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Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Lisa Henderson
05:40
Thursday public health call @ noon -Zoom link: https://zoom.us/s/94841259025o Call-in phone number: (646) 558-8656o Meeting ID: 948 4125 9025o Password: 003270
Angela.c.Hawthorne
05:56
Are interns/students allowed in Phase I ?
Jeanne Ryer
09:56
AHRQ ECHO Nursing Home COVID-19 Action Network Update for NH, ME, and VTThe ECHO sessions will launch next week.• Tuesdays 2:00pm-3:30pm EST (starting November 10th)• Wednesdays 10:30am-12:00pm EST (starting November 11th)• Thursdays 2:00pm-3:30pm EST (starting November 12th)We are nearly at capacity, and one large nursing home group will have a dedicated cohort. We will be moving from pre-registration to registration very shortly. If you wish to be on the list (or soon to be waiting list), please go to this link immediately.https://unh.az1.qualtrics.com/jfe/form/SV_9yvv3OvhTbvw7oVContact Jeanne.Ryer@unh.edu with questions.
Hilary Seifer
13:02
How have people handled a situation if an employee regfuses testing
Tina Sharby
14:06
Can you clarify if a staff member has a visitor from outside of new England in their home, does the staff member need to quarantine?
Angela.c.Hawthorne
14:16
Any specific guidelines on CPAP/BiPap use amid moderate-substantial transmission in the community? Should precautions be treated the same as nebulizers? Meaning, at any given time, the HCP should wear an N95 when entering the room? Should the door be closed for the duration of the CPAP use, plus 2 hours (same as nebulizer treatment)? Is high flow oxygen use considered aerosolizing generating procedure? Should the residents with CPAP/BiPAP be cohorted due to increased risk of aerosolization?
Lisa Henderson
19:28
Thursday partner call:Thursday public health call @ noon -Zoom link: https://zoom.us/s/94841259025o Call-in phone number: (646) 558-8656o Meeting ID: 948 4125 9025o Password: 003270
Tracey Hamlin-Landry
25:48
Can't submit if the first answer is Yes
joan.klebes
25:49
I can't submit my poll without entering something in #2
lbeede
25:50
question 2 is not set up to complete
Carolyn Blackman
26:18
Cannot submit
Jessica Fedele
26:22
Please add "N/A" to question 2 so we can submit
David Ross
26:28
We want to antigen test visitors but with our Sofia2 Quidel machine
Brenda Pereira
26:39
cant answer #2
Sara Nadeau- NH, US
26:56
Please note you must answer #2 to be able to Submit the survey but we were a Yes to the first question so it really should have been a NA.
Chris Hegarty
27:34
Number 2 doesn't have option due to quarantine no visits
Cathy Gray
28:29
Won't take info
Elizabeth Sanders
28:38
We had to decrease visitation due to a positive patient and this doesn't address that scenario--we'll increase when we can. Would not use BinaxNOW for screening asymptomatic individuals due to false + rate with our low current prevalence
Angela.c.Hawthorne
30:11
Are prescription goggles allowed?
Heidi Forrence
31:00
can you do essential visits in phase 1? I thought you could only do it starting in phase 2
gina
31:58
Is there new guidance that goggles should be worn at all times even in a covid free building?
Suzanne
32:02
Thank you for saying this, Dr. Talbot.
Elizabeth Sanders
32:05
All restuls need to be reported to the state within 24 hours, how would we do this on all visitors? Would need names/other identifiers.
Amy R. Rauert
32:25
Phase I guidelines for visitation is compassionate care, and indoor/outdoor social visitation only.
Taylor Selembo
34:16
Heidi you are correct, essential support visitation is allowed starting in Phase 2 https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/ltcf-visitation.pdf
Lisa Henderson
35:57
https://www.nh.gov/covid19/resources-guidance/vaccination-planning.htm
Brendan Williams
38:01
As of yesterday, there were still 12 N.H. facilities on the list of those who have not signed up for the Federal LTC Vaccination Program. Sign up!
Brendan Williams
39:09
To sign up: https://www.cdc.gov/nhsn/index.html
Deborah DeScenza
39:53
Does the PPP vaccination program include community residences for People with developmental disabilities?
Lisa Henderson
40:01
CMS Certified Nursing Homes sign up via NHSN: https://www.cdc.gov/nhsn/index.html.AL and IL, including CCRCs sign up via REDCap portal: https://airc.cdc.gov/surveys/?s=R3TYTJDAW4
David Ross
40:03
Are facilties with a CLIA waiver able to rapid test visitors now?
lmcintyre
41:34
Will you provide your recommendations re' reuse of N95 in light of St. Luke Hosp. ED report of 50% loss of function after 2 days; recommending N95 masks should only be used for no more than 2 shifts
Judy Grimes
41:37
If you signed up through NHSN, there was a glitch in the system during a period of time that facilities enrolled. You can reach out to eocevent494@cdc.gov to confirm that your facility is enrolled.
Louise Belanger
42:16
We have signed up numerous times and I have emailed the program. I was made aware today, they are not sure why some homes are having a difficulty signing up, but realize it is an issue on their side. very discouraging when we keep trying.
Judy Grimes
43:59
CDC reached out to me today to confirm that we were enrolled. They were prompt when I emailed them at eocevent494@cdc.gov
lisa ferentino
44:11
Where Massachusetts is experiencing an increase in covid cases and requiring out of state people to test four days prior to entering the state, how does this impact our healthcare workders who live in Massachusetts and work in healthcare facilities in NH?
The Edgewood Centre - Tricia and Patty
44:33
What about a person who had asymptomatic covid 19 - should they be retested?
gina
46:18
How do you define higher community transmission?
Linda Lacke
46:43
The questions we're getting is do we include previous positives in surveillance testing of staff, and is there a difference in inclusion between <3mos post infection and >3 mos? CDC is silent on greater than 3 mos, which many people are now.
Angela.c.Hawthorne
47:07
Are prescription goggles allowed?
Taylor Selembo
47:40
The school dashboard shows community transmission (with substantial transmission in red) https://www.nh.gov/covid19/dashboard/schools.htm#dash
caroline hanly Rn
49:17
Hi, are the #s of MIS-C increasing?
Taylor Selembo
56:13
Here is a helpful link on eye protection. See "Why eye protection is available for prescription lenses users?" https://www.cdc.gov/niosh/topics/eye/eye-infectious.html (After reading this if you still have questions, give us a call.)
Angela.c.Hawthorne
59:54
Thank you!
Lisa Henderson
01:02:12
https://airc.cdc.gov/surveys/?s=R3TYTJDAW4
Taylor Selembo
01:03:33
Just to restate after confirming with the HAI team: In an outbreak setting, the facility should close the unit for new admissions (or the facility if transmission is widespread). If the facility needs to admit someone, it should be a case by case basis in consultation with the CSI investigator. Remember that re-admissions should be accepted back.
Kristen Schmidt
01:04:47
Any specific guidelines on CPAP/BiPap use amid moderate-substantial transmission in the community? Should precautions be treated the same as nebulizers? Meaning, at any given time, the HCP should wear an N95 when entering the room? Should the door be closed for the duration of the CPAP use, plus 2 hours (same as nebulizer treatment)? Is high flow oxygen use considered aerosolizing generating procedure? Should the residents with CPAP/BiPAP be cohorted due to increased risk of aerosolization?
Elizabeth Talbot
01:06:51
https://www.massgeneral.org/assets/MGH/pdf/news/coronavirus/list-of-aerosol-generating-procedures.pdf
Ben Chan
01:12:30
Sorry I have to drop off. Thank you!
Jasmine Gosselin
01:13:13
Termed
Lisa Henderson
01:13:32
REMINDER: AHRQ ECHO Nursing Home COVID-19 Action Network Update for NH, ME, and VTThe ECHO sessions will launch next week.• Tuesdays 2:00pm-3:30pm EST (starting November 10th)• Wednesdays 10:30am-12:00pm EST (starting November 11th)• Thursdays 2:00pm-3:30pm EST (starting November 12th)We are nearly at capacity, and one large nursing home group will have a dedicated cohort. We will be moving from pre-registration to registration very shortly. If you wish to be on the list (or soon to be waiting list), please go to this link immediately.https://unh.az1.qualtrics.com/jfe/form/SV_9yvv3OvhTbvw7oVContact Jeanne.Ryer@unh.edu with questions.
stephanpazulski
01:13:35
WE remove them from schedule until they are tested
Robin Nelson
01:14:04
In our facility, every employee is required to be tested at least one time per month, or they are taken off the schedule. If they don't participate in our surveillance testing,. they are asked to go to an independent testing source and provide a negative test.
Rosemary Simino
01:14:27
Our policy requires they submit to test. if not removed from schedule
Lisa Henderson
01:14:48
This is a helpful document from EEOC re: employer policies: https://www.eeoc.gov/laws/guidance/pandemic-preparedness-workplace-and-americans-disabilities-act
Heidi Forrence
01:17:00
will the ombudsman be allowed to go to residents room or just in designated visitation area? sorry if I missed this
Rosemary Simino
01:17:38
Will you be obtaining permission from the resident's roommate to have an in room visit
Taylor Selembo
01:18:46
From our guidance "If visitation occurs in the resident’s room but the resident has a roommate, the roommate or the roommate’s guardian must consent to the visit. While the visit is ongoing, the roommate must wear a facemask and whenever possible, social distancing and physical barriers (e.g., curtain, Plexiglas) be used."
Taylor Selembo
01:18:55
https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/ltcf-visitation.pdf