should be cleaned using a hospital-approved EPA registered disinfectant that is effective against SARS CoV2. After use in a COVID room, the equipment will be cleaned using a 2-step method.  Listed below are the steps to clean and disinfect equipment-with and without an anteroom. 

  • With anteroom: Clean equipment in the patient’s room, while fully donned in PPE, and move equipment to anteroom once clean. Doff PPE according the established procedures, perform hand hygiene and don clean gloves. Clean equipment again in the anteroom and then hand or roll equipment to observer/buddy to remove into the hallway.  
  • Without anteroom: Perform initial cleaning in the patient room and move equipment to hallway once clean. Doff PPE according to the established procedures and exit the room; after performing hand hygiene and donning clean gloves, clean the equipment again in the hallway.

Doff PPE according to the established procedures and exit the room; after performing hand hygiene and donning clean gloves, clean the equipment again in the hallway.