Post by michelleml on Apr 13, 2020 10:15:30 GMT -8
Staffing suggestions
• Rotate having 2 people in the office (a nurse everyday) and have nurses pack meds.
• Restructure staffing to work remotely without overlapping, which can help preserve storage of PPE
• limiting one person in the office at a time and have them utilize PPE while there
• Limit in person contact with clients
• If the staff need to remain in the office, due to company policy, have the teams split up so that they are maintaining social distancing
• Have one room set up for client use, with a phone. That way if the client doesn’t have a phone, they can come into the office and talk to a clinician in a different office, over the phone. Once the client has left that room, be sure to sanitize.
• New Jersey share staff between ACT teams in the state (they have 13 teams)
• One team in Wake County organized both the clients and staff into different risk groups: Once the groups were made, the team prevent any physical interaction between the clinicians in each group
Wake County, NC Example (Fred Jarksog, MD)
Separated clients into 3 risk groups, 3 providers giving IM injections.
• Rotate having 2 people in the office (a nurse everyday) and have nurses pack meds.
• Restructure staffing to work remotely without overlapping, which can help preserve storage of PPE
• limiting one person in the office at a time and have them utilize PPE while there
• Limit in person contact with clients
• If the staff need to remain in the office, due to company policy, have the teams split up so that they are maintaining social distancing
• Have one room set up for client use, with a phone. That way if the client doesn’t have a phone, they can come into the office and talk to a clinician in a different office, over the phone. Once the client has left that room, be sure to sanitize.
• New Jersey share staff between ACT teams in the state (they have 13 teams)
• One team in Wake County organized both the clients and staff into different risk groups: Once the groups were made, the team prevent any physical interaction between the clinicians in each group
Wake County, NC Example (Fred Jarksog, MD)
Separated clients into 3 risk groups, 3 providers giving IM injections.
- Group 1: The "walk in" and unsheltered/homeless group that tend to self-present to the ACT office. The RN stationed here wears N95 mask and gloves, gives some clients a surgical mask to wear based on symptoms (some have chronic coughs for example). This RN also has some underlying health issues that increase risk to COVID-19
- Group 2: Non-high risk clients who live in the community. This RN stays in the field, does not go to the office to reduce exposure to Group 1 nurse. She also wears N95 and gloves. She gets a clean box every morning with her IMs, med packs, orders, MARs, etc. Her clean and dirty bins are collected at the end of the day.
- Group 3: High risk clients who live in ALFs, SNFs, and high density public housing complexes, are visited by the ACT MD who wears N95 mask, gown, hairnet, booties, gloves to administer IMs, hand out meds and conduct client visits.