Last updated May 3, 2020
- Please note that as of May 3, 2020, if you have worked at Toronto Western Hospital in any capacity in the preceding 14 days that you must be cleared by Occupational Health (416-323-6400 extension 6023) prior to commencing work at Women’s College Hospital.
COVID-19 Clinical Resources
- For the most up to date COVID-19 related information for WCH, check the corporate intranet: COVID-19 intranet page
- COVID-19 Clinical Summary
- UHN Antimicrobial Stewardship guidelines for COVID-19
- COVID-19 and Cardiovascular Disease – CCS Guidance
- COVID-19 or Heart Failure – CCS Guidance
- NHS Specialty Guides for COVID-19 Patient Management
- CMAJ Pandemic Palliative Care
- Clinical Practice Guidelines for Antimicrobial and Immunomodulatory Therapy in Patients with COVID-19
COVID-19 Critical Care Clinical Resources
- Quick ICU Training
- UofT Critical Care Resources
- ICU Pandemic
- BWH COVID-19 Critical Care Protocols
- Surviving Sepsis Campaign: COVID-19 Critical Care Guidelines
Toronto Critical Care Learning
- Create an account here (access code Trcc2020)! Email confirmation from firstname.lastname@example.org.
Toronto Public Health – Information Sheets
- Toronto Public Health Fact Sheet
- How to Self Monitor
- How to Self-Isolate
- Isolation Guidelines for Caregivers
Homeless Patients Under Investigation (PUIs) and Confirmed Cases
- Transfer of COVID PUI to Isolation Shelter (same process applies at WCH)
Patients leaving Against Medical Advice
- Please encourage them to stay. Call your staff and Toronto Public Health immediately if they do leave AMA
Protected Code Blues
- Morning Report will take place on Tuesday from 8:00- 9:00am
- The updated virtual rounds schedule can be found here
EPIC – Ordering COVID-19 Swab
- Search for “COVID-19 ” on EPIC
- WCH will screen patients and visitors at all doors. Remember to have your badge with you to access sites. Please enter from the door on Grenville, which is the staff entrance.
Scrubs and Personal Protective Equipment
- You can get new scrubs in the AACU
- You can also contact linen services at email@example.com
WCH Mask Policy
- Starting May 3rd, all healthcare workers are required to wear a face shield in any patient interaction. Please clean and save your face shield for future use.
- All healthcare works must wear a mask throughout their shifts to protect themselves and each other. You will receive 1 mask at the start of your shift. You can receive another mask from the lobby or from your clinical area if: visibly soiled, makes contact with a patient, or it becomes moist/integrity compromised
- Masks may be removed temporarily during breaks, for meals, and use of washroom.
- The procedure mask will continue to be used (not replaced) after caring for a patient under droplet and contact precautions, so long as a face shield is used while in the room.
- Droplet-contact precautions are recommended for routine care
- This includes a gown, surgical mask with a visor or face shield (eye protection) and gloves
- Airborne precautions are required for Aerosol Generating Medical Procedures (e.g, suctioning, intubation)
- This includes an N95 fit-tested respirator, face shield (with attached bib for protected code blue), gown and gloves (longer cuffed for protected code blue).
Personal Protective Equipment
- IPAC PPE Policy
- Routine Practices and Additional Precautions
- Donning and Doffing PPE videos
- Mask-fit testing: Contact firstname.lastname@example.org
University of Toronto
- Department of Medicine COVID-19 Updates
- PGME COVID-19 Updates
- Faculty of Medicine: COVID-19: Your Safety and Responsibility
- University of Toronto: Coronavirus (COVID-19) and U of T’s response
- Vice-President, Research & Innovation: Coronavirus (COVID-19) Research FAQ
- Post MD Education: PGME COVID-19 Messages
- Self-screen for fever, cough, runny nose, sore throat and stay home if you’re sick.
- If you develop symptoms at work, please wash your hands, put on a procedure mask, and call Occupational Health-
- If you are unable to work please inform:
- Your WCH rotation coordinator & Mark Jankie (email@example.com)
- For core Internal Medicine trainees – your base hospital administrative coordinator
- Site Director – Dr. Jakov Moric (Jakov.firstname.lastname@example.org)
- Chief Medical Resident (email@example.com)
- If it is last minute, please also do your best to e-mail the staff you are scheduled to work with directly so as not to avoid any delays in making them aware.
- Phone number: 416-323-6400 Ext. 6023
- Email: firstname.lastname@example.org
COVID-19 Assessment Centres
- Testing for Staff is available at the COVID Assessment Centre at WCH. It is currently open 9am-5pm, 7 days per week. Please use the North East entrance located on Grosvenor St.
- Regional Assessment Centres
- It is recommended that you avoid all non-essential travel
Wellness and Resident Support
- Dr. Leora Branfield Day (CMR): 416-624-1674
- Dr. Jakov Moric (Site Director). Page through locating
Local Wellness Resources
- DOM COVID19 Wellness Resources Page
- UofT Psychiatry Residents Resources
- Postgraduate Wellness Office: 416-946-3074, email@example.com
- PARO: Help Line (24 hour) – 1-866-HELPDOC, PARO office number – 416-979-1182
- Physician Health Program (OMA): 1-800-851-6606 (daytime)
- Dr John Hunter and Robert Maunder:
- Three steps to coping with anything (including COVID-19): https://www.youtube.com/watch?v=Rkz7vJOZ2HU
- Toronto Distress Centres: 416-408-4357 (HELP) or Text: 45645
- 24-hour confidential emotional support and crisis intervention 7 days a week to individuals in our community at risk
- Gerstein Centre: 416-929-5200
- 24-hour confidential emotional support and crisis intervention for adults in Toronto
Physician Health Program (PHP)
- The Physician Health Program, through the OMA, offers confidential support for trainees and practicing physicians through live counselors available between 9am and 5pm.
CAMH – ECHO Ontario Coping with COVID
- This program is designed for residents supporting the current Pandemic to share and learn about ways to build resilience and wellness through didactic lectures and case-based discussions.
- Sessions will run weekly on Wednesdays 2:00-3:00pm & Fridays 12:30-1:30pm, starting Friday, March 27th, 2020.
- To register visit: https://edc.camhx.ca/redcap/surveys/?s=KXNTKXKFXY
Peer to Peer Support Resources
- Afterhours IM Resident Group: Next meeting April 27th 7pm and q1-2 weeks thereafter. Email Leora for link.
- Pandemic Peer-2-Peer Support Group
- This is an online, video conference, resident-only peer support group for residents who want to talk about the pandemic, clinical practice, impacts on their lives, or anything else. Contact Leora Branfield Day for mor einfo
- Parking is free for all staff members during COVID-19. You can park on P2 or P3 with your badge.
- PGME has secured housing for residents who have to self-isolate away from home and family through Staywell. PGME will pay for up to half the cost under certain conditions outlined in their email (see summary document on Quercus).
- If you need to access this option, wou can also contact StayWell directly at firstname.lastname@example.org with “Healthcare worker” in the subjectline.
- There are other completely free options as well, please contact Leora for any questions.
Staying Well at Home
- The Mindfulness App
- Headspace: offering 3 months free for healthcare workers if you fill out this form
- Create free account using hospital or university email then the codes: l
- ast name: XTVHWYTMBH
- headspace code: 112938175
- Stop, Breathe and Think
- Ten Percent Happier: free mindfulness app for healthcare workers if you email email@example.com
- Prana Breath (Android) – free app for guided breathing
- Calm.com- free meditation
- Snack Conscious is giving away snacks
- Interesting Reads