Duke Health

Clinical Operations Update

Inspiration for the day


"If you want to lift yourself up, lift someone else up."

– Booker T. Washington
As we continue to navigate the ongoing challenges of the COVID-19 pandemic, we are committed to keeping our employees abreast of updates and changes as they happen. With that in mind, you will continue to receive communication across the system. We understand these are difficult times and are working to ensure you have access to all of the information available as we begin to shift from a pandemic mindset to an endemic mindset. Thank you for your continuing commitment to our patients, their families and each other.  
Vaccine Distribution
The documents and links below are the most up-to-date guidance for each topic. View all clinical operations latest updates here.
Vaccine Distribution

DUHS COVID-19 TESTING GUIDANCE AND FAQS 


This document summarizes the current DUHS testing guidance for COVID-19 across the health system. It includes a table of contents with FAQs about the timing of tests, types of tests, repeat testing, rapid antigen tests, patient-reported outside home and facility tests, and antibody testing. It also references the following current DUHS guidelines: 

ZEBRA/CISCO PHONE CLEANING FAQ


This document answers frequently asked questions about how and when to clean Zebra/Cisco phones. It also includes best practices for infection prevention when the phone rings while you are in an isolation room. 
PPE DONNING AND DOFFING PROCEDURE SIGNAGE
To help ensure the safety of our team members caring for patients with known or suspected COVID-19, the Infection Prevention team has updated several PPE posters that illustrate how to don and doff the appropriate PPE for various clinical settings. These posters will be printed and distributed to DUHS hospital campuses later this week.

CLARIFICATION ON CDC GUIDELINES FOR PATIENT ISOLATION PRECAUTIONS FOR OUTPATIENT


Given the CDC's recent updates to its recommended isolation and quarantine periods, this document provides clarification for patient isolation in inpatient and outpatient settings. Updated guidance for outpatient is below. 
Management of patients exposed to COVID-19 who have an outpatient appointment pending:
  • Delay non-urgent appointments for 10 days from last date of exposure (reduced from 14 days.
Management of patients infected with COVID-19 who have an outpatient appointment pending: 
  • No changes; continue current protocol of 10- or 20-day symptom-based strategy for discontinuation of special airborne contact isolation and schedule appointments accordingly.
COVID-19 HOSPITALIZATIONS VACCINATION OVERVIEW
COVID-19 vaccination (including the booster shot) remains the most effective way to protect against infection. Evidence shows that it prevents severe illness, hospitalization and death. 
As the below graphic shows, the overwhelming majority of hospitalized COVID-19 patients across our health system are unvaccinated.
More News
BLACK HISTORY MONTH
Black History Month is an annual celebration of the achievements and contributions of African Americans throughout our history and here at Duke Health. We have created branded graphics and Zoom backgrounds for all to utilize throughout the month to celebrate. 
LUNAR NEW YEAR
One of the world's most significant holidays, Lunar New Year, is a large, multi-day festival that celebrates the beginning of a new year on the lunisolar calendar. It is a time for families and friends to gather to feast on foods with symbolic meanings and to exchange gifts and good wishes for the year to come. 2022 is the Year of the Tiger (1938, 1950, 1962, 1974, 1986, 1998, 2010, 2022). According to the 12-year zodiac, people born in the years of the Tiger are ambitious, courageous and generous, with a sense of justice and commitment to helping others. Branded graphics and Zoom backgrounds are available to help celebrate throughout the month. 
WIN-IT WEDNESDAY: INSIDE DUKE HEALTH
Did you know our weekly employee e-newsletter, Inside Duke Health, now has a private Facebook group for team members? Join us to share your own news and connect with coworkers. Just enter the group, answer a few questions, and you’ll be granted access. On Wednesdays, test your luck by playing the Win it Wednesday contest. It’s easy – reply to the Wednesday post with your answer, and you’ll be notified the following day if you’re a winner!

NURSING SCHOOL OFFERS TRAINING TO HELP MANAGE STRESS

Widespread organizational and societal changes resulting from the COVID-19 pandemic have made stress management knowledge and skills more important than ever. Using the Stress First Aid framework, learn how to identify stress reactions in yourself and others, reduce the risk for stress injury, and promote coping and resilience among individuals and groups in social, occupational, and academic settings. Join the School of Nursing Institute for Educational Excellence and Sean Convoy, assistant professor at Duke School of Nursing, for an in-person training series of four lunchtime workshops exploring the Stress First Aid framework. Classes begin February 15 and registration is now open
CONVERSATIONS WITH COLLEAGUES
Workplace Violence: Experiences of workplace violence ranging from verbal comments to physical harm have become more common across many industries including healthcare. These events are never acceptable, but they are all the more heartbreaking in a place dedicated to healing. Join in a conversation to talk through how you and your team are responding and coping with recent experiences and events. Conversations with Colleagues is a confidential, supportive space to talk through this challenging topic. Join us for our last conversation, scheduled for tomorrow at 1 pm. 

Racial Justice Deeper Dive: The Conversations with Colleagues Racial Justice Deeper Dive series will resume Wednesday, February 16 through Wednesday, March 23 at 3 p.m. for all Duke team members. This 6-week transformative experience focuses on exploring the origins of systemic racism, understanding our own implicit biases, and learning what each team member can do to have a positive impact on our local community. Please share with your teams.

Infection Prevention
Infection Prevention Q&A


If I recently tested positive for COVID-19 but have not yet received my booster, how can I still comply with the booster deadline of February 15, 2022? 

We know that many team members who were planning to get their booster shot when they became eligible were not able to do so before sustaining COVID-19 illness due to the Omicron surge. If you are in this situation, you can get your booster after completing 10 days of isolation. Also, you may email EOHWcovidvac@duke.edu to request an extension for an additional 30 days, which would extend your booster deadline until March 15. If you would prefer to have an extension longer than 30 days, you will need to complete an application for a temporary medical exemption with the support of your medical provider.
Patient Gratitude
REPLAY: DUKE HEALTH LEADERSHIP TOWN HALL
During our last Duke Health Leadership Virtual Town Hall, held on Feb. 7, leaders addressed questions about testing, team member well-being and ongoing COVID-19 response efforts.
WATCH NOW
Patient Gratitude
Thank you again for everything you do to care for our patients, their loved ones and each other. Have a great week and please stay safe.
To view some of the links included in this email, you must be on the Duke Health Network as well as using your Duke NetID and password.