Inpatient Clinical Pathway for Screening/Evaluation of Children with Suspected 2019 Novel Coronavirus (COVID-19) Disease
Inpatient SARS-CoV-2 Testing Recommendations
Patients with
New Infectious Symptoms
New Infectious Symptoms
Exposed Patient Without Symptoms
Pre-admission and Pre-Operative Screening for COVID-19 in Asymptomatic Patients
(Excludes exposed pts w/o symptoms)
(Excludes exposed pts w/o symptoms)
Discuss w/General ID Consult Team 10467
Consider donning appropriate PPE pending ID recommendations
Consider donning appropriate PPE pending ID recommendations
- Close contact w/infected person, staff member or travel to/from a High Risk Regions
- Repeat testing not necessary unless new infectious symptoms develop
- No Testing Recommended
- Continue current precautions
Currently Receiving AGP
- Continue existing Precautions
- Pt stays on/admitted to standard unit
Currently Receiving AGP
SARS-CoV-2 Results Available
Positive
Negative
- Weigh risks, benefits to
decide to proceed or not - Plan to continue with Surgery
- Expanded Precautions
- OR Room 3, (OR 6 Back-up)
- Huddle with IPC, ID
- Recover in OR Room 3
- Admit to SIU, PSTU
- Guidance for Discontinuation of Precaution
- Postpone Surgery
- Continue current care
- Discharge, reschedule
Proceed with Surgery
- Call Charge RT 10504
Huddle w unit RN/RT/FLOC
Charge RT to confer w IPC if needed - Assess ability to modify respiratory support to mitigate risk
No AGP or AGP successfully mitigated
Unable to hold or
mitigate AGP
mitigate AGP
- Call Charge RT 10504
Huddle w unit RN/RT/FLOC
Charge RT to confer w IPC if needed - Assess ability to modify respiratory support to mitigate risk
No AGP or AGP successfully mitigated
Unable to hold or
mitigate AGP
mitigate AGP
Modified Expanded Precautions
Pt stays on current unit, single room, door closed
Pt stays on current unit, single room, door closed
SARS-CoV-2 Results Available
Negative
Positive
- Droplet and/or Contact Precautions based on symptoms
- Transfer out PTSU, SIU as indicated
- Modified Expanded or Expanded precautions
- Transfer, remain PSTU or SIU
- ID Consult
Modified Expanded Precautions
Pt stays on current unit, single room, door closed
Pt stays on current unit, single room, door closed
- Isolate and maintain precautions for 14 days after exposure
- Monitor Symptoms
- Additional Guidance
- Collection of COVID-19 Testing
- COVID Testing Team
- Pre-Admission/Pre-Operative Screening
- Universal Testing on Admission
- General Principles and Recommendations for Aerosol-Generating Procedures (AGP) in Patients with Concern for COVID-19
- Guiding Principles Patient Placement
- Transport of suspected/confirmed cases of COVID-19
- Care of Pt Current or Residence in BH Facility in the last 14 days
- ECMO Guidance
- Care of the Deceased Patient
- ED Asthma Pathway Changes for COVID-19
Posted: March 2020
Revised:
March 30, 2020;
April 4, 6, 8, 11, 15, 17, 18, 22, 27, 2020;
May 1, 5, 22, 23, 2020;
June 8, 17, 2020
July 9, 2020
Authors: C. Kerman, MD; D, Davis, MD; K, O’Callaghan, MD; K. Chiotos, MD; J. Lavelle, MD; L. Handy, MD; J. Sammons, MD
Revised:
March 30, 2020;
April 4, 6, 8, 11, 15, 17, 18, 22, 27, 2020;
May 1, 5, 22, 23, 2020;
June 8, 17, 2020
July 9, 2020
Authors: C. Kerman, MD; D, Davis, MD; K, O’Callaghan, MD; K. Chiotos, MD; J. Lavelle, MD; L. Handy, MD; J. Sammons, MD
Learn More
- Coronavirus Disease Cases
- 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