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Community Newsletter - March 27, 2020

At St. Charles Health System, we’ve understood the threat of COVID-19 for months, and we’ve been planning accordingly. Our caregivers have worked tirelessly over the past several weeks to enact new policies, adjust workflows and optimize our available resources, all with three major goals in mind: To preserve critical supplies, to prepare for a surge of patients and to protect our caregivers so they can care for the communities we serve.

With 18 positive cases in the region (as of Friday afternoon), the virus is here, and it will spread. Below is a list of the things we’ve done and the things we’re doing to get ready for COVID-19’s arrival in Central Oregon, with links to more information.

Our main message to Central Oregonians right now:

STAY HOME, SAVE LIVES

Watch our President and CEO, Joe Sluka, explain why this is so important.

A summary:

  • Our hospitals are not the solution for this disease. They are the war zone.
  • Our caregivers and first responders are on the front lines. They will come to work to care for you and your loved ones.
  • The fight has already begun. It’s a fight in which we have to do everything in our power to win.
  • The only way we are going to slow the spread of COVID-19 right now is by self-isolating at home.
  • Stay home now. If you have kids at home – including teens – please enforce this directive for them.
  • This means:
    • Leave the house only for essential reasons, like to get food and medicine.
    • Socialize only with people who live in your house.
    • No picnics, camping, visits to the dog park or trips to the coast.
    • If you exercise outside, go alone or with someone from your household. Keep six feet apart from others.
    • No playdates for kids or hanging out for teens, except through digital means.
  • We need you to stay home so we will have the capacity – hospital beds, ventilators, trained staff – to care for those who need it most. If people don’t stay home, COVID-19 will spread more quickly and our hospitals will be overwhelmed. Here’s a good video on how this works:


WHERE TO GET INFORMATION

Resist misinformation. Do not spread rumors. Look to trusted local sources for facts:

Do you have questions about COVID-19?
Call our hotline: 541-699-5109. It’s open 9 a.m. to 5 p.m. Monday - Friday and 9 a.m. to 1 p.m. on Saturday.


TESTING

There is a nationwide shortage of medical supplies used to collect samples to test for COVID-19 and other respiratory viruses. As a result, we cannot test everyone. We must conserve supplies for the sickest and most vulnerable people.

We’ve established certain criteria that people must meet in order to be tested and are actively working to expand our testing capabilities.

Important: If you have symptoms of COVID-19 (cough, fever, shortness of breath) but you are not so sick you need hospitalization, the best thing you can do is stay home and call your primary care physician or your county’s public health department.


VISITOR RESTRICTIONS AND HOSPITAL ACCESS

To protect patients and caregivers and to preserve critical safety supplies, St. Charles has adopted significant changes in both visitor restrictions and care guidelines at all of its hospitals. You can review those restrictions by clicking here.

As an alternative to visiting a family member or friend at a St. Charles facility, please telephone or video call them.

Reminder: St. Charles caregivers are performing respiratory illness screenings at the entrances of all St. Charles hospitals and clinics. Caregivers and approved visitors will be subject to these screenings by answering a series of questions.


CANCELLATIONS, POSTPONEMENTS AND CLOSURES

We have canceled events, postponed elective surgeries and other select non-urgent outpatient services and closed our outpatient rehab to free up as much space as possible in our facilities and to preserve critical supplies in case of a surge. Patients impacted by these decisions will be contacted by St. Charles or their physician.

We understand that postponed surgeries and other appointments are inconvenient and frustrating. Please know we’re doing these things to protect you and your loved ones, and we wouldn’t do them if we didn’t think it was an important part of our preparedness plan.


SURGE PREPARATION

In anticipation of an influx of patients and to best manage patient flow across the health system, St. Charles is changing how and where patients are cared for in our communities. That means:

  • High-acuity patients, as well as all pediatric patients, will be cared for at the Bend hospital.
  • Lower-acuity patients will be cared for at the Madras, Prineville and Redmond hospitals. This will include hospice patients, as well as patients who need long-term care but cannot be transferred to a skilled nursing facility. 

All four hospitals and some of our clinics have also set up triage and screening tents outside in parking lots.


CALL FOR DONATIONS OF PERSONAL PROTECTIVE EQUIPMENT

Hospitals around the country are facing critical shortages of such supplies due to COVID-19 pandemic-related interruptions in manufacturing and distribution as well as a dramatic increase in global demand. As a result, St. Charles is actively working to both conserve and to acquire more protective equipment for its caregivers and patients.

Donations from the community are being accepted. Full boxes are preferable, but partial boxes are OK if they’re clean. Please do not bring donations to a hospital or clinic. Instead, you can find a list of needed items and donation drop-off sites by clicking here.


HOW TO HELP OUR CAREGIVERS

The Board of Directors of St. Charles Foundation approved a $200,000 grant to the St. Charles Cares Fund, which provides money to caregivers experiencing economic hardship beyond their control.

This $200,000 came from hundreds of people who gave through direct mail appeals, memorial donations and “grateful patient” gifts in honor of a physician, nurse or technician.

If you would like to be part of this group of donors supporting caregivers and St. Charles’ response to COVID-19, please give at https://foundation.stcharleshealthcare.org/Donate.

Every gift, no matter how large or small, is needed and appreciated.


E-VISITS, PHONE VISITS AND VIDEO VISITS NOW AVAILABLE

In response to the COVID-19 outbreak, St. Charles Health System’s outpatient clinics have transformed the way they care for patients. Earlier this week, the clinics rolled out a variety of options for remote visits with providers, including e-visits, phone visits and video visits.

Remote visits are designed to protect patients and caregivers, preserve critical medical supplies and conserve space in facilities in case of a surge of COVID-19 patients.

Learn more about e-visits, phone visits and video visits.

NOTE: Patients without a MyChart account are strongly encouraged to sign up for one today at stcharleshealthcare.org. COVID-19 test results are sent to patients via MyChart as soon as they are available. These tests are sent to centralized labs and results can take up to seven to nine days due to nationwide shortages.

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FOR IMMEDIATE RELEASE   |   March 25, 2020

St. Charles Outpatient Rehabilitation extends closure to April 27

BEND, Ore. – St. Charles Outpatient Rehabilitation remains closed with a tentative plan to re-open services April 27.
The goal continues to be to limit the number of people visiting St. Charles facilities in order to reduce the potential spread of COVID-19.

The Outpatient Rehabilitation team will continue to monitor and assess the status of the situation on a weekly basis and is exploring the possibility of offering telehealth services in the near future. Patients impacted by the extended closure will be notified by the Outpatient Rehabilitation team.

About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

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FOR IMMEDIATE RELEASE   |   March 25, 2020

St. Charles outpatient clinics roll out new services amid COVID-19 outbreak
Remote visits, surge tents, drive-up services designed to protect patients and caregivers.

In response to the COVID-19 outbreak, St. Charles Health System’s outpatient clinics have transformed the way they care for patients.

Caregivers from the health system and its provider network, St. Charles Medical Group, have been working around the clock in recent days to implement the changes, which are designed to protect patients and caregivers, preserve critical medical supplies and conserve space in facilities in case of a surge of COVID-19 patients.

“Given the highly infectious nature of this virus, we are trying to limit any exposures and interactions between patients and providers by delivering services at curbside or remotely whenever possible,” said Dr. Robert Ross, medical director for St. Charles Medical Group. “That means registering, getting a history and updating information in advance over the phone, then determining what interaction is absolutely necessary.”

St. Charles will continue to provide both patients and providers with protection when necessary to prevent transmission of disease, Ross said. Following interactions, the clinics will minimize hand-to-hand contact by giving patients results and instructions verbally, sending prescriptions to the pharmacy electronically and providing other essential direction through the health system’s online care portal, MyChart.

“This workflow will keep patients and providers much safer and isolates the interaction from any other patients and clinic staff,” Ross said.

Patients without a MyChart account are strongly encouraged to sign up for one today at stcharleshealthcare.org. COVID-19 test results are sent to patients via MyChart as soon as they are available. These tests are sent to centralized labs and results can take up to seven to nine days due to nationwide shortages.

Here’s more detail on each of the new services:

E-visits
St. Charles Family Care patients can now schedule e-visits with their provider through MyChart. E-visits allow patients to enter information about their symptoms. The provider then reviews that information and can reply via MyChart with advice, a referral or a prescription. E-visits are only for non-urgent medical conditions, as it may take up to two days to receive a response. If you need urgent medical care, please contact your clinic by phone or go to a nearby urgent care center. E-visits are free and available to established patients of St. Charles Family Care and Internal Medicine clinics. An active MyChart account is required.

Phone visits
Patients who want to speak with a doctor can choose to schedule a phone visit. Phone visits are exactly as they sound: The patient can speak with their doctor on the phone, ask questions and receive advice, all without making a trip to the clinic. To schedule a phone visit, call the clinic and request an appointment.

Video visits
For a face-to-face experience, patients can now schedule a video visit with a physician. Video visits offer the same convenience as phone visits, but with a video connection for the most personal remote experience possible. Video visits require the patient to download the Zoom app on their personal device. To schedule a video visit, call the clinic and request an appointment.

Surge tents going up 
In an effort to care for symptomatic patients while practicing social distancing, four St. Charles Medical Group clinics will soon have surge tents set up outside their facilities.

On Wednesday, March 25, tents opened at Bend South Immediate Care (61250 S.E. Coombs Place) and La Pine Immediate Care (51781 Huntington Road). Because they are set up at Immediate Care clinics, these two locations are open to all symptomatic patients.

St. Charles Medical Group is also ready to open tents at Bend East Family Care (2600 N.E. Neff Road) and Redmond Family Care (211 N.W. Larch Avenue) in response to a rise in patient volume. When opened, these two locations will care for any symptomatic patient who is established with a St. Charles primary care or specialty care provider.

Symptomatic patients with the following symptoms may be directed to a tent: 

  • Fever of 100.4 or greater within the last 24 hours
  • Cough
  • Shortness of breath

However, due to the nationwide shortage of testing supplies, patients will not be tested for COVID-19 unless the following criteria are also met:

  • Over the age of 60
  • Patient is immunocompromised
  • Chronic disease of one of the following:
    • Cardiovascular system
    • Pulmonary system
    • Diabetes mellitus

Anticoagulation Tents
There are also two tents set up outside Pilot Butte Medical Center (2275 N.E. Doctors Drive, Bend) and the Redmond Heart and Lung Center (244 N.W. Kingwood Avenue) to see patients. These tents are for high-risk patients, as identified by the anticoagulation care team, to receive International Normalized Ratio (INR) checks.

Pulmonary Clinic to offer drive-up appointments at St. Charles Bend
To continue to serve people with lung disease, lung injury, asthma and impaired pulmonary function, the Pulmonary Clinic at St. Charles Bend will open a drive-up clinic on Monday and Wednesday afternoons.

The drive-up clinic will be open from 1 p.m. to 5 p.m. Mondays and Wednesdays. To schedule a drive-up appointment, call the Pulmonary Clinic at 541-706-7715.

About St. Charles Health System

St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

 

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It’s time to act!

Over the past several weeks, St. Charles caregivers at all levels have been working tirelessly to prepare the health system for a widespread COVID-19 outbreak in Central Oregon.

I am so proud of the way our teams have come together and made critical decisions quickly that will protect them and help us serve our community throughout this ongoing pandemic.

But I worry that without your help, everything we do won’t be enough.

While I am supporting our local caregivers, as Chairman of the Oregon Association of Hospitals and Health Systems, I have also been working closely with local, state and federal officials on our response to this growing public health issue.

Although the Governor has instituted an order to stay home unless you need food, medical supplies or emergency medical care – all weekend people ignored the information, went to the beach and flooded state parks and national forests. This is unacceptable.

We are in a fight right now!

This is a fight in which we have to do everything in our power to win. As the leader of your local health care system, I am begging you. Stay home now. You can’t catch or spread this disease if you don’t come in contact with it. Our caregivers and first responders are putting themselves on the frontline and don’t have a choice. They will come to work so they can care for you and your loved ones. We need you to stay home so we will have the capacity – the hospital beds, ventilators and trained staff – to care for those who need it most.

Our actions over the next few weeks are crucial to slowing the spread of COVID-19. What we do in the coming days will directly impact our efforts to “flatten the curve” of the disease and slow the tide of patients that threatens to inundate our hospitals. You only need to look at New York, California and our neighbor to the north, Washington, to see what is heading our way.

We can see it coming, now is the time to act before it is too late.

Although we have created surge plans and set up tents at each of our facilities, this threat remains very real.

No matter what you’ve done in recent days, you must listen to me: The only way we are going to slow the spread of COVID-19 right now is by self-isolating at home and only leaving for essential needs like food or medicine. If you have kids at home – including teenagers – we need you to enforce this directive for them, too.

Yes, that means no trips to the popular dog park. No gathering for a picnic, even if you sit six feet apart. No spring break trips to the coast. It means stay home. These actions are necessary to save lives in our community and the lives of our health care workers.

I would also like to thank our health care workers, EMS agencies and all first responders who are putting their lives on the line to help us through this continuing crisis. They are making critical sacrifices. Please make changes in your own behavior to support them.

Sincerely,
Joe

Learn more on our COVID-19 page

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Grand Rounds - March 20, 2020
"The Ethics of Dialogue and Communication in Health Care: Lessons Learned from A Street Medicine Program in Portland Oregon"

Speakers: 

  • Drew Grabham, LCSW - OSHU
  • Sara Weith, RN - OHSU
  • William Toepper, MD
  • Anna Solotskaya, MD - OHSU

Objectives:

  1. Review the policy decisions that have led to increased homelessness: how did we get here?
  2. Review the importance of social determinants of health.
  3. Illustrate the role of adverse child and traumatic events in the management of the "difficult patient."
  4. Description of street medicine as an alternative approach for healthcare delivery.
  5. Provide the argument that street medicine helps restore the humanity of the healthcare provider and thus improves healthcare delivery for all.

Accreditation: St. Charles Health System is accredited by the Oregon Medical Association to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].

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FOR IMMEDIATE RELEASE   |   March 27, 2020

St. Charles asks for public’s help with donating personal protective equipment

BEND, Ore. – St. Charles Health System is continuing to ask for the public’s help with donations of much-needed personal protective equipment (PPE).

Hospitals around the country are facing critical shortages of such supplies due to COVID-19 pandemic-related interruptions in manufacturing and distribution as well as a dramatic increase in global demand. As a result, St. Charles is actively working to both conserve and to acquire more protective equipment for its caregivers and patients.

“Our supplies are running critically low and there doesn’t appear to be much relief in sight. Our vendors are unable to deliver on our orders and the state’s stockpile is depleted,” said Iman Simmons, chief operating officer. “We are taking advantage of every opportunity we have to safely conserve PPE. But there’s simply no getting around the fact that we need more supplies—and we need them soon.”

Specifically, St. Charles is seeking the following:

  • N95 masks
  • NIOSH-approved respirators, including:
    • N95, N99, N100
    • P95, P99, P100
    • R95, R99, R10
  • Any type of surgical mask, including pediatric ear loop masks
  • Isolation gowns
  • Nitrile exam gloves
  • Hand sanitizer (any brand is fine, but cannot have glitter)
  • Rubbing alcohol
  • Pure aloe vera gel
  • Lactated ringers
  • Medical face shields

Full boxes of these items are preferable, but partial boxes can be accepted if clean.

“We are thankful for our incredible community partners in education who are helping to get the word out and managing drop-off locations for these critical supplies,” Simmons said.

Please do not take donations to St. Charles hospitals or clinics. Starting Saturday, March 28, donations can be dropped during specified hours at the following sites:

Bend area

Albertsons North
1800 N.E. Third Street
Donations accepted during store hours

Albertsons South
61155 S. Highway 97
Donations accepted during store hours

Sisters area

St. Charles Family Care
630 N. Arrowleaf Trail
Donations accepted Monday to Friday, 8 a.m.-noon and 1 p.m.-5 p.m.

Prineville area

Wagner's Market
930 N. Main Street
Donations accepted during store hours

Redmond area

Logan's Market
900 S.W. 23rd St.
Donations accepted during store hours

Madras area

Erickson's Thriftway
561 S.W. Fourth Street
Donations accepted during store hours

About St. Charles Health System

St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

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St. Charles limits outpatient visits; Community Pharmacy encouraging use of other pharmacies

BEND, Ore. — St. Charles Medical Group is joining many partner health care clinics in the region in canceling or delaying preventive and routine outpatient visits for those patients that are stable. The goal is to encourage patients to stay home unless they are sick.

“This is a critical moment in the evolution of the growing COVID-19 outbreak and we need to do our part to encourage social distancing. Keeping patients out of our facilities if they don’t truly need to be here is an important step,” said Dr. Doug Merrill, chief medical officer for St. Charles Bend and Redmond. “We greatly appreciate the support of our partner medical providers in the region who are doing the same and joining us in this effort.”

Community Pharmacy asks for public’s help

Because of the pharmacy’s limited capacity in its temporary, outdoor location at St. Charles Bend, it must focus first on filling prescriptions for caregivers and patients who are being discharged from hospitals.

Those who have the ability to move their prescription pick-up to a different outpatient pharmacy are encouraged to do so. The pharmacy looks forward to serving the entire community again in the future.

About St. Charles Health System

St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

 

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The arrival of COVID-19 in Central Oregon has already forced us to make some tough decisions at St. Charles. And we are not done making them. More are coming as more COVID-19 cases are discovered in our region.

Here’s the good news: We have the right people making these decisions. They are smart, experienced and dedicated to the well-being of the communities we serve. They’re also prepared. As I told you in my last message, we’ve been planning for this outbreak for months.

Right now, our most urgent priority is keeping our frontline caregivers healthy and our facilities safe and functioning so we can deal with COVID-19 cases, as well as all the people who come to us with other medical issues. We need to continue to care for all, including pregnant women, trauma patients and people with cancer or heart disease. Those things will not stop because there’s a global pandemic.

Protecting our health care resources is very much at the heart of some of our recent decisions:

Visitor restrictions
Simply put, we cannot allow most visitors to St. Charles hospitals at this time. It is crucial that we limit who is entering our facilities, for both the safety of the people working inside and for the health of our community.

There are a few exceptions. But for the foreseeable future, we must tightly enforce these restrictions, including our new rule that no visitors below age 12 be allowed on premises and that no visitors will be allowed for patients in isolation for infection prevention.

If you have a loved one at a St. Charles hospital, we understand you may have a very strong desire to come see them in person. For now, please use the telephone or video to call them. Our caregivers can help get them connected to our Wi-Fi if needed.

Elective surgeries
All elective surgeries and other select non-urgent outpatient services have been postponed through March 28 to free up as much space as possible in our facilities and to preserve critical supplies in case there is a surge of COVID-19 patients.

We understand this decision will cause inconvenience and frustration for people whose surgeries and services must be rescheduled. Please know we’re doing it to protect you and your loved ones, and we certainly wouldn’t take this step if we didn’t think it was an important part of our preparedness plan.

Patients impacted by this decision will be contacted by St. Charles or their physician to discuss next steps.

Testing
The swabs we use to test for COVID-19 are running very low throughout the state of Oregon, and we believe it is unlikely that we’ll be able to get more. Therefore, we simply cannot test people who are worried but feel fine.

This is important to remember: If you have symptoms of COVID-19 (cough, fever, shortness of breath) but you are not so sick you need hospitalization, the best thing you can do is stay home and call your primary care physician or your county’s public health department.

That brings me to a term that may be new to you: social distancing. Not only do we need you to stay away from St. Charles unless you are a patient in need of hospitalization, we need you to stay away from each other. Social distancing means staying away from each other, especially by avoiding public gatherings and public places.

This is not a joke. It’s not “just a suggestion.” Social distancing is the one thing that experts say will help the most in combating the spread of COVID-19. If we can slow the spread of the disease through social distancing, then we can reduce its impact on our community and our health care system. If we don’t slow COVID-19, we face the very real risk of our facilities filling up, our staff being overwhelmed and our supplies running out. That is the disturbing scenario playing out in some areas of Europe right now, and we want to do everything we can to avoid it here.

To be clear, you can still do things like going outside, enjoying nature, playing board games with your family and video chatting with friends. But we need you to avoid public gatherings and public places for the time being so we’re able to care for those in our community who are sickest and need us most.

As I’m sure you know by now, this public health situation is evolving not just daily, but hourly, and we need everyone’s help in managing it. Truly, we are all in this together.

Sincerely,
Joe

P.S. We made another video of things you should know about this rapidly evolving situation, this time with Dr. Doug Merrill, our chief medical officer for St. Charles Bend and Redmond. I hope you'll watch it.

Note: Replies to this message will go to a general St. Charles email address. That address is being monitored for frequently asked questions and, if appropriate, answers will be provided in a future communication.

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FOR IMMEDIATE RELEASE   |   March 16, 2020

St. Charles proactively takes additional steps in response to COVID-19  

BEND, Ore. – In response to the COVID-19, St. Charles Health System is proactively taking a number of steps this week to protect its caregivers and patients, to preserve medical supplies and to prepare for a surge of patients.

Protecting caregivers and patients

  • The Community Pharmacy at St. Charles Bend is now offering drive-up service. Starting today, from 11 a.m. to 6 p.m., Emergency Department patients, community members and caregivers will be able to pick up their prescriptions at an RV trailer located behind the triage tent outside of the Emergency Department. (Prescriptions for discharging patients will continue to be picked up at the Community Pharmacy inside the hospital.)
  • St. Charles Outpatient Rehabilitation has closed its services and canceled appointment for two weeks. The goal is to reduce the number of people visiting facilities in order to reduce the potential spread of COVID-19. Patients will be notified of the cancelations by the Rehab team.
  • Visitor restrictions in effect. Simply put, visitors are not allowed at the four hospitals save for a few exceptions. Read more about visitor restrictions here.
  • Caregivers are entering St. Charles Bend through access control points. The health system is requiring all caregivers and providers to enter the Bend hospital through the Family Birthing Center/Medical Diagnostic Unit entrance on the south part of the campus where they are being screened for fever and cough.
  • All four hospitals are starting to use external triage tents. The Bend hospital is now triaging patients outside the Emergency Departments, and other campuses will begin shortly.

Preserving supplies

In response to a growing nationwide shortage of medical supplies, including personal protective gear like masks, as well as nasopharyngeal swabs, which are used to collect samples to test for COVID-19 and other respiratory viruses, the health system has changed its criteria for testing.

In order to be tested, a patient must have a fever above 100.4 within the past 24 hours, a cough, shortness of breath AND one of the following:

  • Age greater than 60 years, or
  • Immunosuppressed or
  • A chronic disease of one of the following:
    • Cardiovascular system, or
    • Pulmonary system, or
    • Diabetes Mellitus

Preparing for a surge of patients

In anticipation of an influx of patients, the health system is making some significant changes to how and where patients are cared for in our communities. To best manage patient flow across the system, the following will occur starting this week:

  • High-acuity patients, as well as all pediatric patients, will be cared for at the Bend hospital.
  • Lower-acuity patients will be cared for at the Madras, Prineville and Redmond hospitals. This will include hospice patients, as well as patients who need long-term care but cannot be transferred to a skilled nursing facility.

All four hospitals have begun to evaluate their patient counts and identify which patients may need to be transferred to another St. Charles facility. These changes are being made proactively to ensure there are adequate beds in the event of a patient surge.

About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

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FOR IMMEDIATE RELEASE   |   March 13, 2020

St. Charles implements restricted visitor policy and entrance screenings, and postpones elective procedures for two weeks

BEND, Ore. – To protect patients and caregivers and to preserve critical safety supplies, St. Charles Health System is adopting significant changes in both visitor restrictions and care guidelines at all of its hospitals.

“This is a difficult decision, but for the health of our community and all those who need to be present in the hospital, we have made the tough decision to limit access,” said Aaron Adams, president of the Bend and Redmond hospitals.

As an alternative to visiting a family member or friend at a St. Charles facility, please telephone or video call them.

Unless an exception below is satisfied, visitation will not be permitted starting Saturday, March 14, and will continue for the foreseeable future. For safety considerations, no visitors below age 12 will be allowed on premises. Further, no visitors will be allowed to visit patients in isolation for infection prevention. 

Exceptions:

  • Obstetric, Neonatal Intensive Care Unit (NICU) and pediatric patients may have one visitor accompany them.
  • Patients who are at end of life may have one visitor at a time.
  • Patients undergoing surgery or procedures may have one visitor who must leave the hospital as soon as patient recovery is complete.
  • Patients who have an appointment at a St. Charles clinic, laboratory, radiology, or who are seeking care in the Emergency Department, may have one person with them if required for physical or mental assistance.
  • Case-by-case exceptions will be considered by the unit’s nurse manager based upon unusual circumstances. 

Guests who meet one of these exceptions will be allowed inside the hospital, but are restricted to the patient’s room and direct travel to and from the patient’s room and hospital entrances/exits, unless clinically required diversions are necessary, such as to the pharmacy to pick up a prescription. 

Entrance screenings:

St. Charles caregivers are performing respiratory illness screenings at the entrances of all St. Charles hospitals and clinics. Caregivers and approved visitors will be subject to these screenings by answering a series of questions. St. Charles hospitals will restrict visitor access to main entrances and Emergency Department entrances only. Caregivers will be asked to enter in an alternate designated entrance. 

Elective procedures:

Elective surgeries and other select non-urgent outpatient services will be postponed starting today for the next two weeks through March 28. Patients who are impacted by this decision will be contacted by the health system or their physician with additional details. We will review and revisit this decision as the situation with COVID-19 continues to evolve. 

About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

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