Caregiver COVID-19 Resources

Caregiver COVID-19 Resources

Updated 05/07/2020

Columbia Memorial Hospital is not the buildings or equipment. We are Columbia Memorial Hospital. We are the people who will show up every day in order to save our friends, neighbors and loved ones from the coronavirus COVID-19. You are a hero.

This webpage is just for CMH Caregivers. It’s a place where we can share information and resources to to help us care for our community, while keeping ourselves and others safe, and managing some of the fall-out that might be happening in our personal lives.

Daily EOC Updates

 

 

  • PPE
  • Clinical
  • HR & Operations
  • At Home
  • News

Protecting Yourself

Check out these instructional videos from the CMH Quality and Infection Prevention teams. This is a playlist of all CMH instructional PPE videos (watch on YouTube). Use the arrows below to go to a specific video. All caregivers wearing a mask should watch the first three videos. Caregivers providing direct patient care should watch all of them.

Email cmhppe@columbiamemorial.org if you have any questions.

Don & Doff Mask
Instructional video for CMH caregivers on how to put on and remove your surgical mask safely during the COVID-19 pandemic.
« 1 of 7 »

PPE Instructions and Information

How to Prevent Droplet/Airborne Spread

Here is some information about potential droplet/airborne spread and all the things you are doing to help prevent airborne spread.

  1. Mask the patient.
    Masking the patient prevents any organism from becoming droplet or airborne and spreading.

    • Droplet spread means that the organism particle is of a size that it will only fly about 3 feet from the patient and then drop to the ground.
    • Airborne spread means that the organism particle size is small enough to fly hundreds of feet before dropping.
    • At this time, we believe COVID-19 to only be potentially airborne if the patient is participating in aerosol producing procedures. In clinics, nebulizers should be the only procedure that could potentially cause airborne particles.
    • We are suggesting that all outpatient clinics minimize nebulizer treatments and attempt inhalers and other options.
    • If you are obtaining a nasopharyngeal swab, keep the patient’s mask over their mouth to catch any “coughing” that may occur.

    Above all, masking the patient is the number one method to prevent the spread of illness with any patient with respiratory illness/cough.

  2. Use hospital-approved disinfectant (gray or orange tops) on all surfaces in the room, with focus on any that a patient may have had contact with. Be sure you are allowing the disinfectant to “sit” the approved time in order to be effective. Do not dry the surface. This process will continue to be evaluated, yet at this time, we have not implemented any aerosol disinfectant.

Masking During COVID-19

Effective 05/05/20 (Bluesheet: New Masking Guidelines)

Protecting caregivers and patients during the COVID-19 pandemic is CMH’s highest priority. The Emergency Operations Center (EOC) carefully reviews masking guidelines from the CDC and OHA, as well as our supply of PPE to make decisions about masking. (Instructions for CMH caregivers on masking during COVID-19, Updated 5/05/20)

Currently:

  • Starting Tuesday, May 5, all caregivers will be given a surgical mask at the screening station.
  • Caregivers in patient care must wear a mask and protective eye wear when working with patients.
  • All caregivers must wear their mask while in public/patient areas, including hallways, the cafeteria and break rooms.
  • All masks worn by staff must have been provided by CMH. No homemade masks are allowed.
  • The EOC will monitor PPE inventory daily, and if supply begins to be low, we will reassess non-patient facing masking and cloth masks.
  • If you have any questions about this policy, please email cmhppe@columbiamemorial.org.

If you are working with patients who have respiratory symptoms, you may be required to take additional precautions. There are a number of resources on what PPE you need with specific patient populations on this webpage. Watch the PPE videos and read these masking instructions about how to take the mask off, store the mask while eating or drinking, and then how to reapply it.

Contact tracing in Clatsop County

Recently, Clatsop County has had an increase in COVID-19 cases. The County Public Health Department is in charge of the response. They are actively doing contact tracing for all positive cases and are testing people who may have been exposed.

If the County’s contact tracing suggests you may have been exposed to COVID-19 at work or in your personal life, they will contact you directly.

Remember, if you are experiencing mild to moderate symptoms of COVID-19, including shortness of breath, fever or cough, you can call the CMH COVID-19 Hotline at 503-338-4699. A CMH nurse will screen you for COVID-19 Monday through Friday, 9 a.m. to 5 p.m. If testing is appropriate, they will provide information on how and where to get tested.

CMH & Community Resources

Emotional Support:

We hear you! Thank you for allowing our clinical social work team to support you all during this very challenging time. We appreciate the work every CMH caregiver does to support our community, and we want to continue to help support you. In addition to the other avenues you can use to access our help, we will offer call-in support options every Thursday in April from 11 a.m. to 1 p.m. 

You can remain anonymous during this call, if you wish, and can vent about how COVID-19 is impacting your life. Our social workers are great listeners and often have good resource suggestions!

Virtual caregiver support is available every Thursday in April, 11 a.m. – 1 p.m. Call 1-424-672-7540 and use conference ID 1101455.

 

Food:

 

Do You Need Financial Assistance?

The COVID-19 Caregiver Support fund helps employees experiencing a personal financial crisis who have exhausted all other avenues of assistance. Read More.

 

Financial Support:

 

Babysitting or Childcare:

Clatsop County has arranged childcare specifically for health care workers, first responders and other essential workers. This can be for regular childcare needs or it can be emergent, day-to-day needs that come up. They have asked that people let them know of any potential for emergent need, so they can be ready if needed.

  • Little Sprouts (Astoria): Infant/toddler and school aged children
    No Cost – available free
    503-325-8669, Info@astoriaparks.com
  • Warrior Care/Warrenton Prep (Warrenton): All ages
    $$ Available for a cost
    503-861-2281
  • Seaside School District (Seaside): Children ages 6-12 years old
    No Cost – available free
    sspalding@seasidek12.org
  • Learning Ladder Sunset Empire (Seaside): Infant to preschool aged children
    $$ Available for a cost
    503-738-3311 ext. 125

The State of Oregon has expanded eligibility and removed copay requirements for Employment Related Day Care (EDRC), which helps families pay for child care while they’re working. Review the revised eligibility and application information to see if you qualify and how to apply.

If you’re still looking for childcare options, you can also call 211 as a resource. Please remember, child care facilities are currently legally required to prioritize essential health care workers.

  • Call: 211 or 1-866-698-6155, and listen for the child care prompt
  • Text: keyword “children” or “ninos” to 898211 (TXT211)
  • Emailchildren@211info.org

These local babysitters are also available to help:

Phone Resources:

  • CMH COVID-19 Hotline: 503-338-4699; M-F, 9 a.m. to 5 p.m.
  • Oregon Information Hotline: 211; 24/7
  • Washington Information Hotline: 1-800-525-0127, press #; 6 a.m. to 10 p.m. daily
  • Clatsop County Public Health Information Line: 503-325-8500 ext. 4921 (English); 503-325-8500 ext. 4925 (Spanish); M-F, 9 a.m. to noon and 1 to 5 p.m.
  • Pacific County Emergency Operations Center Call Center: 360-875-9407 or 360-642-9407; M-F, 8 a.m. to 4 p.m.

Clinical Resources

Nasopharyngeal Swab Collection

Source: CDC

Supplies:

  • Sterile Dacron/nylon swab
  • Viral transport media tube (should contain 1-3 ML of sterile viral transport medium)

Procedure:

  1. Tilt patient’s head back 70 degrees.
  2. Insert swab into nostril. (Swab should reach depth equal to distance from nostrils to outer opening of the ear.) Leave swab in place for several seconds to absorb secretions.
  3. Slowly remove swab while rotating it. (Swab both nostrils with same swab.)
  4. Place tip of swab into sterile viral transport media tube and snap/cut off the applicator stick

OHA and CDC Guidelines:

Clinical Care Algorithms

Resources to Share with Patients

Working During the COVID-19 Pandemic

Operational Changes

  • Interpretation: At this time, CMH has decided to suspend all in-person interpretation. We will continue to use remote video interpreting when translation needs arise. Please remember to remind each other of this when scheduling appointments.
  • Central Supply: Central Supply has made several changes to maintain accurate inventory counts, to keep PPE secure, to reduce potential risks of incoming goods, and to maintain social distancing. Read more.
  • Rehabilitation Services: In-person care by Rehabilitation Services has been limited to caring for patients with urgent/essential or post-op needs. Read about how this affects the process for referring patients and providing care to patients who need physical, occupational or speech therapy.
  • Some clinics and services have suspended operations or changed their hours. Check the the clinic/service webpage for hours.
  • Dock time questions answered (current as of 04/10/20)
  • Changes to HSAs/FSAs Due to CARES Act (current as of 04/16/20)

Working After Exposure or Illness

If you have been exposed to COVID-19, or develop respiratory symptoms, please let your manager know before you come to work. They may tell you to stay home until you’ve been cleared by Employee Health.

You will be contacted by Employee Health and given more instructions. These are the algorithms Employee Health uses to decide when caregivers are safe to return to work:

Signs to Print

Look here for the most recent signs that you can print on letter sized paper and post in your department. Click on the link under the column “SIGN” to open the pdf of each sign. Contact Felicia Struve (503-338-4504) if you need a sign holder for your department.

wdt_ID Last Updated Sign File Purpose Language(s) Locations/Departments
1 04/01/2020 Sign File Close entrance, badge readers English Doors selected by Safety Officer
2 03/31/2020 Sign File Screening stations, vendors English,Spanish Facilities, Receiving, Kitchen, IT
3 03/31/2020 Sign File Screening stations, caregivers English All caregiver entrances, excluding those with screening stations
4 03/31/2020 Sign File Visitor Policy English,Spanish Hospital entrances
5 03/30/2020 Sign File Visitor policy English,Spanish All clinic/services entrances
7 03/19/2020 Sign File Close entrance English,Spanish East Lobby, Admin Entrance, POB 1 Entrance
8 03/19/2020 Sign File Hours, West Lobby English,Spanish West Lobby
9 03/19/2020 Sign File Close coffee stations English,Spanish All free coffee stations in waiting areas/clinics
10 03/24/2020 Sign File Close service, gift shop English,Spanish Gift Shop
11 03/20/2020 Sign File Social distancing English,Spanish Admin
Last Updated Purpose Language(s) Locations/Departments

Frequently Asked Questions (FAQs)

 

Q. What is “dock” and why am I being asked to use it? click to open

 

Q. If I am being docked or I am unable to work because I must stay home to care for my child due to the closure of school, may I claim unemployment? click to open

 

Q. My spouse lost their insurance coverage through their employer, may I add them to our plan? click to open

 

Q. What happens if I don’t have enough earned leave (EL) to pay for my payroll deductions? click to open

 

Q. What if I have other questions about my benefits? click to open

 

Q. I don’t feel well. When should I stay home? And when should I return? click to open

 

Q. I am heading to an area that has a large number of COVID-19 cases. How should I come back to work, and how is CMH ensuring that I am safe to work with everyone? click to open

 

Q. If an employee has been exposed, should they be worried about the people they are in contact with? click to open

 

Q. Will non-clinical and non-essential staff be asked to stay home, even if they have not been exposed, as a precaution? click to open

 

Q. What should I do if I suspect I have COVID-19? click to open

 

Q. Is COVID-19 contagious before a person shows symptoms? click to open

 

Q. Are pregnant health care personnel at increased risk for adverse outcomes if they care for patients with COVID-19? click to open

 

Q. I do not perform hands-on, direct patient care; however, I want to be able to use a mask and gloves, and some people are telling me I should. Why is CMH not supporting this? click to open

 

Q. I believe I have been exposed to COVID-19 at work. What’s next? click to open

 

Q. Other people in the office are coughing and saying it’s allergies, but how do we know? Should they mask anyway? click to open

 

Q. I am a caregiver concerned about COVID-19 exposure. I am 60+ with some underlying health conditions that give both me and my family concerns. click to open

 

Q. Are seasonal allergies a reason to mask? click to open


Talk to a nurse on the CMH COVID-19 Community Hotline at 503-338-4699. This hotline is open Monday through Friday, 9 a.m. to 5 p.m.

For general information about coronavirus COVID-19:

  • Clatsop County Health Department: 503-325-8500
  • Washington State Department of Health: 1-800-525-0127
  • For childcare, homelessness, utilities resources, etc., call 2-1-1 from a mobile phone or 503-222-5555 from a land line.