SCHC COVID-19 Information

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Siletz Community Health Clinic Phase II – COVID-19 Guidelines

(Subject to change without notice due to local Covid-19 outbreak)

Phone: 541-444-1030

Clinic Wide Phase II Recommendations

  • Building wide mask mandate remains in effect.
  • Additional persons may accompany patients if requested and they pass temperature and COVID risk screening.
  • Product representatives or staff of other community partners allowed without a prescheduled appointment (although appointments are recommended), must pass temperature and COVID risk screening.

Services

Medical/Lab

  • Resume all regular appointment scheduling.

Dental

  • Resume all regular services and scheduling as staffing allows. Siletz Tribal membership scheduling is priority.

Optometry

  • Resume all regular services and scheduling as staffing allows. Siletz Tribal membership scheduling is priority.

    Medication Assistance Therapy (MAT)

    • Face-to-face groups may begin, with social distancing guidelines and group size limits. (masks must be worn at all times and participants must pass front door screening).
    • In person 1:1 counseling may resume. Virtual option may remain available according to client need and provider preference.
    • Resume regular UA requirements.

      Pharmacy

      • Resume routine pharmacy services, including opening up pharmacy pick-up window in lobby.
      • Continue expanded mailing service as requested by patient.

        Behavioral Health

            • Resume regular department functions.
            • Face-to-face groups may begin, with social distancing guidelines and group size limits. (masks must be worn at all times and participants must pass front door screening).

        Community Health Services

            • Resume regular department functions.
            • Face-to-face groups may begin, with social distancing guidelines and group size limits. (masks must be worn at all times and participants must pass front door screening).

        Diabetes/Fitness Center/Community Garden

        Diabetes

        • Resume regular department functions.
        • Face-to-face groups may begin, with social distancing guidelines and group size limits. (masks must be worn at all times and participants must pass front door screening).

        Fitness Center

        • Open by appointment during COVID, hours listed on website. The Fitness Center will increase appointment capacity to 3 per hour.
        • Walk-ins will be added to appointment software by staff at the time they walk in as long as there is at least 1 of 3 appointments open.
        • Request workout time limited to 45 minutes to allow staff time to clean prior to next appointment.
        • Guests must wear a properly fitting mask the entire time while in the building including during workout.

        Community Garden

        • Resume normal garden functions.

        COVID-19 Testing

        COVID-19 testing is available at the Siletz Clinic by appointment. Please call the Front Desk at 541-444-1030. If you are symptomatic, you will be directed to a Clinic Nurse to be Triaged.  If you need a test for travel or an event and are asymptomatic (no symptoms), please let our front desk staff know, they can schedule you an appointment with our lab.

        Symptoms of COVID-19

        • Fever or chills
        • Cough
        • Shortness of breath/difficulty breathing
        • Fatigue
        • Muscle/body aches
        • Headache
        • NEW loss of taste or smell
        • Sore throat
        • Congestion/runny nose
        • Nausea/vomiting
        • Diarrhea

        Emergency Warning Signs* for COVID-19

         If someone shows any of these signs, seek emergency medical care immediately:

        • Trouble breathing
        • Persistent pain/pressure in the chest
        • New confusion
        • Inability to wake or stay awake
        • Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone

        *This list is not all possible symptoms. Please call your medical provider for any other symptoms that are sever of concerning.

        The information above was gathered from the CDC.

        Guidelines for a Positive Test or Close Contact

        As of March 12, 2022, most people exposed to COVID-19 (i.e., close contacts) no longer need to quarantine (i.e., stay away from other people during the time they are most likely to become infected).  However, close contacts should be aware of their potential to become infected and infect others around them.

        Recommendations for the General Population:

        • All confirmed and presumptive cases, including asymptomatic cases, should isolate until they meet criteria for discontinuation of isolation. Cases should stay home and away from other people at least 5 days since their symptom onset, and until 24 hours after fever is gone without use of antipyretics (ibuprofen/Tylenol, aspirin), and other COVID-19 symptoms are improving.
          • Cases should also wear a mask when they are around other people in the 10 days after they become sick or test positive.
          • This includes wearing a well-fitting mask around others at home and in public for 5 additional days (day 6 through day 10) after the end of their 5-day isolation period.
        • Individuals who cannot or do not mask during days 6–10 of their isolation period should stay home for 10 days.
          • Cases should avoid people who are at increased risk for severe disease as well as nursing homes and other high-risk congregate settings for 10 days.
          • If the case is asymptomatic or discrete onset of symptoms cannot be determined, they should stay home for five days following the specimen collection date of their positive test.
          • If an asymptomatic case develops symptoms compatible with COVID-19 (e.g., fever, cough, diarrhea, new loss of taste or smell, or shortness of breath) before the end of their initial isolation period, the five-day isolation and 10-day masking period should be restarted on the date of symptom onset.

        All Close Contacts, Regardless of Vaccination Status or Prior Infection With COVID-19 Are Recommended to:

        • Watch for COVID-19 like symptoms for 10 days after their last exposure.
        • Stay home and get tested if symptoms develop.
        • Wear a well-fitting mask around other people for the 10 days following their last exposure.
        • Avoid unnecessary visits with high-risk individuals (e.g., residents of congregate care facilities, persons with immunocompromising conditions, etc.).
        • Consider testing approximately five days after their exposure.
        • Follow guidance for isolation if they test positive or develop COVID-19 symptoms.

        If a close contact develops any symptoms associated with COVID-19, regardless of vaccination status, they should isolate for 5 days following the onset of their symptom(s).

        What to Do if You Test Positive on a Home Test Kit

        Please call our COVID line at 541-444-9636 and leave the following information: your full name, date of birth, date of positive test, and a phone number where we can reach you. If you are having concerning symptoms or need to talk to someone right away please call 541-444-1030 and ask to speak to nurse for COVID triage.

        More information about quarantine and isolation can be found on the CDC website.

        OHA has created an online resource for individuals who test positive for COVID-19.

        COVID-19 – Vaccine Information

        The Siletz Clinic continues to offer COVID Vaccines every Friday.  Times are subject to change as needed and will be available to view on our Health Clinic Facebook page and other social medical sites.

        We offer Moderna and Pfizer vaccinations: 1st, 2nd, 3rd, and all booster doses.  See Vaccine schedules and timelines below for more information, including the immunocompromised population information.

        COVID-19 Vaccination Schedules/Timelines

        The Siletz Clinic offers Pfizer 5-11, Pfizer 12+, and Moderna 18+ vaccines.  Below is the timeline/schedule that should be used when receiving a Covid-19 vaccination.

        Pfizer – BioNTech
        5-11 years old
        Moderna
        18+ years old
        Pfizer – BioNTech
        12+ years old
        J&J (Janssen)
        18+ years old

        Primary Series:

        2 doses, 3 weeks apart

        Primary Series:

        2 doses, 3-8 weeks apart.*

        Primary Series:

        2 doses, 3-8 weeks apart.*

        Primary Series:

        1 dose

        **Fully Vaccinated:

        2 weeks after final dose in the primary series.

        **Fully Vaccinated:

        2 weeks after final dose in primary series.

        **Fully Vaccinated:

        2 weeks after final dose in the primary series.

        **Fully Vaccinated:

        2 weeks after 1st dose.

        Booster Doses:

        One recommended at least 5 months after completion of Primary Series.

        Booster Doses:

        One recommended at least 5 months after completion of Primary Series. Booster dose can be either Pfizer or Moderna.

        OPTIONAL:

        2nd Booster Dose

        Adults aged 50+ can choose to receive a 2nd booster at least 4 months after their 1st booster.

        Booster Doses:

        One recommended at least 5 months after completion of Primary Series. Booster dose for 12-17, must be Pfizer. Adults 18+ can choose Pfizer or Moderna for their booster dose.

        OPTIONAL:

        2nd Booster Dose

        Adults aged 50+ can choose to receive a 2nd booster at least 4 months after their 1st booster.

        Booster Doses:

        One recommended at least 2 months after Primary Series. Booster dose can be either Pfizer or Moderna.

        OPTIONAL:

        2nd Booster Dose

        Adults who chose to receive J&J for their 1st dose AND booster may choose to receive a 2nd booster of either Pfizer or Moderna at least 4 months after their 1st booster

        Up to Date:

        Immediately after getting 1st booster.

        Up to Date:

        Immediately after getting 1st booster.

        Up to Date:

        Immediately after getting 1st booster.

        Up to Date:

        Immediately after getting 1st booster.

        Information obtained from: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html#1,2

        *People ages 12 through 64 years, and especially males ages 12 through 39 years, may consider getting the second dose of an mRNA COVID-19 vaccine (Pfizer-BioNTech or Moderna) 8 weeks after the first dose. A longer time between the first and second doses may increase how much protection the vaccines offer, and further minimize the already rare risk of heart problems, including myocarditis and pericarditis.

        **If you have completed your primary series—but are not yet eligible for a booster dose—you are also considered up to date. Stay up to date by getting 1 booster when you are eligible. Getting a second booster is not necessary to be considered up to date at this time.

         

        Immunocompromised Individuals (moderately or severely) COVID-19 Vaccination Schedules/Timelines

        Pfizer – BioNTech
        5-11 years old
        Moderna
        18+ years old
        Pfizer – BioNTech
        12+ years old
        J&J (Janssen)
        18+ years old

        Primary Series:

        3 doses

        2nd dose: 3 weeks (21 days) after 1st dose

        3rd dose: given at least 4 weeks (28 days) after 2nd dose

        Primary Series:

        3 doses

        2nd dose: 4 weeks (28 days) after 1st dose

        3rd dose: given at least 4 weeks (28 days) after 2nd dose

        Primary Series:

        3 doses

        2nd dose: 3 weeks (21 days) after 1st dose

        3rd dose: given at least 4 weeks (28 days) after 2nd dose

        Primary Series:

        2 doses

        1st dose J&J/Janssen

        2nd dose: either Pfizer or Moderna at least 4 weeks (28 days) after 1st dose

        **Fully Vaccinated:

        2 weeks after final dose in the primary series.

        **Fully Vaccinated:

        2 weeks after final dose in the primary series.

        **Fully Vaccinated:

        2 weeks after final dose in the primary series.

        **Fully Vaccinated:

        2 weeks after final dose in the primary series.

        Booster Doses:

        One recommended at least 3 months after completion of Primary Series.

        Booster Doses:

        One recommended at least 3 months after completion of Primary Series. Booster dose can be either Pfizer or Moderna.*

        OPTIONAL:

        2nd Booster Dose

        Adults aged 18+ can choose to receive a 2nd booster of Moderna or Pfizer at least 4 months after their 1st booster.

        Booster Doses:

        One recommended at least 3 months after completion of Primary Series. Booster dose for 12-17, must be Pfizer. Adults 18+ can choose Pfizer or Moderna for their booster dose.*

        OPTIONAL:

        2nd Booster Dose

        Teens ages 12-17 must receive Pfizer booster.

        Adults aged 12+ can choose to receive a 2nd booster of Pfizer or Moderna at least 4 months after their 1st booster.

        Booster Doses:

        One recommended either Pfizer or Moderna in some situations*, given at least 2 months after 2nd dose.

        OPTIONAL:

        2nd Booster Dose

        Adults who chose to receive J&J for their 1st dose AND booster may choose to receive a 2nd booster of either Pfizer or Moderna at least 4 months after their 1st booster

        Up to Date:

        Immediately after getting 1st booster.

        Up to Date:

        Immediately after getting 1st booster.

        Up to Date:

        Immediately after getting 1st booster.

        Up to Date:

        Immediately after getting 1st booster.

        Chart made by using information from: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html

        *mRNA vaccine booster is preferred for people ages 18 years and older, but you may consider J&J COVID-19 vaccine in some situations.

        COVID-19 Drive-Thru Vaccine Clinics

        Please remember to bring your vaccination card so we can enter your newest vaccine.

        If you have questions, please call the Siletz Clinic Covid Reseource Line at 541-444-9636.

        Our vaccine clinics are open to the public, no appointment necessary. Come to the clinic during the hours listed to receive a COVID -19 vaccination.

        June

        Friday June 3rd 1 PM – 4 PM
        Friday June 10th 1 PM – 4 PM
        Friday June 17th 1 PM – 4 PM
        Friday June 24th 1 PM – 4 PM

        Available Vaccines

        Moderna – ages 18 and older

        Pfizer – Ages 5 and older

        We offer 1st, 2nd, 3rd, and all booster shots.

        COVID-19 Information Resources

        Siletz Clinic Covid Resource Line

        541-444-9636

        Covid Home Test Kits and Masks available to those who do not actively have Covid.

        There are additional resources for those who test positive for Covid.

        Services are dependent on availability for Siletz Tribal members, Siletz Clinic patients, and Siletz community members.

        Siletz Area Offices have Covid Home Test Kits and masks available to Siletz members and their families.

        USPS

        The United States Postal Service is still offering free at-home COVID-19 tests.

        Click the link below to order your test kits today: https://special.usps.com/testkits

        Centers for Disease Control and Prevention (CDC) Website

        Northwest Portland Area Indian Health Board (NPAIHB) Website

        This website has a variety of information regarding Covid-19 including, but not limited to Clinical Resources, Community Resources, Federal & National Covid Resources, Policy & Legislative Resources, etc.  Visit their site today.

        Oregon Health Authority Website

        https://govstatus.egov.com/OR-OHA-COVID-19

        This website has information specific to Oregon including tracking COVID-19, statewide requirements and recommendations, and community resources.  You can also maneuver to other parts of their website for other statewide information.

        Celebrating Health Care (Video)