Latest Updates

7.6.2020 at 5:30 PM:

Preventing the Spread of COVID-19

  • Even if you're experiencing mild symptoms, call the Duke COVID Hotline. All team members who develop any symptoms, including a sore throat, muscle aches, nasal congestion, cough, shortness of breath, loss of taste or smell, headache, fatigue, nausea or vomiting, diarrhea, fever, or chills, must stay out of work and immediately report their symptoms to their manager and to Employee Health by calling the Duke COVID Hotline at 919-385-0429, option 1.

PPE

  • The Centers for Disease Control and Prevention (CDC) now recommends that healthcare workers caring for asymptomatic patients in areas of moderate to high community transmission wear eye protection in addition to face masks. Eye protection is most important when caring for patients who are unmasked. Review this document to see the updated recommendations from our DRH Infection Prevention team.

Visitor Restrictions

Share Your Story

  • Have a story idea that highlights amazing teamwork, empathy or creativity on your unit? Let us know by emailing DRH Corporate Communications’ April Dudash at April.dudash@duke.edu.

Operational Strategy 

    • Outpatient Services is planning to begin curbside patient registration starting Monday, July 6.
    • In order to expand our outpatient waiting area and maintain social distancing, the ED resource nurses and the Nursing Resource Center have been moved. The ED resource nurses are now located on the first floor of the Watts Building (Aaron Weinbaum’s former office). The Nursing Resource Center has been temporarily moved to the Project Search Classroom on the first floor of the Watts Building.
    • The Giftique in the third-floor main lobby is scheduled to reopen on Monday, July 13. Its new hours will be 11 a.m. to 2 p.m., Monday through Friday. Social distancing measures will be in place in the shop.
    • Please continue to collect empty hand sanitizer spray bottles, pump bottles and wall-mounted dispenser refills. Place them in the collection bin on your unit.

    Universal Testing

      • Starting Monday, June 22, until further notice, all patients admitted to DRH (this includes from the ED, outside hospital transfers and direct admits to DRH) are being tested for COVID-19 at the time of admission.

      Town Halls

      • Watch the latest recording of the June 29 DUHS Virtual Town Hall, which focuses on how we're working to reduce the spread of COVID-19 in our community.
      • If you missed the DUHS Nursing Virtual Town Hall on June 18, be sure to view the recording.

      PPE

      • Effective last Friday, June 26, face masks are now legally required in all public settings where physical distancing is not possible to comply with Gov. Roy Cooper’s executive order.
      • When do I need to wear my mask? When you are in a common space (e.g., hallway, break room, workroom, patient care area, cafeteria, nursing station, courtyard, bus/shuttle, grocery store, shopping areas), you should wear your mask at all times except when actively eating, drinking or using the restroom. Make sure to also limit the number of unmasked individuals who are in close proximity with one another while eating and drinking.
      • Until further notice, earloop masks will be provided for all inpatients across DUHS. All patients and visitors will be required to wear a Duke-issued mask when a team member enters their room as well as when going to and from procedures.

      Resilience and Well-Being

      In the News


      6.19.2020 at 4:30 PM:

      Preventing the Spread of COVID-19

      • Right now, masking and hand hygiene are our best defense against spreading infection. Please keep those near to you safe by properly wearing your mask while entering and exiting our facilities, riding on buses and throughout your workday.

      Town Halls

      PPE

      • This week, we began providing earloop masks for all inpatients across DUHS. All inpatients should wear a Duke-issued mask when a team member enters their room as well as when traveling to and from procedures. Please use this letter when communicating to patients about wearing masks while on inpatient units.
      • These posters include all PAPR-related instructions for donning and doffing additional PPE and disinfecting the PAPR in inpatient and outpatient settings. In this updated document, we have instructions for the 3M Ford PAPR.

      COVID-19 Testing

      • We are starting universal COVID-19 testing at DRH on Monday, June 22 of all admitted patients at time of admission. 
      • For inpatient and pre-operative tests, the median turnaround time is about 4-6 hours for all times of day. If samples are received by 6 p.m., they will be resulted before 6 a.m. the next day.
      • Outpatient turnaround time is generally 24 hours.
      • Please be sure to refer to the most updated guidance when ordering these tests.

      DHTS

      • DHTS will conduct maintenance on all SharePoint sites on Saturday, June 20. The maintenance window will start at 9 a.m. and last for about six hours.  During this maintenance window, there may be slight delays in webpage rendering. In this phase, there may be an outage lasting anywhere from 15 minutes to an hour. This outage would affect the following URLs:
        • intranet.dh.duke.edu
        • secure.dh.duke.edu
        • secure.medschool.duke.edu
        • intranet.medschool.duke.edu
        • board.dh.duke.edu
        • portal.dh.duke.edu
        • leadershipcafe.dh.dukehealth.org
        • inside.dh.dukehealth.org
        • nursingupdate.dh.dukehealth.org
        • vitalsigns.dh.dukehealth.org

      In the News 


      6.12.2020 at 4:00 PM:

      PPE

      • Please do not wear makeup when wearing N95 face masks. The makeup soils the masks, and then we have to discard them instead of reprocessing them. Please place your used N95 masks in the collection bins on your unit so we may safely and cleanly reprocess them.

      • Here are instructions on how to wear a reusable gown along with a Versaflo PAPR unit. 

      Town Halls

      • The Monday DUHS Virtual Town Halls are now bi-weekly. The next Virtual Town Hall will be at 4 p.m. on Monday, June 15.

      COVID-19 in Our Community

      • Our state is currently experiencing one of the highest rates of positive COVID-19 testing in the nation, and Durham County is experiencing growing community spread. We are working as part of the health system task force to identify opportunities in our community to distribute face coverings as well as provide education and appropriate testing. 

      Restoring Services

      • Our Cancer Services team members, along with our radiation oncology, medical oncology and infusion services, are returning to Duke Regional Hospital on Monday, June 15. Duke Cancer Center North Durham will reopen the morning of June 15, returning to its regular clinic hours of 8 a.m. to 5 p.m., Monday through Friday. There will be physical distancing in lobby areas, required masking, as well as a new curbside check-in process for our patients. 
      • We resumed heart surgeries at Duke Regional the week of June 1.

      Visitors

      • Our Emergency Department is joining Duke University Health System in piloting a new Visitor Management System starting 7 a.m. Wednesday, June 17. ED visitors will be issued Visitor badges that last 24 hours. This new system will allow us to track all visitors entering the Emergency Department as well as enhance patient, visitor and team member safety in the ED. This will also help us track how many visitors enter our ED.
      • Our Duke Health Visitor Restrictions remain in place. However, we are currently working on plans for when it is safe to phase back visitors. We are working with other health systems in our area to coordinate the lifting of visitor restrictions.  

      Employee Wellness

      • Mark your calendars: there are upcoming Mindfulness Drop-Ins, led by Dr. Jeff Brantley. These Zoom events are held on Fridays from 2-2:30 p.m. Click here to join, or dial in by phone (meeting ID: 130 852 994 ). The series concludes at the end of June. Can’t make a live session? Check out our library of recorded meditations.

      6.8.2020 at 4:00 PM:

      Supplies

      • Please continue to collect small, empty hand sanitizer bottles and place them in the collection bins on your unit. We are collecting and refilling them with more hand sanitizer. Thank you! 

      • Do you need to order new Special Droplet or Special Droplet and Contact signs? Here is how you order them

      PPE

      Community Service

      • Healthy, eligible blood donors are urgently needed to replenish our blood supply, which will help save countless lives. If you are able, please consider donating at an American Red Cross collection site as soon as possible. Visit the American Red Cross website and search by zip code to find a donation center near you.

      6.3.2020 at 5:00 PM:

      Operational Strategy

      • We are tentatively planning to reopen Duke Cancer Center North Durham at Duke Regional Hospital, to include medical oncology, radiation oncology and chemotherapy/radiation treatments, on Monday, June 15.  
      • We resumed heart surgeries this week. Congratulations to our perioperative teams for making this happen!  

      Town Halls

      • At the most recent DUHS Virtual Town Hall, Rhonda Brandon, chief human resources officer and senior vice president for Duke University Health System, shared a few thoughts, and you may view the town hall recording to engage in a moment of reflection with her. 
      • The next DUHS nursing virtual town hall is tomorrow (Thursday, June 4) at 4 p.m. 

      Visitor Restrictions

      • At this time, current visitor restrictions remain in place. You can view all of our current visitor restrictions here.  

      6.2.2020 at 9:00 AM:

      Town Halls

      We will hold a Time for Reflection DRH Virtual Town Hall this Tuesday, June 2. Join other members of the DRH family to share what’s on your mind, especially after recent local and national events: 

      Tuesday, June 2
      4-5 p.m.
      Join the Zoom virtual town hall here.
      Meeting ID: 942 1483 9399
      Password: 906639
      One tap mobile
      +16468769923,,94214839399#,,1#,906639# US (New York)
      +13017158592,,94214839399#,,1#,906639# US (Germantown)  

      Dial by your location: 
      +1 646 876 9923 US (New York)
      +1 301 715 8592 US (Germantown)
      Meeting ID: 942 1483 9399
      Password: 906639  

      Operational Strategy

      • Our pre-licensure and graduate students from selected programs/schools will be re-entering the clinical environment today, June 1. Here are some FAQs to provide more information as nursing and Allied Health learners re-enter our environment. 

      Human Resources

      • Today (June 1), we returned to the practice of applying PTO and vacation time in instances where work is not being performed. Team members who are unable to work because they have been instructed by EOHW to stay home due to COVID-19 exposure or illness will continue to be paid their base rate of pay without using PTO. 

      Communications

      • Starting this week, Duke University Health System will share task force email updates on Mondays and Wednesdays. The system will continue to hold bi-weekly virtual town halls, update the COVID-19 website, and share stories from across the health system in the "Inside Duke Health" newsletter. 

      Patient Care

      • For the care and safety of our patients, visitors and team members, Duke Health providers will not schedule, or will cancel, elective procedures for patients who refuse pre-procedural COVID-19 testing. This is a position statement and patient letter for any Duke Health provider faced with this scenario. 

      PPE

      • As part of our universal masking policy, patients should wear their mask when they are outside of the room in either inpatient or outpatient settings.  
      • All patients must wear masks in common spaces, such as waiting rooms, cafeterias and hallways.
      • Hospitalized patients (and visitors when applicable) do not need to wear masks in their rooms; however, they should be masked when sent to other procedural areas if they need to leave their room. They should also wear a mask when any Duke team member enters the room. (Please note, behavioral health patients are excluded from masking policies.) 
      • In the outpatient setting, if the patient can tolerate wearing a mask, the patient should wear a mask in the exam room. 

      Employee Health and Well-Being 


      5.28.2020 at 3:00 PM:

      Communications 

      • We have updated the DRH Intranet homepage with health system coverage of DRH as well as updated the DRH Intranet Calendar with upcoming virtual events and resources. Please check back regularly for new events and content. 

      • Our “DRH COVID-19 Documents and Contact Information” webpage will continue to be updated and can be found in the top right corner of the DRH Intranet homepage

      PPE

      • Please wear your loop face mask if you’re sitting in a cubicle or while walking around the office. From an Infection Prevention standpoint, you may remove your mask if you close your office door and no one is meeting with you. 

      Employee Health and Well-Being 

      In the News


      5.28.2020 at 9:00 AM:

      Operational Strategy

      • Bariatric/General Surgery Unit 6-3 reopened the afternoon of May 19.
      • DRH removed its respiratory triage tent in the Ambulance Bay the week of May 11, and our EMS/law enforcement partners started using the Ambulance Bay again on May 20. Two of the roadside tents (at Crutchfield Street entrance and Cancer Services Traffic Circle) will remain short-term to help direct traffic during this change. All other roadside tents have been removed. 
      • We are continuing to ramp up services offered at Davis Ambulatory Surgical Center (DASC).
      • The anticipated return of students to the clinical training environment include SubIs (MS4s) on May 18, PA students on May 26, NP students on June 1, and MS 2 MD students on June 15.

      Town Halls 

      Patient Care 

      • Please communicate to patients and their loved ones that items that are brought to the third-floor main lobby for delivery to patients will need to be delivered daily between 7 a.m. to 7 p.m. (7 days a week). Suitcases, duffel bags, etc. are not delivered, and loved ones are asked to remove items from these into bags DRH provides. Also please note: items are not delivered to Psychiatry Unit 6-1. Items for Select Specialty patients are collected by Select staff.

      Human Resources

      • Effective June 1, the health system will return to the practice of applying PTO and vacation time in instances where work is not being performed, and the availability for work policy will also apply. Team members who are unable to work because they have been instructed by EOHW to stay home due to COVID-19 exposure or illness will continue to be paid their base rate of pay without using PTO.

      Infection Prevention

      • As staff are waiting to enter the building at employee screening checkpoints (Employee Entrance near Outpatient Services and DRH Auditorium Entrance), please remain at least six feet apart to practice appropriate social distancing.

      PPE

      • DRH is expecting to receive 47 new Versaflo PAPRs.
      • As part of the health system’s mandatory universal masking policy, all team members should wear their Duke-issued mask while entering and exiting facilities. When you leave your shift for the day, wear your mask while you are walking to your car, waiting for the bus and/or riding on the bus. This is essential for your safety and the safety of others. Safely store your mask and keep your mask with you to wear it again until you can return to screening and receive a new mask for the day. Review this handout with more information about how to appropriately wear and store your mask.
      • DRH Supply Chain has been getting requests for tie masks from the employee screening checkpoints and non-surgical areas. Supply Chain is not able to accommodate those requests, as these tie masks are only used in surgical areas.

      Visitor Restrictions

      • There is a new, approved DRH document that shares the Visitor Policy for End-of-Life Patients with Suspected or Confirmed COVID-19. 

      Tech Updates

      • DHTS is conducting maintenance on all SharePoint sites on Saturday, May 30. The maintenance window will start at 8 a.m. and last about five hours.  During this maintenance window there may be slight delays in webpage rendering. In this phase, there may be an outage lasting anywhere from 15 minutes to an hour.

      This outage will affect the following URLs:
      intranet.dh.duke.edu
      secure.dh.duke.edu
      secure.medschool.duke.edu
      intranet.medschool.duke.edu
      board.dh.duke.edu
      portal.dh.duke.edu
      leadershipcafe.dh.dukehealth.org
      inside.dh.dukehealth.org
      nursingupdate.dh.dukehealth.org
      vitalsigns.dh.dukehealth.org

      Employee Health and Well-Being 

      N.C. Stay at Home Order 

      In the News

      Kudos and Thanks

      • We have received more than 5,800 donated meals from community restaurants and organizations for our team members! Incredible! Special thanks to Administrative Specialist Carla Neal for coordinating these meal deliveries for DRH. 
      • The students and families of Excelsior Classical Academy in Durham shared this wonderful thank-you video for Duke Regional Hospital healthcare workers.
         

      5.7.2020 at 8:00 PM:

      Operational Strategy

      • Starting this Friday, May 8, a Ricoh (vendor) courier will collect medical records from DRH nursing units on Mondays, Wednesdays and Fridays. Records will be collected between 9 a.m. and noon. During these times, the courier can provide your team with empty blue sleeves as needed. Extra medical record sleeves can also be found in the Medical Record drop box in the Mail Room (next to the department mailboxes).  

      Community Engagement

      • Duke Regional Hospital President Katie Galbraith has been appointed co-chair of the new Durham Recovery and Renewal Task Force, which will advise Durham city and county officials over the next 100 days on how to revise emergency declarations and stay-at-home orders during COVID-19. Read the full press release. 

      Employee Health and Well-Being 

      • Join Conversations with Colleagues, which are 45-minute virtual sessions offered Monday-Friday and led by a licensed Duke social worker. 
      • Looking for a moment of mindfulness? Here are a variety of guided meditations led by Duke team members. All of these meditations are free and publicly available.  

      N.C. Stay at Home Order

      In the News

      • The Emergency Department’s Ashley Wheeler shared with WRAL on Saturday that we continue to test patients for COVID-19. 
      • Tracy Stell in DRH Education Services shares kitchen pantry hacks during COVID-19 with Working@Duke

      Kudos and Thanks

      • The N.C. Air National Guard conducted a flyover with one of their C-17 aircraft today! They flew over hospitals across the state, including Duke Regional Hospital, to show gratitude for healthcare workers. Watch a short video of this morning’s flyover.  
      • The official count is in. We collected 38 units of blood at Friday’s Red Cross Blood Drive! Thank you to all of our team members who stopped by to donate.  
      • We are recognizing our patients and team members over our hospital loudspeakers every Friday around 10 a.m. The announcement language has been updated slightly. For example, when you hear “Code Healthcare Hero 5,” the number five represents the number of COVID-19 positive patients we successfully discharged home over the past week.  

      5.4.2020 at 3:00 PM:

      Operational Strategy

      •    Davis Ambulatory Surgical Center (DASC) reopened today and started seeing urgent or emergent surgical cases. We will continue to ramp up efforts to care for our surgical patients in a safe and effective way.

      •    Check out this video to learn more about how the health system is prioritizing keeping our patients and team members safe as we enhance access to care.

      Employee Health and Well-Being 

      •    Please continue to physically distance (at least six feet) between team members and do not share food. 

      Patient Care

      •    In coordination with changes in reporting requirements from the CDC and the North Carolina Department of Health and Human Services, DUHS is no longer requiring room entry logs to be completed for staff or visitors entering the rooms of patients with suspected or confirmed COVID-19 infection. Any breaches in PPE or suspected exposure within these rooms should be reported through the Employee Health Blood and Body Fluid Hotline at 919-684-8115. Please ensure that existing room entry logs for healthcare personnel and visitor monitoring are disposed of securely (i.e., in the shred bin).

      Kudos and Thanks

      •    Duke Regional Hospital, along with Duke University and Duke Raleigh hospitals, received a hospital safety rating of A for Spring 2020 by The Leapfrog Group. Thank you to all of our team members for prioritizing safety every day.  

      •    Thank you to Margie Muir, the head of DRH Patient Experience, as well as the leadership and staff of the Health Services Center for holding a blood drive on Friday with the American Red Cross. We appreciate all team members who inquired about donating blood, too!


      5.1.2020 at 6:15 PM:

      View a video message this week from DRH President Katie Galbraith. The video includes footage of team members working hard throughout our hospital.

      DRH Virtual Town Hall
      Join us! Our next DRH Virtual Town Hall is Wednesday, May 13, 2:30 p.m.-3 p.m.

      Join the Zoom Meeting here.
      Meeting ID: 990 0400 5252
      Password: drhrocks1

      One tap mobile
      +13017158592,,99004005252#,,1#,260557# US (Germantown)
      +13126266799,,99004005252#,,1#,260557# US (Chicago)

      Dial by your location
              +1 301 715 8592 US (Germantown)
              +1 312 626 6799 US (Chicago)
      Meeting ID: 990 0400 5252
      Password: 260557

      The Thursday, April 30 DUHS Nursing Town Hall can be viewed here.

      Operational Strategy

      • We are slowly inviting patients back into Outpatient Services starting Monday, May 4, for imaging appointments such as CT and MRI scans. We are initially prioritizing patients with urgent imaging needs.
      • You will start to see additional changes in our lobbies, waiting rooms and other common areas. We are spacing out seating and adding signage that aligns with social distancing guidelines.
      • To better streamline communication, the health system will modify regular task force email updates to Mondays, Wednesdays and Fridays. DUHS will continue to hold weekly virtual town halls, update the COVID-19 website, and share stories from across the health system in the newsletter "Inside COVID-19.”

      Personal Protective Equipment (PPE)
      We have received a shipment of reusable gowns. They may look slightly different than what you may have been wearing on your unit. Infection Prevention, Supply Chain and other DUHS areas have ensured they are safe for use.
       
      In the News
      Emergency Department clinical nurse Ashley Wheeler shares another video update with WRAL about the ED returning to a new normal.

      Employee Health and Well-Being

      • Take a moment to view a virtual performance by the Durham Medical Orchestra.
      • Here is a helpful one-pager of self-directed, guided and specialized well-being and emotional support resources.

      Kudos and Thanks

      • Thank you to the DRH Medical Staff Wellness Committee for providing wellness lunches in a socially distanced and safe way for our providers!
      • Congratulations to the Central Sterile Reprocessing team for decontaminating their second batch of N95 masks this week. These masks are decontaminated for eventual, safe reuse across Duke Regional.
      • Thank you to DRH Safety and Environmental Health Director Aaron Weinbaum for supporting Duke University Health System with the safety policies and procedures that go into transporting our homemade hand sanitizer to different Duke locations.

      4.29.2020 at 4:30 PM:

      Town Halls

      • If you missed the Duke Regional virtual town hall yesterday, here is the complete recording to watch at your convenience. Chief Operating Officer Mitch Babb discussed how DRH is planning to restore operations, as well as shared thank-you messages and photos. 
      • Panelists during the most recent DUHS town hall included leaders from the DUHS COVID-19 Task Force, PDC, Perioperative Services and Infectious Disease. They addressed questions about our current state and how we are working to enhance our patients’ access to care. If you missed this session, you’re welcome to view the recording.
      • The next DUHS nursing leadership virtual town hall will be Thursday, April 30 at 4 p.m. We will provide more information about our panelists and a link to join the town hall soon.

      Operational Strategy

      • Davis Ambulatory Surgical Center (DASC) will reopen on May 4 to manage patients who have progressive medical needs or other time-sensitive issues that can be handled in an ambulatory environment, avoiding unnecessary hospital traffic.
      • Beginning the week of May 18, we will resume clinic visits at our Health Services Center along Crutchfield Street, prioritizing those patients most at risk for disease progression.

       
      Blood Drive - Friday, May 1, 9 a.m. to 3 p.m.
      Health Services Center, 407 Crutchfield Street, Durham

      Our Duke Regional Hospital/American Red Cross blood drive is this Friday! There is a critical blood shortage nationwide. This blood drive is only open to Duke University Health System employees, and walk-ups are welcome. View the attached flyer for more information and to print/share.
       
      In the News

      • This week’s Inside Duke Health featured how Duke Regional Hospital is using Bluetooth stethoscopes to care for COVID-19 patients without needing to step into the patient’s room. The article features Dr. Megan Brooks, Dr. Aparna Kamath, nurse Noreen Fattah, nurse Arin Lowe, Dr. Adam Wachter, Dr. Mashael Al-Hegelan, and Dr. Brian Burrows.
      • Inside Duke Health featured the “Rollin’ to Show Love” Appreciation Ride that happened at Duke Regional Hospital on April 25.

      Friday Chimes
      Starting Friday, May 1, our DRH operators will make an announcement over the loudspeakers to take a moment to recognize the successes, challenges and spirit of our patients, their loved ones and our DRH healthcare heroes (You!). This will occur every Friday around 10 a.m. until further notice. The number of chimes you’ll hear will indicate the number of COVID-19 positive patients that were successfully discharged from DRH during the past week. For example, if you hear five chimes that means we are celebrating five successful discharges of COVID-19 positive patients.

      Thank you for all you continue to do to care for our patients, their loved ones and each other.


      4.27.2020 at 7:30 PM:

      Town Halls
      Join us for another DRH virtual conversation tomorrow (Tuesday, April 28). Hear from the DRH Executive Leadership Team about our COVID-19 plans and ask questions. The town hall will be recorded and the link will be shared afterward.

      Tuesday, April 28, 11:30 a.m.-Noon
      Join the Zoom Meeting here
      Meeting ID: 935 5239 0061
      Password: drhrocks

      One tap mobile:
      +16468769923,,93552390061#,,#,644068# US (New York)
      +13126266799,,93552390061#,,#,644068# US (Chicago)
       
      Dial by your location:
      +1 646 876 9923 US (New York)
      +1 312 626 6799 US (Chicago)
      Meeting ID: 935 5239 0061
      Password: 644068

      Durham Stay At Home Order
      Durham City and County governments extended their Stay at Home Order through May 15. View the details here.

      Upcoming Events
      A blood drive, hosted by Duke Regional Hospital and the American Red Cross, will be held this Friday, May 1. There is a critical shortage of blood nationwide. This drive is only open to Duke University Health System employees:

      Friday, May 1, 9 a.m.- 3 p.m.
      Health Services Center, 407 Crutchfield Street, Durham
      Walk-ups welcome. For Duke University Health System employees only.
      Here is a flyer to share and post.

      Employee Health and Well-Being

      • Applications are now being accepted for the Duke Health COVID-19 Dependent Care Financial Assistance Fund, established to offset the costs of dependent care during our COVID-19 response efforts. All Duke Health team members in good standing are eligible to apply, and applications are being accepted through Friday, May 29, 2020. Team members can learn more and access the application here.
      • DukeList now has a COVID-19 section that includes childcare, elder care, pet care and miscellaneous classifieds. The site is password-protected for the Duke community.
      • Today, Duke Health shared expanded guidelines designed to help healthcare workers returning home from work keep themselves and their loved ones safe from potential COVID-19 exposure.

      Kudos and Thank Yous
      On Saturday, April 25, community members organized a “Rollin’ to Show Love” Appreciation Ride to thank local healthcare workers as they respond to COVID-19. The group rolled by Duke Regional to cheer on our team members throughout the hospital and dropped off care baskets for our Emergency Department team. Watch a video of the heartwarming ride here.


      4.24.2020 at 5:50 PM:

      Town Halls

        Join us for another virtual conversation this coming Tuesday. Hear from the DRH Executive Leadership Team about our COVID-19 plans and ask questions. The town hall will be recorded, and the link will be shared afterward. 

        Tuesday, April 28, 11:30 a.m. – 12 p.m.
        Join the Zoom Meeting here
        Meeting ID: 935 5239 0061
        Password: drhrocks

        One tap mobile:
        +16468769923,,93552390061#,,#,644068# US (New York)
        +13126266799,,93552390061#,,#,644068# US (Chicago)

        Dial by your location: 

        • +1 646 876 9923 US (New York)
        • +1 312 626 6799 US (Chicago) 

        Meeting ID: 935 5239 0061
        Password: 644068  

        View the recording of the Thursday, April 23 nursing virtual town hall.  

        The next DUHS virtual town hall will be Monday, April 27 at 4:30 p.m. More information about the panelists and a link to join the town hall will be provided soon. 

        Operational Strategy

        • DUHS Periop plans to incrementally expand capacity for surgical procedures over the next week across perioperative platforms and will increase available services in the ambulatory settings beginning early May. Each case will be carefully reviewed to ensure the patients meet the strict criteria necessary to receive the care they need. 
        • DRH departments and units are asked to please page/call DRH Respiratory Therapy if you are in need of COVID-19 swabs. Every shift, Respiratory Therapy assigns a therapist to cover each unit. Please call/page that person assigned to your unit.  

        N.C. Stay At Home Order

        In the News

        • DRH Emergency Department nurse Ashley Wheeler shares with WRAL how we now offer rapid testing, how Durham EMS is doing a great job and talks about her family. 
        • Inside Duke Health features nurse Kelli Bardel and her project to make headbands for her DRH Labor & Delivery teammates.  

        4.23.2020 at 6:50 PM:

        Town Halls

          Join us for another virtual conversation this coming Tuesday. Hear from the DRH Executive Leadership Team about our COVID-19 plans and ask questions. The town hall will be recorded, and the link will be shared afterward. 

          Tuesday, April 28, 11:30 a.m. – 12 p.m.
          Join the Zoom Meeting here
          Meeting ID: 935 5239 0061
          Password: drhrocks

          One tap mobile: +16468769923,,93552390061#,,#,644068# US (New York)
          Meeting ID: 935 5239 0061
          Password: 644068  

          Supplies

          • We are still asking departments/units to please collect the tabletop hand sanitizer pumps as well as spray bottles for refilling.
            • If you need to replenish your tabletop hand sanitizers, please call DRH Supply Chain at 919-470-4153 to request these supplies. Please do not refill tabletop sanitizers from wall-mounted hand sanitizer stations. 
            • If your bin of used hand sanitizer bottles needs to be emptied, please call DRH Environmental Services at 919-470-4063

          Upcoming Events

          Duke Regional and the Red Cross are hosting a blood drive next week that is only open to Duke Health employees. There is a critical need for blood due to recently canceled blood drives across the country. An appointment is not necessary, but encouraged. To make an appointment, visit this Red Cross website and type DUKE in the zip/sponsor code field. 

          Blood Drive: Friday, May 1
          9 a.m. - 3 p.m. Duke Health Services Center, 407 Crutchfield St., Durham, NC
          Additional safety measures and social distancing will be in place during the drive. If you have questions, please contact Margie Muir at Margaret.muir@duke.edu.  

          IT

          DHTS will conduct maintenance on our Intranet sites this Saturday, April 25, from 8 a.m. to approximately 2 p.m. During this timeframe, there may be slight delays in webpage rendering and an outage lasting anywhere from 15 minutes to one hour. This will affect the following URLs, which may house COVID-19-related documents and resources: 

          intranet.dh.duke.edu
          secure.dh.duke.edu
          secure.medschool.duke.edu
          intranet.medschool.duke.edu
          board.dh.duke.edu
          portal.dh.duke.edu
          leadershipcafe.dh.dukehealth.org
          inside.dh.dukehealth.org
          nursingupdate.dh.dukehealth.org
          vitalsigns.dh.dukehealth.org  

          Share Story Ideas and Photos

          • Do you have a team member who has gone above and beyond? Has your team displayed incredible teamwork during this busy time? Share your story ideas and photos by emailing them to April Dudash, DRH manager of internal communications, at april.dudash@duke.edu

          Employee Health and Well-being

          • Check out Duke’s Well-Being Support webpage. 
          • LIVE FOR LIFE offers free nutrition, fitness and tobacco consultation services by phone: Click here to enroll. 
          • Here are tips for picking up groceries without stepping inside a store. And as a reminder, the DRH Cafeteria is still offering “convenience store” items for purchase during regular cafeteria hours.
          • Looking for a moment of mindfulness? Here are a variety of guided meditations led by Duke team members. All of these meditations are free and publicly available. 

            4.21.2020 at 6:10 PM:

            Personal Protective Equipment (PPE)

            • This document (Updated April 20, 2020) provides clarification on the re-use and extended use of face masks (including surgical masks, tie masks and earloop/procedural masks) and face shields. It specifically addresses situations in which patients are on transmission-based precautions (i.e., droplet, contact and/or contact special enteric).  
              • Definitions:
                • Extended use: Keeping on the same PPE to care for multiple patients.
                • Reuse: Storing your PPE to safely use it again later.  
            • Team members are asked to please continue to wear your loop face mask while at work, to include in common areas. The loop face mask should cover your nose and mouth.  
            • Team members exiting our facilities at the end of their shift may now keep their loop face mask instead of turning it in. If you take your loop face mask home with you, please make sure the mask isn’t soiled or compromised and hasn’t been used in isolation precaution areas.  

            Town Halls

            • Did you miss Monday’s DUHS Virtual Town Hall? Panelists included leaders from Infectious Diseases, Human Resources, Labs and Supply Chain. You’re welcome to view the recording at your convenience.  
            • The first Thursday DUHS nurse leadership town hall will be this Thursday, April 23 at 4 p.m. A link to join and more information will be provided soon.  

            4.20.2020 at 6:30 PM:

            Operational Strategy

            • DRH Spine and Neurosciences as well as DRH Vascular Access have temporarily limited their hours to 8 a.m.-2 p.m., Monday through Friday, until further notice. 
            • We’re planning to receive reusable gowns by the end of this week.  

            Employee Health and Well-Being

            Town Halls

            • Did you miss the Duke Regional Hospital Virtual Town Hall last week? The DRH Executive Leadership Team discussed our hospital’s COVID-19 plans and answered team members’ questions. View the recording here.  

            Kudos and Thanks

            • Thank you to the Central Sterile Reprocessing team for helping decontaminate N95 masks here at Duke Regional! The first batch was decontaminated today at our hospital for eventual reuse.  


            Friday, 4.17.2020, Updated 3:45 PM:

            Town Halls

            • Did you miss the Duke Regional Hospital Virtual Town Hall? The DRH Executive Leadership Team discussed our hospital’s surge plan and answered team members’ questions. View the recording here
            • During Thursday’s DUHS virtual town hall, Chancellor Eugene Washington, MD, served as moderator and featured a panel of leaders discussing well-being and caring for ourselves through COVID-19 and beyond. If you missed this session, you’re welcome to view the recording.
            • The next DUHS virtual town hall is Monday, April 20 at 4:30 p.m. More information and a link to join the town hall will be shared soon.

            In the News 

            Employee Health and Well-Being

            • The Duke Department of Psychiatry and Behavioral Sciences team is available to provide consultation and support to members of the Duke community – including GME trainees, students, employees, faculty and their families – who are seeking assistance during this challenging time.  Please call the COVID-19 Telephone Emotional Support & Well-Being Line at 919-681-1631 to learn more.
            • To continue to provide support to our Duke Regional Hospital team members, Duke Health has secured discounted rates at local hotels. Any team member is free to book a room at their own expense for as long they would like. To receive the discounted rates, most of the hotels will require you to show your Duke ID badge upon check-in. Here are the hotels, their locations, phone numbers and rates
            • Here are some local farms and vendors who offer home or remote delivery of fresh produce courtesy of the Durham Farmers Market.
            • Healthy Duke is offering the Healthy Duke Better Together Virtual 5K series.  Join them each weekend from April 18 to May 10 for a run or walk.  Complete the weekly 5K all at once or break it up over the weekend.  For those that finish and post their results by noon the following Monday, your names will be placed in a drawing with a chance to win 180 LIVE FOR LIFE dollars.  Register and receive additional details, support and your own race bib!  To register, click HERE.

            Kudos and Thanks

            • AAA is currently offering free emergency roadside services for healthcare workers and first responders. View this list of updated discounts and promotions for healthcare workers. 
            • Duke Regional is piloting Bluetooth stethoscopes to care for Persons Under Investigation for COVID-19 and COVID-19 positive patients. In this photo, DRH Hospital Medicine’s Dr. Adam Wachter holds the Bluetooth stethoscope over his heart while Patient Safety Officer Laurie Velez listens from a cellphone/earbuds. 

            • The DRH Pharmacy team pitched in this week to make hand sanitizer. They are helping us continue to practice awesome hand hygiene. Thank you! 

            • We have received such heartwarming support from the community and local restaurants for our healthcare workers. Duke Regional Hospital has received more than 1,400 donated meals so far for our team members! Today, the N.C. Healthcare Foundation delivered 200 meals for different units across the hospital. 

            • We received eight new 3M Versaflo PAPRs for our DRH inventory. Thank you to the Clinical Engineering team for assembling these.

            • There are some new, fun superhero cut-outs and signs near the DRH Auditorium. Thank you to all of our Healthcare Heroes! 


            Tuesday, 4.14.2020, Updated 6:15 PM:

            Town Halls

            • We will hold a Duke Regional Hospital COVID-19 Virtual Town Hall this Thursday, April 16, 10-10:30 a.m. specifically about our hospital’s COVID-19 preparedness. Here is the link to join and hear from the DRH Executive Leadership Team. Please submit your questions in advance to DRH_Employees@dm.duke.edu
              • Or Join the Meeting by Phone: Dial +1 312 626 6799 US (Chicago) or  +1 646 876 9923 US (New York) | Meeting ID: 429 630 3226
              • Meeting Password: drhvalues (by computer) / 458454 (by phone)
            • If you missed the DUHS COVID-19 Virtual Town Hall on Monday, April 13, please feel free to view the recording.

            • The next DUHS COVID-19 Virtual Town Hall will be this Thursday, April 16 at 4:30 p.m. We will provide more information about the panelists and a link to join the town hall soon.

            Operational Strategy

            • Lined and labeled clear bins are being deployed to departments and units today (Tuesday, April 14) for collection of empty hand sanitizer bottles.
            • This short, animated DUHS video explains more about surge planning and how we're prepared to test, triage and care for COVID-19 patients over the coming weeks.
               

               

            • Duke Regional Hospital will start conducting point-of-care tests for COVID-19 starting Wednesday, April 15, meaning the DRH Lab will be able to perform COVID-19 tests and find out results in less than one hour. At this point, DRH has been allocated 20 COVID-19 point-of-care tests per day, and they will primarily be used by the DRH Emergency Department. 
            • To support our team, Duke Health will offer hotel accommodations for direct caregivers of patients with COVID-19 in hospitals. We will share that information through DRH communication channels soon. 
            • We began testing the N95 decontamination process at Duke Regional Hospital this week. More information will be shared soon!

            Personal Protective Equipment (PPE)

            • Please view this handout with more tips for getting through the day with your mask.

            • Duke Regional Hospital is in good shape regarding supplies. 

            Infection Prevention 

            • Patients who are transferred to Duke Regional Hospital from nursing homes will be automatically treated as Persons Under Investigation for COVID-19 and placed on Special Airborne/Contact (SAC) isolation precautions due to recent community outbreaks at these facilities.

            Employee Health and Well-Being

            • This document provides guidance for healthcare workers caring for COVID-19 patients on how to protect your family upon returning from work. We are committed to keeping you and your loved ones safe.

            • Are you learning a new skill or hobby or tackling a neat project during the COVID-19 Stay-At-Home Order? Working@Duke wants to talk with you for a story. Email writer stephen.schramm@duke.edu. 

            • DRH Chaplain Services is offering support stations in the DRH Chapel for team members who want to take a few moments for renewal. The DRH Chapel is open to one person at a time, to maintain our social distancing.
            • Duke Learning & Organization Development is offering several virtual, no-cost webinars that address current COVID-19 challenges and ongoing professional development needs. 

            In the News

            • Ashley Wheeler, a clinical nurse IV in the Emergency Department, shared another video diary with WRAL about her experience caring for COVID-19 patients. 

            Kudos and Thanks


            • Bojangles' is offering healthcare workers, first responders and law enforcement officers a free iced tea of any size from the restaurant's drive-thrus. The promotion will run through June 10, National Iced Tea Day.

            Monday, 4.13.2020, Updated 5:45 PM:

            Town Halls

            • We will hold a Duke Regional Hospital COVID-19 Virtual Town Hall this Thursday, April 16, 10-11 a.m. about our hospital’s COVID-19 preparedness. We will share the virtual meeting information soon, and please submit questions in advance to DRH_Employees@dm.duke.edu

            Operational Strategy

            • To align with new CDC guidelines, Duke Regional Hospital staff are asked to please double bag any respiratory specimens from suspected or confirmed COVID-19 patients and hand deliver to the DRH Lab using gloves. Please do not deliver suspected or confirmed COVID-19 specimens via the pneumatic tube system. 

            • Effective Monday, April 13, the Duke Center for Metabolic and Weight Loss Surgery as well as the DRH Colorectal Surgery clinic, both located at the Health Services Center off Crutchfield Street, will reduce their clinic hours to 8 a.m. to 1 p.m., Monday through Friday. 

            In the News

            Kudos and Thanks


            Friday, 4.10.2020, Updated 7:30 PM:

            Town Halls

            • During Thursday’s DUHS Virtual Town Hall, panelists addressed questions regarding the health system’s surge preparations as the number of patients who come to us for testing and treatment continues to rise. If you missed this session, you’re welcome to view the recording.  
            • The next DUHS COVID-19 Virtual Town Hall is Monday, April 13 at 4:30 p.m. More information and the link will be shared soon.  

            Personal Protective Equipment (PPE)

            • There is a new version of the Trained PPE Observer Monitoring Log, which was updated 4/9/20 to more easily print, to post outside of PUI/confirmed positive COVID-19 patient rooms.  
            • The health system is moving forward with universal masking. All visitors get a mask as well as all patients in common spaces - hallways, cafeterias and waiting areas. This applies to both inpatient and outpatient areas. 
              • EXCEPTION: Masks are not recommended for Psychiatry patients at this time.
              • Transport staff should ensure all people are masked.  
              • Each visitor and patient will receive ONE mask for the day. The mask will be replaced only if it becomes visibly soiled or compromised.  

            Donations

            • For the safety of our team members and patients, and in consideration of our valued business partners, please do not contact restaurants and caterers to request donations for your departments/units. All food donations must follow our approval process, therefore please do not accept food deliveries unless pre-arranged by DRH Corporate Administration’s Carla Neal. If you have questions or suggestions about food donations, contact carla.neal@duke.edu.  

            Kudos and Thanks

            • View this list of updated discounts and promotions for healthcare workers.  

            Friday, 4.10.2020, Updated 4:35 PM:

            Operational Strategy

            • The Health Information Management (HIM) Department at Duke Regional Hospital has temporarily relocated to the PRMO building on South Alston Avenue effective April 8, 2020. The installation of a secure drop box in the Duke Regional Mailroom ensures that the HIM team will receive a daily collection of clinical records and scanned documents.

            Please rubber band and secure the documents in the usual plastic sleeve before placing it in the drop box. Documentation, collection and deliveries will continue daily for the HIM team. If you have questions or concerns, please contact HIMDocumentMgt@duke.edu, and someone will respond via email or phone if you provide a contact number. 

            In the News

            Personal Protective Equipment (PPE)

            Patient Care


            Wednesday, 4.8.2020, Updated 8:15 PM:

            In the News

            Personal Protective Equipment (PPE)

            Patient Care


            Tuesday, 4.7.2020, Updated 9:45 PM:

            Operational Strategy

            • There are plans in the works across the health system to start making hand sanitizer in-house. More information will be shared soon, but in the meantime, please help us by SAVING empty DebMed hand sanitizer bottles on your units and not throwing them away. If you have any questions, please contact the DRH Command Center at 919-470-7669. Thank you for your help.

            Town Halls

            • If you missed Duke Health's COVID-19 Leadership Task Force Virtual Town Hall meeting yesterday at 4:30 p.m., view the recording.

            Kudos and Well-Being


            Monday, 4.6.2020, Updated 6:15 PM:

            Operational Strategy 

            • Starting Monday, April 6, all David Ambulatory Surgical Center (DASC) surgical procedures will be moved to Duke Regional Hospital until further notice. This will help both facilities conserve staffing resources and supplies as the health system prepares to care for more COVID-19 patients. We are rescheduling non-emergent surgeries at this time, and all DASC staff members are being redeployed to work in different Duke Regional Hospital units.

            Personal Protective Equipment (PPE)

            • A new video released today shows how Duke Health is decontaminating N95 masks. DRH President Katie Galbraith even makes a quick cameo!

            Kudos and Well-Being

            • Beginning today until further notice, the DRH Cafeteria on the first floor began offering "convenience store" items for employees to purchase. This includes toilet paper, eggs, milk, cereal, bread, lunch meat and more. Credit cards and cash are accepted. This will only be available during regular DRH Cafeteria hours:
              • Breakfast: 6:30 a.m. - 10:15 a.m.
              • Lunch: 11 a.m. - 1:45 p.m.; Grill open from 11 a.m. - 3:30 p.m.
              • Dinner: 4:30 p.m. - 7 p.m.
              • Night Owl: 8 p.m. - 2 a.m.
            • DRH Chaplain Services wants to share this new blessing for our DRH family this week. Please feel free to print it out, post it in your office or share it during a staff huddle. Please call the DRH Chaplain Services office at 919-470-5363 or page our On-Call Pager at #1115 to reach a chaplain if you would like a prayer or supportive message said for you, your family or your community.
            • During this historic time, we are chronicling what's happening throughout our DRH facilities as we respond to COVID-19. If you have any photos you'd like to share of you or your team, don't hesitate to email them to april.dudash@duke.edu to add them to our hospital archives and have them shared in future stories. Please keep in mind to not share any Protected Health Information (PHI) such as patient names on room doors, photos of patients, screens with vitals, etc. Thank you!

            Friday, 4.3.2020, Updated 5:00 PM:

            Operational Strategy 

            • To better understand the spread of COVID-19 in our community and how our health system is responding, Duke Health Performance Services has developed a dashboard that shows the current status of testing and COVID-19 cases at Duke. To view the dashboard, you must be on the Duke Health network or connected to the VPN.

            • Written consents are no longer required for blood transfusions at Duke Regional. Instead, the provider completes the attestation. Here is a flyer with additional information.

            Town Halls

            • If you missed the resilience and well-being Duke Health COVID-19 Virtual Town Hall  on Thursday, April 2, you can now view the recording
            • The next Duke Health COVID-19 Virtual Town Hall is scheduled for this Monday, April 6 at 4:30 p.m. The panelists and link will be shared soon.

            Personal Protective Equipment (PPE)

            • This is just a friendly reminder to please not wear face makeup while physically at work, because makeup soils the loop face masks we are required to wear. 

            Unit Posters 

            Kudos

            • More than 1,000 DRH team members have recently been trained on how to don and doff Personal Protective Equipment (PPE). Big thanks to Eric Hexdall in DRH Education Services for leading this effort!

            Thursday, 4.2.2020, Updated 6:45 PM:

            Operational Strategy 

            • Starting Monday, April 6, until further notice, the in-person outpatient oncology services provided at Duke Cancer Center North Durham, to include medical oncology, breast surgical oncology, radiation oncology and oncology infusion, will temporarily transition to Duke Cancer Center located along Duke Medicine Circle in Durham. Outpatient clinic visits will transition to telehealth whenever possible. Duke Cancer Center North Durham will continue to be available for adult cancer and hematology inpatient consultations during this time.
            • The DRH Command Center has been receiving this question: Are we currently masking visitors or patients at discharge? 
              • We are not masking inpatients upon discharge, unless they are a PUI or confirmed positive COVID-19 patient, or are recuperating from a contagious illness.
              • We are not masking ED/Outpatient visitors at this time.   
              • We are masking critical-exception visitors visiting inpatients if they are staying for a while in our facility. 

            Events, Services and Cancellations 

            • Services in the DRH Chapel have been suspended until further notice, and only one person is allowed in the DRH Chapel at a time. DRH Chaplain Services can still be reached at 919-470-5363 or via on-call pager #1115.

            Staff Well-Being 

            • Even though every team member now has to wear a mask in our facilities, please remember to continue practicing social distancing by maintaining a distance of six feet from others. 
            • Listen to this COVID-19 Apple Music Playlist created by Jon Bae, DUHS Associate Chief Medical Officer for Patient Safety & Clinical Quality.

            Wednesday, 4.1.2020, Updated 4:40 PM:

            Patient Care

            • There is a new DRH Trained Observer Monitoring Log that all units should begin using immediately for PUI (Person Under Investigation for COVID-19) and confirmed positive COVID-19 rooms. Please stop using all other outdated logs, including the NCDHHS log.
            • Effective Thursday, April 2, DRH is following this process for bulk storage of PPE isolation gowns and masks on units.

            Operational Strategy 

            • DRH is currently working on its in-house process for collecting, storing, sterilizing and redeploying N95 masks. 

            Human Resources

            • If unit managers have staffing questions, to include PTO or redeployment questions, call the DRH Scheduling Center at 919-470-7148.
            • If managers have work requests from high-risk staff members, please work with the staff member and submit this High-Risk Staff Accommodation Process Form and Attestation Form to DRH HR’s karen.riches@duke.edu

            Staff Well-Being Resources 

            • To care for others, you first have to take care of yourself. Personal Assistance Service (PAS), which offers counseling sessions to Duke employees and their immediate family members, is now offering video appointments. Or call them at 919-416-1727 to receive support.  
            • The Duke Center for Healthcare Safety and Quality is updating a list of community discounts for healthcare workers

            Tuesday, 3.31.2020, Updated 4:30 PM:

            The next DUHS COVID-19 virtual town hall will be Thursday, April 2 at 4:30 p.m. More information will be provided about the panelists and the link soon.

            Personal Protective Equipment (PPE)

            • Please watch this short video about how to properly wear your daily face loop mask.
              • Please do not wear the mask around your chin, because this contaminates the mask.
              • Please start wearing your mask as soon as you receive it at an Employee Screening checkpoint.
              • As you're leaving the facility, please place your used face loop mask in a collection bin located at employee exits.
            • Duke Quality System DRH coaches are working on examining the use of Personal Protective Equipment (PPE) throughout our hospital and seeing if there are conservation opportunities.

            Well-Being
            Now more than ever, it’s vital to care for ourselves and each other. Each day at 8 a.m. and 4:30 p.m., Duke Health & Well-Being is leading short “mindful moments” for all who need them. These 3-5 minute Zoom sessions are a space for you to pause and care for yourself, so you can better care for patients and each other. To join, visit https://duke.zoom.us/j/336034768 or dial in by phone with meeting ID 336 034 768. Can’t make it? Sessions will be archived on the Well-Being Resources page.
             
            Kudos and Thanks

            • DRH Chaplain Services has written a blessing for all of our team members, which can be printed out for individual use or read during staff huddles. Our chaplains are available at 919-470-5363 or pager #1115 if you would like a prayer or supportive message said for you, your family or your community.
            • Thank you to the entire DRH Supply Chain team for keeping our hospital up-to-date on supplies and well-stocked. We appreciate you!

             


            Monday, 3.30.2020, Updated 6:15 PM:

            Here is a link to watch the recorded Duke Health COVID-19 Town Hall meeting from today (March 30). 

            Human Resources/Employee Wellness

            • Employee Occupational Health and Wellness (EOHW) will continue to identify and contact healthcare workers who may be at risk for exposures. The EOHW team interviews all Duke Heath team members who test positive, identifies relevant contacts and assesses whether or not any contacts carry risk. If any action is required, you will be personally informed.
            • N.C. Department of Health and Human Services: Parents who need food assistance for their children can text FOODNC to 877-877 to locate nearby free meal sites. The texting service is also available in Spanish by texting COMIDA to 877-877.

            Personal Protective Equipment (PPE)

            • Starting Tuesday, March 31, all team members will be required to wear a face mask while at work, whether they are serving in a clinical or non-clinical role. We will provide one mask per day, and you will receive your mask at an Employee Screening checkpoint. You can wear your Duke-issued mask for the entire shift. Please take care of this mask each day as you will only be provided a replacement if the mask becomes wet, visibly soiled or damaged. You should properly discard your mask in the appropriate bin at the end of your workday.
            • Do not use bleach to clean PAPR hoods for reuse. The bleach will irreversibly fog up the hood. Please use Oxivir wipes instead. 
            • Employees wearing masks, to include N95s and PAPR hoods, are asked to refrain from wearing makeup because makeup soils the masks.

            Friday, 3.27.2020, Updated 4:15 PM:

            The next DUHS Virtual Town Hall is planned for Monday, March 30 at 4:30 p.m. We will provide more information about the panelists and a link to join the town hall soon. Please submit any questions you have in advance to hospitalcommunications@duke.edu.

            Stay-at-Home Order for the State

            • A stay-at-home order for North Carolina goes into effect Monday at 5 p.m. 

            Human Resources

            The NC Department of Health and Human Services has created a hotline to match healthcare employees with unmet childcare needs to high-quality, safe childcare for infants through children age 12. This is not a free childcare service. Call the NCDHHS hotline at 1-888-600-1685. Here is a flyer

            REMINDER: If you have unmet childcare needs, please remember to fill out this Duke Health survey by Monday, March 30.

            Events, Services and Cancellations

            • Food and Nutrition Services put additional changes in place in the DRH Cafeteria to ensure safety and social distancing:
              • All table-top items have been removed for better cleaning
              • The use of reusable cups and mugs have been temporarily paused
              • Cleaning frequency has been increased in high-touch areas 
              • They are using wrapped utensils only; Utensils and condiment packets are served by F&N employees
              • All employees performing food service duties are required to wash their hands every 15 minutes

            Kudos and Thanks

            DRH Human Resources team
            Thank you to the DRH Human Resources team and others who are helping with staffing questions and data collection during this busy time.

            Inspirational display in the Employee Entrance

            Thank you to DRH Imaging Manager Heidi Camposano, as well as Nimi and Brooke from Nuclear Medicine, for creating an inspirational display in the Employee Entrance! 


            Thursday, 3.26.2020, Updated 4PM:

            There is a new, easy place to search for and find health system COVID-19 documents. Here is the link, or click on the "Document Library" tab on the right side of this webpage.

            Here is a link to the recording of the virtual DUHS COVID-19 Town Hall from today, March 26.

            Operational Strategy

            • DRH Radiology is starting a screening process for outpatient procedures. The goal is to reschedule non-essential exams based upon state and national recommendations. The scheduling of future non-essential imaging studies may also be delayed until after May 1. If you have any questions, please call the DRH Radiology Scheduling office at 919-470-5262.

            Pharmacy

            • There is a national shortage of several multi-dose inhalers (MDIs). Effective immediately, all albuterol and ipratropium MDIs will be conserved for COVID-19 positive patients or Patients Under Investigation for COVID-19 (PUIs). Other patients requiring inhaled albuterol or ipratropium will receive those via nebulization. If the PUIs testing for COVID-19 returns negative, and a new MDI is requested for a replacement, the order will be converted to nebulization to avoid another MDI dispense. If an albuterol or ipratropium MDI order is received and the patient is not COVID-19 positive or a PUI, the pharmacist may therapeutically substitute per Pharmacy & Therapeutics policy to a nebulizer route. All albuterol and ipratropium MDIs as well as spacers have been removed from the Omnicell floor cabinets and will be dispensed from the Central Pharmacy. A small supply of albuterol MDIs will remain in the ED and CCU Omnicell cabinets and the medication boxes in the ED temporary respiratory care area to allow expedited drug availability for urgent/critical patients. These will not require review from a pharmacist. All providers should adhere to the above restrictions of conserving albuterol MDIs for COVID-19 positive patients or PUIs only in those patients requiring urgent therapy. If PUIs are appropriate candidates for discharge home and therapy is not needed urgently, an outpatient prescription should be placed for an MDI for fill at an outside pharmacy.

            Human Resources

            Stay-At-Home Orders

            Personal Protective Equipment (PPE)

            • We currently have about 150 staff members who are trained observers for PPE donning and doffing.

            Events, Services and Cancellations

            • Please continue to limit your Staples supplies orders to MONDAYS only. Thank you.
            • The Duke Regional Hospital Red Cross Blood Drive scheduled for this Friday, March 27, is canceled. Holding the drive on a mobile bus was too close quarters, according to CDC guidelines. The Red Cross still has a critical need, and keep an eye out for upcoming brick-and-mortar blood drives here.
            • Duke Health Technology Solutions will perform maintenance on the Intranet on Saturday, March 28 from 8 a.m. to noon. There may be slight delays in webpage rendering and minor outages.
            • Here is a virtual tutorial about how to use Microsoft Teams.

            Kudos and Thanks
            • Now through May 3, any customer who identifies as a frontline responder to the COVID-19 outbreak will receive a tall brewed coffee (hot or iced) at no charge. Starbucks service is drive-thru only.


            Wednesday, 3.25.2020, Updated 11 PM:

            Duke Regional Hospital, the Health Services Center and Davis Ambulatory Surgical Center will begin screening team members starting first shift tomorrow (Thursday, March 26). This is to continue to protect our patients, their loved ones and each other from the community spread of COVID-19.
            Team members will be directed to certain badge access employee entrances at their facility. They will be asked a question – Are you experiencing any flu-like symptoms? – and if a team member responds yes, then they will be asked to return home, contact their manager and the Duke COVID-19 Hotline.
            In the near future, team members will also undergo no-contact infrared temperature scanning. If someone has a temperature of 100.4 degrees or more, they will be asked to return home.
            At Duke Regional Hospital, team members will not be able to enter the hospital using the Main Entrance/Lobby on the third floor, except under special circumstances. Here are the staff screening locations starting tomorrow:

            Duke Regional Hospital Employee Screening Entrances

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

            To accommodate these screenings, there will also be employee parking changes in effect starting tomorrow (3/26) at Duke Regional Hospital:

            • Until further notice, employees can no longer park in the Wisteria Gravel Lot or New Paved Parking Lot, which is next to our construction site.
            • Employees can now park in the front of the hospital, next to the DRH Auditorium Entrance.
            • Please see the map below for further information about parking:


            Tuesday, 3.24.2020, Updated 4:30 PM:

            Operational Strategy:

            • We are regularly updating Resources and Contact Information as well as Frequently Asked Questions at the top of our DRH Intranet Homepage. We are time-stamping our updates.
            • Here is a recording of Monday's (3/23) Duke Health COVID-19 Town Hall.
            • Our Periop team is currently looking at scheduled surgical procedures on a case-by-case basis, and we are rescheduling all non-emergent procedures. We are looking at surgery schedules 48 hours out.

            Human Resources/Employee Wellness:

            • If you are feeling ill or have a question regarding employee health, please call the Duke COVID-19 Hotline at 919-385-0429, immediately select Option 1, from 8 a.m. to 5 p.m. Beginning March 25, hours will be expanded to 8 a.m. to 8 p.m. After hours, this number should connect to an after-hours number for employees.
            • If you need to be fit tested, please contact DRH Employee Occupational Health and Wellness' Susan Harvey at 919-470-5350.
            • If you are a team member who meets the possible high-risk criteria or are pregnant and wish to be assigned to alternate work, connect with your manager and DRH Human Resources to explore work options: 919-470-3800.

            Supplies and Donations:

            • Please share this link with anyone who wants to help support our COVID-19 preparedness, to include donating supplies. At this time, we are not accepting handmade masks, and staff cannot wear handmade masks while at work.
            • Please order office supplies from Staples only on MONDAYS until further notice. This will help Supply Chain manage deliveries.

            Events, Services and Cancellations:

            • Our Red Cross Blood Drive is still on this Friday, March 27, 10 a.m. to 3 p.m., at the Employee Entrance. The Red Cross will have additional screening and safety precautions in place. There is a severe blood shortage across the nation, so please donate! Walk-ups welcome. Contact Margie Muir at margaret.muir@duke.edu with any questions.
            • The DRH Cafeteria is now only serving grab-and-go meals to cut down on passing utensils back and forth. Buffet items will not be available, such as the salad bar.

            Kudos:

             

             

             

             

             

             

             

             

             

            Thank you to the DRH Labor & Delivery Unit and support staff for recently conducting a drill on how to care for patients with COVID-19 symptoms.

            We appreciate Nursing Informatics System Specialist Misty Guerrero, DHTS, Chief Medical Officer Adia Ross, Hospitalist Aparna Kamath, and General Medicine Unit 4-1 for piloting the use of iPads for patients to video-chat with their loved ones. (In this photo, courtesy of Hospitalist Megan Brooks, Aparna Kamath, Noreen Fattah and Angella Bentley test the iPads.)


            Sunday, 3.22.2020, Updated 2:15 PM:

            UPDATED VISITOR SCREENINGS & RESTRICTIONS

            On Monday, March 23, our visitor restrictions will be updated until further notice to protect against the spread of COVID-19. These changes align with updated visitor policies at all Triangle-area health systems. Here is the Duke Health webpage informing patients/visitors of these updated restrictions. We also have a flyer to share with patients and visitors:

            English Flyer

            Patients will continue to be screened at all Duke Health facility entry points.

            At Duke Regional Hospital:

            No visitors will be allowed until further notice with the following limited exceptions:

            • Visitation of a patient nearing the end of life
            • One parent at a time for visitation of a child in an intensive care nursery
            • One parent at a time for pediatric patients
            • One coach or partner for a patient on the Labor and Delivery or postpartum unit
            • One visitor at a time for patients in inpatient hospice
            • One visitor to accompany patients for hospital discharge

            Our Emergency Department:

            • One visitor will be allowed per Emergency Department patient.
            • These exceptions will allow the visitor to enter the facility after screening, and go to the patient’s bedside.
            • No visitors are allowed to wait in the lobby or waiting rooms.

            Outpatient Surgeries:

            • One visitor is allowed to accompany each patient to a procedure or same-day surgery.
            • Visitors will be screened alongside patients prior to entering the clinic.

            Outpatient Clinics/Outpatient Services:

            • One visitor is allowed to accompany each patient to an appointment, unless an additional aide or assistant is required.
            • Visitors will be screened alongside patients prior to entering the clinic.

            DUKE HEALTH COVID-19 TESTING
            On Monday, March 23, DUHS Clinical Laboratories plan to go live with our own CDC-validated COVID-19 test. During the first week, we will initially target the testing of hospital inpatients. Finally, the health system, in collaboration with the university, is securing the ability to perform high throughput, rapid Turnaround Time (TAT) testing on three separate platforms. This plan ensures redundancy in a time of severe resource shortages and will continue to evolve over the coming seven to 14 days.


            Friday, 3.20.2020, Updated 5:30 PM:

            Operational Strategy:

            • We are encouraging social distancing in the DRH Cafeteria by strategically spacing our cafeteria tables. Please do not move them back together. We will look at our lobbies and plan to implement the same spacing for social distancing.
            • Details are being finalized for our triage tent in the Ambulance Bay. The current plan is to start seeing patients with respiratory symptoms in this tent starting Monday, March 23, in the early afternoon.

            Human Resources:

            • We currently have 32 staff members who are ready and trained to be PPE observers when we need to deploy them.
            • Chief Medical Officer Adia Ross, MD, along with Medical Staff Services and Medical Staff Leadership, are working on staffing plans for physicians.
            • Human Resources, along with DRH Employee Occupational Health and Wellness, are determining on a case-by-case basis the pay status (paid active status vs. PTO) of staff who are quarantined at home with symptoms similar to that of COVID-19.

            Parking:

            • Staff members parking in the Wisteria Gravel Lot/New Paved Parking Lot near our construction site are asked to please enter the parking lots using North Duke Street/Wisteria Avenue until further notice. This is due to the patient screenings we are putting in place on our campus.

            Infection Prevention

            • Clinical staff can disinfect their PAPR hoods, then keep and store them. The disinfected PAPR hood can be reused and cleaned as long as it remains intact and is not compromised. Here is the latest PAPR hood information from DUHS (Updated 3/26/20).

            Pharmacy:

            • Please see the information about bulk medications listed under the Wednesday, 3/18 DRH update. Bulk medications should be disposed of in the blue waste bins on units ONLY if it is used and NOT ordered to continue after discharge. Untampered-with medications should be returned back to DRH Pharmacy in a plastic bag.

            Events, Services and Cancellations:

            • The Duke Regional Hospital Giftique and Coffee Shop in the main lobby are closed until further notice.