COVID-19: Updates and Announcements

The latest updates and announcements from Ascension Providence Hospital's Graduate Medical Education and Ascension leadership are available here.

 

March 23, 2020:

For VENTILATED patients ONLY it is approved that you may use an N95 mask with extended use precautions in place.

 

Extended use precautions include:

  • A surgical mask worn over the N95 mask to protect from droplet or splashing.
  • The N95 mask may be retained in a brown paper bag labeled with the associate name and date. Bag should be placed in a secure dry space outside of the room.
  • The N95 mask should be retained until damaged, soiled or wet.
  • The N95 mask should be disposed of at the end of the health care provider's shift.

 

March 18, 2020:

In light of the overwhelming influx of patients with symptoms of COVID-19 and the confusion of the proper testing protocol and order sets, we would like to share the following guidance tool. If you have high suspicion upon admission that a patient may have COVID-19, please proceed as follows:

  • Place a mask on the patient immediately and place the patient on droplet precaution based on updated CDC guidelines.
  • Order rapid flu and respiratory viral panels first.
  • Do a nasopharyngeal swab to be sent to the state for testing if you still have high suspicion. Based on updated recommendations from the local health department, it is REQUIRED to obtain a number for testing. We are in the process of deploying staff to assist in the process of obtaining numbers for PUI patients.
  • For suspected or confirmed COVID-19 patients, the patient requires a single-person room with droplet precautions. Negative pressure rooms reserved ONLY for patients undergoing aerosol-generating procedures such as bronchoscopy and ventilator support.
  • Upon entering the room, it is required that the providers wear a surgical mask, eye shield, gown and gloves. Upon an aerosolized procedure or ventilator support an N95/CAPR/PAPR will be required with the gown and gloves.
  • Do not use nebulizer treatment for PUI or COVID-19 positive patients unless it is clinically necessary. Please utilize Metered Dose Inhaler (MDI).
  • Please limit the amount of consultants on suspicious cases to restrict and limit exposure. Use your clinical judgement as necessary.
  • Limit the amount of staff entering and exiting the room including students, residents, fellows and mid-levels.
  • Patients may be discharged even if the results on COVID-19 results are not available upon discharge. The local health department will follow up with these patients and provide results of tests.
  • We greatly encourage the preservation of all PPE. We are desperate to save all hospital personal protective property as we are fighting this pandemic together. We are encountering several examples of inappropriate use of PPE and this cannot continue as we must conserve our PPE for caring for our patients.
  • PUI or COVID-19 patients that will be discharged from the hospital will be followed by the Health Department at home. These patients will stay in isolation at home for a full two weeks from the date of onset of symptoms.
  • Physicians are required to self screen upon entering the facility and report to occupational health if you are medically unclear. The number is 248-849-3019.
  • The Ascension National Hotline is open and available (833) 981-0738

    *BE AWARE-YOU MUST NOTIFY YOUR MID LEVELS IN EACH DEPARTMENT AS THEY ARE NOT INCLUDED ON THIS LIST*

    from Sherri Graf DO, President of the Medical Staff and Manhal Tobia MD, Chief Medical Officer

 

 

Ascension resources

     - Ascension MI Incident Command Center COVID-19 updates

     - Updated Personal Protective Equipment Requirements (March 26, 2020)

     - Ascension MI At Work Furlough Process (March 23, 2020)

     - COVID-19 Management Guidelines (March 20, 2020)

     - Guidance for the use of Virtual Care Platforms (March 19, 2020)

     - PPE Conservation Methods (March 15, 2020)

     - PPE and Room Changes (March 13, 2020)

     - PPE Conservation - Do's and Don't's (March 12, 2020)

     - Wellness

 

Other resources

     - ACGME response to COVID-19

     - ABIM COVID-19 updates

     - Society of Critical Care Medicine's Critical Care for Non-ICU Clinicians