For Medical Professionals

This page is for medical professionals. Posted here will be current clinical updates and upcoming events.

 

Click here to view the communication sent on Friday, March 6.  Additional resources are linked to the right.

 

Northern NY Clinical Updates

Last updated 3/25/2020

 

All efforts are to protect our community from the spread of COVID-19 by reducing non-essential contact and exposure.

Important Notices NEW

In an effort to protect mothers and newborns, the Pediatric Hospitalists have temporarily closed the Pediatric Unit at CVPH and will no longer be admitting pediatric patients to CVPH.  All pediatric patients that require admission will be transferred to either UVMMC or Albany Medical Center, depending on bed availability. We will re-assess this decision as the COVID-19 situation evolves.

Due to staffing adjustments needed at UVM, we need to limit the number of Pediatric Hospitalists that are able to cover/practice at CVPH.  As a result of this reduction in staffing, the Pediatric Hospitalists will be limiting in-person ED consults. By limiting our physical presence in the ED, we are attempting to reduce potential COVID-19 exposures to help keep the newborn nursery a “clean” unit. We will be available 24/7 for phone consultations with the Emergency Department, and are working on setting up telemedicine consults. In the case of a pediatric code or a severely ill pediatric patient, we will come in person to help care for the patient in the ED.

If you have any questions or concerns about the above precautions please do not hesitate to reach out to Stephanie Ryan, MD or Karen Leonard, MD.  For patient related issues, you may page the Pediatric Hospitalist through the CVPH operator or you may email Drs. Leonard and Ryan.

Karen.leonard@uvmhealth.org

Stephanie.ryan@uvmhealth.org

If a provider has questions or concerns, feel free to reach out to Dr. Lisa Mark at LMark@CVPH.org or you can page Dr. Keith Collins at (518) 574-5609

Important Notices (3/23/20)

Please note:  Providers can still order essential outpatient imaging and laboratory testing that is not lung related. Please send outpatients patients with essential non-lung related conditions that need imaging/testing to Valcour Imaging during normal business hours. 

Valcour is also open from 7am-3pm for lab services. 

Only patients that present to the ER or are inpatient will be imaged at the CVPH Main Campus.  The CVPH Main Campus is still open for lab services from 6am-5pm Monday thru Friday.

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During this COVID-19 health crisis, all non-essential outpatient diagnostics have been suspended.  Outpatients with symptoms suggestive of upper respiratory infection (shortness of breath, fever, cough, etc.)  Will not be imaged within our main facility, even with an order from an outside physician.  Any outpatient that warrants chest imaging (chest x-ray or chest CT) should be considered sick enough to be evaluated by the Emergency Department. 

If a patient is well appearing on presentation to the ED with respiratory/infectious symptoms they are sent to our External ED (tent) for a medical screening exam, which determines whether they are appropriate for further testing or for immediate discharge. The only testing we are doing from the tent is strep testing since our flu/RSV/COVID testing is appropriately being limited to admitted patients.

If the patient is deemed appropriate for immediate discharge, they are discharged after their swab is obtained.  A CVPH staff member from the Results Call Center will call the patient and notify them of their results over the next 24 hours.  Patient results/lab reports will be provided to primary care offices as usual. 

If they are deemed to require additional evaluation (too sick, requiring additional testing, requiring treatment, etc...) they are sent back to the Main ED, masked, and roomed in our typical manner. 

It is important to note that with this new process there will be patients who have an outpatient order for a chest X-ray, whom are well appearing and are thus run through our external ED (tent), and are discharged without performance of a chest X-ray.

There will also be patients that are seen in the main ED but are felt not to need a chest X-ray by the ED provider; these patients will be discharged without completion of a chest X-ray.

We understand this new policy may cause concerns with patients and the initial ordering provider, but it is the right thing to do to slow the spread of the virus, protect patients and staff, and conserve valuable resources.  If a provider has questions or concerns, feel free to reach out to Dr. Lisa Mark at LMark@CVPH.org or you can page Dr. Keith Collins at (518) 574-5609.  

Important Notices   (3/19/20)

There is a national shortage of Flu/ COVID-19 testing swabs and viral culture media.  The few tests that remain at CVPH are being used to test for flu/ COVID-19 on patients that are being admitted or are already in-patient who have since developed symptoms in an effort to manage our isolation rooms.  As of now we are not certain when further testing material will arrive due to nationwide shortages.  We will let private practices know as soon as testing supplies become available.

If a provider thinks a patient has the flu based on symptoms and a clinical exam they should prescribe Tamiflu if appropriate (within recommended time-frame).  If there is concern that a patient might have pneumonia they should prescribe appropriate antibiotics.

We have canceled all non-essential surgeries procedures, diagnostic and physician office appointments.

All visitation to CVPH is suspended as of March 18th 9pm.  The only exceptions will be:

  • 1 family member for a patient under the age of 18
  • 1 coach for labor and delivery
  • family members and legal representatives in imminent end of life situations

Recent Openings/Closings and changes in hours for diagnostic services:  (3/19/20)

Cardiology Services: Cardiac Rehab will be suspended though April 30th . Non-Invasive Cardiology Services to include stress testing, echo, holter’s and event monitors will continue for patients deemed essential by their ordering provider.  Invasive Cardiology Services will remain operational.  Electrophysiology procedures will continue on a case-by-case basis.

Radiology Services: Radiology sites will begin to cancel and reschedule non-essential outpatient radiology visits and procedures. Essential imaging is defined as imaging that will result in a change in patient management over the next several weeks. Imaging of chronic conditions such as chronic low back pain or chronic knee pain will not be considered essential and likely will be postponed to a safer date.  Offices can still order these non-essential tests and we will hold appointment until it is safe for the patient.  If the provider disagrees with our determination, please call our radiologists to resolve/discuss 518-563-1900. 

  • Women’s Imaging Center:  Effective immediately, the Women’s Imaging Center will postpone regular screening mammograms until April 30th. Please be aware that if your patient or you feels a breast lump or other clinical breast issue, we are open to address these clinical needs on Tuesdays and Wednesdays.  Please call 518-562-1055 with any questions or concerns.
  • Wound Center:  Open Monday and Wednesday only.  Number to schedule remains the same 518-314-3290.
  • Main CVPH Hospital Campus: Imaging procedures are restricted to inpatients and Emergency Department patients at the hospital Radiology Department. Essential nuclear medicine radiology exams will be offered to outpatients at the Main CVPH Hospital Campus location. In addition persons with upper symptoms, such as shortness of breath, cough, fever requiring essential lab and imaging services will also be performed at the Main CVPH Hospital Campus.
  • Valcour Imaging: Open Monday-Friday normal business hours.  Please direct persons with upper symptoms, such as shortness of breath, cough, fever requiring essential lab and imaging services to the Main CVPH Hospital Campus.
  • CVPH Health Plaza location (PETCT Scan): As an essential service, PetCT Scan, will continue to be provided on Tuesdays and every other Friday:
  • Open MRI Location: CLOSED
  • Champlain North (located at Hudson Headwaters): CLOSED

Laboratory Services:  

  • Main CVPH hospital Campus: Monday-Friday 6am-5pm
  • Medical Plaza Location: CLOSED.
  • Valcour Location: Monday-Friday 7am-3pm
  • Champlain North (located at Hudson Headwaters): CLOSED

Blood Bank: will remain open with normal business hours, Monday-Friday 8am-5pm.  (Closed Saturday and Sunday)

Coronavirus Update: for Community Providers

Dr. Collins is available to visit your office. Page him at (518) 574-5609 to set up a time or get questions answered. You may also reach Dr. Lisa Mark at LMark@cvph.org

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Alice Hyde and CVPH-Important information when referring patients to the Crisis Center

  • When referring a patient to the crisis center please send a fax with patient’s last medical note to the ER ((518) 562-7372). It is helpful if the crisis team can speak with the community provider to fully understand the referral/situation and make sure the patient receives the correct care needed. Please have your team call the crisis clinician on call at (518) 562-7456 when sending a patient over.  

Alice Hyde and CVPH Use Central Infusion Line -- 833-9INFUSE to schedule patients

CVPH Diagnostics and Pre-Registering

    • Central scheduling fax number is (518)-314-3980. 
    • The central scheduling phone line is (518)-562-7340
    • The patient registration phone line is (518)-562-CARE.

Events

Please note that we have canceled these community events to take COVID-19 precautions.


CVPH Patient Transfer Hotline

As part of our ongoing effort to improve quality of care, UVM Health Network – CVPH has implemented a “Patient Transfer Hotline.”  This “one call” hotline provides rapid transfer and direct admissions of patients, thus ensuring the best possible outcomes.

Toll Free Line

(866) 648-4886

An experienced RN Case Manager is on call to answer the hotline 24 hours a day, 365 days a year. This facilitates getting the patient to the right bed, in the right facility, and will improve communication and efficiency. Referring physicians are linked to receiving physicians on a recorded line to ensure real-time capture of vital information