April 2: DAILY COVID-19 UPDATE

April 3, 2020  //  FOUND IN: Updates & Resources

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

DAILY STATS
ALL HANDS ON DECK
NEW PTO BENEFITS
PPE UPDATE (VIDEO)
HIGH RELIABILITY SKILL: COMMUNICATE CLEARLY
TEMPORARY LODGING UPDATE
SCRUBS SHORTAGE
TRAVEL SCREENING
PATIENTS WITH VRE
VIRTUAL TOWN HALL FRIDAY

DAILY STATS

Today’s census for COVID-19 inpatients and those patients under investigation (PUI) are noted below: 

ALL HANDS ON DECK 

Michigan Medicine faces tremendous challenges during the next several months as we work, together, to battle this pandemic and save lives. All Michigan Medicine employees received an earlier message today from Drs. Runge, Bradford and Spahlinger about an “all hands on deck” mandatory deployment approach.  There are many people working hard to develop and execute these plans, and we are very grateful to all those who will be part of this much-needed increase in capacity. 

Please read the entire letter and FAQs at:

Article: https://mmheadlines.org/2020/04/increasing-covid-19-patients/

FAQ: https://mmheadlines.org/2020/03/covid-19-paid-time-off-pto-frequently-asked-questions-faqs/#redeployment

We appreciate the efforts of all of our staff in this unprecedented time. We are confident our highly-skilled teams will step up and do everything they can to provide care for our patients as we fight through this pandemic together.

NEW COVID-19 PAID TIME OFF BENEFITS

Starting April 1, the University will provide a new bank of 80 hours of paid time off for COVID-19-related absences as guided by the federal Emergency Paid Sick Leave Act (EPSLA). This EPSLA time can be used for child care due to school or day care closure, lack of work associated with COVID-related isolation, personal illness, quarantine or care of an ill or quarantined family member. Part-time and temporary staff are eligible for a proportional amount of the 80 hours.

This bank is in addition to the university’s COVID-19 emergency paid time off (PTO) bank implemented on March 13.

The federal Families First Coronavirus Response Act also provides an expanded reason for use of Family Medical Leave (FMLA).  The expansion addresses extended absences associated with child care due to school and daycare closures.  Both new federal paid time off benefits expire December 31, 2020.

More information can be found in the Headlines article.

PPE UPDATE

Thanks to our supply chain colleagues, we remain able to provide appropriate personal protective equipment (PPE) to our staff caring for COVID-19 patients. Employee safety is our top priority.

Find out more about our commitment to employee safety at this video message here.

SCRUBS SHORTAGE

Given recent COVID activity, there have been increasing requests for hospital-issued scrubs.  This is resulting in significantly reduced inventory, and scrubs are becoming a scarce resource. Because of global demand for scrubs, our Supply Chain has not been able to replenish our supply.

Therefore, effective immediately, we are seeking staff and faculty support to help us align with our Michigan Medicine established scrub guidelines, as follows:

Hospital-issued scrubs should be requested and worn only by those who work in environments that perform surgical procedures (all ORs, PACUs, CSPD/CERD, Labor and Delivery) and invasive procedural suites (MPU, CPU, IR (all locations), offsite endoscopy centers), the Pharmacy Clean Room, the Regional Infectious Containment Unit (RICU) and Trauma Burn (TBICU and TBACU).

We ask that those who are wearing hospital-provided scrubs outside the areas noted above, please return these scrubs.  We will provide bins at the employee entrances specific to scrub collection.  If you have sets of hospital-owned scrubs at home, we ask that you bring these in as well so they may be laundered and provided to employees who must have them to function in their role.  We will no longer provide scrubs to employees outside the respective roles identified above.

Those who personally own their scrubs (including the Emergency Department employees) can continue to wear them and launder at home.

Thank you for your collective effort in helping us conserve scrubs.   

HIGH RELIABILITY SKILL: COMMUNICATE CLEARLY

Phonetic Clarification

BICU, RICU, PICU, SICU and don’t forget the CVICU, CICU, CCMU, TBICU and TBACU. They can all sound alike.

It gets confusing even when we aren’t in the middle of a pandemic. This is a good time to use techniques from our High Reliability training. Repeat double or higher digit numbers back using numerals, (“that’s 250 or 2, 5, 0), refer to units like the BICU as (“B as in Bravo.”) Clear communication avoids confusion and saves lives.

TEMPORARY LODGING UPDATE

Employees who have made reservations for, but no longer need, temporary lodging should cancel with the Patient Visitor Accommodations Program at 734-936-0100 as soon as possible. No-show reservations still incur cost, and space may be needed for other staff.  Any change in status, including no longer needing a room or change in condition (respite to quarantine) needs to be communicated with the housing group.

Also, a manager/supervisor or their designee must complete the electronic form requesting lodging. The reservation office will be open daily from 8 a.m.-10 p.m. For more information, please contact Alfreda Rooks at (734) 645-1303 or email arooks@med.umich.edu.

TRAVEL SCREENING

Due to a rapid increase of COVID-19 patients, symptom screening is more useful than travel screening. Therefore, we have temporarily suspended travel screening and will be implementing symptom-only screening in MiChart.

The travel screening activity has been renamed to symptom screening. All buttons and warning messages that used to say travel screening now say symptom screening.

REMOVING CONTACT PRECAUTIONS FOR PATIENTS WITH VRE

In order to conserve gowns during the COVID-19 pandemic, the CDC recommends that facilities consider suspending contact precautions for endemic multi-drug resistant infections such as vancomycin resistant enterococcus (VRE). Beginning Friday April 3rd afternoon, patients identified to have VRE infection or colonization will NOT require contact precautions. Follow Standard Precautions for these patients.  Units that currently screen for VRE colonization on admission, weekly, and at discharge will continue to screen patients so that we can monitor for any changes in transmission.  See attached for details. 

VIRTUAL TOWN HALL

The next Virtual Town Hall will be held on Friday, April 3 from 2 to 3 p.m. Leaders will provide updates on COVID-19 related activities, including plans to care for more COVID-19 patients and ongoing efforts to ensure the safety of our workforce.

If you would like to submit questions in advance, send them to coronavirus-info@med.umich.edu with Subject: TOWN HALL QUESTION.

Attendee link: https://primetime.bluejeans.com/a2m/live-event/eevfgfjx

Joining via a mobile device?

a) Open this link : https://primetime.bluejeans.com/a2m/live-event/eevfgfjx
b) Download the app if you don’t have it already
c) Enter event ID to join: eevfgfjx

Phone

a) Dial this number:+1 (415) 466-7000 (US)
b) Enter the participant PIN: 8627107 followed by # to confirm.

Still have questions?

We are also posting all daily bulletins and policies on Michigan Medicine Headlines at https://mmheadlines.org/covid-19-updates/.  Please bookmark that site and refer to it throughout the day for the most up-to-date information. An FAQ for staff is also posted and updated frequently.

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