March 23 – DAILY COVID-19 UPDATE (PM)

March 24, 2020  //  FOUND IN: Updates & Resources

NEW TODAY: Here’s the latest information about Michigan Medicine’s management of the COVID-19 pandemic:

  • INFECTION PREVENTION PRACTICE UPDATE
  • PPE FOR OPERATING AND PROCEDURAL ROOMS
  • PPE TRAINING
  • COVID-19 PATIENT INSTRUCTIONS
  • SOCIAL MEDIA GUIDELINES
  • SOCIAL DISTANCING IN THE HOSPITAL
  • TESTING TURNAROUND
  • ENTRANCE RESTRICTIONS

INFECTION PREVENTION PRACTICE UPDATE

As a result of widespread COVID-19 transmission in Southeastern Michigan and in order to better protect our staff, all healthcare workers should wear the same standard facemask (not N-95) continuously throughout their shift.

This universal mask plan accomplishes two goals:

  1. Protecting healthcare workers from exposure to infected patients who may be asymptomatic or have symptoms of COVID that have not yet been recognized.
  2. Protecting patients and staff from other healthcare workers who develop symptoms while at work.

Every healthcare worker has the responsibility for strict adherence to the following safety and conservation protocols.   

  1. Hand hygiene: Should be performed before and after entering patient rooms.
  2. Proper mask use
  3. Before putting on the mask, perform hand hygiene
  4. Do not touch your face or mask after putting on the mask.
  5. The mask should cover your nose and mouth.
  6. The same mask should be worn constantly for the entire shift and not removed unless soiled or wet.
  7. Remove mask carefully, using the ear loops/ties and avoid touching the front of the mask.
  8. Perform hand hygiene after removing the mask.

EXCEPTIONS:  Isolation masks should be discarded AFTER caring for a patient in Special Pathogens Precautions or Droplet Precautions

If you feel that you are unable to wear a mask, please contact your supervisor for guidance.

For additional detail for the use of masks in isolation rooms, click here.

PPE FOR OPERATING AND PROCEDURAL ROOMS

Updated information regarding best practices on PPE in operating and procedural rooms can be found at these links:

http://www.med.umich.edu/i/ice/resources/coronavirus/ppe_or_guidance.pdf

http://www.med.umich.edu/i/ice/resources/coronavirus/ppe_procedure_guidance.pdf

And click here for a video message on PPE for surgical and procedural care from Mark Prince, M.D., chair of the Department of Otolaryngology, Head and Neck Surgery.

PPE TRAINING

In response to needs expressed in the recent COVID-19 Educational Needs Survey and discussion with key stakeholders, we are offering drop-in PPE sessions this week.  Please click here for details on dates and locations listed below. Our goal is to build a solid pool of super-users through this effort.

Drop-in sessions will be held in MCHC on the following dates and times. Content will be presented every 20 – 30 minutes and unit toolkits will be available.

  • March 24, 7-10 a.m. and 2-5 p.m.
  • March 25, 8:30-10 a.m. and 3-6 p.m.
  • March 27, 6- 8:30 a.m. and 2-5 p.m.

COVID-19 PATIENT INSTRUCTIONS INCLUDING DISCHARGE

Due to the frequent changes from the CDC in the care of patients, we have created specific patient instructions when discharging patients from ambulatory, emergency or inpatient settings. Please use these instructions moving forward in the discharge care for patients.

The language has been reviewed by a multidisciplinary group and vetted by our Infection Prevention & Epidemiology (IPE) teams to ensure consistency with the CDC’s latest recommendations. The goal is to maintain a minimal number of documents that provide enough information for patients to care for themselves. Unusual circumstances will be handled with provider conversations and tailored instructions to the patient.

These documents will be reviewed and adjusted by Infection Prevention and Epidemiology on a regular basis to match CDC recommendations.

To find the patient instructions in MiChart, please use the keywords covid umh. See click here for how to search for these instructions in MiChart.

SOCIAL MEDIA GUIDELINES

We have a vast network of employees on social media, and while we appreciate all efforts to spread knowledge and awareness during this uncertain time, we ask that you allow our Michigan Medicine channels to take the lead on our most pressing messages.

We continue to ask that you exercise caution in the sharing of conversations and emails that are intended for a small or internal Michigan Medicine audience rather than a much larger social media world. Protecting patient privacy is a top priority at Michigan Medicine, and we must avoid inadvertent disclosures via selfies or other photos on social media.

Michigan Medicine’s social media policy can be accessed here.

The public is hungry for information, and we are using our Michigan Medicine social media channels to strategically share these messages. All messaging through these central channels is suitable for sharing, and we appreciate all your support.

SOCIAL DISTANCING IN THE HOSPITAL

Working in hospitals makes social distancing difficult, but you can help minimize spread of disease by avoiding close contact with your colleagues on units and in break rooms. Please minimize visits to other units and avoid close groupings. Thanks for your efforts to maintain safety for everyone at Michigan Medicine.

TESTING UPDATE

Michigan Medicine continues its in-house testing for COVID-19 patients this week. Turnaround time is up to 24 hours. Future test development will increase the capacity for tests and shorten turnaround time.

ENTRANCE RESTRICTIONS

Entrance restrictions continue.  A full list of entrances and entrances with limited access is available here. Thank you for your flexibility and help to keep our environment safe and secure.

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Still have questions?

An FAQ is posted in Headlines and updated frequently. If you have specific questions about COVID19 and your work at Michigan Medicine, go to the Infection Prevention & Epidemiology page for updates.

If you still can’t find what you’re looking for on these web pages, please email coronavirus-info@med.umich.edu and your question will be answered as quickly as possible.  Do not use this email for sharing patient health information.

Jeffrey Desmond, M.D.
Chief Medical Officer

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