NEW DAILY HIGHLIGHTS – Today’s COVID Information:

  • NEW: Epidemiology data and notes
  • NEW: Scrub Machine Moving from RISE Up Staff Support Center to MICU Waiting Room on Tuesday, 11/24 at 10 a.m.
  • NEW: Criteria for Use of Remdesivir at Denver Health
  • NEW: COVID-19 Vaccination FAQ
  • UPDATE: How to Manage Patient/Visitor Pushback Against Masking, Visitor Policies
  • REMINDER: Personal Protective Equipment (PPE) Confidence Clinics
  • REMINDER: Discontinuation of UV Light Process for COVID+ Patient Rooms and Staff Break/Common Areas
  • Helpful links
  • Resources

What You Need to Know

COVID-19 Epidemiology Data

As of 6:30 a.m. today, Denver Health had 48 inpatient COVID-19 cases (0+ from yesterday).

Note: One of the metrics that is used to gauge community transmission, the percent of PCR tests that are positive, has stabilized at both the local and state level. This is a hopeful sign that community transmission may be leveling off after weeks of increasing risk. For more information, please visit the Denver Public Health COVID-19 Data Summary (Please use Edge or Chrome). The website is updated daily and contains data on cases, hospitalization, deaths, testing and symptom monitoring.

What You Need to Share

NEW: Scrub Machine Moving from RISE Up Staff Support Center to MICU Waiting Room (Tuesday, 11/24 at 10 a.m.)

The scrub machines that are currently located in the RISE Up Staff Support Center (Pavilion A, 2nd floor) will be moved to the MICU waiting area (just along the corridor in Pavilion B). The machine will be moved to its new location on Tuesday, 11/24 at 10 a.m. and will take about an hour. We’ll be adding signage to alert people where the machines will be and apologize for any inconvenience that this may cause.

NEW: Criteria for Use of Remdesivir at Denver Health

The full criteria for the use of Remdesivir at Denver Health can be found on Policy Stat.

  1. Laboratory-confirmed COVID-19 AND
  2. Clinical status requires hospitalization with an anticipated length of stay of at least 3 days AND
  3. Requiring supplemental oxygen to maintain oxygen saturation ≥90% OR mechanical ventilation AND
  4. Not already clinically improving AND
  5. ID Consult is not required, but may be consulted if questions

Note: Patients who have a 1-2 L oxygen requirement but are otherwise clinically stable for entry into or ongoing management in the Virtual Hospital at Home (VHH) program do not require admission solely for Remdesivir treatment.

NEW: COVID-19 Vaccination FAQ

The COVID-19 vaccines have shown promising results, and Command Center staff have been receiving many questions about the vaccines. We anticipate that a COVID-19 vaccine will be available to health care workers in Colorado in the next several weeks. Please see the FAQ document for more information.

UPDATE: How to Manage Patient/Visitor Pushback Against Masking, Visitor Policies

Denver Health is issuing general guidelines and talking points (below) for staff who may encounter patient and/or visitor frustrations with our Visitor Policy or safety measures on masking and social distancing. Please familiarize yourself with these communication methods and reminders to better help navigate these conversations.

  • Set the tone: Communicate what to expect for patients and visitors proactively and with compassion (if patient raises his/her/their voice, continue to keep calm and use a respectful tone). Use clear and caring language that conveys both what individuals need to know before arriving at the care setting and the “why” behind the restrictions (see “Visitor Guidelines FAQ”).
  • A reminder: Hospitals nationwide (including Denver Health) are taking measures to ensure the safety and well-being of patients, staff and the entire community. Apologize for the inconvenience; the policy is in place to protect our vulnerable patients as well as staff taking care of sick and infected patients.
  • For the Visitor Policy: These are temporary measures for allowing visitors in a way that supports the need for physical distancing and minimizes the risk of transmission.
  • For the Masking and Social-Distancing Policy: Mask wearing and social distancing is considered a necessary step in COVID-19 infection control and is required in all healthcare settings. However, we cannot turn people away for scheduled or unscheduled medical care if they refuse to wear a mask. If a patient presents at any screening station and is refusing to wear a mask, the screeners will reach out to the clinical team where the patient is going for guidance.
  • Exceptions – People who do not have to wear a mask include: Patients that are 10 years old or younger Patients or patient’s caregiver that state that they cannot medically tolerate a face covering
  • If the patient or visitor becomes aggressive or you feel threatened, contact Security at x67444.
  • If patient/family/friends demand to speak with someone above you, contact your supervisor or manager.

Staff Reference and Reminder: Visitor Guidelines can often change during the pandemic, but the most updated version is always found at www.DenverHealth.org/visitors.

REMINDER: Personal Protective Equipment (PPE) Confidence Clinics

Learn from our High Risk Infection Team (HITeam) who serve a key role in our designation as one of 10 Regional Ebola & Special Pathogens Treatment Centers (RESPTCs) in the USA. Their PPE Confidence Clinics offer a great opportunity to brush up on PPE best practices and offer advice, including:

  • mask storage
  • use of face shields
  • tips for donning/doffing
  • cleaning practices
  • new trends/updates on COVID-19
  • addressing peers or visitors regarding proper PPE

The HITeam offers both in person and WebEx training opportunities. Sessions are being added as demand increases. Contact HITeam@dhha.org for more information.

REMINDER: Discontinuation of UV Light Process for COVID+ Patient Rooms and Staff Break/Common Areas

Incident Command, Infection Prevention, and Environmental Services have decided to discontinue the process of performing UV light treatment for COVID+ patient rooms (after a patient is discharged) and staff break/common areas (in response to staff illness). CDC guidance on environmental infection control in healthcare facilities states that routine cleaning and disinfection procedures are appropriate for COVID-19, including patient-care areas where aerosol-generating procedures have been performed. The disinfectant utilized by Environmental Services is hospital-grade and effective against COVID-19. Use of the UV light in Contact Plus rooms for patients who have had C. difficile will continue per CDC recommendations.

What You Need to Know

Helpful Links:

Colorado Department of Public Health and Environment Coronavirus Information

Denver Department of Public Health and Environment Coronavirus Information

Centers for Disease Control and Prevention Coronavirus Information

Denver Public Health Website

Denver Health Visitor Policy

Please email COVID-19@dhha.org with any questions.

Denver Health COVID-19 Resources:

COVID-19 Staff Resources section on our website

Coronavirus Share Point site

Denver Health COVID-19 Help Center which allows you to search for documents and resources

Denver Health COVID-19 Help Center

RISE Virtual Group Support Registration

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