Hi everyone - Amy here from Gerrish Manor. Not able to join with audio because I don't have mic, but here in typing!

What are plans/options for Nursing Home staff members who are tested positive who must isolate and cannot go to their homes?

If staff are wearing masks at all times and there is another staff member who tests positive for Covid-19, what is the recommendation regarding staff who have been in contact with that employee? Do they need to be removed from work to self-quarantine if they are asymptomatic. We are concerned about potential staffing shortages.

Hello Susan Ryan, CEO at Spaulding Youth Center where we are currently serving about 40 residential students ages 4-21. When we eventually have a staff or child who tests positive, is there any way we can get swift testing turnarounds on the staff who have worked with them so we don't have to put them out of work and struggle with staffing for any period of time? Such as access to the new 5 minute tests?

I will be asking Dr. Talbot for these slides and post them after the program.

where would the slides be posted for us to print?

could Dr. Talbot speak to how to manage neblizers, CPAP and BiPap in aymptomatic residents at this time given that there are asymptomatic presentations. Also, would a non-rebreather masks aerosolize the virus?

what is your stance on reuse of PPE, specifically washing of gowns to allow reuse

I have Brenda's question. we don't have enough gowns. Our agency is asking us to wipe them down and reuse.

Optimizing PPE https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html

See also see also PPE Burn Rate Calculator https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/burn-calculator.html

CDC instructions on cloth mask donning and making https://www.cdc.gov/coronavirus/2019-ncov/downloads/DIY-cloth-face-covering-instructions.pdf

Can the cloth masks homemade with a filter (? HEPA type)placed inside to be changed daily be used?

What about a Rehab facility that wants to discharge a resident back into a residence ?

If the resident needs to leave the room, wears a surgical mask, is it recommended that we have the resident keep their mask and re-use only when out of the room, to preserve PPE?

Where can we find this PowerPoint after the meeting?

Can we get a copy of this power point to share with our staff

Am I understanding correctly that you are now recommending that all LTC employees wear PPE masks (not cloth masks), even if there are no cases/ suspected cases within the facility?

We will get a copy of this presentation and post it

Should we be including GI symptoms in our screening of staff? If so, do you follow the 7/72 rule for return to work?

Do we still need PCP approval for nasal mid-turbinate ? Where to obtain the nasal mid-turbinate test?

Cost of the NMT, and who pays for test ?,

do you have any information on the efficacy of the abbott test?

What if none of our resident rooms have private bathrooms? We only have 1 bathroom shared by 15-20 residents.

Are the samples collected from the NMT test dropped off at the State ?,

We have a 14 day isolation unit for readmissions with designated staff. Can they re-use gowns- 1 resident= 1 LNA-1 gown per shift.

I'm in the same position as Dawn in some programs

special needs students who we must work closely with physically

See non-test based release strategy - https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html

Can you please clarify whether HCP in LTC facilities where there are no positive residents, should be wearing cloth versus PPE masks?

if we quarantine special needs students who are admitted to our campus, do we need staff to wear full PPE while working with them? all staff are using double cloth masks

and are temp checked upon arrival to work

What constitutes "suspected COVID?" That seems to be the rub to me with the CDC return to work guidelines. Are mere cold symptoms without a known contact with somebody who has COVID-19 considered "suspected COVID?" Those symptoms alone can linger for weeks, nevermind adding 3 days, and that's the sort of thing I'm seeing instituted.

I'm hearing there are not the supplies needed for PPE. AND many facilities are using the cloth masks to save PPE. How can these facilities get the PPE they need?

We have been using nebulizers in a patient room or treatment room only, and use N95 if provider in the room, and leaving the room closed for 2 hours after (we have 6 air exchanges/hour). We did this at NHH as we had someone develop symptoms 36 hours after being given a neb in a common area.

While wearing the same surgical mask, covered by a face shield...can the face shield be disinfected and worn into other patient's rooms? (on the presumed positive unit.) And how long can an isolation gown be re-used?

Note CDC Facemask guidance - Conventional, Contingency, Crisis strategies. Cloth masks listed as last resort under Crisis strategy, noting they are not considered PPE. Homemade masks ideally used in combination with face shield https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html#crisis-capacity

Is there a way for agencies to list which nursing homes their staff has worked in with possible exposures or positive COVID cases? Unable to tell whether my staffs symptoms are colds/allergies/ COVID I am having a difficult time filling all my staffing positions.

Can you please clarify whether HCP in LTC facilities where there are no positive residents, should be wearing cloth versus PPE masks?

Thank you

thank you everybody!!

CAn you please put the website address here?

www.nhhca.org