March 7, 2020

covid-19 update March 7, 2020

covid-19 update March 7, 2020

To the Bloom Healthcare community,

Bloom Healthcare intends on being your trusted source of information concerning the coronavirus. We will be circulating this publication weekly and/or as we receive new information from the Centers for Disease Control and Prevention (CDC). Bloom understands that we are all supporting the same vulnerable population and we appreciate your dedication and a solid team approach. We encourage you to reach out to us at 303.993.1330 or directly to your Bloom provider should you have any questions or require clarification.

the latest: (per amda)

COVID-19 illness may be mild to severe. Symptoms may appear as soon as 2 days and as long as 14 days after exposure. Symptoms include fever, dry cough, and shortness of breath. Other symptoms include nasal congestion, runny nose, sore throat or diarrhea. These symptoms are usually mild and begin gradually. Some people who are infected may remain asymptomatic. Up to 80% of infected people recover without any need to seek care. Some will develop severe illness (typically in the second week of illness) and at present it is estimated that around 2% will die. Just as with influenza and other viral infections, older adults and patients with comorbid conditions are at increased risk for more severe illness.

COVID-19 is spread from person-to-person by respiratory droplets between people who are in close contact with one another (about 6 feet). While there is not yet evidence for spread from surfaces or objects (fomites), this may also be a possible mechanism of transmission. At present, COVID-19 is not felt to be spread through airborne transmission such as seen with tuberculosis or measles.

recommendations:

be prepared

  1. Visit the CDC for situation updates at https://www.cdc.gov/coronavirus/2019-ncov/index.html. Go to your local health department website to keep up to date with your local situation. Denver Dept of Public Health: https://www.denvergov.org/content/denvergov/en/environmental-health.html
  2. Develop, or review, your facility’s emergency plan.
  3. Establish relationships with key healthcare and public health partners in your community.
  4. Create an emergency contact list. Know your state and local health department emergency numbers.

communicate with staff and residents

  1. Share information with staff, residents and families about the coronavirus and the facility’s plan.

protect your workforce

  1. Encourage employees with symptoms such as cough and shortness of breath to stay home.
  2. Ensure proper use of personal protection equipment when residents have COVID-19 or influenza. Inventory your equipment supplies.
  3. Screen visitors for symptoms of respiratory illness (e.g. fever, cough, difficulty breathing) as we do during cold and flu season.

Link to a door sign from AMDA to alert visitors: https://paltc.org/sites/default/files/Attention%20Visitors%20All%20facilities.pdf

protect your residents

  1. Stay up to date on the available guidance for managing patients with COVID-19 https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html
  2. Keep residents isolated to their rooms when they are experiencing respiratory symptoms.
  3. Develop a plan to prepare for a facility outbreak (for example, contacting state and/or local health department, suspending group activities, daily temperature checks and symptom monitoring for residents and staff, etc.).

helpful links

Link to a one page fact sheet for patients from the CDC:

https://www.cdc.gov/coronavirus/2019-ncov/downloads/2019-ncov-factsheet.pdf

Link to resident handout: What to do if you are sick with COVID-19?

https://www.cdc.gov/coronavirus/2019-ncov/downloads/sick-with-2019-nCoV-fact-sheet.pdf

AMDA’s COVID-19 in PALTC settings 2/28/2020:

https://paltc.org/sites/default/files/COVID-19-guidance.pdf

CDC’s Steps Healthcare Facilities Can Take Now to Prepare for the Coronavirus Disease (COVID-19): https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/steps-to-prepare.html

CDC’s Strategies to Prevent the Spread of COVID-19 in Long Term Care Facilities: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/prevent-spread-in-long-term-care-facilities.html

We appreciate your partnership and continued diligence.

Sincerely,
Thomas Lally, MD