April 29: DAILY COVID-19 UPDATE

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

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

  • DAILY PATIENT STATS
  • DAILY TEAM MEMBER TESTING STATS
  • COVID-19 TESTING BEGINS 4/30 FOR ADMITTED, PRE-OP AND PRE-PROCEDURE PATIENTS
  • AMBULATORY PATIENTS AND INPATIENT VISITORS MAY WEAR THEIR OWN MASKS
  • NON-ESSENTIAL WORKERS REQUESTED TO STAY HOME
  • WIPES IN PIPES: DON’T FLUSH WIPES DOWN DRAINS
  • NO TOWN HALL MEETING THIS FRIDAY; NEXT ONE SLATED FOR FRIDAY, MAY 8

DAILY PATIENT STATS

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

Discharges: 378 total COVID-19 discharges to date, 9 in the last 24 hours.  These numbers include patients discharged to skilled nursing facilities but excludes deaths and discharges to hospice.

DAILY TEAM MEMBER TESTING STATS*

* Data from 3/10 through 4/28. The testing stats reflect just Michigan Medicine employees, not all University of Michigan employees. It also reflects only those who sought testing at or were hospitalized at Michigan Medicine or reported their testing to Occupational Health Services. Some Michigan Medicine employees may have been tested outside our system.

COVID-19 TESTING BEGINS 4/30 FOR ALL ADMITTED, PRE-OP AND PRE-PROCEDURE PATIENTS

For the safety of our patients and staff, beginning tomorrow Michigan Medicine will begin proactively testing all patients admitted to our hospitals regardless of presence or absence of symptoms.   In addition, next week we will begin testing for COVID-19 prior to procedures performed in our operating rooms or procedure areas.   

Asymptomatic patients without exposure risk factors do not need to be placed in special pathogens precautions while awaiting COVID-19 test results.

See below for operational details.

Emergency Department Admissions:

  • Patients with unknown COVID-19 status being admitted to the hospital or who will be undergoing a procedure in a procedural area will have COVID-19 testing performed in the ED.
  • COVID-19 test results will determine appropriate bed placement.  A small subset of patients will be assigned an inpatient bed prior to their test resulting (critically ill/unstable patients or patients with need for an emergent procedure requiring a transition in care prior to test result). 

Direct Admissions:

  • Admissions and Bed Coordination Center (ABCC) will screen all admissions to determine if patient will require special pathogens precautions vs. standard precautions. 
  • Direct admission patients will require tests to be ordered on arrival.
  • Test will need to be collected when patient arrives to room.

OSH Transfers:

  • Super Admitting Officer of the Day (S-AOD) and ABCC will screen transfer patients, similar to direct admissions process.
  •  Super AOD will sign the required order.
  • Test will need to be collected when patient arrives to room.

Current Admitted Patients who have not been tested:

  • Hospitalized patients without a prior COVID-19 test will be tested on 4/30.
  • Orders will be automatically populated in MiChart.
  • In UH/CVC, specimen swabs will be collected by a nursing swab task force. In C & W, bedside nurses will collect specimen swabs. 
  • The first contact will continue to be auto-paged with the positive or negative result and if there is a need to add isolation precautions.
  • If an asymptomatic patient is tested and result is positive, they will need to be placed into special pathogens precautions and any necessary patient movement will be coordinated with ABCC.
  • Results from the initial batch of tests may take up to 48 hours.

Exceptions:

  • No need to retest if patient already had a test at another institution prior to transfer, unless new symptoms develop.
  • Neonates whose mothers have tested negative are presumed negative; they will not need to undergo COVID testing

Unit nursing leadership will continue to screen daily for patients who have not been tested and page primary provider for test order if needed.  More updated information is available at the links below:

Inpatient Testing Toolkit

Emergency Department Testing

AMBULATORY PATIENTS AND INPATIENT VISITORS MAY WEAR THEIR OWN MASKS

Ambulatory patients and inpatient visitors who come to our facilities and are asymptomatic are permitted to wear their own masks. Gov. Gretchen Whitmer’s revised stay at home order, effective April 27, mandates that Michiganders wear masks in public enclosed spaces. Therefore, it is likely visitors will be wearing masks when they arrive at our buildings.

NON-ESSENTIAL WORKERS REQUESTED TO STAY HOME

As Michigan Medicine begins to ramp up ambulatory and inpatient services, more team members are required to be onsite. We would ask that each department have those who are able to work from home continue to do so.

WIPES IN PIPES: DON’T FLUSH WIPES DOWN DRAINS

Our continued response to the COVID-19 pandemic has necessitated increased use of cleaning materials. As expected, this has resulted in a higher use of Oxivir-1 and general-use wipes. As a reminder:

  • All wipes are to be disposed of in the proper waste container.
  • Do not flush wipes in any circumstance.

Wipes in our sewer lines create back-ups. Sewer back-ups result in floods, facility damage, and the temporary closure of a space for remediation, ultimately impacting our ability to deliver patient care. Our combined effort to properly dispose of wipes is a simple daily task we can all achieve on our path to high reliability.

NO TOWN HALL MEETING THIS FRIDAY; NEXT ONE SLATED FOR FRIDAY, MAY 8

There will be no Town Hall meeting this Friday. Next Friday, Michigan Medicine leaders will host a Town Hall meeting at 2 p.m. to review details on the Economic Recovery Plan and answer questions.

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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