NEW DAILY HIGHLIGHTS – Today’s COVID Information:

· NEW: Epidemiology data and notes

· NEW: Incident Command Communication for Thanksgiving Day

· NEW: Donated Thanksgiving Meals for Employees Working on Thanksgiving Day

· REMINDER: Pumpkin Pie Pick Up for Staff Working Thanksgiving

· REMINDER: Good Day Café Holiday and Weekend Hours Begin Thursday

· NEW: PPE Update

· NEW: Updated COVID Expense Request Form and Purchasing Graphic

· REMINDER: COVID-19 Vaccination FAQ

· REMINDER: Criteria for Use of Remdesivir at Denver Health

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

· Helpful links

· Resources

What You Need to Know

As of 6:30 a.m. today, Denver Health had 46 inpatient COVID-19 cases (+1 from yesterday).

Note: For the first time since early September, COVID transmission has decreased in Denver and the broader metro area. Infection prevention works, and we need to keep masking, distancing, avoiding crowds, and washing hands.

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.

NEW: Incident Command Thanksgiving Day Communication

Incident Command will continue its operations through the Thanksgiving holiday with huddle sheets and internal communication among section chiefs. Please note: there will not be a 4:30 p.m. incident command call tomorrow, Thursday, November 26, Thanksgiving Day.

NEW: Donated Thanksgiving Meals for Employees Working on Thanksgiving Day

We are excited to announce that, in addition to providing a whole pumpkin pie to take home and share with your household, we have secured a large donation of meals for all employees working on Thanksgiving Day!

In order to avoid large long lines and the potential for social distancing issues, we are asking units to designate one individual to pick up for their entire unit/department. If your department has a scheduled delivery no unit designee is necessary.

Time

Distribution Method and Location

3:00 pm

Delivery to Denver C.A.R.E.S.

Pickup Outside Pavilion C Entrance

(Jail/Detention Center and NurseLine Designees)

3:30-4:30 pm

Pickup in Osler/Nightingale by designee(s) from each department/unit

** Special Reminder: we are asking our staff to please not share meals or eat with others.

REMINDER: Pumpkin Pie for Employees Working on Thanksgiving Day

This year, as a small token of our gratitude to those staff members who are working on Thanksgiving Day; we are providing a whole pumpkin pie to take home and share with their household.

This is possible through the dedication and planning of our amazing Patient Experience and Food and Nutrition Services teams and a generous contribution from the Denver Health Foundation.

Pies will be distributed during the four time blocks below which align with shift changes. To secure a pie for your household:

  • You must be an employee working on Thanksgiving Day.
  • Pies should be picked up at the end of your shift.
  • One pie per employee.
  • Proper masking and social distancing is required while in line.

DAY

TIME

Who Should Pick Up Pies During This Time

LOCATION

Thursday, November 26

6:30—8:30 a.m.

Employees coming off night shift

Good Day Café

2:30—4:30 p.m.

Employees coming off early Thanksgiving Day shift

Discharge Lounge

Pav C, 1st Floor

6:30—8:30 p.m.

Remaining employees coming off Thanksgiving Day shift

Discharge Lounge

Pav C, 1st Floor

Friday, November 27

6:30—8:30 a.m.

Employees coming off night shift who did not receive pie during previous morning distribution

Good Day Café

REMINDER: Good Day Café Holiday and Weekend Hours Begin Thursday

The Good Day Café will have limited holiday service hours starting Thursday, November 26 through the weekend. Operating hours will be from 6:30 a.m. – 2:00 p.m., Thursday – Sunday.

What You Need to Share

NEW: PPE Weekly Update

Nitrile glove usage has remained slightly above our weekly allocation, but we still have between 35 and 50 days back up supply. We have checked with our regular supplier and they confirm that do not see any issues in supplying our regular weekly allocation.

Disposable isolation gown usage increased substantially over the last few weeks as our COVID patient numbers increased and are now above our weekly allocation. We continue to buy alternate Halyard gown when available to top-up supply. The ED and other areas still continue to use our launderable gowns to conserve supplies of the disposable gown. We have received our first delivery of additional launderable gowns which are being processed at an offsite laundry and we expect the balance of our shipments over the next few weeks.

All N95 respirators have shown very significant increases in the last weeks. However, we still have good levels of stocks of the 3M 1860 and 1860S, plus very significant stocks of 3M alternatives to both of them. We still have around 100 days’ supply of the 1860 and about 90 of the 1860S and are receiving our usual weekly shipments.

Usage of our regular Halyard procedure mask has increased but our usage is still less than our weekly purchase. Our safety stock remains over 300,000, which is over three months usage at current levels.

Purple top wipe usage is stable to increasing slightly but we have built up reserve stocks of over two months’ worth of usage.

NEW: Updated COVID Expense Request Form and Purchasing Process

Please see the updated COVID Expense Request Form, which is vital to securing your needs during the pandemic. We have also provided an updated five step COVID purchasing flow chart to help you in your decision making process.

REMINDER: 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.

REMINDER: 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 1-2L 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.

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.

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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