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Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Gary Sobelson
04:01
Have you had any concerns about lab reliability with Mako? I’ve heard about “indeterminate” results being reported and one case where a staff member tested positive (asymptomatic, low riskJ
Gary Sobelson
04:07
)
Howie
04:41
Has any consideration been given to adding NY (Upper State) to the Maine and Vermont list of states for approved travel?
Gary Sobelson
04:44
and two subsequent tests were negative at local lab.
tverge
05:06
Are facilities allowing podiatrist, dentist, etc in their facilities?
Lauren Murray
07:22
Is there a confirmed plan to test beyond the initial 40 days? That timeframe is quickly approaching. Thanks.
Aaron McIntire
09:07
Each facility is allowed 4 rounds of testing through Mako, additional testing is still under review.
Megan Martinez
09:45
I would also like to know if we are including the entire New England region as approved travel states??
Ciaran Smith--MVC
10:04
We are starting to get questions from staff regarding personal summer visits from family and friends from MA, NY, NJ, etc... What guidlines should we follow when advising staff on this?
Ben Chan
10:58
https://www.cnn.com/world/live-news/coronavirus-pandemic-06-24-20-intl/h_d441e72a1fde7aff951ea9a8670b2dc0
Heather Rousseau
11:34
If a resident was at an emergency room for reasons unrelated to COVID but was in a bay next to a COVID positive case, what is the recommended isolation/quarantine now that they are back into our facility (they were never admitted to the hospital, but were in the ER for 9+ hours - with a mask on). Should we follow the guidance for the discontinuation for transmission based precautions? Currently staff are using transmission based precautions - gown supply is very low.
Lauren Murray
11:49
Aaron what is the recommendation after the 4th round and when do we expect to know further?
Mary Bourque
13:25
Are there going to be guidelines issued for approval of construction projects or other outside contractors for maintenance issues in buildings particular in unoccupied spaces and assuming proper infection control programs are in place?
mpelletier
13:36
We of course quaratine our residents that have an inpatient stay or an ED visit...are there current recommendations when our staff have an inpatient stay or ED visit?
Barbara White
13:53
Aaron - 4 rounds of testing with Make even if we had 2 rounds with the State Laboratory?
gina queiros
14:46
The crssp guidelines stated testing was going thru May of 2021, correct?
Lisa Henderson-LeadingAge ME & NH
17:14
https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html
lwarren
18:13
Are visitors from outside of NH,VT or Maine that drive in a car allowed to do the face to face outside visits with residents as long as we follow required restrictions.
Lisa Henderson-LeadingAge ME & NH
18:35
Testing Guidelines for Nursing Homeshttps://www.cdc.gov/coronavirus/2019-ncov/hcp/nursing-homes-testing.html
Lisa Henderson-LeadingAge ME & NH
22:00
Link to the COCA webinar (recorded) - Applying COVID-19 Infection Prevention and Control Strategies in Nursing Homeshttps://emergency.cdc.gov/coca/calls/2020/callinfo_061620.asp
Cathy Gray
23:41
We started doing initial fit testing after finally getting a kit, but are finding that we only have med/lg masks and we need smaller ones for some staff. Are smaller N95 masks available anywhere?
chamilton
24:50
What are the restrictions related to fire code if the aim is to make sanitizer available outside of every room? I know alcohol based sanitizer can't be above an electrical outlet, I've long been told they must be spaced out so many feet as well though.
lorimcintire
25:03
Taylor, can you please review the recommendations on air conditioners in resident rooms again, especially quarantine rooms? We have built in resident controlled HVAC units, and they would need this running during summer. Thanks
slaroche
27:10
How do we obtain these slides that you are showing? Thank you
Beth Daly
28:23
Employee travel guidance: https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/employee-travel-guidance.pdf
Aaron McIntire
28:47
Previous testing sent to PHL does not count against the 4 rounds of testing offered thought the MAKO laboratory. Most facilities that we are tracking are in week 2 of testing with MAKO which allows an average of 20 days (testing Q10 days) before we complete all 4 rounds. Additional guidance following further testing is still in review
llacke
29:37
Hair dressing is about dignity for the resident. Impacts self-worth and how resident feels about themselves.
Lisa Henderson-LeadingAge ME & NH
29:39
Is there a definition for "qualified" staff?
tverge
30:10
Hairdresser: requests via family. It justifies our answers when we have asked the "powers to be" regarding infection control
Clare Wilmot
31:12
hairdressing is therapeutic for cognitively impaired people in LTC. the hair wash is done in a sink fitted to the task.
Presidential Oaks
31:55
It may be helpful for Dr. Talbot to know that, in nursing home world, hairdressers are actually employees of the nursing home. They usually work only for one facility. They are quite trained, as a health care worker, on infection control, and PPE. Additionally, they are screened and tested. They do not work with the public (usually).
chamilton
31:58
FYI the CDC website states horizontal spacing of ABHS dispensers be not less than 4 feet, though it's probably a good idea to check with local fire officials as well to ensure compliance with local ordinances.
Mark Queiros
32:26
shopping malls, grocery stores ,restaurants are open and our staff goes to all of them why are you discrimanating against a hairdresser that only works in our settings and is proud to do so ?
JENNIFER
35:16
DOES Quarantine for readmits under 14 day observation , should these residents be on droplet precautions
pf
35:40
Can you provide further guidance on placing a resident in a 14 day quarantine who are COVID recovered. Most guidance so no quarantine is necessary.
lisa chamberlain
36:54
Do you have any recommendations in regards to a resident that has dementia and is a wanderer after returning from the hospital that will not stay in their room for 14 days or tolerate a 1:1 and will not wear a Mask???
Amy R. Rauert
40:08
recommendation on a PCP's request to have a family meeting inside the community/facility??
lorimcintire
40:42
We spoke with our DPH case manager this week and she assured us that quarantine is not necessary for readmissions if hosp stay or er visit was not covid related.
Deborah Burns
45:20
Is there a timeline to when standalone Assisted Living Communities will be included in the same testing criteria as the LTC facilities?
m5293i
49:08
On a quateeene floor can we use goodgle v faceshields due to them being less hot for the staff
Amy R. Rauert
51:32
family with resident
Lara Shea
52:14
Before the pandemic, when residents would go to the doctor, most often family would drive them and sit in on the appointment.Now that doctor's offices are reopening, what is the guidance for getting these residents to their appointments? We do not have the capability (staff and vehicles) to bring all of our residents to these appointments and even if we did, their families still have a right to sit in on the appointment with them.I'm hoping there is better guidance than to say we need to quarantine the resident for 14 days, as it may deter people seeking medical treatment. In addition, many of these folks are memory care residents where a quarantine is impossible.
Lara Shea
52:21
Assisted living.
JENNIFER
52:59
if a resident is readmitted and was tested and is negative , currently we are having them stay in there room for 14 days- does the staff have to wear gowns & n95 masks ? to care for them during the 14 day quarantine or is just face shield & surgical mask enough?
JENNIFER
55:55
so if a resident goes out to doctors appointment they don't have to 14 day quarentine
Lisa Henderson-LeadingAge ME & NH
59:13
https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/ltcf-visitation-06132020.pdf
Peabody Home
01:00:25
Concerned over quarantine time with no portable fan or Air Conditioner when we are also required to maintain a room temperature range per regulations as well as we do some July temps in the mid to high 90's... for resident and staff donned in gowns providing care....
Amy R. Rauert
01:00:36
We should not be allowing people from other states to visit our residents?
Taylor Selembo
01:02:06
As Dr. Daly posted earlier, here is the travel guidance for employees https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/employee-travel-guidance.pdf
chamilton
01:04:16
Does anybody know a source for fit test kits? We've been looking for one since March.
joan.klebes
01:05:41
what is AJI?
Peabody Home
01:06:21
I thought N95 masks are not required in the State of NH, that the surgical mask is all that is required here, however CDC recommends N95 masks for caregivers providing care for active cases... With the change in the fans and A/Cs, are we now required to provide N95s for employees if we get an active case?
Lisa Henderson-LeadingAge ME & NH
01:06:24
HAI - Healthcare Associated Infections Group
jean.a.corvinus
01:06:28
portable meaning moves from room to room?
Taylor Selembo
01:06:49
For fit testing for N95s, I suggest going to your local hospital and consulting their Occ. Med.
Windham
01:07:34
was the question answered on how to obtain slides?
chamilton
01:07:39
We've done that, they fit tested a handful of employees and trained myself and another on how to fit test staff ourselves but haven't had any luck getting our own kit to do so.
Lisa Henderson-LeadingAge ME & NH
01:08:14
https://www.nhhca.org/covid-19/
Clare Wilmot
01:09:32
thank you