B1 Intermediate US 93 Folder Collection
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Every organization has the opportunity to have defining
moments. And oftentimes there fun and exciting. Sometimes they
are hard and scary.
I think we have a combination of that happening right now.
As all of you know, we are beginning to see real evidence
that COVID-19, the Novel Coronavirus, has taken root in
the United States. An activity is heating up here in Utah.
We, as an organization are
really ready. To take care of these patients and take care of
our communities by the opportunity with Sue Roble
yesterday to go to the EP you down to Intermountain Medical
Center and boy was I proud of the work that I saw being done
down there. Highly motivated caregivers, smart, thoughtful on
point selfless. And really eager to serve each other and to serve
the patients in the community.
This is a fast moving, rapidly
evolving situation. And we don't know all the answers yet, but
what we do know is we're always going to put our patients 1st
and we're always going to put
our caregivers 1st. And that we're going to do absolutely
everything we can to serve both of those groups as thoroughly
and thoughtfully as possible.
We're opening a dialogue with
you today. We are going to share with you the situation as it
exists right now and we're going to anticipate that we're going
to get an opportunity to speak with you on a regular basis over
the next weeks and months, because this is going to be a
marathon, not a Sprint.
I'm completely confident.
That whatever pops up Intermountain will have a
coordinated, thoughtful and team
oriented response. And even if tough things happen, we're
going to look for good to come from this so that we can
serve better in the future.
You're going to hear from Blair Kent now administrator
at Intermountain Medical Center who is going to bring
you up to speed on the operational implications of
what's going on right now and our preparedness. So Blair.
Thanks, Marc is everyone's aware we had our patient admitted last
Friday, but our preparation for that moment didn't start. Last
week we had almost 5 years of advanced preparation. We had
taken advantage many years ago. Intermountain was very
thoughtful and diligent in trying to create a vision of how
do we treat people that have unique situations conditions. So
as this. GPU is designed and built. There were guiding
principles that I still think are fundamental to who we are.
We were focused on safety of the patients or caregivers and
community and the capacity to provide quality care regardless
of this unique and freestanding unit. So about 4 years ago the
unit was completed. It was designed in an incredible way to
accommodate situations. Just like this, we were able to have
great physician leadership.
And clinical leadership with our nurses. So we've been able to
have physicians and nurses trained well in advance, so
Luckily, and strategically, that when we got the notification,
everyone sprung into action in a really fluid manner. Our
Engineering Department, who has had stewardship over the past 4
years, were able to immediately step in and the facility they've
been able to maintain over the past 4 years was readily
available. We were able to turn everything on and start getting
to go. In preparation for the receiving of this patient with
minor tweaks and minor changes, then immediately following that
we were able to mobilize all of the unique clinical aspects from
our nursing to pharmacy and having them come together to
physically be in this unit and start identifying what's it
going to look like and feel like when our patients here, what are
the handoffs? What are the things in the resources we need?
So over the course of that time, we're able to set that unit up
fairly quickly and thoroughly.
Our commitment, which we've been for years in doing our daily
safety huddles. We anticipated things really well physically.
We've had to tweak things, maybe little things here and there
from a communication standpoint, something as maybe insignificant
as a TV, the number of stations to how we communicate through
the glass, and then some things like food services. How do we
deliver, and where do we deliver the food? So overall it has been
a great success. The caregivers.
Are well trained, we are well stocked an supplied to do
exactly what we're doing. This isn't a unique challenge for us,
nor is it something that we're not prepared for. This has been
years in the preparing and planning and now we're doing
what we're trained to do. So the caregivers are excited. There is
an energy with the nurse. Is there an through our huddle
process? We're learning on a daily basis so the patients at
the right place with the right time with the right people and
at the right time.
So Doctor Phillips.
So as Blair said, we we've had a really great opportunity in a
very planned fashion to introduce our workforce in our
health system to COVID-19. And the situation is changing very,
very fast. We're learning kind of on the fly as information
comes in, both from the Centers for Disease Control and
Prevention, and from the Utah Department of Health. And so
they're updating guidance.
Clinical standards an we are keeping pace with them to be
sure that the practice that we have in our heads in our ICU's,
across our system wherever a patient comes, we're ready to
provide what is the standard today. I'll also share with you
that the standard today may not be the standard tomorrow or 2
days from now. We're learning. If you've kept an eye on the
news, it's an hour goes by or 7:00 o'clock. Tonight will know
something different an.
We're really doing our best to keep pace with that. what I
would like you all to know is that are your leaders. Your
managers are putting your safety as a caregiver 1st.
We're carrying about you so that you can care for our patients
for your families and your
communities. Interesting Lee. Initially we as you've probably
seen in the news, we've been able to identify risk and we'll
talk about that others here in a moment through where you've been
right. Where's your travel? Where have you been in China?
Have you been in Italy? And what we're finding over the weekend,
for example, is that that's only getting us part of the way
there, right? So, as we've seen, what's happened in Washington
state and an each day? I think we'll see something different.
So travel history is helping us, but it's probably that's
probably not going to.
Last, for very long we're going to find ourselves with direct
community spread and that some of what we're seeing in
Washington state now. And that's going to make it a little harder
to know who's at risk and so bear with us. We're going to
give you every guidance that is available to us, and we're going
to kind of take a ride here that the country hasn't been through
in the world hasn't been through
in awhile. We are learning were learning organization. We are
caring for you and our patients and as the guidance changes were
present for you, please know that we have a website that's
available internally as well. the CDC an the Utah Department
of Health have sites for you to go out an care for yourself as
well as we're going to update for you as caregivers. What we
know in the moment and so please use that and the communications
team is going to stay all over
this. And as Marc said, this will be a continuing dialogue,
both with things like this as well as written material that
will have available for you. So we're informed were staying
connected so that we can help you serve our patients. I'm
going to turn it over to Eddie Stenehjem so he can share a
little bit about how we can be members of the community and
what we need to do.
Thanks, Shannon, thank you all for being here. As we know COVID-19
is caused by a coronavirus in coronavirus causes the
common cold we've all had coronaviruses in this room and the
good news is we know a lot about the science of coronaviruses,
but this is a new coronavirus. It's novel and we're learning
everyday about the transmission of this virus. We will learn
more in the weeks and days that come as test become available as
we start testing our community and communities in Washington,
Oregon. Start testing more
broadly. And we will be able to give that information to you
into our caregivers and to our patients and communities. Right
now, there is no treatment, aside from supportive care for
this infection. Fortunately, the vast majority of people that get
this infection do quite well. We want to ensure that we can care
for those patients, though that don't do well. Vaccine studies
are currently on going and enrolling. In addition to
treatment studies for randomized control trials are certainly on
going as well. Intermountain will be involved as we can in
those and keep you updated.
On current treatments that we
can provide. Like cold and flu viruses, this virus transmits on
droplets infected droplets that are generated when week off and
we sneeze the way people become infected is those droplets are
directly inserted to somebody's eyes, nose or mouth during a
cough or sneeze. Otherwise they can cough and it can land on an
inanimate object. A counter or a kitchen appliance and
then we can touch that and then we take that and we put it into
our face and we can get infected that way. So there's many ways
we can prevent community transmission. Simple things that
we can do, not only in our
hospitals. But also in our communities the first and
foremost is easy it's hand washing we want to ensure that
we are washing our hands consistently and so when we
touch those infected areas we're disinfecting our hands by hand
washing and you will see all the leaders be doing that routinely
and this is the new normal to be doing this often In addition we
want to avoid touching our face it's easy to say but very hard
to do but avoid touching ones eyes nose and mouth to really
decrease that transmission of the more common things that are
happening right now in Utah
which include. Influenza.
We wanted to make sure that people that when they are sick
and coughing and sneezing were coughing into our elbow were
coughing into a tissue we're avoiding infecting our
environment as much as we can.
We also want to make sure we clean frequently in the
environment using disinfectants not only in our home but also at
our workplace and in acute care settings as well you may have
seen some coverage about a shortage of masks in different
environments in different communities right now in Utah
and definitely within Intermountain we do not have a
shortage of masks we have them aplenty but keep in mind we
don't recommend wearing masks in the community we are not at that
point yet in fact there is some recent data suggests that
there's potentially higher risk for people that wear masks.
If you're touching them and ask masks and manipulating the
massacre also touching your face so we don't recommend that at
this time? In addition as a precautionary method we would
recommend using non handshake methods to greet one another we
can do fist bumps we can do elbow smashes or we can just
greet each other with a simple hello it's a precautionary
method but that's a completely acceptable here within
Intermountain as leaders and
also as caregivers. Bottom line is we're here to protect
the community or caregivers in our patients and we will keep
you updated as we go turn it over to Rebecca.
Thanks Eddie so there's some things that each of us can do
right now to make sure that we're ready for what's coming
our way the first thing is we should be prepared at home so
keep basic supplies like food your medicines vitamins
essential items on stock at home be ready for that Additionally
we want to make sure that everyone in your family and your
relatives who live with you know how do things like wash your
hands well wash them appropriately keep your avoid
touching your face many of the things that Eddie just shared
with us today. Are the same things that our family and our
children also need to be aware
of? On Top of that many of us have questions about what to do
if you feel sick.
So the first thing is that it's winter flu season and there's
many respiratory illnesses that are common available at this
time and in our community so if you were feeling ill please make
sure that you stay home from work so that you can care for
yourself. If you have questions or you have concerns about Cove
in 19 app here are the steps that you should take so the
first one is please go to Intermountain web page the
website that is set up right now is being updated multiple times
per day and you should be able to get many of your questions
answered there if you're not finding the answers to your
questions and you think you might need care it's very
important that you call first before going to a site for care?
You can start by calling your primary care provider or you can
call health answers. If you think you have significant
symptoms and you're afraid or you're concerned that you may
need kovid testing you still need to call first the most
important thing will be to call connect care because they can
actually help you navigate to the next steps where is the
right place for you to go for that type of testing?
As a reminder if you have mild symptoms you stay home and just
do the Kerry would normally do for yourself at this time only
people who have traveled to an area where there is coronavirus
is currently prevalent or active or if you have had confirmed
contact with a patient that is positive confirmed case of
coronavirus COVID-19.
Those are the 2 criteria that are necessary to be met before
you would be eligible for testing In addition to the
symptoms that you may be
experiencing. So if you are ill and you have not met either of
those 2 risk factors at this
time. You should get care as you normally would with your primary
care provider with connect care or if needed with an insta care
if you have significant symptoms high fever significant cough
shortness of breath.
Or trouble breathing and you have traveled to a place where
coronavirus is active or prevalent or you have had
contact with a confirmed coronavirus COVID-19 patients.
You need to call connect care
immediately. At anytime if you have urgent life
threatening situation or symptoms please call 911.
We should do a fist bump or elbow bump there we go
thank you.
So bottom line is we're doing the best we can.
I think the team is when I talk about the team I mean the whole
enterprise is doing a spectacular job with the right
people with the right training and as you heard earlier were
learning organization we're going to be just fine I think
we're also going to learn a lot about ourselves personally and
professionally as we go through
this process. And that is one of the good things that can come
out of a very tough situation.
As you heard we don't have all the answers as we learn we're
going to share we respect you and we need your input and
you'll see some contact information come up on the
screen please use that we want to answer your questions and we
want to do that in real time.
In addition to the no more handshakes and probably maybe
hugging was never OK Heather I don't know HR compliant hugs
only but maybe this isn't the time to do that at work I think
hand hygiene. Careful with our handshakes and then watch for
us to be really thoughtful about travel and we're going to
ask you to be thoughtful about your travel for work as well
really asking yourself whether a meeting can happen over a VTC
from home over the Phone if you need to travel we're not
putting any bands on that but we're asking you to be really
careful and thoughtful.
We have a couple of very large meetings that are scheduled are
Intermountain leadership team and our management and
leadership team meetings are on
the calendar. We're going to morph those more to come over
the next couple of days we want to be sent all the right
messages but also do all the right things that keep people
safe and so the curriculum for those meetings will change and
probably the locations and constellation of the people who
are at those meetings will
change. You know in the end I just want to say how proud I am
of all of you.
Hum. I get to come to work every day and work with the most
thoughtful mission oriented caring people that I could ever
imagine and I think this is an opportunity for us to take care
of our patients but they take care of each other and to feel
that connection to purpose that I think motivates all of us to
be part of Intermountain so thank you for your time and
attention look for more communications to come and
please if you have questions use the resources available and ask
them and you'll get prompt answers thank you very much.
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COVID-19 (novel coronavirus) Intermountain Caregiver Broadcast

93 Folder Collection
Howard published on March 4, 2020
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