Coronavirus (COVID-19)

Baptist Health South Florida is using its expertise to address the new coronavirus (COVID-19) pandemic, treat patients, protect visitors and staff and provide up-to-date information.

As we continue navigating the Coronavirus situation together, I want to express my deep appreciation for each and every one of you. During a complex and challenging health emergency like this, people depend on their healthcare providers as a trusted source for information, care and support. No matter what your role is at Baptist Health, you are helping our patients and families during a critical time of need.

For questions or comments, please reach out to the Evidence Based Clinical Care team at BHSFEBCC@baptisthealth.net


Dr. Mark J. Hauser
President of Medical Staff Affairs,
Baptist Health South Florida

RTF
Personal Protective Equipment (PPE) & How to Protect Yourself
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Masimo SafetyNet


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Testing Guidlines


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Treatment Algorithm


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Symptoms
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Info for Pregnant Women
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Info for Patients & Families
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How is Baptist Health South Florida Preparing
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Frequently Asked Questions
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Center for Disease Control (CDC)
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World Health Organization (WHO)
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Florida Health
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Personal Protective Equipment (PPE) & How to Protect Yourself

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

EtO Sterilization and Medical Devices

ISO Gown Decontamination Program

Just in Time Training for N95 and N99 Masks (Updated 8/6/20)

PPE Guide: What to Wear to Stay Safe (9/24/20)

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

PPE Training Video

Room Cleaning Guide

Safely Use Safety Masks

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

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

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)

WINK: Contingency Capacity Strategies for Optimizing Supply of PPE (4/6/20)

WINK: Mask Related Skin Breakdown Prevention

WINK: Practices for Extending Use and Reuse of PPE

WINK: Reusable Gowns-Donning and Doffing (6/29/20)

 


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 now required to wear a covering over their nose and mouth while on our campuses. We have updated our policy as follows:

All employees, medical staff and vendors will need 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 the patient's room and alone. A patient will wear their mask when any occupant, including family members, employee, and medical staff, is inside the room.
B. Outside the room and sleeping. The patient will wear a facemask before leaving the room. A patient 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.

FIU and FAU Face Shields: Florida International University (FIU) and Baptist Health South Florida have partnered to 3D-print reusable face shields.The first batch of face shields was already delivered. FIU’sCollege of Communication, Architecture, + The Arts(CARTA) is mobilizing its 3D printing facilities, faculty, staff and students to produce a minimum of 1,000 face shields for Baptist Health.

In addition, a team from Florida Atlantic University (FAU)’s College of Engineering and Computer Science and Institute for Sensing and Embedded Network Systems (I-SENSE), one of the university’s four research pillars, have identified a simple solution to rapidly produce protective face shields for Baptist Health.

The disposable face shield developed by the FAU team only requires clear polyester plastic, elastic fabric bands, and a laser cutter. Baptist Health has requested an initial order of 4,000 face shields, which the FAU team expects to have completed within a week and will be followed by another order of 4,000 face shields.

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Masimo SafetyNet

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 Accoun 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)

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

Staff and Practitioner Education for Masimo SafetyNet (OCEDs and Urgent Cares)


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)


Order Sets:

Masimo Remote Monitoring Consent Form for BHM (SF-0097) (English)

Masimo Remote Monitoring Consent Form for BHM (SF-0097) (Spanish)

Masimo Remote Monitoring Consent Form for FCH (SF-0097) (English)

Masimo Remote Monitoring Consent Form for FCH (SF-0097) (Spanish)

Masimo Remote Monitoring Consent Form for DH (SF-0097) (English)

Masimo Remote Monitoring Consent Form for DH (SF-0097) (Spanish)

Masimo Remote Monitoring Consent Form for HH (SF-0097) (English)

Masimo Remote Monitoring Consent Form for HH (SF-0097) (Spanish)

Masimo Remote Monitoring Consent Form for MH (SF-0097) (English)

Masimo Remote Monitoring Consent Form for MH (SF-0097) (Spanish)

Masimo Remote Monitoring Consent Form for SMH (SF-0097) (English)

Masimo Remote Monitoring Consent Form for SMH (SF-0097) (Spanish)

Masimo Remote Monitoring Consent Form for WKBH (SF-0097) (English)

Masimo Remote Monitoring Consent Form for WKBH (SF-0097) (Spanish)


Order Sets For Outpatient Facilities:

Masimo Remote Monitoring Consent Form for Coral Way West (SFO-0097) (English)

Masimo Remote Monitoring Consent Form for Coral Way West (SFO-0097) (Spanish)

Masimo Remote Monitoring Consent Form for Country Walk (SFO-0097) (English)

Masimo Remote Monitoring Consent Form for Country Walk (SFO-0097) (Spanish)

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Information for Patients and Families

Attached are resources for handling pregnant or breast feeding patients with confirmed or suspected COVID-19.

Molecular Lab Authorized Tests:

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

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


Preventions and Precautions:

Precautions for Caregivers in Close Contact

Prevention Steps for Discharged Patients

Prevention Steps for General Public


Information for Patients:

Coronavirus Disease (COVID-19): Care Instructions (English)

Coronavirus Disease (COVID-19): Care Instructions (Spanish)

Coronavirus Disease (COVID-19): Overview (English)

Coronavirus Disease (COVID-19): Overview (Spanish)

Coronavirus disease 2019 Information (CDC)

Fact Sheet for Patients and Parents/Caregivers: Emergency Use Authorization (EUA) of COVID-19 Convalescent Plasma for Treatment of COVID-19 in Hospitalized Patients

Interim Guidance for Preventing the Spread of Coronavirus in Homes and Residential Communities

Patient Instructions for confirmed or suspected COVID-19 Patients who do not need to be hospitalized, or who were hospitalized and determined to be medically stable to go home

Patient Requests for COVID-19 Test Results

Protect Yourself When Someone at Home Has COVID-19 (3/27/20)

What is the difference between isolation and quarantine?

What is the difference between isolation and quarantine? (4/6/20)

What to do if you are sick with coronavirus disease 2019 (CDC)

You tested positive, now what? (3/30/20)


Disposition Information

Discontinuation of Home Isolation for Persons with COVID-19 (CDC)

Discontinue Hospitalized Patients with COVID-19 Transmission-Based Precautions (CDC)


Information for the Public:

Baptist Health South Florida Coronavirus Website


Information for the Cancer Patients:

Baptist Health South Florida Cancer Patients FAQ


Communicating to Patients

Caring for Children

Talking to Children about Coronavirus


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Information for Pregnant Women

Helping provide 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.

American College of Obstetrics and Gynecology Clinical Recommendations (ACOG)

Hospital Obstetric Healthcare Guidance (CDC)

OB Patients Testing Guidelines

Pregnancy & Breastfeeding Information (CDC)


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How is Baptist Health South Florida Preparing

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


Ethics:

Baptist Health South Florida Ethical Framework During a Pandemic


Critical Care

Augmenting Critical Care Capacity During Disasters


Information for the Public:

Baptist Health South Florida Coronavirus Website


Information for the Cancer Patients:

Baptist Health South Florida Cancer Patients FAQ


Ethics:

Baptist Health South Florida Ethical Framework During a Pandemic


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.


 


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Convalescent Plasma and Blood Products

This page includes resources and information for the utilization of blood products regarding coronavirus. As blood banks continue to address the ongoing pandemic of COVID-19, we will provide updates.

Anticoagulation Therapy:

Guidelines for Anticoagulation in Adult Patients with COVID-19

WINK:

Less is Best: Transfuse with Care


Blood Utilization Guidelines:

Blood Product Utilization Guidelines

Platelet Thresholds

MCVI Platelet Thresholds


Donating Blood and Convalescent Plasma:

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

Tips for Hospitals - Extending the Blood Supply (AABB)

Recommendations on the Use of Group O Red Blood Cells


Choosing Wisely:

Blood Product Information for Surgery and Anesthesia

Critical Care Blood Utilization

Ordering Blood Products


Convalescent Plasma:

AABB Covid Convalescent Plasma Website

CCP Intake Overview & Reference Guide

COVID-19 Convalescent Plasma Emergency Use Authorization

Cerner Pop-Up: Physician Attestation for Convalescent Plasma

Convalescent Plasma Workflow

Donor Eligibility, Processing, Labeling, and Distribution (AABB) (4/4/20)

Fact Sheet for Health Care Providers: Emergency Use Authorization (EUA) of COVID-19 Convalescent Plasma for Treatment of COVID-19 in Hospitalized Patients

Fact Sheet for Patients and Parents/Caregivers: Emergency Use Authorization (EUA) of COVID-19 Convalescent Plasma for Treatment of COVID-19 in Hospitalized Patients (Creole)

Fact Sheet for Patients and Parents/Caregivers: Emergency Use Authorization (EUA) of COVID-19 Convalescent Plasma for Treatment of COVID-19 in Hospitalized Patients (English)

Fact Sheet for Patients and Parents/Caregivers: Emergency Use Authorization (EUA) of COVID-19 Convalescent Plasma for Treatment of COVID-19 in Hospitalized Patients (Spanish)

FDA Convalescent Plasma Letter for Authorization

Oneblood Convalescent Plasma Website

Will You Help? How to Donate Your Plasma (English)

Will You Help? How to Donate Your Plasma (Spanish)

Will You Help? How to Donate Your Plasma (Creole)

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

Convalescent Plasma Workflow



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Order Sets

Below you will find information and order sets for Emergency Departments, Hospitalization, Urgent Cares, and Pre-Screening:


Please find attached the approved downtime forms for the Emergency Departments for the testing and treatment of Coronavirus COVID-19:

Baptist Hospital of Miami

Bethesda Hospital (East & West)

Boca Raton Regional Hospital

Doctors Hospital

Homestead Hospital

Mariners Hospital

South Miami Hospital

West Kendall Baptist Hospital


Please find attached the approved downtime forms for the Hospitalized Patients for the testing and treatment of Coronavirus COVID-19:

Baptist Hospital of Miami

Bethesda Hospital (East & West)

Boca Raton Regional Hospital

Doctors Hospital

Homestead Hospital

Mariners Hospital

South Miami Hospital

West Kendall Baptist Hospital


Please find attached the approved downtime forms for the Urgent Cares for the testing and treatment of Coronavirus COVID-19:

Boca Raton Urgent Care

Brickell Urgent Care

Coral Gables Urgent Care

Coral Springs Urgent Care

Corsica Square Urgent Care

Country Walk Urgent Care

Davie Urgent Care

Doral Urgent Care

Heron Lakes Urgent Care

Kendale Lakes Urgent Care

Key Biscayne Urgent Care

Marathon Urgent Care

Miami Beach Urgent Care

Miami Lakes Urgent Care

Palmetto Bay Urgent Care

Pembroke Pines Urgent Care

Pinecrest Urgent Care

Sunrise Urgent Care

Tamiami Trail Urgent Care

University Center Urgent Care

Wellington Urgent Care

West Kendall Urgent Care

Westchester Urgent Care

Weston Urgent Care


Pre-Screening Tool

At Baptist Health, we place great value on the safety of our patients, families, and communities we serve. We are following the Florida Department of Health COVID-19 screening guidelines. Please find the guidelines for the system in English and Spanish:

BHSF Guidance for Initial Screening at Entry Point

Cerner Quick Tips: COVID19 Screenign Section for Clinical Areas


Swing Beds Information

Swing Patient Comprehensive Plan of Care Draft

Swing Bed Program – Resident Recepient of Resident Rights & Responsibilities Draft

Baptist Hospital: Swing Admission Orders SO-0281

Homestead Hospital: Swing Admission Orders SO-0281

South Miami Hospital: Swing Admission Orders SO-0281


Please find attached the approved downtime forms for the Convalescent Plasma Infusion Orders for the treatment of Coronavirus COVID-19:

Baptist Hospital of Miami

Bethesda Hospital (East & West)

Doctors Hospital

Fishermen's Community Hospital

Homestead Hospital

Mariners Hospital

South Miami Hospital

West Kendall Baptist Hospital

 

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Discharge and Transfer Information

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.


Discharging Patients Home:

Ending Self Isloation (FL Health)

Isolation Discontinuation Algorithm (4/8/20)

Interim Guidance for Preventing the Spread of Coronavirus in Homes and Residential Communities

Patient Instructions for confirmed or suspected COVID-19 Patients who do not need to be hospitalized, or who were hospitalized and determined to be medically stable to go home


Transportation:

Guidance for NEMT Brokers and Providers on COVID-19


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

Baptist Health South Florida System Form

Post Acute Care/Behavioral Health to Hospital Transfer Guide


Federal Agency Waivers:

COVID-19 Emergency Declaration of Blanket Waivers for Health Care Providers

Emergency Medical Treatment and Labor Act (EMTALA) Requirements and Implications Related to COVID-19 (March 30, 2020)

Official List of Government Agency Waivers

Summary of Federal Actions in Response to the COVID-19 Pandemic (4/13/20)


Guide How to Use the Form:

Elderly Population Screening and Discharge to Post Acute Guidance

Hospital Post-Acute Care Facility Transfer Assessment Tool


Hospital to Post-Acute Care Facility Transfer Form

Baptist Hospital of Miasmi

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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Surgery and Anesthesia

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.


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:

Anesthesia ABS Complete Advanced Breathing System Components

Anesthesia Care of the Patient with Coronavirus (Feburary 27, 2020)

Sample Algorithm for Highly Infectious Patients in the Operating Room

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

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

Video: Discontinuation of Isolation Guidelines


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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Media

Baptist Health South Florida is taking to the news to ensure providers and patients are aware of the latest information regarding COVID-19. The system is taking many measures to ensure we are following guidelines coming in from national and international organizations.

Baptist Health South Florida Blog

Baptist Health South Florida Twitter

Baptist Health South Florida Instagram


Video Media:

Training Video of N-5500 and N-7700 Masks

Coronavirus Q&A by Dr. Sergio Segarra (English)

Coronavirus Q&A by Dr. Sergio Segarra (Spanish)

Information Regarding Coronavirus by Dr. John Braden

Explanation of Coronavirus (CDC)

Explanation of Coronavirus (WHO)

PPE Training Video

Innovation with FIU


External Social Media:

CDC Twitter

World Health Organization Twitter


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W.I.N.K.

Elective Procedures, Surgeries, Endoscopies

Baptist Health hospitals, surgery centers and endoscopy centers are postponing elective non-urgent surgeries, endoscopies and interventional procedures.

Imaging Appointments

All Baptist Health non-urgent elective imaging tests are being rescheduled to ensure capacity for urgent appointments.


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

BHSF Asymptomatic Patients Scheduled for Urget or Time-Sensitive Surgery

Elderly Population Screening and Discarge to Post Acute Guidance

Less is Best: Transfuse with Care

PPE Guide: What to Wear to Stay Safe (9/24/20)

S3C Pre-Surgery Testing for Asymptomatic Patients Recommendation

WINK: Appropriate Use for Personal Protective Equipment (PPE)

WINK: Breakroom Social Distancing

WINK: Bouffant Caps

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

WINK: Convalescent Plasma Treatment

WINK: Convalescent Plasma

WINK: Coronavirus (COVID-19)

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

WINK: Mask Related Skin Breakdown Prevention

WINK: Notification of COVID-19 Exposure

WINK: QTc Monitoring for COVID19 Inpatients for the Management of Hydroxychloroquine

WINK: N99 Reusable Respirators (4/3/20)

WINK: Contingency Capacity Strategies for Optimizing Supply of PPE (4/6/20)

WINK: Practices for Extending Use and Reuse of PPE

WINK: Reusable Gowns-Donning and Doffing (6/29/20)

WINK: Guidance for Hospitals

WINK: Guidance for Outpatient Services

WINK: Post Mortem Care of COVID-19 Patients

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

WINK: Employee/Practitioner Exposure


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Mental Wellbeing

The outbreak of coronavirus disease may be stressful for people and healthcare professionals. Fear and anxiety about the disease can be overwhelming and cause strong emotions in adults and children. Coping with stress will make you and the the people you care about stronger.


Medical Staff Resiliency Support Group

Baptist Health South Florida Pastoral Care

Manage Stress and Anxiety (CDC)

Headspace Application (Offering free services to healthcare personnel)

How to Manage Coronavirus Anxiety (ADAA)

Care on Demand (Offers counseling)

Crisis Standard of Care (ANA)


Communicating to Families:

Communication Skills: A Playbook of VitalTalk Tips


 



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Additional Resources

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


Law Enforcement Curfew Waiver Letter:

Curfew Waiver Letter for Healthcare Professionals


Evidence Based Research:

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


Government:

Summary of Federal Actions in Response to the COVID-19 Pandemic (4/13/20)

US Governmental Agencies

Official List of Government Agency Waivers


CMS:

Guidance for Infection Control and Prevention of Coronavirus Disease 2019 in Dialysis Patients


American Association of Blood Banks:

AABB's Coronavirus Resources


American College of Obstetrics & Gynecology:

Outpatient Assessment and Management for Pregnant Women With suspected or confirmed Novel Coronavirus (COVID-19)

Clinical Guidance


American Heart Association:

Interim Guidance for BLS and ALS in Patients with Suspected or Confirmed COVID-19

CPR & Emergency Cardiovascular Care in COVID-19 Patients


American Heart 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:

Infection Prevention and Control Guidelines for Anesthesia Care


Joint Commission:

Joint Commission Resources


Occupational Safety and Health Administration:

COVID-19 Control and Prevention

COVID-19 Standards


Society for Critical Care Medicine:

Caring for Critically Ill Patients with Coronavrius

United States Resources Availability for COVID19

Latest Disaster and Emergency Resources

ICU Preparedness Checklist


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Privacy Information

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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