April 5: DAILY COVID-19 UPDATE

April 6, 2020  //  FOUND IN: Updates & Resources

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

DAILY STATS
TOWN HALL FAQS 
HAND SANITIZER BOTTLES

DAILY STATS

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

Discharges: 114 total COVID-19 discharges to date, 11 in the last 24 hours. 

TOWN HALL FAQS: 

Testing 

Will we follow guidance to institute coronavirus ELISA assay testing of every healthcare provider? 

Michigan Medicine laboratories are validating an in-house IgM/IgG assay as well as other commercial options.  We are developing recommendations for potential clinical use.

Detroit is receiving the 15-minute test. Will Michigan Medicine use this? 

The Michigan Medicine microbiology laboratory has developed a diverse portfolio of testing options that currently includes a 4-6 hour turnaround time for emergency department and hospital inpatients and a 24-hour turnaround time for ambulatory patients. The lab is evaluating the Abbott rapid test to determine if it may have utility in our overall testing strategy.  

PPE 

What protocols should a potential COVID-19 positive provider follow when entering their homes with families? 

Please follow the guidance available here from the Centers for Disease Control and Prevention, which includes steps to care for yourself and to help protect other people in your home if you are sick. 

Stores are out of stock on cleaning supplies. Are there resources for employees to get cleaning supplies? 

Michigan Medicine does not have a way to provide employees with personal cleaning supplies.  Employees may refer to CDC guidance available here about disinfectants that can be used in the home setting. This includes a list of products that are approved for use against the COVID-19 virus and directions to prepare bleach solutions.  

What are we doing to sanitize and reuse masks?

Central Supply Sterile Processing has developed a method for disinfecting N95 respirators using a combination of UV light and heat.  Michigan Medicine researchers have studied these processes to ensure they are effective and do not damage masks.

Field Hospital

How can volunteers help at the field hospital? What is the process to volunteer? 

We are in the midst of assessing the staffing resources needed, both clinical and non-clinical, for the field hospital.  Clinical department chairs have already surveyed their faculty and we now have that physician registry.  A similar exercise is underway for nursing and other departments. Non-clinical individuals who are interested in volunteering at the field hospital and have relevant experience in support services for hospitals may send a message to: HR-Pandemic-Staff@med.umich.edu.      

What is the plan to transport patients to the field hospital from UH? 

Leaders from our Survival Flight team, Care Management and others in Michigan Medicine are working with Huron Valley Ambulance (HVA) on the plans to support the safe transport of patients to the field hospital.  

Is there a plan for radiology in the field hospital? 

We are currently planning for portable x-ray and ultrasound onsite.  Radiology Department leadership is working on the implementation plan.

What is the nurse staffing model in the field hospital?  

Nursing leadership is working on the staffing model, and will be refining it as we better understand what resources are available internally and otherwise.  We continue to need all hands on deck!

Will there be general rehab for patients who can’t go home yet? 

Yes, we anticipate having bedside rehab for patients at the field hospital.

Will central services (PFANS, EVS) also supply the field hospital?  

This is being evaluated, and we will know more after meeting with the Army Corp of Engineers this week and understanding what manpower could be provided through FEMA.

Questions from Friday’s town hall and previous town halls are being updated on an ongoing basis. Please refer to this COVID-19 page for more FAQs. If you missed it, you can view the video here.

HAND SANITIZER BOTTLES

We ask that clinics return used hand sanitizer bottles to Environmental Services as soon as possible so they can be cleaned and reused. Central Pharmacy continues to produce gallons of hand sanitizer but is running low on 8 and 16 oz bottles, which are difficult to find externally. EVS is not receiving bottles back to clean at the rate they are being used. 

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.

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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