State determines alternate care sites in preparation of covid-19 surge

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The Department of Health and Delaware Emergency Management Agency says they will be moving covid-19 patients from the Governor Bacon Health Center to another facility.

Smyrna (DE): Governor Bacon Health Center, the Department of Health and Social Services’ long-term care facility in Delaware City will become one of many alternative sites, said DEMA Director A.J. Schall and Public Health Director Dr. Karyl Rattay.

According to the agencies, the designation of alternative care sites (ACS) in New Castle County will be used to accommodate overflow patients from the Delaware hospital systems as they begin to experience a surge in patients with coronavirus disease 2019 (COVID-19).

Before Governor Bacon Health Center can become an alternate site, they must first move the covid-19 residents and staff from the facility. Residents in two units will be transferred over several days this week – along with their current staff – to the Delaware Hospital for the Chronically Ill, another DHSS long-term facility in Smyrna.

The residents from Governor Bacon will be placed in a separate unit at the DHCI Campus, isolated from current residents of DHCI. If all transferred residents clear the 14-day quarantine period, they will be integrated with the current residents of DHCI, said DHSS Secretary Dr. Kara Odom Walker, a practicing family physician.

Residents of one unit at Governor Bacon will remain on the second floor for 14 days, with the current staff caring for them. If those residents clear the quarantine period, they also will be transferred to Delaware Hospital for the Chronically Ill.

The agency said that the residents’ families and Governor Bacon staff have been notified of Governor Bacon’s alternate care site designation and the impending move, Secretary Walker said. As floors of Governor Bacon are made available, they will be deep-cleaned by DHSS before they are used as an alternative care site, Secretary Walker said. When all residents are moved to Delaware Hospital for the Chronically Ill, Dr. Rattay said the State will have the potential of 75 additional beds at Governor Bacon for overflow patients from Delaware’s hospitals. Staffing to care for the potential overflow patients is currently being developed.

“We are grateful to the families of the residents and the staff for understanding why we have to move the residents of Governor Bacon,” Secretary Walker said. “Throughout this crisis, our top priority is the health and safety of our residents and also making sure that our staff who care for our residents are safe and healthy as well.”

Sites for the southern part of the state will be a collaborative effort between Bayhealth, Nanticoke Memorial Hospital, and Beebe Healthcare. The three healthcare systems are coordinating their surge plans with county and state officials., said Jeff Sands, spokesman for the Delaware Emergency Management Agency.

The primary goal is to maintain the surge within current hospitals. If needed, the state has offered to set up a mobile hospital as an alternate care site. Triggers have been identified as well as potential locations dependent on surge., Sands said.

Site evaluations were performed by the U.S. Army Corps of Engineers and Delaware National Guard in the weeks preceding. The Delaware National Guard will provide crucial assistance with preparing, building, and operating this facility. The field hospital was utilized during a 2016 exercise and the Delaware National Guard stands ready to deploy the unit as previously trained. The mobile hospital can potentially treat 50-60 patients who do not have COVID-19. If the site is used for COVID-19 patients that number would be reduced. Numerous buildings were surveyed, however proximity to existing health care facilities and the accompanying resources are crucial to a successful mission.

The hospitals are managing the patients now with their current staffing but we are preparing for the expected increase in the coming days. This location, like the New Castle County sites, will be opened to alleviate the surge on hospitals when needed. We are grateful for the efforts of our partners in the health care systems within the state, the Division of Public Health, and the Delaware National Guard for their continued support.

Schall and Dr. Rattay said the other alternate care site being announced today by DEMA and SHOC is within Nemours/Alfred I. duPont Hospital for Children. Nemours will only be accepting transfers from Delaware community hospitals of non-COVID-19 adults.

Nemours duPont Hospital for Children has developed two treatment areas to provide medical care for non-COVID-19 adults. The rehabilitation gym, which is located one floor below the main level and away from pediatric care, has been converted into an alternative care site for low-acuity cases beginning with 38 beds, with possible expansion if needed. A medical intensive care unit will be situated across and separate from the pediatric intensive care unit, and be comprised of 24 beds., Schall and Dr. Rattay said.

Nemours’s treatment sites can become operational this week, and will begin providing medical care only once capacity is exceeded within Delaware’s community hospitals. Nemours’ surge sites will remain operational until community hospitals can reabsorb these non-COVID-19 adult patients. Schall and Dr. Rattay said last week the State worked with Nemours, St. Francis Healthcare and ChristianaCare to identify options for the northern part of the state. After searching multiple possible sites with the Army Corp of Engineers, the Nemours campus was identified as the location that would provide the most efficiencies.

Nemours has worked diligently over the last week to prep part of its building and this week training will take place with Nemours, ChristianeCare and the Delaware National Guard.

Schall and Dr. Rattay said the State, National Guard and Army Corp of Engineers continue to work with Beebe Healthcare, Nanticoke Health Services and Bayhealth for options to place non-COVID-19 patients from the southern hospitals if surge occurs. Site assessments continue today, with potential options being the old Milford Memorial Hospital and a National Guard field option adjacent to one of the current hospitals.

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