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Statement Regarding the Coronavirus

7-9-2020

Please review this updated COVID-19 information on managing the virus...

https://files.constantcontact.com/7030cc8b301/068eca80-8036-414a-87af-50727a9f1eac.pdf


7-1-2020

A couple of very important reminders…

  1. Do NOT report to work if you are experiencing a fever of 100.4, cough, shortness of breath, chest pain, or any other symptoms of COVID-19.
  2. If you have been exposed to someone positive for COVID-19, you MUST report it to the office immediately.
  3. If anyone in the home where you are working are exhibiting signs of COVID-19 or you have knowledge of them being tested, you MUST report it to the office immediately.
  4. All employees are REQUIRED to wear a mask during the entire shift.  If you need one, please contact the office or let Chris know when he stops by weekly.
Thank you for continuing to take great care of our patients during this difficult time.  We appreciate you all so much.

4-27-2020

Happy Monday to you all!
A couple of announcements I wanted to share:  

  1. We still have reusable masks in the office if you would like one.  You may pick them up at the office or we can try to coordinate drop off during business hours as Chris is making his weekly rounds.  We have another nurse that is sewing masks and delivered a bunch today! We are so grateful for these amazing acts of kindness to help keep our patients and staff safe. 
  2. We have really been looking forward to what we have been calling our “Skills Rodeo” that was going to be happening the week of Nurses Week.  We wanted to spoil you guys and at the same time knock out the yearly skills requirement.  However, due to COVID-19, that is having to be postponed.  (Insert all the feels here!) We are keeping our eye out for the day they tell us we can gather in groups of more than 10 and when that happens, we will roll out a plan for when this can be rescheduled. 
  3. Zoo Day was scheduled for staff and patients on May 28, 2020.  It breaks my heart to cancel this fun event but due to the current situation, we feel it is the most responsible decision.  We plan to reschedule as soon as we feel it is safe to get everyone together again.  I personally cannot wait for that day!

As a reminder, you MUST notify the office immediately if you have been exposed to COVID-19 or if you or anyone in your household is running a fever, has a cough, or shortness of breath.  It is also very important that you notify the office if ANYONE in your patient’s home is experiencing any of these symptoms.  We are doing our very best to keep you, your families, and our patient’s safe so we need to know this information as soon as possible. 

Thank you all for being there for our kiddos during this time.  It means the world to all of us at NPLH and I know your patient’s families appreciate you so much!   
4-17-2020

I hope you saw the sunshine on this beautiful Friday and had hope in your heart for better days ahead. I know I did! You are all in my thoughts and prayers as we continue to navigate this very uncertain season.

A couple of exciting updates:

  1. Our long-awaited order of hand sanitizer was delivered yesterday! Chris will begin delivering these with his normal weekly rounds.
  2. A super awesome NPLH nurse is part of a sewing group and has delivered a limited supply of adorable reusable masks. They have an opening in the bottom where a filter can be inserted. Because we do not have enough for everyone, they will be available on a first come, first serve basis at the office. If you would like to pick one up, please call the office to let us know you are coming. Once you arrive, give us a call and someone will deliver it to your car.
  3. Several companies have collaborated to provide ventilator training to healthcare providers during the pandemic. I downloaded the app this morning and it has some great resource videos, quick start guides, and manuals. The Trilogy 100/200 and LTV 1200 are included. To find those resources you will need to look under Ventilators and click on Philips for Trilogy or Vyaire for LTV information. The app is provided at no cost to medical professionals. To download the Ventilator Training Alliance knowledge hub application, visit the Apple App Store or Google Play store, or click here to access the hub from any Web browser.

Remember to notify the office immediately if you are experiencing fever, cough, or shortness of breath. Do not report to work without further guidance.

As always, we are so grateful for each you!

4-7-2020

I wanted to check in and give you all an update on our supplies.  We are currently well stocked on gloves, hand soap, and paper towels.  We will continue making these deliveries as usual.  Hand sanitizer is still on backorder and we have no timeframe of when it will be available.  A precious friend of mine donated a box of sanitizer from her classroom to help us during this time.  The supply is very limited and will be distributed first to our vent/trach patients and patients at higher risk for respiratory illnesses or to homes that have a large amount of staff in and out each week.

The CDC is now stating that healthcare workers should wear a mask, if available.

We were very blessed to be given 200 procedure masks by our local EMA.  Chris made some deliveries last week but will continue to do so this week.  We are placing the masks individually in a plastic bag.  Chris will be leaving them at the homes in a manila folder labeled STAFF.  We put enough masks in the folder for each staff member to have one.  The masks should be reused until they become visibly soiled, wet, or torn.  If you have access to a homemade mask, we encourage you to use them and wash them after each shift.  Our supply is very limited, and we will go through them very quickly at this point.

Here’s a link to making a homemade mask with no sewing needed:
https://www.wthr.com/article/watch-surgeon-general-demonstrates-easy-way-make-your-own-face-mask

As a reminder, DO NOT report to work if you or anyone in your household is experiencing fever, a cough, or shortness of breath.  Notify the office IMMEDIATELY for further guidance.

We are so thankful for each of you and appreciate all the hard work you are doing out there.  I hope you are all taking care of yourself and staying well.
3-26-2020

To our AMAZING Nursing and CNA staff,
We wanted to reach out with some encouragement and updates from the TN Department of Health as we are receiving additional guidance on a daily basis. 
First, No Place Like Home has the best nurses and CNAs around.  We want to say thank you to all of you who continue to show up day after day providing compassionate and excellent care to all our kiddos.  Right now, more than ever, our patients and families are depending on you to keep them well and at home.  The last place we want our kiddos is in the hospital where their risk of being exposed to the coronavirus is significantly increased. We can’t accomplish that without each and every one of you! Thank you!  
Second, we are monitoring the recommendations from the TN Health Department and CDC daily.  We are also working closely with the local Healthcare Coalition.  They are attempting to help us get additional PPE supplies.  We are hoping to have approximately 200 surgical masks by this Friday.  As soon as we receive those, we will start delivering them out to homes.  With only 200 masks, we will only be able to give one mask to each nurse for each patient you are seeing.  So, if you work at three different homes, we will give you three masks.  We are asking that you keep the mask in a plastic ziplock baggie and use that mask with only one patient.  Masks should be visibly inspected prior to use and discarded if there are concerns such as degraded material or tears.  
Thirdly, let’s talk about possible exposure and how to know if you were exposed.  The latest guidelines from the Department of Health state you generally need to be in close contact with a sick person to get infected. Close contact includes:

  • Living in the same household as a sick person with COVID-19
  • Caring for a sick person with COVID-19
  • Being within 6 feet of a sick person with COVID-19 for about 10 minutes or longer
  • Being in direct contact with secretions from a sick person with COVID-19 (coughed on, kissing, sharing utensils, etc.)

If you are to be exposed at some point to a sick person positive for COVID-19, you would need to self-quarantine for 14 days after the last day you were in close contact with that person.  You would also need to contact the office immediately. 
At this point, we have not had any patients tested for the coronavirus and we have no nurses that we are aware of that have come into close contact with any persons that have tested positive for COVID-19.  If that changes at any point, I assure you that we will be in immediate contact with anyone that might have been affected.
We are also advising that you ask the nurse in the home or the parent upon arrival to the home if anyone in the household is experiencing fever, cough, or shortness of breath.  If so, do not enter the home and immediately contact the office.  We have spoken with all the of families and advised them of the importance of contacting the office, but it does not hurt for everyone to double check before each shift. 
We are asking that each of you be diligent to monitor your health and watch for fever, cough, and shortness of breath.  If you develop any of these symptoms, call us immediately before reporting to any patients’ homes.  If you have any questions or concerns, please do not hesitate to reach out to us.  We are here to support you in any way that we can. 

I’ve attached several links that include a lot of great information.

https://www.tn.gov/content/dam/tn/health/documents/cedep/novel-coronavirus/HCWCaseGuidance.pdf

https://www.tn.gov/content/dam/tn/health/documents/cedep/novel-coronavirus/CloseContactGuidance.pdf

https://www.tn.gov/content/dam/tn/health/documents/cedep/novel-coronavirus/TDH-COVID-triage-and-assessment.pdf

https://www.tn.gov/content/dam/tn/health/documents/cedep/novel-coronavirus/PPEConservationGuidance.pdf


3-23-2020

To further combat the spread of COVID-19, the City of Memphis has issued a Safer at Home Executive Order effective midnight March 24, 2020 until midnight April 7, 2020.  The order is mandating that all residents stay inside their homes and immediately limit movement outside their homes except for taking care of essential needs.  Here is the link to access the full executive order.  https://covid19.memphistn.gov/covid-19-update-from-mayor-strickland-3-23/


This order DOES NOT apply to essential businesses.  You can click on this following link for a detailed list of what is considered essential and non-essential.  https://covid19.memphistn.gov/listing-of-essential-and-nonessential-services-3-23/ 


No Place Like Home is continuing to provide services to our patients during this time.  We are grateful for each of you who are showing up and continuing to provide uninterrupted, excellent care for our kiddos and families.  We could not do it without you!
Please be diligent to take care of yourself and limit your exposure to any nonessential areas during this time.  If you or anyone in your household becomes sick with a fever, cough, sore throat, or flu-like symptoms, do not report to work and call the office immediately at 901-853-3999.  As always, please do not text any NPLH numbers for call ins. 


The RN supervisors will be contacting all our patient’s parents/caregivers within the next day or two to ensure they aware of the executive order and encourage them to do their part to protect you and their families.  During the next several weeks, the supervisors will also be scheduling times with either the home nurse or the parent to complete any upcoming recertifications via FaceTime or Skype.  This will help to limit further cross exposure from home to home. 


At this time, we have no hand sanitizer and our orders have been rejected by the supplier due to the demand of facilities.  We do have a limited amount of hand soap and Chris will be delivering that, as needed.  Please, if you have soap and paper towels that you can take with you for your own personal use, I highly suggest that you keep it with you in case the home you go to does not have anything available.  We are going to be making frequent stops to get supplies but as you know these are limited everywhere. 

If you are stopped and need to verify you are an "essential worker" to someone you can have them call us at (901) 853-3999 and we will verify this with them over the phone.

Again, I cannot thank you all enough! If you need anything, please let us know and we will do our best to assist you. 

You can find additional resources on the CDC website for COVID-19 https://www.coronavirus.gov/


3-12-2020

Considering recent school closures and one confirmed case of COVID-19 in Shelby County, we wanted to reach out to our staff and assure you that we are following the CDC and CMS guidelines very closely. Based on our patient population, the risk of our patients being exposed to the virus is very low.  However, we know that many of our staff may work in other facilities where the risk of exposure could increase.  We are asking that you continue to be vigilant in universal precautions and frequent hand washing. We also ask that you notify the office immediately if you are experiencing any respiratory symptoms with a fever of 100.4 or greater.  If you work in a facility and suspect you may have been in contact with the known COVID-19 patient, notify Ashley Housman immediately at 901-853-3999 ext. 102.  If after hours, call the on-call line at 901-853-3999.

If your patient develops any new respiratory symptoms or has a fever of 100.4 or greater, you need to notify their primary care physician and seek further guidance.  Do not immediately attempt transfer to the hospital.  As we are all aware, our patients frequently experience these symptoms and we do not want to contribute to the overcrowding of our physician offices and local emergency resources where exposure to the virus is significantly increased.  Please ensure you are communicating any illnesses with No Place Like Home. 

If you are aware of any travel outside of the United States by any of your patient’s family members, please notify the office so that we can follow up with a phone screening and take action, if necessary.

Currently, we are awaiting additional shipments of hand sanitizer, gloves, and masks.  However, as you know quantities are very limited and we have been told that resources are being allocated to the highest priority facilities first.  The best way to keep you, your family, and our patients safe is to practice frequent hand washing.  If the home you are working in does not have access to hand soap and paper towels, please let us know and we are happy to provide those supplies for you during this time.  As always, the health and safety of our patients and staff is a top priority. 

We have included additional resources from the CDC in the links below...

CDC Handwashing video: CLICK HERE

CDC Coronavirus Facts: CLICK HERE

CDC Coronavirus Symptoms: CLICK HERE

CDC Coronavirus What to do: CLICK HERE

Kindest regards,

Ashley


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