St. John's Health COVID-19 FAQ Common Coronavirus Questions Review the FAQ's below for answers to common coronavirus-related questions at St. John's Health. My Health I have a cough and/or fever. What should I do? Call 307-739-4898, option 3. If you are feeling ill with any of the following symptoms, no matter how mild, call us. fever cough shortness of breath sore throat muscle aches loss of sense of smell or taste flu symptoms We will evaluate you on our nurse line and via a telehealth visit with one our providers. If we determine you should be tested for coronavirus, we may send a Home Health nurse to your residence or provide you with instructions to be tested in our medical tent. The call line is staffed: Monday-Friday: 8:30 am-6:30 pm Saturday-Sunday: 9:00 am-4:30 pm If you are uninsured or underinsured, call Teton County Public Health at 307-733.6401. You may qualify for a voucher for a free test. What should I do if I’ve been in close contact with someone with confirmed COVID-19? Call 307-739-4898, option 3. We can evaluate whether you should be seen by a provider via a telehealth visit and whether you should be tested. Can I request a COVID-19 test? When you call our hotline, we will be able to help you determine if you meet criteria to be tested for COVID-19. St. John’s is currently only able to test people who meet the eligibility criteria established by the CDC. These criteria change regularly. If you are tested at St. John's Health, the cost is $145. St. John’s is actively exploring ways to expand testing options for the community. One way would be to do on-site testing, which would require us to procure testing kits that are currently in short supply nationally. We are actively pursuing this option while also looking at other options for expanding testing capacity, including working with outside testing companies. How can I tell if my symptoms are COVID-19? For online screening tools, go to www.cdc.gov or go to the App Store or Google Play to download the COVID-19 app, developed by Apple in partnership with the CDC and FEMA. Or, call the St. John’s Health COVID-19 line at 307-739-4898, option 3. We will be able to evaluate you on our nurse line and via a telehealth visit with one of our providers, if appropriate. Can I request a COVID-19 antibody test? For Health Workers and First Responders: Based on a recommendation from a volunteer expert Antibody Advisory Panel, hospital and medical staff leaders will determine how best to deploy the antibody testing platform just released by Abbott Laboratories for a study of our front-line healthcare workers and first responders. The Abbott platform was recommended based on its credible, publicly available validation data from a well-credentialed source, the secure availability of lab testing supplies, and our ability to perform rapid, reliable, high-volume test processing at St. John’s. What could we learn by studying this high-risk group? We could obtain our first reliable measurements of the penetration of the outbreak to date, and learn to what extent front-line workers may have been infected but remained asymptomatic. This is one kind of data that will help us make smart decisions as we navigate through this pandemic. For individuals: It is critical at this time that you do not rely on antibody testing to relax your compliance with the hygiene and physical distancing guidelines and orders. If you have been reading about new local antibody testing options and have questions about their value, I implore you to become educated about their risks and limitations. A positive antibody test result may suggest to you that you have immunity to coronavirus when, in fact, there is a high risk you are still vulnerable AND able to infect loved ones and others. This is due to a high rate of false positives in the currently available tests. A scenario of multiple hundreds of false positives in our community would be a very dangerous situation. There are also risks associated with true positives. Though we presume that the presence of antibodies marks immunity to infection by the virus, that has not yet been established conclusively. We also do not know how strong any immunity may be, what the chances of reinfection truly are, how severe reinfection may be, or how long any immunity may last. Based on these limitations, you simply must not rely on a positive antibody test result to inform your personal decisions about how to avoid contracting COVID-19 or spreading it to others. What should I do about my elective procedures, regular appointments, and screenings? Patient and staff health and safety are our top priority. We are now open for elective procedures, screenings, and office visits, following CDC safety guidelines. We are also able to see patients via telehealth virtual visits. Please talk to your physician to determine the most appropriate care setting for you. Where can I learn about the incidence of COVID-19 in Teton County? St. John’s Health provides a daily update. Teton County Emergency Management posts a daily dashboard. Wyoming Department of Health includes county-by-county information at health.wyo.gov. The CDC is an excellent COVID-19 resource. St. John's Preparedness What are the hospital’s plans to isolate COVID-19 patients to reduce the risk of spreading disease? St. John’s has made preparations to quickly convert many additional patient rooms into negative air pressure rooms in order isolate highly infections patients and prevent room-to-room air contamination. Staff taking care of patients with confirmed COVID-19 disease follow all appropriate guidelines for using Personal Protective Equipment (PPE). What equipment and supplies are needed? In addition to appropriate facilities and PPE, described above, there are specific equipment and supplies that are also necessary for taking care of COVID-19 patients. Some patients with severe illness require ventilators for breathing support. With our recent acquisition of ventilators, St. John’s Health will have equipment allowing us to ventilate 54 patients. With the support of St. John's Foundation to purchase the new ventilators, we will have the number of ventilators that would be required if we reach the peak patient numbers currently forecast for Wyoming. On a daily basis, we are monitoring our supply needs and orders. PPE is being preserved so that it can be used in the most appropriate areas. With leadership from local organizations and Keegan Pfeil, RN, the community has volunteered to create masks and gowns that can be used to help St. John’s preserve supplies necessary for COVID-related patients. We are also accepting donations of unused PPE, including N95 masks, standard masks, commercial masks, face shields, googles, non-powdered latex gloves, and unopened hand sanitizer. Please bring any donated items to the main entrance. What are the plans for staffing? St. John’s has identified 84 employees and many physicians with Critical Care experience, including staff who are trained to use ventilators. We have built new staffing plans to enable these employees to be moved from their current roles into critical care roles. These individuals are currently participating in additional training to meet the needs of our COVID-19 patients. Will larger hospitals in the region be able to receive patient transfers from St. John’s? Eastern Idaho Regional Medical Center in Idaho Falls (EIRMC) and several hospitals in the Wasatch Range have made a commitment to be available for necessary transfers of St. John’s Health patients. We continue to transfer patients based on clinical decisions made by our providers on a case-by-case basis. Our goal is to keep patients close to home when appropriate and receive them back to St. John’s Health or the community as soon as possible. What special precautions are being taken for the Living Center? We have taken special precautions to protect our vulnerable populations at the Living Center. Even before it was required by CDC, we closed the Living Center to visitors. So far, we have had no staff members or residents with any symptoms. Safety Precautions What specific safety precautions are you taking in each of your different facilities? Each of our facilities is taking the necessary precautions to keep patients and staff safe. Visit our safety and reopening page for current info on each location. Additionally, all staff, patients, and visitors must wear a face covering while in our facilities. Please bring a mask from home to help us conserve PPE. If you don’t have a mask, we will provide one. How are you conducting surgeries now? Visit our safety and reopening page for safety precautions during surgery. What measures are you taking to keep patients safe? Visit our safety and reopening page for current information on what we're doing to keep patient safe. What is St. John’s Health doing to keep staff safe? In addition to reducing exposure to ill patients through phone and telehealth visits, St. John’s has implemented many protocols to keep staff safe, including reducing exposure, addressing travel concerns, returning to work, and training in donning and doffing PPE gear. Learn more on our Safety & Reopening page. Do the current town and county ordinances, orders, and recommendations affect St. John’s patients or employees? No. Healthcare is an essential service, so employees can continue to come to work, and patients can come to the hospital. What is the visitor policy? All visitors to the hospital will have their temperatures taken upon entry. PCU and Birth Center: Only ONE designated visitor or companion per patient per day (both parents can visit if the patient is a child) No visitors with flu-like symptoms, cough, fever, or confirmed COVID-19 No visitors under age 18 All visitors must wash hands or use sanitizer with 60% alcohol before entering patient room ICU and Emergency Department: No visitors, except the following: One parent is allowed for a child. One caregiver is allowed for a patient who needs help communicating. Living Center: No visitors Ways to Help What can I do to help St. John’s and our community? The most important thing you can do now is to help flatten the curve. Take care of yourself and your family. Stay at home. Practice physical distancing, handwashing, and not touching your face. Disinfect frequently touched surfaces. Sew standard masks (details available here) Make a financial donation to St. John’s Health Foundation, which has established a COVID-19 Response Fund. Click here to make a donation. Donate unused PPE (non-powdered latex gloves, standard masks, commercial masks, N95 masks, face shields, safety goggles, and unopened hand sanitizer) to St. John’s Health. Please bring them to the main lobby at 625 E. Broadway. Contact the St. John’s Health Foundation at 307.739.7512 if you have questions about the donation of any item. More Questions? Email email@example.com with COVID-19 questions or concerns.