COVID-19 Updates

COVID-19 Vaccine Distribution and FAQ:

We are working with the Two Rivers Public Health Department to begin vaccinating the next tier of individuals in the state’s vaccination plan.

Once we receive confirmation of a shipment and the number of doses that we are to receive for distribution, we will contact and schedule patients in the current distribution group and have signed up through the Two Rivers Public Health Department.

If you are interested to receive the vaccine, please contact your health department to sign up! Two Rivers can be contacted at 888.669.7154 or visit their website at www.trphd.org to sign up.

We will continue to provide updates on our distribution of the COVID-19 vaccine as changes and progress are made.

Thank you for your continued support and diligence as we continue to work together for a healthy community.

If you are interested to receive the vaccine, please contact your health department to sign up! This information will be used to request doses and also affects the allotments that are received.

Phelps County’s Health Department is: Two Rivers Public Health Department, you can contact them at 888.669.7154 or visit their website at www.trphd.org to sign up.

If you are unsure of which Public Health District you reside in, you can check here: http://dhhs.ne.gov/CHPM%20Documents/contacts.pdf

Quantities are dependent on the supply available and the number of interested individuals. Public Health Districts are working to gather a list of interested individuals to report to the state for allocation of the available vaccinations.

To help report accurate numbers, please contact your public health department if you are interested in getting the vaccine.

Phelps County’s Health Department is: Two Rivers Public Health Department, you can contact them at 888.669.7154 or visit their website at www.trphd.org to sign up.

If you are unsure of which Public Health District you reside in, you can check here: http://dhhs.ne.gov/CHPM%20Documents/contacts.pdf

If you have signed up with your public health department as interested to receive the vaccine and fall within the current tier of individuals in the state vaccination plan, we will call you!

COVID-19 General Information and Frequently Asked Questions:

There is a lot of information and news about COVID-19, also known as the coronavirus. Below are some frequently asked questions and resources related to COVID-19.

The virus is thought to spread mainly from person-to-person

  • Between people who are in close contact with one another (within about 6 feet).
  • Through respiratory droplets produced when an infected person coughs, talks or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
  • COVID-19 may be spread by people who are not showing symptoms.

This virus does not spread easily in other ways

COVID-19 is a new disease and we are still learning about how it spreads.  It may be possible for COVID-19 to spread in other ways, but these are not thought to be the main ways the virus spreads.

  • From touching surfaces or objects.  It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching your mouth, nose, or possible your eyes.  This is not thought to be the main way the virus spreads, but we are still learning more about it.
  • From animals to people.
  • From people to animals.  The CDC is aware of a small number of pets worldwide, include cats and dogs, reported to be infected, mostly after close contact with people, but it is not a primary concern.

Source:  cdc.gov

Know How It Spreads

  • There is currently no vaccine to prevent COVID-19.
  • The best way to prevent illness is to avoid being exposed to this virus.
  • The virus is thought to spread mainly from person-to-person.

Take Steps To Protect Yourself

Clean your hands often!

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, us a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Avoid touching your eyes, nose and mouth with unwashed hands. 19

Maintain physical distance

  • Avoid close contact with people who are sick.
  • Put distance between yourself and other people if COVID-19 is spreading in your community.  This is especially important for people who are at higher risk of getting very sick.

Routinely clean and disinfect frequently touched surfaces

Source:  cdc.gov

Handwashing is the single most important piece of advice to help us stay safe from COVID-19 according to WebMD.com.

Handwashing with soap and water is a far more powerful weapon against germs than many of us realize.

Coronaviruses are encased in a lipid envelope, basically a layer of fat.  Soap can break that fat apart and make the virus unable to infect you.

Soap also makes skin so that with enough rubbing, we can pry germs off and rinse them away.

Wash Your Hands Properly

  • Turn on the water.  It doesn’t matter if it’s hot or cold.
  • Lather up.
  • Scrub for at least 20 seconds, paying attention to the backs of your hands, the lower palm, fingernails and nail beds.
  • Dry your hands.
  • Use a clean paper towel to open the bathroom door.

Wash Often

  • Before, during and after food prep.
  • Before eating.
  • Before and after tending to someone who is sick.
  • Before and after treating a cut or other wound.
  • After going to the bathroom.
  • After changing diapers or helping a child in the bathroom.
  • After blowing your nose, coughing or sneezing.
  • After touching an animal, or touching pet food or waste.

Source:  WebMD.com

  • After touching garbage.

These symptoms may appear 2-14 days after exposure:

  • Fever
  • Cough
  • Shortness of breath
  • Chills
  • Muscle pain
  • Sore throat
  • New loss of taste or smell

This is not a list of all possible symptoms.  Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.

If you develop emergency warning signs for COVID-19 get medical attention immediately.  Emergency warning signs include*:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

*This is not all-inclusive.  Please consult your medical provider for any other symptoms that are severe or concerning.

Source:  cdc.gov

If you are experiencing symptoms, it’s best to call ahead and discuss this with your local health care provider.  We can then further advise if you’re safe to monitor at home or if you should be seen in the clinic, the ER, or by virtual appointment.

Symptoms you should be monitoring for are fever, cough, shortness of breath, and/or sore throat. A fever is defined at 100.4 degrees. Particularly if you’re working in the health care industry, we want to know if you have a temp of 100.0 or higher. Please check your temperature if you think you may have been exposed to COVID or are experiencing symptoms.

There has been some concern regarding the use of ibuprofen to treat symptoms of the coronavirus.  If you have questions, please consult your medical provider.

As always, if you have any concerns, don’t be afraid to call your physician for guidance. We want to continue treating patient’s chronic health conditions and other issues that may arise. Even though Coronavirus is at the forefront right now, people are still going to get sick from other causes and still need their health maintenance visits, at least to a certain extent.

The CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g. grocery stores and pharmacies), especially in areas of significant community-based transmission.

CDC also advises the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others.  Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure.

Cloth face coverings should not be used on children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to removed the mask without assistance.

The cloth face coverings recommended are NOT surgical masks or N-95 respirators.  Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders.

Cloth face coverings should be washed after you have been around others.  A washing machine should suffice in properly washing a face covering

Making a face mask

Please see the attached guidelines from the CDC for making a face mask.


Source: cdc.gov

There is a lot of misinformation out there. It is always best practice to do your own research with reputable sources. We check daily, sometimes more often, for updates from the Centers for Disease Control (CDC), the World Health Organizations (WHO) and Two Rivers Public Health Department.

CDC – www.cdc.gov

WHO – www.who.int

Two Rivers Public Health – www.trphd.org

Test Nebraska – www.testnebraska.com

To best prepare for your visit to our Acute Care Clinic, and to protect our other patients and staff, we request that our visiting patients follow these steps:

  • Park on the East Side of the Building
  • Enter through Door 3
  • Walk straight ahead to the hand washing station
  • Wash your hands for at least 20 seconds with soap and warm water. Turning off the faucet with a towel.
  • Put on a face mask provided by the clinic
  • Check in at reception, and they will provide your with paperwork, and instruct you on your next steps.

Watch this short video for a visual step-by-step process of our protocols for visiting patients to our Acute Care Clinic

Based on what we know now, those at high-risk for severe illness from COVID-19 are:

  • People aged 65 years and older
  • People who live in a nursing home or long-term care facility

People of all ages with underlying medical conditions, particularly if not well controlled, including:

  • People with chronic lung disease or moderate to severe asthma
  • People who have serious heart conditions
  • People who are immunocompromised (cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of immune weakening medications)
  • People with severe obesity (body mass index of 40 or higher)
  • People with diabetes
  • People with chronic kidney disease undergoing dialysis
  • People with liver disease

Source:  cdc.gov