View source for COVID-19

"For such a time as this..."

This wiki page is to help collect resources and other information specific to COVID-19 as we prepare and ultimately treat people with this virus.  If there are any resources not included here that you would like to see, please email Jennifer_Hampton@ykhc.org and I will do what I can to get the information that is needed here.

Things are ever changing, but every attempt will be made to keep this up to date.

=Clinical Resources=
==General==
*[https://anthc.org/covid19/covid19readiness/covid-19-resources/ ANTHC COVID 19 Documents Library]
**'''ANMC Appendicitis Guideline:''' [https://anthc.org/wp-content/uploads/2020/03/200326-Non-operative-management-of-appendicitis-in-Alaska-Native-patients-during-Covid-19-epidemic.pdf ANTHC Proposed Non-operative Management (NOM) of Appendicitis during Covid-19 epidemic]
*Weekly YKHC COVID-19 call for staff
**Wednesdays 5-6pm via Zoom
**please see your email for Zoom link or call in information
*[http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/echo.aspx Alaska COVID-19 ECHO], every other Tuesday, 7:00pm - 8:00pm
**More information can be found at [https://www.uaa.alaska.edu/academics/college-of-health/departments/center-for-human-development/AK-ECHO/index.cshtml UAA’s Alaska ECHO Projects webpage]
**At no cost to participants, the Alaska COVID-19 ECHO will provide up to date information and support for Alaskan healthcare stakeholders via Zoom videoconferencing
**Click [https://form.jotform.com/200877752677065 HERE] to register
**Emerging ECHO programs
***Rural Public Health ECHO
****Tuesdays, 12:10-1pm
****See email from Ellen Hodges on 10/27 at 1730 for zoom information
***Healthcare Specific COVID-19 Situational Awareness
****Thursdays, 12-1pm, launched 4/7/20
****Click [https://form.jotform.com/200971123631143 HERE] to register
***Alaska Perinatal ECHO
****Thursdays, 7-8pm, launching 4/9/20
****Click [https://form.jotform.com/200971146877160 HERE] to register
**For more information, please contact echo@alaskachd.org
*[https://ykhc.ellucid.com/documents/view/35099 COVID-19 Hospital Incident Command Staging (HICS) Organization Assignment List]
*[https://ykhc.ellucid.com/documents/view/35149 YKHC Supply Item Request Process]
*[http://dhss.alaska.gov/dph/Epi/Pages/phan/default.aspx Alaska Department of Health and Social Services Public Health Alert Network Updates] (State of Alaska recommendations for PPE, testing, and reporting in Alaska)
*[https://ykhc.ellucid.com/documents/view/35145 YKHC Influx of Infectious Patients Guide]
*[https://allcarefamilymed.com/covid19-antibody-test All Care Family Medicine Coronavirus Antibody Testing]
*[https://ykhc.ellucid.com/documents/view/36789 Procedure: on Village Death with Presumed COVID-19] (links to MCN)

==Adult==
===Critical Care===
*[https://www.acep.org/corona/COVID-19/ American College of Emergency Physicians (ACEP) COVID-19 Website]
**[https://www.acep.org/corona/covid-19-field-guide/cover-page/ ACEP COVID-19 Field Guide]
*[https://journals.lww.com/ccmjournal/pages/default.aspx Society of Critical Care Medicine Webpage]
**[https://journals.lww.com/ccmjournal/Abstract/onlinefirst/Surviving_Sepsis_Campaign__Guidelines_on_the.95707.aspx Surviving Sepsis Campaign]
**[https://www.sccm.org/disaster?utm_source=COVID19_SSC%20GUIDELINES_032020&utm_medium=Email&utm_campaign=COVID19&_zs=9HWqe1&_zl=2wbc6 Emergency Resources COVID-19]
**[https://sccm.org/covid19 Critical Care for the non-ICU physician access]
*[https://www.hamilton-medical.com/en_US/Solutions/INTELLiVENT-ASV.html ASV Intelligent Ventilation]
*[https://www.acep.org/globalassets/images/respiratory-therapy-in-covid19-ruiqiang-chineese-thoracic-society-2020.pdf Practical Recommendations for Critically Ill from China]
*[[media:ANMC_COVID19_thromboprophylaxis_guideline.pdf|ANMC COVID19 Thromboprophylaxis Guidelines (9.12.2020)]]

===ARDS===
*[http://www.ardsnet.org/tools.shtml NHLBI ARDS Network Tools]
*[http://www.ardsnet.org/files/ventilator_protocol_2008-07.pdf ARDS ventilator protocol card]

===Palliative Care===
*[https://www.capc.org/covid-19/ Center to Advance Palliative Care (CAPC) COVID-19 website]
**[https://www.capc.org/covid-19/symptom-management/crisis-protocols/ Center to Advance Palliative Care (CAPC) COVID-19 Crisis Protocols] (Pocket Card: COVID Symptom Management and Key Communication Phrases (click "Download" for PowerPoint Version))

==Pediatric==
*[https://anthc.org/wp-content/uploads/2020/03/ANMC-Peds-Respiratory-Distress-Lecture-Dr.-Glenn-Stryjewski.pdf ANMC Peds COVID-19 and Respiratory Distress Lecture by Dr. Stryjewski]
*[https://anmc.org/files/PediatricCovidAlgorithm.pdf ANMC Covid Pediatric Algorithm] (use Microsoft Edge to review)
*Vapotherm (High Flow Nasal Cannula)
**[https://www.youtube.com/watch?v=wGoRPNqsTKs Video of How to set up Vapotherm from manufacturer]
**[https://www.youtube.com/watch?v=rNnpiP6XEMg Alternate Video of How to set up Vapotherm]
**[https://vapotherm.com/vapotherm-pediatric-flow-calculator/ Vapotherm Pediatric Flow Calculator Phone App]

==Obstetric and Gynecology==
*[https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019 American College of Obstetricians and Gynecologists COVID-19 Website]
**[https://www.acog.org/-/media/project/acog/acogorg/files/pdfs/clinical-guidance/practice-advisory/covid-19-algorithm.pdf?la=en&hash=2D9E7F62C97F8231561616FFDCA3B1A6 ACOG OB Covid-19 Algorithm]
*[https://www.cdc.gov/std/dstdp/DCL-STDTreatment-COVID19-04062020.pdf CDC letter for guidance to STD prevention during COVID-19]

=YKHC Department Information=
*[[:category:Dental|Dental]]
**[https://success.ada.org/en/practice-management/patients/infectious-diseases-2019-novel-coronavirus?utm_source=adaorg&utm_medium=globalheader&utm_content=coronavirus&utm_campaign=covid-19&_ga=2.223091931.1371200361.1586555012-1676767097.1586555012 American Dental Association (ADA) COVID-19 Updates]
** [https://ykhc.ellucid.com/documents/view/35140 YKHC COVID-19 Emergency Dental Treatment Procedure Consent form]
**[https://www.ykhc.org/dental-covid-19/ April 23 YKHC Dental Opening This Week for Limited Routine Services]
**[https://ykhc.ellucid.com/documents/view/36197 COVID-19 Patients Outside of Bethel with Dental Emergencies]
*[[:category:Optometry|Optometry]]
**[https://www.aoa.org/coronavirus American Optometric Association (AOA) COVID-19: Crisis Response]

=Patient Information=
*[https://www.ykhc.org/covid-19/resources/ YKHC Patient/Family COVID Resources]
*[[media:Self-swab_instructions.pdf|Self Swab Instructions]]
*[https://ykhc.ellucid.com/documents/view/35110 Limited Visitation Related to COVID-19 Policy]
*[https://www.cdc.gov/coronavirus/2019-ncov/downloads/sick-with-2019-nCoV-fact-sheet.pdf Steps to help prevent the spread of COVID-19 if you are sick] ([[media:Covid-spread-prevention-english-yupik.pdf|in Yupik and English]])
*[https://ykhc.ellucid.com/documents/view/35155 Patient Letter to Shelter in Place in Bethel]
*[https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4894.pdf Substance Abuse and Mental Health Services Administration (SAMHSA): Taking Care of Your Behavioral Health]
*[https://www.uaf.edu/bethellibrary/foodbank.php Lion's Club Food Bank for Bethel, Alaska]:  if someone needs food, there are links to documents that individuals can complete and email to jmilford1_ua@alaska.edu OR call 907-543-4544 to fill out over the phone.

=Personal Protective Equipment (PPE), Cleaning, and Hygiene=
*[http://intranet.ykhc.org/2020/04/face-coverings-required-in-the-workplace/ Face Coverings Required in the Workplace] ([https://ykhc.ellucid.com/documents/view/35175 YKHC Standard Work Form])
*'''Goggles required for ALL patient encounters''' ([https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html see CDC guidance risk assessment])
*[https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html Using Personal Protective Equipment (PPE)] (CDC including videos on donning/doffing PPE)
*[https://ykhc.ellucid.com/documents/view/35134 YKHC Procedure on PPE During COVID-19 Outbreak]
*[https://ykhc.ellucid.com/documents/view/35139 YKHC Critical N95 Rationing]
*[https://ykhc.ellucid.com/documents/view/35164 Quick Guide for Cleaning/Disinfecting to Prevent Spread of COVID-19]
*[https://ykhc.ellucid.com/documents/view/35172 YKHC Employee After Work Hygiene Guidance Related to COVID-19]

=Screening/Testing/Vaccination=
Testing is currently Monday through Friday, 1300-1500
*"Criteria for Screening" (see \\vault1\COVID-19 Information folder) (''essentially, test everyone'')
*[https://ykhc.ellucid.com/documents/view/35098 Employee COVID-19 Testing FAQ]
*[https://ykhc.ellucid.com/documents/view/35095 Pre-Screening Patients for COVID-19 form]
*[https://ykhc.ellucid.com/documents/view/35159 SRC Pre-screening Patients for COVID-19]
*[https://ykhc.ellucid.com/documents/view/35097 Procedure for Contacting Staff due to exposure to a Person Under Investigation (PUI)]
*[https://ykhc.ellucid.com/documents/view/35169 YKHC Security Script - When people call YKHC to inquire about COVID-19 case(s)]
*[https://ykhc.ellucid.com/documents/view/36864 COVID-19 Testing Standing Orders/Guidelines for Villages and SRCs]
*[http://dhss.alaska.gov/dph/Epi/id/SiteAssets/Pages/HumanCoV/AKCOVIDTestingGuidance.pdf Alaska DHSS COVID Testing Guidance]
*[https://www.youtube.com/watch?v=vsQVxsQY3jc&feature=youtu.be The COVID-19 Self-Swabbing Test] (YouTube Video)
*Documenting Covid (Binax) Testing and Covid Vaccinations in Villages [https://ykhc.ellucid.com/documents/view/37110] (links to MCN)

=Travel=
*[https://intranet.ykhc.org/category/covid19-provision-care/ COVID-19 Provision of Care] (list of Villages YKHC is not currently travelling to)
*[https://intranet.ykhc.org/mdocs-posts/employee-travel-covid-19-health-protocols/ Employee Travel COVID-19 Health Protocols]
*[https://ykhc.ellucid.com/documents/view/35079 Temperature Monitoring Form and Daily Attestation for Symptoms]
*[https://ykhc.ellucid.com/documents/view/35135 Medicaid Travel Update Booth for COVID-19 Outbreak]
*Airlines are now requesting confirmation that patients can travel under the governor's mandate.  For any patients you are having travel into or out of Bethel for a medical condition, please fill out [https://ykhc.ellucid.com/documents/view/35146?product=policy this Doctor's note] for your patient or patient's guardian to show the airlines.
*Travel Guidelines for Pediatric Respiratory Patients on Ravn
**a [https://ykhc.ellucid.com/documents/view/35156 letter from medical personnel] (provider, Health Aide, etc) stating that “we don’t believe the patient has COVID-19.”  (I will work on creating this letter and placing it in the policy manager for easy access)
**hand sanitizer prior to boarding (YKHC leadership is working on getting this out to the village clinics for them to distribute to patients who will be travelling).
**Both patient and escort wear a mask
**Sit in the back of the plane
*[https://ykhc.ellucid.com/documents/view/35160 COVID-19 Pandemic Emergency; Taxi Guidelines - City of Bethel]
*[https://ykhc.ellucid.com/documents/view/35171 COVID-19 Shuttle Guidelines]
*[https://ykhc.ellucid.com/documents/view/35166 Temporary Addendum to Procedure on YKHC Vehicle Use (MOTORPOOL_001) 3/25/20]
*[http://intranet.ykhc.org/2020/04/ride-pool/ YKHC Ride Pool]

=Telehealth=
*[[media:Quick_Registration_101.pdf|Quick Registration 101]]
*[http://manuals.medicaidalaska.com/docs/updates.htm Alaska Medicaid Updates]
**[http://manuals.medicaidalaska.com/docs/dnld/Update_Policy_Clarification_Medicaid_Telemed_Coverage.pdf ADHSS Policy Clarification: Medicaid Telemedicine Coverage]
*[https://anthc.org/what-we-do/telehealth/telehealth-resources/ Alaska Native Tribal Health Consortium (ANTHC) Telehealth Resources]
*Department of Behavioral Health Expanded Telehealth Services (see \\vault1\COVID-19 Information folder)

=Village/SRC=
*[https://ykhc.ellucid.com/documents/view/35217 COVID19 Village Lab Workflow]
*[https://ykhc.ellucid.com/documents/view/36863 Procedure on SRC / Village COVID-19-19 Response]
*[https://ykhc.ellucid.com/documents/view/36864 COVID-19 Testing Standing Orders/Guidelines for Villages and SRCs]
*[https://ykhc.ellucid.com/documents/view/36789 Procedure: on Village Death with Presumed COVID-19] (links to MCN)

=Telecommuting=
*[https://ykhc.ellucid.com/documents/view/35087 Telecommuting Policy]
*[https://ykhc.ellucid.com/documents/view/35114 Telecommuting Frequently Asked Questions]
*[https://ykhc.ellucid.com/documents/view/35091 Telecommuting Home Safety Checklist]
*[https://ykhc.ellucid.com/documents/view/35090 Telecommuting Equipment Checklist]
*[https://ykhc.ellucid.com/documents/view/35089 Telecommuting Assessment and Agreement]
*[https://ykhc.ellucid.com/documents/view/35088 Manager's Checklist for Telecommuters]

=Government/Hospital Resources=
*[https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance World Health Organization (WHO) Technical Guidance for COVID-19]
*[https://www.cdc.gov/coronavirus/2019-ncov/index.html CDC Coronavirus Disease 2019 website]
**[https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/index.html CDC Case Updates]
**[https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf CDC ICD-10-CM Official Coding Guidelines for COVID-19]
**[https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19]
*[http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/default.aspx/ Alaska Department of Health COVID-19 Main Page]
**[http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/healthcare.aspx Alaska Department of Health COVID-19 Resources for Health Care Providers]
**[https://gov.alaska.gov/home/covid19-healthmandates/ Alaska Department of Health COVID-19 Health Mandates]
**[http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/monitoring.aspx/ Alaska Department of Health COVID-19 Case Count]
*[https://www.cityofbethel.org/index.asp?SEC=FA075D85-76FC-4709-B7EB-D8FB51175EF7 City of Bethel Alaska COVID-19 website]
*[http://intranet.ykhc.org/tag/covid-19/ YKHC Intranet COVID-19 Website]
*[https://www.ykhc.org/covid-19/ YKHC COVID-19 Website]
**[https://www.ykhc.org/covid-19/resources/ YKHC Patient/Family COVID Resources]
***Includes documents about "What to do when sick with COVID-19," "Disinfection without running water," "Chlorine mixing instructions for water plant operators," "[https://www.ykhc.org/wp-content/uploads/2020/08/body-preparation-for-burial.pdf Safe Preparation of Body for Burial]," etc.

=Journal Articles=
*[https://www.acep.org/corona/covid-19-articles/covid-19-recent-literature/ American College of Emergency Physicians (ACEP) COVID-19 Literature Collection]
*Shih H, et al. [https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30086-4/fulltext Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China.] ''Lancet.'' 2020.  doi.org/10.1016/ S1473-3099(20)30086-4.
*Chang D, et al. [https://www.atsjournals.org/doi/pdf/10.1164/rccm.202003-0524LE Time Kinetics of Viral Clearance and Resolution of Symptoms of COVID-19.] ''American Journal of Respiratory and Critical Care.'' 2020. doi/pdf/10.1164/rccm.202003-0524LE.
*Abbasi J. [https://jamanetwork.com/journals/jama/fullarticle/2764954 The Promise and Peril of Antibody Testing for COVID-19]. ''JAMA.'' 2020. doi:10.1001/jama.2020.6170.
*Chen et al.  [https://www.nejm.org/doi/full/10.1056/NEJMoa2029849 SARS-CoV-2 Neutralizing Antibody LY-CoV555 in Outpatients with Covid-19]. NEJM. Oct 28, 2020. DOI: 10.1056/NEJMoa2029849.  (Bamlanivimab)
===Pediatric===
*Dong Y, Mo X, Hu Y, et al. [https://pediatrics.aappublications.org/content/pediatrics/early/2020/03/16/peds.2020-0702.full.pdf Epidemiological Characteristics of 2143 Pediatric Patients With 2019 Coronavirus Disease in China.] ''Pediatrics.'' 2020; doi: 10.1542/peds.2020-0702
*Cruz A, Zeichner S. [https://pediatrics.aappublications.org/content/pediatrics/early/2020/03/16/peds.2020-0834.full.pdf COVID-19 in Children: Initial Characterization of the Pediatric Disease.] ''Pediatrics.'' 2020; doi: 10.1542/peds.2020-0834
*Chen Z, Fu J, et. al.  [https://link.springer.com/article/10.1007/s12519-020-00345-5 Diagnosis and treatment recommendation for pediatric respiratory infection caused by the 2019 novel coronavirus.] ''World Journal of Pediatrics.'' 2020; https://doi.org/10.1007/s12519-020-00345-S.
*Ravikumar N, et al. [https://indianpediatrics.net/CONVID29.03.2020/SA-00151.pdf Novel Coronavirus 2019 (2019-nCoV) Infection: Part I - Preparedness and Management in the Pediatric Intensive Care Unit in Resource-limited Settings.] ''Indian Pediatrics.'' 2020.
*[https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected.] ''World Health Organization.'' 2020.  WHO/2019-nCoV/clinical2020.4.
*Qiu et al. [https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30198-5/fulltext Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study.] ''The Lancet.'' 2020.  doi.org/10.1016/S1473-3099(20)30198-5.
*[https://www.cdc.gov/mmwr/volumes/69/wr/mm6914e4.htm?s_cid=mm6914e4_w#suggestedcitation Coronavirus Disease 2019 in Children — United States, February 12–April 2, 2020]. MMWR Morb Mortal Wkly Rep 2020;69:422–426. DOI: http://dx.doi.org/10.15585/mmwr.mm6914e4.

=News=
*[https://www.kyuk.org/post/kyuk-updates-coronavirus-outbreak KYUK Updates on the Coronavirus]
*[https://www.newyorker.com/news/news-desk/keeping-the-coronavirus-from-infecting-health-care-workers?utm_source=onsite-share&utm_medium=email&utm_campaign=onsite-share&utm_brand=the-new-yorker Keeping the Coronavirus from Infecting Healthcare Workers]

=Random Things to Help with COVID Stress=
You are not alone.  We are all in this together.  Please, reach out and talk with others if you are feeling overwhelmed.
*COVID-19 Emotional Support Phone Line: 543-6272 Monday through Friday, 9 a.m. to 5 p.m.
*Disaster Distress Helpline: (800) 985-5990 or text '''TalkWithUs''' to 66746
*YKHC Behavioral Health Emergency Services: 543-6499
*COVID-19 Nurse Triage Line: 543-6949 in Bethel; in villages, call the local clinic.
*[https://hopeforhealingfoundation.org/17-simple-ways-to-relieve-worry-stress-and-anxiety/?gclid=EAIaIQobChMIjMaFpuap6AIV6B-tBh1huwk7EAAYASAAEgJwN_D_BwE 17 simple ways to relieve worry, stress, and anxiety from Hope for Healing Foundation]
*[http://www.ihi.org/communities/blogs/10-mindfulness-exercises-for-the-health-care-workplace 10 Mindfulness strategies for healthcare professionals]
*[https://omh.ny.gov/omhweb/disaster_resources/pandemic_influenza/after_disaster_dealing_with_stress.html After a Disaster: Self-Care Tips for Dealing with Stress]
*[https://www.uaf.edu/bethellibrary/ Kuskokwim Consortium Library] (information about digital books and other electronic resources along with the local Food Bank)
*[https://www.youtube.com/watch?v=tkXPGLnDaTQ People Around the World Clapping for Healthcare Workers]
*[https://www.youtube.com/watch?v=G-ugfNXYcDg Family Lockdown Boogie]