April 6: 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
  • MORE Q & A FROM TOWN HALL
  • VISITOR POLICY MASKS
  • UPDATED HR FAQS
  • EMPLOYEE SUPPORT TEAM
  • PPE TRAINING
  • CANCER CENTER ENTRANCES

DAILY STATS

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

Discharges: 122 total COVID-19 discharges to date, 8 in the last 24 hours.

TOWN HALL Q & A:

We will continue to answer questions here that were submitted during Friday’s town hall.

  1. How many Michigan Medicine employees have tested positive for COVID-19?

As of Monday, 4/6:

  • 728 Michigan Medicine employees have been tested for COVID-19
  • 110 of those were COVID-19 positive
  • Two employees are currently inpatients, eight have been hospitalized and discharged

Please note these numbers don’t indicate how or where those who tested positive contracted the disease. The numbers reflect just those who sought testing at or those hospitalized at Michigan Medicine. Some Michigan Medicine employees may have been tested outside our system.

 We will share updated numbers each Monday in this COVID-19 update.

  • Can you provide guidance on cell phone use with droplet precautions?

Avoid cell phone use in rooms where patients are in special pathogens precautions or droplet precautions. If a cell phone is used, it can be disinfected with Oxivir wipes as long as a screen protector is in place. It is good practice to periodically wipe down cell phones and practice hand hygiene before and after cell phone use. Follow your phone’s manufacturers advice for cleaning phones:

  • Is the hospital experiencing medication shortages? Such as albuterol, fentanyl, midazolam, propofol and vasopressors?

There are developing national shortages of those medications but they have yet to affect Michigan Medicine. The pharmacy purchased as much as possible of the drugs we predicted we would need. Pharmaceutical manufacturers and wholesalers are placing drugs on allocation – we don’t get all that we order.

We have robust processes for managing medication shortages and will monitor this closely and communicate with physicians that prescribe these drugs to be as conservative as possible in their use.

VISITOR POLICY AND MASKS

The Visitor Restrictions policy to minimize the risk of transmission of the COVID-19 to patients, visitors and staff remains in effect. Visitors with symptoms of fever, cough, or flu are not allowed to visit hospitalized patients and should not accompany patients to ambulatory visits.

Visitors to the medical campus or ambulatory sites will be given a face mask or molded face mask to wear for the duration of their visit, as recommended by the updated CDC guidelines for public settings.  This may be an ear loop medical mask or a molded mask. Molded masks are for visitors as they afford protection from cough but should not be used for medical care.

The purpose of having all visitors wear masks is to keep people with asymptomatic COVID-19 infection from transmitting it to others, especially in areas where social distancing may be difficult to maintain in public settings.  Up to 25 percent of people with COVID-19 may not have symptoms, and those who eventually develop symptoms can transmit the virus to others before showing symptoms. 

Medical masks

The standard ear-loop masks used by healthcare workers at Michigan Medicine meet ASTM (American Society for Testing and Materials) Level 1 standard for masks.  This means the mask material meets bacterial filtration efficiency of ?95% (percentage of aerosolized particles filtered at a size of 3 microns) and Particle Filtration Efficiency ? 95% (percentage of submicron particles filtered at 0.1 microns).   These masks are loose fitting and create a physical barrier between the mouth and nose of the wearer and the immediate environment. These masks provide appropriate protection against respiratory droplet transmission and are recommended for care of COVID patients who are not undergoing aerosol-generating procedures. 

N-95 masks

When properly fit tested, N-95 masks seal tightly to the wearer’s face and protect from inhaling infectious aerosols.  These masks are recommended for care of COVID-19 patients during the time of an aerosol-generating procedures (AGP) and for 60 minutes after AGP.  N-95 masks do not provide an increased level of protection against aerosols unless healthcare workers have passed fit-testing for a specific N-95 masks type.

Below is a chart depicting the various types of masks you may see.

EMPLOYEE SUPPORT TEAM

During this time of heightened stress, we’ve created a COVID-19 Employee Support Team to offer support and consultation. The team is available 24 hours a day, seven days a week at 734-763- 5409 or by emailing VictorsDonation@med.umich.edu

The COVID-19 Employee Support Team is providing support across the institution for all of our team members, including coordination of food donations.  Please use this team to centralize requests for any needs.

Hundreds of meals have been donated for employees and refreshment and relaxation rooms are being secured. The team is planning to assemble care packages, which would be distributed to units.

If you have questions on how to help or want to direct donations (food and otherwise) please refer people to our donations website at:

https://giving.medicine.umich.edu/covid-19, and select option 2.

UPDATED HR FAQS  

Human Resources has updated and added new questions to its COVID-19 paid time off frequently asked questions. This includes COVID-19 paid time off options and eligibility, redeployment opportunities, family care/ child care/ school closures and other topics. You may access the FAQs online.

We will continue to update these as needed. Please check this link frequently for more information and work with your supervisor or Human Resources representative if you have further questions.

PPE TRAINING

Drop-in training, resources and continuous PPE demonstrations continue in the Towsley Center Lobby and starting April 8, will be offered seven days a week from 7 a.m. to 8 p.m.

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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