February 28, 2020

Five things for employees to know about the COVID-19 coronavirus; five things about coronavirus to tell our patients

5 Things for VUMC Employees to Know about the COVID-19 Coronavirus

  1.  Is the Medical Center planning in case patients come here with COVID-19, the coronavirus strain that originated in China? Multiple workgroups comprised of leaders from across the organization have been closely monitoring the spread of the virus since December. While there are currently no individuals in Tennessee who have tested positive for the COVID-19 virus, plans are being finalized that would help manage an influx of patients to our clinics and hospitals.
  1. What are some of these plans? We know that most patients who test positive will not require hospitalization. We also know that, so far, the COVID-19 virus has had minimal impact on the health of children. However, patients who do need inpatient care will be boarded in negative-pressure rooms once admitted. Multiple areas within the Medical Center have been identified that would safely house COVID-19 patients, providing appropriate isolation to help prevent spread of the virus. Through investments in preparedness, VUMC has specialized equipment already on hand that can turn an entire patient unit into a negative-pressure area. The Medical Center also has equipment on hand, including a large tent, to set up triage facilities outside so that patients can be screened without entering facilities. At the same time, State and Metro Nashville health officials are assuring their plans for management of pandemic illness are prepared.
  1. How will we know if there are patients with the COVID-19 virus here in Tennessee or at VUMC? Now, the Tennessee Department of Health (TDOH) can verify whether lab specimens are positive for the COVID-19 virus. The TDOH will notify the public through the news media if the virus is present in Tennessee. If COVID-19 positive patients need care here, in accordance with federal patient privacy standards, Medical Center employees will be made aware of the presence of the virus so they can safely go about their work.
  1. What will the Medical Center do to keep me safe? According to the Centers for Disease Control and Prevention, the COVID-19 virus is spread much like influenza, person-to-person through close contact (within about 6 ft.), via respiratory droplets when someone coughs or sneezes, and to a lesser extent through contact with infected surfaces. Using standard precautions like those to prevent the spread of influenza, such as frequent handwashing, is the best preventative measure. Employees who may be in direct contact with suspected COVID-19 patients will use Centers for Disease Control and Prevention (CDC)-recommended personal protective equipment (PPE) to perform their work. Importantly, the CDC does not recommend wearing a mask when out in the general public, as that has not been shown to prevent virus spread and can take masks away from people that need them (like our caregivers at the front line).
  1. Right now, as an employee what should I do?  Patient care must come first, but importantly, we will ensure we can deliver this care in a safe manner to our faculty, staff and other patients. While we believe there will be ample warning of escalating numbers of potential patients, in the event of a crisis the Medical Center’s Emergency Staffing Plan could be quickly activated, which mandates staffing levels across many areas to maintain effective operations. Like in any emergency, there are things to consider such as whether you may need support with child care if you are required to stay at work. Emergency preparedness experts recommend stocking an emergency kit to keep on hand that includes medicines, a change of clothes and other necessary items.      

5 Things about Coronavirus We Can Tell Our Patients

  1. Be calm. Right now, there are no positive cases of the COVID-19 virus in Tennessee.
  2. If there is someone identified as positive for the COVID-19 virus, the Tennessee Department of Health will make a public announcement.
  3. The best thing people can do to protect themselves from COVID-19 is what they would do to help prevent the flu, wash their hands and distance themselves from others who are coughing, sneezing or may have flu-like symptoms.
  4. If there is an outbreak of the COVID-19 virus in Middle Tennessee, VUMC has been planning and will be here to take care of our patients in a safe manner.
  5. Currently, there aren’t any prescription or over-the-counter medicines that have been proven effective for specifically treating COVID-19, but medication trials are taking place. There is no vaccine yet for COVID-19 but researchers are working as quickly as possible to achieve this goal.