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Grand Rounds - April 10, 2020
"Intimate Partner Violence"

Speaker: Carolyn Sachs, MD

 

 

Objectives:

  1. Cite the epidemiology of intimate partner violence
  2. Identify those populations at risk for intimate partner violence while navigating cultural views and/or barriers
  3. Recognize the signs and symptoms of intimate partner violence
  4. Apply the appropriate strategies and interventions in the treatment of intimate partner violence
  5. Address the patient appropriately when the suspected perpetrator is present

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   |   April 8, 2020

St. Charles launches Hero Fund to support caregivers on the front lines of the COVID-19 fight

In recognition of the sacrifices of those on the front lines caring for COVID-19 patients in Central Oregon, St. Charles is launching a new fund through St. Charles Foundation to provide bonus pay to eligible employees.

The St. Charles Hero Fund will provide bonus pay to caregivers who work on the front lines for the month of April to honor the risks they are taking and show our appreciation. To be eligible, caregivers must work in direct patient care or on-site at a clinical location for at least 80 hours during April. The hero bonuses will be paid out on May 15. 

“St. Charles caregivers in our hospitals, clinics, home health and patient support areas come to work every day knowing that even with taking appropriate precautions they could contract this serious virus,” Sluka said. “They provide essential care, while having to worry about potentially bringing home COVID-19 to their families. I am in awe of their heroism and honor the sacrifices they are making to care for others during this crisis.”

St. Charles, like most hospitals across the nation, is facing a daunting economic environment because of COVID-19. However, we believe it is important to provide this additional bonus pay to caregivers for as long as we can. St. Charles has committed $1 million to the Hero Fund and is asking the community to match our efforts in support of our caregivers.

“We have seen an incredible outpouring of support through donations of masks, food and other items for our teams,” said Lisa Dobey, executive director of community and philanthropy for St. Charles. “This is another opportunity for the Central Oregon community to show its love to our caregivers on the front lines of this fight.”

Future hero bonuses for St. Charles caregivers will be determined based on the success of community donations to the fund. To kick off the fund and inspire others to contribute, St. Charles President and CEO Joe Sluka is donating 50% of his paycheck during this timeframe to support St. Charles caregivers.

“Caring for our people throughout this pandemic is critical so we can ensure they will be able to care for others,” Sluka said. “If possible, and with generous community support, we hope to extend the Hero Fund beyond April.”

For more information on how to donate, visit https://foundation.stcharleshealthcare.org/ways-give/st-charles-hero-fund or call 541-706-6996. Donations can also be made to St. Charles Foundation at 2500 NE Neff Rd., Bend, OR 97701. Please note that the Foundation cannot accept gifts earmarked for specific individuals.

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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You're saving lives by staying home

Since my last message went out a week ago, hundreds of you have shared your words of thanks, encouragement and support. It means more than I can say that you find our information helpful during this time when we all must come together to face the common threat of COVID-19.

Your words and actions continue to give me hope that we will come through this together and we’ll be stronger as a community when we reach the other side.

Our team has noticed some trends in the questions we receive – through our telephone hotline, email responses, social media posts and more. Here are some of the themes and the best answers we have as of today.

TESTING

Access to widespread testing – for anyone who has symptoms or has been exposed to COVID-19 – would greatly help us identify and isolate potential patients in an effort to stop the spread. Unfortunately, from the beginning of this crisis we have faced a nationwide shortage of testing supplies and barriers in the turnaround time for test results.

Our team is working on this issue every day. Early on, our suppliers put us on an “allotment” of test swabs – meaning no matter how many we order, they will only provide us a certain, smaller number in an effort to share supply across the country. The allotment changes depending on the available supply. 

Now that new testing options are being approved by the FDA, we’ve had regular contact with our state and federal legislators along with the manufacturers in an effort to secure these new types of tests for Central Oregon. So far, most of the testing supply is going to areas of the country that are hardest hit by the COVID-19 outbreak including New York, Washington, California and Louisiana.

To date, the St. Charles Laboratory has sent out only 907 tests for COVID-19 – far too few to know the true extent of the virus in our communities. Because we believe that testing more people is a critical component of this fight, we will continue to push this issue until it is resolved.

PERSONAL PROTECTIVE EQUIPMENT (PPE)

Even before we had any cases of COVID-19 in Oregon, our Supply Chain team was actively monitoring the worldwide shortage of critical personal protective equipment (PPE) for our caregivers. More than 50% of the world’s surgical masks are produced in Chinese factories that were shut down for nearly two months at the beginning of the outbreak. We knew that even if COVID-19 never reached us, we would still face a PPE crisis.

Our teams moved quickly to address the problem early on. We purchased our entire allocation of supplies and encouraged our staff to reserve as much supply as possible while still staying safe. We monitor the rate at which we go through supplies based on our number of patients. We know exactly how many days of every type of PPE we have on hand.

Because of ongoing turmoil in the worldwide mask market, the valiant efforts made every day by our Supply Chain team to secure more PPE do not always yield results. This is a frustration shared by our fellow hospitals throughout the state.

In the meantime, we have embraced the innovative spirit of our Central Oregon family. Thousands of masks have been donated – cloth masks, plastic face shields, respirators and more. Your generosity continues to help us stay safe. Thank you.

SOCIAL DISTANCING – STAY THE COURSE

Nathan A video

While we continue to identify new positive cases in Central Oregon – including the first positive in Crook County last week – it appears social distancing efforts are having an important impact. The more we continue to STAY HOME, the better off we will be in the end. In fact, our data scientists believe your efforts to stay home have likely already saved several Central Oregonians from death due to COVID-19.

What you are doing matters – but you have to keep it up!

This article from the New York Times shows how mobility has dropped throughout the United States in recent weeks. Quite simply – the further you travel, the farther the virus can spread. Every day that you avoid others, you are making a difference in our ability to care for the patients hit hardest by this disease.

Please also watch this video from Dr. Nathan Ansbaugh, an emergency room physician at St. Charles Bend, explaining why it is so important to stay the course with social distancing. We are starting to see improvement, but now is not the time to take a knee – it is the time to double down on our efforts. Thank you for staying strong.

Sincerely,

Joe

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Grand Rounds - April 3, 2020
"Updates on the Evolving Novel Coronavirus Outbreak"

Speaker: Shira Shafir, PhD, MPH - UCLA

 

 

Objectives:

  1. Describe the current state of the COVID-19 Coronavirus outbreak
  2. Describe current best practices concerning personal protective equipment (PPE)
  3. Understand the importance of social distancing measures and what they mean for health care professionals in practice
  4. Understand the implications of a PHEIC (Public Health Emergency of International Concern)and a locally declared Public Health Emergency
  5. Understand where to find additional information and resources as this outbreak continues to evolve

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   |   April 1, 2020

St. Charles launches 10,000-masks campaign

BEND, Ore. – St. Charles Health System is asking for the public’s help once again with the donation of masks—this time, hand-sewn ones.

More than 2,500 homemade masks have already been donated, and the health system is now hoping to get 7,500 more—enough to provide every caregiver with two masks that they can launder and reuse. If St. Charles exceeds its 10,000-mask goal, the excess will be distributed among other groups in the area.

“We’ve received more offers than we can count to help sew masks and we are so grateful,” said Rod Marchiando, senior vice president of improvement and strategy. “We are truly fortunate to receive this level of support from our Central Oregon communities.”

Collaborating with health care professionals and volunteers, St. Charles has decided on a pattern that is both functional and comfortable for caregivers. After the masks are donated at one of a number of sites around the region, they will be professionally laundered by St. Charles in accordance with Centers for Disease Control and Prevention recommendations.

Starting Friday, the homemade masks—which are intended to help prevent asymptomatic spread of COVID-19 in public spaces—will be worn by caregivers who may come into contact with individuals who are not suspected of having an infectious disease. The hand-sewn masks are not approved personal protection equipment, or PPE, which must be worn by caregivers who are in contact with a person who is known or suspected to have COVID-19 or any other infectious disease.

The initial 2,500 hand-sewn masks were among the many thousands of items donated to the health system during its drive for medical supplies between March 20 and 27. Other items included:

  • N95 masks (4,434)
  • Lab coats (90)
  • Droplet masks (8,437)
  • Boxes of gloves (548)
  • Safety goggles and glasses (126)
  • Bottles of hand sanitizer (457)
  • Bottles of rubbing alcohol (83)
  • Bouffant caps
  • Face shields (52)

“We continue to be overwhelmed by the community’s generosity,” Marchiando said. “At a time when we need medical supplies most, individuals, families, schools and businesses are stepping forward to support our mission. We couldn’t be more thankful.”

For more information, including directions on how to sew the masks and the locations where they can be dropped off, visit https://www.stcharleshealthcare.org/covid-19/hand-sewn-masks.

Download instructions

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 fight is just beginning

Our numbers are starting to grow. Every day we are seeing more and more cases of our fellow Central Oregonians infected with COVID-19. I know many of you are heeding the call to STAY AT HOME and I want to personally thank you.

And yet there are those that are continuing to gather, have block parties and put themselves and others at risk. Why? So we can prove that a virus will not control how we live our lives, because it won’t happen here. Well it’s happening here, and it is infecting our neighbors, friends and family.

This is a deadly disease. If you won’t stay home for me, please stay home for the people in your own life that you love. Stay home for your wife, husband, children and grandparents. Stay home for your doctors, nurses, environmental services caregivers, admitting caregivers, the police, firefighters, emergency medical responders, the postal workers, delivery drivers, gas station attendants, grocery store workers and all of those who are essential to keeping our society running and keep us safe.

As I write to you today, the United States has the most cases of COVID-19 in the world and growing. It is not a surprise that we ended up in this place when you consider the exponential growth behind a pandemic.

In fact it is just beginning.

At St. Charles, it feels like every day is a numbers game – how many new cases, how many hospitalized and how many recuperating at home. How do today’s numbers translate to what’s to come? Will we have enough ICU beds, ventilators, masks and staff to care for the inevitable influx of patients?

The answers will be NO if we don’t heed the call to STAY AT HOME.

What we know now is that on a normal, non-pandemic day we have 31 ICU beds and 58 ventilators throughout our four hospitals. With 23 positive COVID-19 patients in Deschutes County currently and seven of them hospitalized, you can see how it wouldn’t take much to push us over the baseline. If those 23 people infect two-to-three people each, we could easily already be on our way to being overwhelmed.

That’s why the message to stay home continues to be so important. It may feel like you are doing nothing and that it doesn’t matter because you don’t personally know anyone who is sick.

In reality, for every personal interaction you avoid, you are actively saving lives.

All of this is incredibly hard and outside our norm. Humans are social creatures and interacting with others is an important part of our mental and physical well-being.

Which is why although we are scared and working tirelessly to prepare, we are also so inspired to see the ways people are rising up to help each other. Literally thousands of our community members have reached out with messages of support, with donations of hand-sewn masks and with innovative ideas to help us with critical supply shortages. Stacks of pizzas have been delivered to our nurses along with messages of love and admiration. An entire community of people with 3D printers are now making masks and face shields to protect us. 

So today I would like to humbly say thank you.

First, thank you to all of our caregivers who keep showing up to care for our community. Thank you to the grocery store clerks, postal workers, delivery drivers, gas station attendants, EMTs, firefighters, police officers and more. You are on the frontlines and we salute you.

But also thank you to those of you who are heeding the call and staying home. You are a critical member of the St. Charles team. We can and will get through this together and we will be a stronger community for it. We will always remember how you joined us in the fight and we will be forever grateful.

Sincerely,
Joe

P.S. Below is a photo of some extraordinary humans I hope you never have to meet in person. These are the nurses of our Bend Emergency Department, the only Level II Trauma Center east of the Cascades. They’re tough as nails and always ready to take on anything that comes through the door. We’re so grateful they come to work everyday to care for our community. Please stay home for them.

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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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