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Home Care Nursing

In addition to the other coronavirus information within this section of our site, there is vital information for our Roseville office Home Care Nursing patients. Please reach out to your case manager with any questions on the information below.

  1. There is a critical supply shortage of Personal Protective Equipment (PPE) in the world, country, state of Minnesota and at PHS.PPE must be used, according to CDC and MDH guidelines, when our HCN is giving care to a patient with a communicable illness.

    Influenza and Coronavirus are two examples of communicable illnesses. Influenza requires only the use of a mask (not N95), gown and gloves whereas Coronavirus requires our HCN to wear a face shield, N95 mask, gown, and gloves anytime they are within 6-10 feet of the patient and when providing direct patient care. While the face shield may be disinfected and reused, the N95 mask, gown and gloves are not able to be reused and need to be changed at varying times throughout a shift.

  2. The critical supply shortage is likely to result in a limited capacity for PHS to provide HCN service if the HCN patient or any person in the household are diagnosed with a communicable illness, such as Influenza or Coronavirus.
  3. PHS must be notified immediately of any communicable illness with the HCN patient or other person in the household experiencing symptoms or a confirmed diagnosis of a communicable illness. Upon notification, PHS HCN will assess critical supplies and will work with you to develop a plan for ongoing care with significantly diminished hours of service.Our ability to provide any hours of HCN staffing will be dependent upon:
    • Access to critical supplies the HCN must utilize during the provision of care.
    • Access to a nurse trained to care for your child, who does not have any symptoms of illness or exposure to a person who has a confirmed communicable illness.

    Once the patient or household member tests negative for the diagnosed communicable illness, the HCN staffing will then only be dependent upon our access to a nurse trained to care for your child, who does not have any symptoms of illness or exposure to a person who has a confirmed communicable illness.

  4. While this information is standard medical practice for the health and safety of all people, we have communicated this information with your child’s primary care physician and specialists, so they are aware of the critical supply shortage and that HCN services for your child will be affected greatly if they or a household member experiences a communicable illness during this critical time.
  5.  To ensure we are following MDH and CDC direction to prevent the spread of infection, we are requiring that if staff have symptoms of a respiratory disease (these include fever, coughing, muscle aches, sore throat, and headache), they should stay home for at least 7 days, or for 3 days with no fever and improvement of respiratory symptoms—whichever is longer. (fever should be gone for 3 days without using fever-reducing medicine).

    For example, if staff have a fever and coughing for 4 days, they need to stay home 3 more days with no fever for a total of 7 days. Or, if they have a fever and coughing for 5 days, they need to stay home 3 more days with no fever for a total of 8 days.

    If a nurse has a medium or high risk exposure (as defined by the CDC) to COVID-19, they will need to self-quarantine which will cause them to be away from work and patient care for an extended period of time.

    This will affect our abilities to staff patient homes. We will work hard to be creative with scheduling and maximize coverage with the available workforce.

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