• There is now 1 designated patient visitor allowed in all in-patient areas which will be given to the nursing staff by the patient.
• Everyone coming into the hospital must provide and wear your own mask (except for children 2 years of age and under). It is critical that CVRMC maintain the current inventory level of PPE. Instructions to make a simple cloth face covering: https://www.bing.com/videos/search?q=surgeon+general+face+mask+you+tube&docid=608055549269116380& mid=0400D9247FE0C1A32D0E0400D9247FE0C1A32D0E&view=detail&FORM=VIRE
• MASK INFORMATION - Please have your nose and mouth covered throughout the duration of your time at CVRMC. If you touch your eyes or face, have to adjust or remove your mask at any time, please use proper hand hygiene after – wash your hands for 20 seconds or use hand sanitizer.
• Surgeries have resumed. Telemedicine and walk-in appointments are available. Contact your Primary Care Physician. Numbers are listed on at the bottom of this information release.
• Screenings will continue just inside front doors of all facilities. · If you are coming into the hospital for COVID-19 testing, or an imaging procedure related to COVID-19, please call ahead to 928-425-3261. Let the operator know your name and type of test you are coming in for.

PREVIOUS UPDATES: · The ER never closes.

· If you need to come into the EMERGENCY DEPARTMENT AND HAVE SYMPTOMS OF FEVER-COUGH SHORTNESS OF BREATH, CALL 928-425-3261, EXT. 1026 BEFORE COMING INTO THE ER. Staff will instruct you of the procedure.

· Please call ahead TO ANY PHYSICIAN OFFICE if you are experiencing shortness of breath, coughing, fever.

· PHYSICAL THERAPY will be screening patients at the Physical Therapy department. If the patient is special needs (physically or mentally), requires special assistance, or a child, 1 person may accompany the patient on the visit. If you have any questions, please call 928-402-1280.

· PHARMACY is encouraging patients to call ahead for “curb side” service, 928-402-1192, push #3. Use the same number to let the Pharmacy know you are at the curb. Patients may also text ahead to 520- 357-0163 and leave your name, date of birth, and description of your car. If you arrive at the front of the hospital, with or without calling ahead, a greeter will get your name and date of birth and pick-up your prescription and bring it to you.

· MEDICAL RECORDS would like to encourage patients to use the “Patient Portal.” If the patient is unable to use the “Patient Portal,” call 928-402-1166 and someone from Medical Records will get your information. A time for pick-up will be given to the patient. The pick-up location is at the old entrance of the hospital, near the flagpole. Take a right turn at the end of Hospital Drive and then a quick left. At the end of the parking lot is the flagpole and circle drive. When you arrive call 928-402-1166 and someone will run the patient records to you. Patients must sign and show identification.

· Two entry points remain in place at the hospital: Main Entrance and the Emergency Entrance. Everyone is to use one of these two entry points and go through the screening process which includes temperature check and a questionnaire. A screening sticker will be issued. Please keep the screening sticker visible. If it is determined that a “Designated Visitor” or Employee has a temperature or fails any of the questions on the questionnaire, they will not be allowed to enter the hospital or clinic. · Main Entrance to the hospital hours are 6:30 a.m. – 5:30 Pp.m.

· Law enforcement, Firefighters/EMS, on campus physicians and office staff can enter the hospital through the two screening points.

· If you have COVID-19, or are being evaluated for COVID-19, please follow the instructions put forth by the Gila County Health and Emergency Management Department

· If you need to come into the EMERGENCY DEPARTMENT AND HAVE SYMPTOMS OF FEVER-COUGH SHORTNESS OF BREATH, CALL 928-425-3261, EXT. 1026 BEFORE COMING INTO THE ER. Staff will instruct you of the procedure coming into the ER. 

Questions and Answers:

Q: “Why is this called COVID-19?” A: There are many types of coronaviruses that cause upper-respiratory illnesses. COVID-19 is a new coronavirus that has not previously been seen in humans. “CO” stands for “Corona”, “VI” stands for “Virus”, “D” is for Disease, and 19 refers to the year, 2019, when it began in Wuhan China. COVID-19 For more common questions and answers: https://www.cdc.gov/coronavirus/2019- ncov/faq.html#Coronavirus-Disease-2019-Basics

Coronavirus Disease 2019 (COVID-19) Outbreak: Person Under Investigation (PUI) & Close Contact At-Home Guidance**

If you HAVE or ARE BEING EVALUATED FOR COVID-19, you should:

• Stay at home except to get medical care. Do not go to work, school, or public areas, and do not use public transportation or taxis. · Call ahead before visiting your doctor. · Separate yourself from others in the home. · Wear a facemask when in the same room with other people and when you visit a healthcare provider. · Cover your coughs and sneezes. · Wash your hands and avoid touching your eyes, nose, and mouth. · Avoid sharing household items like dishes, cups, eating utensils, and bedding. · Monitor your symptoms and seek medical care if your illness is worsening. o Before going to your medical appointment, call the healthcare provider and tell them that you have, or are being evaluated for, COVID-19.

You will be asked to stay in home isolation:

1) If you have tested positive for COVID-19, you should: · Remain in home isolation for 7 days after your COVID-19 testing OR until 72 hours after your fever and symptoms of acute infection are gone, whichever is longer. 2) If you have a fever and respiratory symptoms and have not tested positive for COVID-19, you should: · Stay home away from others until 72 hours after your fever and symptoms or acute infection are gone

If you LIVE or HAVE HAD CLOSE CONTACT with someone who has or is being evaluated for COVID-19, you should:

• Monitor your health starting from the day you first had close contact with the person who has or is being evaluated for COVID-19 and continue for 14 days after you last had close contact with the person. · If you do not have any symptoms, you can continue with your daily activities such as going to work, school, or other public areas. · Watch for these signs and symptoms: o Fever. Take your temperature twice a day. o Coughing. o Shortness of breath or difficulty breathing. o Other early symptoms to watch for are chills, body aches, sore throat, headache, diarrhea, nausea/vomiting, and runny nose. · Have only people in the home who are essential to providing care for the person – other household members should stay in another home or place of residence. If this is not possible, they should stay in another room and be separated from the person as much as possible. · Wash your hands and avoid touching your eyes, nose, and mouth · Avoid sharing household items like dishes, cups, eating utensils, and bedding · Clean all “high-touch” surfaces, such as counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables with a diluted bleach solution or a household disinfectant that says “EPA-approved.” o To make a diluted bleach solution, add 1 tablespoon bleach to 1 quart of water.

If you develop fever or any of the symptoms listed: · Call your healthcare provider right away. · Before going to your medical appointment, be sure to tell your healthcare provider about your close contact with someone who is confirmed to have or is being evaluated for COVID-19. This will help the healthcare provider’s office take steps to keep other people from getting infected. · Ask your healthcare provider to call the Gila County Health Department: o Monday–Friday 8AM–5PM - call (928) 402-8811 and ask for Communicable Disease; o After 5PM and on weekends - The Arizona Poison Control System is available to answer questions about COVID-19 from Arizona providers (for testing and patient guidance) and the general public (for testing, isolation, and quarantine guidance) at 1-844-542-8201.

TESTING

• A physician must recommend testing and that is why it is so important to follow these instructions: 1. If you are experiencing severe symptoms of: § Fever § Cough § Shortness of breath · CALL YOUR PRIMARY CARE PHYSICIAN FIRST BEFORE GOING INTO THEIR OFFICE. Phone numbers are on Page 8 and Page 9. · THEY WILL INSTRUCT YOU ON THE PROTOCOL THEY HAVE SET UP FOR YOUR VISIT.

2. IF YOU ARE HAVING SEVERE SYMPTOMS AND NEED TO COME INTO THE ER: · PLEASE CALL AHEAD TO 928-425-3261, EXT. 1026, THE STAFF WILL GIVE YOU INSTRUCTIONS AND THEY WILL TAKE PROPER PRECAUTIONS TO CARE FOR YOU. 3. If the physician determines that you “meet criteria,” the Coronavirus test will be administered. This will be done through a nasal swab (nasopharyngeal swab). 4. You will be asked to stay quarantined (home isolation) until results are back. 5. If the test comes back positive, you will be quarantined for 14 days.

NOTE: Data is indicating that the most vulnerable are the senior population (over the age of 60) and those people with chronic diseases such as respiratory disease, cardiovascular disease, hypertension, cancer, diabetes, etc.

TREATMENT · There is no medication to treat COVID-19. It is a viral infection and has to run its course. Stay in bed, get enough rest, drink plenty of water, etc. · People that are hospitalized due to extreme, severe symptoms have to receive special respiratory care during the illness. · People who are mildly ill with COVID-19 are able to recover at home. Do not leave, except to get medical care. Do not visit public areas. We need to be aware of those who could become seriously ill if exposed to the virus: The elderly and those with compromised immune systems, for example. · Please follow the instruction provided by the Gila County Health and Emergency Management Department

PRECAUTION AND SLOW DOWN OF THE SPREAD– Help protect the most vulnerable and “Stay the Course”

• WASH YOUR HANDS frequently for at least 20 seconds. · Cough/sneeze with your mouth tightly nestled into your elbow or into a tissue tightly around your mouth. Wash or sanitize your hands after each event. · Refrain from touching the “T Zone” of your face --- eyes, nose, or mouth. · Avoid close contact with sick people. · Clean and disinfect high-touch surfaces often. · Avoid shaking hands or other close contact greetings. · Whenever possible, keep a safe distance from others, 6 – 10 feet. · Stay home when you are sick. · Coronavirus Disease spreads through close personal contact with a sick person. · Symptoms may show up 2-14 days after contact with an infected individual.

FOR THE MOST CURRENT INFORMATION:

• Center for Disease Control web page: https://www.cdc.gov/coronavirus/2019-ncov/index.html · World Health Organization: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advicefor-public · AZ Department of Health Services: https://www.azdhs.gov/ · Gila County Health and Emergency Management: https://www.gilacountyaz.gov/government/health_and_emergency_services/index.php

Local Primary Care Physician Office Phone Numbers

CV Family Practice 928-425-7108

Dr. Douglas Campbell; Dr. Travis Charles; Mark Wyma PA-C; Tyler Foulger PA-C

CV Red Rock Clinic 928-425-8151

Dr. Joseph Ring Dr. Bradley Werrell Tyler Foulger PA-C

CV Clinics at the Hospital 928-425-3247

Beau Bradley PA-C Zach McBride PA-C

CV Pediatrics 928-425-3247

Dr. Murray Caplan

CV Superior Clinic 520-689-2423

Blaine Jensen, PA-C Dr. Douglas Campbell

CV Tonto Basin Clinic 928-479-2871

Dr. Douglas Campbell Beau Bradley PA-C

CV Pleasant Valley (Young, AZ) 928-462-3435

Blaine Jensen, PA-C

CV Kearny Clinic 520-363-5573

Michael Smith, PA-C

Palo Verde Family Care 928-425-6592

Dr. Oscar Andrade Dr. Melde Tina Mugford, NP

Hope Family Care 928-425-8200

Dr. Holly Rooney Chad Campbell, PA

Pinal Mountain Internal Medicine 928-402-0096

Dr. Brent Layton

Canyonlands Healthcare 928-402-0491

Sara Bennett, NP Jenni Kuker, NP Jean Turney-Shaw, NP