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Thursday, April 16, 2020
Maui Hospital COVID Cluster Spreads to Nursing Home
By News Release @ 3:40 AM :: 859 Views :: Maui County, COVID-19

COVID Found at Wailuku Homeless Shelter

MN: … One homeless individual with Ka Hale A Ke Ola homeless resource center in Wailuku tested positive for COVID-19 after being treated at the hospital during the outbreak, the center’s director said Friday morning.

The COVID-19-positive man is doing well and is being isolated off site in a state Department of Health quarantine. The individual was alone in the center’s respite shelter and had limited contact with others, center executive director Monique Yamashita said Friday morning.

Yamashita said DOH recently contacted the man because he was a patient at Maui Memorial Medical Center when the cluster occurred. He was tested Tuesday and results came back positive Wednesday night.

State health officials Thursday reported that the hospital is now associated with 41 coronavirus cases.

A main cluster of 15 staff and eight patients started in mid-March. The cluster has triggered testing of about 300 staff and patients….

(41/300 = 14%)

A separate, unrelated individual at the center hasn’t been feeling well, is being tested for COVID-19 and also was moved to state DOH off-site quarantine. This person also had limited contact with others and results are pending on that test, Yamashita said.

Yamashita said eight staff who interacted with the two are in 14-day quarantine and are being tested for coronavirus. Another 20 staff at the center have been informed and may choose to get tested….

MN: Hospital cluster grows to 41

read … Wailuku homeless center’s COVID-19 case linked to hospital cluster

  *   *   *   *   * 

Hale Makua Health Services Impacted by COVID-19 Positive Cases

News Release from Hawaii State Senate, April 15, 2020

Hale Makua Health Services received word from the State of Hawaii Department of Health (DOH) that one Home Health patient has tested COVID-19 positive, and that one of six of our nursing home residents who were potentially exposed to COVID-19 during their stay at MMMC prior to being admitted to Hale Makua has tested positive. The nursing home resident who tested positive for COVID-19 received a negative test result on April 9, 2020. Because this individual was treated on the MMMC unit with the COVID-19 positive cluster of workers, the resident was re-tested on April 13, 2020, which resulted in the current positive received today, April 15, 2020. The resident is currently asymptomatic and in isolation.

On April 11, 2020, Hale Makua Health Services was notified by DOH that six nursing home residents were potentially exposed to COVID-19. Since then the resident noted above had a second test administered, which came back positive. The five other nursing home residents recently admitted from MMMC tested negative, have been in isolation since April 12, 2020, are being retested for COVID-19, and are currently asymptomatic. As per DOH’s recommendation, all of these residents have been moved to a separate wing for 14-day quarantine in private rooms with droplet precautions. All residents and staff who may have been exposed will be tested for COVID-19.

Home Health by Hale Makua is caring for its first positive COVID-19 patient. This patient presented with symptoms of COVID-19 after being discharged from the hospital, and was under observation by the DOH until being released from isolation on April 14, 2020. Out of an abundance of caution, all employees who had any contact with the patient are also self-isolating and have been tested for COVID-19.

“Our goal is always to ensure that we protect the health and safety of all those in our care so that we may continue providing services in the most appropriate care setting for our kupuna. We stands beside our employees, residents, patients and community members, to provide support and guidance in any way we can. We have already implemented many measures to ensure the safety and protection of all those in our care.” states Hale Makua Health Services CEO, Wesley Lo.

At Hale Makua nursing home and adult residential care home precautions include:

· Staff and vendors screened for respiratory symptoms and/or fever prior to entering the campuses since early March.

· All new admissions have been admitted to West neighborhood in Kahului since March 23.

· All employees have been required to wear face masks since April 2.

· All employees providing care to residents who may have been exposed to COVID-19 have been following appropriate PPE protocols since April 11, when the organization was notified by DOH of potential COVID-19 exposure.

· Visitors have been prohibited, except in certain circumstances deemed appropriate by an Administrator. Creative ways to keep residents in touch with loved ones have been implemented.

· Employees who work in other healthcare settings are temperature checked at the start and end of shift, in addition to wearing personal protective equipment (PPE) throughout their shift at Hale Makua.

· High touch surfaces are wiped down frequently.

Home Health by Hale Makua, precautionary measures to keep patients healthy, safe, and out of the hospital include:

· Continuing to provide education to staff and patients about preventative measures like social distancing, proper hand hygiene, and cleaning and disinfection protocols.

· Conducting staff meetings remotely instead of in person

· Increasing the use of teleworking among staff

· Providing increased support to our patients and families by telephone or telehealth calls.

· Preadmission screening protocols

· Staff screening protocols

· Pre-visit screening protocols for the entire household

· Pandemic visit protocols, to include limiting nonessential persons from the visit, source control, distancing, and appropriate use of PPE.

· Training our staff to provide COVID-19 specific education to all high risk patients and household members.

Mr. Lo concludes, “I would like to give a heartfelt ‘thanks’ our dedicated employees who have gone above and beyond to meet the challenges of this crisis, and are the heart of our workforce. Because of them we are doing all that we can to fight COVID-19, and protect our residents, patients and each other. We are stronger together. And together we will get through this crisis, helping each other and our Maui community.”

About Hale Makua Health Services

Hale Makua Health Services is a private, non-profit 501(c)(3) corporation, established in 1946 to provide a home for elders who had no one to care for them or means to pay for care. It is one of Maui’s largest non-government employers with over 450 employees providing care for over 1,500 individuals on Maui annually. The organization’s continuum of healthcare programs include two nursing homes and rehab centers specializing in both in and out-patient physical, occupational and speech therapies; a home health care agency; an adult day health center; and an adult residential care home. For more information visit HaleMakua.org.

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