March 31: DAILY COVID-19 UPDATE

April 1, 2020  //  FOUND IN: Updates & Resources

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

  • DAILY STATS
  • THANK YOU
  • CARE TEAM CHANGES
  • PPE REPROCESSING AND SUPPLY
  • SCARCE RESOURCES
  • DMS HUDDLES
  • #HailToTheFrontLine

DAILY STATS

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

THANK YOU

The past few weeks have brought unprecedented challenges for our teams and prompted dramatic changes in our system. So many of our employees have come through with amazing dedication to caring for our patients and keeping each other safe. It’s hard to express in words how much gratitude your leadership has for all the work you’ve done and what we know you’ll accomplish in the coming days. Once again, our employee teams have worked together, collaborated on innovative solutions and made sure that the safety of our patients and employees is a top priority. THANK YOU FOR ALL YOU DO!

CARE TEAM CHANGES

We are continually monitoring the increasing demands of COVID-19. To continue our preparations for a surge of patients we will be redesigning our care team models in the adult hospital. 

We will be transitioning to unit based care teams for both nursing and providers. Team structures will be grouped by Critical Care and General Care and will consist of A & B super units along with C&D super units.  These super unit structures will allow deployment of consistent care team models across like units. Provider teams will be hearing more details about this as it rolls out.   

We will be redeploying nursing staff to better meet our patients’ needs and support this new staffing model, similar to many health systems locally and nationally. Our target is to begin nursing implementation beginning Sunday, April 5.  For nursing staff there will be a core group of staff who will remain on their home units; these staff will be identified by the unit clinical directors who will make these decisions by considering staff seniority and skill set.  If additional nursing staffing support is needed on the units, our Central Staffing Resource (CSR) Pool will evaluate requests centrally and redeploy employees with the appropriate skill set to support the delivery of the care on the unit.  We are counting on all of our care teams to be fully engaged with these efforts.

If deployed nursing staff require any additional training, just-in-time training will be provided by nurse educators and clinical nurse specialists. All nursing staff will be asked to complete a 45-minute online learning module regarding the care of COVID-19 patients.  Clinical nursing directors can provide more information regarding access to this module.

Watch this video from Nursing Leadership to learn more about the nursing staffing model.

PPE REPROCESSING AND SUPPLY

To ensure the safety of our healthcare teams and conserve PPE, Michigan Medicine is developing a reprocessing procedure using heat and ultraviolet light for disinfection of N-95 masks that will allow safe prolonged reuse of an N-95 mask by the same healthcare worker. Similar processes have been used at other healthcare facilities and the current process has been internally validated to confirm maintenance of mask integrity, filtration efficiency and eradication of virus and bacterial particles.  The reprocessing procedure should be used in addition to the practice of extended use and limited reuse of N-95 masks.   We are piloting this reprocessing procedure in select units beginning immediately.

Thanks to our supply chain teams actively monitoring our PPE supplies and using innovative strategies to get more equipment, no one at Michigan Medicine has had to go without proper protective equipment. We continue to make this a top priority.

ALLOCATION OF SCARCE RESOURCES

A difficult issue in crisis situations is the possibility that more patients could need a medication, piece of equipment or expert provider than are available. These are called scarce resources. The COVID-19 pandemic has already created situations around the world where there are more patients than resources available. One example that has been in the news is ventilator machines. There are multiple news stories from places like Italy and New York reporting shortages of ventilators.

Michigan Medicine, in collaboration with experts around the world, has been at the forefront of developing a plan for situations when scarce resources occur. The first step is to plan and attempt to avoid the situation. Along with that, careful stewardship of resources to reduce unnecessary use and waste is also important. We are actively taking these steps and have not experienced any specific lack of treatment or equipment for our patients.  Michigan Medicine has a Scarce Resource Allocation Committee charged with overseeing the ethical and practical aspects of this in a thoughtful and organized way.  Transparent communication about this process is important and will continue going forward.

DMS HUDDLES

Questions have arisen regarding the continuation of DMS huddles in light of the new demands and increased workload created by the COVID-19 pandemic.

During these times of crisis, communication and problem solving are critical. DMS huddles offer a unique opportunity for nurses, providers and staff to come together to share critical, timely information and voice safety concerns. These meetings should also address the rapidly changing information and operational priorities related to COVID-19.

Please continue daily DMS huddles. The attached SBAR document is a resource to help employees understand the importance of this practice.

#HailToTheFrontLine

Michigan Medicine kicked off a new external communications campaign this week to thank our teams and recognize their incredible commitment. Watch for the ads and messages on social media and on news sites!

What can you do to be a part of the effort?

  • On Facebook, you can add a #HailToTheFrontLine frame to your profile. Tap on your profile pic, select “Add Frame,” and search for “Michigan Medicine” to select our custom frame.
  • Post your message of encouragement on social media and use the hashtag #HailToTheFrontLine. Your message will be pulled into the campaign and displayed online!
  • If you aren’t a social media user, you can upload your message of gratitude or encouragement directly at www.UofMHealth.org/frontline and clicking on the “Add your message of encouragement” button.

Check out www.UofMHealth.org/frontline to see some of the messages posted already!  Michigan Medicine and your communities are so grateful for the work you are doing to keep our patients – and each other – safe.

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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