Daily Operations and Clinical Update: July 1, 2020
|% of BMC Census|
BMC Total Inpatients:
BMC Inpatients Requiring Intensive Care:
|BMC Inpatients Under Investigation (pending + negatives treated as positives)||28|
|Cumulative COVID+ Patient Discharges:||
|Cumulative Staff Who Have Tested Positive||313 (0 new since 6/29)|
UPDATED: Visitor Policy Updated as of 6/30/2020
As of June 30, we have updated our visitor policy to allow one identified visitor for adult inpatients during the hours of 2 p.m. – 7 p.m. The identified person will be the only visitor allowed for the duration of the adult inpatient’s hospital stay.
We will continue to only allow visitors over the age of 18. All visitors will be screened for symptoms of possible COVID-19 infection and required to wear a mask at all times during their visit. As a reminder there continues to be visitor restrictions in the following areas:
- Emergency Department – No visitors for adult ED; one parent/guardian for patients in the Pedi ED.
- Surgical Services – No visitors allowed for patients undergoing surgery with two exceptions:
- A parent accompanying a child.
- A caregiver accompanying a patient who is disabled or otherwise needs a caregiver.
- Ambulatory Clinics – No visitors allowed in clinics with two exceptions:
- A parent accompanying a child who has an appointment.
- A caregiver accompanying a patient who is disabled, elderly, or otherwise needs a caregiver.
NEW: N95 Distribution through Scrub Machines and Re-Fit Testing
BMC has begun a new process of distributing N95 masks from scrub machines in the Menino lobby, next to the N95 distribution table. Staff will be able to scan their BMC ID badge at the scrub machine to get their mask. If you currently wear a Gerson 2130 mask or Precept Small mask, please remember that you need to be re-fit tested as soon as possible, as supplies of this mask are running low.
REMINDER: Upcoming Fit Testing Sessions
Drop-in fit testing will be offered for any staff member who needs fit testing in the Menino 2B conference room on the following dates and times:
- Wednesday, July 1: 4:30 – 7:30 p.m.
- Thursday, July 2: 6 – 9 a.m.
- Monday, July 6: 6 – 9 a.m.
- Thursday, July 9: 2 – 5 p.m.
NEW: Changes in PPE policy Recommendations for Care of Non-COVID Patients
The percentage of positive COVID-19 tests among asymptomatic individuals at BMC and other testing sites in Massachusetts has continued to decline over the past several weeks. As a result, we are changing guidance on the PPE recommended for both inpatient and ambulatory non-COVID patient care areas. Effective June 26, 2020, eye covering (face shields, goggles or safety glasses) and gloves will be considered optional components of non-COVID PPE. Healthcare workers should continue to wear surgical masks while providing care in non-COVID inpatient and ambulatory areas.
Eye covering and gloves should be used in addition to the mask for anticipated exposure to blood or body fluids, and should be considered for use in prolonged clinical encounters during which the healthcare worker is unable to physically distance at least 6 feet from the patient. This policy will be updated as any new information regarding local Covid-19 transmission becomes available.
NEW: Inpatient Bed Planning
Effective today, July 1, 2 p.m. the Menino 2 overflow, previously called “Menino 2 Step-Down”, will convert back to pre-COVID status as the Observation Unit.
NEW: New Procedure for Obtaining PAPRs
A new procedure to obtain a powered air purifying respirator (PAPR) for those staff required to wear one for airborne or COVID-19 precautions began on Tuesday, June 30. PAPRs will now be available on the units and can be obtained from the nurse manager or charge nurse. We expect that this new process will make obtaining a PAPR easier.
Until we receive the balance of our PAPR order expected in the next few weeks, additional PAPRs can be obtained from Transport. They must be signed out in the Transport office, cleaned by the staff at the end of use, and returned to transport office at the end of use. Please remember:
- Employees will continue to be responsible for cleaning the PAPR and returning it after use.
- The shields should be used for the shift unless damaged.
- Employees should be frugal with the use of shields and sweat bands, as these are still difficult to obtain from our vendors.
- Broken equipment should be reported to the nurse manager immediately.
REMINDER: Staff Entrances
As a reminder, employees should continue to use the Menino entrance only at this time. Employees should NOT use the Yawkey entrance. This is important as we work to manage appropriate physical distancing measures in the Yawkey lobby.
NEW: Rent or Mortgage Payment Assistance Program
Effective July 1, 2020, the state has launched a new program to aid the residents of Massachusetts in need of rent or mortgage payment assistance. The Emergency Rental & Mortgage Assistance Program will provide eligible households up to $4,000 to address housing instability caused or exacerbated by COVID-19. It will be covering rent or mortgage payments due back to April 1, 2020. The grants will be distributed from housing education centers as well as LHAND and the Central Massachusetts Housing Alliance. To learn more click here.