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Positive COVID-19 test results

May 8, 2020

July 21, 2020:

Bethel Lutheran Nursing & Rehabilitation Center received report from mass testing completed on July 21, 2020 that an employee tested positive for COVID-19. Employee was not exhibiting any signs or symptoms of COVID-19. Employee had been wearing appropriate personal protective equipment i.e. surgical mask and visor/safety glasses.


July 11, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing in all levels of care (skilled, basic, and assisted living) completed on July 9, 2020. Unfortunately, we have received notification that there is a positive result for one or our residents. Family has already been notified. We have not received all of our results from the testing completed.  We will notify you as soon as we receive the rest of our results or if there are any further positives.  We are in contact and working with the North Dakota Department of Health Center for Disease Control. Preventative measures that have been and continue to be in place:  visitor restriction, all new admissions from hospital have a COVID-19 test prior to admission with a negative result before can be admitted, all new admissions are placed in droplet and contact precautions for 14 days, all non-essential resident appointments have been canceled and/or telemedicine session is completed, If a resident requires an xray/clinic appointment they wear a mask and are taken to facility and immediately roomed to prevent exposure and both provider and resident wear mask, if a resident requires an emergency room visit, but no admission they are placed on droplet and contact precautions for 7 days, all residents in facility have their temperature and oxygen saturation completed two times per day with symptom check for COVID-19, all staff in facility are wearing surgical masks and goggles/visors, residents who are able wear a mask when out of room or when staff are in their rooms, prior to staff entering the building they complete a symptom check for COVID-19 and a temperature check and if ill do not enter the facility, all break areas and resident lounge areas have been set up to ensure 6 feet social distancing, two dining rooms are open at this time with 6 feet social distancing implemented, only essential staff are entering the building, floating has been minimized on the neighborhoods, monitoring is being conducted on hand hygiene/application and removal of protective equipment/maintaining of 6 feet social distancing/wearing of masks/screening of employees. As soon as we hear about the rest of our results we will let you know.  Thank you.



June 12, 2020    


COVID-19 testing was completed on June 9th, 2020 and all were negative.



May 29, 2020    


At approximately 7:00 pm Bethel received all of their results from the testing completed on May 27, 2020 and there were no further positive results.  The one employee who tested positive is not exhibiting any symptoms of COVID-19. 



May 29, 2020                    

 

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing in all levels of care (skilled, basic, and assisted living) completed on May 27, 2020. Unfortunately, I have received the first notification that there has been a positive result found with one of our employees. This employee has not exhibited any signs or symptoms of COVID-19. The employee has been wearing appropriate personal protective equipment (mask and visor/safety glasses) while at work. Bethel has been in contact with the center for disease control at the North Dakota Department of Health and is following recommendations given.  Protective measures that have been in place and continue:  1) All employees complete a screening process prior to entering the building, which includes temperature check and COVID-19 symptom check.  2) All employee have been educated to stay at home if they are ill. 3) Close follow up by the Infection Preventionist is completed for any employees who are ill. 4) Monitoring is conducted of the check in process daily. 5) Personal protective equipment remains surgical mask and visor or safety goggles while at work.  If there are any further positives or when we receive all of our results we will send out another notification.  If you should have any concerns or questions please contact your Social Worker.  The safety and well-being of our residents and staff continues to be our top priority.   

            

May 22, 2020




On Sunday, May 3rd, 2020, Bethel staff and residents underwent facility wide COVID-19 testing. First, I want to extend my immense gratitude to Governor Doug Bergum. He has remained steadfast and strong in his commitment against COVID-19, and thanks to his quick and thorough actions he has taken to further protect the residents and staff that work and reside in long term care he will most likely have helped save lives. On Wednesday, May 6th, 2020, I received notification of the first positive resulting from Sunday’s testing and not long after I received notification of a second positive. On May 9th, 2020 Bethel received all of their results back from the testing completed on May 3rd, 2020. No further positives were identified. On May 13, 2020 we were notified of a staff member who tested positive with COVID-19. While we are saddened of this news, we have prepared for this possible outcome.     


May 13, 2020:

Hi Everyone. Today Bethel Lutheran Nursing & Rehabilitation Center was notified that an employee tested positive for COVID-19. We do have a second employee who is ill that will be tested today. Both of these employees have been off since May 8, 2020. Bethel has been and will continue to work with the North Dakota Department of Health Center for Disease Control. The safety and well-being of our residents and staff continues to be our top priority. All employees complete a screening process prior to entering the building, which includes temperature check and COVID-19 symptom check.  All employee have been educated to stay at home if they are ill. Close follow up by the Infection Preventionist is completed for any employees who are ill. Monitoring is conducted of the check in process daily.  Social Services is presently contacting all resident representatives/families. Nursing Management is contacting residents. Department Supervisors are contacting employees. We will continue to stand strong in the fight against COVID-19 in following recommendations from the North Dakota Department of Health and the Center for Disease Control.            



            

 

           

     






May 6, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing in all levels of care (skilled, basic, and assisted living) completed on May 3, 2020. I want to first extend my thanks to Governor Burgum for the opportunity to capture asymptomatic COVID-19 positive resident(s) and staff.  Unfortunately, I have received the first notification that there has been a positive result in our building.  The North Dakota Department of Health Center for Disease Control related that they are presently working on completing our test results and these should be completed over the next few days. We will be meeting with the strike team from the North Dakota Department of Health at 10:30 am to discuss further steps.  The safety and well-being of our residents and staff has always been our top priority. We will continue to stand strong in our fight against COVID-19. We are truly blessed to be able to provide care to your loved one, and now more than ever during this pandemic. I know how scary this uncertain time is and I want to extend my personal invitation to contact us with any questions or concerns. We are presently notifying all families right now and you will be receiving a personal phone call from the management team at Bethel to discuss questions and concerns and the next steps in our fight against COVID-19.                                                                  



Since March 12th, 2020, Bethel implemented several safety protocols into place which are listed below, and continued to make adjustments based on North Dakota Department of Health recommendations, the Center for Disease Control and Center for Medicare and Medicaid Services.       


     


  • Limiting the entrance/exit into the facility to the main entry door.
  • Visitor restrictions were implemented. Only exception is during end of life care in which immediate family (spouse and children) are allowed to visit. Visitor is required to go through a screening process COVID-19 symptom check with a temperature check prior to entrance into the building. Visitors are required to wear personal protective equipment i.e. surgical mask, visor, and gown. When the visitor enters Bethel and after application of the personal protective equipment (gown, visor, and surgical mask) they go to their loved ones room. After visit is completed the personal protective equipment is removed, hand hygiene is completed, and the visitor exits the building.  
  • Prior to an employee entering Bethel they are required to temperature scan in and answer questions regarding their health and symptoms of COVID-19. If the employee has a temperature and/or symptoms they are not to enter the building.    
  • Communal dining stopped and residents began having meals in their rooms.   
  • Communal activities have been stopped and residents have been completing activities on their neighborhoods in small groups ensuring social distancing of 6 feet. Hallway bingo has been a big hit.  
  • Nursing staff floating to other areas has been limited as much as possible.
  • Any other employees from other departments have been instructed to refrain from traveling through any other work areas in the facility that is not deemed necessary for work purposes.
  • Maintain the six-foot social distancing standard at all times.
  • Surgical masks were issued to staff and cloth masks later to residents based on the state requirements and recommendations.
  • Staff are required to stay home if experiencing any COVID-19 related symptoms or like illnesses.
  • Residents are screened twice a day for signs and symptoms of COVID-19 including temperature and oxygen level check. 
  • New admits into Bethel have a COVID-19 test prior to admit. Once a negative test result is obtained and Bethel can meet the needs of the individual they will be admitted. Contact/Droplet isolation precautions will be implemented for 14 days with enhanced monitoring of COVID-19 symptoms and vital sign monitoring.
  • Non-essential medical appointments have been canceled and rescheduled. If the medical appointment meets the use of telemedicine the medical appointment is conducted via telemedicine. If a resident requires a clinic visit precaution put in place are that both the resident and the provider will wear a mask and the resident is roomed upon arrival to clinic to minimize exposure.  
  • If a resident requires an emergency room visit, upon return to Bethel the resident will be placed on contact/droplet precautions for 7 days with enhanced symptom check for COVID-19 as well as temperature and oxygen check.
  • Mail has been held for 24 hours and is cleaned prior to distribution to the residents.
  • Early on in the pandemic Bethel did not allow families to bring items into the building for the resident. Most recently Bethel has implemented drop off dates for families to bring items in for the resident. Upon receiving these items they are cleaned and sit for 72 hours prior to distribution to the residents.  
  • Deep cleaning and disinfection was conducted on the skilled side May 12th and May 13th, 2020.  
  • After the two positive asymptomatic COVID-19 residents were identified and at the direction of the North Dakota Department of Health Strike team enhancement to the personal protective equipment for employees of a visor/face shield and isolation gown at all times with the surgical mask.
       


Despite our best efforts, COVID-19 is now, more than ever, a real threat to the heroes that live and work at Bethel. And I will not forget the families, who have given up so much time already with their loved one. You too are nothing short of a hero.  This is beyond difficult, but together we will get through this. Staff remain steadfast and dedicated. We immediately launched further protective measures including isolating of COVID-19 positive residents and assigned a dedicated staff member to care for them, and will continue to evolve as more tests results come in, and will continue to enforce our detailed safety checks, routine testing and various well-being screenings to ensure the health of everyone. We hoped and prayed we would receive nothing short of negative results, now we continue to pray for those affected, and that the impact is minimal and we can continue to keep residents and staff safe to the best of our ability.






 


 



 





      

 



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