Focus on prevention of COVID-19 virus establishes new procedures.   COVID-19 Updates

COVID-19 Prevention: Community Updates Week of 4/5/2020

April 11, 2020: Update to Residents

Calm, Proactive Preparedness

Note: Statistics Are Now Listed at the End of the Update


Pandemic Humor

SHELTER in PLACE: This sums up the predicament

  • I need to practice social-distancing from the refrigerator.
  • Still haven’t decided where to go for Easter – The Living Room or The Bedroom.
  • Gas is finally affordable, and we can’t go anywhere.
  • First time in history we can save the human race by staying at home and doing nothing.
  • Let’s not mess this up! Stay inside, isolate or practice social distancing and clean yourself. Oh my goodness! I’ve become my cat.
  • How many days without sports, watching birds fight over worms. Cardinals 4, Blue Jays 1.
  • I’m so excited – it’s time to take out the garbage. What should I wear?

Your Questions Answered

  • Should COVID-19 strike one of our residents or staff, what procedure would identify those who had come into contact with that person?  Would those exposed keep to their cottages or apartments or be further restricted?

In such a situation, Kendal at Oberlin would immediately inform and fully cooperate with Lorain County Public Health and the Ohio Department of Health. Lorain County Public Health and the Ohio Department of Health would lead the investigation into that person’s history and contacts made. All contacts made would be immediately contacted and required to go into a 14-day self-isolation, monitoring for symptoms.   This would require a resident living in a cottage or apartment to remain in that unit and not venture outside.  Kendal staff would continue to deliver a daily meal and provide other supports while practicing safe-distancing and infection-control protocols.  The Kendal at Oberlin Health Care Team would check on these persons daily through phone calls.  Kendal Social Services would be engaged to provide emotional support through that period.

  • Is it okay/safe for residents to gather in a cottage or apartment for a short visits, assuming they stay masked and 6-feet-apart?

We continue to encourage for the greatest protection a best practice to refrain from visiting other residents in their cottages or apartments. Six-foot social distancing can be difficult to judge, and although theoretically this is possible in a cottage or apartment, it is not very practicable and increases your/their risk. With the weather warming up, this is the ideal time to visit with neighbors outside while maintaining 6-feet social distancing.  And as long as you maintain a minimum of 6 feet distance, no mask is needed outside.


A Word about Nursing Homes in the News

Nursing homes have been in the news throughout the country as the COVID-19 virus spreads. The news has been tragic and heart-wrenching. The unfortunate reality is that nursing homes serve vulnerable populations with compromised conditions where the virus can run rapidly. Please be assured that Kendal at Oberlin is working diligently every day to keep our Stephens Care Center safe through enhanced infection-control protocols, daily health screenings of all staff and all Stephens Care Center residents, daily COVID-19 surveillance of all staff and all residents throughout campus, daily collaboration with Lorain County Public Health, and a host of other mitigation methods within the Stephens Care Center and throughout our campus. Today we are COVID-19 free, but we do not take this lightly or for granted. Our entire Health Care Team is working diligently every day to keep our community safe, both within the Stephens Care Center and the entire campus. There are no guarantees, and we would be the first to say those nursing homes that have had outbreaks are not necessarily bad or they were not practicing everything we are doing, as they may have been. These outbreaks are a result of a vicious virus within a vulnerable and compromised population that can hide itself asymptomatically. There are five Kendal communities that have been impacted by COVID-19, and two Kendal systemwide deaths related to COVID-19. These are not shared to create fear–just the opposite–but to remind all of us, residents and staff alike: we cannot let our guard down. We cannot get comfortable thinking this is almost over or about to pass, no matter how fortunate we have been. We must maintain all our mitigation methods and infection-control practices with the highest priority and the greatest degree of thoroughness every moment of every day.

The staff at Kendal will continue to work vigilantly to keep this community safe, and should we have a case or more of COVID-19, we will work to keep it as contained as possible. We will continue in our on-going calm, proactive preparedness, enhancing our measures and protocols as this pandemic continues.  We will get through this together with the best of health science, prudent wisdom, and an unflinching commitment and dedication to one another.


Please Be Respectful of Others on the Walkways

  • As a courtesy, please be conscientious and respectful of those using canes, walkers, power scooters, and other assistive devices.  If you are able, please move to the side and allow  persons with assistive devices to pass before you.  We have recently had a few near-accidents on Kendal walkways when such courtesy was not extended, almost resulting in a fall. Thank you for being a good neighbor. This is a message we will continue to emphasize to all residents and staff.

Sheltering-in-Place

Campus entrance - staff shelter
Campus Entrance – trailer t shelter staff at screening station
Sign - Sheltering in Place
Sign at Campus Entrance – Sheltering in Place

Facility Services did a nice job to better equip our front entrance to support the staff who are there 24/7 to do the frontline checking of vehicle entry and exits. The pictures below show our new signage and trailer in place offering shelter for weather changes.


Comparing Shopping Options:  In-House Kendal, Walmart, and IGA

  • Donna Baznik has drawn up a document that lays out the three options to get your groceries and how they are alike, what’s different, and proshttps://kao.kendal.org/wp-content/uploads/sites/2/2020/04/Sign-Shelter-in-Place-150×150-1.jpg Look for it in your email or inhouse mailbox. Save it for refence as needed.
  • IGA-We are entering the second week of IGA orders to complete our rotation. It has the maximum number of residents that can be managed but with the added availability of Walmart and inhouse orders (and daily meal by Kendal), we are confident this meets essential needs during this pandemic period.  The following week it will be reorganized to facilitate 12 orders per day and a rotation of orders once every 2 weeks. You will be given information if you are enrolled in this program.

Statistics

Kendal at Oberlin

  • 0 Confirmed Cases of COVID-19

Lorain County

  • 165* cases in Lorain County, 9* new cases since yesterday (as of 2pm), age range 22-96
  • 6 deaths in Lorain County, age range 68-93
  • Lorain County Public Health

Ohio

  • 6,250* cases in Ohio, 372* new cases since yesterday (as of 2pm) age range less than 1 to 101 years, median age 54
  • 58,573 total number tested in Ohio (no update for today)
  • 247* deaths included in Ohio, median age 79
  • 1,859 of total cases are hospitalized-median age 64; 572 of cases are in Intensive Care.
  • 1,237 of all cases are healthcare workers (no update for today)
  • Ohio Department of Health

 *The CDC expanded this number beyond those with a lab test confirmation to include those with clinical and epidemiological evidence that it is COVID-19, with known exposure and no other likely diagnosis.



April 10, 2020: Update to Residents

Calm, Proactive Preparedness

Note: Statistics Are Now Listed at the End of the Update


Interesting Reading

The Pandemic of Fear and Agony by David Brooks, from the New York Times

Did Ohio get it right? Early intervention, preparation for pandemic may pay off, from the Washington Post


Examples of Process Changes Still Occurring in the Stephens Care Center

Many have inquired about process changes that have and are occurring behind the scenes at Kendal.  We have changed hundreds of processes over the last several weeks to mitigate our exposure at Kendal at Oberlin to be prepared for a COVID-19 case. Changes and adjustments to workflows and processes are continuing to occur daily. Here are just a few from the Stephens Care Center today:

  • Scrubs for SCC staff – We are in the process of contracting for uniforms for staff to protect residents and staff in our environment and our staff members’ home environments.
  • PPE – We are continuing to implement Personal Protective Equipment conservation standards to ensure their availability when needed.
  • Reducing Risk – Shenell Hinton, RN and Georgia Newman, MD are reviewing strategies together to reduce personal encounters that could potentially expose residents or staff to the virus by simplifying schedules and daily routines.

Medicare Funds Related to the CARES ACT

  • Kendal has learned the Centers for Medicare and Medicare Services is sending out funds to all Medicare Providers under the CARES ACT that represent 6.2% of 2019 Medicare reimbursement. This would be approximately $40,000 for Kendal at Oberlin. The dollars must be used for Prevention, Preparation, and/or Response to COVID-19 and cannot be used for something that was already covered through another government program. These will be useful dollars in our ongoing preparedness.

Medical-Approved Off-Campus Appointments

Off-campus medical appointments continue to require prior approval by RN Shenell Hinton shinton@kao.kendal.org, or RN Julie Carpenter jcarpenter@kao.kendal.org before your campus departure.  At your appointment you will need to have your medical provider sign an appointment confirmation which you must submit upon your return to campus.  Additionally, we need an after-visit summary of your medical appointment from your medical provider to submit to the Health and Wellness Clinic upon your return.  Thank you for your cooperation to keep our records current for better informed medical services to you.


U.S. Mail – Reprinting the schedule for coming to Heiser

Today worked quite well as residents were cooperative in their personal spacing when they came to Heiser for mail. And those who were omitted (last name beginning with D) will be called on for proofreading future bulletins. Those with last names V-Z were so lickety-split coming at 5:30, we never saw them. (Really, thanks for your patience/humor about typos.)  Please, do not sort your mail at the ledge. Instead, we have set up a table in the lounge with recycle baskets there for you to spread out.

1:30-2:00      A-C

2:00-2:30      D-H

2:30-300       I-M

3:00-3:30      N-R

3:30-4:00      S-U

4:30-5:00      V-Z 

Packages: We have had Kendal Resident Volunteers offer to deliver packages (other than medicine) starting on Saturday to reduce the workload on our staff.  Thanks for helping us, help you!


Barbara’s “Trial” Afternoon Exchange via Live ZOOM

Monday, April 13, 1:30pm If you have become experienced doing ZOOM meetings or want to try your first session using your computer, Barbara will trial a live 30-minute session sharing responses to questions submitted by residents this past week. Our ZOOM License does not limit the number of participants so everyone is welcome. There will be no password for this session. It will be one-way communication without your having the chance to talk back to her!  We look forward to scheduling more of these.

Cloth Face Mask Reminders

  • When you receive your cloth face mask, please launder or hand-wash it before wearing and then launder or hand-wash it every day. Best to do this at day’s end so in the morning it will be dry and ready to wear.
  • Tip for the masks with short ribbons or laces: Tie the laces to form custom ear loops and adjust until the mask fits you. This makes the masks much easier to put on and take off.
  • Tip for the masks with long ribbons: Tie one set of ribbons above your ears toward the crown of your head and one set below your chin and around the back of your neck.

Statistics

Kendal at Oberlin

  • 0 Confirmed Cases of COVID-19

Lorain County

  • 156* cases in Lorain County, 12* new cases since yesterday (as of 2pm), age range 22-96
  • 6 deaths in Lorain County, age range 68-93
  • For more information: Lorain County Public Health

Ohio

  • 5,878* cases in Ohio, 366* new cases since yesterday (as of 2pm) age range less than 1 to 101 years, median age 54
  • 58,573 total number tested in Ohio
  • 231* deaths included in Ohio, median age 79
  • 1,755 of total cases are hospitalized; 548 of cases are in Intensive Care.
  • 1,237 of all cases are healthcare workers
  • For more information: Ohio Department of Health

 *The CDC expanded this number today beyond those with a lab test confirmation to include those with clinical and epidemiological evidence that it is COVID-19, with known exposure and no other likely diagnosis.

Note:  Due to limited test kit supplies in Ohio, only the seriously ill hospitalized with COVID-19 symptoms and health care workers/first responders with symptoms are being tested.



April 9, 2020: Update to Residents

Calm, Proactive Preparedness

Note: Statistics Are Now Listed at the End of the Update

“Hold fast the hope which anchors the soul, which is sure and steadfast, that you may float above the world’s sea.”  George Fox, Founder of The Society of Friends


Kendalites Featured in the Morning Journal

Quoted from the Morning Journal: With Kendal at Oberlin temporarily closed because of the novel coronavirus pandemic, one resident is spreading a message of hope to the outside world.  Charlotte McGowan was the spearhead behind a socially-distant poster brigade March 30 at the main entrance at Heiser Community Center, 600 Kendal Drive in Oberlin, which involved 50 residents holding posters with a variety of messages, according to a news release.  Some of those messages include: “Hi Mom, I’m Fine,” “Kendal Resists,” “Thank You Kendal Staff,” “Online Teachers, Thanks,” “Pray for the World,” “Bring Beer” and “No One is an Island.” (Read the full article).


US Mail Deliveries

We have observed the U.S. mail is considerably down in volume while packages have increased 10x. No surprise!  Our carrier announced this morning that mail would be late today so that factor alone added to a difficult  start to manage delivery of your mail and packages. It was a good try, but not as smooth as we had hoped, adding risk for staff working in close quarters.  We’ve agreed on a  PLAN B to help spread you picking up your own mail.

We  ask you to organize your day to pick up your mail according to the alphabet, using your last name.  We will post this at the mailboxes as a remind. Please help and continue to use social distancing and waiting if someone is at a mailbox where you need to go. Please do not sort your mail at the ledge. Instead, we have put up table in the lounge with recycle baskets there to spread you out.

1:30-2:00      A-C                         3:30-4:00      N-R

2:00-2:30      E-H                         4:30-5:00      S-U

2:30-300       I-M                         5:30-5:30      V-Z

Packages: Kendal will deliver packages (other than medicine) to reduce a lot of congestion.  Thanks for helping us, help you! 


Grocery Order Planning Continues to be Refined

  • IGA – We have approximately 120 people on the list and are maxed out. IGA has agreed to fill 11 orders a day and allow for you to place an order every 11 days. It will operate Monday-Friday, pick-up from  IGA  at 2 pm and back to Kendal about 2:20 or so. You will get a call from Priscilla Steinberg if it is your day to place an order (only by email) that will be delivered the next day. IGA asks you not to call the store. I repeat, do not call IGA.  The calls have been a considerable problem and our system must be used for now. Changes in your order are highly discouraged. In the rare instance a change has to be made the whole order has to be re-emailed.  When Priscilla calls you, accept or decline putting in an order and let her know if you need help from the parking lot drop off near you. She will connect with Donna Baznik for volunteers. Deliveries will still come to a nearby parking lot. Think essentials an not more than 15 items.
  • Walmart –  With their demand for online pick-up groceries has been significant, their orders are now scheduled 2-3 days after you place the order. To address this, we will pick up groceries Monday through Friday from Walmart at 5 pm. You must have “Kendal” in your online account name and select a pickup time Monday through Friday, 5 pm or sooner. If you pick a later time it won’t be picked up and grouped with Kendal orders.

Employee Benefits Expanded through Families First Coronavirus Response Act (FFCRA)

Board Executive Committee and Staff Executive Team for Kendal have decided to opt-in for the Emergency Paid Sick Leave Act (EPSLA) under FFCRA. As a health care provider, Kendal is exempt from following the FFCRA law effective April 1; however, EPSLA allows Kendal to expand leave benefit time to part-time and full-time qualified staff members that are prevented from working specifically related to COVID-19, including self-quarantine. Other measures are also underway to assure we can retain our work teams during this critical days ahead.


Additional Clarification on Authorized Leaves for Medical Appointments

A kind reminder when a resident receives an authorization to leave campus for a medical appointment: In order to safeguard the resident’s and our community’s health, it is expected that resident will go directly to the authorized medical appointment and return directly to their home at Kendal without stopping to shop or to pick up a carryout meal. Additional safeguards are being instituted so that following any authorized medical appointment, there will be follow-up by the Health and Wellness Clinic to monitor the resident for any COVID-19 symptoms.


Hair Cuts

The State of Ohio has closed Beauty and Barber Shops throughout the state. At this time, PS Salon remains closed.  This does not prohibit you from having a significant other cut your hair.  All of us will get to know a longer-haired and naturally-colored version of one another as the pandemic continues.


Amazing Hospital Planning

Mercy Allen Hospital expanded treatment area
Mercy Allen Hospital shown here with an expanded treatment area, preparing for the anticipated peak of COVID-19.

Ohio and Northeast Ohio has been very fortunate compared with other States to have had more time for planning for the peak of COVID-19. Hospitals are well informed no matter what model they use for when to expect the peak. They know their capacities for admissions (way low right now) to the maximums they can manage. They have outlined well  at what point in occupancies and level of COVID-19 cases they will transfer a patient to Cleveland. The hospital systems are working closely in sync across the state. Capacities have been added with temporary structures alongside emergency centers.


Quick Notes

  • First week of Family Video Conferencing in the Stephens Care Center has been completed!  KUDOS to Christopher Twymon, Kelly Kukes, and Amanda Hooley, as they have conducted almost all of them.
  • The Kendal Early Learning Center parents have been invited to participate in book studies using meeting space technology.
  • The Hotel at Oberlin has suspended all operations. This will be reassessed May 2.

    Face mask rivalry - OSU vs. Michigan
    Jean Nichols, LPN and Becky Butler, HR Generalist
    The OSU and Michigan rivalry continues via face masks!
  • Face Mask Gratitude – Continued thanks for everyone that has made and donated cloth face masks.  Stephens Care Center family member Janet Michal (Nancy Gray’s daughter) has made 81 so far, specifically for our nursing staff.  She donated another 30 today for Independent Living residents. Please let Teresa Maynard know if you are still in need of a cloth face mask. We are checking off names to keep up with need.
  • Spring Flowers on Order – With 64 residents ordering flowers through arrangements by Kara Phillips, we can look forward to a beautiful campus when the flowers are received and planted!
  • Financial Strength of Kendal – We are very fortunate to have entered this pandemic from a position of financial strength and viability. Kendal at Oberlin is working very closely with The Kendal Corporation and other partners such as CliftonLarsonAllen (Auditors), Johnson Kendall and Johnson (insurance), and Ziegler, among others to ensure we weather the pandemic and its aftereffects wisely and fiscally sound.

Statistics

Kendal at Oberlin

  • 0 Confirmed Cases of COVID-19

Lorain County

  • 144 confirmed cases in Lorain County, 8 new cases since yesterday (as of 2pm)
  • 6 confirmed deaths in Lorain County, age range 68-93
  • For more information: Lorain County Public Health

Ohio

  • 5,512 confirmed cases in Ohio, 364 new cases since yesterday (as of 2pm), age range less than 1 to 101 years, median age 54
  • 53,341 Total number tested in Ohio
  • 213 confirmed deaths in Ohio, median age 79
  • 1,612 or 29% of total cases are hospitalized; 497 or 9% of the cases are in Intensive Care1,137 or 21% of all confirmed cases are healthcare workers.
  • For more information: Ohio Department of Health

Note:  Due to limited test kit supplies in Ohio, only the seriously ill hospitalized with COVID-19 symptoms and health care workers/first responders with symptoms are being tested

 Governor Mike DeWine Daily Press Conference



April 8, 2020: Update to Residents

Calm, Proactive Preparedness

Note: Statistics Are Now Listed at the End of the Update

Wearing Cloth Face Masks Outside

The purpose of wearing the cloth face masks is primarily to protect others from your droplets when you talk, cough or sneeze.  They also provide some limited protection for you as well as from the droplets of others.  Granted the cloth face masks are not medical grade, and they do not protect others 100%, but they do minimize the droplets that we all spread.

When outside on the perimeter walk and maintaining at least 6 feet of social distancing between you and others, you can safely do so without wearing a cloth face mask.  We would encourage you to continue to wear a cloth face mask when maintaining 6 feet of space is not possible. You may also safely ride your bike on campus without a cloth face mask, when you are maintaining at least 6 feet of social distance between you and others.

Mercy Lab

Mercy Lab is on campus Monday-Friday at 8-8:30am.  If you have a blood draw order from a Kendal physician (Georgia Newman, MD or Kashif Khan, MD), we will have the order in hand and you can come down for your blood draw at 8am.  If you have an order from a physician outside of Kendal, please have the order faxed to the Health and Wellness Clinic at 440-775-9854 or bring the order with you when you arrive at the Clinic.  If you have any questions, please contact Julie Carpenter, RN at 440-775-9807.

IGA Groceries

We hit a snag today with a key IGA employee unexpectedly absent. It puts us one day behind, but we’ll extend the week’s orders by one extra day (delivering Friday orders on Saturday) to catch up. We also have assigned a Kendal staff member to work with IGA at the store to process the orders.  Thanks for your patience while this system took a pause.

Housekeeping Services Reminder

Monday, April 13,  will be the end of our first two-week period with the new housekeeping options.  If you are happy with your current plan, you do not need to do anything.  Residents who wish to change will be given the option to sign up for the Express Clean service or opt-out of housekeeping services entirely. Again, if you do not sign up for these, you will automatically be included in our regular housekeeping service with the enhanced infection control measures. There will be signup sheets available by the mailboxes or contact Crystal Hall at 775-9199.

Provisions to Take Care of Staff

We have been fortunate with our 250-member workforce’s having very few cases where we needed to monitor for symptoms. In the meantime, many of our staff have been reassigned to work where they are most needed for the changing demands of keeping our campus operating. Kendal is engaged as many Kendal affiliates are in preparing for and expanding on provisions of our sick policy to give full protection during a pandemic episode and are considering adjustments to staff pay for the period ahead to add “hazard pay” as it is called in the larger community. We are using the term “hero pay”. There have been lots of little acts done within departments to show appreciation and caring. Food (snacks) goes a long way offering comfort. This Sunday all staff will receive a complimentary meal as a recognition of the many who would otherwise be home with their families on Easter Sunday. Your cards, emails and Appreciation Posters have been shared and valued.

A Resident Shares His Kendal Story as He Approaches His 100th Birthday

Read the story here, interview by Elizabeth Hole.

Amy Acton, MD Highlights Today

  • Had Ohio done nothing to mitigate the contagion of COVID-19, we would have been peaking at 61,700 cases per day around March 22, significantly above our healthcare-system capacity.  As a result of everyone’s working together in the State, it looks like our peak will hit about 1,600 new cases per day!  We now have an expected peak around April 19.
  • Nationally, the spread of COVID-19 has been doubling in confirmed cases every 3-6 days.  When Ohio reduces that doubling figure to every 12 days or greater, then consideration will be given to the gradual reduction of mitigation initiatives in Ohio, keeping in mind that older adults living in congregate settings remain one of the most vulnerable populations where contagion mitigation initiatives will be removed more slowly with caution.
  • Once mitigation initiatives begin to slowly unwind in the State of Ohio, the need for social distancing, cloth masks, frequent hand-washing, and the reporting of symptoms immediately will remain for several months if not beyond.

Statistics

Kendal at Oberlin

  • 0 Confirmed Cases of COVID-19

Lorain County

  • 136 confirmed cases in Lorain County, 17 new cases since yesterday (as of 2pm)
  • 6 confirmed deaths in Lorain County
  • For more information: Lorain County Public Health

Ohio

  • 5,148 confirmed cases in Ohio, 366 new cases since yesterday (as of 2pm), age range less than 1 to 101 years, median age 54
  • 53,341 Total number tested in Ohio
  • 193 confirmed deaths in Ohio, median age 78
  • 1,495 or 29% of total cases are hospitalized; 472 or 9% of the cases are in Intensive Care.
  • 1,064 or 21% of all confirmed cases are healthcare workers
  • For more information: Ohio Department of Health

Note:  Due to limited test kit supplies in Ohio, only the seriously ill hospitalized with COVID-19 symptoms and health care workers/first responders with symptoms are being tested

 Governor Mike DeWine Daily Press Conference


April 7, 2020: Update to Residents

Calm, Proactive Preparedness

Governor Mike DeWine Daily Press Conference

Ohio

  • 4,782 confirmed cases in Ohio, 332 new cases since yesterday (as of 2pm), age range less than 1 to 101 years, median age 54
  • 50,838 Total number tested in Ohio
  • 167 confirmed deaths in Ohio, median age 78
  • 1,354 or 28% of total cases are hospitalized; 417 or 9% of the cases are in Intensive Care. 9
  • 76 or 20% of all confirmed cases are healthcare workers

Lorain County

Note:  Due to limited test kit supplies in Ohio, only the seriously ill hospitalized with COVID-19 symptoms and health care workers/first responders with symptoms are being tested

Amy Acton, MD, Director of the Ohio Department of Health shared that all Ohioans are doing a great job flattening the curve, our health systems remain below capacity, one of the intended goals.  We are encouraged to keep up the good work we are doing, remembering that the next few weeks will be critical for Ohio.

Thank you everyone for your hard work and sacrifices to keep our community healthy!

Kendal at Oberlin

  • 0 Confirmed Cases of COVID-19

Kendal System

  • At this time 4 Kendal campuses have COVID-19 cases. We continue to learn from one another and The Kendal Corporation is doing a phenomenal job of coordinating orders of supplies leveraging Kendal’s purchasing arrangements that we could not do on our own.

Another Face Mask Idea

Bag with handmade face mask
A Delivery of masks, made by Kendal residents.
Hand-sewn masks for residents.
Hand-sewn masks for residents.

We have begun to distribute the home-sewn face masks made by our community friends and residents. If you have not made your own, stop by the front desk to get one. They are not all the same size, so take that into consideration. Washing them daily can also be hard on them, but it is necessary. We welcome MORE masks so we can ensure everyone is wearing them when outside your home.  Three Cheers for Nancy Cecil and her Sewing Team whose fingers will need days to heal after turning in 122 masks today made with clean cotton sheets and pony-tail ties. More appreciation once we get names of all of our seamstresses, too. Wear in good health.

Instruction for a No-Sew Bandana Face Mask

A  Suggestion to Help with Meal and Mail Delivery

Some residents have discovered that placing a small table or a folding chair/small chair next to their front door provides an ideal place for meal delivery.  This will also be a help when Kendal begins delivering US Mail, In-House mail and packages this week. Having a table or chair at the front door prevents one from having to stoop low or bend over. This helps staff members, too! There is not intent to hand you your mail. We have 2 plastic mail bags, each labeled with your unit number. We hope to rotate the bags each day for reuse.

Mail Delivery

Kendal is working to begin US Mail, In-House Mail Delivery, and Packages on Thursday, April 9.  Mail delivery will take place in the afternoon after the Dining Team has delivered mid-day meals.  Mail will be inserted in bags and dropped off at your front door.  Staff will alert you that your mail has been delivered with a doorbell ring and then move on to the next drop-off.

Toyota Hybrids: Advice for Storing for an Extended Period

Toyota hybrids require steps for each battery, as the hybrid vehicle battery and auxiliary battery will discharge and their condition is liable to decline.

To prevent excessive auxiliary battery drainage, charge the battery at least once every two weeks by powering on the hybrid system for 20 minutes with all non-essential electrical accessories (such as air conditioning and audio equipment) turned off. It is not necessary to drive the vehicle, but do not start the hybrid system in an enclosed area. As an alternative, you may disconnect the negative terminal of the auxiliary battery.

For the hybrid vehicle battery, charge the battery at least once every two months by starting the hybrid system for about 30 minutes*. Check that the “ready” light is on and all lights and electrical accessories are off. As with the auxiliary battery charging, it is not necessary to drive the vehicle, but the steps to prevent exhaust buildup must be taken.

* If the auxiliary battery was disconnected, it will have to be reconnected before the hybrid system is started.

Alternative Space for Care

In yesterday’s update we shared in brevity, “KaO is looking off-site to manage COVID-19 cases in order to keep our campus safe”.  This statement was too brief.  As we shared on April 1, we expect that most residents will be able to ride out COVID-19 in their cottage or apartment.  Residents exhibiting COVID-19 symptoms will be monitored daily by Kendal staff and given appropriate advice as their condition improves or worsens in consultation with our Medical Director and Lorain County Public Health. As necessary, a resident may be advised to go to an Emergency Room in an Acute Care setting.  The “off-site” space being considered would provide a supplement to a resident’s home or an alternative to the Stephens Care Center to assure minimal impact on the community.  Kendal is adding recovery options with consideration to those living alone, those sharing a home with another, as well as for the health and wellbeing of our most vulnerable residents living in the Stephens Care Center.

Walmart Orders

  • We ran into a snag on the Tuesday pick-up. Walmart had originally said no matter what delivery time you select, as long as Kendal is in your account name, they will have it grouped for a 5pm pick-up. Even though their grocery pick-up extends to later hours, we will still only pick up for Kendal at 5pm. We are so sorry we cannot help this and Walmart can’t guarantee your groceries will be there at 5pm.  You are cautioned NOT to select anything but 5 pm or before.

Quick Updates

  • Twenty-one orders were delivered from IGA The process went relatively smoothly. Please note, due to the time it takes to pack and deliver all orders, time-sensitive products like ice cream cannot be processed.
  • April Showers brings May Flowers– Flower order forms are due Wed. April 8th to Kara Philips To date 32 residents have turned in orders.  For any questions you may contact Kara Phillips.
  • A Field Office Trailer for the Maple Street Entrance will be delivered tomorrow. Facility Services has installed a “Zip Wall” in the Stephens Care Center as part of a designated isolation area in Patterson Wing, another step of preparedness.
  • Facility Services has also installed plexiglass at the RN Nurse Manager Desk and the Medical Secretary Desk in the Stephens Care Center as another layer of infection control


April 6, 2020: Update to Residents

Calm, Proactive Preparedness

Governor Mike DeWine Daily Press Conference

Ohio

  • 4,450 confirmed cases in Ohio, 407 new cases since yesterday (as of 2pm) age range less than 1 to 101 years, median age 54
  • 48,378 Total number tested in Ohio
  • 142 confirmed deaths in Ohio
  • 1,214 or 27% of total cases are hospitalized; 371 or 8% of the cases are in Intensive Care,  5% of total on mechanical ventilation.
  • 888 or 20% of all confirmed cases are healthcare workers
  • an estimated 80% of all cases are untested, have been at home and are recovering at home

Lorain County

Note:  Due to limited test kit supplies in Ohio, only the seriously ill hospitalized with COVID-19 symptoms and health care workers/first responders with symptoms are being tested

Kendal at Oberlin

  • 0 Confirmed Cases of COVID-19

Resident Masks

We are still actively gathering donated homemade masks that can be shared with all residents.  In the meantime, we encourage residents to use scarfs, bandanas, or their own homemade masks.

Additional Face Mask Etiquette (see previous list shared on April 4th)

Daniel Griffin, MD, PhD, Associate Research Scientist and Instructor in Clinical Medicine, Columbia University:  

  • Think of a (cloth) mask like underwear: It needs to be washed after each use. (Daily)
  • You don’t take this dirty mask off, put it in your purse and then stick it back on your face.  It’s something that once you put on, is potentially either touching your coughs, sneezes or the spray of your speech, or protecting you from the coughs, spray, speech of other people. And now it’s dirty. It needs to be washed (every day).
  • It’s a big no-no to pull the mask down to eat a snack (or talk), then pull it back up: You’ve just gotten whatever dirty stuff is on the mask on your hands and into your mouth. 

Walks at Kendal in your Mask – suggestions from Don Parker

  • While maintaining your 6’ distance on campus, it can be difficult to recognize each other with a mask, so please wave and announce yourself, as we do in the Heiser Auditorium.
  • Speak clearly and more loudly, since it is more difficult to hear through fabric, and we don’t have the assistance of reading lips.

Thermometers

We know that some residents do not have thermometers. Kendal does not have enough spare thermometers to provide all residents with one.  We encourage all residents that do not own a thermometer to order one online if you can find one, even if promised in the weeks ahead.   Kendal does have the capacity to loan out a limited number of thermometers to residents who are not feeling well.  And thank you very much to those residents having an extra thermometer who loaned it to a neighbor who needed one!

Protect your Credit Card TODAY

Prior to the pandemic you may have been hesitant to do online orders or even use a credit card. It has been essential to place credit card orders while quarantined. We urge you get online with your credit card company to use an option that will alert you every time your card is used by a text message or phone call.  You can set the minimum amount (i.e. $10 or whatever).  This gives you an instant information your card has been charged. There is no cost for this service at most banks. We urge you to take advantage of this convenience and protection. For IGA orders, this is a perfect time to add this to your bank card since they do not have online ordering.

Use of Bleach Mix Cleaner

As shared previously, the Centers for Disease Control and Prevention has posted instructions on creating your own disinfectant with a bleach-and-water mix.

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/disinfecting-your-home.html

Please see previous Bleach Cleaner notices from March 26th, April 1st and April 3rd.

Please allow the prescribed solution to set on a surface for one minute before wiping off.

Quick Updates

  • KaO is looking off-site to manage COVID-19 cases in order to keep our campus safe.
  • Dressing for the Job – Health and Wellness Clinic and Stephens Care Center staff will continue to dress professionally, but you will see more of them wearing nursing scrubs rather than in business casual clothing as one more way to manage infection control in their own homes and at Kendal. They are easy to wash daily and return to the job.
  • Lawn-cutting begins – With spring comes lawn-cutting and the sight of our Kendal Grounds Team mowing. Jobs continue to be juggled to manage our campus needs.
  • Kendal’s Entrance Brings Added Features for the Quarantine-  A trailer is to be delivered this week at the Maple Street Entrance for ease of the staff handling this 24/7 job in all weathers. We have rented it for a 2-month period to cover the possibilities of our community’s quarantine being extended.  Our main entrance and the gated one on Rt. 58 also have large signs communicating Kendal is “Sheltering-in-Place for Safety”.

Remember

• Things will get better eventually, and back to normal The world is not collapsing (don’t go catastrophic)
• Most people are good, and people are going to persevere and help eath other
• You ‘re tough, you’ve overcome challenges before; this is a new one
• This is a particularly strange and unprecedented situation; humor helps once in a while
• If having obsessive or compulsive thoughts related to the virus, or related uncertainty, wash your hands once,
and then remind yourself that anxiety is normal in this scenario. But the mind also can also play tricks on us.
Try to breathe and move the internal discussion on
• Live in the moment, think about today, less about the next three days, even less about next week; limit
thinking about the next few months or years, for now.



April 5, 2020: Update to Residents

Calm, Proactive Preparedness

Governor Mike DeWine Daily Press Conference

Ohio

  • 4,043 confirmed cases in Ohio, 304 new cases since yesterday (as of 2pm) age range less than 1 to 101 years, median age 53
  • 41,871- Total number tested in Ohio
  • 119 confirmed deaths in Ohio
  • 1,104 or 27% of total cases are hospitalized; 346 or 9% of the cases are in Intensive Care.
  • 748 or 20% of all confirmed cases are healthcare workers

Lorain County

  • 111 confirmed cases in Lorain County, 3 new cases since yesterday (as of 2pm)
  • 3 confirmed deaths in Lorain County, age range 78-82

For more information: Ohio Department of Health and Lorain County Public Health

Note:  Due to limited test kit supplies in Ohio, only the seriously ill hospitalized with COVID-19 symptoms and health care workers/first responders with symptoms are being tested

 Kendal at Oberlin

  • 0 Confirmed Cases of COVID-19 

This Daily News Bulletin is always posted under our KaO website, kao.kendal.org. If you find there are pictures or attachments that do not show up in your email news bulletin, go to the website and all pictures will be published without problem.  Yesterday, we announced Kyle Michalak is making 3-D masks and face shields to be used if we have any COVID-19 confirmed cases. We hope to show a short video soon on our Kendal channel how this works.

Appreciation for your Suggestions, Questions, Ideas, and Sharing  Moments of Joy

Simply said, Thank You.  We continue to value your feedback in every way you offer it. We are taking seriously all constructive feedback, new ideas questions, and offers of help. We may not always be able to return a response as timely as we would like, but you can be sure we are listening. And thank you for the occasional prayer, song, poem, or link that unites us during this extraordinary time.

Mask Production Continues

It is our goal to equip every resident with their own mask to wear whenever you are outside your cottage or apartment. Articles are in abundance on making them and how to wear them.  Our medical director, Georgia Newman MD, advised us to move to this step last week, and we assured her we are all working to get the necessary masks made. We cannot provide the medical type masks as they are critically needed by direct caregivers.  Here is information about how to wear and care for your mask. It is important that you care for it daily so it can be most effective.

Video Clip: 3D mask printing for Kendal Caregivers

Social Distancing SO IMPORTANT

By now you and everyone may be tired of hearing about the importance of social distancing to protect you and you to protect others, but we are moving toward the most critical of periods as we move toward the peak weeks of COVID-19.  Please be attentive at all times, whether you are passing one another on walks, in halls, waiting for mail, or picking up groceries from staff. It is SO easy to forget, but we all must give it our full attention. Droplets go airborne in the simplest of actions such as speaking, coughing, sneezing, blowing our noses, etc.

IGA 

Our IGA ordering plan is set for the weeks of April 5 and April 12.  You will receive an email (or note in your inhouse mailbox if you don’t have email) with detailed instructions alerting to be ready for IGA’s call between 12-4pm on your designated day to place your order.

If you were someone who signed up Saturday or Sunday,  we will arrange your first order day, Thursday, April 16, with delivery on April 17. You will then be worked into the rotation based on your cottage number. Be assured,  you will not go hungry.  We also still have the Walmart and in-house ordering options.

IGA groceries will be dropped off at your nearby parking lot area, not at Heiser like we have been doing with Walmart. Anyone not able to pick up their IGA order at the parking lot should contact Donna Baznik.  She will arrange for a volunteer to help.

This schedule includes two minor corrections to what was first released on Saturday.

IGA – Week A—-Ordering and Drop Off

Monday calls from IGA for Tuesday delivery picked up at

  • Lots 1 & 2  – cottages within numbers 1-16
  • Lot  3 – cottages within numbers 17-32

Tuesday calls from IGA for Wednesday delivery picked up at

  • Lot  4 – cottages within numbers 33-52
  • Lot  6 – cottages with numbers 53-80

Wednesday calls from IGA for Thursday delivery picked up at

  • Lot 7 – cottages within number range of 81-99
  • Lot 8 – cottages within number range of 100-120

Thursday calls from IGA for Friday delivery picked up at

  • Lots 9 & 10 – units within number range of 121-144
  • Lots 12A & 12B – units within number range of 188-199

IGA- Week B—–Ordering and Drop Off

Monday calls from IGA for Tuesday delivery picked up at

  • Lot 11 – all apartments within number ranges of 145-168 and 245-268

Tuesday calls from IGA for Wednesday delivery picked up at

Lot 15 – units 200-211, and Lot 17 – units 212-223

Drug Mart OFF again!

  • Sadly, but very understandably, with the National Task Force indicating these next weeks being critical to fight COVID-19 by staying home from any shopping, our community volunteer has had to withdraw her offer to shop at Discount Drug Mart. She will reconsider if the circumstances improve. Please be patient and know we understand the sacrifices you are making. If you have anything you have ordered that has a medical importance, be in touch with Administration by email or note. We’ll do our best to respond.

A Sunday Story to Make You Smile

Virginia Hotel Workers Send Family Photos of Lost Dog Toy, Delighting Thousands Across the Country

Together Ohio

Logo - In this Together Ohio - Kendal at Oberlin
Visit the COVID-19 Together Ohio portal.

Ideas Worth Sharing:

  • Be sure to continue to reach out to neighbors and friends at Kendal, staying in touch is vital at this time for mutual encouragement and distant socialization. We need to make sure everyone stays connected.  Stay connected to family and friends outside of Kendal as well.
  • Although you cannot shop local shops and restaurants, some allow purchasing of items and gift cards online, others by phone.  Support the local economy by purchasing gift cards and items online or by phone for mail delivery. Oberlin’s Rotary is promoting Oberlin Restaurants with special ads by urging gift cards or take-out for folks not quarantined.
  • Make sure to take a break from COVID-19 news by reading, listening, and watching things that will uplift and encourage you. Kendal at Oberlin has always been a learning community, so let’s take our newly found time available to learn, explore, and discover something new as we break from COVID-19.
  • 15-Minutes Strength Training video with fitness staff member Saun Howard- Make sure to eat foods that will strengthen your immunity and take time to exercise.

We are in this together, residents and staff members alike. It is quite remarkable when we think back to what we have been through in just the past four weeks. You inspire us every day with your dedication and resiliency in the midst of countless changes and adaptations we have asked you to make. We know there will be more to face and overcome as this pandemic progresses, but we are not alone. As a community we are dedicated to supporting, encouraging, and protecting each other.  We are grateful for the great state leadership we have in Ohio and for our resources locally and within the Kendal system to equip us for the challenges we will face. We will continue to be strong and courageous together, so that peace and calm may remain at the center of our community and within each of us. Thank you for doing your part every day; we will continue to do ours as well!

Contact Information

If you have any questions or concerns,  please contact us:

Stacy Terrell, Chief Health Services Officer

440-775-9811