COVID-19 Rapid Testing Capabilities and Guidelines

COVID-19 Rapid Testing Capabilities and Guidelines

Last updated: April 2, 2020

Effective today, we have launched rapid testing for symptomatic patients in the Emergency Department who are admitted to the ICU, and Labor and Delivery. Rapid testing can be ordered throughout the enterprise, with testing processed at the following locations: Main Campus, Akron General, Fairview, Hillcrest and Martin Health System (Florida).

Rapid testing delivers results within six hours. We currently have capacity to conduct approximately 40 tests per location, per day, but are working to expand our capacity. Due to the limited availability of tests, we ask that at this time, clinicians adhere to guidance of ordering rapid testing only for symptomatic patients in the specified settings.

If the daily supply of rapid tests is exceeded, the testing order will be re-routed for standard testing by other methods. The ordering clinician will be notified of the re-routed test, and the results will be available within 24 hours.

We are working to build capabilities in order to process testing at additional locations. This information will be shared as it becomes available.

Additionally, Influenza and RSV orders have been removed from all COVID-19 testing orders.

iPads Available to Help Patients Virtually Visit Loved Ones

iPads Available to Help Patients Virtually Visit Loved Ones

Cleveland Clinic-issued iPads are now available on most units at our Ohio hospitals to hold virtual visits between select patients and their loved ones. Our Florida hospitals are working on a similar process.

iPad use will be prioritized for patients who are positive for COVID-19 and do not have access to their own mobile devices to connect to loved ones.

Please encourage patients who have their own mobile devices to use them for virtual visits.

Care team members will assist interested patients with virtual visits using the Microsoft Teams to Skype app on the iPad. Equipment and instructions on this program will be provided to each unit shortly.  

iPad restrictions:

  • Most units will be assigned a limited number of iPads based on device availability.
  • Virtual visits will be limited based on network capacity.
  • These shared iPads will be used for virtual communication purposes only. Follow the cleaning instructions that are located in the Virtual Visitation Reference Guide.

Guidelines for all virtual visitations can be found here.

EHP members Refill prescriptions early use home delivery service

EHP members Refill prescriptions early use home delivery service

Employee Health Plan (EHP) members can refill their prescriptions early during the current COVID-19 pandemic using the Cleveland Clinic Home Delivery Pharmacy at no additional cost.

If you or your dependents on the EHP require maintenance medications, we encourage you to get early refills in order to help ensure that you have an adequate supply of medication on hand at all times during the pandemic.

We expect our outpatient pharmacies to be busy in the coming weeks due to the potential COVID-19 surge.  Obtaining your maintenance medications from the Home Delivery Pharmacy will allow our outpatient pharmacy staff to focus on meeting the needs of this patient population.   

How to use the service

To enroll in the home delivery service, visit the MyRefills site. Prescriptions ordered through home delivery will arrive in 5-7 days. 

Our pharmacy staff is working to obtain early refill overrides.

Not sure if you have a maintenance medication? Visit clevelandclinic.org/healthplan and review Prescription Drug Benefits under “The Plan.”

If you have questions regarding the use of the home delivery pharmacy please call 216.448.4200 or toll free at 855.276.0885.

COVID-19 Resources to Support Care for Non-English Speaking Patients

COVID-19 Resources to Support Care for Non-English Speaking Patients

During the COVID-19 pandemic, we have made many changes as to how we care for our patients. To support these changes, our Interpreting Services team has provided additional resources to support the care of patients that speak a foreign language or American Sign Language (ASL).

  • Interpreting of virtual visits: With many of our patient visits moving to virtual visits, we provide interpreting for scheduled and unscheduled virtual visits.
    • For scheduled visits, please schedule an interpreter by calling 216.445.7044.
    • For unscheduled visits, please call 833.746.2550 to connect you to the over-the-phone interpreter.
  • Translated screening questions: We have translated our latest COVID-19 screening questions into five languages: American Sign Language (ASL), Arabic, Nepali, Russian and Spanish.
  • Translated Centers for Disease Control and Prevention (CDC) COVID-19 resources: The CDC has translated a number of its COVID-19 resources into a variety of languages.

Caregivers can also continue to use in-person, CyraCom phone and CyraCom video interpreting. Please note that some in-person languages may not be available as we have suspended the use of agency interpreters for the foreseeable future.

Still have questions? Email them to TellGPS@ccf.org.

Pop-up market opens new eatery hours at main campus

Pop-up market opens new eatery hours at main campus

To help caregivers purchase essential items to take home, we have opened a pop-up market inside the International Café at main campus.

The market, open 24/7, sells prepackaged items, including: milk; eggs, bread, peanut butter, fresh produce, rolls of paper towels and toilet paper, boxed snacks and more. *All items are subject to availability and are restocked when possible.

Main campus eatery schedule changes

The following changes in hours of operation will begin on Monday, April 6, at the following main campus eateries:

  • 4 Corners Café: Closed until further notice.
  • Garden Café: Closed until further notice.
  • Lerner Café: New hours will be Monday-Friday, 8 a.m.-1:30 p.m.

International Café and Panera Bread (pick-up only) will remain open 24 hours/day, 7 days/week. Aladdin’s, Crile Food Emporium, Moe’s and Subway will continue to operate during their normal business hours. View café hours at our Northeast Ohio regional hospitals.

Learn more about menus and locations.

Questions? Contact opsdivision@ccf.org.

How to stay cyber safe while working from home

How to stay cyber safe while working from home

During COVID-19, there are more people than ever working from home. Information Technology is reminding all caregivers who are working remote about the need to make sure they are protecting their information and themselves from cyber attackers.

Tips to protect yourself

  • Remote-in software: Use the process and/or link your company provides to connect versus searching for the software yourself. Cyber criminals may set something up to look like the required software, but it’s not. It could include links that enable their software to be added to your computer to steal your personal information.
  • Use a secure WiFi network: Securing your home wireless network is very important to protecting your home and your personal information. Make sure you change the default network password, create a strong and unique password that is different from any others you use, and only allow people you trust to use your home network.
  • Software updates: Cyber criminals are always looking for software weaknesses on your computer, mobile devices and apps. Always make sure all of these are up-to-date by running the latest version of software. Companies continuously push out updates to mitigate software weaknesses. Make it easy by enabling automatic updates for all of your devices.
  • Avoid sharing work devices: Don’t share any of your work-related computer devices with children, family members or friends. Although not intended, information can be easily erased or modified. Worse could be that the device gets infected with a virus. Best security practice is for you, and only you, to use your device(s).
  • Be aware of phishing email scams: Read the latest article.  View tips to spot a scam email. If you suspect a suspicious email, please use the Blue Fish button to report it. Send to phishtanktriage@ccf.org if you don’t have the Blue Fish button or are on a mobile device.

Visit our IT intranet site for cybersecurity and work from home technology resources. More information can also be found on the Cybersecurity Connect Today page

Use of Scrubs by Those Caring for Patients with COVID-19

Use of Scrubs by Those Caring for Patients with COVID-19

We want to use our resources effectively and efficiently, especially in our response to COVID-19. As such, we will offer scrubs, in addition to appropriate PPE, to caregivers who are providing continuous care to patients who have tested positive for COVID-19 or are suspected positive in our Northeast Ohio hospitals.

These caregivers will come to work in their street clothes, change into scrubs, then change back into their street clothes before leaving the hospital. The scrubs will be laundered as part of our regular linen delivery service process.

Scrubs will be available to caregivers in the Emergency departments and those in Nursing units who are caring for patients with COVID-19.

The caregivers who will be offered scrubs will include physicians, APPs, nurses, CT/PCNAs and RRTs who are providing consistent care to patients with COVID-19. Consult service providers and caregivers without continuous contact with these patients will continue to use the appropriate PPE during their limited patient contact.

As a reminder, hospital-laundered (“ceil blue”) scrubs are never to be worn into or out of our hospitals or facilities. For caregivers working in surgical and perioperative service, continue to refer to the Perioperative Attire Procedure for additional details.

Also note that caregivers attempting to enter or exit the building wearing ceil blue hospital-issued scrubs may be stopped and not permitted to proceed.

If you have questions, please talk to your manager.

Health Education Campus Will Temporarily Convert As a Medical Surge Hospital Location

Health Education Campus Will Temporarily Convert As a Medical Surge Hospital Location

Cleveland Clinic and Case Western Reserve University are collaborating to temporarily convert the main building on the Health Education Campus of Case Western Reserve University and Cleveland Clinic into a fully functioning surge hospital to treat COVID-19 patients not requiring high levels of care but who are in need of hospitalization.

Read Dr Mihaljevics latest LinkedIn post

Read Dr Mihaljevics latest LinkedIn post

As a health system, Cleveland Clinic is doing all we can to promote social distancing within our facilities, by rescheduling routine office appointments as telehealth visits, limiting visitation, moving most of our administrative staff to work from home, and postponing nonessential surgeries and procedures.

Temporary Changes to Fairview, Hillcrest Pediatric Inpatient Units

Temporary Changes to Fairview, Hillcrest Pediatric Inpatient Units

As we continue to prepare for a potential surge of patients with COVID-19, we are temporarily closing our pediatric inpatient units at both Fairview and Hillcrest hospitals. This change takes effect April 3. All caregivers working on these units will remain employed at their current location.

The Pediatric Emergency Department, newborn nurseries and the neonatal ICUs at these hospitals will remain open, as will the pediatric psychiatry unit at Fairview. Full pediatric care will continue at main campus and Cleveland Clinic Children’s Hospital for Rehabilitation, and for the time being, any admitting of pediatric patients from Fairview and Hillcrest will be directed to main campus.

Our commitment to serving pediatric patients, in all of our communities, remains strong. However, this temporary change, due to the COVID-19 pandemic, will allow us to best serve all patients.

Update: postponing elective, nonessential procedures through June 15 in Ohio

Update: postponing elective, nonessential procedures through June 15 in Ohio

On March 17, we shared the Ohio governor’s office new guidelines on postponing nonessential procedures for adult and pediatric patients. Effective immediately, we are extending this suspension through June 15.

This change supports statewide efforts to conserve hospital beds, equipment and supplies while protecting healthcare workers in preparation for a potential surge of patients with COVID-19.

Surgical procedures that do not meet any of these Ohio Department of Health guidelines will be postponed:

  • Threat to patient’s life if surgery is not performed;
  • Threat of permanent dysfunction of an extremity or organ system;
  • Risk of metastasis or progression of staging; or
  • Risk of rapidly worsening to severe symptoms which are time sensitive.

We will proceed with surgical cases such as urgent or emergent surgery, cancer surgery or cancer evaluation, infected joints, or concern for worsening symptoms over a 4-week period, or other indications consistent with the department of health guidelines above.

Surgical cases suitable for postponement may include cases like deferrable bronchoscopy, deferrable upper and lower endoscopies, routine dental procedures, symptomatic problems which are stable, management of benign conditions, cosmetics, primary and revision joint therapy (non-infected), bariatric and elective hernia surgery, and urogynecology.

Physician chairs and institute leaders will work with their teams to implement these changes.