Daily Operations and Clinical Update: July 29, 2020
|% of BMC Census|
BMC Total Inpatients:
BMC Inpatients Requiring Intensive Care:
|BMC Inpatients Under Investigation (pending + negatives treated as positives)||23|
|Cumulative COVID+ Patient Discharges:||
|Cumulative Staff Who Have Tested Positive||329 (5 new since 7/27)|
|108,740 (as of 7/28)|
REMINDER: Preventing the Spread of COVID-19 in the Workplace
It is critical that we all continue to work together to take steps to keep ourselves and our colleagues safe. When infected, an individual may be contagious for several days before symptoms begin. When employees take masks off to eat, drink, or talk, without maintaining a distance of six feet, exposures can result. Please also note that gatherings of more than 10 people are still prohibited at BMC.
Be particularly mindful in the following areas:
- Eating/Drinking in Cafeterias and Breakrooms: If physical distancing in breakrooms or cafeterias cannot be maintained, please find alternative areas to take breaks where it is possible to keep six feet apart from others. Do not remove your masks to eat in workrooms if your colleagues are within six feet. Picnic tables have been set up on the Moakley Green to help with distancing.
- Lobbies/Breakrooms/Workspaces: Use appropriate physical distancing when waiting to pick up your mask and when in break rooms or workspaces.
- Crowded Areas: Minimize crowding together in conference rooms, breakrooms, nurses’ stations and other places where people tend to gather. Do your best to maintain six feet of separation from coworkers. We recognize that sometimes our work requires us be within six feet of one another – in this case, you must wear a mask at all times.
- Elevators: Limit the number of those in an elevator to no more than 4 people at a time.
- Parking Garage Lobby: We know the parking garage lobby is small, but please help us by limiting the number of people in the parking garage lobby to 6 at a time.
NEW: COVID-19 Related Epic Updates
We continue to adapt our clinical guidelines and Epic to support your work as the COVID-19 pandemic evolves. With the current low prevalence in Massachusetts and continued public health imperative to test our patients, BMC has updated the probability assessment in Epic to account for patients with no suspicion of COVID-19, and also implemented a mechanism for performing COVID-19 testing for direct admissions from clinic.
- New Probability of COVID-19 Level: A new probability “No suspicion/concern” probability level should be selected ONLY for patients who:
- Show no signs or symptoms of COVID-19
- Have had no potential exposure to COVID-19 in the last 14 days
- Have had no travel outside of New England in the last 14 days
- COVID-19 Test Ordering for Direct Admission from Ambulatory: Patients being direct admitted from Ambulatory areas require COVID-19 testing prior to bed placement. Testing can be performed Monday through Friday until 12 p.m. in the ILI clinic, and Monday through Friday 12-4 p.m. by paging the traveling MA.
More details for these processes can be found in the eMERGE section of the Hub.
NEW: Upcoming Fit Testing Sessions
Fit testing sessions in August will be held at the following times and locations:
- Monday August 3: 6-9 a.m., Menino 2A
- Thursday August 6: 2-5 p.m., Menino 2B
- Wednesday August 12: 4:30-7:30 p.m., Menino 2A
- Friday August 14: 6-9 a.m., Menino 2B
- Monday August 17: 6-9 a.m., Menino 2B
- Wednesday August 19: 2-5 p.m., Menino 2B
- Wednesday August 26: 4:30-7:30 p.m.: Menino 2B
- Friday August 28: 6-9 a.m., Menino 2B
- Monday August 31: 6-9 a.m., Yawkey Basement B
UPDATED: New Adult Treatment Protocol Posted
An updated treatment algorithm for adults with COVID-19 has been posted on the Emergency Management COVID-19 page on the Hub. Please disregard older versions.
NEW: Thank You from the HR Refresh Team
The HR team hosted its last refresh station on Monday and wanted to reflect on the experience over the past few months. “The refresh stations were built on the principle that a little goes a long way and sometimes even a Hershey bar or someone just pausing to say thank you can make a difference. And 37 stations and 20,000 visits later, we turned our small idea into a meaningful initiative. It was great to get to see all of you each week through the highs and the lows, hear about how things were going, and offer our small words of encouragement.”
You can read the full note from the HR Refresh Team and see pictures from refresh stations on the Hub.