PANDEMIC RESOURCES
Saying the Distant Goodbye during COVID-19: Clinicians Perspectives (June 11)
In this webinar, we will have a panel of health care providers discussing their professional and personal experiences with COVID-19. They will provide insight regarding care and healing in the absence of loved ones at the patient's bedside during illness, and final transition.
Ruth Rogers, RT
Respiratory Therapist
MedStar Southern Maryland Hospital Center
Mrs. Rogers has been a practicing respiratory therapist in the Washington, DC Metropolitan area for 28 years. She currently works alongside a team overseeing respiratory therapist on COVID-19 service.
Kimberly S. Johnson, MD, MHS,
Associate Professor of Medicine with Tenure,
Division of Geriatrics, Center for Palliative Care
Senior Fellow in the Center for Aging and Human Development at the Duke University School of Medicine.
Director of the Duke Center for Research to Advance Healthcare Equity (REACH Equity)
Dr. Johnson is a clinical investigator, geriatrician, and palliative care clinician. She is a nationally recognized leader in reducing racial disparities in palliative care for older African Americans. Her work has explored patient level, community, and organizational factors which may influence access to palliative care for seriously ill patients—including patients’ knowledge, beliefs, preferences, spirituality, and trust in the health care system, organizational goals, and community outreach.
David S. Wu, MD, FAAHPM
Director, Palliative Care Program
Johns Hopkins Bayview Medical Center
Assistant Professor, Division of General Internal Medicine
Johns Hopkins University School of Medicine
Cambia Health Foundation Sojourns Scholar
Dr. Wu. Graduated from Yale with a B.A. in English, completed medical training at Baylor College of Medicine, followed by Internal Medicine residency and Palliative Medicine fellowship at the University of Washington. Passionate about the intersection between narrative and palliative medicine, Dr. Wu and his team have designed a novel story-centered approach to goals of care conversations, the 3-Act Model, and integrated the training in multiple programs and units at Johns Hopkins.
Kimberly Angelia Curseen MD FAAHPM|
Director of Outpatient Supportive Care; Emory Palliative Care Center
Associate Professor; Division of Palliative Medicine
Director of the Duke Center for Research to Advance Healthcare Equity (REACH Equity)
Moderated by:
Danetta Sloan, PhD, MSW, MA
Consultant to the Center for Practical Bioethics,
Advance Care Planning & Health Living Through Faith Project
Assistant Scientist, Johns Hopkins University
Cambia Health Foundation Sojourn Scholar, 2019
Accessibility Guidance
National Association of the Deaf COVID-19 Resources
Patient and institutional resources for medical communication for deaf or hard of hearing.
Disabusing the Disability Critique of the New York State Task Force Report on Ventilator Allocation
by Joe Fins
Applying HHS’S Guidance for States and Health Care Providers on Avoiding Disability-Based Discrimination in Treatment Rationing
Guidance document for avoiding discrimination on the basis of disability
Institutional Resources and Guidance
Ethical Considerations: Care of the Critically Ill and Injured During Pandemics and Disasters
A deep dive into the ethical considerations to be taken while providing care during pandemic.
Allocation of Scarce Critical Care Resources During a Public Health Emergency
UW Medicine COVID-19 Resource Site
A kit of various sample policies and standards assembled by UW Medicine.
Duty To Plan: Health Care, Crisis Standards Of Care, And Novel Coronavirus Sars-Cov-2
Perspective article on hospital planning for COVID-19 triage.
What Us Hospitals Should Do Now To Prepare For A Covid-19 Pandemic
Guidance On Hospital Prep From The Johns Hopkins Center For Health Security
A Pragmatist’s Advice for Nursing Homes
Guidance to long term care providers on preparedness for COVID-19.
Caring Conversations COVID-19 Tip Sheet
Some useful tips and resources for having Caring Conversations during the COVID-19 pandemic.
CAPC COVID-19 Response Resources
Toolkit that addresses myriad palliative care issues in a time of COVID-19
COVID-19 Ready Communication -VitalTalk
Guidance to Clinicians in how to talk about difficult decision making
Working with Families Facing Undesired Outcomes (SWHPN)
Tip sheet for assisting families dealing with psycho-social concerns related to COVID-19 decision making
Conversation Project - COVID-19 Resources
Specific questions for patients to consider if exposed to COVID-19
Decision aid for patients considering life support at a time of COVID-19
Univ of CO. This DECISION AID addresses patient preferences regarding options about ventilator dependency.
(Not a medical order)
POLST and COVID-19
Specific Guidance from POLST(TPOPP) on executing Medical Orders or modifying existing medical orders due to COVID-19
CodaAlliance – Go Wish
Free online resource that facilities advance care planning while prioritizing patient preferences.
Ariadne Labs Serious Illness Care Program COVID-19 Toolkit
Support for clinicians having difficult conversations with patients at high risk for serious complications of COVID-19.
Kansas & Missouri Guidance
State of Kansas Executive Order No. 20-26
Temporary relief from certain restrictions and requirements governing the provision of medical services
Missouri Hospital Association:
A Framework for Managing the 2020 COVID-19 Pandemic Response and Implementing Crisis Standards of Care
Guidelines for the Use of Modified Health Care Protocols in Acute Care Hospitals During Public Health Emergencies
Other State Guidance
Minnesota department of health clinical guidance on triage: patient care strategies for scarce resource situations
- Includes guidance for shortages of
1) oxygen
2) hemodynamic support
3) ventilators
4) ecmo among other resources.
Guidance on Ventilator Allocation
From New York state task force on life and the law, state department of health (2015): ventilator allocation guidelines
Other Ethics Resources
Health Ethics Considerations
In 2009, the Center for Practical Bioethics, in partnership with regional healthcare, research, and education institutions, wrote and published this guidance document for ethical planning for Pandemic Influenza. It contains timely insight for ethics committee members and others interested in preparing for and responding to pandemic illnesses.
Ethical Guidance for Disaster Response
This review outlines the key ethics topics related to crisis standards of care (CSC) and provides a round-up of related literature.
Ethics Talk: COVID-19 Pandemic Response
A discussion of the ethical issues facing providers during a pandemic.
Care of the Critically Ill and Injured During Pandemics and Disasters
Supplemental audio interview for the CHEST publication.
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