The clinic remains open to care for your medical needs M-F, 8 am-5 pm. We are closely monitoring the Coronavirus outbreak, and are following CDC guidelines while working daily with our public health department to mitigate risk in our community. Click here for more Coronavirus information.

 

Coronavirus (COVID-19)

Coronavirus (COVID-19)

Wednesday, March 25, 2020
Please call Gothenburg Health BEFORE coming into the facility for any potential COVID-19 symptoms. Patients calling our facility will be asked a series of pointed questions to help us make the best possible decisions for your care. Patients presenting to our facility should also expect to be screened verbally for symptoms and risk factors and may be asked to wear a mask to help preserve their safety and those of other patients and staff. 
  • Business Hours: Please call 308-537-4066 option 2 for additional questions.
  • After Hours: Please call 308-537-3661 for additional questions.

4/01/2020 Updates

  • Two Rivers Health District has enacted Community Health Measures after confirming Community Spread in the district. Please click here for more information.
  • Gothenburg Health will gladly accept PPE donations and has guidance on homemade masks. Click here for more information.

3/25/2020 Updates

  • No Saturday Clinic. We apologize for the short notice, but as we work to consolidate resources during this fluid situation, we are cancelling Saturday clinic for the time being. Please follow our Facebook page for updates.

3/24/2020 Updates

  • Gothenburg Health is still open to serve the community. While we don’t want people coming in for non-essential well-checks, we do want to care for those in need and have a streamlined workflow to protect “clean” patients from potentially “sick” patients.
  • We have divided the clinic into two sections. One section is isolated from all other patients. This is where we are directing patients with respiratory illnesses or symptoms. Patients without respiratory illnesses, whom providers want to see face-to-face, are seen in another separate section of the clinic, protected from other patients.
  • NOTE: Starting tomorrow (3/25), we will no longer have clinic from 7-8 AM but instead will revert back to 8 AM-5 PM due to the ongoing situation.

3/23/2020 Updates

Please check out these great self-care resources (links to content):

3/22/2020 Updates

Gothenburg Health has confirmed a positive COVID-19 case in the community. This is a travel-related case, NOT due to community spread; the individual has been requested to be in self-isolation. Out of an abundance of caution, Gothenburg Health is quarantining all exposed staff for the full 14 days since exposure, per CDC guideline. Gothenburg Health is financially taking care of all staff forced to quarantine.

Gothenburg Health has and will continue rigorous cleaning routines in the facility to help protect the health and safety of all employees and patients. We are actively working to cancel all non-essential visits to our facility and have created a workflow to protect suspect patients from healthy patients.

We urge the community to remain vigilant in practicing strict social distancing:
• Stay at least 6 feet apart from others at all times.
• Keep group interaction to 10 people or fewer (and highly consider the necessity of ANY group interaction).
• Eliminate discretionary social visits.
• Work from home if possible; businesses continuing to operate should reduce unnecessary human to human interaction.
• Wash your hands for at least 20 seconds with soap and water, and refrain from touching your face.
 

If you are considered a high-risk individual (60 and older or with pre-existing conditions such as lung disease or heart conditions, please stay home and isolate; refrain from human to human interaction and allow friends, neighbors, and family to get any necessary supplies.

Anyone experiencing a cough, sore throat, fever, or shortness of breath should stay home and isolate themselves. Please contact Gothenburg Health at 308-537-3661 if you suspect you are exhibiting symptoms of COVID-19 BEFORE coming to the facility.

While we do have ability to test for the virus, there are a limited number available, and results take several days to return.  As such, many people who are diagnosed will be done so on a clinical basis and told to isolate at home.  While we would love to be able to screen everyone, at this time, tests have to be reserved for hospitalized patients, symptomatic direct contacts of ill people such as care givers or health care workers, and symptomatic people who are considered high risk.   We will expand the testing as soon as we have the resources to do so.   

Please take care of yourself and those around you. We are all in this together. As a community, let’s act as one to show we can face this pandemic responsibly and with a sense of purpose.

3/19/2020 Updates & Closures

  • All patients coming to the Medical Clinic at Gothenburg Health will be assessed by Gothenburg Health (GH) staff before entering the building. Upon the assessment, GH staff will direct you on where to go within the building for the appropriate care. Our goal is to reduce exposure of all healthy patients and ensure prompt care.
  • The Brady clinic will be closed until further notice to focus on supporting our core facility in Gothenburg. We are deeply sorry for the inconvenience this will cause some of our patients, please know you can come to Gothenburg for your medical needs.
  • Please avoid coming in to pay a bill or get answers to questions about your bills:
    • We can answer questions and take payments over the phone: 308-537-3661 Option 2.
    • We also can take payments online.

Many positive cases are being diagnosed for those ages 20-44, but 80% of cases are mild. Now is the time to practice the actions below, as positive cases are closer and closer to home! The Gothenburg Way now is to “Flatten the Curve” in our community.

  • Practice strict social distancing.
  • Everyday precautions: Wash your hands, avoid touching your face.
  • Clean high traffic areas more often.
  • Avoid large groups and non-essential travel.
  • Stay home if you are experiencing cough, fever, shortness of breath, or sore throat.

Baby-sitter and social interactions amongst our children:

  • If children are healthy, the benefit of social interaction in small groups of less than 10, especially if it involves outside activity and exercise, is generally considered beneficial and outweighs the risk. Social distancing is still encouraged.
  • Utilizing healthy adolescents to baby-sit low risk healthy children at this point is also considered appropriate at this time, especially given school and daycare closures.

 


Recently there has been an increase in positive diagnoses of COVID-19 in Nebraska. Gothenburg Health continues to follow this situation closely and is working daily with Two Rivers Health Department to mitigate risk for the spread of the virus in our community. Gothenburg Health is prepared to handle any suspected cases immediately.

Currently, a vaccine or drug is not available for COVID-19. Community-based interventions such as school dismissals, event cancellations, social distancing, and creating employee plans to work remotely can help slow the spread of COVID-19.  Decisions about the implementation of community measures will be made by local and state officials, in consultation with federal officials as appropriate. They will be based on the scope of the outbreak and the severity of illness. 

Key facts to note:

  • Of those who become infected with COVID-19, less than 5% will require hospitalization. 
  • The number of hospitalizations and deaths is dependent on disease severity and transmission mitigation.
  • For COVID-19, elderly and those with chronic co-morbidities appear to be at a higher risk of severe and fatal infections
    • However, risk groups can still not be predicted with certainty.
  • Asymptomatic human to human transmission occurs with COVID-19.
  • Those infected with COVID-19 are infectious for the duration of illness onset to recovery.
    • Possibly several days after recovery.

However, if you feel that you have been exposed, please utilize this link to complete the survey for for the Nebraska DHHS by clicking here.


Taking steps to protect you and your loved ones

Individuals can practice everyday prevention measures such as frequent hand washing, staying home when sick, and covering coughs and sneezes. See below for detailed information about these preventative measures.

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, use 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.

Avoid close contact

  • 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.

Take steps to protect others

Cover coughs and sneezes

  • Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
  • Throw used tissues in the trash.
  • Immediately wash your hands with soap and water for at least 20 seconds.
  • If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

Facemask guidelines

  • If you are sick:  You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office.
  • If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room. Learn what to do if you are sick.
  • If you are NOT sick: You do not need to wear a facemask unless you are caring for someone who is sick (and they are not able to wear a facemask). Facemasks may be in short supply and they should be saved for caregivers.

Clean and disinfect

  • Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
  • If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.

To disinfect: Most common EPA-registered household disinfectants will work. Use disinfectants appropriate for the surface.

Options include:

  • Diluting your household bleach.
To make a bleach solution, mix:
  • 5 tablespoons (1/3rd cup) bleach per gallon of water
OR
  • 4 teaspoons bleach per quart of water
 

Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.

  • Alcohol solutions.

Ensure solution has at least 70% alcohol.

  • Other common EPA-registered household disinfectants: This EPA-approved list of products  are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).

Additional Resources

The CDC is updating its website daily with the latest information and advice for the public: www.cdc.gov/ncov

If you have additional questions about the Coronavirus, we ask that you please check with your local health department:

Nebraska Department of Health and Human Services
Two Rivers (Nebraska) Public Health Department

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Mask Pattern