We at Baptist Health South Florida want to ensure our staff, practitioners, and patients are safe and protected during the COVID-19 pandemic. Please find attached guidelines from Baptist Health South Florida and the CDC regarding how to stay safe, recommendations for Personal Protective Equipement (PPE), and effective hand hygiene.

Baptist Health South Florida

BHSF COVID-19 Guidelines: COVID-19 PPE (Reviewed 8/18/21)

EtO Sterilization and Medical Devices (RETIRED)

COVID-19: Just In Time Training for Healthcare Workers (8/20/21)

PPE Guide: What to Wear to Stay Safe (8/10/21)

PPE Training for Health Care Personnel (Updated 8/6/20) (RETIRED)

PPE Training Video

Room Cleaning Guide

Safely Use Safety Masks (RETIRED)

Strategies for Optimizing Supply of PPE during COVID-19 Pandemic Policy

Strategies for Optimizing the Supply of PPE During COVID-19 Memo (RETIRED)

Training Video of N-5500 and N-7700 Masks

Universal Masking during the COVID-19 Pandemic Policy

Use of Reusable Respirators Duirng a Pandemic (Updated 8/7/20)

WINK: Conservation Guidelines (Gowns) (Updated 8/26/21)

WINK: Contingency Capacity Strategies for Optimizing Supply of PPE (Updated 8/26/21)

WINK: Mask Related Skin Breakdown Prevention

WINK: Practices for Extending Use and Reuse of PPE

WINK: Bouffant Caps (Updated 8/26/21)

WINK- Extended Use: Reusable Gowns (8/18/21)

WINK: N99 Reusable Respirators (Updated 8/26/21)

WINK: Appropriate Use for Personal Protective Equipment (PPE) (RETIRED)

Center for Disease Control

CDC Statement on Hand Hygiene

CDC Webpage on Infection Control and PPE for Coronavirus

Frequently Asked Questions: Infection Prevention and Control

Frequently Asked Questions: Personal Protective Equipment

Frequently Asked Questions: Hand Hygeine

Personal Protective Equipment Supplies

Mask Policy Update: All employees, patients and visitors are required to wear a covering over their nose and mouth while on our campuses. Our current system-wide policy is as follows:

All employees, medical staff, contractors and vendors are required to wear masks at all times while on hospital premises. One face mask per day will be provided upon entering our facilities.

All patients
A. In-Room Use. A patient may remove their facemask when in their room and alone. A patient will wear their mask when any occupant, including family members, employee, or medical staff, is inside the room.
B. Use outside of their room or during sleep: All patients will wear a facemask before leaving their room. All patients should wear a facemask during any transport. Patients should not wear a mask when sleeping, whether hospital staff are present or not.

All (permitted) visitors will be required to wear a mask or covering over their mouth and nose while on hospital premises.

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Baptist Health South Florida has combined forces with Masimo to develop a patient surveillance monitoring system. The COVID-19 pandemic is creating an increased demand across the globe for home-based monitoring and patient engagement solutions. Current WHO and CDC guidelines discuss triage and monitoring of COVID-19 patients based on temperatutre, respiration rate, and oxygenation saturation. Masimo SafetNet is meeting this increased need by adapting exisiting technologies to deliver a secure cloud-based solution.

Website:

Baptist Health South Florida Masimo SafeNet Website

Information:

How to Add Clinicians to the Clinical Portal

How to Create Patient Account in Masimo SafetyNet

Masimo Device Light Indicator Guide (English)

Masimo Device Light Indicator Guide (Spanish)

Quick Reference Guide to Masimo SafetyNet (English)

Quick Reference Guide to Masimo SafetyNet (Spanish)

Set-up Instructions (English)

Set-up Instructions (Spanish)

Education on Masimo SafetyNet

Staff Education for Masimo SafetyNet (Bethesday Hospital East & West)

Practitioner Education for Masimo SafetyNet (Bethesday Hospital East & West)

Staff and Practitioner Education for Masimo SafetyNet (Boca Raton Regional Hospital)

Practitioner Education for Masimo SafetyNet (Boca Raton Regional Hospital)

Staff and Practitioner Education for Masimo SafetyNet (Miami-Dade and Monroe County Hospitals)

Staff and Practitioner Education for Masimo SafetyNet (OCEDs)

Staff and Practitioner Education for Masimo SafetyNet (Urgent Cares)

Instructions for RNs to Guide Patients

Instructions for AP's/Designated Person Sending Patient the Invite

Instructions for Providers

Instructions for RNs to Guide Patients (SF-0104)

Instructions for Aps/Designated Person Sending Patient the Invite (SF-0105)

Algorithm:

Discharge Continuous Monitoring from ED/Inpatient

Masimo Device Workflow

Masimo Algorithm When Discharging Patients with Oxygen

Checklists:

Nurse Discharge Checklist (SF-0099)

Patient Daily Checklist (SF-0098) (English)

Patient Daily Checklist (SF-0098) (Spanish)

Consent Forms:

Please refer to the BHSF Intranet Website for all downtime forms and consent documents.

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Attached are the current guidelines on who to test, which tests to provide, handling specimens, and how to report coronavirus cases:

Clinical Screening Tool for Identifying Persons Under Investigation for COVID-19 (Florida Health)

A Guide to the Patient Portal

Covid-19 Testing Guidelines for Surgical/Procedural Patients (Effective 2021_0809)

BHSF Guidance for Initial Screening at Entry Point

CDC Should You Get Tested

COVID-19 Community Testing Guidance Flyer (Effective 2021_0902)

COVID19 Testing Priorty Guidelines from the CDC

Criteria for Discontinuing COVID-19 Isolation for In-Hospital Transfer of Patients Off COVID Units

Determining Need for Isolation for COVID-19 Positive Patient Requiring Admission/Readmission

Fact Sheet for Providers: Molecular Laboratory Development Test (LDG) COVID-19

Fact Sheet for Patients: Molecular Laboratory Development Test (LDG) COVID-19

Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019 (CDC)

COVID-19 Testing Guidelines for OB and L&D Patients (Effective 2021_0809)

Specimen Collection Nose and Throat (Video)

Testing Locations in Broward County

Testing Locations in Miami-Dade County

Testing Locations in Monroe County

Testing Locations in Palm Beach County

Testing Through Quest

Testing at a Baptist Health Urgent Care or Urgent Care Express Location

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Attached you will find the current treatment recommendations for patients with COVID-19. Please note that the information is subject to change as we learn more about coronavirus and effective treatments.

Guidelines for Anticoagulation in Adult Patients with COVID-19 (Updated 9/7/2021)

Flow Diagram Decision Tool for Conscious Proning Process

For the most recent guidance on pharmacological interventions, please visit the pharmacy page on pineapple connect.

Information regarding Convalescent Plasma:

WINK:

Less is Best: Transfuse with Care (3/20/20)

Donating Blood:

Where and How to Donate Convalescent Plasma

Where and How to Donate Blood (Oneblood)

Information from the American Association of Blood Banks (AABB):

American Association of Blood Banks (AABB) Coronavirus Resources

Choosing Wisely:

American Society of Anesthesiologists: Five Things Physicians and Patients Should Question

Critical Care Societies Collaborative - Critical Care: Five Things Physicians and Patients Should Question

American Society of Hematology: Ten Things Physicians and Patients Should Question

Convalescent Plasma:

AABB Covid Convalescent Plasma Website

COVID-19 Convalescent Plasma Emergency Use Authorization

Convalescent Plasma Workflow

WINK: Convalescent Plasma Treatment (7/28/2020)

For FDA resources related to Convalescent Plasma Emergency Use Authorization (Fact Sheet for Health Care Providers, Fact Sheet for Patients and Parents/Caregivers, and FDA Convalescent Plasma Letter for Authorization) please visit the FDA: Emergency Use Authorization site. "Scroll for content"

Please refer to the BHSF Intranet Website for all downtime forms and consent documents.

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Helping provide information to our patients and their families is an important aspect in preventing and treating COVID-19. The resources on this page can assist providers with information that is thorough and easy to understand.

Preventions and Precautions:

Precautions for Caregivers in Close Contact

Prevention Steps for Discharged Patients

Prevention Steps for General Public

Information for Patients:

About COVID-19 (CDC)

What to Do If You Are Sick (CDC)

Caring for Someone Sick at Home (CDC)

Quarantine and Isolation (CDC)

What do I do if I'm sick? (FDOH)

What do I do if I think I was exposed to COVID-19? (FDOH)

COVID-19 Resources- Outreach Materials (FDOH)

Information for the Public:

Baptist Health South Florida Coronavirus Website

Hospital Visitor Restriction Policy:

Each entity, centers of excellence, and unit has specific rules and policies on visitors and family members, please visit the main Bapist Health South Florida website to see specific hospital and outpatient stances.

Families and Children:

Families and Children (CDC)

Information for Pregnant Patients

Pregnancy & Breastfeeding Information (CDC)

Visitor Guidelines: Obestrical Patients

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Information for Healthcare Workers

Healthcare Workers: Information on COVID-19 | CDC

Discontinuation of Transmission-Based Precautions and Disposition of Patients with SARS-CoV-2 Infection in Healthcare Settings (CDC)

Ending Home Isolation for Persons with COVID-19 Not in Healthcare Settings (CDC)

Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization for Coronavirus Disease 2019 (COVID-19) (CDC)

Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID) (CDC)

WINK: Coronavirus (COVID-19)

WINK: Breakroom Social Distancing (Updated 8/26/21)

Determining Need for Isolation for COVID-19 Positive Patient Requiring Admission/Readmission (Updated 08/2020)

Criteria for Discontinuing COVID-19 Isolation for In-Hospital Transfer of Patients off COVID-19 Units (Effective 2021_0519)

Information Regarding Pregnant Patients

COVID-19 (ACOG)

American College of Obstetrics and Gynecology Clinical Recommendations (ACOG)

Hospital Obstetric Healthcare Guidance (CDC)

COVID-19 Testing Guidelines for OB and L&D Patients (Effective 2021_0809)

Baptist Health South Florida is prepared for the COVID-19 pandemic. Please find resources to see how our organization is ready.

Critical Care

Ethics

Baptist Health South Florida Ethical Framework During a Pandemic

Here are some important details regarding COVID-19 vaccines that will be useful to employees and medical staff:

WINK: Moderna Vaccine

WINK: Pfizer Vaccine

Order Sets and Consent Documents:

Please refer to the BHSF Intranet Website for all downtime forms and consent documents related to COVID-19.

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All hospitalized patients should be assessed for COVID-19 prior to transfer to a post-acute care facility. This tool should be used to document and individual's medical status related to COVID-19 and to facilitate communication between the hospital and the receiving facility during patient transfers. This document must be signed-off by the physician, nurse practitioner, or physicians assistant who completes the clinical assessment.

Post-Acute Care/Behavioral Health to Hospital Transfer COVID-19 Assessment and Communication:

Baptist Health South Florida System Form

Hospital to Post-Acute Care Facility Transfer Form

Baptist Hospital of Miami

Bethesda Hospital (East & West)

Boca Raton Regional Hospital

Doctors Hospital

Fishermen's Community Hospital

Homestead Hospital

Mariners Hospital

South Miami Hospital

West Kendall Baptist Hospital

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Due to the surge of COVID-19 in South Florida, please see the following information regarding elective surgeries: Elective surgeries and procedures requiring overnight hospital stays are being evaluated daily across our facilities based on the capacity of each hospital.  We will communicate directly with any patient whose surgery or procedure may need to be rescheduled.   Any surgery or procedure that is taking place in an outpatient location will not be impacted at this time.

(Last update August 9, 2021)

Below are attachments to help our surgeons throught the reopening process:

To Access the Baptist Health South Florida Recovery Process, Click Here

Attached are resources for the surgery and anesthesia departments regarding COVID-19:

Covid-19 Recovery Scheduling Grid

Covid-19 Testing Guidelines for Surgical/Procedural Patients (Effective 2021_0809)

COVID-19 Testing Guidelines for OB and L&D Patients (Effective 2021_0809)

COVID-19 Testing Guidance Packet Prior to Surgery (RETIRED)

GI Procedure Guidelines for COVID-19 Patients (RETIRED)

Home Discharge Readiness Screening Tool Instructions

Home Discharge Readiness Screening Tool

Pre-Procedure Patient's Instructions (Following COVID-19 Testing)

Pre-Surgery/Procedure COVID-19 Testing Sites

Q&A from the American Society of Anesthesiologists (RETIRED)

Smoke and Gas Evacuation during Open, Laparoscopic, and Endoscopic Procedures

The use of PPE by Anesthesia Professionals during COVID-19 (ASA)

International Patient Coordination

Anesthesia in the ICU:

APSF/ASA Guidance on Purposing Anesthesia Machines as ICU Ventilators

COVID Activated Emergency Scaling of Anesthesiology Responsibilities (CAESAR) ICU (ASA)

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Attached are summaries to provide you with information you need to know about coronavirus and how to protect yourself.

WINK: BLS and ACLS in Patients with Suspected or Confirmed COVID-19 (non-ventialed)

WINK: Managing Infusion Therapies for COVID-19 Critical Care Areas

WINK: Notification of COVID-19 Exposure

WINK: Guidance for Hospitals

WINK: Home Medication Storage, Identification, and Return for patients on contact or droplet precaution

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Here are links and additional resources to help you with the care of coronavirus (COVID-19) patients:

Evidence Based Research:

LitCovid (NIH Sponsored Literature hub for coronavirus studies and information)

Government:

USA.Gov COVID-19

CMS:

COVID-19 Resources (CMS)

Current Emergencies: COVID--19 (CMS)

American Heart Association:

Coronavirus (COVID-19) - American Heart Association

Coronavirus (COVID-19) Resources for CPR Training | American Heart Association CPR & First Aid

American Hospital Association:

Updates and Resources on Novel Coronavirus (COVID-19)

Coronavirus COVID-19: CDC, FDA, and CMS Guidance

Coronavirus COVID-19: Protecting Health Care Workers

Coronavirus COVID-19: Supplies and Personal Protective Equipment (PPE)

American Medical Association:

COVID-19 (2019 novel coronavirus) resource center for physicians

COVID-19: Frequently asked questions

A Physician's Guide to COVID-19

American College of Anesthesiology:

COVID-19 Information for ASA Members (asahq.org)

Infection Prevention and Control Guidelines for Anesthesia Care

Joint Commission:

Joint Commission Resources

Occupational Safety and Health Administration:

Coronavirus Disease (COVID-19) | Occupational Safety and Health Administration (osha.gov)

COVID-19 Control and Prevention

COVID-19 Standards

Society for Critical Care Medicine:

Latest Disaster and Emergency Resources

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Please find attached guidance on how to deal with post mortem COVID-19 patients, or patients under investigation of COVID-19:

FHA Florida Medical Examiners Update (8/18/20)

Collection and Submission of Postmortem Specimens from Deceased Persons with Confirmed or Suspected COVID-19 (CDC)

National Funeral Directors Association COVID-19 Information Hub (NFDA)

WINK: Post Mortem Care of COVID-19 Patients

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How to Protect Yourself, Patients, and Confidential Data

Working Remotely:

Tips for Protecting Patient and Confidential Data

Social Media Guidelines:

It is important to keep our privacy and social media guidelines always top of mind. Please remember that as an employee, you represent Baptist Health. Therefore, how you present yourself to our patients and community, both in-person and online, is a reflection on Baptist Health. Employees should be appropriate and respectful and should never disclose any protected health information or confidential business records or data. If you have any questions, please refer to the Social Media and HIPAA Privacy policies which can be found on the intranet, or contact your HR representative.

Office for Civil Rights (OCR):

Coronavirus Bulletin

OCR’s Notice of Enforcement Discretion allowing providers to serve patients where they are through commonly used apps like FaceTime, Skype, and Zoom to provide telehealth remote communications:

Guidance that empowers first responders and others who receive protected health information about individuals who have tested positive or been exposed to COVID-19 to help keep both first responders and the public safe.

Guidance on how health care providers can share information with the CDC, family members of patients, and others, to help address the COVID-19 emergency.

Privacy Office Contact Information:

Privacy Hotline: (786) 596-8850

Email: Privacy@Baptisthealth.net

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