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

• COVID Guidelines
• Alaska COVID-19 ECHO, Tuesdays, 7:00pm - 8:30pm
  • 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 HERE to register
  • Emerging ECHO programs
    • Healthcare Specific COVID-19 Situational Awareness
      • Tuesdays & Thursdays, 12-1pm, launched 4/7/20
      • Click HERE to register
    • Alaska Perinatal ECHO
      • Thursdays, 7-8pm, launching 4/9/20
      • Click HERE to register
  • ECHO programs in development
    • Emergency Medicine
    • Sub-Specialty (Intensivist, Pulmonologist, Nephrologist)
    • Hospitals (19 geographic locations represented)
    • EMS
    • Emergency Managers
    • Vulnerable Populations
    • Infectious Disease / Infection Control
  • For more information, please contact echo@alaskachd.org
• ANTHC Proposed Non-operative Management (NOM) of Appendicitis during Covid-19 epidemic
• COVID-19 Hospital Incident Command Staging (HICS) Organization Assignment List
• YKHC Supply Item Request Process
• Alaska Department of Health and Social Services Public Health Alert Network Updates (State of Alaska recommendations for PPE, testing, and reporting in Alaska)
• YKHC Influx of Infectious Patients Guide
• All Care Family Medicine Coronavirus Antibody Testing

Adult

Critical Care

• American College of Emergency Physicians (ACEP) COVID-19 Website
  • ACEP COVID-19 Field Guide
• Society of Critical Care Medicine Webpage
  • Surviving Sepsis Campaign
  • Emergency Resources COVID-19
  • Critical Care for the non-ICU physician access
• ASV Intelligent Ventilation
• Practical Recommendations for Critically Ill from China

ARDS

• NHLBI ARDS Network Tools
• ARDS ventilator protocol card

Pediatric

• ANMC Peds COVID-19 and Respiratory Distress Lecture by Dr. Stryjewski
• Vapotherm (High Flow Nasal Cannula)
  • Video of How to set up Vapotherm from manufacturer
  • Alternate Video of How to set up Vapotherm
  • Vapotherm Pediatric Flow Calculator Phone App

Obstetric and Gynecology

• American College of Obstetricians and Gynecologists COVID-19 Website
  • ACOG OB Covid-19 Algorithm
• CDC letter for guidance to STD prevention during COVID-19

YKHC Department Information

• Dental
  • American Dental Association (ADA) COVID-19 Updates
  • YKHC COVID-19 Emergency Dental Treatment Procedure Consent form
  • April 23 YKHC Dental Opening This Week for Limited Routine Services
• Optometry
  • American Optometric Association (AOA) COVID-19: Crisis Response

Patient Information

• Self Swab Instructions
• Limited Visitation Related to COVID-19 Policy
• Steps to help prevent the spread of COVID-19 if you are sick (in Yupik and English)
• Patient Letter to Shelter in Place in Bethel
• Substance Abuse and Mental Health Services Administration (SAMHSA): Taking Care of Your Behavioral Health
• 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

• Face Coverings Required in the Workplace (YKHC Standard Work Form)
• YKHC Procedure on PPE During COVID-19 Outbreak
• YKHC Critical N95 Rationing
• Quick Guide for Cleaning/Disinfecting to Prevent Spread of COVID-19
• YKHC Employee After Work Hygiene Guidance Related to COVID-19

Screening and Testing

There is a "Workflow to Refer for Drive Thru Testing" for scheduling drive thru tests (see email from 3/28/20 or \\vault1\COVID-19 Information). This is by appointment only.

Testing is currently Monday through Friday, 1300-1500

• "Criteria for Screening" (see \\vault1\COVID-19 Information folder)
• Employee COVID-19 Testing FAQ
• Pre-Screening Patients for COVID-19 form
• SRC Pre-screening Patients for COVID-19
• Procedure for Contacting Staff due to exposure to a Person Under Investigation (PUI)
• YKHC Security Script - When people call YKHC to inquire about COVID-19 case(s)

Travel

• Villages with no scheduled commercial flights to Bethel
• 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 this Doctor's note for your patient or patient's guardian to show the airlines.
• Travel Guidelines for Pediatric Respiratory Patients on Ravn
  • a 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
• COVID-19 Pandemic Emergency; Taxi Guidelines - City of Bethel
• COVID-19 Shuttle Guidelines
• Temporary Addendum to Procedure on YKHC Vehicle Use (MOTORPOOL_001) 3/25/20
• YKHC Ride Pool

Telehealth

• Alaska Medicaid Updates
  • ADHSS Policy Clarification: Medicaid Telemedicine Coverage
• Alaska Native Tribal Health Consortium (ANTHC) Telehealth Resources
• Department of Behavioral Health Expanded Telehealth Services (see \\vault1\COVID-19 Information folder)

Telecommuting

• Telecommuting Policy
• Telecommuting Frequently Asked Questions
• Telecommuting Home Safety Checklist
• Telecommuting Equipment Checklist
• Telecommuting Assessment and Agreement
• Manager's Checklist for Telecommuters

Government/Hospital Resources

• World Health Organization (WHO) Technical Guidance for COVID-19
• CDC Coronavirus Disease 2019 website
  • CDC Case Updates
  • CDC ICD-10-CM Official Coding Guidelines for COVID-19
• Alaska Department of Health COVID-19 Main Page
  • Alaska Department of Health COVID-19 Resources for Health Care Providers
  • Alaska Department of Health COVID-19 Health Mandates
  • Alaska Department of Health COVID-19 Case Count
• City of Bethel Alaska COVID-19 website
• YKHC Intranet COVID-19 Website
• YKHC COVID-19 Website

Journal Articles

• American College of Emergency Physicians (ACEP) COVID-19 Literature Collection
• Shih H, et al. 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. 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. The Promise and Peril of Antibody Testing for COVID-19. JAMA. 2020. doi:10.1001/jama.2020.6170.

Pediatric

• Dong Y, Mo X, Hu Y, et al. Epidemiological Characteristics of 2143 Pediatric Patients With 2019 Coronavirus Disease in China. Pediatrics. 2020; doi: 10.1542/peds.2020-0702
• Cruz A, Zeichner S. COVID-19 in Children: Initial Characterization of the Pediatric Disease. Pediatrics. 2020; doi: 10.1542/peds.2020-0834
• Chen Z, Fu J, et. al. 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. Novel Coronavirus 2019 (2019-nCoV) Infection: Part I - Preparedness and Management in the Pediatric Intensive Care Unit in Resource-limited Settings. Indian Pediatrics. 2020.
• 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. 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.
• 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

• KYUK Updates on the Coronavirus
• 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.
• 17 simple ways to relieve worry, stress, and anxiety from Hope for Healing Foundation
• 10 Mindfulness strategies for healthcare professionals
• After a Disaster: Self-Care Tips for Dealing with Stress
• Kuskokwim Consortium Library (information about digital books and other electronic resources along with the local Food Bank)
• People Around the World Clapping for Healthcare Workers
• Family Lockdown Boogie