Standardizing Aerosolizing Procedures
Please visit the following document for information about aerosolizing procedures at Valleywise Health Medical Center for all non-PUI and non-COVID-19 patients. This includes Intubation, BIPAP/NIV, SVN and other aerosolized therapies, high flow nasal canula, aerosolizing trach collar, and Labor and Delivery.
COVID-19 Lab Testing
Please visit this document for information about COVID-19 Lab Testing in the various departments of Valleywise Health, including the Emergency Department, Labor & Delivery, Dialysis, Inpatient, FQHCs or Clinics with POC Flu/RSV testing, and Behavioral Health.
St. Joseph’s Hospital and Medical Center
Statewide Orders from Governor’s Office
Arizona Gov. Doug Ducey made two important announcements yesterday:
- The governor issued a statewide “stay-at-home” order to slow the spread of COVID-19. The order prevents individuals from leaving their residence except for food, medicine, and other essential activities.
- All Arizona schools were ordered to close through the end of the school
year. For more information, visit here.
Mobile App Provides Connection
St. Joseph’s is using an innovative mobile application to keep patients, their loved ones, and their health care team connected during the COVID-19 pandemic. Medical Memory is a HIPAA-compliant app that allows health care providers to record medical-related conversations with patients that can be shared with their support system outside of the hospital. St. Joseph’s is currently using Medical Memory in most of the inpatient settings and will soon expand the application. With stricter visitor guidelines in effect, it’s proving to be a very helpful tool.
Numbers to Graduate and Boards Update
The ACGME has officially released that residents can graduate with less numbers if the program director, with consideration of the recommendations of the program’s Clinical Competence Committee, deems an individual resident/fellow competent. This takes some pressure off of residents as elective cases are cancelled. Continue to work with your program on details. The American Board of Medical Specialties has also made allowances – click here to go to your specific board website to find out what those are.
The ACGME has cleared tele-health and tele-supervision to count as training opportunities. When things return to normal, these rules will be determined by each specialty.
Here is a video of how to do virtual rounds so the entire team is involved. It is important to note that the attending still physically sees the patient every day. The video demonstrates how to integrate video teleconferencing into inpatient rounds and develop a tele supervision model for the critical care surge resulting from COVID-19 pandemic.