Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Who can see your viewing activity?
How do you document the results of the Binax tests?
Can Kristie comment on definition of Outbreak?
Can you please clarify: The county is in the red zone. Do they test once or twice per week and how is that decided? Thanks!
What is the confidence level of the Binex cards? Any problems being reported?
where do you find training for Binox now to demonstrate competency
Do you need to document PCR tests in the same way as antigen tests? Is the reporting the same?
When can we expect a standing order to perform Binexnow test without having to obtain a physicians order for each individual?
Can you post the link to order additional Binex kits please
how long are we halting admissions when there is a new case? Is it until there are no more positive cases or until you have found the source of transmission and implemented interventions?
Does county rates effect admission restrictions at all?
If the positivity rate is greater than 10%, there is no outside visitation- is that correct? Does that apply to LTC and ALF?
If the Administrator gets trained and signed off on proper procedure are they allowed to do Binax testing for staff? OR does it have to just be nursing staff?
@Kaitlin, no. There are no state or CMS restrictions about new admissions based on county transmission.
Preliminary question on vaccines posed to me from a member re: vaccines: Who from state would I contact if I chose Omni?
@Carole, if transmission is above 10% there is no INDOOR visitation. And yes, it applies to nursing homes and ALF both.
Should facilities stop giving, specifically, pneumonia and shingrix vaccines until resident has received COVID vaccines given?
Hillsborough county has moved to phase 0. Is the whole county 0, or for the rest of the county has Manchester and Nashua been excluded and there for are still in phase 1?
county positivity rate above 10% does not effect Dinging Room or group activities (10 or less people) correct?
@Lara, Going to phase 0 is based on the individual facility, not a whole county.
@Lara, the only facilities in Phase 0 are those in outbreak. Facilities NOT in outbreak are in Phase 1.
@Heidi, correct. Limited communal dining/activities are still allowed. Continue to follow the guidance in the table for phase 1 here. https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/ltcf-visitation.pdf
Karl Singer 1
Can you clarify the recommendation from England today that people with a history of severe allergy should not receive the Pfizer vaccine
I apologize if this is redundant. if they are mRNA vaccines, once administered, does that mean PCR testing would be contraindicated?
Are we reserving two doses of the same vaccine for each individual? Since if Pfizer is received first dose, only Pfizer must be used for second dose?
@Joan- No you do not need to hold back any vaccine for second doses. That is all accounted for in the federal allocation plan.
Lauri De Witt
if you wanted to assist with vaccine distribution/delivery would it be best to contact pharmacies like CVS/Walgreens to work directly with them?
Thank you Commissioner Shibinette and DHHS staff!
Do you have informational materials available that would be good to provide to residents and staff about the vaccine?
Will "informed consent" be necessary to administer the vaccine?
Thank you, Commissioner!
How will DHHS keep track of who received the 1st dose?
Thank you to the entire DHHS team they are responsive, knowledgeable and helpful!
DHHS asks annually how many staff/residents have recieved the flu vaccine, will we be needing to do similar reporting for Covid vax so that we catch those residents who may change from one LTC to another?
We had an outbreak and now have 1 positive staff who is not working. When can we resume therapy for residents who have finished their quarantine.
will staff under 18 years old be included in phase 1?
I have to sign off. A few operational vaccine questions I see. You will get information materials coming to you. We are waiting on feds for this. We are using a Vaccine Administration Management System (VAMS) to track doses. The pharmacies will be using this too (or similar system that communicates with VAMS). More to come!
Thank you Beth
Andrea Lajoie, Salemhaven, Inc.
Staff questioning - If after receiving the injection they experience any of those side effects, will they need to quarantine, based on not passing screening?
Will folks who have been positive be vaccinated?
Is there any way that we can stagger our staff to receive the vaccine in case we have to quarantine them due to side effects from the vaccine?
Those who have had the virus before should still be vaccinated, Gerry
If you are in outbreak status, and you have residents to discharge, is there guidance on covid positive, asymptomatic residents who desire to go home?
Clinical Dept PF RR RS
Seems to be a higher level of side effects than released prior. Will staff who might have these symptoms after injection should we allow them to work (given that we likely know the cause). With the large number of staff who will be vaccinated at the same time we are concerned about staffing.
Home Care, Hospice, PC Alliance of NH
Can you clarify— are Compassionate Care visits by hospice providers and family allowed no matter which phase?
Recommendations for Responding to LTCF Cases of COVID-19 pdf file (December 4, 2020) https://www.nh.gov/covid19/resources-guidance/documents/covid-ltfc-recommendations.pdf
NH DHHS COVID-19 Information for Long-Term Care Facilities pdf file (December 4, 2020)https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/covid-19-ltcguidance.pdf
Can we get copies of power point
Is it possible to get on the list for the handouts? My email is email@example.com
Are you going to allow ALF's to COVID test all residents as well as all Staff during this weekly testing period (until Dec. 31st)?
@Lisa Clark - weekly Powerpoint and recording posted within about 48hrs of call at https://www.nhhca.org/covid-19/ Under past calls and webinars
Testing Question: What were the recommendations for the POC and PCR testing when you are testing twice a week?
ok thank you
@Home Care, yes. Compassionate care visits are allowed regardless of what phase the facility is. This is per CMS and state guidance.
Please send PowerPoint presentations to firstname.lastname@example.org Thank you!
@ltheroux, if you are a nursing facility in a "Red" County, you are required to test twice a week. The state will pay for 1/wk so for the second test you can either use a private lab and pay for it yourself or use your existing POC device to conduct the second round of testing
are hospitals under the same no admission policy with covid cases on unit as long term care ?and are measures being taken with diminished census to supplement finanacial losses from no admission policy
Power point slide are posted here: https://www.nhhca.org/covid-19/
Can you clarify do ALF's need to test TWICE or ONCE a week?
ALFs are not subject to the 2x/week testing requirement. You have the opportunity to test 1/week via Nordex and the state will pay for this.
Thank you, Lisa!
do centers have to be in phase 0 if only staff test positive and no residents/patients test positive? in the guidance it only highlights patients/residents and facility onset. we are being told by DPH that we have to remain in phase 0 even if it is just a staff member testing positive.
To follow up on the Compassionate care question for Homecare and Hospice patients- Since LTC is testing weekly or biweekly, should hospice clinicians routinely test or follow the every 28 day schedule . we continue with weekly PCR but curious if we can us BINAX now for interim testing even if it's surveillance and not symptomatic
Sorry I have to drop off now.
if I have a travel LNA coming from SC, does she need to quarantine for 14 days before working for us
@June Gallup We are allowing testing frequency based on the county you are in. Partnership with the LTCF should allow you to work under their frequency.
Robin Nelson, Maplewood of Cheshire County
This is the consent form from CVS
Robin Nelson, Maplewood of Cheshire County
It is just a draft and facilities will receive triplicate forms to fill out when the clinics are scheduled.
That is correct
Walgreens consent form