Bismarck
(701) 805-8057

CORONAVIRUS:  PRAIRIE SEA CLINIC NEWS SOURCE

MOVING FORWARD TOGETHER .....      

10/20/2020 Newsletter

TO OUR PATIENTS, FAMILIES AND FRIENDS

      We have been working hard over the last 4 months to provide COVID CONSCIOUS CLINICAL CARE - our C4 medical practice fight against coronavirus in our ND communities. We are proud to participate with our neighbors and local businesses in keeping North Dakota a Covid Safe place to live and work to best of our abilities.

New and exciting programs and technologies our staff have been working on include all of the following:

  • New FDA approved Hummingbird Ear tube placement for children in-office in ~ 5 minutes without general anesthetic
  • UVC ventilation system sterilization
  • Negative pressure room for procedures to reduce contamination risk in our offices
  • Special plexi-glass barriers to facilitate social distancing in our home like environment
  • Facility mask use for patients and staff
  • Influenza Vaccine Clinics (announcements soon....)
  • Covid-19 testing protocols (pending....)
  • Video Visit capabilties
  • Telephone check in services
  • Virtual enhanced clinical care services
  • Affiliated Hearing Center on site - with new consumer friendly itemized pricing

Experience the Prairie SEA Difference TODAY......

_____________________________________________________________________  

5/18/2020 REOPENING LETTER ARCHIVE

INNOVATIVE "3-CAP"  CLINICAL APPOINTMENT PROCESS

The Covid-19 pandemic has impacted our community over the last 2 months in ways none of us could have predicted. We hope this letter finds you and your family in good health. Thank you for your personal efforts to keep yourself, your family, and your neighbors safe.  We particularly would like to express great thanks to frontline medical and non-medical essential workers who have placed themselves at the forefront of the fight against the coronavirus.

During these past few weeks, Prairie SEA Clinics have been diligently working to restore safe, timely, and state of the art services to you and our community while doing Video Visits.  We do anticipate that Covid-19 will be with us for possibly many months or years, with variable presentations affecting people of all ages.  The new paradigm of this new illness requires changes to how we provide state of the art Otolaryngologic care to you. 

Infection control has always been a top priority for our practices. We have designed our infection control processes so that when you receive care, its both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe. 

Our office monitors infection control recommendations made by the North Dakota Smart Reopening Initiatives, American Academy of Otolaryngology, the U.S. Centers for Disease Control and Prevention (CDC),  the Occupational Safety and Health Administration (OSHA). the American Academy of Otolaryngology, and other relevant medical societies. We follow the medical literature, activities and guidance of these agencies and societies, and implement procedures which are up-to-date. Your in-office experience will look a little different.

We are excited first to welcome Kirsten Horner AuD, joining Jessica McLindsay AuD in our Audiology Department, as she relocates back from Denver.  She will to provide experienced, doctorate level Audiology care at the clinic and Hearing Services at our on site affiliate Prairie SEA Hearing Center.

COVID-19 related changes include special cleaning protocols of common surfaces such as the stairwell, elevator, door-knobs, and other common use areas through the day. We will offer increased availability of hand sanitizer stations.  Removal of magazines, toys, and brochures was required as they are not possible to clean well.  Our coffee station is no longer self service to reduce risks between patients (but just ask our friendly staff for help!).  Social distancing in the office may reduce certain times available for designated office appointments to accommodate new changes we are making for you.  

Visitors and chaperones will be restricted to one per person and no children are permitted who are not patients without advanced permission. Both patients and vistors will be subject to temperature checks and screening before entry to the facility  We may require you to get Covid-19 testing or have other tests before you come in to the office. Masks will be required in all areas of our facility and we will provide you one if you require it. 

The endeavor to provide to you an optimally safe office visit lead us to develop for you a pioneering change to the structure of your office visit. We are pleased to announce our new 3-CAPTM : 3 STEP Clinical Appointment Process by Prairie SEA Clinics. 

Our innovative 3-CAPTM Clinical Appointment Process combines the best features of telehealth with in office treatments.  We will be changing the concept of an appointment to a process that works for you. 

Experience the Prairie SEA Difference with safe, convenient, and comfortable care during reopening as we move forward together. Much of your care may now be done conveniently without leaving your home, during lunch, evenings, or weekends. You will spend less time in the medical office and have more time for yourself. Here is a brief outline of our new program. 

STEP 1: Telehealth Intake Video Visit, and/or Telephone care conveniently in your home or personal office.

STEP 2: In-Office: Physical exams, CT scans, Hearing Tests, Allergy treatments if required.

STEP 3: Post-visit Telehealth care coordination and treatment planning conveniently in your home or personal office often same day.

Prairie SEA will communicate with you beforehand to coordinate your STEP 1 appointment  You will be asked some screening questions followed by an initial Telehealth consultation.  You’ll be asked some of the same screening questions again if you are asked to come into the office for STEP 2 which may not be required. Not all phases of the visits will be charged depending upon the clinical care provided.

The new 3-CAPTM  Concierge experience innovates your appointment process for safety and convenience. The experience will be customized for you to reduce your time waiting, maximize your safety, improve your privacy, and simultaneously reduce your direct exposure risks while visiting us.

We look forward to seeing you and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment please call (701) 805-8057, visit us on Facebook, or connect online at

www.PrairieSEAClinic.com and www.PrairieSEAHearing.com

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

Moving forward together,

Your Prairie SEA Clinics Team

______________________________________________________________________________________________________________

3-CAP TM

3 STEP Clinical Appointment Process

by Prairie SEA Clinics

  • 3-CAPTM STEP 1:  PRE-VISIT TELEHEALTH EVALUATION
    • Video Visit evaluation
    • Video Physical Examination
    • Telephone consultation
    • Screening questions
    • Online questionnaires required but staff will help you if needed
    • Triage for 3-CAP STEP 2
    • Conveniently coordinate at your home or office
    • Flexible scheduling during lunch, evening, and some weekends
  • 3-CAPTM STEP 2: IN OFFICE ENCOUNTER
    • Includes:
      • Physical examinations
      • Audiology testing
      • CT scan
      • Allergy treatment or testing
      • Endoscopy
      • Office procedures
      • Afilliated Hearing Center visits
    • Necessity determined with physician in prior STEP 1
    • Screening questions will be asked prior to entry
    • Temperature check on entry of all patients, visitors, and staff
  • 3-CAPTM  STEP 3:  POST VISIT TELEHEALTH
    • Conveniently home option
    • Treatment planning
    • Video Visit evaluation
    • Telephone consultation
    • Flexible scheduling during lunch, evening, and some weekends
    • Coordinate STEP 1 and STEP 2 information
    • Necessity determined with physician in prior STEP 1
  • 3-CAPTM  CONCIERGE CARE by Prairie SEA
    • Reduced waiting
    • Maximizes safety
    • Less time in office
    • Private
    • Minimizes exposure to your other patients

INFECTION CONTROL MEASURES:

  • HAND SANITIZER STATIONS
    • We have hand sanitizer that we ask you to use when you enter the office.
    • Please use sanitizer liberally in reception areas and other places in the office
    • Magazines and toys are difficult to clean and disinfect so have been removed
  • SOCIAL DISTANCING
    • 3-CAPTM  enables Prairie SEA Clinics to coordinate social distancing for everyone
    • Flexible scheduling options will be available for STEP 1 and STEP 3 appointments
  • VISITORS/CHAPERONES
    • Visitors will be limited to one per person
    • Non Patient Child visitors prohibited  in person without advanced permission
    • Consider having family remain in the car or at neighboring parks or stores
  • MASKS
    • Required in all areas of facility for patients over 2 years old.
    • Will be provided if needed.
  • MODIFICATION OF IN OFFICE PROCEDURES
    • Advanced Cleaning protocols 
    • Special airway protection worn by staff
    • Air purification
    • Negative pressure examination room
    • New protocols and procedure protocols for invasive procedures. 

_________________________________________________________________________Please scroll down below for NEWS ARCHIVE, CLINIC INFORMATION, VIDEO VISIT INFORMATION, AND PRAIRIE SEA URGENT CARE INFORMATION GUIDE

 

Prairie SEA News Update: 03/22/2020 11:59 PM

Prairie SEA: Sinus  Ear  & Allergy  has been closely monitoring current conditions
 

All elective ENT activities have been stopped at Prairie SEA Clinic due to the specific risks that exist at this time related to coronavirus.  With that in mind, there are now new care requirements for the ENT patients that we see on an urgent or emergent basis.  We are providing this information to you at this time in order to assist with understanding why we are taking such drastic actions at our clinic during the pandemic.  We are here to help and trying to advocate for your health.  We are working to secure a safe and healthy environment anywhere that care is sought in our community.  Hospitals and clinics in other countries have been a key site of infection spread and we are trying to prepare you, our patient and your families, as we all share this national crisis.  Its going to get worse before it gets better. When you are seeking ENT care, please note that we will now need to wear extensive protective equipment.

NEW AMERICAN ACADEMY OF OTOLARYNGOLOGY (ENT) PATIENT CARE GUIDELINE WITH RESPECT TO NOVEL CORONAVIRUS:

"When a detailed examination or surgical procedure is necessary for urgent or emergent care and the COVID-19 status of the patient cannot be confirmed, then the patient should be handled as if they are COVID-19 positive. This consideration should apply regardless of whether in an office, hospital,.or operating room setting. Furthermore, the provider and surrounding staff must have the necessary PPE"

https://www.entnet.org/content/otolaryngologists-and-covid-19-pandemic

___________________________________________________________


Prairie SEA News Update: 03/21/2020 9:25 am

Elective Medical Care; Free Coronavirus video-visits in CA; US on trajectory to become stricken like Italy:  


US on trajectory to become stricken like Italy: Currently the US is on a trajectory to have Italy like disease in several parts of the country, likely also in ND:  https://www.vox.com/futureperfect/2020/3/20/21179040/coronavirus-us-italy-not-overreacting


ELECTIVE MEDICAL AND SURGICAL CARE: There is controversy in the United States about what to do right now with many hospitals not following the CMS directive to stop elective surgery.  It is variable in California at an epicenter and North Dakota as well.As people are dying in New York, begging for supplies, reusing masks, we should not be doing truly elective cases or seeing elective patients in hospital or clinics – unless they place a patient at risk for harm in the next 60-90 days for lack of surgery or clinical care.  Video visits are essential.

SEE BELOW FOR INFORMATION REGARDING PRAIRIE SEA CLINIC CANCELLATION OF ELECTIVE MEDICAL AND SURGICAL CARE AND VIDEO VISITS 

ELECTIVE SURGERY CONTROVERSY: Hospitals in California continue elective surgery while others have no masks and personal protective equipment: https://khn.org/news/some-hospitals-continue-with-elective-surgeries-despite-covid-19-crisis

ELECTIVE SURGERY UPDATE:

Centers for Medicare & Medicaid Services (CMS) announced that all elective surgeries, non-essential medical, surgical, and dental procedures be delayed during the 2019 Novel Coronavirus (COVID-19) outbreak.

The American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Ophthalmology, and other Hospital systems within the United States have stopped all elective clinic visits as well.

New Otolaryngology Recommendations to stop elective medical practice: http://msg.entnet.org/c/11uxe6SCplDU1icsAZ8Jilv4LPyW

American Academy Otolaryngology-Head & Neck Surgery supports CMS-Specific ENT-Nasal Policy: http://msg.entnet.org/c/11uxe8ggkAILvQ05EBPM65TE1xIf

American Academy of Ophthalmology advises immediate cessation of elective medical and surgical care: https://www.aao.org/headline/alert-important-coronavirus-context

Free Coronavirus video-visits in CA:  Some hospitals switching to free video visits for corona virus patient care to prevent community spread: https://www.dignityhealth.org/coronavirus-disease-2019.


WE ALL NEED TO DO OUR SHARE - STAY HOME, AND HELP YOUR NEIGHBORS

https://www.cms.gov/…/cms-releases-recommendations-adult-el…

https://www.whitehouse.gov/articles/15-days-slow-spread

STAY AT HOME; STAY 6 FEET APART; WASH YOUR HANDS.


 

CORONAVIRUS (COVID-19) PRAIRIE SEA INFORMATION PAGE

CANCELLATION OF ELECTIVE CLINIC VISITS AND SURGERY

Prairie Sinus Ear and Allergy is closely following the unprecedented global Coronavirus pandemic crisis. Due to limited government Covid-19 testing capabilities, international shortages of medical protective and treatment supplies, and local community person to person viral spread, we are taking aggressive actions.

Prairie SEA Clinics: Prairie Sinus Ear & Allergy and Prairie SEA Hearing Center 

will cease providing any in-person treatment other than urgent or emergent care effective immediately


WE ARE NOW OFFERING

VIDEO VISITS

https://prairieseaclinic.video-visits.com

STARTING IMMEDIATELY

IN PLACE OF IN-PERSON ELECTIVE OFFICE VISITS

SCREENING for URGENT VISITS

NOW A COVERED SERVICE FOR BLUE CROSS NORTH DAKOTA, SANFORD, MEDICARE, MEDICAID and other insurances


SOCIAL DISTANCING / FLATTENING THE CURVE:

We encourage all health professionals and hospital systems in the great state of North Dakota to immediately to follow our lead, CMS recommendations, and our colleagues in Ophthalmology to "flatten the curve" of the number of cases. Flattening the curve will reduce the number of simultaneous cases of Coronavirus so that our hospital system in North Dakota is not overwhelmed.

https://www.businessinsider.com/us-one-week-enforce-social-distancing-flatten-curve-coronavirus-2020-3


HOSPITAL CAPACITY/MEDICAL SUPPLIES/VENTILATORS/DIALYSIS UPDATES

New York, Washington State, and California are going to exceed their hospital capacities in the near future with military hospital ships, portable army hospitals, hotels, and public buildings, currently or to be summoned and utilized to each coast. North Dakota has lifted geographic restrictions to medical practice in North Dakota to permit out of state assistance to our community from regional health systems.

Here in North Dakota it appears to us that we are following the same epidemiologic trajectory as hot spots in the United States with documented community spread in our community in Burleigh and Morton counties.

We only have 286 ventilators at this time in the entire state of North Dakota.

https://www.health.nd.gov/map-ventilators-county

https://www.nbcnews.com/…/who-gets-ventilator-hospitals-fac…


PREPARING FOR URGENT CARE VISITS AT PRAIRIES SEA CLINICS 

 Prairie SEA Clinic takes special measures to reduce your potential risks both before, during and after your office visit

Contact us at (701) 805-8057 BEFORE ARRIVING IF
 

IF     You have Recently traveled outside North Dakota (Less than 3 weeks ago)

IF     You have had exposure to someone with Coronavirus

IF     You are sick: Call us for directions. Do not come to office or head to the ER

  • Do NOT come to the office if you are sick
  • Do NOT bring sick guests with you to the office

IF     You have Possible symptoms of coronavirus: 

  • Congestion
  • Cough
  • Fever
  • Shortness of breath
  • Chest pains
  • Dizziness

        Please attend your appointment without children <18 or extra people (<1)

  • unless they are patients
  • Limit guests to 1 (one) per patient. 
  • Everyone is subject to medical screening before admission to our clinic

        Chemotherapy and immune suppressed patients:  

  • please contact us before you attend appointments to coordinate your care

        Patients wtih Special medical needs or age > 60: You may have increased risk:

  • Please  stay home whenever possible to limit your risks.  Examples include but are not limited to asthma, active cancer, immune suppression, diabetes. Please contact us before you attend appointments to coordinate your care

VIDEO VISITS / TELEMEDICINE

https://prairieseaclinic.video-visits.com

NOW AVAILABLE TO HELP COORDINATE YOUR CARE

COVERED SERVICE FOR BLUE CROSS NORTH DAKOTA, SANFORD, MEDICARE, MEDICAID and other insurances


ADDITIONAL HELPFUL CORONAVIRUS LINKS

*  CDC:  https://www.cdc.gov/coronavirus/2019-nCoV/index.html

*  NORTH DAKOTA DEPT OF HEALTH GUIDELINES: https://www.health.nd.gov/diseases-conditions/coronavirus

*  NORTH DAKOTA CORONAVIRUS NEWS FEED: https://www.health.nd.gov/news

*  CORONAVIRUS NORTH DAKOTA HOTLINE AND PREPARATION GUIDELINES:  https://www.health.nd.gov/diseases-conditions/coronavirus/coronavirus-public

*  15 DAYS TO SLOW THE SPREAD (CDC/WhiteHouse): https://www.whitehouse.gov/wp-content/uploads/2020/03/03.16.20_coronavirus-guidance_8.5x11_315PM.pdf

*  SOCIAL DISTANCING GUIDELINES:  VIRUS SPREAD MAY OCCUR BEFORE SYMPTOMS:  HELP PROTECT PEOPLE JUST LIKE US, PARENTS, GRANDPARENTS, BROTHERS AND SISTERS, FAMILY, FRIENDS, NEIGHBORS, AND CO-WORKERS, AND COMMUNITY:  https://www.npr.org/sections/health-shots/2020/03/16/816490025/quarantine-self-isolation-social-distancing-what-they-mean-and-when-to-do-them

*  CHILDCARE AWARE - CHILDCARE RESOURCE INFORMATION:  https://ndchildcare.org/providers/coronavirus.html

*  BISMARCK PUBLIC SCHOOL INFORMATION: https://www.bismarckschools.org/covid-19

*  NORTH DAKOTA DEPT OF PUBLIC INSTRUCTION INFORMATION: https://www.nd.gov/dpi/nddpi-updates-and-guidance-covid-19

*  HANDWASHING GUIDELINES POSTER: http://blogs.und.edu/coronavirus/wp-content/uploads/sites/127/2020/03/NDDOH-Prevent-COVID-19.pdf

*  SEASONAL FLU VS CORONAVIRUS INFOGRAPHIC (CDC): https://www.cdc.gov/flu/resource-center/freeresources/graphics/seasonal-vs-pandemic-flu-infographic.htm

 

Prairie SEA: Sinus  Ear  & Allergy  has been closely monitoring current conditions

Contact Us

Prairie Sinus Ear & Allergy PC

3000 N 14th St 3rd FloorBismarck, ND 58503
 

Prairie Sinus Ear & Allergy is recognized as an AudigyCertified™ practice. AudigyCertified™ expertise is measured by commitment to patient satisfaction, continuing education, and the expert application of current technology.