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Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Amy Nichols
01:29
Hi everyone - Amy here from Gerrish Manor. Not able to join with audio because I don't have mic, but here in typing!
mcain
04:53
What are plans/options for Nursing Home staff members who are tested positive who must isolate and cannot go to their homes?
Tom Argue
04:58
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.
sryan@spauldingyouthcenter.org
06:26
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?
Kristen Schmidt
12:57
I will be asking Dr. Talbot for these slides and post them after the program.
Angelena
14:36
where would the slides be posted for us to print?
aLpcQfPSbtkKoGdFM/BkWQ==
17:06
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?
Brenda Pereira
18:12
what is your stance on reuse of PPE, specifically washing of gowns to allow reuse
Rebecca Ferra
19:56
I have Brenda's question. we don't have enough gowns. Our agency is asking us to wipe them down and reuse.
Lisa Henderson
20:33
Optimizing PPE https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html
Lisa Henderson
20:49
See also see also PPE Burn Rate Calculator https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/burn-calculator.html
Lisa Henderson
23:44
CDC instructions on cloth mask donning and making https://www.cdc.gov/coronavirus/2019-ncov/downloads/DIY-cloth-face-covering-instructions.pdf
cbuzzell
25:09
Can the cloth masks homemade with a filter (? HEPA type)placed inside to be changed daily be used?
Rebecca Ferra
30:42
What about a Rehab facility that wants to discharge a resident back into a residence ?
PaHuntley
30:43
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?
Jessica Fedele
31:14
Where can we find this PowerPoint after the meeting?
dweeks
31:22
Can we get a copy of this power point to share with our staff
Kelly Adams
32:14
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?
Brendan Williams
32:41
We will get a copy of this presentation and post it
Craig Labore
34:07
Should we be including GI symptoms in our screening of staff? If so, do you follow the 7/72 rule for return to work?
lynnburton
36:15
Do we still need PCP approval for nasal mid-turbinate ? Where to obtain the nasal mid-turbinate test?
lynnburton
37:02
Cost of the NMT, and who pays for test ?,
aLpcQfPSbtkKoGdFM/BkWQ==
37:36
do you have any information on the efficacy of the abbott test?
Dawn Harland
38:04
What if none of our resident rooms have private bathrooms? We only have 1 bathroom shared by 15-20 residents.
lynnburton
39:21
Are the samples collected from the NMT test dropped off at the State ?,
Julie Normand
39:32
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.
Rebecca Ferra
39:33
I'm in the same position as Dawn in some programs
sryan@spauldingyouthcenter.org
47:00
special needs students who we must work closely with physically
Lisa Henderson
49:44
See non-test based release strategy - https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html
Arthoen.A.Wolf
49:52
Can you please clarify whether HCP in LTC facilities where there are no positive residents, should be wearing cloth versus PPE masks?
sryan@spauldingyouthcenter.org
51:23
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
sryan@spauldingyouthcenter.org
52:02
and are temp checked upon arrival to work
chamilton
53:29
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.
Roxie Severance
53:55
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?
Elizabeth Sanders
57:03
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.
kristin Provencher Maple Leaf Health Care
58:33
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?
Lisa Henderson
59:33
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
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
01:04:19
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.
Jessica Fedele
01:07:33
Can you please clarify whether HCP in LTC facilities where there are no positive residents, should be wearing cloth versus PPE masks?
Jessica Fedele
01:08:04
Thank you
Amelia Hayes Wellstone House
01:08:33
thank you everybody!!
dweeks
01:08:40
CAn you please put the website address here?
Brendan Williams
01:08:48
www.nhhca.org