MHP COVID-19 Daily Update

DATE: April 10, 2020

NEW SERVICE: https://www.mymhp.org/services/virtual-visits/

  • TELEHEALTH/VIDEO VISIT UPDATES:
    • 859 Total Telehealth visits
    • 530 MHP Family & Internal Medicine Telehealth visits
    • 68 MHP Nephrology & Infectious Disease Telehealth visits
    • 5 MHP OBGYN Telehealth visits
    • 45 MHP Pediatrics Telehealth visits
    • 29 MHP Priority Care Telehealth visits (Washington St. clinic included)
    • 58 MHP Psychology Telehealth visits
    • 86 MHP Pulmonology Telehealth visits
    • 9 MHP Sports Medicine Telehealth visits
    • 9 OnsiteSolutions Telehealth visits
    • 20 MHP Wound Clinic Telehealth visits
  • GENERAL UPDATES FOR THE PUBLIC:
    • Face shields: All direct caregivers are encouraged to wear face shields and not just goggles for added precaution. We are providing face shields for all staff who need one.
    • Proper gowning and gloving: The proper use of PPE is our best defense to protect our staff and patients. On Monday, two surgical staff members will offer an in-service to ensure all staff are donning and doffing appropriately. This will help prevent the spread and help decrease cross-contamination. Some of our staff have been deployed to areas where they may not feel as comfortable and may be performing tasks that require new skill sets. PPE is the most important part our job and ensuring we are all doing it correctly will ease fears and increase protection.
    • Nursing homes: We are testing a few nursing home patients for COVID. It will take a few days to receive the results.
    • Suburban Hospitals: We are working with the other Suburban hospitals to share scarce resources and potentially accept patient transfers or even share staff if it becomes necessary.
    • When can COVID-19 patients be released to work?
      • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:
        • If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
          • You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND
          • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
          • at least 7 days have passed since your symptoms first appeared
        • If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
          • You no longer have a fever (without the use medicine that reduces fevers) AND
          • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
          • you received two negative tests in a row, 24 hours apart.
  • SUPPLY UPDATES:
    • PPE: With our low census, PPE supply is stable at this time.
    • Other supplies: Paper product such as paper towels are now on allocation. We received approximately 40% of what we ordered.
    • Re-processing N95 masks: We are doing this in our Hydrogen Peroxide Gas Plasma sterilizer. This process has been validated and the biologicals have come back negative and the swabs from the test have come back “no growth”.
    • We need your empty hand sanitizer bottles. We are making our own hand sanitizer and need your empty containers in order to reuse.
    • Do you have items that you would like to donate? (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, or gowns). If so, please contact Angela Gill (agill@majorhospital.org)
    • Food Donations: Several community supporters have called to offer to donate food for our staff and physicians. Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout. We are extremely grateful for all the community support and selfless gestures. If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).
  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 13 patients yesterday with respiratory signs/symptoms. Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.
    • Washington St. Clinic located at 157 W. Washington St: Washington St Clinic treated 11 patients yesterday with respiratory signs/symptoms. Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.
  • CALL CENTER VOLUMES:
    • 392-DOCS line had 26 phone calls yesterday.
    • Call Center volumes: 448 calls answered yesterday (does not include 392-DOCS line). Average queue hold 28 seconds with 97% of calls answered.
  • WANT TO CHECK IN WITH A LOVED ONE WHO IS AT MAJOR HOSPITAL?
    • Managing visitation: Indiana hospitals are strictly enforcing visitation rules. We are following the same policies. However, Major Hospital understands you still need to see and hear your loved one. That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members. We have dedicated iPads that our patients can use to communicate with the outside world using our dedicated Wi-Fi access. The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred.
  • MHP TESTING STATUS: Please understand we are only able to report numbers and results of MHP patients who had their testing ordered or performed through MHP. The Shelby County Health Department receives the positive results for ALL Shelby County residents, regardless of the location where the testing was performed. If the COVID-19 test was not ordered or performed by MHP, we are not notified of the test or the result. Consequently, our reported testing data will differ from that information available through the Indiana State Department of Health, the CDC and the Shelby County Health Department.

  • TESTING AVAILABILITY:
    • Number of available swabs/media: 140, plus an additional 200+ GuideMed testing kits available through Priority Care or the Washington Street Clinic. We will continue to follow the ISDH/CDC testing protocols to determine which patients are eligible for testing. The testing criteria was updated this week and is available on the ISDH website.
    • The Lilly testing location has expanded its testing criteria to include essential public employees and those in the community considered vulnerable to the virus. Please visit https://www.info.lillycovid19testing.com/ for more information.
    • Both the Washington St. Clinic and Priority Care are able to test patients for COVID-19. However, both are continuing to follow the recommended ISDH testing criteria which has been expanded as of 4/8. Healthcare employees and first responders should obtain testing through the Lilly drive-through testing location. The hospital lab is not accepting orders for outpatient COVID testing at this time.
  • MHP INPATIENT STATUS:
    • Current number of inpatients: 17
    • Current number of patients with respiratory related diagnoses: 17 (3 patients on a critical care vent and 1 on BiPap and 3 on a trilogy device)
    • Number of available beds: 23
  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 29
    • Number of ER patients with respiratory signs/symptoms: 7 (representing 24%)
    • 4 patients are in the ACC unit with 18 available beds