Inpatient Clinical Pathway for Screening/Evaluation of Children with Suspected 2019 Novel Coronavirus (COVID-19) Disease

Review the Following to Determine Precautions for Patients with Pending SARS-CoV-2 Tests*
  Exposure AGP Precautions
Asymptomatic
(Screening)
No No Standard (Review if precautions for alternate infections are required)
Yes** Expanded; Single negative pressure room, door closed
Yes No Modified Expanded; Single room with door closed
Yes Expanded; Single negative pressure room, door closed
Symptomatic
(Diagnostic)
No No Modified Expanded; Single room with door closed
Yes Expanded; Single negative pressure room, door closed
Yes No Modified Expanded; Single room with door closed
Yes Expanded; Single negative pressure room, door closed

*If symptoms and/or exposures are unknown/unclear, assume the patient is symptomatic and/or exposed while the test result is pending.

**Asymptomatic and unexposed patients who require an AGP, but have tested negative on admission should remain on standard precautions if repeat testing is needed prior to a procedure.

SARS-CoV-2 Results Available
  Not Receiving AGP Receiving AGP
COVID Positive Modified Expanded Precautions Expanded Precautions
 
  • Place in a Special Treatment Room
  • Negative Pressure room not required
  • Single room, door must remain closed
  • Consider ID consult
  • Test bedside caregivers if patient with a negative test on admission subsequently tests positive
  • Caregiver Guidance
COVID Negative
No Exposure
COVID Negative
Exposure
Posted: March 2020
Revised: May 2022
Authors: C. Kerman, MD; D, Davis, MD; K, O’Callaghan, MD; K. Chiotos, MD; J. Lavelle, MD; L. Handy, MD; J. Sammons, MD