Friday, May 22, 2020
COVID-19 Status as of 10:30 am:
Tests performed yesterday (Assessment Centre and in Hospital) = 122
Tests Performed total (Assessment
Centre and in Hospital) = 3647
Presumptive Cases in Hospital = 40
Total Positive Cases in Hospital = 2
Positive Cases in ICU = 0
Patients in COVID-19 Care Unit = 7
Hospital Occupancy = 77.9%
The number of presumptive COVID-19
cases in our Hospital today is 40. This significant increase is related to the
incident of possible exposure, as shared in the May 21 Daily Situation Report.
As a precaution, many inpatients who were in close proximity to the COVID-19
positive patient have been tested. Test results are expected to be returned
within four to seven days. Until results are returned, those patients are
considered to be presumptive.
As Ontario slowly reopens the economy, we will begin to see more traffic in our Hospital and the possibility of increased community spread. Patients and essential care partners are strongly urged to wear masks when coming to the Hospital. All staff and professional staff are encouraged to discuss mask use with patients. A mask that covers the nose and mouth helps to protect others from the spread of droplets.
Thank you to all staff and professional staff for your diligence in preventing the spread of COVID-19 through the use of face masks. As more of you enjoy outdoor breaks in the warmer weather, please continue to either maintain 2 meters of physical distance or to wear a mask. This applies to walks around the property.
Our Hospital completed and will submit a Hospital Readiness Assessment Check List to Ontario Health North. The check list refers to a feasibility assessment for increasing surgical and procedural activity in hospitals during the COVID-19 pandemic. With approval of the assessment and the lifting of Directive 2 by the Ministry of Health, our Hospital will be able to proceed. Directive 2 requires that all non-essential and elective services be ceased or reduced to minimal levels, subject to allowable exceptions until further notice. More than 120 Current State Assessments were prepared by Hospital program and service leaders to inform the assessment.
An ethical decision making framework guides our recovery approach and prioritization of surgeries and procedures. Specifically, the following ethical principles will guide decision-making through the recovery phase:
1. Medical Utility
5. Respect for Autonomy
6. Do no Harm (Non-maleficence)
Our model applies a phased approach to service resumption, with phases 0 – 3 identified as:
• Phase 0 = Programs/services that did not ramp down, continue. Examples include renal, urgent surgery, and oncology and medical inpatients;
• Phase 1 = Gradual ramp up of priority 1 services to address urgent cases and elective cases as capacity allows. Examples include increased Emergency Department activity, increased operating room activity, endoscopy, diagnostic imaging, cardiorespiratory services and 75% resumption of Cardiac Cath Lab services;
• Phase 2 = Continued ramp up of priority 1 services to address urgent cases and ramp up of priority 2 services (beyond current levels). Examples include palliative and supportive care, re-opening of the Tbaytel Tamarack House, and pacemaker clinic.
• Phase 3 = Continued ramp up of priority 1 services to address urgent cases, continued ramp up of Priority 2 services, and ramp up of Priority 3 services (beyond current levels). Examples include rehabilitation, fracture clinic and regional joint assessment centre.
Over the course of the pandemic we have found innovative ways to continue to offer much needed services through virtual means. We will continue to use and enhance virtual care options to care for our patients as we restart services.
As the COVID-19 pandemic evolves, we must also evolve our longer-term process for daily entrance screening of all staff and professional staff. To maintain a safe working environment for all, while also preserving staff resources, a more efficient staff screening process will begin on Monday, May 25th. The new screening process builds on the success of the online self-screening tool. Please refer to yesterday’s memo for instructions for all staff and professional staff. Please note that the Emergency Department entrance is for emergency patients only.
All previously issued COVID-19 Daily Situation Reports are available at https://comms.tbrhsc.net/covid-19-information/past-daily-updates/.
Please forward any questions/concerns to your supervisor.
For questions about COVID-19 testing criteria, please contact the TBDHU’s Infectious Disease Program at 807-625-5900 or toll free at 1-888-294-6630.
Local COVID-19 case status: https://www.tbdhu.com/coronavirus
Provincial COVID-19 case status: https://www.ontario.ca/page/2019-novel-coronavirus#section-0
Canada COVID-19 case status: https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection.html
COVID-19 Daily Situation Report videos: http://tbrhsc.net/covid-19-information