WLAVA:COVID19 ED Operational Updates: Difference between revisions
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♦♦♦ = New Information (w/in ~3 days) with Update Date
♦♦♦ = New Information (w/in ~3 days) with Update Date
==♦♦♦BREAKING NEWS 5/7/20♦♦♦==
==♦♦♦BREAKING NEWS 5/11/20♦♦♦==
===ANESTHESIA COVID-19 AIRWAY COVERAGE===
===ANESTHESIA COVID-19 AIRWAY COVERAGE===
* Anesthesia expanded coverage since 5/4/20
* Anesthesia expanded coverage since 5/4/20
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* They are still available overnight if the patient is stable enough to wait for 2 hours.  
* They are still available overnight if the patient is stable enough to wait for 2 hours.  
** The call schedule is available on the sharepoint.
** The call schedule is available on the sharepoint.
===Sensitive Examinations===
* Female patients must have a female chaperone
* Male patients must be offered to have a male chaperone, document if patient declines
* The chaperone must be the same gender as the patient identifies
* Physician must document the name of the chaperone in the chart
* Chaperone may not be your resident, who is considered an extension of the attending.


===AUGUST SCHEDULE REQUESTS===
===AUGUST SCHEDULE REQUESTS===
* Due in ByteBloc May 11th
* Due in ByteBloc TONIGHT


===CEPHEID TESTING UPDATE===
===CEPHEID TESTING UPDATE===

Revision as of 15:34, 11 May 2020

♦♦♦ = New Information (w/in ~3 days) with Update Date

♦♦♦BREAKING NEWS 5/11/20♦♦♦

ANESTHESIA COVID-19 AIRWAY COVERAGE

  • Anesthesia expanded coverage since 5/4/20
  • They will be passing off the pager at 11pm.
  • Please drop off the pager at usual location at 7am.
  • They are still available overnight if the patient is stable enough to wait for 2 hours.
    • The call schedule is available on the sharepoint.

Sensitive Examinations

  • Female patients must have a female chaperone
  • Male patients must be offered to have a male chaperone, document if patient declines
  • The chaperone must be the same gender as the patient identifies
  • Physician must document the name of the chaperone in the chart
  • Chaperone may not be your resident, who is considered an extension of the attending.

AUGUST SCHEDULE REQUESTS

  • Due in ByteBloc TONIGHT

CEPHEID TESTING UPDATE

  • Please send CEPHEID testing on any patient sent from ED directly to DETOX (DOM, Tarzana).
    • Not to be confused with B214 or "COVID" DOM, for those, send LB COVID-19 test.
  • This is subject to change depending on CEPHEID availability.

CEPHEID TESTING REMINDER

  • ALL admits
  • Direct ED transfers to DETOX facility
  • Any instances where COVID-19 status alters disposition.
  • All other patients can get LB testing
    • Try to adhere to ID criteria for testing. If patient is adamant, please test them so they don't utilize outside/civilian resources for testing.

SPS N95 COLLECTION

  • SPS Collecting ALL N95s.
  • You will NOT be getting these masks back to you.
    • The VA intends to stockpile these in case of an emergency.
    • Therefore if you need to keep them for a certain reason (I.e. failed 8000 testing), please keep them yourselves. * Chief of Staff published another guidance document outlining collection of all N95 face masks (including the 8000 series)
    • DO NOT SAVE N95 IF THE FOLLOWING CRITERIA ARE MET:
      • If the mask is visibly soiled or deformed/destroyed.
      • If the mask was used during an aerosolizing procedure
  • Please label the mask with your name and date, place in paper bag and again label your name and date, then deposit in the red bin the dirty utility room.

NEGATIVE PRESSURE ROOM PRESERVATION

  • We are currently in the process of converting some of the new ED single rooms into negative pressure rooms.
  • Please reserve rooms 6 and 7 for patients that are our SICKEST PUIs and anticipate performing an aerosolizing procedure.
    • Active coughing, in isolation, is not enough to use up negative pressure room
      • Ensure that patient is in a private room WITH DOOR CLOSED and mask on at all times.
  • If you have a patient in neg pressure room that does not need to be there, please urge the charge nurse to move that patient out ASAP.

TENT COVERAGE (FOR FULL TIME STAFF ONLY)

  • Link to Orientation/Proctoring schedule.
  • Since our daytime providers in the tent will be dental residents, we will have to share responsibilities in helping to orient and proctor the residents.
    • We have tried to design it so that it doesn't interfere with shift work but everyone should be aware in case people need to flex out to the tent.
  • Please review all of these before you do the orientation.
  • Orientation:
    • Will occur at 7am. Orientation does not occur everyday (when there is a new tent provider, see schedule for details).
    • This will usually be the 8-4 FT attending but will sometimes be the overnight attending (Trish) or the 8-4 Main ED attending.
    • There should not be added hours to your shift except in the case of the 8-4 Main ED attending.
    • For 8-4 FT, you will do a 7-8 orientation and a 8-3 FT shift.
    • For overnight, you will do a 12-7 shift and then 7-8 orientation.
  • I know this might be anxiety provoking since most of us have not worked the tent but most of the information is on WikEM:
  • Proctoring:
    • This will happen every day from 8am-3pm
    • They are dental residents, their notes will need to be cosigned administratively (at minimum) or just as you would when seeing patients with residents (if they consult you directly for disposition guidance).
    • This will usually be the 1st backup person but if there is an extra person in the ED due to dual shifts, we have made the FTEE person the proctoring physician.
    • If the proctoring physician is physically present
    • We ask that you proctor in person for a few hours and then let the resident operate alone afterward so that they can be "let loose"
      • Go back to the main ED and support the providers there for the rest of your shift and be available in person, via telehealth, or by phone for consultation
    • You will still need to sign all notes
    • If the proctoring physician is not physically present and on backup
    • Provide the dental resident with your phone number so they can reach by phone
    • Additionally, Jonie has set up telehealth for this so please test the link to make sure it works. You can speak to patients directly via telehealth.
    • We HIGHLY encourage you to obtain remote access. Please ask for this ASAP if you need it.
    • All notes need to be co-signed, preferably before 3pm in case there are any inconsistencies, incomplete notes, etc so that you can contact the resident.
      • It will be difficult to reach these dental residents afterward to have them correct the notes.

GERIATRICS FELLOW ASSISTANCE

  • Moving forward, the Geriatrics fellow is available to you for any end-of-life discussions you may need to have with patient families.
  • Patients must meet the following criteria:
    • >75 years old OR patient of any age that may be cognitively impaired and does not have full capacity
    • Patient (or POSLT) or family requesting full code despite poor prognosis (high severity of illness, multiple high-risk comorbidities, poor baseline functional status)
    • Patient lives at home (not in SNF/B&C/ALF, etc.)
  • Please see attached schedule:

MAMA AND PAPA BEAR ON AL (DR.HSIAO & NEIL)

  • Jonie started AL today and will be off until 7/5. Neil will be starting paternity leave on 5/8.
  • Manuel will be taking over as acting chief effective 5/9
  • For any COVID related issues, contact myself or Manny.
  • For any scheduling issues BEFORE July, contact Scott
  • For any scheduling issues AFTER July 1st, contact Kian
  • For any other administrative issues, contact one of the Assistant Chiefs - Manuel, Tom, or Kian
    • Chiefs will triage issues.
      • We ask you only to contact Jonie or Neil if it is an EMERGENCY and you have exhausted all other means of communication.

AIRWAY REMINDERS

ANESTHESIA AIRWAY COVERAGE

  • Anesthesia will be in-house providing their COVID airway coverage 7am-11pm DAILY (7 days a week)!!! That means they will be in house until 11pm.
    • They will drop off the pager at 11pm daily.
  • After 11pm, they can cover COVID airways if patient stable to wait 2 hours for them to come from home.
  • Let’s be thankful to our Anesthesia colleagues for stepping up to provide this coverage.
    • If you have any problems, please notify one of us.

HOW TO CONTACT ANESTHESIA

  • During the daytime, they can be contacted via Vocera "COVID AIRWAY" or the airway pager
  • After 11p, use the call list.
    • To find the call list, follow these steps (thanks Scott for pointing this out):
      • Go to GLA home page
      • Go to intranet on right side of page
      • Go to Patient care on the top of the page
      • Go to big red box "WLA VA on Call Schedule"
      • Scroll down to anesthesia

ED ATTENDING AIRWAYS

  • We are still responsible for the following airways:
    • You get first dibs on any airway you want.
    • Crash airways after 11pm (hence the triple overnight coverage).

UNUSED MEDICATION BAGS

  • Please make sure all used med bags are discarded.
  • Request a new bag from pharmacy.
  • It's a violation of policy to leave medications in an undesignated location (this is why the intubation meds are stocked separately in a locked room).
  • If you are concerned about waste and intubating in the ED, consider asking the nurse to grab the meds from the omnicell instead.

Glidescope Go S4 Blade Shortage

  • There is a shortage of Glidescope S4 blades.
  • We only have 4 left in Jonie's office and a few in the airway cart and glidescope go bag.
  • Please use the S3 blades instead so we can preserve the S4s for those who need them.

Securing Airway Tube Videos

  • Zahir and Derrick created a video on how to secure the airway tube
  • If you have not done it, it's very difficult to do by yourself- so try it and please review videos.
  • BASIC TECHNIQUE TO TEMPORARILY SECURING AN ET TUBE

{{#widget:YouTube|id=dMARECkwt7s}}

  • SECURING AN ET TUBE WHILE USING AN AIRWAY BOX

{{#widget:YouTube|id=_CBRZfse9Hs}}

  • DEMONSTRATION OF USING A PONCHO WHILE INTUBATING

{{#widget:YouTube|id=JP7V6pb9new}}

AEROSOL BOX

  • Stored in the Doctor's station.
  • This is available for use and is not mandatory.
    • Added layer of protection (giant splash guard).
  • We recommend you practice using it on simulation dummy before deploying for COVID19 airway.
  • Bed 4 has intubating manakin for you to practice.

Suggested Workflow for Aerosol Box

  • Remember to put what you need inside the box before intubating:
    • BVM with HEPA filter, suction, vent tubing, glidescope, tube, tape to secure tube.
  • You have the option of draping the other end (extra drapes available on the counter along with tape)
  • After securing tube, attach the viral filter/BVM OR continuous capnometry if you have that set up.
  • 2nd person (likely RN) will need to bag the patient with viral filter or connect directly to vent.
  • Lift the box from the patient and leave it in the room for at least 30 minutes over sink (to allow aerosols to clear) then retrieve for cleaning.

Box sink.jpg

  • Sterilize after use with germicidal wipes thoroughly and allow it to dry.
    • Buddy can clean this along with glidescope. Should wear full PPE.

AIRWAY GENERAL INFORMATION

  • Treat All Intubations as PUIs:
    • It is up to your discretion if you want to PAPR vs N95
      • please wear the recommended level of PPE GLA ID recommends for aerosolizing procedures.
    • Please remember to document your PPE in CPRS note.
  • See Airway Page for detailed ED attending airway duties:
    • Starting 5/4/20 Anesthesia covers all inpatient airways including ED COVID airways from 7a-11p all days of the week.
    • Anesthesia can be called for impending COVID airways if 2 hours notice can be given.
    • ED Attending Airway Responsibilities:
      • Write an Intubation Note in CPRS
      • Please hand off the pager to the responsible Intubating attending as below
      • Airway Team should restock cart and medications after each use
      • Report anything missing to Derrick, Miguel and COVID champions
  • ED COVID Airway Team:
      • Afternoons: Intubating 4P-MN Main ED; Buddy 4P-MN FT
      • Overnight: Intubating COVID 11P-7A; Buddy MN-8A (11p-7A ok)
      • Weekends: Intubating COVID 7a-7p and 7p-7a; Buddy ANY available attending (for continuity MN-8A preferred)

Daily Airway Cart Log * The COVID Airway Shift Attending must check the Airway Carts x2 and new red Airway Box in the med room every day.

  • The DAILY “Sign-off Log” and the “Item Checklist” are on separate clipboards on top the Airway Cart.
  • Best practice is to refill the cart after an intubation because you know what is missing.
  • This daily log is a double check / insurance.
  • You also need to check that the COVID medication bags medications are NOT expired.

Clipboard.jpg COVID Airway Item Checklist

Restocking Cart

  • If you need to restock the airway cart, most of the items should be available in the med room (bunny suits, hoods, etc.)
  • However, if we are out (because Derrick and Miguel have been primarily stocking these), they would be in the med room or Jonie’s office (requires 404 key, which the majority of the nurses should have).

Airway Red Box in Med Room

  • Stored in Med Room
  • Check Daily (3 essential items)
    • Glidescope Go (CHECK BATTERY)
    • Grab and Go Bag (gather items from the Yellow duffel bag)
    • COVID Medication Bag

Red box.jpg

AIRWAY MAIN PAGE

WLAVA: COVID-19 ED Airway Main

PPE REMINDERS

3M 8000 N95 Fit Testing

  • EVERYONE needs to be fit tested for the N95 8000s as these will be the ones handed out. Next fit test dates are:

PAPR Cleaning

  • After an intubation or CODE with PAPR use, remind the charge nurse to call SPS to pick it up for cleaning.
  • Placing PAPR in the dirty utility room, on the cart instead of the floor. It may be assumed to be trash if on the ground.
  • If SPS is not called, PAPR may not be cleaned for days and has a high chance of getting lost.
  • If restocking Airway carts and there are no more PAPRs left in the Med Room, notify the ED Nurse Managers or COVID Team.

PPE GENERAL INFORMATION

Mask Guidance

    • 1860 and 1870 N95 respirators are being distributed only to the OR and Procedure Center.
    • ED is receiving only 3M 8000 N95 respirators.
    • We have very very few 1860/1870 left for the entire ED (MDs, RNs, ICTs, etc).
      • We will not be resupplied with 1860/1870s.
    • Remind consultants that 8000s are N95 respirators and this is an ID guideline.
      • They can request an 1860s/1870s is if they failed formal fit test for 8000s.

What Mask Should I Wear?

  • PAPR:
    • Provider intubating. Nursing as per their leadership recommendations.
  • 3M 8000 N95 Respirator:
    • All providers working in the ED who passed fit testing.
      • Airway buddy.
      • Personnel seeing PUIs.
      • Nurse performing NP swab.
      • CODES or intubations.
    • No need to wear a surgical mask over these.
      • Can discard with every PUI. Can continue to wear between non-PUI to non-PUI.
  • 3M 1860/1870 N95 Respirator:
    • Providers that failed formal 8000 N95 fit testing.
    • Wear a surgical mask over this and discard surgical mask with every PUI.
    • If used for a CODE or Intubation, discard the N95.
    • If used daily because you failed 8000 N95 fit test, consider saving these using paper bag method.

Patient Encounter Scenarios & Recommended PPE

Patient Encounter Scenarios and Detailed PPE

For Patients WITH COVID-19 Isolation Precautions

Donning and Doffing Guidance for Patients w/COVID-19 Isolation Precautions

For Patients WITHOUT COVID-19 Isolation Precautions

Donning and Doffing Guidance for Patients w/o COVID-19 Isolation Precautions

PPE Main Page

  • Check out Page below for PPE including PAPR Donning/Doffing Protocols and Videos

WLA VA PPE Main Information Page

ENHANCED SCREENING TENT (EST) REMINDERS

EST PROVIDER ORIENTATION CHECKLIST

TENT ORIENTATION/PROCTORING CLARIFICATION

  • Please take a look at the schedule. It has been attached to the Master schedule.
    • Proctoring providers will be:
      • Extra/double noon or evening providers moved to orient/proctor; if none THEN
      • 8-4 FT provider moved to 7-3 so that you can orient then proctor; if not FTEE THEN
      • Backup provider
  • If the Tent provider has already been oriented, the schedule reflect purple on the date and only proctoring needs to take place.
  • 8-4 main ED or FT attending may be late if orienting (orientation will usually take 75-90 min).

TENT DISPO TOOL

  • Please see the EST Provider Disposition Tool for EST workflow.
  • This decision making tool helps the Tent provider decide on patient disposition and follow up. Please disseminate to tent providers.

EMPLOYEE SELF-REFERRAL TOOL

  • Employee self-referral tool helps employees decide how to best manage their symptoms, when they can return to work, and when to get tested for COVID-19.
  • We can use this tool, but mainly to assist other employees.
    • Please use and distribute this so that people can present to the correct location (Employee Health, Tent, or ED) and so they know how to correctly self-triage their symptoms/exposures.
  • GLA VA Employee Symptom Self-Referral Tool

NEW CPRS NOTE TEMPLATES

  • Search "Tent" in CPRS Note library:
    • Enhanced Screening Tent Provider Note
    • Employee Health Enhanced Screening Tent Note
  • This note template is mandated by national VA folks.
    • We had limited ability to adapt to our needs.
  • Please pay attention to the *** sections as they provide guidance to make the flow less redundant or clunky.

Tent Consults

  • When the tent calls you in the ED it is NOT a curbside.
    • You are responsible for this patient moving forward.
    • Your options are to see the person virtually (Skype Video) or go to the Tent.
    • You can write an addendum to the EST note OR a new note e.g. EST Provider note or ED Attending note
  • For the the EST Provider Note you can cancel out of template and port over your own template.
  • Your name will be added as co-signer to the note written by the Provider in the Tent (for QI tracking purposes).
  • Verify COVID Screen for patients referred from the Tent
    • Testing is still limited; many COVID possible patients will NOT receive testing

Screening & Testing for COVID (Tent EST Referrals)

  • The Tent is being staffed primarily by Non-EM providers including dental residents.
  • For patients referred from the Tent to the ED, please double check if the patient meets criteria for COVID testing.
  • The Tent providers, esp. dental residents, are really trying their best!
  • In addition, please consider that patients who screen positive for COVID symptoms in the Tent, may not receive testing- but they may still have COVID, e.g. healthy patients with URI
  • Please review GLA testing guidelines for COVID located on WiKEM below.

TENT GENERAL INFORMATION

  • EST open M-F 7a-11p &Sa-Su 10a-10p
  • Please check in with the EST nurses at the start of your shift and leave them your name (so they can reach you by Vocera).
  • Refer to Telehealth Page about how to use SKYPE to speak to Tent Staff

TENT MAIN PAGES

Tent Remote SKYPE

https://meet.rtc.va.gov/jonie.hsiao/3MOQ53I5

COVID WORKFLOW REMINDERS

CEPHEID TESTING

  • CEPHEID results are required prior to be d assignment, EXCEPT for high risk PUIs.
  • Order the test as early as possible for timely results.
  • If not available, likely revert back to previous routine test (surveillance( practice. Discuss with ED charge OTS/ MOD decide on isolation status. Contact COVID champion if needed.

ISOLATION FOR PUIs

  • For high risk PUIs, isolate the patients even if COVID is negative. Let the admission team decide if isolation should be removed.

HOW TO ORDER CEPHEID (RAPID) TEST

  • The CEPHEID test is a "secret order" in the ID Menu
  • Click the asterisks x 3 *** (see below)
    • WLA Outpatient Clinic Order Menu
    • Infectious Disease Clinic
    • Left hand side-- Scroll Down find and Click " *** "
    • Unnamed.png

COVID (LB) TESTING FOR HIGH-RISK PATIENTS

  • Can consider ordering LB (Long Beach/routine) testing (not CEPHEID) in high risk patients you are discharging home. As per LA DPH Guidelines.
  • LA County Testing Recommendation 4.22.20
  • Symptomatic Patients 65 years and Older
  • Symptomatic Patients with high risk underlying conditions such as chronic lung disease, serious heart conditions, immunocompromised, severe obesity (BMI>40), diabetes, dialysis, liver disease
  • Make sure you use the ED-PACT tool to request PCP follow up on test results.

COVID Admissions

  • Back to MICU

DIRECT ADMISSIONS

  • Direct admissions will not require COVID results.
  • They can be admitted as a PUI and have it done on the ward.
  • Therefore, you should not be receiving patients in the ED just to get COVID testing before going upstairs if direct admit.

PATIENTS REFUSING COVID19 TEST

  • If a psych patient is refusing a swab, DO NOT try to force them to get it done.
    • This could endanger the staff.
  • Medical Director (Dr. Braverman) believes that compelled testing is necessary in patients who are refusing swabs.
    • After doing everything you can (de-escalation, etc) with patient, please notify one of us for further action.
    • May need to admit to medicine, w/ isolation precautions, until a swab can be obtained.

COVID WORKFLOW GENERAL INFORMATION

COVID-19 Quick Guide 4/24/20

  • Last Updated: 4/24/20
COVID Quick Guide Approach to Stable Patients

POSSIBLE COVID-19 AFTERCARE

  • For patients discharged with possible COVID:
    • Please clearly inform them that regardless of the decision to test for COVID, they could still have the disease. Therefore, they will need home isolation instructions.
    • Printouts of the LA County handout: "Home Care Instructions for People with Respiratory Instructions" are available in the wire rack next to the residents.
    • A copy is uploaded on the Sharepoint under "ED Common Resources"
LA County URI / Possible COVID Handout
    • Please distribute this and document you did so in the chart.
    • Use the ED PACT tool for f/u for these patients
ED-PACT Tool: Checkbox Clinical Concern for Covid

HOME ISOLATION/QUARANTINE RECOMMENDATIONS

  • LA DPH home isolation handouts available in the wire rack.
    • Please send all PUIs home with handout.
  • Current advisement is to stay at home until at least 10 days after your symptoms first appeared AND 3 days after your symptoms have recovered.
    • Recovery defined by:
    • Resolution of fever for 72 hours without using antipyretics AND significant improvement in respiratory symptoms.
    • This applies even if you had URI sx, were retested and had a negative COVID-19.

WLA VA ID COVID-19 TESTING ALGORITHM 4/23/20

  • Please review algorithm below to determine if your patient meets criteria for COVID-19 testing.
WLA VA ED & Tent Testing Algorithm
  • Reference file (for printing):

File:COVID19 WLA Tent algorithm updated 4.23.20.pdf

HOW TO PLACE ISOLATION PRECAUTIONS

  • Please have a low threshold to place patients on isolation for COVID-19.
  1. Start a new note:
Start New Note
  1. Type in 'Isolation Note:'
Isolation Note
  1. Select Enhanced Droplet Precautions for COVID-19 patients:
Enhanced Droplet Precautions
  1. Once you finish the isolation note template, go to 'Orders' menu and sign the isolation order:
Isolation Order


COVID DEVICE CLEANING

  • If you cannot find Sani Cloth AF3 (grey top), here are alternate ways to clean devices
    • Glidescope:
      • Super Sani-cloth (Purple top)
      • Contact time: 2 minutes
    • Ultrasound (new): Sonosite EDGE II:
      • Monitor: Alcohol
      • Transducer: Bleach wipes (leaves residue)
    • Ultrasound (old): Turbo:
      • Monitor: Alcohol
      • Transducer: Super Sani-cloth (purple top)
    • Reference document on approved disinfectants:

CODING COVID-19 ENCOUNTERS

  • For Suspected or Exposure to COVID19 or Exposure: Z20.828
  • For Confirmed COVID19: B97.29
  • Other suggested ICD10 codes include (but not limited to):
    • Acute Upper Respiratory Infection, J06.9
    • Cough, R05
    • Viral Infection unspecified, B34.9
    • Fever unspecified, R50.9

EDUCATION/SIMULATION REMINDERS

PROCTORING INTERNS

  • Interns get oriented every Thursday at 10am of their new rotation.
  • Please make sure that the interns are informed of COVID, where to get appropriate PPE, and how to don and doff.
    • 8000 Masks are available from charge nurse
    • 3D printed face shields are in the upper cabinets
    • Hospital face shields are in the med room
    • Goggles will be with nursing, although it is unclear if we have enough for everyone and this will be a shared resource between physicians and nurses.
  • If the intern is not fit tested for the 8000 series, please tell them to coordinate with their chief resident.
  • If the intern is not fitted for 8000 series, please advise him/her against seeing PUIs until tested.
    • They would have to use the 1860/1870 masks and we have a limited number of those remaining and reserving those for staff that failed out of the 8000 masks.

MOCK CODE DRILLS

  • If you are having a slow shift, please use the time to run a mock code drills to ensure our all staff are well prepared.
  • COMMUNICATION is the most challenging part of these scenarios:
    • "Quiet voices" within INSIDE team while RN1 is the main communicator with charge RN (just need to practice this)
    • Baby monitor or Vocera seem to be best
  • Practice doing each role: MD1, MD2, Leading drill/observer; have the nurses also practice roles they haven't tried yet as well
  • Be very familiar with Airway COVID cart/and box.

CODE GENERAL INFO

  • NRB hanging in front of beds 6& 7 (please replenish if used)
  • LUCAS now available-->RN1 and RN2 in room while ICT/NA fully DONNED outside
  • RN2 to PAPR if preferred (will be more available to assist MD with intubation/give meds)
  • Will add EPI laminated sign to COVID cart
  • If patient coming through EMS-MD fully donned meet them at the entrance to assess situation (if time allows)
  • Reference Documents:

SIM LAB TRAINING

  • Email Cindy Koh, Carol Lee or Sabrina Tom if you have not been signed off on airway PPE donning and doffing simulation.

FIT Testing

  • To clarify, you need to be FIT tested yearly at each facility you work because the brand and type of mask may be different. Your face may change shape with age/weight/pregnancy etc...

UPCOMING FIT TESTING DATES

  • Monday 5/4/20 Room 3232 6:30-11:30am
  • EVERY Thursday Room 3232 12-2

ADMINISTRATIVE REMINDERS

SHIFT SWAPS

  • Scott Jacobs is managing all scheduling edits through June.
    • Please email him directly with any proposed swaps.

REMOTE ACCESS AND CHECKING VA EMAIL

  • Detailed instructions on Slack (email Manuel for access).
  • Please check your VA email while you are on shift.
  • If you need remote access, apply through this link
    • Click on “request access” and choose the “Rescute/CAG/GFE Mobile” option.
    • You will need the CAG access (using personal computers to remotely log in).

PIV EXEMPTIONS

  • There may be some problems with the mass PIV exemption. If you run into issues, you can try one of these avenues

call *14 - Enterprise Service Desk

  • Dwight.Brown2@va.gov
  • Shawn.Arnold@va.gov
  • Incident/Ticket number is IVC1043797

UCLA BADGE & MEDNET EMAIL ACCOUNT

  • For Full-time faculty: How to apply for UCLA badge and mednet email address
    • Slack: gla-va-em.slack.com
      • Under the left sidebar, you will see ucla-va-faculty-appointment-faq

MS OFFICE & FREE APPS

WLAVA:COVID19 ADMINISTRATIVE

MISCELLANEOUS REMINDERS

VA Scrubs

  • Please see COVID-19 Update #15 email 'Scrubs' MS Word document for details on how to access ScrubEX.
  • It took some effort but we finally secured enough scrubs to cover all ED/FT provider shifts each day.
  • However, we have to make sure to return them at the end of each shift. If you do not return it then that means the provider coming in after you will not have scrubs.

GLA Showers

  • No Lockers - Bring your own towel/clothes
  • Ground Floor (Basement):
    • Women’s Locker Room: Rm 0435 passcode 2169
    • Men’s Locker Room: Rm 0403 passcode 2168
  • ​​​5th Floor (OR Showers):
    • Women’s Locker Room: Rm 5076 passcode 5324
    • Men’s Locker Room: Rm 5075 passcode 5321

Alternative Housing for Staff

  • The Fisher house is available for those who are interested and need housing options away from family.
  • Please contact Neil if interested and include exact dates and details.
    • Preference to Distance > DEMPS > Risk at home > # Consecutive shifts.

UM Review

  • Use ‘UM Review’ label on EDIS to communicate with UM.
    • Here are ways to contact UM if you have questions:
      • VA cell: 626 314 9774
      • VA Pager *11 p73284

Donations (PPE/Food Etc.)

  • Please contact Alexia Lunningham, Chief of Voluntary Services at (310) 268-4350 or alexia.lunningham@va.gov to coordinate.

File:VA COVID-19 Donation Form 4-2020.pdf

GLA WEBSITES

COVID-19 ED Sharepoint

COVID-19 VA Cases Nationally

https://www.accesstocare.va.gov/Healthcare/COVID19NationalSummary

Emergency Alerting & Accountability System (EAAS)

Other WLA VA Pages

WLA VA COVID19 Page Listing

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