An Update for Our NBN Community

April 28th, 2020

An Update for Our NBN Community

Knowledge is critical in the fight against COVID-19. The NBN Group is dedicated to keeping you informed and safe. We will update you as new information becomes available. For example, you’ve probably heard a lot of these buzzwords recently: COVID-19, self monitoring, exposure, social distancing, face covering, hand hygiene, PPE, screening, etc. We understand that these new terms have taken over our society. We want to help break down what some of these terms mean for you.

Before we go through it all, we want you to know that we are here to assist you and are fully operational. Many team members are working from home, but we are here to serve our community. Select departments are still operating out of the Cherry Hill Office. Rest assured that we are doing everything we can to stay informed in regards to the COVID-19 pandemic and to respond with best practice and expertise.

COVID Symptoms and Self Monitoring

It’s extremely important for everyone to be familiar with the symptoms of COVID-19. If you aren’t aware of the symptoms, you won’t be able to appropriately and swiftly respond. Although there is still a lot to be learned about this new virus, the current CDC list of symptoms includes fever, cough, shortness of breath, difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, and loss of taste or smell. The World Health Organization (WHO) also adds tiredness, aches and pains, nasal congestion, diarrhea, and nausea to this list.

We’re asking all members of the NBN community, including employees, patients, and their households, to self monitor for any and all of the above mentioned symptoms. Some suggest doing twice daily temperature checks. If at any time you or anyone in your household starts to experience any of these symptoms, please report them to your team member at NBN immediately. We ask this in order to ensure the health and safety of everyone involved in the NBN community. We don’t want a sick employee infecting a patient or their family member, or vice versa. If we work together, we can do our best to keep everyone healthy.

Social Distancing and Face Coverings

The best way to stay healthy is to prevent illness. This is especially true for COVID-19! This virus is highly contagious, so the key is to practice social distancing and limit your household exposure. This means no unnecessary trips to the store, limiting the number of people you allow in your home to those who live there and medical staff, and keeping your distance when saying hi to your neighbor. It’s fine to go outside to take a walk or get some fresh air. It’s not fine to hang out at a friend’s house or have a small gathering.

If you do need to go to a store for an essential need, like food, you need to wear a face covering (with a few exceptions for those who cannot for medical reasons or age). This is a requirement issued by NJ Governor Murphy. If everyone in the store uses a face covering, the chances of infection from person to person in the store are lower. The CDC website has some easy to follow directions for making a no sew, homemade cloth mask. That all being said, if you can stay home, please do!

Hand Hygiene

As always, it’s also important to practice hand hygiene. You should wash your hands before eating or preparing food, after using the bathroom, before and after caring for someone sick, when coming in from outside, and any other time your hands may have been contaminated. If your hands are visibility soiled (like with dirt, for example), you should wash your hands with soap and water for at least 20 seconds. Otherwise, if soap and water are not available, using an alcohol based hand sanitizer and rubbing until your hands are dry is fine. If you do go to a store, in addition to wearing a mask, you should use hand sanitizer as soon as you leave the store, and you should wash your hands when you get home.

Personal Protective Equipment (PPE)

We’re all seeing healthcare workers (HCWs) on the news and on social media wearing full PPE, such as gowns, gloves, face shields, N95 masks, etc., and you may be questioning why all NBN HCWs aren’t doing the same. It’s important to keep in mind that HCWs need to wear this PPE appropriate to the risk level for the care they are providing. These HCWs shown are usually working with COVID-19 patients. This level of PPE is typically not needed for homecare HCWs, unless the patient they are working with has COVID-19. For most of the homecare situations through NBN, facemasks (and at times gloves) are sufficient. There is a global shortage of PPE, so we can only provide PPE appropriate to the risk level for the care provided and dependent upon availability. We are providing PPE as we are able to. Staff, if you need more PPE, please reach out to your supervisor to discuss.

Other Things Staff Should Do

There are a lot of things to keep up with now, especially for families with at risk members. We understand that things may slip people’s minds. For this reason, we’re also asking our staff members to do a beginning of shift COVID-19 screen upon arrival. This screen includes not only assessing the patient for signs and symptoms of COVID-19, but also having a conversation with a caregiver about whether anyone else in the household is showing signs and symptoms of COVID- 19, and also about whether the household has been practicing social distancing and avoiding visitors. Please understand that, by doing this, our staff members are doing their part in keeping themselves, their patients, and their own household members safe.

Also, staff members need to be more mindful than ever of what they bring into a patient’s house, and then bring back to their own households. We’re asking our staff to keep personal items to a minimum, and to practice excellent infection control techniques with their bags. Don’t forget to wipe these bags down!

Working Together

This is not a fun situation for anyone. A lot of us are missing social interactions, visiting family, and stopping at the store. It’s hard to give someone an encouraging smile when your face is covered. But, the sooner we all cooperate to stop the spread of COVID-19, the sooner life can go back to “normal”. Please understand that NBN wants to do what we can to get back to that, and to keep everyone safe and healthy until that happens. We are proud to announce that we have donated 53 ventilators to a local hospital to help fight this Pandemic. Thank you for working with us to do so. As always, feel free to reach out with any questions or concerns you may have.

Thank you,
Nicole Gallagher
Manager of Quality Assurance and Utilization Review
The NBN Group
(Newborn Nurses, NBN Infusions, and New Behavioral Network)
856-669-0211 ext 1347

Actualización Para Nuestra Comunidad NBN

28 de Abril de 2020

Actualización para nuestra comunidad NBN

El conocimiento es crítico en la lucha contra COVID-19. El Grupo NBN se dedica a mantenerlo informado y seguro. Lo actualizaremos a medida que haya nueva información disponible. Por ejemplo, es probable que haya escuchado muchas de estas palabras de moda recientemente: COVID-19, autocontrol, exposición, distanciamiento social, cobertura facial, higiene de manos, PPE, monitoreo, etc. Entendemos que estos nuevos términos se han apoderado de nuestra sociedad . Queremos ayudar a analizar lo que algunos de estos términos significan para usted.

Antes de continuar con esto, queremos que sepa que estamos aquí para ayudarlo y que estamos en pleno funcionamiento. Muchos miembros del equipo trabajan desde casa, pero estamos aquí para servir a nuestra comunidad. Algunos departamentos seleccionados todavía están operando desde la oficina de Cherry Hill. Tenga la seguridad de que estamos haciendo todo lo posible para mantenernos informados sobre la pandemia de COVID-19 y responder con las mejores prácticas y experiencia.

Síntomas COVID y Automonitoreo

Es extremadamente importante que todos estén familiarizados con los síntomas de COVID-19. Si no conoce los síntomas, no podrá responder de manera adecuada y rápida. Aunque todavía hay mucho que aprender sobre este nuevo virus COVID-19, la lista actual de síntomas del CDC incluye fiebre, tos, falta de aire, dificultad para respirar, escalofríos, temblores repetidos con escalofríos, dolor muscular, dolor de cabeza, dolor de garganta y pérdida de sabor u olor, La Organización Mundial de la Salud (OMS) también agrega cansancio, dolores y molestias, congestión nasal, diarrea y náuseas a esta lista.

Estamos pidiendo a todos los miembros de la comunidad NBN, incluidos los empleados, pacientes y sus familiares, que monitoreen por sí mismos cualquiera de los síntomas mencionados anteriormente. Algunos sugieren hacer monitoreos de temperatura dos veces al día. Si en algún momento usted o alguien en su hogar comienza a experimentar alguno de estos síntomas, infórmelo de inmediato a un miembro de su equipo de NBN. Pedimos esto para garantizar la salud y la seguridad de todos los involucrados en la comunidad NBN. No queremos que un empleado enfermo infecte a un paciente o un miembro de su familia, o viceversa. Si trabajamos juntos, podemos hacer todo lo posible para mantener a todos saludables.

Distanciamiento social y cobertura facial

La mejor manera de mantenerse saludables es prevenir enfermedades. ¡Esto es especialmente cierto para COVID-19! Este virus es altamente contagioso, por lo que la clave es practicar el distanciamiento social y limitar la exposición de su hogar. Esto significa no hacer viajes innecesarios a la tienda, limitacion de la cantidad de personas que permite en su hogar solo aquellos que viven en el hogar y al personal médico, y mantener su distancia cuando saluda a su vecino. Está bien salir a caminar o tomar aire fresco. No está bien pasar el rato en la casa de un amigo o tener una pequeña reunión.

Si necesita ir a una tienda por una necesidad esencial, como alimentos, debe cubrirse la cara (con algunas excepciones para aquellos que no pueden hacerlo por razones médicas o edad). Este es un requisito emitido por el gobernador de NJ Murphy. Si todos en la tienda usan una mascarilla, las posibilidades de infección de persona a persona en la tienda son menores. El sitio web del CDC tiene algunas instrucciones fáciles de seguir para hacer una máscara de tela casera sin costuras. Dicho todo esto, si puedes quedarte en casa, ¡hazlo!

Higiene de manos

Como siempre, también es importante practicar la higiene de las manos. Debe lavarse las manos antes de comer o preparar alimentos, después de usar el baño, antes y después de atender o ayudar a una persona enferma, cuando venga de afuera y en cualquier otro momento en que sus manos puedan haberse contaminado. Si sus manos tienen la visibilidad sucia (por ejemplo, con tierra), debe lavarse las manos con agua y jabón durante al menos 20 segundos. De lo contrario, si no hay agua y jabón disponibles, usar un desinfectante para manos a base de alcohol y frotar hasta que las manos estén secas está bien. Si va a una tienda, además de usar una mascarilla, debe usar desinfectante para manos tan pronto como salga de la tienda, y debe lavarse las manos cuando llegue a casa.

Equipo de Protección Personal (EPP)

Todos estamos viendo trabajadores de la salud (HCW) en las noticias y en las redes sociales usando EPP completo, como batas, guantes, caretas, máscaras N95, etc., y puede que se pregunte por qué todos los HCW NBN no están haciendo el mismo. Es importante tener en cuenta que los (HCW) necesitan usar este EPP adecuado al nivel de riesgo para la atención que brindan. Estos HCW que se muestran generalmente es tan trabajando con pacientes con COVID-19. Este nivel de EPP generalmente no es necesario para los que trabajan en su hogar, a menos que el paciente con el que están trabajando tenga COVID-19. Para la mayoría de las situaciones de atención domiciliaria a través de NBN, las mascarillas (y a veces los guantes) son suficientes. Existe una escasez global de EPP, por lo que solo podemos proporcionar un EPP adecuado al nivel de riesgo de la atención brindada y dependiendo de la disponibilidad. Estamos proporcionando EPP como se nos he posible. Personal, si necesita más PPE, comuníquese con su supervisor para discutirlo.

Otras cosas que el personal debe hacer

Hay muchas cosas que mantener en practica de ahora en adelante, especialmente para familias con miembros en riesgo. Entendemos que estas cosas pueden abrumar las mentes de las personas. Por este motivo, también estamos pidiendo a los miembros de nuestro personal que comiencen a monitorearse a su llegada a la casa. Este monitoreo incluye no solo evaluar al paciente en busca de signos y síntomas de COVID-19, sino también tener una conversación con el cuidador(es) sobre si alguien más en el hogar muestra signos y síntomas de COVID-19, y también sobre si en el hogar se esta practicando el distanciamiento social y evitando visitantes. Por favor, comprenda que, al hacer esto, los miembros de nuestro personal están haciendo su parte para mantenerse a salvo a sí mismos, a sus pacientes y a los miembros de su hogar.

Además, el personal(enfermer@s, terapistas,tecnicos de entrega, etc…) deben ser más conscientes que nunca de lo que traen a la casa de un paciente y lo que regresa a sus propios hogares. Le pedimos a nuestro personal que mantenga sus artículos personales al mínimo y que practiquen excelentes técnicas de control de infecciones con sus bolsas. ¡No olvides limpiar estas bolsas!

Trabajando juntos

Esta no es una situación divertida para nadie. A muchos de nosotros nos hace falta la interaccion social, visitar nuestros familiares y evitar ir a la tienda. Es difícil darle a alguien una sonrisa alentadora cuando su rostro está cubierto. Pero cuanto mas cooperemos todos para detener la propagación de COVID-19, mas cerca estaremos ha que nuestra vida puede volver a la “normalidad”. Por favor, comprenda que NBN quiere hacer lo que podamos para volver a eso y mantener a todos seguros y saludables hasta que esto suceda. Nos enorgullece anunciar que hemos donado 53 ventiladores a un hospital local para ayudar a combatir esta pandemia. Gracias por trabajar con nosotros y ayudarnos. Como siempre no dude en comunicarse con nosotros si tiene cualquier pregunta o inquietud.

Thank you,
Nicole Gallagher
Manager of Quality Assurance and Utilization Review
The NBN Group
(Newborn Nurses, NBN Infusions, and New Behavioral Network)
856-669-0211 ext 1347

New Jersey County COVID-19 Test Centers

We have recapped below the current (4.9.20) Covid-19 county testing sites with each sites required information. For individuals currently enrolled in a healthcare plan, the plan will cover the cost of testing, be sure to check what other costs your plan may cover. If you do not have healthcare insurance, currently you will need to pay for the testing and associated costs.

NORTH JERSEY RESOURCES FOR COVID-19 SCREENING

BY APPOINTMENT ONLY

Where: Bergen New Bridge Medical Center, 230 East Ridgewood Avenue, Paramus, NJ 07652

Who: Bergen County first responders, all hospital employees and any symptomatic residents of Bergen

When: The Screening Survey is open from 8 am – 3pm, 7 days a week. If the survey is closed before 3pm, all available scheduled appointments for the day are full.

What do I need to do: You need to go to the following website to determine your status:

https://www.research.net/r/HealthcareFirstResponder

• This quick screening tool will assess whether you qualify for COVID-19 testing. If your screening indicates you should be tested, you will be connected to Bergen New Bridge Cares, our telehealth service, for further assessment.

If you qualify after your telehealth session, you will be scheduled for testing at the Bergen New Bridge drive-up testing site.

FAQs
1. Do I need a physician order to be tested? Yes. You will either need a physician order from your primary care physician or you need to be evaluated by one of our telehealth providers.

2. How long until I will get my result? Typically, the results will be available in 24 to 48 hours, though in some cases it will take up to 4 days.

3. How will I be notified? You will receive a phone call from 201.225.4000. One of our staff will call you directly with your results. You will be asked to verify your name and date of birth. Copies of results will NOT be sent to your primary care physician. You may request a copy of your results by calling medical records at 201.967.4065.

4. What should I do between getting tested and being notified of my results? Please follow the Post Test Instructions (click to download) and speak with your primary care or ordering providers. If you have an increase in symptoms or difficulty breathing, please seek immediate medical attention.

5. Is this covered by insurance? Yes, it should be covered by your health insurance but please check with your insurer for further clarification.

Email: COVIDquestions@newbridgehealth.org
Message Center: 201-967-4333

NORTH JERSEY RESOURCES FOR COVID-19 SCREENINGS CONT’D
UNION COUNTY
Prescription is Necessary

Where: Kean University, 1000 Morris Avenue, Union, NJ 07083

Who: Union County Residents Only- with a prescription. Union County residents can report symptoms and schedule testing by calling 908-373-5105 or 908-214-7107.

When: The testing Center is open Monday-Friday from 9 am – 5 pm. Please note that people with existing appointments will be seen first.

What do I need to do: If you have a VALID PRESCRIPTION for Covid-19 testing please email COVID19TEST@UCNJ.ORG with the following information: Your full name, home address, phone number, email address, gender, race, date of birth, photo of your script, the physician’s name, address and phone number and then you may directly go to our Union County Drive-Through Testing Center for COVID-19 at Kean University.

Additional Information:
For the safety, health and security of the volunteers at the site, the testing location will not allow patients without vehicles to enter campus, even with a valid prescription and appointment. If you do not have your own transportation, please discuss with your healthcare provider before scheduling an appointment.

Also, if you believe you may have symptoms of COVID-19, there is a self-assessment tool that you should use that has been developed by the State of New Jersey. This tool will assist you to determine what actions you can take to protect you and your loved ones’ health and help determine whether you should be tested for COVID-19, and can be accessed at https://self.covid19.nj.gov/

CENTRAL JERSEY RESOURCES FOR COVID-19 SCREENINGS
MERCER COUNTY
PRESCRIPTION IS NECESSARY

Where: Quakerbridge Mall, 3320 Brunswick Pike, Lawrenceville, NJ 08648

Who: Mercer County residents only When: Drive thru Testing Site open from 8:00am to 4:00pm

What do I need to do: To receive an appointment, your doctor must send notification to the site that you meet testing requirements and are symptomatic. The testing center is by appointment only for symptomatic Mercer County residents age 18 or older who have a prescription from their primary health care provider (PCP). If you are symptomatic for COVID-19 and want to be tested, contact your PCP.

Physicians: Fax prescription with patient’s home address to 609-630-4031.

MIDDLESEX COUNTY

Where: NJ MVC Kilmer Inspection Center, 33 Kilmer Road, Edison, NJ 08817

Who: Middlesex County residents only.

When: Registration online (at the below website) and the testing open at 10:00am

What do I need to do: Go to the following website: https://app.acuityscheduling.com/schedule.php?owner=19315640 Once there follow the prompts in order to be evaluated and eligible for an appointment for testing.

Additional Information: To receive testing, you must be a Middlesex County resident (valid driver’s license or state issued identification is required), make an appointment online or via phone, as well as either have a valid doctor’s prescription or be exhibiting symptoms which include: fever 100.4 degrees or higher (99.6 degrees for people 65 years and older); respiratory symptoms; and/or shortness of breath.

CENTRAL JERSEY- RESOURCES FOR COVID-19 SCREENING CONT’D
Monmouth County

Where: PNC Bank Arts Center, 116 Garden State Parkway, Holmdel, NJ 07733

Who: Individuals who are experiencing symptoms of respiratory illness. In order to be eligible for testing, individuals must be current New Jersey residents and experiencing symptoms of respiratory illness. Priority will be given to symptomatic individuals experiencing cough, fever (99.6F or above) and shortness of breath.

Please Note: Saturdays are reserved for First Responders and Health Care Workers

When: Monday, Wednesday and Saturday starting at 8:00am

What do I need to do: You will need to complete the self assessment online at the following website:

https://self.covid19.nj.gov/ and then you will be directed on what to do from there.

SOUTH JERSEY- RESOURCES FOR COVID-19 SCREENING
Burlington County

Where: Burlington County Emergency Services Training Center, 53 Academy Drive, Westampton, NJ 08060

Who: Burlington County Residents Only

When: You would need to call to schedule

What do I need to do: Go to the following website and complete the evaluation: https://self.covid19.nj.gov/

You must call 609-726-7097 to make an appointment.

Additional Information: You DO NOT need a prescription

SOUTH JERSEY- RESOURCES FOR COVID-19 SCREENING cont’d
CAMDEN COUNTY

Where: Cooper’s Poynt Park, 801 Delaware Ave, Camden, NJ 08102

Who: Camden County residents only

When: By appointment only

What do I need to do: Go to the following website and complete the evaluation:

https://self.covid19.nj.gov/ The testing site is open to county residents, by appointment only, who have symptoms and meet other criteria, and who have received a referral for testing from a medical provider (at Cooper, Virtua, CamCare, or other provider.

Additional Information: Call 856- 968- 7100 for more information. The testing site is Drive thru or Walk-up

CUMBERLAND COUNTY

Where: Rowan College-Cumberland Campus, 3322 College Drive, Vineland, NJ 08360

Who: This site is open to residents of Cumberland County and patients of CompleteCare Health Network. If you are a Cumberland County resident, you do not need to be a member of CompleteCare Health Network to be tested.

When: You will need to schedule an appointment

What do I need to do:
1. Visit CompleteCareNJ.org’s https://completecarenj.org/request-an-appointment/ complete the form, and choose COVID-19 Telephone Screening as your reason for visit.
2. Wait for a call back from CompleteCare. The agent will schedule you a telephone screening with a CompleteCare provider.
3. During your telephone appointment, the provider will determine if you need to be tested. Not everyone will require a test.
4. If you require a test, your prescription will be electronically submitted to Lab Corp.
5. After your prescription is submitted, the Cumberland County Health Department will contact you to schedule your drive-thru test appointment time.

At the day and time of your scheduled appointment you should visit the Cumberland County testing location. No one will be tested without an appointment

Additional Information: Do not visit the test site without both a prescription and an appointment provided to you by the Cumberland County Health Department. If you do not have a prescription or appointment, you will not be tested.

SOUTH JERSEY- RESOURCES FOR COVID-19 SCREENING cont’d
OCEAN COUNTY

Where: Ocean County College, 1 College Drive, Toms River, NJ 08754

Who: Ocean County residents only

When: Monday thru Friday 9:00am to 3:00 pm

What do I need to do: Go to the following website for evaluation and to set appointments for testing: https://ochd.simplybook.me/v2/#book

Additional Information: Contact Phone 800-342-9738

Official Letter to Patients from The NBN Group

March 18,2020

Hello NBN Community,
In response to the COVID-19 pandemic, our top priority at The NBN Group is the health and safety of our team, clients, and communities served across the state. Our thoughts are with our clinicians who are on the front lines taking care of patients, and with those working to prevent the spread of COVID-19.

We have taken important steps to protect our employees, patients, and families. This includes providing educational resources and tips to all staff in regards to COVID-19. We have a team devoted to monitoring the data from the CDC and local state health organizations. We are using this guidance to make informed decisions while also making every effort not to disrupt the care of our patients and families. Our goal is to continue to provide a high level of service to our clients in a safe manner.

We are 100% operational and our team remains prepared to help the industry through these unprecedented times. With that being said, if you are receiving in home nursing or behavioral services, please be prepared for potential disruptions in your typical schedule. Some of our staff members are also affected by school closures, illness precautions, or family members needing care during this pandemic. We will continue to do everything in our power to provide your scheduled services.

Whether you are a staff member, an existing patient/family, or a community member in need, please do not hesitate to contact us if we can be of assistance. If you have any questions or concerns, you can reach out to our Quality Assurance team at ngallagher@nbngroup.com.

We know much has changed in your lives and plans, and that can be unsettling. On behalf of the entire NBN Group, we want to thank you for your confidence in our work during this tentative and challenging time.

Remember to follow any state/national mandates and CDC/public health guidelines as they evolve to help contain the spread of COVID-19. We will get through this together with the same spirit of resourcefulness and cooperation that has always been so deeply rooted in the home care and hospice communities. Our Vision at the NBN Group is to be the champion provider of the highest quality integrative home healthcare and behavioral services. We will continue to adhere to that Vision to the fullest extent possible throughout the remainder of this pandemic, and beyond.

Thank you,

Linda Begley
President
The NBN Group

Benefits of Home Infusions During a Pandemic

•Avoid hospital / infusion center setting where hundreds of people potentially go every day

•Save money and time

•Drug gets delivered to home

•All labs can be done by the nurse in the home

•Clinical reports are sent to the doctor to communicate how the therapy was tolerated and date completed

•Nurse wearing PPE will infuse drug (Remicade, Stelara)

•Nurse will instruct you to infuse antibiotics, it is easy!

•Pharmacist will do a phone consult to review med list

•Nurse and Pharmacist will collaborate with your doctor to make sure you get the exact prescribed therapy you need

•Therapy is completed in the comfort of your own home