TODAY’S COVID-19 INFORMATION
NEW:
Epidemiology Data and Notes

NEW: Denver Health Staff Vaccination Numbers

NEW: Denver Moves to Level Yellow on COVID-19 Dial

NEW: Changes to Ambulatory COVID Smartset – Rapid Testing Added

REMINDER: Employee Side Effects of COVID-19 Vaccine and Coming to Work

REMINDER: Distinguishing Side Effects of COVID-19 Vaccine from Symptoms of COVID among Patients

REMINDER: Reminder on Meeting Guidelines for Staff

REMINDER: Open Forum for COVID-19 Vaccine Questions, Tuesday February 9

REVISED: Side effects of COVID-19 Vaccine and Coming to Work

REMINDER: Updated Staff and Patient FAQs

REMINDER: Governor Polis Modifies COVID-19 Vaccine Distribution Guidance

REMINDER: Vaccine Interest Registration Now Open

REMINDER: Use of Face Shields Required for COVID-19 Patient Care Only

What You Need to Know

As of 6:30 a.m. today, Denver Health had 15 inpatient COVID-19 cases (-4 from yesterday).

For more information, visit the Denver Public Health COVID-19 Data Summary (use Edge or Chrome). The website is updated daily and contains data on cases, hospitalization, deaths, testing and symptoms.

NEW: Denver Health Staff Vaccination Numbers

These vaccination numbers were updated at 12:30 p.m. today.

  • 6,581 employees and residents have received their first dose of vaccine.
  • 5,143 employees and residents have received their second dose of vaccine.
  • 377 employees and residents have active MyChart accounts and scheduling tickets, but have not scheduled a first dose yet.

NEW: Denver Moves to Level Yellow on COVID-19 Dial

Denver – The Colorado Department of Public Health and Environment will move Denver to Level Yellow on the State’s COVID-19 dial effective at 9 a.m. Saturday. The move comes with increased capacity limits at many local businesses.  

Level Yellow capacity limits include:

  • 50 percent or 50 people (or up to 150 people within their usable space calculated using the Distancing Space Calculator), indoors at restaurants
  • 50 percent or 50 people, whichever is fewer, at gyms and fitness businesses
  • 11 p.m. on-premises last call for alcohol service
  • 50 percent capacity at offices (remote work is still encouraged)
  • 50 percent capacity for retail businesses
  • Eligibility for outdoor site-specific variances

Click here for Level Yellow capacity limits

NEW: Changes to Ambulatory COVID Smartset - Rapid Testing Added

We have made two changes in the Ambulatory COVID Smartset.

First, the old ‘Flu A/B and RSV’ test was eliminated because we no longer use that in the ambulatory setting.

Second, that test has been replaced by the ‘Fluvid’ test, which includes tests for SARS-CoV-2, influenza A, influenza B, and RSV.

The option to order a SARS-CoV-2 test alone still remains. In general, patients with respiratory symptoms should receive the ‘Fluvid’ test due to overlap in the clinical presentation of these infections.

REMINDER: Employee Side Effects of COVID-19 Vaccine and Coming to Work

Common side effects of the COVID-19 vaccine include fever, chills, headaches, pain at the injection site and fatigue. After receiving the COVID-19 vaccine, you may consider taking acetaminophen or NSAIDs to try and minimize the potential side effects. If you develop these side effects, you may still come to work wearing appropriate PPE.

The screening questions you are required to answer prior to coming to work will be modified to include language specific to having received the COVID-19 vaccine. However, because these symptoms can also be consistent with COVID-19 infection, if the symptoms last longer than 48 hours after vaccination or if you develop any new respiratory symptoms (rhinorrhea, cough, shortness of breath) or other COVID-19 symptoms (sore throat, nausea, vomiting, diarrhea or new loss of taste or smell) after vaccination, you will need to either leave work or stay home from work and complete the Employee Survey to determine if COVID-19 testing is needed.

REMINDER: Distinguishing Side Effects of COVID-19 Vaccine from Symptoms of COVID among Patients

Common side effects of the COVID-19 vaccine include pain or redness at the injection site, body aches, headache, fatigue, chills, and sometimes fever. However, because these symptoms can also be consistent with COVID-19 infection, if the symptoms last longer than 48 hours after vaccination or if your patient develops any new respiratory symptoms (rhinorrhea, cough, shortness of breath) or other COVID-19 symptoms (sore throat, nausea, vomiting, diarrhea or new loss of taste or smell) after vaccination, alternative etiologies should be considered and testing for COVID-19 should be performed.

REMINDER: Reminder on Meeting Guidelines for Staff

As a reminder, current guidance and practice at Denver Health remains that all in-person meetings are limited to 10 individuals. Individuals are still required to wear a mask and social distance, regardless of vaccination status.

REMINDER: Open Forum for COVID-19 Vaccine Questions, Tuesday February 9

This Tuesday, February 9, at 7:30 PM, Dr. James Gaensbauer, Pediatric Infectious Disease physician will lead a second Webex forum on COVID-19 Vaccinations. The intention of this forum is to help answer staff questions about the vaccine. An invitation is attached at the top of this huddle sheet and will be available in the next couple of huddle sheets.

We are extending this invite to any staff with the hopes that an open dialogue will help individuals make an informed decision for themselves.

To participate in the WebEx please add the attached invite to your calendar for Tuesday, February 9, 2021 from 7:30 – 8:30 PM and come ready with questions.

To view the first forum, please see the recording here.

REVISED: Vaccination Guidelines for Inpatients Who Meet State Guidelines

We are pleased to start offering COVID-19 vaccination for select inpatients who meet the state’s vaccination criteria.

Inclusion criteria will include inpatients who fulfill at least one of the following criteria:

  • 70+ y.o.
  • discharging to a long-term care facility or skilled nursing facility
  • healthcare workers or first responders, as identified by history
  • long term care facility residents

Exclusion criteria are

  • previously received COVID-19 vaccine
  • received another vaccination in the past 2 weeks
  • ICU and/or PCU status
  • fever >=38.5 degrees in the past 48 hours
  • active COVID-19 infection
  • prisoners or incarcerated individuals, as there is currently no mechanism for them to receive a second vaccine
  • inability to provide informed consent
  • survival of <30 days expected

We will not waste vaccine doses. To this effort, the following practices will be strictly implemented. As the number of patients eligible for vaccine increases, we will likely change these practices in the future. For now:

1. Vaccine will be provided on Mondays and Thursdays to ensure that we have sufficient patients to complete a full vial of vaccine. Number of doses administered per vaccine day will be limited to 11 doses to start. This will likely ramp up over time.

2. Vaccine must be ordered prior to 1pm on Monday or Thursday for patients to be considered for vaccine.

3. Vaccine should not be promised to patients. We recommend providers use the following scripting: “We are offering COVID-19 vaccine to some inpatients. Are you interested in this vaccine? We will try our hardest to get your first vaccination while in the hospital. If the timing does not work out, then we will be sure to make an appointment for you for an outpatient vaccination.”

4. We will prioritize those with orders first, use the list of all patients that may be eligible next, then work with the Telluride team, and finally call the ED charge to identify anyone if needed. I do not anticipate needing to go beyond the list of eligible patients, at least at first. Yesterday, we had 37 eligible patients in the 70+ group that did not have exclusions.

5. Order set appears when searching by “COVID”. This produces both an order for the first inpatient COVID vaccine dose and the second outpatient COVID vaccine dose.

6. Second dose expectations will be documented on the AVS by the person who administers the vaccine.

REMINDER: Updated Staff and Patient FAQs

Please find updated FAQs for both staff and our patients about COVID-19, Vaccinations and other frequently asked questions regarding care at Denver Health. These FAQs have a ton of great information to help guide patients and staff to what current guidance is during the pandemic.

FAQ for Denver Health Staff on COVID-19 Vaccine

FAQ for Patients & General Public COVID-19 Vaccine

FAQ for Patients & General Public COVID-19 Vaccine, Spanish Version

What You Need to Share

REMINDER: Governor Polis Modifies COVID-19 Vaccine Distribution Guidance

Beginning February 8, anyone 65 and over will be eligible for vaccination, including those that are 70 and over who have not yet received a vaccine. Denver Health patients will be contacted directly to schedule their vaccine appointment, and non-patients who sign up on the vaccine interest registration form will receive a notification to schedule an appointment as vaccine is available and appointment slots are opened.

Colorado’s PreK-12 educators will also be eligible to receive the vaccine on February 8. Educators should reach out to their employers to sign up for the vaccine. For more information on the updated guidance, please visit https://covid19.colorado.gov/vaccine

REMINDER: Vaccine Interest Registration Now Open

Denver Health joined other area hospitals in opening up online and phone registration for the COVID-19 vaccine to anyone that meets priority guidelines from the State. The vaccination registration form and hotline are for individuals to indicate interest in receiving a vaccination. Once people are registered, we will contact them to schedule an appointment based on vaccine availability and current priority groups. The online form and hotline are on the Denver Health website.

NOTE: Denver Health patients should not sign up through the COVID-19 Vaccine Interest Registration Form. We continue to reach out to our patients through MyChart, email, phone and our normal processes to schedule appointments when their priority group becomes eligible. Once invitations are sent, patients can still schedule an appointment through MyChart or through the appointment center at 303-436-4949.

REMINDER: Use of Face Shields Required for COVID-19 Patient Care Only. Masks Remain Mandatory for All Staff at Work

As more Denver Health staff get vaccinated and COVID-19 prevalence has decreased in the Community, we are returning to optional use of face shields for staff outside of COVID-19 patient care. All staff working with patients on Special Respiratory Isolation for COVID-19 are required to continue to use face shields.

Staff members are also reminded that face masks remain required (as applicable to your job), whether or not you have gotten your second vaccine. Face masks and face shields continue to be another line of defense in protecting yourself, your colleagues and your patients. At this time, there is no timeline for when this directive will be lifted.

Helpful Links:

Colorado Department of Public Health and Environment – Vaccine for Coloradans

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

Staff Screening and Testing FAQ

Coronavirus Share Point site

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

RISE Subsite – please note the new hours: 10:30 a.m. – 8 p.m., 7 days a week

RISE Virtual Group Support Registration

COVID-19 Vaccine Information

FACT SHEET: COVID-19 VACCINE SAFETY and EFFICACY FOR STAFF AND PATIENTS (12/30)

FACT SHEET: COVID-19 VACCINE DISTRIBUTION INFORMATION FOR STAFF (Updated 1/22)

FAQ: COVID-19 VACCINE FOR DENVER HEALTH STAFF (Updated 2/3)

FAQ: COVID-19 VACCINE FOR PATIENTS (Updated 2/3)

COVID-19 Vaccine Information on your Cell Phone

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