Provider Guidance for COVID-19 Testing and Isolation: Acute Care        updated 3/16/20

Presentation Expected Disposition (per provider) PPE and Room Recommendation COVID-19 Testing*

ALL decisions to test must be communicated to COVID-19 hotline at 716-923-0670 for tracking purposes

*testing not advised if another diagnosis is confirmed (e.g. influenza)
No respiratory Symptoms2  Home OR Admit  Standard room  None
Stable; +Respiratory Symptoms2 & No COVID-19 exposure Hx  Home  Patient: Procedure   mask

Providers: Contact/eye protection/procedure mask

 

Single Room, door   closed

 Clinician discretion, rule out other issues, provide self-isolation instructions and outpatient COVID-19 testing information if no other cause of symptoms identified and no major reason to test (e.g. they are a HCW)
Stable; +Respiratory Symptoms 2 w/o other clear cause  Admission  Patient: Mask

Providers: Contact/eye protection/ procedure mask

 

Single room, door   closed

 Yes, notify receiving team of PUI status, utilize single patient room for non-AGP1 transmission risk patient class
UnstableàMay need intubation; +Respiratory Symptoms2 & No COVID-19 exposure Hx  Admission  Patient: Mask (if  tolerated)

Providers: Contact/eye protection/N95

 

AIIR (Negative Pressure Room if available)

 Yes, notify receiving team of PUI status, utilize AIIR for AGP1 transmission risk patients

*COVID-19 tests for patients with expected outpatient disposition should be ordered through Quest:  “Reference Test COVID-19 for Quest labs”. NP Swab only.

 COVID-19 tests for Admitted patients or in cases of a potential HCW exposure should preferentially go to Local DOH lab (need approval from DOH) to expedite turnaround time. Order:  Reference Test, “COVID-19 DOH County  Lab” NP Swab only.

AIIR: Airborne Isolation Room

Mask: surgical mask

N95:  N95 Respirator

PPE: Personal Protective Equipment

PUI: Patient under investigation

  1. AGP: Aerosol generating procedures: intubation, open suctioning from mouth, sputum induction, CPR)
  2. Respiratory Symptoms—>any: Cough, Sore Throat, Hypoxia, SOB