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Monday, April 27, 2020

Gov. Beshear details blueprint for gradual reopening of Kentucky economy, healthcare facilities



Governor Andy Beshear and Dr. Steven Stack, commissioner for the Department for Public Health talked about easing restrictions and what it would look like to begin reopening Kentucky's economy and noted that 87 positive tests indicate a likely plateau and possible decline.

"This is good news today but that may be affected by when we get these testing results in. This is one of the lower numbers we've had but can't read too much into that and will need to look at averages.

We have likely plateaued and may be heading toward a decline," said Beshear.

Gov. Beshear says by May 11, they'll be asking everyone to wear masks and wants people to wear them to the grocery store or other places you go out.

"You don't need to wear it if you go on a run or walk by yourself," said Beshear. "It's going to look strange and it's probably uncomfortable, but I just want you to know this is another small sacrifice we can make," Beshear said.

He said people will not need an N95 or a surgical mask, just need a cloth mask.

Beshear said individuals will not be cited but for businesses, it will be mandatory and failure to comply could lead to a shut down. Additionally he said that forward-facing businesses will have the ability to not serve people that choose not to wear a mask.

"If you're not doing your part, you're that person that's spreading the Coronavirus," said Beshear.

He said that bars, restaurants and clubs may not reopen completely until June.

Dr. Stack talked about a phase-in for health care practitioners and facilities and said stage two of the healthcare opening starts May 6.

It would allow invasive procedures and all patients that would undergo surgery will have to be tested for COVID-19 before their procedure.

Stack says every hospital would have to have 14 days worth of PPE on hand.

Phase 3 of the healthcare plan, which begins May 13, hospitals will be allowed to have 50 percent of their surgery volume before COVID.

Phase 4, which begins May 27, will allow hospitals to determine their own capacity while keeping in mind the need for beds in case of surge.

MONDAY 4/27/20 - UPDATE from Governor Beshear:


"This is good news today but that's affected by when we get these testing results in. This is one of the lower numbers we've had. We can't read too much into that and will need to look at averages. We have plateaued and may be heading toward a decline."

> NEW CASES: 87 (Total number in Ky: 4,146)
PROBABLY CASES: 1 (new statistic added)

- 4 in Campbell Co.
- 4 in Kenton Co.
- 2 in Boone Co.

- Over 48,799 tests completed to date in Kentucky
- Total patients who have been hospitalized: 1,281
- Total Patients Currently in Hospital: 313
- Total Patients admitted to ICU: 612
- Still Currently in ICU: 165
- Recovered Patients: 1,521

>DEATHS: 5

Guidance for Health Care Practitioners and Facilities


Dr. Stacked reiterated the executive order allowing health care practitioners to resume non-urgent/emergent health care services, diagnostic radiology and lab services in:

- Hospital outpatient setting
- health care clinics and medical offices
- physical therapy settings, chiropractic offices and optometrists
- dental offices (but with enhanced aerosol protections)

This guidance does not apply to long-term care settings, prisons, other industries, or other settings for which separate guidance has already or will be provided in the future. This guidance does not apply to elective surgeries or procedures which will be addressed in a subsequent phase.

“This is intended to be a phased, gradual reopening so that we can do this thoughtfully, safely, and see the consequences of our actions to make the necessary adjustments,” said Dr. Stack, who emphasized that this is a phased, gradual reopening of services and that a COVID-19 surge may require adjustment.

Telehealth

In all phases, health care practitioners should still maximize telehealth rather than in-person services.

Visitation

Health care facilities should still not allow visitors except when necessary in end-of-life situations, or for vulnerable populations or minors, and even then, visitations should be kept to a minimum.

Waiting Rooms

Health care facilities should also eliminate traditional waiting room or common seating areas and use non-traditional alternatives, for example, a parking lot “lobby.”

Social Distancing

Health care facilities should maintain social distancing, keeping people at least six feet apart in all possible settings, and employ other steps to minimize direct contact between individuals within the health care setting.

Screening and Sanitization

Health care facilities should screen all health care workers, patients and others for temperature and COVID-19 symptoms upon arrival for shift or visit. Staff should be required to stay home if sick. Staff should plan for and ensure enhanced workplace sanitizing, enhanced hand hygiene compliance, and easily accessible hand sanitizer throughout the facility.

Personal Protective Equipment (PPE)

Each health care setting must be able to procure necessary PPE via normal supply chains.

All health care providers and staff must wear surgical/procedural masks and gloves while in health care office/facility.

All patients and other persons in health care office/facility must:

Wear a surgical/procedural mask while in health care facility

Wear either a surgical/procedural mask or cloth mask/face covering in all other health care settings
Special Considerations

In high-touch clinical settings (e.g., physical therapy, chiropractic, etc.), health care workers should wear non-latex gloves in addition to enhanced hand hygiene practices described above. Any objects and contact surfaces used for clinical services should be sanitized between patients.

In high-aerosol risk outpatient settings (e.g., dentistry, oral surgery, pulmonary services, etc.), we seek additional input from these professionals regarding steps to assure the safety of both their patients and clinical staff.

1 comment:

  1. Is there a way to submit questions for these briefings? I don’t understand how they can continue to discuss business openings without addressing childcare.

    ReplyDelete