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Reminder: No Food Deliveries Inside CCHCS (July 9, 2020)

​Don't forget we cannot accept food deliveries inside any of our system locations. If you are having food delivered, you must meet the delivery person OUTSIDE the walls of our buildings.  Thank you for helping keep everyone safe!

​Wellness Zone Update (July 8, 2020)

The Wellness Zone is closed until further notice. We will return to our outdoor classes and activities, and will announce schedules and offerings when those are ready to begin. ​This is an ever-changing situation, and your safety remains top-of-mind. Thank you for un​derstanding.


Cook Children​'s COVID-19 Updates

Covid-19

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COVID-19 Update

July 2, 2020

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COVID-19 HITS CLOSE TO HOME:  Learn how to protect yourself from exposures and understand how easily exposures can happen with real-life examples from your fellow employees.

 

We have approximately 175 Cook Children's employees currently being monitored for COVID-19 exposure, and another 38 are currently positive for COVID-19.  In addition, 555 employees have been placed on quarantine during this pandemic from exposures inside the system, and out in the community.

 

With the increasing numbers of COVID-19 cases among our employees, we must all work together to prevent the spread of this dangerous virus. Whether you directly see patients or not, and regardless of where you are located within the system, it is important that you always: 

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  • ​Wear a mask or cloth face covering;
  • Practice social distancing (maintain 6 feet); and
  • Wash your hands frequently.
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In the spirit of togetherness, we need to have full transparency with one another. If you have been exposed to COVID-19, we ask that you work with us by identifying everyone you may have been in contact with while you were symptomatic. The contact tracing process helps us stop the spread of COVID-19 by identifying everyone who may have potentially been exposed.

 

 If you have an exposure at work or in the community, we would ask that you be open to sharing your information and activities with your coworkers so they can be informed and be tested and/or quarantined as necessary.

 

 In keeping with our commitment to Zero Harm, we hope you will review these important behavioral expectations around the Cook Children's Experience pillar of Quality and Safety:

 

  • Everyone makes a commitment to personal safety.
  • Everyone is accountable for clear and complete communication.
  • Everyone supports a questioning attitude.

 

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Many of your coworkers have had exposures at work and out in the community. Read the actual examples based on true events involving your coworkers and discover how you can protect yourself and those around you.

 

You'll read how an exposure can occur in as little as a few minutes from simple daily activities that we wouldn't have thought twice about doing just four months ago.

 

As we head into the Fourth of July weekend, and as more areas, including youth sports, open up for attendance and gatherings, we want you to be aware of how your coworkers had exposures to COVID-19, and how this pandemic is impacting all of us.

 

 As community spread continues and numbers rise, we must ALL be more cautious than ever.

 

CLICK HERE for examples and scenarios from true events involving your coworkers beginning on page 2.

 

#MaskUp! Watch for our new COVID-19 Public Service Announcement (PSA) on social and other channels this weekend. Cook Children's doctors explain why wearing a mask is so important and share tips on how we can all help keep our community healthy. Here's a sneak peek of the spot.

 

We hope you all have a safe and Happy 4th!

 

 

Command Center, ext. 51791

 

General COVID-19 questions: COVID19Questions@CookChildrens.org

 

Occupational Health email designated for COVID-19 inquiries: COVID19OHS@CookChildrens.org

 

New!   Occ Health COVID-19 Hotline: 682-303-1661

 

New!   Occ Health COVID-19 Fax Number: 682-303-1662

 

For all other non-COVID-19 inquiries, write to Occ Health here: OccHealth@CookChildrens.org.​

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Source: Texas Hospital Association




COVID-19 Update

June 29, 2020

 

NBC5 shared our “Mask Up" video featuring our physicians!

Watch or read the story here.

 

You'll find a few new items and some “in case you missed it" (ICYMI) information below.

 

It is holiday week! Consider celebrating your independence at home! Employees are HIGHLY DISCOURAGED from traveling over the Fourth of July holiday and through the summer. This pandemic has hit an all-time high in Texas, and we must all be extra cautious. We understand the beach or the mountains may be calling your name and you need a break! We want you to take PTO, rest and recharge and have family and personal time. But until community spread is flattened in our city and state, it would be wise to stay at home and have a picnic in your backyard. Email us and tell us what you will be doing for your “homecation" this weekend? We'll share ideas with others.


​Source for above is here.

The increase in numbers caused Gov. Greg Abbott to take swift action, including a rollback of the state's reopening late last week.

 

Cook Children's is no exception. Currently, we have 144* employees in quarantine with 30 PUIs (Persons of Interest) and 27 have tested positive for COVID-19.

*Numbers are ever-changing.

 

​New! Temporary COVID-19 meeting room information and guidelines through December 2020 are here. A handy table is here.

 

COVID-19 testing for all inpatients: Starting Wednesday, July 1, we will begin universal testing for all patients admitted to inpatient medical floors at the medical center. To learn more about what this means and to answer questions you may have, please click here

 

Educating our Spanish speaking families: A new article in Spanish about the importance of wearing a mask is featured on Checkup Newsroom and LinkedIn. Stay up to date on the latest news here.

 

How wearing a mask is safe: Wearing a mask or face covering can help to prevent the spread of COVID-19 because our everyday actions, such as speaking, coughing and sneezing, can easily transmit it. But for some, the idea of wearing face masks is the cause of much anxiety. Karen Schultz, M.D., medical director of Pulmonology at Cook Children's, shares how wearing a mask is safe and effective here.

*Note: Mask exemptions for those with developmental delays, autism, and special needs should be examined on an individual basis.

 

You are empowered and encouraged to create social distancing spaces! If you observe that any of your areas or spaces are not designed to allow for social distancing (six feet between all parties at all times), managers and leaders are empowered to reconfigure their furniture and space layouts. If you need the support of Facilities Appearance or IT for the moving of equipment or rerouting of technology, reach out to the Command Center.

 

Listen to Understand: Listening tips are here. #2020SystemCompetency

 

New email dedicated to COVID-19 Occupational Health guidance: We have a new email address that is specifically for your COVID-19 Occupational Health questions, contact tracing inquiries and communications. Please use COVID19OHS@cookchildrens.org for anything COVID-19 and Occupational Health-related.

 

You should continue to use OccHealth@cookchildrens.org for all other Occ. Health questions, inquiries, sending of documents and general communications.

Have questions or need support about working from home? Any requests for new applications or devices to enhance your ability to work from home (WFH) should be directed to your manager or director. It will be their responsibility to escalate the requests to your AVP or VP on the WFH Task Force for consideration.

 

 ALL visitation exceptions MUST BE APPROVED by the Command Center: We must abide by the one visitor per patient state mandate at all times and we will be unable to make many exceptions. In light of the rising numbers of COVID-19 cases in our community, exceptions to the Visitor Policy will be few and far between.

​I wear my mask because…

Let us ask you a question: “Why do you wear a mask?" Think about it for a moment. Whether your answer is short and sweet, a complex medical explanation, or a deeply personal decision, we want to hear from you.

Send an email to Internal Communications with a selfie or a video of you wearing your mask and finishing the sentence “I wear my mask because…"

We would love to share your answer with our employees and families. Your photo and message just might connect with someone who may not understand the importance of mask wearing.

More information on our #MaskUp campaign is here.

 

Watch this new #MaskUp video featuring our physicians!

 

Taking care of you. Don't forget our EAP (employee well-being) program is available for you at eapwl.com.

In addition, Mental Health America offers a comprehensive list of mental health resources related to COVID-19, including general resources, financial guidance, anxiety management, educational tools and more.

Mask Up & Social Distance!

Be a safety role model.

 

PLEASE:
  • Wear your mask at all times when in public.
  • Check that your mask covers both your nose and mouth fully at all times.
  • Practice social distancing of at least 6 feet everywhere you go.
  • Avoid crowds of any size.
  • Wash your hands regularly when touching surfaces outside your home.
  • Wipe down high-touch surfaces often.
  • Monitor your temperature and health status regularly.
  • Never come to work sick!

Call if you need us or send any questions here: COVID19questions@cookchildrens.org.

Thank you for all you are doing!

Command Center, ext. 51791



COVID-19 Update - IMPORTANT
June 26, 2020

 

The surge! The statewide surge in COVID-19 cases is staggering with more than 17,000 confirmed new cases in the past three days, with nearly 6,000 on Thursday alone.

 

On Thursday, June 25, Tarrant County Public Health reported 10,363 total positive cases, including 517 new ones. That's a big increase from even June 1 when the county had 5,620 cases or 2,500 cases at the beginning of May.

 

More information on this chart is here.

 

Unfortunately, we've also seen a rise in cases among our employees and community exposures with more than 52 employees testing positive and another 139 in quarantine.

 

How do community exposures happen? Community exposures can result from simple routine activities like going to the grocery store, a friend's birthday party, a restaurant, a hair salon, a happy hour and more.

 

So how do we reduce these numbers? Mask up! Be a safety role model.

 

We must continue to take the same precautions in our personal lives as we do at work.  This means:

 

*Wearing your mask at all times when in public - Check that your mask covers both your nose and mouth fully at all times.

*Practicing social distancing of at least six feet everywhere you go.

*Avoiding crowds of any size.

*Washing/sanitizing your hands regularly when touching surfaces outside your home.

 *Monitoring your temperature and health status regularly.

 

As you know, with Tarrant County's mandatory Business Mask Ordinance now in effect until August 3 at 6 a.m., masks are now required in any business and outdoor gatherings with more than 100 people. As a Cook Children's employee, you should adhere to these guidelines in order to protect yourself and your community. ​

Another key to protecting ourselves is limiting exposures.


The Centers for Disease Control and Prevention says a potential exposure means “being a household contact or having close contact within 6 feet of an individual with confirmed or suspected COVID-19. The timeframe for having contact with an individual includes the period of time of 48 hours before the individual became symptomatic."

 ​

More information on limiting exposures to COVID-19, and important guidance for all of us is here. The new information not detailed above begins at the bottom of page one.

 

Celebrate your independence at home! Employees are HIGHLY DISCOURAGED from traveling over the 4th of July holiday. This pandemic has hit an all-time high in Texas, and we must all be extra cautious. We understand the beach or the mountains may be calling your name and you need a break! We want you to take PTO, rest and recharge and have family and personal time; however, until community spread is flattened in our city and state, it would be prudent to prepare a picnic basket or put up a tent and stay in your own backyard.

New email dedicated to COVID-19 Occupational Health guidance: We have a new email address that is specifically for your COVID-19 Occupational Health questions, contact tracing inquiries and communications. Please use COVID19OHS@cookchildrens.org for anything COVID-19 and Occupational Health-related.

 

You should continue to use OccHealth@cookchildrens.org for all other Occ. Health questions, inquiries, sending of documents and general communications.

 

ALL visitation exceptions MUST BE APPROVED by the Command Center: In light of the rising numbers of COVID-19 cases in our community, exceptions to the Visitor Policy will be few and far between. We must abide by the one visitor per patient state mandate at all times and we will be unable to make many exceptions.

Social distancing and dictation rooms: We are making several modifications to the dictation rooms and spaces across the campus in an effort to put at least six feet between all parties. IT and Facilities Appearance are in the process of creating dictation pods (small alcoves) in a number of waiting rooms in the Medical Center since we do not have any families/visitors waiting in those spaces at this time. We will of course be abiding by all HIPAA and privacy laws but we want you to know you will see some changes in the coming days.

 

You are empowered and encouraged to create social distancing spaces! If you observe that any of your areas or spaces are not designed to allow for social distancing (six feet between all parties at all times), managers and leaders are empowered to reconfigure their furniture and space layouts. If you need the support of Facilities Appearance or IT for the moving of equipment or rerouting of technology, reach out to the Command Center.

 

Check your temperature each day! Employees should check their temperature before every shift or workday. Please stay home if you have a fever of 100.4 degrees or greater. Do NOT come to work sick. We must protect each other and our patient families.

 

Have questions or need support to work from home? Any requests for new applications or devices to enhance your ability to work from home (WFH) should be directed to your manager or director. It will be their responsibility to escalate the requests to your AVP or VP on the WFH Task Force for consideration.

 

Kids' Place has reopened and returned to its “normal" operations in this COVID-19 world.

 

Employee Testing: There is a group exploring a plan for COVID-19 testing for employees. We will share details as soon as everything is finalized.

 

Check it out! Our Checkup Newsroom has a host of news and updates that may be of interest to you and your family. Stay up to date on the latest COVID-19 news here.


I wear my mask because…

Let us ask you a question: “Why do you wear a mask?" Think about it for a moment. Whether your answer is short and sweet, a complex medical explanation, or a deeply personal decision, we want to hear from you.

Send an email to Internal Communications with a selfie or a video of you wearing your mask and finishing the sentence “I wear my mask because…"

We would love to share your answer with our employees and families. Your photo and message just may connect with someone who may not understand the importance of mask wearing.

More information on our #MaskUp campaign is here.

Watch this new #MaskUp video featuring our physicians!

Taking care of you: Don't forget our EAP (employee well-being) program is available for you at eapwl.com.

In addition, Mental Health America offers a comprehensive list of mental health resources related to COVID-19, including general resources, financial guidance, anxiety management, education tools and more.

 


COVID-19 Update

June 22, 2020

We have a few updates for you.

Cleaning of eyewear: We ask that you continue to use hospital approved disinfectant wipes and care for your eyewear and googles as you ha​​ve been doing. Using soap and water is not mandatory. The latest eyewear guidance is here and here.

The 411 on cleaning products: All approved cleaning chemicals are detailed in system policy IC-110 Approved Disinfectants and Hand Hygiene Products.

Our EVS teams and approved contractors only use cleaning products from this approved list. These teams are well versed on cleaning procedures and their routine cleaning protocols help prevent the spread of COVID-19. 

 

We are still in the middle of this pandemic and we do not know when this will end. You can help us keep everyone safe by cleaning all high-touch services around you several times each day. This short how-to video on cleaning your work areas is very informative. Take a moment to watch it today!

 

Bottom line: We must all be diligent and focused on preventing the spread of COVID-19. We remain in a “back to the basics" mode! As always, continue to:

  • Wear your mask at all times even when you are out in the community. Masks up!
  • Wash your hands often.
  • Socially distance - stay 6-feet apart from individuals.
  • Do not gather together in break areas.
  • Clean your work areas.
  • Monitor your temperature each day. Stay home if you are not feeling well, or have a temperature at or greater than 100.4.

Back to school? Wondering how students can return to school safely amid COVID-19? Dr. Marc Mazade, medical director of Infection Prevention at Cook Children's, worked with more than 50 physicians to create a detailed list of recommendations for reopening schools in Texas. Read all about it here.

 ​

Update on Kids' Place: As we continue to follow the guidance from the Tarrant County Health Department, Kids' Place will remain closed AT LEAST through Thursday, June 25. When we have a reopening date we will let you know. Families enrolled at Kids' Place are receiving communications directly from Bright Horizons.

 

Planning travel? Find the latest travel guidelines from the CDC here.

 

In case you missed Friday's COVID-19 update, a few highlights are below:

 

​More stringent direction announced regarding masks and eye protection: Masks have become a part of our daily dress, and so must eye protection for patient facing staff.

 

We have come to the point in this pandemic that we need to say that any failures to comply with appropriate PPE shall result in a discussion with your manager or supervisor and the possibility of corrective action.

Do your glasses/eyewear fog up? We have just the trick!

An anti-fog solution for goggles is now available through Stores via Lawson. To order this product, please reference item #11124.

 

Testing for all patients is coming soon! Please see this informational flyer for more details. 

Lean on Us and EAP (employee well-being) assistance:
A variety of resources and support are available for you! It is always okay to ask for help!

In case you missed it (ICYMI):
Read our statement regarding our reaffirmation of our belief in a culture of inclusiveness, equity and diversity.


*If you have a temperature greater than or equal to 100.4 DO NOT COME TO WORK!

 


COVID-19 Update

June 19, 2020

 

Happy Friday! We hope you have had a great week! We have a few items of news for you.

 

More stringent direction announced regarding masks and eye protection: Masks have become a part of our daily dress, and so must eye protection for patient facing staff! 

 

We have posted a variety of options on our COVID-19 resource page, and encourage you to check out these eyewear options and validate that you have this protective equipment in your work area. 

 

We have come to the point in this pandemic that we need to say that any failures to comply with appropriate PPE shall result in a discussion with your manager or supervisor and the possibility of corrective action. 

Help us keep you and everyone around you safe!

Additional eyewear and PPE resources:

​Please know we greatly appreciate all you are doing for our patient families during this time.


The eye protection FAQs we shared earlier in the week are below:

Q: I have some beautiful new eye glasses. Can I wear my personal glasses rather than the eye protection that is available through Stores?

A: Personal prescription glasses or other glasses do NOT suffice as eye protection. Medical Center employees only: If you are wearing prescription eyeglasses, please have a conversation with your manager about adding side eye shields to your glasses. These must be obtained from the Command Center.

Q: My patient has tested negative for COVID-19, so do I really need to wear eye protection when I'm around him?

A: Even if a patient receives a 'negative' COVID-19 test, you should continue to wear the appropriate eye protection when caring for that patient. This diligence to safety is necessary due to the possibility of a “false negative" or the patient being early in the disease process and not yet detectable, etc.

Q: How do I order eye protection?

A: With the exception of CCPN, all requests for eye protection should be ordered through your normal channels with Stores via Lawson. CCPN should follow their normal ordering process through Henry Schein accounts.

 

Do your glasses/eyewear fog up? We have just the trick!

An anti-fog solution for goggles is now available through Stores via Lawson. To order this product, please reference item #11124.

 


Coming Soon! Universal Testing: Please see this informational flyer for more details.

Lean on Us and EAP (employee well-being) Assistance: A variety of resources and support are available for you! It is always okay to ask for help!


In case you missed it (ICYMI):

Read our statement regarding our reaffirmation of our belief in a culture of inclusiveness, equity and diversity.

 ​



COVID-19 Update: Kids' Place Temporarily Closed Due to COVID-19 Exposure

Out of an abundance of caution, Kids' Place, on the campus of Cook Children's Medical Center and managed by Bright Horizons, has been temporarily closed due to a COVID-19 exposure. The estimated reopening date is June 23, 2020, but this is subject to change based on guidance from the Tarrant County Health Department (TCHD).

 

The safety and well-being of all of the children, impacted families, and staff members of Kids' Place remains a top priority, and we are doing everything possible to protect everyone involved. All Kids' Place families have been notified, provided information on backup childcare options, and next steps.

 

A deep cleaning process is underway, and we will continue to work closely with the TCHD.

 

If you have questions concerning a potential exposure, please contact the TCHD at 817-248-6299, and/or Occupational Health. All COVID-19 testing for children at Kids' Place should be coordinated through the child's pediatrician.

 

As always:

  • Continue to self-monitor your temperature at home.
  • Do not come to work if you are not feeling well.
  • Wear your mask at all times.
  • Socially distance whenever possible.
  • Continue to practice all of the PPE and safety guidance we have provided to date.

We will write you again when we have a reopening date, or have new information to share.

 

Please direct any questions here.​


COVID-19 Update

June 12, 2020

 

A few items for you on this Friday.

 

Important reminder about eye protection!

Eye protection AND a mask are the minimum required PPE for all patient interactions. Some staff members are not consistently wearing eye protection, and employees have said it is because the patient had tested negative for COVID-19.

 

During all patient care interactions, a mask and eye protection are REQUIRED at all times even if a patient has tested negative for COVID-19.

 

According to our ID experts, there are several reasons why this is important and why we are emphasizing AT ALL TIMES:

  • It's always possible to have a false negative.
  • A patient could be early in the disease process and COVID-19 is not yet detected.
  • There could be a bad specimen collection, etc.

Simply put, it's best to stay protected!"

For the latest guidance on eye protection, click here.

 

COVID-19 drive thru testing locations at CCMC

All COVID-19 testing is by appointment and referral only.

We had some families arrive to the campus looking for “Lot 2" when they were actually trying to get to Lot Z.

The map of the testing locations is here.

 

In the news…

Depression and anxiety in children and teens is on the rise amid COVID-19. Learn from our experts on Checkup Newsroom.

Cook Children's physicians created a guide to help kids safety return to school. Special thanks to Marc Mazade, M.D. for leading this important work. Read all about it here.

 

​ 

 

COVID-19 Update and more

June 10, 2020​

We have a few updates for you.

 

Updated Guidance from Occupational Health (Approved by Command Center June 10, 2020.)

Eye Protection Chart: The latest eye protection guidance is here. All requests for eye protection need to be ordered through Stores via Lawson.

 

COVID-19 Testing is in Lot Z (NOT Lot 2) and Lot Y! We had a few families arrive confused and looking for Lot 2 for COVID-19 testing. Please know it is Lot Z that patient families will be looking for when they arrive to campus for pre-op testing/screening.

 

Patient families who have been referred for testing from CCPN locations will go to Lot Y.

 

COVID-19 Testing is in Lot Z (NOT Lot 2) and Lot Y! We had a few families arrive confused  looking for "Lot 2" for COVID-19 testing.  

  • Lot Y = Testing for CCPN referrals (yellow and black signage)
  • Lot Z  = Testing for pre-op patients (blue and whit e signage)
How to Safely Return to School: Special thanks to Marc Mazade, MD, Medical Director of Infection Prevention, who led a research project and created this handy guide to help kids safely return to school amid the COVID-19 pandemic. We are grateful to the more than 50 other Cook Children's physicians who offered their expert opinions, and contributed recommendations and guidance that is expected to be immensely helpful to area ISDs. Read all about it on our Checkup Newsroom.

 

Happy Camper at Home: Learn all about Happy Camper at Home summer camps offered by Cook Children's here.

 

 

In case you missed it: We invite you to watch this very impactful video that highlights the June 9th ceremony that was held in the Atrium of Cook Children's to remember the life and mourn the tragic death of George Floyd.

Together we will remember and work for change, racial equality, justice and a brighter tomorrow for all. Thank you to all of our leaders and Pam Foster, director of Pastoral Care, who led us in prayer and reflection prior to the 8.46 minutes of silence.

The full text of Pam's reflection can be found here.



COVID-19 Update

June 5, 2020

 

Temperature Screenings for Employees: Effective Monday, June 8, we will no longer be taking temperatures of employees when they enter main campus buildings. We will continue screening (temp check and questions) all visitors and patients. Employees will be asked to self-monitor their temperature at home, and as always, not come to work if they are sick.

  • Medical Center: We will continue to route all visitors and patients to the two designated entry points for screenings (Main and Pruitt.) Vendors will continue to be screened at the south dock. 
  • ​901 Building and 750 Building: All entry points will open, and visitors and patients will be screened at their respective clinic point of registration.
  • Dodson: All visitors and patients will be screened at Registration.
  • Offsite Non-Patient Care Office Buildings: Any visitors will be screened at the front desk.
  • UCCs: Visitors and patients will be screened at the point of registration.
  • Multi-Specialty, Regional Clinics, Primary Care and NHC locations: Continue with current screening process for employees, visitors and patients.

Eye Protection Guidance: This new eye protection guidance ONLY APPLIES to patient care areas.

We must emphasize: ALL ORD​ERS FOR EYE PROTECTION MUST BE PLACED THROUGH YOUR NORMAL ORDERING PROCESS FOR STORES VIA LAWSON. Review all of the guidance here.

 


 

COVID-19 Update*

May 27, 2020

  • News from the Workforce Management Task Force
  • Mask guidance including ProGear information
  • Face shields vs. goggles
  • Updated screening questions at entrances
  • Safety reminders
  • Summer camp news and when to wear T-shirts
  • Innovation department accepting COVID-19 related submissions
  • News to know
  • The latest testing numbers
  • Resources for you

The latest information available on our response to COVID-19 is below.


Cook Children's Workforce: Looking beyond the peak of COVID-19

The COVID-19 pandemic caused a change to the traditional work environment for many of our Cook Children's team members. Today, we have more than 3,000 members who are either:

  • working from home; 
  • deployed away from their home department to another work location; or 
  • at home with pay due to disruption to their normal departmental workload.

Fortunately, we are currently experiencing some upward trends in patient volumes in a few areas, and many staff are being recalled to their home departments. We are confident this will continue. In addition, to combat COVID-19 and to ensure the safest environment possible, we have added several on-going job responsibilities to our daily operations. These include drive-thru COVID-19 testing stations and employee/visitor screening stations. We are truly establishing our “new normal."

Cook Children's has created a Workforce Management Task Force to assess all of the variables and scenarios of our ever-changing environment. We are doing this to ensure that our team is informed, and in the best position to meet the needs of each other and the patients and families we serve.

We will continue to monitor the community medical management of COVID-19 and, if feasible, have a firm plan in place by August 2020, which addresses the following areas:​

  • Which staff will be eligible to permanently work from home in either a full-time or hybrid capacity. (Hybrid meaning work rotation with other staff members.)
     
  • Work station set-up requirements for staff assigned to home to ensure expected productivity levels can be measured and achieved.
     
  • Office/work space configurations and guidelines to support safe work practices at all of our locations.
     
  • Next steps for those employees who have not been recalled to their home department by the end of July.
     
  • Staffing plan to support ongoing support of COVID-19 testing and screening stations. 

We are so proud of the resiliency and commitment of each of our team members. Even during this unprecedented global pandemic, you have demonstrated why Cook Children's and Our Promise are so special.

We pledge to keep you informed. 

Stay tuned for further updates from the Workforce Management Task Force.

Thank you.

 

Mask options for you: If the supply of the type of N95 mask that you have been fitted for is no longer available, there's a cross reference guide to help you identify alternative sizes or brands. Please use this guide to ensure that you have an appropriate substitute.

Note: based on current stock on hand, you should use the ProGear substitute unless a specific clinical need requires a 3M mask.

 

When to wear a face shield vs. goggles: A face shield is acceptable to wear for non-aerosol generating procedures (AGPs) with Persons Under Investigation, but if and when you have a positive COVID-19 patient, goggles are required.

 

Update to screening questions at our entrances system-wide: In keeping with state and national guidance, we are now asking all visitors “Have you, or your child, been outside of the United States in the past 14 days?" (in addition to other questions).  If visitors/guests/parents/guardians answer “yes" to this question and others, or have a temperature greater than or equal to 100.4 ᵒF, they will be given restricted access to our campus, and will be wearing a red armband. Details are here.

Safety reminders: We must all continue to stay focused on safe practices and behaviors. How can you do your part?

  • Keep washing your hands often.
  • Maintain social distancing; remain 6 feet apart.
  • Wear your mask at all times unless you are in a room by yourself with the door closed.
  • Please do not share a table with your peers at lunch. The tables are purposefully spaced out so that you can keep your distance.
  • No more than 10 people in break areas/lounges at a time; stay at least 6 feet apart.
  • If you see someone without a mask, ask them to put one on ASAP.
  • If you feel sick at all, do NOT come to work.

We can still be happy campers: While our staff and patients may not be able to travel to camp this summer because of the COVID-19 pandemic, that doesn't mean we still can't bring some camp spirit to our work sites. If you were going to participate in a camp this summer, please wear your past summer camp T-shirt to work during the week that camp was scheduled. Details here.

​And while we're on the topic, all camps hosted by Cook Children's have shifted gears this summer with Happy Camper@Home. This year, the Child Life Zone, Marketing, IS and the medical staff are working together to create a virtual experience for kids who typically attend in the summer through Camps for Kids and Camp Sanguinity. We will share more information soon.

 

Innovation department accepting COVID-19 related submissions: Given current events, the Innovation department, like other departments, is making a small change in focus. Innovation will take a step back from pursuing general innovation projects and instead aim its efforts at COVID-19 related innovation ideas. Please direct any COVID-19 related innovations to the Innovation department by submitting an intake form on our CookNet department page or by clicking here.

 ​

News to know: The latest news and information on COVID-19 from the Cook Children's Checkup Newsroom is here.

 

RESOURCES

IMPORTANT REMINDER: cross reference guide to identify alternative sizes or brands of the N95 mask you have been fitted for is now available and below.​


 

COVID-19 Update*

May 22, 2020

  • Eye protection guidance
  • Travel restrictions update
  • Updated dress code policy
  • Latest testing numbers
  • Resources for you

Happy Memorial Day weekend!

The latest information available regarding Cook Children's response to COVID-19 is below.

THE EYES HAVE IT! Eye protection guidance is here. Please read over this information in detail.

Mary Suzanne Whitworth, M.D. Medical Director, Infectious Diseases (right), wants all of you to know:

“If there is ever a concern about a patient having COVID in any location of the hospital, all staff should feel

comfortable that PPE is available and they have easy access to it. No care should be done on these possibly infected patients without PPE.  We want staff to feel protected at all times."

*Special thanks to Sharon Holmes, MPH, CIC, Director of Infection Control and Prevention, (left) who has also been working around the clock during this crisis, for letting us persuade her to model the eye protection for this handout!


 


 

As we make our way into the holiday weekend, how about a couple of pieces of exceptionally good news?

YOU'RE FREE TO MOVE ABOUT THE COUNTRY: CCHCS travel restrictions updated effective May 22, 2020

As you explore possible summer destinations for a family vacation or escape to recharge during this time, here are the latest updates that you should be aware of before making those decisions.

Texas Governor Greg Abbott lifted interstate travel restrictions. This means that there will be no required 14-day quarantine upon return from U.S. destinations.

However, the State Department has issued a Level 4 advisory for international travel, and the CDC still recommends a 14-day quarantine for all international travel. Therefore, ANY Cook Children's employee traveling outside of the U.S. would be required to quarantine for 14 days upon return from international travel.

As always, Cook Children's will continue to observe all state and federal guidelines for travel.

REVISED DRESS CODE POLICY

We have a new dress code policy (Dress Code HR 136) that is now in effect. It includes new guidance titled:  “Dress for the Workday."

Highlights of the policy are below:

“We want to maximize comfort while still maintaining a professional image, giving you the flexibility to dress in a way that adheres to your schedule for the day. Therefore, we are asking if you have external guests, are in a public facing position or have client/vendor meetings, you should dress in business professional attire. If your position is not public facing or on a particular day you will not be public facing, you may wear jeans or more casual attire any day of the week as long as you adhere to the guidelines" in the policy.

Clean and neat denim of any color can be worn on any day as long as it is appropriate for your day of work (Please refer to your individual department policy which will take precedence).  Denim must be in good repair absent of rips, tears and stains and can be worn on any day deemed appropriate for your workday or when participating in all-day training classes."

The complete dress code policy is here.

Thank you to leadership and all of those involved in creating and approving this updated policy!

 

RESOURCES

As always, write to us with any questions.

We appreciate all that you do every single day on behalf of our patient families and each other.

Enjoy your holiday weekend!

Thank you.

Command Center, 682-885-1791, ext. 51791

 

 

 

 

COVID-19 Update*
May 19, 2020

The latest information available regarding Cook Children's response to COVID-19 is below.

 ​

UPDATE FROM OCCUPATIONAL HEALTH: The latest guidance on work restrictions when interacting with COVID-19 patients and PUIs, and when to return to work after an exposure away from work are below.

If you have any questions, please visit with your manager or email OccHealth@cookchildrens.org.

PRESS CONFERENCE ON MULTISYSTEM INFLAMMATORY SYNDROME (MIS-C) HELD TODAY: 

We held a virtual press conference via Zoom today which featured Nicholas Rister, M.D., a board certified infectious diseases physician at Cook Children's Medical Center, and Winifred “Wini" King, AVP, Public Relations, Strategic Marketing and Communications. Read all about MIS-C, a rare but serious health condition related to COVID-19 that is affecting children in North Texas, and watch the press conference here.

6 WORDS: Thank you to the 100+ employees who have submitted “6 Words on How I'm Feeling" (sampling below). We are putting together a collage of all of your contributions. There is still time for you to submit your idea.

 

RESOURCES

Masks can't hide our happy faces. Blessed to work at Cook Children's.

I feel content. No longer fearful. Ready to get back to normal.

Together we will defeat this virus. Sacred children still depend on us.


 

COVID-19 Update*
May 18, 2020

 

The latest information available regarding Cook Children's response to COVID-19 is below.

 

In keeping with reopening guidelines from the State of Texas and CDC, we have a couple of updates for you.

 

WELLNESS ZONE REOPENING THIS WEEK

  • Starting Wednesday, May 20, the Wellness Zone will be open from 5:30 a.m. to 7:30 p.m., Monday-Friday.
  • Wellness Zone and Peloton reservations begin at 9 a.m. on Tuesday, May 19, on ULearn.
  • We have new policies in place to ensure the safety of all of our members.
  • All of the information you need is here.

 A few more highlights:

  • Max capacity for the Wellness Zone: 12 employees.
  • Employees will have 50 minutes within the Wellness Zone per session.
  • You must make reservations on ULearn. How-to instructions are here.
  • Reservations will be made on a weekly basis.
    • Every Thursday at 9:00 a.m., you can schedule your reservations for the following week.
  • You will be required to wear a surgical mask at all times while using the Wellness Zone.
  • No showers and lockers will be available, but changing rooms and restrooms are available for use.

Thank you for your patience and we look forward to seeing you soon!

  

Healthfully yours,

Jennifer Williams MS, CHES, CWWPM, Wellness Program Coordinator

 

MIRROR MIRROR REOPENING TUESDAY, MAY 18

Here are the expectations for all of us who wish to visit Mirror Mirror Hair and Nail Salon:

  • Everyone entering the salon for a service must wash their hands and wear their mask even throughout the service.
  • Mirror Mirror's doors will remained locked throughout the day. Only six people will be allowed in the salon at a time.
  • If you arrive to your appointment, and we are not ready for you, please wait in the LEGO area and we will come get you when we are ready for you.
  • Please do not bring any extra guests with you to your appointment.
  • No walk-ins at this time.
  • Call the salon at 682-885-3200 to book an appointment.
  • Salon hours are 9 a.m. to 5 p.m. Monday-Friday, and other details about services are here.

 


 

COVID-19 Update*
May 15, 2020​

The latest information available regarding Cook Children's response to COVID-19 is below.


 

FIRE RESPONSE EDUCATION

Fire response education during COVID-19 as required by CMS is attached. To ensure the safety of our employees and to abide by social distancing guidelines, we have been unable to conduct our fire drills as usual; however, it is important to remember our fire safety guidelines and how you should respond in the event of a fire in your area.

Please review these guidelines as a quick refresher on fire safety!

 

UPDATE ON RE-USE OF N95 MASKS

As we have ample supply at this time, we will no longer re-use N95 masks as of today. Staff will receive ONE N95 mask a day. Continue to use a surgical mask in between patients to protect the integrity of the mask, and discard at the end of the shift.

  • EVS will make one last pick up of the N95 masks we were reprocessing and sterilizing at 8:00 p.m. today.
  • Please let the Command Center know if there are any questions or issues.

NOTE: Cleaning, reprocessing and sterilization via the newly created UV light room will continue for PAPRs.

 

Reminder! MASKS/CLOTH FACE COVERINGS REQUIRED FOR ALL, INCLUDING PATIENTS

Employees are required to wear masks/cloth face coverings (depending on role) at all times unless you are by yourself.

Patients and families are required to wear a mask/cloth face covering any time they are outside of their patient room and during any staff interaction. As a reminder for the inpatient setting, it is helpful to knock gently and notify the patient/family politely when you are entering the room, and remind them to put on their mask.

We have several resources:

We have cloth masks available for staff members to wear to and from their car to the temperature checkpoints. The cloth mask does NOT replace the surgical mask if you are required to wear a surgical mask in your role. Managers can request cloth masks for their employees via the Command Center.

 

IMPORTANT NOTE: If a patient is unable to wear a mask and a caregiver needs to enter the room, in addition to wearing your own mask, please wear some sort of eye protection, i.e. goggles, face shield, safety glasses, etc.

 

Here is the most revised PPE infographic on what PPE to wear and when.

 

REDEPLOYMENT UPDATES

Here is the information on how to key time in Kronos for the DHP/Disaster pay code.

 

We know there will be rare occasions when redeployed staff need to cancel shifts. The call in/cancellation process for redeployed staff follows:

  • Email redeployment@cookchildrens.org.
  • Call your home unit supervisor as you normally would.
  • Contact your redeployment supervisor either by phone or by email. (This information was provided to you in the email you received after accepting your redeployment assignment.)
  • Points will count in redeployment cancellations.

6 WORDS

Using just 6 words, email us and tell us what you are thinking about during this time. We would love to share some of the best submissions in a future communications channel. You can remain anonymous if you would like, but we want to hear from you.

Your creativity will give us a good idea of what's on your mind, and ideally help us bring you the most relevant content and resources.​

IN CASE YOU MISSED IT:


 

A message from the Lab
Parent Collection for COVID-19 Testing
May 15, 2020

 
Patient Access is to be contacted by the requesting nursing unit for an outpatient laboratory encounter for the parent to be collected.  
Encounter is created and patient is “checked in”
COVID order is placed under this patient account by provider
Parent is collected and a parent chart label is added to the specimen with all appropriate information required for the label (collection information and source type)
Specimen is walked to the laboratory
Specimen Center will change context to Dodson Outpatient Lab and complete the EPIC collection activity
Context will be changed back to CCMC Laboratory for the specimen to be received into the lab
Specimen is walked back to Micro for testing.  



 

COVID-19 Update

May 13, 2020

  • Back to the basics continues
  • Honoring our nurses
  • Shaving before fit testing
  • Drive-thru testing update
  • News on certifications
  • We see your smiles
  • In case you missed it …
  • Testing numbers
  • “How I'm feeling in 6 words!"​

We hope you are having a good week!

Here's the latest information available regarding our response to COVID-19.

BACK TO THE BASICS: We continue to​ stay focused on returning “back to the basics." If you have not watched this “Back to the Basics" video with Mr. Merrill and Dr. Cunningham, please do. You can also help us in these ways:

  • Please wear your mask/cloth face covering AT ALL TIMES unless you are in a room by yourself with the door closed.
  • Practice social distancing every minute of the day; maintain six feet!
  • No one should be gathering together at tables or in close quarters for meals or meetings.
  • If a meeting or conversation can happen virtually, you are encouraged to do that.
  • Reference these safety reminders.


 

HONORING OUR NURSES: In a tribute to nurses, WFAA Ch. 8 featured one of our own nurses in a news story last week. Just six months out of training, Megan Frey, RN shared her experience as a young nurse, and what it is like working in the PICU and 3 North with COVID-19 patients. Before her interview with WFAA, she told us she feels like she's been “drinking from a firehose" but that she knows she's in the right place at the right time. A big thank you to Megan and all of our Cook Children's nurses!

A LITTLE REMINDER! Fit testing is not possible for anyone with a beard so please shave before a fit testing. PAPRs continue to be in short supply and are reserved for those who are unable to have a successful mask fit!

 

DRIVE-THRU TESTING: Our current drive-thru testing area in Lot Z is only for our surgical/procedural cases. At this time, testing can only be ordered by Anesthesia for posted cases. We are exploring other testing locations and needs. More information to come on this.

 

UPDATE ON CERTIFICATIONS: Good news! We will resume renewals for Basic Life Support (BLS) Certification and Advanced Cardiac Life Support (ACLS) Skills beginning Tuesday, May 26.

 

All other certifications remain on hold at this time as they either require face cloths to be removed or require working closely in a group. Employees with an expired BLS or ACLS certification will receive an email with more information.

  • All participants will be required to wear a cloth mask while in the Simulation Lab.
  • All visitors to the Simulation Lab will be required to wash hands with soap and water for 20 seconds upon every entry.
  • All BLS and ACLS events will support social distancing and minimize the number of people in the lab (must maintain six feet distance at all times).
  • Each skills station will have one learner
  • Skills station will be six feet apart
  • Each skills station will be cleaned in between learners

WE SEE YOUR SMILES! Keep smiling! Smiling reassures others when we are worried and distressed, and helps kids, teens, parents, and coworkers trust us and know that we are all connected. Watch this short video celebrating our employees. Despite the stressful time of COVID-19, you can tell they are all smiling even though they are wearing masks! Special thanks to the Cook Children's Department of Psychology for providing guidance on the content used in this video.

  

IN CASE YOU MISSED IT …

Summer Travel Guidance from Occ Health

What PPE to wear and when

National Hospital Week staff appreciation video

“Finding Calm in the Storm" video about areas of support and EAP

Special videos celebrating all of our nurses:

https://app.vidhug.com/rywSdBm9L/hug

https://app.vidhug.com/SyIM48m9L/hug

https://app.vidhug.com/Bki26iS9I/hug

 

RECENT COVID-19 STORIES VIA CHECKUP NEWSROOM


 

TELL US HOW YOU ARE FEELING IN 6 WORDS! Regarding COVID-19, how are you feeling? Using just 6 words, email us and tell us what you are thinking about during this time. You can remain anonymous and we will share some of the best contributions in a future communication channel. Your creativity will give us a good idea of what's on your mind, and ideally help us bring you the most relevant content and resources.

 


 

COVID-19 Update*
May 9, 2020

This is the latest information available regarding COVID-19.

*All information subject to change.

NEW VIDEO! Watch this “Back to the Ba​sics on COVID-19" video with our President & CEO Rick W. Merrill and Dr. Jim Cunningham, EVP, Chief Medical Officer.

Covering all your 'Basics' this week: Over the last week, we have been reminded about the importance of practicing the basics to protect our patients and ourselves during this time. To make sure you did not miss any of these helpful reminders, they are below:

We encourage you to print and review these items.

SUMMER TRAVEL: Should I stay or should I go? What's the latest guidance on necessary, summer or holiday travel? As businesses slowly begin to open up across the state and the country, it's only natural to want to start planning your own summer escape. You are probably already asking yourself:

  • What states can I travel to?
  • When can I go to the beach in Florida?
  • Can I travel out of the country?
  • What about a simple weekend getaway in Texas?

We have received a number of these questions via the COVID19Questions@cookchildrens.org email address.

The simple answer for all travel considerations is this: Cook Children's will continue to observe all state and federal guidelines for travel. Specific guidance on which states are restricte​​​d and require self-quarantine is here. Also, please review the resources on who to consult prior to planning a trip or even traveling.

Update on all types of certifications: We hope to start back with certifications and other educational events soon. Some events will be offered virtually to provide for maximum safety. When the event is offered in person, we will follow the Cook Children's safety guidelines currently in place. For others scheduling meetings, maximum occupancy for safe distancing in meeting rooms will be provided.  Stay tuned for more information on this front!


Even more childcare options for you! Available childcare options, including Tarrant County Child Care Management Services for “COVID-19 Essential Workers," are posted here for you. And remember, the last day for Camp Cook is Friday, May 15.

Handwashing refresher from Dr. Arnaout: Via her home, Forest Park's Dr. Diane Arnaout takes us on a journey through handwashing. Take a moment to soak up these important reminders. (5 minutes, 14 seconds)

#backtothebasics

Happy Nurses Week! We recognize and thank ALL OF YOU! Watch this happy and inspirational video celebrating our nurses!

What a week honoring our nurses and all of our healthcare heroes with the Blue Angels! Photo credit: Scott Bjornlie

Making Mother's Day special during these unique times: Mother's Day is this Sunday. Even with social distancing practices in place, it can sti​ll be a wonderful and memorable day for mom. When we reached out to our EAP for some tips for celebrating our own moms, they sent the following articles. Please read them to find just the perfect idea to make the mothers in your life feel special and remembered:

Whether an employee or a patient parent, we offer a heartfelt Happy Mother's Day and thanks to every mother at Cook Children's.

On Checkup Newsroom: From One Mom To Another: A Pediatrician's Mother's Day Message

ICYMI…Taking care of you: New video “Finding Calm in the Storm." (4 minutes, 56 seconds)

 

Go back to the basics. Wash your hands. Don't touch your face. Wipe down workspaces. Help others. Sit alone at a table during lunch. Socially distance at all times. Always wear your mask.  Don't gather in break rooms. Check on a co-worker. Remember mom. Lend a helping hand.


 


 

COVID-19 Update*
May 5, 2020 

·        Back to the Basics

·       Temperature checks and employee entrances

·       Blue Angels headed to Fort Worth May 6

·       Free gasoline for health care workers May 6

·       Fort Worth bike share offerings

·       Hear Fort Worth

·       Reflection and prayer

·       Testing numbers

·       And more


 

The most recent information available regarding Cook Children’s response to COVID-19 is below.

 

Back to the BasicsLet’s get back to the basics of protecting everyone across CCHCS and help prevent the potential spread of COVID-19. 

What can you do?

·     Maintain social distancing and keep at least 6 feet between you and every other person you encounter (if at all possible). We realize those providing direct patient care will be less than 6 feet but will be wearing the appropriate PPE.

·     Wear your mask or cloth face covering at all times.

·     Ask others to put on their mask if they aren’t wearing one.

·     Do not share a lunch table with others.

·     Keep less than 10 people in a room/break area at any one time.

·     Stay home from work if you are feeling sick.

 

​Here’s a helpful flyer with these reminders that you can print and post in your break room or on your bulletin board.

 

Only use entrances that are offering temperature checks: Please remember you must enter the Medical Center at entrances that are equipped with temperature check stations. Do not use side or back door entrances. ALL individuals entering the building MUST have their temperature checked to ensure we prevent unnecessary exposure to symptomatic people. These rules are in place to continue to maintain the safety, health and well-being of our employees, patients and families.


 

Look to the skies tomorrow morning! The skies of North Texas will be a bit bluer on Wednesday morning when the legendary Blue Angels soar through the clouds above Dallas and Fort Worth. In a display of appreciation for the medical frontline workers during the COVID-19 crisis, this iconic Navy jet squadron will start their flight in Dallas around 11 a.m. and make their way across the area, circling downtown Fort Worth approximately 30 minutes later. So, if you can, look to the skies around 11:30 a.m.-ish to take in this special show just for you, but please remember to follow social distancing (6 feet apart) and wear your masks. (The latest details on the flight path are here via the Fort Worth Star-Telegram. Remember, everything is subject to change.)


 

Free gasoline for frontline health care workers: This information is from a press release from the North Texas Honda Dealers, “The Helpful Honda Guys will be popping up at gas stations near hospitals across North Texas to pump free gas for frontline health care workers as they drive to and from their shifts.” Please watch your email! We will send an Outlook email message on May 6 around 5 AM that will list the Fort Worth location and times free gasoline will be pumped for you.


 

Come on, take a free ride: To show gratitude to essential workers, such as yourself, Fort Worth Bike Sharing (B-Cycle) is partnering with Fidelity Investments Careers to offer free 6-month memberships to our wonderful staff. We are proud of the partnership Cook Children’s has developed with Fort Worth Bike Sharing, which has resulted in a B-Cycle station located on our campus (corner of Pennsylvania Ave. and 7th Ave.). Now through June 1, email info@fortworthbikesharing.org from your Cook Children’s email with “Cook Children’s” in the subject line or call 817-348-0084 with details of where you work to get your promo code. Read more for full details about B-Cycle and this promotion.


 

This is music to our ears! We’re so thankful for our partnership with Hear Fort Worth, which is helping bring live music straight to our patients. These unique concerts are streamed via Zoom with a variety of local artists performing from their homes while answering questions from our patients via Instagram or a special phone line. This is just one of the many ways that our Child Life Zone is providing an escape for children, as they have also ramped up a broadcasting schedule that now includes even more game shows each day. Read more about this virtual concert series here.


 

Where the Sidewalk Ends…: Watch the latest special video with Pam Foster, director of Pastoral Care, as she reads the poem “Where the Sidewalk Ends…” by Shel Silverstein and challenges us to commit together to view all the possibilities that are ahead. The video ends with a prayer for insight. (Video length: Two minutes, 36 seconds) 


 

"Take it outside…” How many times did your mom say this growing up? While we are limiting the number of people in a lounge or break area, consider taking advantage of the recent pleasant and inviting weather for your lunch break. This time outside will allow you to recharge your body with food, fresh air and sunlight, all while practicing social distancing. 

 

In this together: Following in the footsteps of the staff’s Promise message yesterday, Cook Children’s Keller physicians have a simple, meaningful message for all of their patients, families and communities.


 

COVID-19: Back to the Basics
May 4, 2020

Protecting Ourselves During COVID-19 Pandemic & Fulfilling Our Promise

Yes, the world seems ever-changing right now with our current public health crisis. However, the way we protect ourselves from COVID-19 hasn't changed.

"This is unlike anything any of us in the medical profession have ever seen," Suzanne Whitworth, M.D., medical director of Infectious Diseases said. “But what makes this unique is that so much of how successful we will be in fighting COVID-19, or the coronavirus, depends on our actions. Texans care about one another. Until a vaccine is created, we have to depend on each other to fight this virus."

The Infectious Diseases team can't stress enough the importance of social distancing at this time, including while eating lunch when you can't wear a protective mask.

Wearing your mask is also vital to your safety, and especially so when you are unable to be 6-feet from one another.

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness.

According to the CDC, symptoms may appear 2-14 days after exposure to the virus. People with these symptoms or combinations of symptoms may have COVID-19:

  • Cough
  • Shortness of breath or difficulty breathing

    Or at least two of these symptoms:
  • Fever
  • Chills
  • Repeated shaking with chills
  • Muscle pain
  • Headache
  • Sore throat
  • New loss of taste or smell
Remember, the same dangers we faced a couple of months ago remain and we thought it would be important at this time to offer a refresher course on how to protect each other.
  • Wear a surgical mask or cloth face covering (depending on your role) at all times while working, unless you are alone in an enclosed area or during lunch.  While eating, please practice social distancing and remain at least 6-feet apart. No one should be sitting at a table with one another without a mask and EVERYONE needs to be at least 6-feet apart.
  • Wash your hands thoroughly and often as needed.
  • Never touch your face.
  • Conduct frequent disinfecting of your work areas as we previously demonstrated in this video.
  • Stay home from work if you do not feel well. “I can't say this enough, 'Stay home from work if you do not feel well.  Stay home from work if you do not feel well ...,'" Dr. Whitworth added.
  • Review current COVID-19 symptoms from CDC.
  • If you are asked to self-monitor by Occupational Health, please follow their recommendations and guidelines.
  • Participate in the temperature screening checks before every work shift prior to entering any of our locations.
  • Continue following our social media policies and do not post about Cook Children's policies and procedures on your personal pages. You are always welcome to share anything you see on the official Cook Children's pages on your own social media channels.

It will take all of us working together to successfully manage through this situation. As restrictions are lifted across the state for business operations, we will need to be ever diligent in following the recommendations above.

Our highest priorities remain your safety and well-being, and fulfilling Our Promise to our patients and families.

Please visit this website for more helpful information.

PPE Infographic Reminder: What PPE to wear and when is here .

Other PPE information, videos, FAQs, etc. can be found here.

#backtothebasics

 

Special thanks to the team at Cook Children's Pediatrics Keller for these photos!


 


 

Important Recommendations For All Staff (May 2, 2020)

  • Stay home from work if you do not feel well.
  • Review current COVID-19 symptoms from CDC (ex. cough, fever, shortness of breath).
  • If you are asked to self-monitor by Occupational Health, please follow their recommendations and guidelines.
  • Participate in the temperature screening checks before every work shift prior to entering any of our locations.
  • Wear a surgical mask or cloth face covering (depending on your role) at all times if you are within 6-feet of a patient, patient family or co-worker. The only time the mask is safe to take off is when you are alone in an enclosed area.
  • Conduct frequent disinfecting of your work areas as we previously demonstrated in this video.
  • Continue following our social media policies and do not post about Cook Children's policies and procedures on your personal pages. You are always welcome to share anything you see on the official Cook Children's pages on your own social media channels.

As we have said from the beginning of this pandemic, information is ever evolving and changing, and we pledge to keep you informed. 

It will take all of us working together to successfully manage through this situation. As restrictions are lifted across the state for business operations, we will need to be ever diligent in following the recommendations above.

Our highest priorities remain your safety and well-being, and fulfilling Our Promise to our patients and families.

As always, write to us with any questions.

Thank you for your dedication, commitment and service to Cook Children's.


 

​***New message for our patient families that was shared on all of our social channels***

May 1, 2020

During the COVID-19 pandemic, Cook Children's remains dedicated to the well-being of our patients, families and staff. After careful consideration, we're accepting all in-person visits to our primary care offices, specialty care clinics and surgery centers.

To ease any concerns families might have, we're taking great precautions to create the safest environment possible. A few of these important safeguards include:

  • Everyone who enters a Cook Children's facility, including ...physicians and staff will be screened for fever and symptoms of respiratory infection, such as cough, shortness of breath or sore throat.
  • Any patient or parent who fails the screening will be evaluated further and may need to be rescheduled.
  • Everyone in the building, including parents and patients over the age of 2 will be asked to wear a cloth mask, bandana or scarf at all times. Please bring a facial covering for you and your child.
  • Only one parent/guardian can accompany the patient. Siblings will not be able to attend unless they have an appointment, as well.
  • Well child visits are scheduled during designated hours and always prior to any sick patient appointments.

For more safety guidelines and appointment information, we encourage you to visit https://bit.ly/2YoDPt3.

​COVID-19 Update*

April 28, 2020

  • Opening Texas businesses​
  • Keep wearing your masks
  • CLZ offers employee support
  • Well-being webinar
  • Jeans Day extended
  • ​Spring employee appreciation events postponed
  • Heroes among us
  • Free offering of Wellbeats available through May
  • In case you missed it: Mr. Merrill's video update from April 23

The most recent information available regarding Cook Children's response to COVID-19 is below.

Opening Texas businesses: We are working through all of the formal guidance that Governor Abbott shared yesterday to open up Texas businesses in phases. We will provide updates as decisions are finalized. At this time, we are continuing with our current visitation policy and encouraging everyone to wear masks.

The mask guidelines we previously shared on who should wear a mask are UNCHANGED and are here. Remember:

  • Direct patient caregivers and those who interact with a patient's environment = wear surgical masks.
  • Non-patient facing = wear cloth face coverings.
CLZ offers employee support: Remember there is a place for you to de-stress during this time. The Child Life Zone offers a host of activities for all employees each weekday from 2:30-5 p.m. Learn more here.

#weseeyoursmiles

New well-being webinar: An employee webinar titled “Emotional Well-being in Times of Uncertainty" will be offered at 11:30 a.m. on Wednesday, April 29. Find the details here on CookNet and attached.
“See the Good in All Things": Patient Paisley, 10, reminds us to enjoy our favorite things with her painting “Happy Thoughts." Paisley was treated for kidney failure, and she loves crafts, arts, and funny jokes.


 

Jeans Day extended through May 25: Leadership has graciously agreed to support us continuing to wear jeans each day through Memorial Day, May 25. (Same guidelines apply as Jeans Friday; visit with your manager if you are unsure if your area's dress code permits jeans.)

Spring employee appreciation events postponed: In case you missed the mention in Mr. Merrill's video message on Thursday, with social distancing practices in place and for your safety, our employee events have been postponed until it is safe for us to gather in person again. We'll be in touch with updates about future events and plans as soon as we can.

Spring has sprung: It's the time of the year to enjoy the beauty of Texas wildflowers. This painting, titled “The Bluebonnet Field," was created by one of our patients Reagan, age 7.


 
Heroes all around us: On #NationalSuperheroDay, we celebrate the heroes who walk the halls of Cook Children's: doctors, nurses, surgeons, specialists, therapists, all healthcare workers and the patients who inspire us.

 

Read this heartwarming article. This superhero illustration was created by the talented Dr. Kara Starnes.

And the 'Wellbeats' go on: We are excited to announce that the free access to Wellbeats has been extended through May 31! Please know that in order to take advantage of this free offer, you will need to re-register with your Cook Children's email using the new invitation code - b9552350 - starting Friday, May 1.

In case you missed it: Our President & and CEO Rick W. Merrill made a very important and special announcement that impacts everyone who works at Cook Children's. If you haven't heard the news, please watch his 6 minute, 42 second message here, or read the transcription here.

*All information is subject to change.

Lend a helping hand. Think outside the box. Be kind.

Be flexible with redeployment assignments. Take a walk outside.

Wipe down your workspaces. Wear your mask. Practice patience.​

COVID-19 Update

April 24, 2020

·        Video update with Mr. Merrill

·        Supporting you during this crisis and beyond

·        Camp Cook announcement

·        Spotlight on one of our Guiding Principles

·        Nominate a COVID-19 Peak Performer today!

·        Giving back

·        Grieving is okay; practicing positivity, hope and gratitude during COVID-19

·        Telemedicine news

·        “Laughter is the best medicine.”

 

Top 10

The most recent information available regarding Cook Children's response to COVID-19 is below:

1. April 23, 2020 video message from our President and CEO: Rick W. Merrill made a very important and special announcement that impacts everyone who works at Cook Children’s. If you haven’t heard the news, please watch his 6 minute, 42 second message here, or read the transcription herePlease tell us what you think!

2.  What worries you most right now? A recent poll conducted on CookNet asked that question. Most of us are concerned about the uncertainty of when life will return to “normal.” Others chose financial challenges, keeping myself and my family healthy and finding ways to battle stress, anxiety and the blues.

All nine of the options given in the poll received a vote among more than 1,425 employees participating, with at least two employees saying all of the above.

You may remember hearing about EAP during orientation. You may have even used some of the services available to you. But do you know everything available to support you? Find out as we go in-depth into our Employee Assistance Program.

3. Camp Cook announcement: Camp Cook’s hours of operation have been extended through May 15! In case you missed the video about Camp Cook, it is here.


4. How we prepared for our second COVID-19 Guiding Principle: 
In this short video, Chief Operating Officer Stan Davis discusses the preparations and considerations Cook Children’s took around our Guiding Principle of “No patient encounter without appropriate PPE.” Please watch for insight into this process and recognition of departments actively helping to source, preserve and protect our PPE supply.

5. Who’s performing at their ‘Peak” during COVID-19? So many of our employees have shined during this unique and often-stressful time. Everywhere we go we find employees who are going above and beyond in quality, safety and service. If you know just the right person to recognize as a PEAK PERFORMER, nominations are due by April 30Please nominate a co-worker or peer today!

6. You are drawn to helping others: This week’s Blood Drive was a huge success. Through the 61 units of blood (whole blood and double red cells combined), there’s the potential to help 167 people in our community! Given the limited number of spots during this drive, our employees’ selflessness exceeded Carter BloodCare’s goal of 40 units. This is a shining and humbling example of how Cook Children’s continues to step up when others are in need. Thank you to everyone that donated!

While the next on-campus drive is currently scheduled for mid-July, you are encouraged to contact your nearest Carter BloodCare to donate if you are motivated to do so before this drive.

7. Giving back: It’s important to remember that we aren’t alone right now. As evidence that our community has our back, a Krum,Texas construction company donated 53,000 face masks to Cook Children’s. Shawn Sloane, the company’s owner, delivered the masks to Cook Children’s Pediatrics South Denton, where her three children are patients. Click to learn more.

​8. Finding the silver lining in a crisis: Ashley Pagenkopf, a Child Life Specialist in our Emergency Department, tells us how you can help your kids deal with the loss of normalcy during COVID-19. Positivity, hope and gratitude are great things to remember and practice, but most of us need to know that grieving is okay, too. https://www.checkupnewsroom.com/child-life-specialist-offers-guidance-on-how-to-cope-with-grief/

9. Doctors getting creative to ease anxieties and fears: You’ve got to hand it to our doctors, nurses and other health care providers. They never forget we are a children’s hospital first. Take a look at how a couple of our neurologists are keeping things fun during their telemedicine visits. Warren Marks, M.D. (right top) and Scott Perry, M.D. (right below) provide their patients with scenery behind them and costumes to match. Dr. Perry knows that life is a beach and Dr. Marks is on safari. (Looks like there’s more than one Tiger King in Fort Worth right now!) Let us know what you’re doing to entertain your patientere.

And while the above post is fun, it’s a good reminder of how many of our doctors are using virtual visits right now. To provide some idea of how fast things are changing, Cook Children’s completed 316 visits via telemedicine in February, 2020, but by March that number increased to 2,794. Today? Cook Children’s doctors and nurses are on track to complete approximately 10,000 telemedicine visits in April. Click to read more.


10. What’s all this funny business? Most of the time patients and parents will find it difficult to smile while facing down a medical diagnosis. That’s where the Laughter League’s medical clowns come in, equipped with a slew of gags, jokes and energy to be a bright spot in their day. So, while the current COVID-19 pandemic has prevented our medical clowns from making in-room visits, they are still making 'house calls,' meaning they are using Zoom from their own homes to reach patients virtually. Read more about the Laughter League as recently featured by KERA's Art and Seek.

 

*All information is subject to change.


COVID-19 Video Update with

Rick W. Merrill, President & CEO

Click here to watch the video or to​ read the transcript of the remarks.​​

Video length: 6 minutes, 42 seconds

​Topics: compensation, redeployment, elective surgeries, employee well-being, ​spring events, supporting one another and more

Filmed: April 23, 2020​


COVID-19 Updates​​

To keep you informed on the most recent communications and information available regarding Cook Children's response to the COVID-19 situation, we have created this resource page. The mos​t recent items will be located at the top of this page, and links to various external resources (CDC, local health departments, etc.) are at the bottom.



 

COVID-19 Update

April 17, 2020

  • DFW Ovation
  • Support is a click or call away
  • The Peak
  • Observations from Dr. Suzanne Whitworth
  • New handout & FAQs from Occ. Health
  • Celebrating redeployed teams
  • By the numbers

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 8

1.  A “parade" like no other! Thank you to everyone who joined us for the DFW Ovation last evening on campus. Mayor Betsy Price and other city leaders came together to show appreciation for frontline workers. We are grateful to the Child Life and Carpe teams for making all of the fabulous heartfelt signs with just a little bit of notice. As always, you made us shine! To the Security team who helped with traffic control, the Facilities Appearance crew who hung signs and helped with logistics, the Foundation for donating the clappers, the Teddy Bear Transport team, Peaks, and ALL OF YOU for turning out, we say THANK YOU for standing with us! We are thankful for your faithful commitment and service to our patients, families and this community! There's no place like Cook Children's! #WeAreCookChildrens.

Watch a short video on the event here.

2. Support is a call or click away: We know this is a stressful time for everyone. It is ALWAYS okay to ask for help, or reach out to someone if you are struggling or just need someone to talk to. There are a variety of employee assistance and well-being resources available to you. These services are 100% confidential. No one will know or share why you called or reached out. Learn more below

Lean on Us

Employee Assistance Program (EAP) & work life resources which includes talk therapy and much more.

https://www.eapwl.com       

  • Access services 24/7/365
  • Toll-free hotline: 1-866-219-1232
  • When you login online, the username and password are both cook (both lowercase).

3. The Peak: Experts predict the COVID-19 peak may be near, but now is not the time to relax. Learn when the peak is expected via Checkup Newsroom.

4.  Observations from Suzanne Whitworth, MD, Medical Director, Infectious Diseases: COVID-19 infection has been horrific in adult populations who have not had time to institute social distancing such as in China, Italy and New York state.  Now that we have had some time with social distancing, things seem to be slowing down as far as hospital admissions. As opposed to adult disease numbers, children's hospitals nationally have had a very small number of admissions for COVID-19 disease.  For example, here at CCHCS, we have had one positive test so far in a patient that was discharged home after a few days. No other tests have been positive in any of our patients, even though we have tested more than 150 patients. There is no evidence that any caregiver in our hospital has been infected by any patient here. We have also been able to get some information from other children's hospitals. In a Listserv I reviewed this week, various children's hospitals in Tennessee, Pennsylvania, Florida, California, and Kansas report that they, too, have had no instances of transmission of COVID-19 infection to any staff members. Fortunately for us, pediatric infections are less common than adults and staff in pediatric hospitals are at low risk to become infected from a work-related exposure." 

 

5. New handout! Find updated guidance from the CDC regarding groups at high risk for severe illness with COVID-19 and occupational health guidance regarding high-risk workers here.

 

6. FAQs around COVID-19 exposures outside of work

Q: My spouse just found out he is positive for COVID-19 and we were both home all week not social distancing. Should I still come to work?

A: This is considered a high exposure. You should NOT come to work. You will need to be off work for 14 days AFTER the last time you were exposed to him or until COVID-19 is completely ruled out in your household. You will be required to self-monitor your temperature twice a day for two weeks. Once he quarantines in a separate room, you can start that as day 0. Please notify your manager and Occupational Health for guidance on when you can return to work. You will need to use PTO during this time.

Q: My college-aged son went on a trip and several of his friends are now positive for COVID-19. He's been home the last week as all of his classes have moved online and his college campus is closed. We have not been social distancing, have been eating all of our meals together and not wearing masks. Can I still come to work?

A: This is considered a medium exposure. If you (the employee) do NOT have any symptoms and your son does NOT have any symptoms, you can still come to work. You should both self-monitor your temperature twice a day for 14 days. You do not need to call Occupational Health unless one of you becomes ill or symptomatic.

Q: My daughter has had an exposure to COVID-19 and is waiting for her test results. She lives with me and we have not been social distancing. Should I still come to work at Cook Children's?

A: If you, the employee, do not have any symptoms and your daughter does not have any symptoms, then you SHOULD come to work. You will need to self-monitor your temperature twice a day for 14 days, monitor for symptoms, and wear a mask the entire time you are at work. If your daughter tests positive for COVID-19, then you would need to be off work for 14 days using PTO. Learn more here.

7.  Whatever it takes! That seems to be the motto so many of you have followed throughout our current public health crisis. That can-do spirit is certainly seen among our employees who have been redeployed. We have filled more than 1,000 shifts since the start of redeployment. We are so grateful to everyone who has taken on a new role and found a way to help. 

We took a walk around the medical center yesterday and found a few great examples.

~Rita Casarez, RN (above): Redeployed to main entrance screener from Surgical Services Pre-Anesthesia.

 

~Janet Nolan (left), Medical Assistant: Redeployed to Pruitt entrance screener from Flower Mound PC.

 



~Kimberly Ezell (far right) and Angela Tuley (standing next to Kimberly): Now redirecting traffic and cleaning outdoor handrails, when they were normally valeting 1,000 vehicles each day!
 

We want to say thank you to you all. It is your incredible generosity and hard work that will help us make it through this difficult time together.

 

8.  COVID-19 numbers* at Cook Children's

10,000 Telemedicine visits

2,432 Employees working from home

1,000 Redeployed shifts filled

690 Questions to “COVID-19" email

30 Children at Camp Cook each day

 

*These are just a few approximate numbers that change by the hour and minute. Do you have an interesting fast fact or COVID-19 stat you would like to share? Please email it here.


 

COVID-19 Update

April 15, 2020

​Top 5

  • Additional mask and cloth face covering details
  • COVID-19 spring cleaning
  • Stitch-a-Wish volunteer in the making
  • Taking care of you!
  • Be social with Checkup Newsroom

 

The most recent information available regarding Cook Children's response to COVID-19 is below.

 

1.  Additional mask and cloth face covering details: On the topic of masks and who should wear what type and when, here's an easy guide:

  • Direct patient caregivers and those who interact with a patient's environment = wear surgical mask.
  • Non-patient facing = wear cloth face covering.

Please take a moment to review the latest mask guidelines previously shared, which are still current. ​

  • ALL distribution of cloth masks to inpatient families and guardians should happen at the unit level.
  • NOTE: Cloth masks should NOT be used by patients.
  • Since we are not washing any cloth masks at the Cook Children's, the nursing units can issue additional cloth masks to families here for extended stays.
  • If you are in need of a cloth mask for your unit's patient families, please contact your manager or director to make that request.
  • You are responsible for keeping track of and cleaning your own cloth mask, as we are not providing replacement cloth masks at this time to employees.
  • In the event you arrive at work WITHOUT the cloth mask you were previously given, ask your manager or director for a surgical mask to wear for the day.
  • Finally, remember, if you are alone in an office and 6-feet away from others, you are NOT required to wear a mask. However, if you are in common spaces (break rooms, open areas by the staircase in ROB, Camelot Court, walking the hallways, etc.), you should wear a mask at all times.

​2.  COVID-19 Spring cleaning: In this short video, AVP Nick Markham addresses the guiding principle to have “zero transmission to our staff of COVID-19 from a patient or caregiver." Watch as he explains the steps you can take to clean and sanitize the areas you most commonly come into contact with while at your workstation. This is an essential way to do our part to protect ourselves and each other.

3.  Stitch-a-Wish volunteer in the making: When your “home away from home" is in need, you do your best to offer a helping hand. More specifically, in the case of 8-year-old Evelyn and her mother Erin Newton, they made 100 specially-sewn cloth masks for Cook Children's. Evelyn's baby twin brothers spent 8 months and 3 months, respectively, in our NICU and our TCU/RCU unit; so the Newtons have seen firsthand the amazing impact Cook Children's employees can have on a family. The connection to our Medical Center and staff was the thread that bound Evelyn and Erin to this project. Erin said, “While Evelyn has helped me pick fabric and such in the past, this was her first time to really try her hand at sewing. And I truly think it is because she knew it was going directly to those that we consider our 'second family.'" On behalf of our staff, we say, “Thank you, Evelyn, for having such a big, genuine heart for Cook Children's."

4.  Taking care of you! Feeling stressed during COVID-19? Watch this short video  with Cook Children's psychologist Whitney Appleby, Ph.D., on deep breathing skills. This message was created with kids and families in mind, but it is pretty handy for us all. 

5.  Be social with Checkup Newsroom: You already know that Checkup Newsroom is the place to hear from our experts on the latest topics, such as COVID-19, and how Cook Children's is helping address them. But did you know that Checkup Newsroom now has its own dedicated Facebook page to reach as many people as possible in a new way? Simply search “Checkup Newsroom" on Facebook, and 'like' our page to get connected to this content. Please remember that social media use should only be done on your personal device, like your smart phone, when you are not working.

 

Wear a mask. Never touch your face. Wipe down workspaces.

Keep washing your hands. Practice patience.

Offer an encouraging word. Thank a co-worker. Be kind.

Write us with questions.


 

Mask Guidance from Dr. Suzanne Whitworth, Medical Director of Infectious Diseases (April 14, 2020)

Like many other pediatric health care systems, Cook Children's has recently instituted universal face covering. 

“We have been discussing this as more and more cases of COVID-19 infection have occurred nationally and locally," said Suzanne Whitworth, M.D., medical director of Infectious Diseases at Cook Children's.  “This has been recommended by the CDC.  We know that most pediatric infections are mild but adults are at much higher risk for serious infection.  We are wearing masks to protect others who are around us but also to protect ourselves."

Speaking at last week's virtual town hall, Dr. Whitworth added, “There has been a great deal of data showing that asymptomatic individuals can transmit infection.  It is thought that asymptomatic infection is transmitted as infected individuals exhale or speak and emit microscopic particles. These are shown to fall to the ground within a few feet of the individual who is speaking.  If those microscopic particles contain corona virus and land in someone's nose, mouth, or eyes, those individuals can become infected.  Because of this everyone is asked to wear a mask at work and continue to stay 6 feet away from each other."

Those who are not exposed to patients or their families are asked to wear cloth masks while at work.  Those who are involved in patient care and are around patients and families are asked to wear a surgical mask while at work.

​“The surgical mask protects the person wearing the mask," Dr. Whitworth said.  “The hole size in these masks are designed to keep out viral particles.  This is not the case with cloth masks that will let in much larger particles.  When you are around a patient or a family member who may be infected, you need added protection and this is done through the surgical mask.  It also protects those around you because it also traps the moisture you exhale and particles that you spit.  These are the masks that we must preserve for those who are taking care of patient's and or exposed to them and their families."

To sum up there are two types of masks:  Cloth masks that you wear to protect those around you and surgical masks that you wear to protect yourself. 

“Remember, our goal at the end of all of this is to look at each other and say, 'Nothing happened.'  And some will say all of our precautions were a waste of time," Dr. Whitworth said.  But look at Italy and New York state. They were overwhelmed with cases before they knew it and before they could begin social distancing. They have a shortage of health care workers who are ill with the infection.  Their hospitals overflowed, literally.  They are out of funeral home and morgue space.  We do not want to take that risk.  Social distancing appears to be working based on forecasts for Texas. “


Additional guidance on revised Visitor Policy (April 14, 2020)

  • ​​When swapping out caregivers for visitation, the process will happen outside of the Medical Center. For example, dad shows up at screening desk to see his child. He will be asked “Are you switching with another parent?" If so, he will be asked to call the other parent to come down and meet him outside of the hospital screening entrance. 
  • ALL requests for exceptions must go through the Command Center. The decision cannot be made at the unit level. Exceptions will be very rare.
  • If there is an exception, please communicate with the Information Desks so the screeners know the name of the patient.
  • Some patients will arrive from a long distance away. A Social Worker may be utilized to facilitate finding a hotel for the extra parent. We will continue to abide by the law to only have one (1) caregiver at a time. If possible, it would be helpful to reach out to scheduled admissions in advance to inform them of the visitation policy.​

COVID-19 Update*

April 14, 2020

  • Additional guidance on the updated Visitor Policy
  • Updated information from Occupational Health
  • Helpful letter for “essential employees"
  • Spread the love on our wall of encouragement
  • Support resources for employees
  • In case you missed it: Virtual COVID-19 update video with Mr. Merrill

The most recent information available regarding Cook Children's response to COVID-19 is below.

Everyone at Cook Children's wants to stay safe and keep our patients, families and each other safe, even our very own Peaks the Dragon.

Top 6

1.     More helpful guidance on our updated Visitor Policy: Thank you for your flexibility and assistance with helping us comply with the new state-mandated visitor policy.  Here are a few additional points of clarification:

  • When swapping out caregivers for visitation, the process will happen outside of the Medical Center. For example, dad shows up at the screening desk to see his child. He will be asked, “Are you switching with another parent?" If so, he will be asked to call the other parent to come down and meet him outside of the hospital screening entrance. 

  • ALL requests for exceptions must go through the Command Center (ext. 51791). This decision cannot be made at the unit level. Exceptions will be very rare.

  • If there is an exception, please communicate with the information desks so the screeners know the name of the patient. Some patients will arrive from a long distance away. A social worker may be utilized to facilitate finding a hotel for the extra parent. We will continue to abide by the law to only have one (1) caregiver at a time. If possible, it would be helpful to reach out to scheduled admissions in advance to inform them of the visitation policy.

2. Occupational Health leaders have additional guidance on work restrictions related to COVID-19. The guidelines are here.

3. Need a note to show you are an “essential employee"? Here is a note for you to print and keep with you or in your car in case you are detained by authorities and need to present documentation.

4. Spread the love: Knowing you have the support from everyone at Cook Children's can help you survive times like these. The exterior walls of the Child Life Zone have been transformed into a beautiful mural of encouragement featuring heartfelt words from staff to each other. Watch this short video and stop by the Child Life Zone to add your own notes of encouragement.

5. Coping with the burdens of COVID-19: As much as we prepared for a pandemic like this, probably none of us was anticipating the emotional toll of COVID-19. For many people across the globe and right here in DFW, COVID-19 has caused heartache, worry and anguish. Please remember that you have many resources available to help you manage any stress and anxiety you may be facing. We want you to know you are not alone, and Cook Children's is here to support you through our Employee Assistance Program (EAP). EAP can be reached at 1-866-219-1232 or online at EAP and Work Life Resources. A few other links you may find helpful:

Coping with Stress Tips from the CDC

Mental Health and Coping During COVID-19

Coronavirus & Mental Health: Taking Care of Ourselves During Infectious Disease Outbreaks

Parent/Caregiver Guide to Helping Families Cope with COVID-19

Speaking of Psychology: Coronavirus Anxiety

Lean on Us internal resources

6. In case you missed it, please take the time to watch the latest COVID-19 Update video with our President & CEO Rick W. Merrill and our leadership team. Guiding Principles are here.


 

Wear a mask. Never touch your face. Wipe down workspaces.

Keep washing your hands. Practice patience.

Offer an encouraging word. Thank a co-worker. Be kind.

Write us with questions.

Highlights of new visitation policy (April 13, 2020)

From the beginning in this pandemic, Cook Children's has recognized the need to decrease the amount of people on campus. Even with eligible employees working from home, we still needed to reduce traffic to our locations in hopes of flattening the curve on COVID-19. Learn what we are doing here.

The difficult decision was made on March 13 to limit the number of family members down to two per patient. However, the Texas Department of Health and Human Services changed the Texas Administrative Code, stating we must now limit family presence to one per child. This policy went into effect this morning (April 13).

“As a parent of two school-aged children, I know this is very difficult," Chief Nursing Officer Cheryl Petersen said.  “It breaks my heart to have to share this, but it is a rule that we must follow. It will be very important for you, our staff, to provide that support and empathetic care to our patients and families and work together to support on another."

The new policy will allow for a single visitor, and caregivers will have the option to switch out who is with their child throughout the day/night. Exceptions to this rule are emergency situations, visits to the emergency department and end-of-life situations, which will be evaluated on a case-by-case basis.

“This rule will cease at some point, and we will be told when that is to go back to our routine visitation," Petersen said. “We hope that will be sooner rather than later with all of the guidance we've had for social distancing and minimizing contact."

The safety of patients, families and employees will always be the top priority, and this new policy will help stop the spread of COVID-19.

In case you missed it, Cheryl's complete message which is part of the 27-minute video on CCHCS's three COVID-19 Guiding Principles, is here.

COVID-19 Update
April 13, 2020

Top 6

  1. Highlights of updated visitation policy
  2. Clinical Q&A video
  3. Home Health makes face shields
  4. Testing Numbers
  5. MyAccess/VPN & Zoom how-to
  6. In case you missed it: Virtual “Town Hall Meeting" on the Guiding Principles for COVID-19

The most recent information available regarding Cook Children's response to COVID-19 is below.

1. Highlights of new visitation policy​See Cheryl Petersen's message above.

2. Clinical Q&A video: Take a few minutes to watch this COVID-19 Clinical Q&A video with Cheryl Petersen, CNO, Stan Davis, COO and others. Learn what's on the minds of nurses and RTs in this 29-minute video.

3. Home Health makes face shields: Watch this great story featuring the Home Health team and redeployed employees making face shields for Cook Children's frontline caregivers.

4.  All things testing: As Mr. Merrill shared in Friday's update video, we will start sharing testing numbers with you each day.

5. Need help working from home? With so many of our employees having to work from home during this time, our IS team has developed ​straightforward instructions to help. Determine if you need to use VPN or MyAccess with this guide and how-to instructions.

How about Zoom? So far, Zoom has been an extremely useful tool for us to stay connected and is an ideal alternative to meeting in person. Fortunately, our existing agreement with Zoom means that this service is committed to HIPAA best practices, which is essential for telemedicine. This means that our patients, physicians and clinical staff can have confiden​ce that proper privacy measures are in place. Take a moment to review this how-to resource for using Zoom with your Cook Children's credentials for telemedicine.

6.   COVID-19 Update video: In case you missed it, please find some time to watch this COVID-19 Update video with our President & CEO Rick W. Merrill and our leadership team (31-minutes long including the “Rise Up" music video) as they discuss the Guiding Principles for COVID-19. Flyer to print and post is here.

Wear a mask. Never touch your face. Wipe down workspaces.

Keep washing your hands. Practice patience.

Offer an encouraging word. Thank a co-worker. Be kind.

Write us with questions.​


 

​​COVID-19 Update*

April 10, 2020, afternoon update

Top 6

1.     Virtual Town Hall including “Rise Up” video featuring employees

2.     Updated Visitor Policy

3.     Encryption Reminder

4.     Help prevent the ‘Easter +5’

5.     Heroes wear masks

6.     Cloth mask guidelines for you

The most recent information available regarding Cook Children's response to COVID-19 is below.

1.  Virtual Town Hall highlights our Guiding Principles through COVID-19In a new 26-minute Virtual Town Hall, President and CEO Rick Merrill and members of leadership explain how we will use three guiding principles to navigate through this crisis. Watch it now.


In addition, you will definitely want to watch 
a special music video from our Child Life Zone for “Rise Up”, featuring Cook Children’s employees as we adapt and work through COVID-19.

Cleaning policies referenced in the video include:

1.     IC-110 – System Infection Control Cleaning and Disinfection

2.     IN-07 – Medical Center Discharge and Cleaning of Patient Rooms

3.     DR-839 – CCPN Cleaning Standards

2.  IMPORTANT Visitor policy updateIn accordance with the ‘Emergency Rule for Hospital Respo​nse to COVID-19’ issued by the Texas Health and Human Services Commission, Cook Children’s is enacting a new limited-visitation policy for the Medical Center. Starting Monday, April 13 at 5 a.m., only one caregiver will be allowed per patient inside the Medical Center. The only exceptions to this policy will be in end-of-life situations and visits to the ED. This new policy is mandatory as directed by the State of Texas, in response to the state of disaster declared in Texas and the United State of America relating to COVID-19. The full press release with complete details is available here.

3.  Encryption reminder: Always use the "Send Securely" button when sending PHI, confidential, or sensitive information to an outside email recipient. If you don't have that button on the computer while working remotely, you should add the words "secure" or "confidential" to the subject line of the email or add the text "SecureCook Encrypted Message" to the body of your email. Read more information encryption and information security.

4.  Easter +5: Why officials are warning families to stay home this holiday weekend: Over the past month, North Texans have worked together to prevent the spread of COVID-19. Still, with Easter weekend approaching, public health officials are concerned about a potential spike in infection transmission after the holiday, recently deemed Easter +5. Easter +5 may occur five to seven days after the holiday due to traditions of family gatherings, travel and large Easter egg hunts. Read more about how you can help prevent this spike and share this information with your family and friends.

5.  Who is that masked hero? In comics, the heroes often wear a mask to protect their identity. At the recommendation of the Center for Disease Control (CDC), now it’s time for us all to put on a mask. We aren’t just protecting ourselves, but our family and friends. As the sight of more and more people donning masks becomes the norm, some young children might be anxious or even scared about seeing this. Medical Director for Cook Children’s Urgent Care Kara Starnes, D.O., wanted to do something to make it a little less scary and more relatable for children. Read more at Checkup Newsroom.

6.  Cloth mask guidelines for you: The purpose of cloth masks is to protect others from small droplets you create when you speak, cough or sneeze. They are meant to protect you, your co-workers, and your loved ones at home. Read these recommendations from the CDC and Cook Children’s administration on how to use and clean your cloth mask. Talk to your supervisor if you have any questions.

Wear a mask. Never touch your face. Take a few deep breaths.

Wipe down workspaces. Check on a loved one.

Keep washing your hands. Practice patience.

Enjoy some quiet time with family. Be kind.



 
Clinical Q&A 
April 9, 2020​

New video! Clinical Q&A on COVID-19*

*Intended for Cook Children’s internal audiences only. Please do not share on your social media channels.​

This Clinical ​Q&A video features several of our nurses and one of our RTs. We hope it answers some questions for you. (It is just under 30 minutes.)

Please continue to write to us with your questions here, and stay in touch with your managers and directors.


 

PPE Update
Apr​il 8, 2020

 

Q: Are we reusing N95 masks in patient care areas?

A: Yes, one mask per shift.


Q: Why?

A: We have a limited number of masks and with the expected peak at least two weeks away, we must be judicious with our use.

We want you to be safe, and we want you to have enough PPE to get us through this crisis. Please know we are following all CDC guidelines.

We do require that you change out your surgical mask in the high-risk areas, and please cover your N95 to keep it clean.


Q: What about surgical masks? How many can I have per day?

A:  We are providing you with one surgical mask per day. If you go into a respiratory isolation room, discard after each use and a get a clean one to wear in common areas. In addition, if the mask becomes soiled, broken or compromised, please replace it with a new surgical mask as you normally would.


 

Q: What about cloth masks? I have a super cute one my mom made? Can I wear this?

A: Please do not wear a cloth mask in patient care areas.

We talked with our experts, and after visiting with Dr. Suzanne Whitworth, Medical Director, Infectious Diseases, we have a few helpful steps for extending the use of an N95 mask.

Q: What’s the best way to keep my N95 mask clean and the best ways to protect myself?

A: To put on your N95 mask:

Step 1: Perform hand hygiene.

Step 2: Put on new N95 mask.

Step 3: Cover N95 with a surgical mask when seeing a patient and keep your N95 mask completely covered with the surgical mask. This way, it remains protected, and you stay safe because your N95 mask stays clean.  After each patient contact, carefully doff the surgical mask and leave the N95 clean. 

 

When you need to take off your N95 in between patients, for a break, or at the end of your shift:

Step 1: Take off your outer surgical mask.

Step 2: Discard surgical mask.

Step 3: Wash hands or hand gel.

Step 4: Take off clean N95.

Step 5: Put N95 in a brown paper bag.

Step 6: Seal it.

Step 7:  At the end of your day or shift, throw away the N95 mask. 

 

This way, your N95 mask remains uncontaminated, and the integrity of the N95 remains intact and you stay safe and protected.

*In our COVID-19 designated areas and patients in isolation, please change out your surgical mask in between every patient.

**For every patient encounter, continue to practice safe handwashing in between every patient.


 

Approved by Cook Children’s Medical Director, Infectious Diseases, April​ 8, 2020 

 


 

COVID-19 Update*

April 7, 2020

Top 5 

·       Launder your own cloth face covering each day at home please

·       PPE re-use clarification

·       Backup childcare for emergencies only while you are working

·       Notes for daycare centers and authorities

·       Help the Lab by limiting calls to request test results

The most recent information available regarding Cook Children's response to COVID-19 is below.

1. Mask and face covering reminder for all staff across the system: If you received a cloth face covering or mask while at work, please wash it after each shift so you can use it again the next day/shift. Also, if you are bringing your own mask from home, please wash it each day at home and change it out when it becomes soiled, compromised or broken. At this time, we do not have enough handmade cloth masks in-house to provide a new one to each employee each day. You can find all things masks and face-coverings here.

Want to make your own cloth face covering? We created a new video on how you can quickly make your own cloth face covering at home. We will share it tomorrow. In the meantime, CDC has produced this handy guide on how to make a mask.

2. Clarification about re-use of PPE: We have revised a message point from an earlier email and it is highlighted in yellow below.

Q: Should we be reusing PPE at this time?

A: At this moment, Cook Children’s is fortunate to have an adequate supply of personal protective equipment (PPE). Thankfully, we began thoughtfully conserving PPE weeks ago while preparing for the possible arrival of COVID-19 in our community. At this time, we are NOT asking Cook Children’s employees to re-use their masks or other types of PPE in any COVID-19 specific units.  However, we are currently reusing surgical masks that are NOT soiled or compromised in any way on other units with patients who are not in isolation. We are also making use of reusable cloth gowns in non-COVID-19 areas. In addition, as of this date, Cook Children’s employees who treat COVID-19 patients should not be wearing homemade masks. 

Q: When I watched the new PPE video I noticed the clinician in the video was ​reusing PPE. Why was that if we are not doing that currently?

A: The above answer applies here, too. In an effort to educate all staff IN ADVANCE OF THE POTENTIAL SURGE OF COVID-19 in DFW, we shared that video for demonstration, instructional and educational purposes.

3. When and how to use our back-up childcare program: The back-up childcare program, including Crisis Care through Bright Horizons, is in place as an emergency option and should only be used when employees need to be at work or working from home and don’t have access to childcare. Learn more here.

4.  Need a note for day care and authorities? If you need to provide a letter to your daycare center that you are employed by an “essential employer,” please send your request to CCEmployeeRelations@cookchildrens.org. Concerned about being stopped by authorities while traveling to/from work? Send a note to this same email to request a note to keep with you. Remember, you can always show your Cook Children’s employee badge if you are stopped or detained during this time.

5.  Practice patience with testing: We understand everyone is anxious for COVID-19 testing results to return. We must ask that you not call the Lab to inquire about the status of results. The Lab team members are working as quickly as they can. COVID-19 results are interfaced with Epic and appear in the patient’s chart as soon as a result is available. As a reminder, if you are not providing care for a potential COVID-19 patient, checking her/his results is a HIPAA violation.  

We want you to know YOU ARE VALUED AND APPRECIATED! Thank you for all that you are doing. We will get through this situation together!


 

COVID-19 Update*

April 6, 2020, evening

 

Top 2

·       Masks for all staff

·       Redeployment update

 

The most recent information available regarding Cook Children's response to COVID-19 is below.

 

1.  Face coverings/mask guidelines for ALL STAFF in the Cook Children's Health Care SystemBelow you will find new information and guidelines* from Infection Prevention & Occupational Health.

As of April 3, 2020, the “CDC recommends ​wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies) especially in areas of significant community-based transmission.”

So, how does this apply to you?

Employees/​providers/physicians who have direct patient interaction with any of our patients or their environment (patient room) should wear a surgical mask at ALL times. This applies to you if you are:

·       Providing any direct patient care.

·       Performing a job function in a patient room for more than 5 minutes, for example:

o   registering a patient;

o   conducting an H&P;

o   cleaning the room of a patient unless you are on the COVID-19 identified units and then you should follow departmental policy for appropriate PPE;

o   delivering a meal into a patient room;

o   performing a test or service on any patient (blood draw, BP check, temperature check, procedure, wound change, sonogram, etc.); and/or

o   providing any other sort of care or service or interacting in any other way with ANY of our patients and their environments.

NOTE: If the mask becomes soiled, broken or compromised, please replace it with a new surgical mask as you normally would.

If you need additional surgical masks for your area, please follow your normal process for ordering supplies via Central Stores.

 

Employees who do NOT have interaction with any of our patients or their environment should wear a cloth face covering​ at all times while you are at a CCHCS location, unless you are in a room/office/work area/cube by yourself and more than 6-feet away from others.

·   Employees/physicians/providers are encouraged to bring their own cloth face covering/mask from home.

·   Remember that all face coverings should be child-friendly and appropriate for children to see and read.

·   If you do not have a face covering or mask, one will be distributed to you later this week.


 

Additional guidance and recommendations from Infection Prevention:

·   For those who wear contact lenses, you may be touching your eyes more often than others and increasing your risk of infection. Please consider changing to full-time use of your eyeglasses instead of contacts.

Thank you.

 

*These guidelines do not change any practice for patients in isolation for transmissions-based precautions.

* In this ever-evolving situation, all information is subject to change.

 

In addition, below is an external message we are sharing on our website and our social media channels:

Parents and Families: As we continue to follow the recommendations from the CDC, if you have an appointment at our Dodson clinic, our urgent care centers, or any of our other clinics or primary care offices, please bring and wear your own cloth face covering from home. Learn how to make your own cloth face covering or mask here. Thank you for helping us keep everyone safe.

FAQs about the cloth face coverings and masks:

Q: What defines a patient's "environment"? 

A: A patient's room.

Q: Does wearing a cloth mask or face covering apply to employees working at Camp Cook?

A: Yes.

Q: Does this apply to everyone across the system even our primary care offices?

A: Yes.

2.  Important redeployment update: During this public health crisis, we asked some employees to move from their usual role and be redeployed elsewhere. Mr. Merrill and our leadership team made the commitment that we would pay employees through the end of April with the understanding that if they were needed in other roles that they would respond as needed.

Since Cook Children’s is a designated “essential workplace,” all employees are needed to work during this pandemic. Therefore, the redeployment list is NOT voluntary. We require everyone to take a role. Employees can’t stay home and not work because they don’t want to redeploy and get paid DHP.

However, if you are on the redeployed list and at home on DHP and are not called for an assignment for that day, you will be paid DHP as long as you are on the list and available to redeploy.  

We’d like to take this opportunity to clarify a few other important items regarding redeployment:

 

·    If you are asked to redeploy because of your reduced schedule, you will be sent an email by the redeployment team (redeployment@cookchildrens.org). We communicate directly via email to the employee, the employee’s supervisor and director, as well as the receiving department’s leadership team. The aim is for weekly assignments to be made by Friday at 3 p.m.

·    However, redeployment happens seven days a week, so please be diligent about checking your phone and email if you are a salaried, exempt employee. Nonexempt employees (those paid hourly) will be contacted by telephone.

·    There have been instances of some employees who have not answered their phones promptly. If you are on the redeployment list and participating in redeployment, you must answer the phone for your assignment.

·    You are responsible for making sure the phone on record is the one you can be contacted at while redeployment is taking place.

·    If you are on the redeployment list and refuse an assignment, you will not be paid during this time.

·    If you are not on the redeployment list and currently at home, your time will be deducted from your available PTO.

·    As redeployed employees, your new assignment on a particular day becomes your job while you are assigned that role. The redeployed job is not overtime or extra time. At this time, there are plenty of people on the redeployment list to be reassigned, which means hourly paid nonexempt employees should not be exceeding their FTE hours.

·    If you are assigned a shift but are sick or need to call in for another reason, please email redeployment@cookchildrens.org and call your assigned supervisor (the number provided at the time of assignment) at least two hours prior to your shift or assignment. Attendance points for redeployment are the same for your regular position.

·    If you have questions about redeployment or your assignment, please email redeployment@cookchildrens.org.

·   Payroll/Kronos instructions are here.​

 

We need your help right now, as every role is essential.

 

Please know that we have many staff members in the redeployment pool, and some are currently without a position for them to fill. This could change, so we appreciate your willingness to help during these unusual circumstances.


Thank you for your commitment to Cook Children’s, and the patients and families who need us.

 

Wear a mask. Never touch your face. Take a few deep breaths.

Wipe down workspaces. Keep washing your handsPractice patience.

Accept all redeployment assignments that come your way. Be kind.


 

Your Wellbeats walkthrough: Physical fitness is just a click or two away

April 6, 2020

Just because you can't visit the Wellness Zone in person during this time, doesn't mean you don't have a great fitness alternative right at your fingertips through Wellbeats! You can​ sign up for free 24/7 virtual fitness classes here. Please use the following guides to help you get set up with Wellbeats and bring fitness home.


 


 

Taking care of you! (April 6, 2020)

Feeling stressed? Watch this short video​ with Cook Children's psychologist Whitney Appleby, Ph.D. on deep breathing skills. This message was created with kids and families in mind, but it is pretty handy for all us.


 

COVID-19 Update*

April 3, 2020, afternoon update

​Top 5

  • Screening update for visitors/guardians
  • PPE FAQs: New questions about PPE
  • #FeelgoodFriday: Video showcasing words of encouragement from employees
  • In this together: A message of unity from area hospitals
  • As we reflect on the week: Pam Foster's reflection for the week

The most recent information available regarding Cook Children's response to COVID-19 is below.

1.     Screening update: The alert we sent yesterday also applies to all visitors/guardians who may be accompanying our patients and are being screened at our entry points. Expanded locations for COVID-19 quarantine zones include:

  • States: California, Connecticut, Louisiana, New Jersey, New York, Washington.

  • Cities: Atlanta, Georgia; Chicago, Illinois; Detroit, Michigan; and Miami, Florida.

This is beyond the current Texas Executive Order,* which may change due to the pandemic crisis.

2.     PPE FAQs:​

Q: Should we be reusing PPE at this time?

A: At this moment, Cook Children's is fortunate to have an adequate supply of personal protective equipment (PPE). Thankfully, we began thoughtfully conserving PPE weeks ago while preparing for the possible arrival of COVID-19 in our community. At this time, we are NOT asking Cook Children's employees to re-use their masks or other types of PPE in any COVID-19 specific units. However, we are making use of reusable cloth gowns in non-COVID-19 areas. In addition, as of this date, Cook Children's employees who treat COVID-19 patients should not be wearing homemade masks.

Q: When I watched the new PPE video I noticed the clinician in the video was reusing PPE. Why was that if we are not doing that currently?

A: The above answer applies here, too. In addition, in an effort to educate all staff IN ADVANCE OF THE potential surge of COVID-19 in DFW, we shared that video for demonstration, instructional and educational purposes.


 

3.     #FeelgoodFriday: Every employee at Cook Children's is essential. Even through the most difficult times, our team members are showing up for their patients, families and each other. ​Employees across Cook Children's share words of encouragement in this video. If you would like to pass along your own words of encouragement, we want to hear from you! Email us a note, photo or video to: COVID19Questions@cookchildrens.org. #WeAreCookChildrens 

4.     In this together: Cook Children's is proud to unite with other North Texas health care systems in the fight against #COVID19. We stand ready. We stand together. #HealthCareHeroes

5.     As we reflect on the week… Unless there is breaking news or conditions change, we will write you again on Monday. With that in mind, we are sharing Sunday's reflection by Pam Foster, director of Pastoral Care, with you today so you have it over the weekend. 


 

Enjoy some downtime. Call an old friend. Take a long walk. Never touch your face. Take a few deep breaths.

Wipe down workspaces. Keep washing your hands. Practice patience. Be kind. Start a new book. Learn a new skill.


 

COVID-19 Update*

April 2, 2020, evening update

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 5 

·     Supply Chain (Central Stores/Materials): 24/7 coverage, new email address, process for requesting PPE

·     New locations announced that require a 14-day quarantine

·     Accessing ULearn away from the Cook Children’s network

·     New PPE badge buddies are here!

·     Working from home news about computer equipment and laptops

The most recent information available regarding Cook Children's response to COVID-19 is below.​

1.   Important 24/7 coverage in Central Stores/MaterialsDuring this time, Supply Chain, commonly known as Central Stores/Materials, is now open 24/7. To contact someone, please use Vocera and ask for “Central Stores.”

 

Throughout our current public health crisis, please help us keep track of all PPE supplies.

 

For approved users of PPE: Please request your supplies through the requisition process, Kanban system or email: SupplyChainInventoryAndDistribution@cookchildrens.orgPlease keep the quantities requested in line with your historical usage.

 

For new requests of PPE if you have not used PPE before: Any new requests of N-95 masks, goggles, gowns or other PPE equipment must first be approved by the Command Center. Once the request is approved, Supply Chain will issue the supplies to the requesting location.

 

On evenings, nights and weekends, please call Inventory and Distribution at ext. 54137 to request the supplies and then visit the Supply Chain area/warehouse/Central Stores to pick up your supplies. You can also contact Inventory and Distribution at Vocera and ask for “Central Stores.”

 

2.  Expanded locations for COVID-19 quarantine zones: Any employee who falls into the expanded quarantine status (see list below) will need to self-quarantine. This is beyond the current Texas Executive Order,* which may change due to the pandemic crisis. Please review the information below.

 

As of March 30, 2020, if you traveled from and visited for more than one day the following places, no matter the mode of transportation, you are required to self-quarantine at your TEXAS home for 14 days from the day you left the area:

o   States: California, Connecticut, Louisiana, New Jersey, New York, Washington.

o   Cities: Atlanta, Georgia; Chicago, Illinois; Detroit, Michigan; and Miami, Florida.

 

The day you left the area is Day 0 and you count forward from there. For example: If you were in Atlanta, Georgia on March 30, and you left Atlanta on March 31 to head to Fort Worth, here is what needs to happen.

 

*You should call and/or email your manager and Occupational Health   and inform them of your situation and the day you left the above area.

Occupational Health will tell you when you can return to work.

*You must provide a temperature log and the return to work form to Occupational Health before you are able to return to work.

 

3.  Continue to “Learn” away from Cook Children’s: Instructions on accessing ULearn via the web when you are away from CCHCS are here and attached.  Use ULearn to stay connected, complete PACE requirements, access essential education material and more.

 

4.  New PPE badge buddy: We now have this infographic available as a badge buddy like your Zero Harm card. Be watching for it to be distributed via your unit.

 

5.  Working from home guidelines from IS: With more employees working from home, we need to clarify that employees should only be taking home their Cook Children’s-issued laptops. All other equipment should be left in your work area (i.e. monitor, docking station, keyboard, printer, mouse, etc.). The goal is to use the equipment left in employees’ cubes to achieve adequate social distancing for onsite staff that cannot work from home. Without that equipment, we cannot do that effectively. Please return any equipment other than your laptop to your work station. If you have any questions, please speak with your supervisor, or call or email the IS Service Desk at servicedesk@cookchildrens.org or (682)885-7999.

 

Never touch your face. Take a few deep breaths. Wipe down workspaces.

Keep washing your hands. Practice patience. Be kind. Be gentle on yourself.


 

COVID-19 Update*

April 1, 2020, evening update

Top 6

The most recent information available regarding Cook Children's response to COVID-19 is below.

1. A letter we received via the USPS addressed to “Cook Children's Nurses" is to the left: The life-saving work provided by our nurses did not go unnoticed. A sixth grader sent this sweet note to the nurses of Cook Children's and we just had to share it.

2. Hats off to our regional specialty clinic staff! We want to take a moment to recognize our incredible, dedicated employees in the Cook Children's regional specialty clinics across Texas. Our staff members in Amarillo, Abilene, Midland, San Angelo, Tyler and Waco have worked diligently to transition patients primarily to virtual care and telemedicine. Thanks to their hard work, patients can keep their appointments even though physicians are no longer traveling to these communities.

“Our staff members are heroes in my book for supporting our physicians and making sure our patients can still receive medical care," said Kari Lipscomb, director of practice operations at Cook Children's. “Not only are our regional clinic staff members dedicated to the communities they serve, but they are a part of these communities. By continuing to provide services to Cook Children's specialty patients, they are truly fulfilling Cook Children's 'Promise.'"

And a big shout out to the Maternal Fetal Medicine practice in Abilene for keeping their clinic open for high-risk pregnancy patients! They are currently seeing up to 30 expectant mothers a day, ensuring these patients are receiving the best possible care despite COVID-19 challenges.

Thank you regional clinic staff for all you do for Cook Children's!


 

3. 411 on Occupational Health: The most updated information on when to self-monitor and/or quarantine and when to return to work are below. These charts include non-work related personal situations as well as work-related exposures and situations.

·       Non-work related COVID-19 exposure chart

·       Work-related exposures and work restrictions guidance

4. Camp Cook brightens the days of its new kiddos: During the COVID-19 global pandemic, Cook Children's is ensuring that all employees have childcare options. The Child Study Center transitioned into "Camp Cook" last month, and is a free-of-charge childcare facility for our employees that operates Monday through Friday from 6:15 a.m. to 7:45 p.m. Camp Cook is operated by Child Study Center staff and Child Life team members. Watch our new video on Camp Cook.

5. Lab request: We understand everyone is anxious for COVID-19 testing results to return. We must ask: Please do not call the Lab to inquire about the status of the result. COVID-19 results are interfaced with Epic and will appear in the patient's chart as soon as a result is available. As a reminder, if you are not providing care for a potential COVID-19 patient, checking her/his results is a HIPAA violation.  

6. Thank you to the Dallas Mavericks! The Dallas Mavericks' season may have come to an abrupt end due to the COVID-19 public health crisis, but that doesn't mean the team stopped giving an assist to its community. On Sunday, the Mavericks donated 2,000 antibacterial hand sanitizer pens to the frontline team in the Cook Children's Emergency Department. “It meant a lot to have the Mavericks think of our Emergency Department team," said Corwin Warmink, M.D., medical director of Emergency Services. “Now more than ever, we all need to be there for one another and this is a great example of that support."​


 


 

COVID-19 Update*
March 31, 2020, evening update

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 5

1. Beards away! Danny Cogdill, a paramedic in the Cook Children's Emergency Department, has had a beard for 10 years… until today. In order to properly wear a N95 respiratory mask during #COVID19, Danny said goodbye to his beloved beard. Watch his before and after video here. #WeAreCookChildrens

2. #HCWshoutouts: Cook Children's doctors were featured on WFAA last night as part of a National Doctors' Day story. Check out these health care worker shout outs and photos.

3. As seen on Twitter from The Notorious EEG (M. Scott Perry, M.D.): “Just because I've had to completely change how I interact with my patients doesn't mean I can't enjoy it still! From now forward, I'm doing telemedicine from the beach!" 

4. Camp Cook FAQs: Still have questions about Camp Cook? We have some new FAQs for you.

5. All things PPE: As we continue to move through our current public health crisis, we must all conserve our PPE and follow the guidelines from Infection Prevention and Occupational Health. The latest resources available are below:

View this infographic on current PPE recommendations for suspected cases of COVID-19. This handy guide is useful for:

​​​

    • Direct patient caregivers who are providing direct patient care.
    • Those carrying out aerosolized procedures.
    • EVS staff entering the room of a patient with COVID-19.

We are having this chart turned into a badge buddy (like your Zero Harm card) so you can wear it on your ID badge. We will be passing out these laminated cards in the next few days. 

  • N95 masks may be re-used for high-risk patients or procedures during an entire shift unless the mask is visibly soiled or breathing becomes difficult. A surgical mask is to be used on top of the N95 to maintain the cleanliness of the mask. The surgical mask must be discarded after each use. 
  • A new cross reference guide to identify alternative sizes or brands of the N95 mask you have been fitted for is now available and below.
    ​​
  • ​Occupational Health teams are available for in-person department trainings within the medical center. To schedule a session for your department within the medical center, please email OccHealth@cookchildrens.org.
  • A few of you have asked if you can bring in your own N95 masks from home. At this time, we don't need you to do that as we have the supply we need. If this changes, we will let you know.
  • All of our COVID-19 PPE and Occupational Health information is on our COVID-19 resource page. ​

Never touch your face. Take a few deep breaths. Wipe down workspaces.

Keep washing your hands. Practice patience. Be kind. Be gentle on yourself.


 

COVID-19 Update*
March 30, 2020, evening update

The most recent information available regarding Cook Children's response to COVID-19 is below and attached.

​Top 5

1. Preparation pays off with first COVID-19 patient: It’s no secret, preparing for COVID-19 has been all hands on deck. But here’s the good news - our first COVID-19 patient was released from the medical center on Sunday. Even better, everything went according to plan. From the patient’s arrival at Cook Children’s Harris Parkway to his admission on 3P, our physicians and staff members did everything they were trained to do. Read how proper planning paid off, protected our staff, and led to a successful outcome for the patient.

2. #NationalDoctorsDay: As you know, today is National Doctors’ Day and now more than ever we know many of you are looking for ways to honor our physicians. You can honor your favorite doctor by simply logging onto our Foundation’s website and selecting to give a gift in his or her honor. The Foundation will then notify the physician of the gift in their name.

In addition, your donation can directly impact the patients and families at Cook Children’s Medical Center. Through our Fund-A-Need page, you can help provide meal cards to families during their stay, help with Care Kits for our Emergency Department, offer financial assistance for families in need through our Case Management department, and so much more.

For more information, visit cookchildrenspromise.org or call ext. 54105.


 

3.  How do we support one another and stay connected? Director Christi Thornhill shared: "In order to protect our teams for the long haul through COVID-19, I split my CARE team/Fostering Health Program ​staff into an A Team and a B Team last week. The A Team covered the clinic last Thursday and Friday. The B Team came in this morning to find the poster to the right​!"

This is a perfect example of how our teams continue to adapt and stay connected with one another despite the demands that this crisis presents. It doesn't matter whether you are on the A Team or the B Team, at the end of the day we are all on the Cook Children’s team!

4. Occ. Health available for in-person department training on N95 masks: For those departments required to wear N95 masks, Occupational Health is offering a special new service. They will visit your department to demonstrate how to select a mask and properly achieve a mask seal.

“We know there are employees who have never had to wear a N95 mask until now,” said Bridget Page, Director of Occupational Health. “We have our new PPE video and infographic, and we can coordinate group sessions for mask selection and seal check.”

As everyone is moving at a very fast pace, Occupational Health would like to avoid individual sessions and instead would like to engage with departments as a group while social distancing of course. A representative from Occupational Health is available from 6 a.m. to 3 p.m. To schedule a group presentation, managers should email OccHealth@cookchildrens.org.

5. .org news: In case you missed it, the briefing from earlier today, along with the updates from this weekend, are all here.

Never touch your face. Take a few deep breaths. Wipe down workspaces.

Keep washing your hands. Practice patience. Be kind. Be gentle on yourself.​​​​

 


 

COVID-19 Update*
March 30, 2020, afternoon update

​Top 5

The most recent information available regarding Cook Children's response to COVID-19 is below and attached.

1. National Doctors’ Day: As the world continues to fight the COVID-19 global pandem​ic, there is no greater time to celebrate the care, dedication and compassion that physicians provide daily. We are immensely grateful for each of the 442 doctors across our network. 

Join us in thanking our doctors by leaving a comment on our social channels, or send us a note here and we will share your messages with others. #WeAreCookChildrens

As we continue to pay tribute to all of our doctors this day and every day, here is a nice feature which published in Fort Worth Magazine this week. Dr. Jamye Coffman (left), a pediatrician and a world-renowned expert on Munchausen syndrome by proxy (MSBP), is highlighted. Photo credit: Gregory James

2. Multispecialty clinics update with special note on orthopedicsThe Denton, Lewisville and Southlake Multispecialty Clinics are now closed. All visits have been moved and will continue at Alliance.

Hurst Multispecialty, including Orthopedics, will close at the end of business on March 31, at which time all services will consolidate into the Alliance location and be available April 1.

Other clinic and location closures and consolidations are listed here.

3. FIND! Child Care Search Tool Launches to Support Working Parents! Printable flyer is here​. Sign up here. NOTE: Fort Worth’s essential businesses are listed here.

4. New thermometers in stock at our on-site retail pharmacy: The first batch of thermometers at our retail pharmacy sold out quickly over the weekend, but we have a new brand available. Drop by to purchase the new routine thermometers for $5.89 (plus tax). Employees will receive a 15% employee discount. Get them while supplies last but please remember to practice #socialdistancing while you are in the pharmacy. And keep washing your hands and NEVER TOUCH YOUR FACE.​

5. Work from home tips: Dr. Anu Partap, Director of The Center for Prevention of Child Abuse and Neglect, offers encouragement and tips when working from home here on this printable flyer.

Never touch your face.

Take a few deep breaths.

Wipe down workspaces.

Keep washing your hands.

Practice patience.

Be kind.

Be gentle on yourself.


 

COVID-19 Updates*

March 29, 2020, afternoon update

The Denton, Lewisville and Southlake Multispecialty Clinics are now closed. All visits have been moved and will continue at Alliance.

Hurst Multispecialty will close on March 31 except for orthopedics.

We will no longer need a lab draw station at Hurst as long as these changes are in effect. 

Thank you.

*All information subject to change.


 

COVID-19 Updates*

March 29, 2020, morning update

Top 3

The most recent information available regarding Cook Children's response to COVID-19 is below.

1. Sunday reflection and prayer from Pam Foster, Director of Pastoral Care:  Watch or listen here. It is under two minutes. ​

2. Community offers kind words for our Children's Oral Health and Save a Smile teams: Spring is normally one of the busiest times for our Save a Smile and Children's Oral Health Coalition teams as they work tirelessly to secure hundreds of appointments for children to see 90+ dental providers. In a typical March, the teams are full of activity training community partners, presenting oral health education in schools, attending health fairs, PTA meetings, and other school activities where they hand out oral health supplies, resources and educate the public on the importance of oral health to overall health.

Then COVID-19 arrived, and our teams had to pivot quickly, and get creative to figure out how to continue to support these children and our community. So what did they decide to do?

  • They are coordinating oral health resources, educational materials and activities, and sharing those with all of our partner schools to support our teachers who have been charged, essentially overnight, with generating fun and innovative ideas to teach their students virtually
  • They also delivered a large amount of oral health kits this week to support students who had been visiting their school-based health clinics for other medical reasons, and for children who are receiving free meals through the district.

The end result? “Our partners are extremely grateful for what we are doing," Tonya K. Fuqua, DDS, Director, Child Oral Health, said. “They know we will not let any child go with pain, infection or the inability to eat during this public health crisis.

“I am so proud of our team," Dr. Fuqua added. “In these trying times, we all need to see and hear the positive things that are happening."

This is best illustrated by this quote from one of our community partners who wrote to Dr. Fuqua this week:

“You have no idea how comforting it is to know that there are people in the community who care about our kids and are doing everything they can to help. I don't know what we would do without the support and critical care that Cook Children's provides to our families. I will pass on to our executive leadership team (at the ISD) all that you are doing, and I know they will be comforted by that as well! Again, I don't know how we can thank you enough for all that you do. Stay safe and stay well. We need you!" #HCWshoutouts

And we need all of you! To every member of the Cook Children's family who is stepping up to serve our community, and the patients and families who need us, we thank you!

3. In case you missed it….Occupational Health guidelines for all CCHCS staff around returning to work and exposures are below.

This document was a joint effort between Occupational Health and Infection Prevention and has been approved by the Command Center. 

NOTE: This is an ever-changing, fluid situation. Please understand information changes by the hour, and this is the latest information available as of this email.

Instructions on how to read this table:

  • The left side of this table should help employees better understand their risk for exposures outside of CCHCS (travel, family situations, etc.) so they can speak to their “risk" level when visiting with Occupational Health and their department leadership on quarantine decisions.
  • The right side of the table is a decision tree for exposures while on the job in your CCHCS role, and should help decision-making around when to self-monitor/quarantine.

Remember, if you are directed to self-quarantine, you must call Occupational Health (682-885-3837) during business hours to provide information. 

If you still have questions, please visit with your manager or email OccHealth@cookchildrens.org.

We'll write you again tomorrow, or sooner, if needed.

 

Find some quiet time. FaceTime a loved one.  Take a few deep breaths.

Read a book.  Color Peaks and send him our way. Practice patience.

Wash your hands. Wipe down workspaces. Be kind.

 

Still have questions? 

Please email us here and we will work to find you an answer as quickly as possible. You can also send us story ideas, photos and encouraging messages for others. We are always looking for #HCWshoutouts.

Resources at your fingertips:

Command Center: ext. 51791 (682-885-1791)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

*All information subject to change.


 

COVID-19 Update*: New Occupational Health Guidelines for all CCHCS Staff (March 28, 2020, 7 p.m.)

We hope you have had a chance to see the sunshine today! Thanks for all you are doing!

Attached are some important updated guidelines for all staff. This document was a joint effort between Occupational Health and Infection Prevention and has been approved by the Command Center.

NOTE: This is an ever-changing, fluid situation. Please understand information changes by the hour, and this is the latest information available as of this email.

Instructions on how to read this chart:

  • The left side of this table should help employees better understand their risk for exposures outside of CCHCS (travel, family situations, etc.) so they can speak to their “risk" level when visiting with Occupational Health and their department leadership on quarantine decisions.
  • The right side of the table is a decision tree for exposures while on the job in your CCHCS role, and should help decision-making around when to self-monitor/quarantine.

Remember, if you are directed to self-quarantine, you must call Occupational Health (682-885-3837) during business hours to provide information. 

If you still have questions, please visit with your manager or email OccHealth@cookchildrens.org.

Thank you.

*All information subject to change.


 

COVID-19 Update* (March 27, 2020, evening update)

​Top 10

The most recent information available regarding Cook Children's response to COVID-19 is below.

1. Just breathe and relax: Hoping for some downtime with the kiddos this weekend or just need to relax and color and paint? Consider having your child color in Peaks or paint him yourself. Then send ​us your images here or post them on social media and tag them with #WeAreCookChildrens or @CookChildrens.

2. Weekend entrances for the public: As a reminder, Pruitt Street and the Emergency Department are the only open entrances this weekend.

3. New pay codes: Monday is payroll day, and we wanted to give you the information again about The DISASTER pay code is effective March 18, 2020, and that is the first date when time should be keyed under that code. RESOURCES: original memo and pay grid.

4. Support resources for you! We've been writing a lot about stress-related issues, which is totally understandable. We are living in extraordinary times and with so much unknown, comes stress and fear. We want you to know you're not alone and Cook Children's is here to support you. Our Employee Assistance Program can be reached at 1-866-219-1232.

Please know, we want you to take care of yourself during these difficult times. 

A few key areas we would like to call out:

Employee Assistance Program (EAP) and work life resources: EAP and Work Life Resources is not just for counseling or therapy services. They can help with finding housing options, child and elder care, moving and relocation options and more.

There are also counseling options available by telephone:

  • Access services 24/7/365
  • Toll-free hotline: 1-866-219-1232
  • When you login online, the username and password are both cook (both lowercase).

    Wellbeats: Amid the COVID-19 outbreak, Wellbeats is offering all employees an at-home virtual fitness option for free classes now through April 30. Please see the directions below to access your free account. More than 160 employees have already sign up!

    Wellbeats offers 500+ high-quality, 1 to 60 minute videos, with 30 channels, no equipment options, for every age, interest and ability. You can get started in 5 easy steps:
                            • Download the Wellbeats App or login: portal.wellbeats.com
                            • Choose “Register Via Code"
                            • Enter the code: b27fdf55
                            • Key in your personal information
                            • Start a fitness class

Remember, you are not alone and your Cook Children's family is here to support and help you. Click here to find free confidential resources you can call upon during times of need.

5. PACE news:​

  • Due to the COVID-19 crisis, Classroom and In-Person competency requirements are currently being waived.
  • We will now process reviews that are complete except for the waived competencies. If a past due review has not been finalized because the employee hasn't completed a competency that is now waived, it will be processed with an effective date of 3/29/2020. New Hire Orientation and PACE curricula are on-line classes (HIPAA, Safety, etc., not instructor-led), so they are not waived. These courses must still be complete before HR can finalize an employee's review. The evaluation, the PACE-required courses, and the TB questionnaire/health screen must be completed before the review is considered final. The TB questionnaire/ health screen must be submitted to Occupational Health, but Fit Tests are being delayed for the time being.
  • Safety tests must still be completed. Some of these are in ULearn while some departments have different methods for providing this test. This can be administered remotely as well.
  • The review must be shared with the employee. If they are working remotely, this can be done by phone.
  • The review must still be signed off by both the employee and manager. The employee can accomplish this several different ways: 
    • Come in and sign the forms.
    • Print out forms, sign them, scan them and send them back via email.
    • Respond by email “I have reviewed my evaluation on xxxxxx date and this email serves as my acknowledgement."
    • They can sign the review, take a picture of that, and then forward that picture by email.
  • The completed packet must be sent to HR for processing.
  • After the COVID crisis is over and education begins again, further information will be provided about if/how the employee must get caught up on their annual competencies. This means that competencies are being delayed not cancelled.

6. Temperature screening mandatory for all staff entering Cook Children's: We have been alerted that some individuals have refused to have their temperature taken once they arrive at Cook Children's for work. All employees, including medical staff, must be screened by employees positioned at their stations or in their respective units. Anyone who refuses to be screened will be sent home immediately and considered for disciplinary action.

Please be courteous to those who are at the screening stations, as many of these employees are from other areas and are performing new roles. They are all here for our benefit. The screening process is to protect not only you, but other employees, patients and their families.

7. Thermometers available at our on-site retail pharmacy: With this new awareness of health and body temperature, demand for digital and analog thermometers have been hard to find lately. We have some good news for those of you who want to check for fever before coming to work. A routine simple thermometer is just $2.37. Get them while supplies last but please remember to practice #socialdistancing while you are in the pharmacy.

8. Sniff, sniff: Could the loss of the sense of smell be a sign of #COVID19? Dr. Justin Smith explains new research and what it could mean for kids on our Checkup Newsroom.

9. Work from home update: We are currently in the process of rolling out the first wave of “work from home" (WFH) employees, which includes approximately 1,300 individuals. As identified groups are completed and set up to work from home, IS has been notifying the respective leadership teams that the rollout is complete.

With many employees already in place and at home as part of this first phase, work has been completed to expand our system capacity to support the rest of the requests to work from home where possible. Those accounts will start being allocated as soon as possible. Stay tuned for more updates.

Also, here are some handy and encouraging working from home tips from Dr. Anu Partap.

10. How low census hours will impact employees on a commitment plan: We recently received a question about how low census hours impacts those employees on a commitment plan. For those employees on the commitment plan, the current low census is beyond your control. Therefore, your low census hours will count toward your total hour's calculation to determine if you are eligible for the commitment bonus. For managers of employees who are a part of the commitment plan, please make sure when logging in hours that you correctly code them as low census.

That's it for now. We'll write you again over the weekend or sooner if needed. Remember, you can always read the latest updates on this website (no login required).

*All information subject to change.


 

Screening for Employees, Physicians​ and Other Providers Is Mandatory Upon Entrance to Cook Children’s (March 27, 2020)

We have been alerted that some individuals have refused to have their temperature taken once they arrive at Cook Children’s for work. All employees, including medical staff, must be screened by employees positioned at their stations or in their respective units. Anyone who refuses to be screened will be sent home immediately and considered for disciplinary action.

Please be courteous to those who are at the screening stations. They are all here for our benefit. The screening process is to protect not only you, but other employees, patients and their families.


 

Working from home tips and encouragement from Dr. Anu Partap (March 27, 2020)

  • Build a break between conference calls to stretch, walk, say hi to your puppy, grab a coffee, etc. We lose the natural break we have going from place to place so build it back in. Your body, family, and colleagues will appreciate it! Meetings don’t have to be 60 minutes, consider 5-15-minute check-ins morning, mid-day and later afternoon with your direct reports and/or manager.
  • Reset your expectations to a new high-bar for remote work. Celebrate what went well and accept that working from home leads to different accomplishments. And forgive yourself and others for barking dogs, a needy child or other unexpected life sounds.
  • Allow time for social time with team members in whatever way works for your team. Have a virtual coffee chat!
  • Breathe and appreciate the unexpected moments with family.  It’s a little less frustrating than feeling intruded on, and years from now you’ll be so glad you did!

COVID-19 Update* (March 26, 2020, evening update)

Top 5

The most recent information available regarding Cook Children's response to COVID-19 is below.

PHOTO at left: Social distancing: Who says you can't have a walking group while practicing social distancing? #sixfeetapart #WeAreCookChildrens

1.     PPE Update: New video and infogr​aphic: We will continue to give you the latest information and guidelines available on personal protective equipment (PPE) during our current health care crisis.

Today, we have a new infographic for you (LINK) on our current PPE recommendations for suspected positives. This is a handy gu​ide for:

  • caregivers who are providing direct patient care;
  • those carrying out aerosolized procedures;* and
  • EVS staff members who are entering the room of a patient with COVID-19.

Also, watch this new PPE video that reviews the specific guidelines for the removal and reuse of PPE when supply shortages do not allow for standard use and disposal.

New PPE infographic (effective: March 26, 2020 and attached.)

New PPE video (effective: March 26, 2020.)

Click here for all of our PPE information.       

*Some of the most common aerosolized procedures are below. Please note this is NOT an all-inclusive list:

  • BiPap
  • Bronchoalveolar lavage
  • CPap
  • Endoscopy
  • High flow nasal cannula
  • Intubation
  • Nebulizer
  • NGT placement
  • NP swabs

2.       New OHS guidance: At this unprecedented time during this COVID-19 pandemic, we want to make sure all of you have appropriate N95 coverage for your safety while conserving masks used normally during a mask fit process. Fit testing for N95 respirators will temporarily discontinue. You will not be coming to Occupational Health in person. Detailed information is BELOW* including links to these videos: duck bill mask and cone-shaped type mask.

3.       Visitor reminder on red armbands and wearing badges: Please keep in mind that visitors with a red armband are limited to visiting their child's hospital room only. Common areas and retail locations, including Camelot Court and Starbucks, are prohibited. If you see someone with a red armband in a common area, please speak to them gently and share the policy with them. If the situation escalates, please call security at ext. 51047.

During this critical time, it's more important than ever for us to work together for the safety of our employees, our patients and their families. Everyone walking through the Medical Center should have either:

  • a visitor sticker identifying mom, dad or legal guardian. They may also be wearing an armband of some color (red or otherwise); OR
  • an employee or vendor badge.  ​

4.     Up to the challenge: We are thankful to all of our employees who are helping out on our redeployment team. Thank you for being willing to jump in and work in a different area of need. You are essential to helping us fulfill Our Promise to patients.

5.     New video: Need permission for a mental, physical, or spiritual break? Watch this video with Pam Foster for ways to spend some time being you – you deserve it!

 

Go for a long walk. Check on a coworker working from home. Take a few deep breaths.

Read a book. Practice patience. Wash your hands. Wipe down workspaces. Be kind.

 

Still have questions? 

Please email us here and we will work to find you an answer as quickly as possible.

We'll write you again tomorrow, or more often as needed.

Resources at your fingertips:

Command Center: ext. 51791 (682-885-1791)

CCHCS webpage for employees when you are away from work

Lean on us for employee and family support resources in the community

Employee Assistance Resources (EAP)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

*In this ever-evolving situation, all information is subject to change.


 

New OHS Guidance (March 26, 2020)

At this unprecedented time during the COVID-19 pandemic, we want to make sure staff have appropriate N95 coverage for their safety while conserving masks used normally during a mask fit process.

Fit testing for N95 respirators will temporarily discontinue.  You will not be coming to Occupational Health in person.  Detailed information is here:

Employees who have had a prior Mask Fit done in last 18 months:

  • You will continue to use your past fitted mask size. 
  • Should your option become out of stock, you will use the mask fit crosswalk to find the next suggested option. 
  • Always perform a seal check each and every time you put on a N95 mask.

Male employees with beards who are currently using a PAPR:

  • You must become clean-shaven so you can use a N95 mask due to limited PAPRs in house.

Employees who have NOT been mask fitted in the past 18 months: 

(Only those identified as individuals who will be providing direct care for suspected or confirmed + COVID-19 patients, on those units identified, for prolonged periods within 6 feet and/or performing aerosolized procedures to those patients.)

  • Please sign up for a mask fit appointment. May be days/weeks out, we will pick up the appointment, do not worry.
    • Lawson Home-Employee Self Service-Human Resources-Occ Health Portal-schedule an appointment link-pick next date and time available.
  • Complete your OSHA form- this will immediately show up on your Occ Health Portal after the appointment is made.  All with * must be completed.
  • You will need to watch the following videos for Don/Doffing N95s and performing Mask Seal Fit.  Your actual N95 mask may not be the same brand as the video.
  • OHS will be reviewing the OSHA questionnaire and notify you if there are contraindications for wearing of the N95 mask.

Mask Seal Instructions:

Respiratory protection requires a good seal:

  • Start by placing the respirator on your face with the bottom strap below the ears and the upper strap around the back of the head.
  • Pull to unfold the mask and ensure that the top of the mask rests high on the nose and the bottom is pulled over the chin down toward the neck.
  • Use two fingers from each hand to form the nose clip firmly to your nose. (Do not pinch at the top of the nose as this may cause leakage.)
  • Use a mirror or ask another employee if the fit appears correct.

It is very important to perform a seal check:

  • The seal check can be performed by covering the respirator surface with your hands and inhaling and exhaling sharply to feel for any leakage around the edges of the mask.
  • Leakage near the nose can often be corrected by pressing the metal nosepiece tighter to the face or by pulling the top higher on the nose.
  • Leakage around the chin may indicate that the mask is folded underneath or not pulled down closely to the neck.
  • If you are unable to get a good seal check with the regular, then you may need the small size.
  • Remember, the goal is to get the best protection possible which requires a tight fit to the face.     

Cook Children's Visitation, Screening and Testing Guidelines (Week of March 24)


 

COVID-19 Update* (March 26, 2020, 12:30 p.m.)

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 6

1.     Now is the time to show 'unprecedented' kindness

By: Beth Schmidt, AVP, Human Resources

The word “unprecedented" has been used quite frequently during this COVID-19 crisis but not because it's just a catchy buzzword. Rather, it's 100% accurate because every person is being affected right now, which is something that the majority of us have never seen in our lives.

We must remember that not every person will cope with this stress the same way either at work or at home. Let's all show a little more understanding of the emotions and stress that this crisis is having on our coworkers. This is a chance to provide support, encouragement and emotional direction they may need.

Keep in mind if you are asked a question that you don't know the answer to, there's nothing wrong with admitting that. Use that admission as the opportunity to reassure each other that you have confidence in our leadership and organization to do what's right for all of us and our patients, and work with your manager to find the answer. Remind your peers that Our Promise proclaims “Every child's life is sacred," but as an organization, Cook Children's puts that same sacred value on every person, including our employees.

Finally, please remember to take care of yourself and those around you. When you live an example of kindness, patience and understanding during this time, it will be easier and more natural for your peers to do the same.

Thank you.

 

2.     Kudos for Camp Cook from Christine Ayala, senior secretary in Pastoral Care after her son attended Camp Cook for just one day:​​

​“I just wanted to say Thank YOU!!!

During times like this and having an autistic son, routine is everything. As a parent and employee, I am trying to keep it together during these unprecedented times.

I am trying to take moments to see the world through my son's eyes, and it is calming.

He is learning to sing new songs while he washes his hands, and is stopping to waive at all public servants to say, “Thank you for your service."

He thought video chatting was so cool, which is our way of practicing social distancing when you can't have playdates with friends and family.

Yesterday, he attended Camp Cook for the first time, and he got to see familiar faces from the Child Study Center, and felt “normal" again!

He was so animated after pickup and he reserved some energy to talk about his day with me. We haven't had that in a while.

We had no meltdowns when we got home, and he is looking forward to another day at Camp Cook.

Thank you for making another day easier! This is just one less burden to carry.

I just wanted to say thank YOU and Elijah says THANK YOU, too!"

*This piece of art was completed by Elijah at Camp Cook on Wednesday.​


 

If you have more good news to share, we would love to hear it. Please email us here.

3.     We want your photos, videos and messages!

*Working from home and still want to lend your support? Email a message, mail a letter or send a card and we will get them to the frontline caregivers throughout the system. Look how happy Neely and her handler Abby made everyone in our Command Center fee​l after receiving letters from our inpatient psychiatry kids. This is just one way you can share some positivity!

Mailing address:

Cook Children's

ATTN: Command Center

801 7th Avenue, Fort Worth, TX 76104

COVID19Questions@CookChildrens.org

*Have you set up your new home office? Or found a cool new place to telework, a park perhaps? Please post your pics on your social channels and tag us @CookChildrens or #WeAreCookChildrens. If you are not on social, please send us your photos so we can share them with others.

​​*How about making a video on your phone for your coworkers with a “thinking of you" message? Please email it here.

*Have tips or suggestions for others who may not have teleworked before? Send us your best ideas here.


4.   ​   Medication availability information from Pharmacy: Texas has enacted some new and revised regulations on specific medications in an effort to support the pandemic response. Also, the pandemic has resulted in some critical medications being less available to pharmacies. Please read the document linked here for details. We will update this document as the situation develops. Please contact Ozioma Ogbuokiri from the Pharmacy with additional questions.
5.     To work from home, employees must have a cell phone: As more of us are working from home, it's important that employees have everything in-place to do their job, and that includes a cell phone. Employees are required to have a cell phone at home because our security system has to validate your identity at login either through an SMS “text message" code (which does not require a smartphone) or the use of the Imprivata smartphone mobile application. IS simply doesn't have resources to supplement employees that don't have access to a cell pho​ne. 

6.     New thank you page CookNet! Visit it to see messages of support and thanks from patients, peers and leaders.


 

COVID-19 Update*

March 25, 2020, evening update

Top 6

The most recent information available regarding Cook Children's response to COVID-19 is below.
1.     Cook Children's Home Health is now in the business of PPE production! Watch our employees giving back! Thanks to Home Health and redeployed employees, surgical masks are currently being made in-house. Watch this short video to see inside the PPE lab, which hopes to start production of face shields, head protection, and gowns soon. Currently, donations of 100% cotton fabric and elastic bands are being accepted. If you're an experienced sewer and would like to find out how to volunteer, contact Brady Gendke, VP of Operations at Cook Children's Home Health.

2.     N95 cross reference guide (attached): If the supply is gone for that N95 mask that you have been fitted for, use this handy NEW chart to find out which other type of mask you can use as a replacement. This guide is also saved under the PPE tab on our COVID-19 resource page.

3.      Meals at Camelot Court get 'convenient': To simplify our lives during these complicated times, Camelot Court is bringing convenience to families and employees. Convenient Home Meals will be available in the salad bar area and are on sale daily starting at 2 p.m. Also, the international station will offer 16-inch take & bake pizzas built how you want them and ready to be taken home to bake. Finally, gallons of milk, sweet (and unsweet) tea, and Vernon's punch are being sold, along with loaves of bread. This service allows you and our families the freedom to grab dinner and head straight home without the need to stop at a restaurant or grocery store.

4.     Protecting our patients' privacy on social media: At Cook Children's, we are committed to providing the highest quality of care and safety possible for our patients, their families and our employees. In this unprecedented time we are all experiencing fear and uncertainty due to COVID-19, however we must stay vigilant to Our Promise to improve the health of our patients and in the process, protect their privacy. One way we do this is by complying with our policies that are designed to ensure we safeguard our patients' health information as outlined in CC 870 Uses and Disclosures of Protected Health Information. All staff should be aware of this policy and adhere to our legal requirement to use and disclose patient information only within state and federal laws. This means you should not post any information on social media sites in a manner that could identify a patient or their health status. Any violation of this policy will be subject to disciplinary action determined by HR 400 Conduct and Corrective Action and the guidelines stated i

n CC 950 Workforce Training and Sanctions Under HIPAA.  We are committed to keeping you safe, and are here to answer any of your questions.

5.     Why aren't all screeners wearing the same PPE? Parents and patients are seeing different degrees of PPE at different locations and here's why.​

  • Screeners at our Primary Care and Urgent Care Clinics are wearing PPE because they are checking every patient who walks in the door. Since non-urgent visits have been canceled, these children are ill and most commonly have fevers. Therefore, these are considered high risk screening locations.
  • Screeners at the Medical Center and Dodson are not wearing PPE because they are screening hospital visitors and patients whose appointments could not be rescheduled (chemotherapy, cast removals, etc.). This group is at much lower risk of being acutely ill. With an infrared thermometer, these screeners should have minimal contact with patients.

In an effort to preserve PPE, we are trying to be thoughtful and consistent. Please note that these decisions are subject to change based on epidemiology. Click here to learn more about our Screening Guidelines & PPE Requirements.

6.     And finally … We interrupt your COVID-19 newsfeed with our Sit…Stay…PLAY puppy play time. Click for a moment of Zen.


COVID-19 Update*
March 24, 2020, evening briefing

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 8

 

1.     Mr. Merrill speaks to the community during Fort Worth's Joint COVID-19 Press Conference: Cook Children's President and CEO Rick Merrill addressed the community during Fort Worth's Joint COVID-19 Press Conference this morning.

During these unprecedented times, Mr. Merrill spoke about collaboration, sacrifice and the transparent communication of the North Texas health care systems. He commended local leadership on its difficult decision to announce Tarrant County's stay at home order, in hopes of decreasing the transmission of COVID-19.

Mr. Merrill said he wanted the public to know that all of the hospitals are working together to ensure that we have adequate staff, supplies and beds. He emphasized that if we don't flatten the curve as soon as possible, we will have a real concern over our bed count, and shared the reason we're doing stay at home now is that it is the right thing to do at this point in time.

Cook Children's employees are providing essential services and care that our community needs, and together we will help flatten the curve. We are grateful for all you are doing!

Watch Mr. Merrill's entire address here.

2.       More good news around PTO Emergency Sellback: You are now able to sell up to 120 hours of PTO at 90% of the value.

All things PPE

3.     We are a system, and are striving to have consistency across our all of our access points. Please understand processes may be slightly different from one location to another, and we are doing our very best to provide you with the most accurate and timely information available.

Medical Center and Emergency Department PPE requirements: Keeping you and our patients safe is our highest priority. With that in mind, these are the latest PPE requirements. We will continue to keep them top-of-mind and accessible for you.

  • Screening for possible COVID-19 patients: PPE is not required, but a regular mask may be worn if desired. No other forms of PPE should be utilized.
  • Patient care for suspected or positive COVID-19 non-aerosolized procedures: PPE required is face shield, regular mask, gown and gloves at all times when caring for patient. It is recommended to use a partner to ensure all PPE is donned and doffed correctly.  
  • Patient care during suspected or positive COVID-19 aerosolized procedures*: PPE required is goggles, N95, gown and gloves. Alternative is to use a PAPR, gown and gloves. It is recommended to use a partner to ensure all PPE is donned and doffed correctly.
  • N95 masks: N95 masks may be re-used for an entire shift unless the mask is visibly soiled or breathing becomes difficult. A surgical mask is to be used on top of the N95 to maintain the cleanliness of the N95 mask. The surgical mask must be discarded after each use

*Aerosolized procedures include:

  • BiPap
  • Bronchoalveolar lavage
  • CPap​
  • Endoscopy
  • High flow nasal cannula
  • Intubation
  • Nebulizer
  • NGT placement
  • NP swabs

Attached: UCC PPE Guide and Outpatient Clinic and NHC Guide.

Why aren't all screeners wearing the same PPE? Why are parents and patients seeing different degrees of PPE at different locations?

    • Screeners at our Primary Care and Urgent Care clinics are checking every patient who walks in the door. Since non-urgent visits have been cancelled, these children are ill and most commonly with fevers. Therefore, these are considered high risk screening locations.
    • Screeners at the Medical Center and Dodson are screening hospital visitors and patients whose appointments could not be rescheduled (chemotherapy, cast removals, etc.). This group is a much lower risk of being acutely ill. With an infrared thermometer they should have no direct contact with patients.

PAPRs update: Further information and videos about PAPRs will be made available and communicated to clinical staff in the coming days.

 

More updates

4.       Employee temperature screenings update: As an extra precaution, and for the protection of our staff and employees, new opportunities for employee screenings are being implemented, beginning Wednesday, March 25. (See this map: “COVID-19 Employee Screening Points.")

It's important to remember this additional fever screening is not a replacement for employees self-screening at home before coming to work. Ideally, all of you will continue taking your temperature at home, before arriving to work.

Employees will now be screened in the following areas:

Weekdays, during regular working hours:

  • Main Entrance
  • Pruitt Plaza entrance
  • Terrell Avenue Skybridge entrance
  • Terrell Avenue Street Level entrance
  • Dodson Clinic (east entrance from the Link)

After 8 p.m.: Please enter through the Pruitt Plaza entrance. All employees are encouraged to use this entrance to receive the fever screening.

Weekend entrance: Please enter at either the Terrell Skybridge or Pruitt entrance.

901 Building employees: Please go through the third level garage entrance or on the Terrell Street (North) entrance.

This is a new process and we would ask that you allow yourself a little extra time coming to work so you have time to be screened and still get to your work area on time.

As a reminder, if you have a temperature, the following steps must be followed:

  • Leave work and go home immediately.
  • Contact Occupational Health for further guidance.
  • You will be unable to return to work until you've gone 72 hours fever free, without the assistance of a fever reducing medication.

5.     Important information about anosmia and diagnosing COVID-19: We are all looking for ways to identify and separate those with COVID-19 disease from other benign viral illnesses in an effort to contain the spread of the virus. Right now, everyone seems to have a cough and fever. New data from adults diagnosed with COVID-19 shows that anywhere from 30 to 60 percent of those patients diagnosed develop anosmia, or loss of the ability to smell, from this infection. It would probably heighten the suspicion for infection with SARS-COV-2 if a patient with a cough and fever also loses the ability to smell acutely. Some offices have scented tongue depressors, peppermint oil, coffee or other things that can be used to see if the child can still smell. This will be difficult to determine in young children, but would be one way of screening older children and the parents that accompany them to Cook Children's. It is at least worth asking the question when patients are examined. 

6.     Camp Cook news: Camp Cook has started notifying employees they have a confirmed spot for childcare at the Child Study Center, our temporary daycare center. More employees will be notified in the coming days when additional spots become available. We are looking at adding additional rooms, as the City of Fort Worth has made a new ruling that no more than 10 people can be in a room at any given time. Please stay tuned for more details.

7.     Parenting is hard. Ask for help: The COVID-19 situation is stressful, especially for parents. With this in mind, we asked the Center for Prevention of Child Abuse and Neglect to provide some tips to help us navigate through this challenging time. Their advice: “Parenting is hard. Ask for help." With the pressures many of us are currently feeling, this message seems more timely than ever before. Read more on Checkup Newsroom. 

8.     Carry your ID badge: As essential employees working for an essential business, most of us will need to come to work while the City of Fort Worth is telling us to stay home. The city's restrictions to stay home is enforceable through fines, etc. but you have no reason to worry as long as you carry your badge with you. We have been notified by city officials that if you are stopped by your area's police for any reason related to the stay at home rules, you should simply show your Cook Children's employee badge and let authorities know you are going to work. Employees should only present their badge when it relates to the stay at home rules while you are on your way to or from work.

 

 

Check on a neighbor. Take a deep breath. Practice patience. Wash your hands.

Wipe down your workspaces. Be kind.


 

Guidance and Forms from Occupational Health

March 24, 2020, 6:40 p.m.

At this unprecedented time during the COVID-19 pandemic, we want to make sure staff have appropriate N95 coverage for their safety while conserving masks used normally during a mask fit process.

Fit testing for N95 respirators will temporarily discontinue for those who have previously been fit tested by Cook Children's Occupational Health.

  • You will continue to use your past fitted mask size. 
  • Should your option become out of stock, you will use the mask fit crosswalk to find the next suggested option. 
  • Always perform a seal check each and every time you put on a N95 mask.
  • If you are unsure at all about how to do a seal check, please come to Occupational Health between the hours of 7 a.m. to 5 p.m., Monday-Friday.

Employees who have NOT been mask fitted in the past 18 months:

  • Please sign up for a mask fit appointment via Lawson Home-Employee Self Service-Human Resources-Occ Health Portal-schedule an appointment link-pick next date and time available.
  • Complete your OSHA form: This will immediately show up on your Occ Health Portal after the appointment is made. All with * must be completed.
  • Keep your appointment with OHS.  

Male employees with beards who are currently using a PAPR:

  • You must become clean-shaven so you can use a N95 mask due to limited PAPRs in house.
  • We want you to come by Occupational Health to allow us to discuss your options for N95 respirators between the hours of 7 a.m. – 5 p.m., Monday-Friday.
Respiratory protection requires a good seal:
  • Start by placing the respirator on your face with the bottom strap below the ears and the upper strap around the back of the head.
  • Pull to unfold the mask and ensure that the top of the mask rests high on the nose and the bottom is pulled over the chin down toward the neck.
  • Use two fingers from each hand to form the nose clip firmly to your nose. (Do not pinch at the top of the nose as this may cause leakage.)
  • Use a mirror or ask another employee if the fit appears correct.

​It is very important to perform a seal check:

  • The seal check can be performed by covering the respirator surface with your hands and inhaling and exhaling sharply to feel for any leakage around the edges of the mask.
  • Leakage near the nose can often be corrected by pressing the metal nosepiece tighter to the face or by pulling the top higher on the nose.
  • Leakage around the chin may indicate that the mask is folded underneath or not pulled down closely to the neck.
  • If you are unable to get a good seal check with the regular, then you may need the small size.
  • Remember, the goal is to get the best protection possible which requires a tight fit to the face.     

Exposure restrictions – https://cookchildrens.org/alert/Documents/COVID%20exposures%20work%20restrictions.pdf

HCW Guidelines –  https://cookchildrens.org/alert/Documents/Copy%20of%20Cook%20Children's%20Covid%20HCW%20guidelines.pdf

Mask replacements –  https://cookchildrens.org/alert/Documents/Copy%20of%20N95%20Mask%20replacements%203-24-20.pdf


 

PPE Requirements*  ​
Answers to what PPE to use and when are below. We must all conserve PPE and follow these guidelines from Infection Prevention.

•N95 masks: N95 masks may be re-used for an entire shift unless the mask is visibly soiled or breathing becomes difficult. A surgical mask is to be used on top of the N95 to maintain the cleanliness of the mask. The surgical mask must be discarded after each use
•Screening for possible COVID-19 patients: PPE is not required, but a regular mask may be worn if desired. No other forms of PPE should be utilized.
•Patient care for non-aerosolized procedures*: PPE required is face shield, regular mask, gown and gloves at all times when caring for patient. It is recommended to use a partner to ensure all PPE was don and doffed correctly.  
•Patient care during aerosolized* procedures*: PPE required is goggles, N95, gown, and gloves. Alternative is to use a PAPR, gown and gloves. It is recommended to use a partner to ensure all PPE was don and doffed correctly.

If you or someone else you are working with is ever unsure about what PPE to use and when, please call the hospital operator and ask them to page Infection Prevention. Keeping you and our patients safe is our highest priority!


 

*NOTE: Aerosolized procedures include: 

  • Intubation
  • Nebulizer
  • BiPap
  • CPap
  • High flow nasal cannula
  • Bronchoalveolar lavage

*Latest information available effective March 22, 2020.


 

Click HERE for a video message from President and CEO Rick Merrill and leadership about the latest on our approaches to the COVID-19 pandemic. (Filmed March 18, 2020) 


Protecting You and Being Ready

During this critical time for our country and our world, our top priority is the safety and well-being of all of you, along with our patients and families who are counting on us to be ready to take care of them when they need us. 

We have been closely monitoring the COVID-19 situation and making a number of important preparations and contingency plans for its potential impact on our system. As such, we activated our Hospital Incident Command System March 16, to monitor and manage planning, staffing, supplies, logistics, communications, operations and response efforts.

Please know that we are partnering closely with the local health departments and staying apprised of updates from the Centers for Disease Control and Prevention (CDC). In addition, we are revising and updating our policies and processes as new information and recommendations become available.

In addition to our patients, it's vitally important that we protect you from COVID-19. Our employees are at the core of Cook Children's, and are at an elevated risk of becoming severely ill from this virus. As such, we must be diligent in taking every precaution to keep you well so you can continue to deliver the excellent standard of care our patients deserve and expect from Cook Children's.

Information is ever-changing around COVID-19, but here are a few important updates for you. Please use this email to send us any questions.


 

COVID-19 Update*

March 23, 2020, evening briefing

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 6

1.     “You are essential!" Dallas County's amended order to “Stay Home. Stay Safe" classifies health care as an “essential business" to continue operating.

Simply put, you work for an essential business. At Cook Children's, our employees fall into one of two essential categories:

  1. You provide direct patient care.
  2. You work in an area or a department that provides essential patient care support.

Read more below from Beth Schmidt, our AVP of Human Resources at Cook Children's, about how we define essential employees. And thank you again for all you are doing!

Make no mistake about it; you are essential. 
 
That’s the message Cook Children’s leadership wants employees and health care providers to know as we hear of places like Dallas County issuing new shelter-in-place rules. 
 
“We are hearing on the news about people staying at home, but it is more critical than ever that our employees who are needed, come to work, to take care of our patients, their families and each other,” said Beth Schmidt, AVP of Human Resources at Cook Children’s. “When Dallas County Judge Clay Jenkins spoke about businesses that were essential, health care organizations were at the top of the list.”
 
For now, unless you have been told otherwise by your manager, employees should come to work. 
 
As community spread of COVID-19 continues to increase, Tarrant County Judge Whitley has declared a Second Amended Declaration of Local Disaster Due To Public Health Emergency. Our preparations continue, and the Command Center stands ready to assist.
 
If you live in Dallas County and are commuting to Cook Children’s, please carry your employee ID badge with you and have it ready to show if you happen to get stopped. 
 
Please know we are working as quickly as possible to keep you updated with the latest information available.
 
Stay connected with your manager, the Command Center (ext. 51791 (682-885-1791), and us. Let us know how we can help support you and get you the information and resources you need.
​​

2.     Revised testing guidelines: Testing will be made more broadly available with a few recommendations to streamline the process and minimize unnecessary staff exposures. Learn more below:

Testing will be made more broadly available with a few recommendations to streamline the process and minimize unnecessary staff exposures.
Testing is still limited to patients being admitted. No testing in the outpatient setting is recommended.
Testing is to be ordered in the Emergency Department, through coordination by the ED physician or the physician taking over care of the patient on the floor.
•Contact/Respiratory precautions will be initiated before the patient is moved to the floor.
•Patients with pending results will be placed on either 3 Pavilion or PICU (2 North) based on acuity.
•Infection Control does not require notification.


 

3.     PPE & hand sanitizer: We are managing our supply of hand sanitizer very well. While the individual small containers of hand sanitizer are in limited supply across the country, we have several orders headed our way. At this time, we have a very good supply in house of the hand sanitizer that is available in the wall-mounted units. Thank you for helping us manage our supply.

4.     New Camp Cook email address: All of the information on Camp Cook for temporary childcare is here. Submit your completed enrollment forms here. If your enrollment application is approved for a slot at Camp Cook at the Child Study Center, you will receive an email with details.

5.     AHA certifications: Cook Children's is extending all certifications and will provide further updates when available. This is in alignment with the American Heart Association's recommendations. You should not seek an outside hands-on validation.

6.     All of our public-facing visitation, screening and testing guidelines are here on CookChildrens.org.


 

Explanation of Redeployment & Waiting to Redeploy Pay

March 23, 2020

During this very unprecedented time, Cook Children’s intends to care for our employees as well as our patients and their families.  Per last week’s message from Mr. Merrill and leadership, Cook Children’s will continue to pay staff at their base rate, even if they are not currently needed or reduced during this crisis. This will take place from March 18 through April 30. We will continue to reevaluate and communicate to you as this situation remains very fluid.

We know that we have a need for roles that have not existed before and will not continue to be needed once the crisis is over (i.e. the temperature screeners at the doors to our buildings).  We will redeploy displaced employees whenever possible. Natalie Wilkins is the contact currently and all staffing requests, as well as collection of staff to be redeployed, should route here: redeployment@cookchildrens.org.

There may be a need for employees to work at different locations or different hours than their normal or to be retrained to fill a critical need. When that isn’t possible, the employee will be paid up to their FTE.  The rules below operationalize how that continued compensation will be handled. 

If an area of the organization has staff and no work for them to perform due to the COVID-19 crisis, those employees will be placed on the “available for deployment” list.  Employees who are not deployed, but instead remain home on a day they otherwise would have worked, those employees will be paid their base rate of pay for the number of regular hours they were scheduled to work.  Employees should only receive up to their FTE.  For this scenario, if you are sent home with pay (not to work), Managers will have the ability to submit Disaster Home Pay (DHP) from the Request Manager in Kronos on the employees behalf using the DHP-Auto Approve or (DHP-S-Auto Approve if using advanced schedule.)

New Pay Codes

DHP (Disaster Home Pay) – sent home not working which also includes DHP-S for clinical employees who are on “Advance Scheduler.”  Note:  Only Managers have access to add this under Request Manager.

Disaster – employees who are re-deployed.  THIS IS FOR NON-EXEMPT EMPLOYEES ONLY AND THE EMPLOYEE MUST CLOCK INTO THIS AT THE CLOCK. Re-deployed employees will only be able to clock into this pay code and will not be able to do a department transfer at the clock.  Note:  if the employee does not input this code at the clock they will not be paid appropriately regardless of what is in the schedule.

Exempt employees that are redeployed must have the code entered into their schedule (work rule transfer). 

Redeployment to a NEW COVID-19 only job

If a non-exempt employee is redeployed to a job that only exists because of the current COVID-19 crisis, (for instance a temperature screener at the door) that employee should clock in using the following pay code DISASTER, but will not clock in as a department transfer.

If an exempt employee is redeployed to a job that only exists because of the current COVID-19 crisis, that employee’s leader should go to the employee’s schedule in Kronos, click edit on the day(s) to be allocated due to COVID-19, choose Exempt-Disaster under Work Rule Transfer, Apply. 

Redeployment to a Regularly Existing position:

If a non-exempt employee is redeployed to a “regular” position, that individual would clock into the receiving companies cost center as any normal department transfer.

If an exempt employee is redeployed to a “regular” position, that individual would not have any change in their regular Kronos schedule.

Redeployments will take into consideration the employees “regular” role and try to match skill sets, as much as possible.  There will be times that the needed role will be different than the employee’s “regular” role.  Unless there is some overwhelming reason as to why the employee couldn’t do the new tasks, the redeployed employee would be expected to take on the new role and perform it to the best of their ability.  Employees will receive their normal base rate of pay and any differentials attached to their normal pay code in Kronos.   

If an employee is offered redeployment and they refuse the assignment, they will be sent home and required to use their PTO (if they have any available) with the possibility of disciplinary action.Employees at home not actively redeployed must remain ready for assignment in order to receive compensation for that day.  If during the time the employee is “waiting to be redeployed” and they are called, they must come in at any time during that shift to continue to be eligible for compensation for that day.

We also realize the role our PRN staff play in the organization. With that in mind, while PRN staff are the first to be furloughed and last to be called back, we will provide 8 hours of base pay per pay period to our PRN staff if they haven’t worked that pay period and if they haven’t called off that pay period.

For employees who have already gone home and are working remotely: Please follow the below instructions to clock in and out.  It’s very simple. 

Log onto Kronos from CookNet.

Go to “My Information” (if it does not default on your home page).

If the deflault doesn't open, click on timestamp widget on the right.

Choose button below to clock in/out.For any questions regarding Kronos, clocking in/out or similar needs, please email “Payroll-All.”  Someone on the Payroll team will get back to you as soon as possible.

Thank you for all you do.


 

CONTACTS:

Payroll & Kronos questions: Payroll-All@cookchildrens.org

Staffing requests, redeployment needs, as well as collection of staff to be redeployed: Redeployment@cookchildrens.org


 


 

COVID-19 Update*
March 23, 2020, noon briefing

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 6

1.     Watch our new PPE training video wherever you may be: Proper ways to don and doff PPE are now posted on our YouTube channel for employees (no login required). You can also login and watch from ULearn. We will continue to emphasize the proper use of PPE, and share the latest PPE guidance. Thank you to our Infection Prevention, Media Services, Clinical Education and ULearn teams for producing this new video so quickly. Keeping you and our patients safe is our highest priority!

2.     Camp Cook opening this week! Cook Children's is opening a new temporary offsite daycare for the children of Cook Children's employees. This free-of-charge childcare option is located at the Child Study Center (CSC) and will be open through May 1 (date subject to change based on the ever-changing COVID-19 situation). Camp Cook will be staffed by CSC and Child Life employees, and is available for children ages 5-13 with care expanding to younger children in the near future. Please visit our Camp Cook page for more​ details, including consent formenrollment form and an FAQ document. Please submit your enrollment paperwork as soon as possible, as there are limited spots available. (If you are reading this on your cell phone, or are away from a Cook Children's computer, send an email here and we will send you the forms electronically.) Email completed enrollment forms here: CampCook@CookChildrens.org.

3.     Lean on us: Watch or read Pam Foster's message, “An Imperfect Analogy," around COVID-19 and resources that are available. The chaplains in Pastoral Care are a call or an email away, and several community resources are here.

4.     Parenting is Hard. Ask for Help: The Child Help Hotline is available 24/7/365. If you know of someone struggling, this child help hotline is available to help with parenting stress issues. Call 1-800-4-A-CHILD to chat or text.

5.     Community donations: In the face of the COVID-19 crisis, we have witnessed tremendous outpouring of support from our communities and families wanting to donate a variety of items. We are humbled by this selfless generosity during this uncertain time. We are evaluating all of our needs for specific donations. As we determine our needs, we will reach out directly to those that have offered help. We will also keep you posted about these decisions as they are made.

6.     Stay informed: A link to all of our COVID-19 resources is on a new prominent banner on the homepage of CookNet. Remember, we also have an external page where you can stay informed and connected. No login required.

Take your temperature.   Wash your hands.   Wipe down surfaces.   Be kind.


 

COVID-19 Update*
March 22, 2020, afternoon briefing

On this day that is often reserved for reflection and community, in these uncertain times, let us remember we have prepared for this moment, we have the leadership and the teams in place to respond, and together we will navigate through these unchartered waters.

We are Cook Children's. We are a family. We are here for one another, and you have thousands of coworkers wanting to wrap their arms around you and support you.

We know our frontline caregivers and support teams are putting our patients' well-being above their own, and that service to others is honorable, heroic and worthy of our most abundant gratitude.

Pam Foster, director of Pastoral Care, recorded a special prayer for all of us. We hope you will take a moment to watch or listen. It is loaded to YouTube so you can easily watch on your cell phone when you have some quiet time.

Thank you for continuing to model Our Promise.

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 5

  1. PPE Guidelines: We will continue to talk about the appropriate use of PPE and keep these recommendations at the top of the page front and center for you. Following this guidance from our infection control experts is crucial during this situation. Our new PPE video on Donning and Doffing PPE is here on the shared drive, and will be loaded to YouTube in the next 24 hours. It is also available on ULearn. NOTE: If you are ever unsure about what PPE to use and when, please call the hospital operator and ask them to page Infection Prevention. Keeping you and our patients safe is our highest priority!
  2. Mirror Mirror Hair and Nail Salon closed until further notice. This is in line with the March 21 declaration from Tarrant County that all hair and nail salons must close.
  3. CSI competency validations are canceled for the remainder of the year. This is consistent with the previous message around skills validation for renewing certifications (BLS, Heartsaver, PALS, NRP, ENPC, TNCC, ATLS, CPI). All of these have been placed on hold until further notice. We will let you know when these courses can be resumed. 
  4. Visitation guidelines: We appreciate everyone's support around our revised visitation guidelines. As we mentioned again yesterday, our revised visitation policy only allows two adult caregivers per patient at any one time, and they may not swap out with any additional caregivers. Please help us be sure this policy is followed. If a single parent or guardian arrives in the ED with a child who requires admission, and the sibling goes with the parent to stay overnight, that's still okay. The policy hasn't changed that the next day, arrangements need to be made with Social Work/Child Life as the sibling cannot continue to stay in the room. Contact Social Work for assistance.
  5. Share your stories, reflections and thoughts: We are always looking for stories and information to share across Cook Children's. If you hear of something we should know about or have something to contribute related to COVID-19, please email us here

Take your temperature.   Wash your hands.   Wipe down surfaces.   Be kind.

Still have questions? 

Please email us here and we will work to find you an answer as quickly as possible.

In case you missed it… Special thanks to CBS News for shedding some light on what it is like inside our walls during COVID-19.

We'll write you again tomorrow, or more often as needed.

Resources at your fingertips:

Command Center: ext. 51791 (682-885-1791)

PPE Guidelines

CCHCS webpage for employees when you are away from work

Lean on us for employee and family support resources in the community

Employee Assistance Resources (EAP)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

Occupational Health FAQs

*In this ever-evolving situation, all information is subject to change.


 

COVID-19 Update
March 21, 2020, evening briefing

As community spread of COVID-19 continues to increase, Tarrant County Judge Whitley declared a Second Amended Declaration of Local Disaster Due To Public Health Emergency today. Our preparations continue and the Command Center stands ready to assist.

We are working as quickly as possible to keep you updated with the latest information available.

Please stay connected with your manager, the Command Center (ext. 51791 (682-885-1791), and us, and let us know how we can help support you, and get you the information and resources you need.

Top 3

1.     PPE training & guidelines: As a follow up to Friday's message regarding what PPE to use and when, we have a new ULearn course on “Donning and Doffing PPE." Launch the video here, or go to ULearn and search for “Donning and Doffing PPE." This course should be reviewed by all direct patient care as soon as possible.

As a reminder, this is the latest PPE guidance from Infection Prevention. We must all be practicing universal precautions, and ever mindful of our available PPE resources and conserve as much as possible. Following this guidance from our infection control experts is crucial during this situation.

Appropriate use and reuse of PPE, specifically N95 masks: N95 masks may be re-used for an entire shift unless the mask is visibly soiled or breathing becomes difficult. A surgical mask is to be used on top of the N95 to maintain the cleanliness of the mask. The surgical mask must be discarded after each use.

Current PPE guidelines:

  • Screening for possible COVID-19 patients: PPE is not required, but a regular mask may be worn if desired. No other forms of PPE should be utilized.
  • Patient care for non-aerosolized procedures: PPE required is face shield, regular mask, gown and gloves at all times when caring for patient. It is recommended to use a partner to ensure all PPE was don and doffed correctly.
  • Patient care during aerosolized procedures: PPE required is goggles, N95, gown, and gloves. Alternative is to use a PAPR, gown and gloves. It is recommended to use a partner to ensure all PPE was don and doffed correctly.

If you are ever unsure about what PPE to use and when, please call the hospital operator and ask them to page Infection Prevention. Keeping you and our patients safe is our highest priority!

2.     COVID-19 Testing Turnaround Time: Right now, we are experiencing a 5-10 day turnaround time on testing. We understand this is frustrating for physicians, other providers, clinicians and patient families. Please understand this is a national issue, and we are doing our very best to manage through. Your patience is appreciated. You can help us reassure and help physicians and families understand we are making every effort to find alternatives for testing.

3.     Help us abide by the visitation policy: Reminder! Our revised visitation policy only allows two adult caregivers per patient at any one time, and they may not swap out with any additional caregivers. Please help us be sure this policy is followed. If a single parent or guardian arrives in the ED with a child who requires admission, and the sibling goes with the parent to stay overnight, that's still okay. The policy hasn't changed that the next day, arrangements need to be made with Social Work/Child Life as the sibling cannot continue to stay in the room. Contact Social Work for assistance.

We realize we are giving you a lot of information each day. Please take a few minutes each day to read the updates, and refer to CookNet for past information we have shared.

Thank you, and please let us know what you need, what questions you have, and how we can help support you during this time.

Take your temperature.  Wipe down surfaces. Wash your hands. Practice self-care.

COVID-19 Update*
March 21, 2020, afternoon

A few COVID-19 related items for you on this beautiful Saturday are below. We hope you have been able to take some time to recharge.

Thank you for all you are doing during this crisis response situation.

Top 6

1.     This is how Cook Children's cares during COVID-19: CBS News This Morning (national) featured our Prayer Bear program, our very special volunteers, the Child Life and Environmental Services teams and others this weekend. Watch this uplifting story here and share it with others.

2.     It's okay to lean on each other: Here is a special message from Anu Partap, MD, who serves as director of The Center for Prevention of Child Abuse and Neglect: 

If you're anxious, it can affect the kids in your life, too. Be aware of how often and what you say about the current situation around children. To kids, it can sound like the sky is falling - although most are just happy to be out of school!  Teach them it's a new infection, that it's mostly mild in kids and review good hygiene habits (Great excuse!). And social distancing is not social isolation! Stay in communication with friends and family.

We know missing school is a real hardship for lots of families - it limits meals, structure, supervision and access to health care. Reach out to families and friends to see if they need help. 211texas.org and Tarrant Cares can help families find resources. Remind coworkers and families that reaching out for help is bold!

Check out Lean On Us, Cook Children's expanded access to employee support, here.

3.     COVID-19 and Kids Q&A video: Trophy Club primary care pediatrician Dr. Justin Smith took time to answers questions from parents about COVID-19 and pediatrics this week. During this virtual Q&A, Dr. Smith helped address concerns about COVID-19's impact on kids medically, socially and emotionally. You can watch the video here and it may help with your own kids' questions.  

4.     Doing your part to help clean: Thank you to our Environmental Services team for diligently ensuring our facility is cleaned and sanitized, and to our clinics for dutifully removing common surface areas such as touchscreens and kiosks. You can help, too, by using sanitizing wipes to clean any common surface after use (countertops, desks, phones, etc.) Steadfast practice of cleaning in this manner will help prevent avoidable exposure.

5.     FAQ on immuno-compromised staff:
Q: If it is not possible to provide everyone who could ideally work from home the opportunity to do so, will there be a chance for high risk employees or employees with very high risk family members to apply for this opportunity given the current situation?

A: Thank you for reaching out! Please let your manager/director know of your situation. A taskforce is working hard to find solutions to be able to offer the work from home option to more employees. As soon as there is new information to share, we will write you here.

6.     .org site: Want to keep up with these updates on your phone? Bookmark our webpage on the internet: CookChildrens.org/alert. No login required. The latest COVID-19 email updates are all posted here so you can always be in the know.

Take your temperature.  Wipe down surfaces. Wash your hands. Practice self-care.

COVID-19 Update*
March 20, 2020, evening briefing

We know it has been one whirlwind of a week. The next few weeks are expected to be even more intense. Please make sure you are taking care of yourself, and taking time to rest and recharge.

Please offer an encouraging word to a coworker, and remember we all need each other during this time.

You are critical to helping us fulfill Our Promise, and the Cook Children's family will get through this crisis together.

We are keeping you in all of our thoughts.

The most recent information available regarding Cook Children's response to COVID-19 is below. If we mention a resource that is on CookNet and you see a * we have posted that resource below the full briefing. Thanks.

Top 8

1.     Work from home update: We realize you want answers now, and we are working as quickly as possible to respond. The first phase of eligible employees who will be working from home will be deployed next week. Stay tuned!

2.     Complete details on the latest information available regarding “high risk" health care workers from the CDC are below this briefing. Please visit with your manager if you are seeking a reassignment as it relates to COVID-19 patients.

3.  Certification Update (BLS, Heartsaver, PALS, NRP, ENPC, TNCC, ATLS, CPI): Skills validation for renewing certifications will be placed on hold until further notice. We will share further communication when these courses can be resumed. This will also apply to rotating residents who may have an expired certification. Recommendation regarding new employees is to continue with BLS for clinical staff only (including physicians).

4.     Why aren't all screeners wearing the same PPE? Parents and patients are seeing different degrees of PPE at different locations and here's why.

    • Screeners at our Primary Care and Urgent Care clinics are checking every patient who walks in the door. Since non-urgent visits have been cancelled, these children are ill and most commonly with fevers. Therefore, these are considered high risk screening locations.
    • Screeners at the Medical Center and Dodson are screening hospital visitors and patients whose appointments could not be rescheduled (chemotherapy, cast removals, etc.). This group is a much lower risk of being acutely ill. With an infrared thermometer they should have no direct contact with patients.

      In an effort to preserve PPE, we are trying to be thoughtful and consistent. Please note that these decisions are subject to change based on epidemiology.

5.     Update on red armband: There are a variety of other bands in different colors being used across the medical center. At this time, visitors who have restricted access will be wearing a red armband. Visitors with a red armband are limited to visiting their child's hospital room only. Common areas and retail locations, including Camelot Court and Starbucks, are prohibited.

6.     Another tragic effect of COVID-19: Sadly, we are seeing a spike in severe child abuse cases likely related to the current situation. According to the CARE Team, we've seen six severe child abuse victims just this week, which is equal to the number we typically see in a month. Read more in this issue on Checkup Newsroom. If you suspect a child is being abused or neglected, contact the Texas Department of Family and Protective Services toll free at 1-800-252-5400.

7.     New process for patients' personal prescriptions: Previously, our Pharmacy has handled and stored patients' personal medications but we have implemented new processes to reduce the risk of surface contact exposure to Pharmacy staff.  *Read the modified procedures below to ensure that you are handling these prescriptions properly for your patients.

8.     Retail Pharmacy hours and services: Our Retail Pharmacy team is ready to meet the prescription needs of our patients. In addition to being open every day from 8 a.m. to midnight, they offer curbside delivery! Those picking up prescriptions are to pull up to the corner of Terrell Ave and 6th Ave. and park next to the green curb under the blue canopy. Then simply call the Retail Pharmacy at 682-885-6914, provide the child's name, date of birth and their curbside delivery location.

Take your temperature!     Wash your hands!     Be kind!

Still have questions? 

Please email us here and we will work to find you an answer as quickly as possible.

We'll write you again tomorrow, or more often as needed.

Thank you for all you are doing to model Our Promise, elevate every experience for our patient families, and support each other.

Resources at your fingertips:

Command Center: ext. 51791 (682-885-1791)

Lean on us for employee and family support resources in the community

Employee Assistance Resources (EAP)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

Occupational Health FAQs

.org page for employees  - Access from your cell phone!

*In this ever-evolving situation, all information is subject to change.


 

**NEW PROCESS: Patient Own/Home Supplied Medications

This applies to every patient (not just isolation or COVID-19 pending).

Effective: March 18, 2020 until further notice
S/B – Previously, Pharmacy stored and dispensed all patient own medications. This process has been evaluated by hospital leadership and will be changing.

A/R – For patient own/home supplied meds, follow this new process:

If Pharmacy cannot supply a medication and it's determined that home supply will be used, Pharmacy will verify the order on the MAR.

  1. A pharmacist will come to the unit. Nurse will hold the med (conserving PPE) to allow pharmacist to inspect/verify the medication on the unit. The pharmacist will bring a labeled Ziploc bag so that once inspected, nurse can place the medication in the bag.
  2. To minimize transport and contact exposure for all staff, the medication(s) will reside with the patient/family. Home medications will be self administered which can be documented in the MAR.
  3. Adapter caps for liquids can be provided by pharmacy. Meds may be stored in a hazard bag in the unit fridge if required.


***Statement Intended For High Risk Healthcare Workers With Increased Risk of Serious Illness

Based on current CDC and TDH guidelines, Healthcare Workers with the following underlying conditions are defined as, high risk for severe illness.  Health Care workers in these categories should be considered for work reassignment:

  • Adults 60 and older
  • HIV positive
  • Pregnant women
  • Asthma and COVID+
  • Cardiovascular disease
  • Diabetes
  • Severely immunocompromised (for example: Transplant and Hematology/Oncology patients)

Health Care Workers meeting the definition of high risk for COVID-19 serious illness, by the above definition should:

  1. Follow the Risk Assessment and Public Health Management of Healthcare Personnel exposed to patients with suspected or confirmed COVID-19
  2. Adherence to recommended infections prevention and control practices based on risk category.
  3. Consider limiting exposure to confirmed or suspected COVID-19 patients
  4. Employee compliance with recommended PPE during higher risk aerosol-generating procedures (intubation, CPAP, high-flow O2 suctioning, nebulizers use etc.)

Managers and Supervisors of Health Care workers meeting the definition of Higher Risk Status (based on underlying medical conditions) should during the current COVID-19 Pandemic

  1. Also use the CDC Risk Assessment Guide for defining exposure risk, cross reference risk as it relates to, the type(s) of PPE used by the employee during the event
  2. Consider re-assigning employees temporarily, based on job functions to non-high risk duties commensurate to the employee's skill set, licensure etc., at the discretion of Departmental COVID-19 Disaster Policies
  3. Refer potential exposures events/cases to the collaborative teams of Occupational Health and Infectious Disease, as per established protocols

COVID-19 Update*
March 20, 2020, Noon

The most recent information available regarding Cook Children's response to COVID-19 is below. This crisis is changing by the hour and day, and as a country, we are expecting to see more restrictions placed on every element of our work and personal lives. During this time, let's all remember to be kind to one another.

In addition, it is vitally important that we all abide by these guidelines and recommendations. These measures are being put into place to PROTECT ALL OF YOU and all of our patients and families.

Thank you, and please give a virtual hug to someone you work with today.

Top 7

1. Check your temperature! Before coming to work, every employee MUST check their temperature to be sure it is BELOW 100.4. More information and details coming soon on this.

2. Appropriate use and reuse of PPE, specifically N95 masks: N95 masks may be re-used for an entire shift unless the mask is visibly soiled or breathing becomes difficult. A surgical mask is to be used on top of the N95 to maintain the cleanliness of the mask. The surgical mask must be discarded after each use.

As a reminder, here are the current PPE guidelines:

  • Screening for possible COVID-19 patients: PPE is not required, but a regular mask may be worn if desired. No other forms of PPE should be utilized.
  • Patient care for non-aerosolized procedures: PPE required is face shield, regular mask, gown and gloves at all times when caring for patient. It is recommended to use a partner to ensure all PPE was don and doffed correctly.
  • Patient care during aerosolized procedures: PPE required is goggles, N95, gown, and gloves. Alternative is to use a PAPR, gown and gloves. It is recommended to use a partner to ensure all PPE was don and doffed correctly.

3. What do red armbands mean? It means this visitor has been given restrictions while in the medical center and those restrictions include:

  • The individual must wear a mask AT ALL TIMES while they are in the medical center.
  • They are limited to visiting their child's hospital room only. Common areas and retail locations, including Camelot Court and Starbucks, are prohibited.

4. Units designated for COVID-19 patients: Areas have been repurposed to take care of potential, suspected and actual COVID-19 patients.

  •  ICU: 2 North, 10-bed unit
  • Medical: 3P, 20-bed unit

Please do not go to these areas unless you are providing care.   

5. Mum is the word. We know there is a heightened sense of interest in knowing if there are cases of COVID-19 at Cook Children's, but please remember sharing this type of information is a violation of patient privacy. Please help us protect our patients.

6. Meetings: Any individuals and team members involved in the COVID-19 crisis response will NOT be available to participate in non-essential, non-crisis related meetings at this time.

7.  Command Center: Have a staffing, supplies, logistics, communications or operations issue and need to inform the Command Center? Please call ext. 51791 (682-885-1791) for any issues surrounding our COVID-19 response. Remember, BEFORE making independent decisions for your departments and areas, please call us first.

Take your temperature!     Wash your hands!     Be kind!

Still have questions? Please email us here and we will work to find you an answer as quickly as possible.

In case you missed it, the update from last evening is here.

We'll write you again later today, or more often as needed.

Resources at your fingertips:

Command Center: ext. 51791 (682-885-1791)

Employee Assistance Resources (EAP)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

Occupational Health FAQs

.org page for employees  - ACCESS FROM HOME away from the network!

*In this ever-evolving situation, all information is subject to change.


 

COVID-19 Update

March 19, 6 p.m.

In case you missed it, here is the update we sent at noon and the video with Mr. Merrill.

The most recent information available regarding Cook Children's response to COVID-19 is below.

Top 7

1. Jeans Day until May 1: In order to help staff feel a little more comfortable during these times, leadership has decided we can all wear jeans (or whatever you currently are allowed to wear on Fridays) EVERY DAY from now until Friday, May 1, at which time it will be reevaluated.

2. Answers to what PPE to use and when: In order to ensure that we are appropriately using proper PPE and not unnecessarily, here's what PPE should be used for specific patients and procedures:

Screening for possible COVID-19 patients: PPE is not required, but a regular mask may be worn if desired. No other forms of PPE should be utilized.

Patient care for non-aerosolized procedures: PPE required is face shield, regular mask, gown and gloves at all times when caring for patient. It is recommended to use a partner to ensure all PPE was don and doffed correctly.

Patient care during aerosolized procedures: PPE required is goggles, N95, gown, and gloves. Alternative is to use a PAPR, gown and gloves. It is recommended to use a partner to ensure all PPE was don and doffed correctly. Regardless of the types of PPE needed, frequent hand hygiene is strongly encouraged at all times.

3. Keep patient information private! We know there is a heightened sense of interest in knowing if there are cases of COVID-19 at Cook Children's, but please remember sharing this type of information is a violation of patient privacy. Please help us protect our patients.

4. Need a little help on how to use Skype for virtual meetings while you are social distancing or working from home? We have a resource for you.

Bright Horizons contact update: Due to the number of telephone calls to Bright Horizons for Crisis Care, visit them online instead http://www.careadvantage.com/cook, and follow the steps on the COVID-19 resource page for childcare options.

5. Valet Services: A tip of our hat to Valet Services: During this stressful time for patients and families, we are grateful for the welcoming and friendly members of our Valet Services team. Thank you to these men and women, who are so often the first faces our families see, and they are always there with a smile and a warm greeting.

6. Feeling stressed during this time? We hear you! Free help is available from EAP. You are eligible for six FREE sessions through a counselor via EAP. To access these services, call 1-866-219-1232 (24/7 access) or go online to www.eapwl.com. You will use username and passcode: cook (all lowercase). then going through the intake process and getting matched with providers, let them know you are looking for a provider that offers Telehealth services. Please note that while Talkspace, online messaging therapy, does have a cost associated with it, you'll receive a 15% discount through EAP.

7. Command Center: Have a staffing, supplies, logistics, communications or operations issue and need to inform the Command Center? Please call ext. 51791 (682-885-1791) for any issues surrounding our COVID-19 response. Remember, BEFORE making independent decisions for your departments and areas, please call so we can coordinate efforts.

Still have questions? 

Please email us here and we will work to find you an answer as quickly as possible.

We'll write you again tomorrow, or more often as needed.

Thank you for all you are doing to model Our Promise, elevate every experience for our patient families, and support each other.

Resources at your fingertips:

Command Center: ext. 51791 (682-885-1791)

Employee Assistance Resources (EAP)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

Occupational Health FAQs

.org page for employees (access from your cell or personal computer)

Skype resources for online meetings

Updated testing guidelines and family-focused messages

*In this ever-evolving situation, all information is subject to change.


 

COVID-10 Update*
March 19, 2020, 12 PM

The most recent information available regarding Cook Children's response to COVID-19 is below.

  • “This is how Cook Children's responds" video update from leadership: By now we hope, you have seen the video from members of our senior leadership team, regarding updates on Cook Children's response to COVID-19. If not, you can watch it now. (Full summary below*). Topics discussed: working from home, elective surgeries and visits, redeployment of staff, childcare and more. This situation is fluid and moving fast, and we will continue to work as fast as possible to provide you with the latest information.
  • Handwashing reminders: Every employee MUST do their part in preventing the spread of germs and COVID-19 in a simple way every time by washing their hands consistently and thoroughly. Use warm water and lather with soap, scrub for at least 20 seconds, and rinse and dry. Please refer to the Cook Children's hand hygiene policy (IC 110) for more information.
  • ​​2F7A9991-resized thumb.jpgKudos to Environmental Services: The cleanliness of our clinics, campus and all areas is vitally important to help prevent the spread of COVID-19. On the frontlines are our dedicated Environmental Services team members, like Mira Greene. Whether it’s the patient rooms, clinics, elevators or heavily trafficked areas, we say, “Thank you” to this team for their continued hard work doing their essential part in this situation. 
  • Blood donation option: If you are feeling the desire to donate blood during this crisis, you should contact Carter BloodCare and find a location near you to schedule an appointment. Currently, an on-campus blood drive (for employees only) is pending approval for next month. Take a look a Carter's donation FAQs and eligibility. Watch for more details about this drive.
  • Dining options and changes at the Medical Center: With the public health crisis ongoing, here are a few changes occurring throughout the medical center as far as our current dining options:
    • All self-service areas and Zooty Fruity are currently closed.
    • Starbucks will remain open its regular hours, but for take-out only.
    • Fountain drink machines are closed and Chick-fil-A will not be offering tea and lemonade. The free beverage with meal purchase is either an 8 ounce bottled water or a small canned Shasta.
    • Coffee is available in Starbucks and Goodies to Go.
    • The salad bar is closed but premade salads are available in grab-and-go areas.
  • Command Center: Have a staffing, supplies, logistics, communications or operations issue and need to inform the Command Center? Please call ext. 51791 (682-885-1791) for any issues surrounding our COVID-19 response. Remember, BEFORE making independent decisions for your departments and areas, please call us to coordinate.

Still have questions? 

Please email us here and we will work to find you an answer as quickly as possible.

We'll write you again tomorrow, or more often as needed.

Thank you for all you are doing to model Our Promise, elevate every experience for our patient families, and support each other.

Numbers and resources to know:

Command Center: ext. 51791 (682-885-1791)

Employee Assistance Resources (EAP)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

Family-focused messages around testing

*In this ever-evolving situation, all information is subject to change.


Highlights from video filmed March 18, 2020*

President and CEO Rick Merrill from the Incident Command Center explains the role of the center as necessary to help Cook Children's respond to the COVID-19 pandemic, our focus to update employees on the various initiatives that are underway, and give answers to the questions that are being asked.

Mr. Merrill acknowledges this is a whole new world for all of us and that we are in unprecedented times. He emphasizes the highest priority is keeping our employees and patients safe. He shared we must take care of one another, so we are ready for the community who needs us.

He turns it over to Chief Operations Officer Stan Davis to address the topic of working from home and those that are being sent home. Stan explains that the opportunity for employees to work from home when possible has always been a strategic initiative but this crisis has expedited the process to find solutions. Prior to this crisis, there were 200 employees already successfully and productively working from home. In the face of the increased requests to also do so, our current technological bandwidth doesn't allow for all employees whose job can be performed remotely to do so. We have 400 opportunities for employees to work in a different setting than their current work environment. These include working from home or from a clinical setting. There is a task force reviewing the requests from staff to work from home and assessing the requests, including the timing of when it is feasible to move to that.

Stan brings in Chief of Staff Natalie Wilkins to explain the redeployment of staff. Natalie begins by restating the ever-evolving nature of this crisis and the need for more of some roles, and less of others. She shares this will necessitate the redeployment of employees to other positions. A taskforce is working with managers and directors to determine the areas in which staff can be redeployed. For example, Dodson surgery center staff will be impacted by the halting of elective surgeries and the CCPN clinics will have an increased need for staff to complete screenings. A survey to managers and directors has been sent asking for information about those roles and needs in their areas.

Transitioning over to discussing the plan for when staff is unable to work from home or be redeployed to another position: Stan explains that in those cases those employees will be sent home but paid at their base pay rate but these employees must understand that given the constant changes in this situation, they may be asked to return to work at any time in a redeployed role. Initially this paid scenario will be available through May 1, at which time it will be reevaluated based upon resources and needs.

Chief Nursing Officer Cheryl Petersen discusses how we are addressing high-risk employees: Occupational Health and Infection Prevention have been working to give guidance to our employees. They are providing guidance based upon the evidence-based findings about this virus and its complexities that have been changing daily and weekly. Employees who consider themselves to be high-risk and on the frontlines are encouraged to adhere to Cook Children's standard use of universal precautions and occupational exposure. Employees requiring special consideration for any underlying medical conditions should work with their personal physician and Occupational Health for guidance. NEW INFORMATION COMING OUT ON THIS ASAP!

Another question that has been raised is child care and dependent care, which Chief Administrative Officer Keith Holtz addresses: Keith explains that Cook Children's has been working with Bright Horizons, who operates Kids' Place, along with other child care options. Currently, there are openings at Kids' Place for care and employees are encouraged to check with them as well as using the Bright Horizons' contact information for their backup options. Bright Horizons also offers Crisis Care if none of their facilities work for the employee. There is a $100–a-day reimbursement for childcare with certain criteria. Our Employee Assistance Program also offers a service to research and locate possible childcare solutions, which frees up the employee to focus on other, equally pressing pieces of business. Finally, Cook Children's is exploring the possibility of a temporary childcare facility near the medical center, and more details will follow as those are finalized. Mr. Merrill added that Bright Horizons also offers elder care options for employees' elderly dependents if needed.

As we look to limit the amount of foot traffic and avoidable visitors to the campus, Mr. Merrill turns it over to Chief of Hospital Services Nancy Cychol and CCPN President Dr Britt Nelson to discuss the decisions on elective surgeries and elective visits respectively. Nancy explains that at the beginning of this week medical directors were asked to start assessing the elective surgeries that were scheduled and the ability to postpone for at least six weeks until May 1. Following those discussions and the fast-changing situation, the decision was made to stop performing elective cases on campus as of Friday, March 20, at 7 a.m. but we will continue to do elective cases at Hurst and Plano as of now and they will continue to work with the boards of those facilities. Why is it ok for surgeries to still be conducted there? The campuses are smaller and it is easier to control the foot traffic than it is on the larger main campus. Dr. Nelson explains the clinic side of this decision and that the determination of “an elective visit" is at the discretion of the physician that orders the procedure. For those determinations, the following guidelines are being followed:

  • If the visit can be performed in a HIPAA-compliant way through telemedicine, then it will be conducted in that way.
  • If the visit can't be conducted that way, they will be rescheduled to a date after May 1.

He reiterated that elective procedures will be scheduled after May 1 but that non-elective procedures will be scheduled and carried out in a normal fashion. Dr. Nelson shared that physicians have the responsibility to let the family know that they will be entering into a different environment than what they may be accustomed to at Cook Children's given the extra measures being taken to protect everyone, such as more staff being in PPE and practicing social distancing.

Mr. Merrill referenced the news from earlier in the day that the Office of the Inspector General is currently reviewing the guidelines on telemedicine, which is further proof that this situation is constantly changing and outside the norm of what we are used to.

In closing, Mr. Merrill was grateful for the patience and understanding of all of our employees as we navigate these unprecedented times that have reshaped our lives. We will continue to be as responsive as possible while maintaining the safety and well-being of our employees and patients as our main priority. He thanked all of us for everything we are doing to take care of one another, and those in our community who need us. Please continue to watch and read the regular daily communications.

*All information subject to change based in this ever-evolving environment.


 

COVID-19 Update*
March 17, 2020, 7 p.m.

The most recent information available regarding Cook Children's response to COVID-19 is below. Protecting and taking care of all of you, and our patient families, remains our highest priority during this time.

Top 8

  1. Wellness Zone to close temporarily! Beginning tonight (March 17) at 8 p.m., in the interest of caring and protecting all of you, the Wellness Center will close until it is possible to reopen again. As an alternative while you are practicing social distancing and avoiding crowds, HealthyMe is offering employees free 24/7 virtual fitness classes via Wellbeats for a limited time. There are 400 different opportunities and online classes. Sign up here.
  2. Changes to elective surgery schedule & specialty clinic visits: Effective Friday, March 20, 2020, at 7 a.m., we will cancel or reschedule all surgical/procedural cases that are deemed to be elective between March 20 - May 1 (if medically possible). Clinic schedules will also be reviewed with the goal of decreasing in-person visits by utilizing telehealth, or rescheduling appointments at least six weeks into the future. We will reassess this process after May 1.
  3. Take your temperature each day! All employees should take their temperature prior to coming to work each day. If you have a temperature that is100.4 degrees or above, please DO NOT COME TO WORK, and contact your physician, manager and Occupational Health.
  4. Talkspace is available for you: With so much uncertainty in our world right now, you may be feeling you need someone to talk to. Did you know our Employee Assistance Program (EAP) offers discounted access to Talkspace, which is online messaging therapy? Visit our EAP page and search for “Talkspace" to learn more. When you login online, the username and password are both “cook" (both lowercase).
  5. Should we meet: As we continue to work diligently to limit the number of attendees at on campus meetings, please be mindful of your colleagues' time and focus. Use discretion and cancel any non-critical meetings and consider using conference calls if possible. This will allow everyone to continue to work through the many aspects of navigating this situation.
  6. Occupational Health FAQs: Understandably, many employees are concerned about return to work procedures considering the ever-changing updates and guidance by the CDC. Please reference these FAQs from our Occupational Health team.
  7. Practicing social distancing: You'll notice several changes to our common gathering areas across the campus. For example, at Starbucks, Camelot Court and other locations we have redesigned the spaces to create more open areas.
  8. Command Center: Have a staffing, supplies, logistics, communications or operations issue, and need to inform the Command Center? Please call ext. 51791 (682-885-1791) for any issues surrounding our COVID-19 response. Remember, BEFORE making independent decisions for your departments and areas, notify the Command Center to be sure it aligns with the system strategy.

Still have questions?  Please email us here, and we will work to find you an answer as quickly as possibl

We'll write you again tomorrow, or more often as needed.

Thank you for all you are doing to model Our Promise, elevate every experience for our patient families, and support each other. We'll get through this together!

 

Resources at your fingertips:

Command Center: ext. 51791 (682-885-1791)

Employee Assistance Resources (EAP)

Occupational Health: 682-885-3837, or Occhealth@cookchildrens.org

*In this ever-evolving situation, all information is subject to change.


 

COVID-19 Update: Updated Instructions Regarding Coming to Work

March 16, 2020, 8 PM

In light of new information that was announced this afternoon by relevant governmental entities, we have an important update for those who have recently traveled:

  • to areas with widespread ongoing transmission of COVID-19;
  • on a cruise ship (regardless of destination); or
  • these counties in Colorado (Eagle, Summit, Pitkin and Gunnison).

We have placed an important message on CookNet and sent it to all employees system-wide via email.

You'll need to contact Occupational Health if this applies to you.

Thank you for your understanding, and for helping keep all of our employees safe, as well as our patients and families.


COVID-19 Update: Testing Criteria Guidelines

March 16, 2020

General Considerations - Testing Criteria

Testing is now widely available through most commercial laboratories. However, at this time, Cook Children's Health Care System does not plan to bring routine COVID-19 testing in-house, and testing will only be performed on patients who are admitted for inpatient care. While testing is available, the current restriction is the availability of the test specimen collection device. This is a nation-wide issue and there is no anticipated time when this will be resolved. This is the same testing collection device that is used for routine respiratory viral testing, such as Influenza and RSV.

The following guidelines have been developed by CCHCS leaders to guide the most judicious use of the test. 

Emergency Department Testing Criteria:

  • Testing is limited to patients who will be admitted for inpatient care. ACTION: Notify Infection Control via the hospital operator when testing is ordered.
  • Patients that are being treated and sent home should not be tested under any circumstances. In situations where there is a known exposure and consistent symptomatology, advise the patient/family/individual that there is a likelihood of being positive for COVID-19 and they should practice social distancing until well. Please note: there is no treatment available and the test result does not change the course of therapy.  

 Testing Criteria for CCHCS's UCCs, PCCs, Neighborhood Clinics 

CCHCS Infection Prevention does not recommend testing in this setting. 

  • If the patient needs to be transferred to another facility for escalation of care, then the receiving facility should be advised if there is a suspicion of COVID-19.
  • In situations where there is a known exposure and consistent symptomatology, the patient/family should be advised that there is a likelihood of being positive for COVID-19 and they should practice social distancing until well. There is no treatment available and the test result does not change the course of therapy.

If you need immediate assistance, please contact the hospital operator and ask them to page Infection Prevention. For other information, visit our resource page on CookNet, or email us at COVID19Questions@cookchildrens.org. Thank you!

 

COVID-19 Update: Important instructions regarding coming to work

March 16, 2020

If you have been quarantined for any reason, or been instructed to self-quarantine based on where you have traveled, you should NOT come to work and should contact your manager and Occupational Health.

If you are unwell, not feeling well, or have a fever, DO NOT COME TO WORK and call your personal physician or Teladoc.

You SHOULD COME TO WORK as scheduled and do NOT need to call anyone if you can answer YES to all of these questions:

  1. You have not been quarantined for any reason.
  2. You have not been instructed to self-quarantine based on where you have traveled. 
  3. You are feeling well.
  4. You have checked your temperature and your temperature is BELOW 100.4.

Questions? Email COVID19Questions@CookChildrens.org.

 

COVID-19: Other General Updates

March 16, 2020

NEW POLICIES & PROCEDURES 

New! Guidelines for Clinical Staff

New COVID-19 flyers for our patient families that are available for printing on CookNet:   

  • New Visitor Policy & Screening Guidelines  and How To Support Siblings During COVID-19 
  • Scripting for Entrance Screenings
  • Important Guidel​ines and Restrictions for Those Who Screen Higher Risk To Be Around Our Patients

New Visitor Policy & Screening Guidelines at Entrances*

In an effort to protect our patients, and all of you, we are making significant changes to our visitation policy, limiting points of entry into the campus, and will begin screening all individuals who enter the medical center (except badged Cook Children's team members). Read all of the details here. We have also created a flyer that will be given to parents and visitors, and you are encouraged to print it for your areas, too (see attached). These changes will go into effect Monday, March 16, at 5 a.m.

*Subject to change based on recommendations from the health department, CDC and other governmental entities.

 

HR, STAFFING & OCCUPATIONAL HEALTH
Bright Horizons for backup childcare

Bright Horizons, our partner for child care, has activated Crisis Care and is adding additional capacity to care for the children of health care workers. There is a $100 a day reimbursement benefit available for private childcare if Bright Horizons is unable to assist you. To qualify please register and make your reservations  here to start the process.

In addition, Kids’ Place on campus may have limited spaces available. Call 877-242-2737 for details.


 

Please don't bring your children to work with you

Employees should not be bringing their children to work regardless of where the employee works. Children of Cook Children's employees are NOT allowed in any of our system locations while the employee is working.  


 

Prohibiting business travel until further notice and personal travel advisory
Similar to many organizations inside and outside of health care, Cook Children's is prohibiting all business travel until further notice. In the event there is a critical exception to be considered, it must be approved by a company president or senior vice president.

If you have scheduled business travel, and have not already cancelled, please email Travel Services to request this travel be cancelled. Travel Services will process the cancellation appropriately and according to the policies of the travel industry.

If you have personal travel planned, please use your best judgement because “social distancing and limiting travel" is being recommended by governmental entities. If you have an exposure to COVID-19 while you are away, be aware that there is always the possibility you could be quarantined upon your return no matter where you traveled. If this happens, and your travel was not related to work, you would have to utilize your PTO balance or take an unpaid leave upon your return.

 

SUPPLIES AND EQUIPMENT
Facts on N95 Masks
The latest CDC guidelines around infection control for COVID-19 require that staff only wear N95 filtering face piece respirators (FFRs) or PAPR respirators during aerosolization generating procedures, such as intubation. Routine procedure masks are appropriate for daily care. Read more from the CDC here.


 

VERY IMPORTANT! Conservation of personal protective equipment (PPE)

We realize COVID-19 is being discussed on every news outlet and online, and we understand you may have concerns and want to protect your own family. Unfortunately, this is resulting in many hospitals reporting significant increases in theft of personal protective equipment (PPE) from the units, i.e. masks, gowns, gloves, goggles, etc. We must remind you that you should NOT take home any PPE. When these items are taken from the units, this creates a potential shortage of PPE that is necessary for routine, daily patient care. 

Please implement any necessary safeguard measures for supplies on your unit. This may include placing items out of public reach, keeping unused items behind locked doors or cabinets, and removing medical supplies from common areas.

Please help us conserve our PPE resources for the patients who need us to be ready to care for them.


 

EMERGENCY PREPAREDNESS

Sign-up today for Cook Children's Alert System

During this time and even going forward, we need all employees connected and as informed as possible about the current situation. To achieve this, Cook Children's Alert is the system that will be used to communicate alerts and messages during disasters and times of emergency. To date, there are still more than 2,400 employees who have not signed up with their cell phone number. If you haven't signed up for the Cook Children's Alert System, all employees and physicians are being HIGHLY ENCOURAGED to do so. The steps to sign up are located on CookNet. 

Know your role!

Now is the time to review and become familiar with your department's emergency preparedness plan. Be sure you are clear on your role in this plan. If you have questions or are unsure of your role, please visit with your manager. Verify your non-work contact information is updated and available to your manager and all of your team members. 


 

HEALTH AND WELLNESS

As we emphasize year-round, it is vitally important to stay home if you have a fever or any flu-like symptoms. As a system, we will continue to balance the need to be available for our patient families who need us, AND take care of our workforce who are essential to helping us take care of the patients who are relying on us.

Teladoc fees waived for 90 days

In our continued efforts to keep you and your families healthy and well, and ready to care for our patients and families who need us, we are waiving the telemedicine fees (Teladoc) for 90 days for all employees and their dependents who are a part of the system's health care insurance plans. Learn all about Teladoc services, and how to access this service on CookNet. While you won't be able to receive COVID-19 testing through this service, you can receive care and medical guidance for a variety of illnesses and diagnoses via your telephone or computer.

How does it work? You just sign up, book an appointment and chat via video on your smartphone. It's that easy!

Avoiding crowds and still want to get your exercise?
HealthyMe is offering employees 24/7 virtual fitness classes via Wellbeats for free for a limited time. Sign up here.


 

MISC.

Meetings and visitors to campus
Please do not host meetings on campus with external individuals and groups unless it is mission critical.

Even for routine internal meetings, if the gathering can be postponed until we are through our COVID-19 response, you are encouraged to do so.

We are also asking that there be no food deliveries to campus as well.


STAYING INFORMED
Want to catch up?
Been on spring break or out of the office and have a full inbox and don't know where to start? All communications regarding our preparations for COVID-19 are here.


FREQUENTLY ASKED QUESTIONS (FAQs)

Question: Will employees be tested for COVID-19 in the coming weeks or months?

Answer: There is a national shortage in the viral testing media that is needed for both COVID and regular seasonal viruses, such as flu. Our current strategy is to prioritize testing to high-risk symptomatic patients who will benefit the most. If a healthcare worker is exposed by direct contact to a confirmed case, then they will work with Occupational health to develop a plan to be off work with pay. There simply isn't the bandwidth to test asymptomatic or to prove a negative. And since there is no treatment, testing is informative at best. 

 

Question: Will there be a mandatory quarantine for employees that plan to, or already have, traveled recently?

Answer: At this time, there is not a mandatory quarantine for employees returning from travel. Testing asymptomatic individuals is not recommended by the CDC. We do advise employees to call Occupational Health before coming back into work.

 

Question: Should other locations be following the new screening guidelines in place?

Answer: The Visitor Policy and Screening Guidelines are applicable to all Cook Children's locations across the system. However, we do not have a dedicated bank of screeners for every single location. Screenings should be arranged through each location's leadership team.

  

Question: Will the attendance point system still be in place during this time?

Answer: Per HR Leadership: We have discussed the pros and cons of eliminating attendance points at this time. The decision has been made to continue our policy as usual, with renewed reminders to staff not to come to work if they are sick. We believe the risk is much greater of having staffing shortages if the points are removed at this time.

 

Question: Will caterers, restaurants and other food delivery services be allowed to make deliveries to the Medical Center and the ROB?

Answer: The Visitor Policy extends to food and other delivery services. We also encourage employees taking extra precaution when eating off campus.

 

Question: For employees in Home Health, The Center for Children's Health and others, are we continuing to make home visits? Is it possible to move to telemedicine case management or do we need to be rescheduling these appointments?

Answer: Given the impact of COVID-19, Cook Children's Home Health's priority is to maintain patient safety and assure patient needs are met. Assessments are being conducted to identity patient visit types that may be provided via phone, or rescheduled if feasible. Specific patient visits can require skilled intervention that cannot be provided over the phone, and we will continue to perform these visits as needed. 


 

Numbers to know

  • Bright Horizons for back-up child care, elder care, etc.: 877-242-2737 (Now is the time to make plans for back-up child care.)
  • Infection Prevention Nurse: Please call the hospital operator at 682-885-4000, and ask them to page the Infection Prevention Nurse on call.
  • Occupational Health for any return-to-work questions or concerns: 682-885-3837.

We are listening! 

If you have other questions, or concerns, please email us here . We will route your question to the most appropriate expert, and get back to you as soon as possible.


Additional Resources

Tarrant County Hotline for COVID-19 (Coronavirus): 817-248-6299


Still have questions? 

Please email us here and we will work to find you an answer as quickly as possible.