Outpatient Specialty Care and Primary Care Clinical Pathway for Screening Children with Suspected 2019 Novel Coronavirus (COVID-19) Disease
Evaluation and Testing Guidance for Possible COVID-19 Disease
Outpatient Specialty Care and Primary Care Settings
Outpatient Specialty Care and Primary Care Settings
- Outpatient Specialty Care
- Pre-Arrival Screening
- Pre-Arrival Testing
- Tracheostomy/Ventilator Dependent Patients
- Escort Procedure
COVID Symptoms | Concerning Symptoms |
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Symptom Categories non-specific to COVID |
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COVID Suspected |
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Clinical Evaluation
- Ensure family, patient have appropriate masks
- Review visitation job aid and sibling escalation pathway if more than one caregiver is present with patient
- Patients, family members remain masked throughout care except for PE as needed
Asymptomatic, Non-specific symptoms |
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Routine Care Process |
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Suspected COVID Concerning Symptoms or Exposed |
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Aerosol Generating Procedure (AGP) and Suspected COVID or Exposed |
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SYMPTOMATIC Patients | |
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Indications for Testing | Test Selection, Interpretation |
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ASYMPTOMATIC Patients | |
Indications for Testing | Test Selection, Interpretation |
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PCR test required |
Asymptomatic/SARS-CoV-2 positive | At least 10 days have passed since the date of the first positive test |
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Symptomatic/SARS-CoV-2 Positive or Suspected |
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No Symptoms and Exposed |
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No symptoms, Vaccinated and Exposure |
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Stable for Outpatient Treatment
Transfer for Continued Evaluation
Treatment is Required
Treatment is Required
- Review Discharge Instructions
- Return Precautions
- Transfer to appropriate hospital
- Pre-notification if known COVID-19
Posted: January 2020
Revised: February 2020, March 2020, April 2020, May 2020, June 2020, July 2020, September 2020, October 2020,
November 2020, December 2020, January 2021, February 2021, March 2021, April 2021
Authors: K. Cohn, MD; L. Handy, MD; J. Sammons, MD; V. Kampalath MD; J. Lavelle MD
Revised: February 2020, March 2020, April 2020, May 2020, June 2020, July 2020, September 2020, October 2020,
November 2020, December 2020, January 2021, February 2021, March 2021, April 2021
Authors: K. Cohn, MD; L. Handy, MD; J. Sammons, MD; V. Kampalath MD; J. Lavelle MD
Learn More
- Coronavirus Disease Cases
- Clinical and CT features in pediatric patients with COVID‐19 infection: Different points from adults
- CDC: Coronavirus Disease, Information for HCP
- Clinical Features of Patients Infected with 2019 Novel Coronavirus in Wuhan, China.
- A Novel Coronavirus Outbreak of Global Health Concern
- 2019 Novel Coronavirus, Wuhan, China: Information for Healthcare Professionals
- World Health Organization: Novel Coronavirus
- Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization for 2019 Novel Coronavirus
- High Temperature and High Humidity Reduce the Transmission of COVID-19
- Temperature, Humidity and Latitude Analysis to Predict Potential Spread and Seasonality for COVID-19
- Detection of SARS-CoV-2 in Different Types of Clinical Specimens
- Potential Anti-Viral Therapies
Community Resources
- Primary Care Perspectives: Podcast for Pediatricians
Episode 84: Coronavirus and Children with Immunodeficiencies