OHA 3460B COVID-19 Post-Interview Case Investigation ...



COVID-19 Post-Interview Case Investigation Script: Case EducationNow that we’ve spoken about your health, home, work, and daily life, let’s talk about some important steps you can take to keep your family and community healthy and strong. I’ll talk about the virus, how it spreads, and what you can do to avoid spreading it to others. I also want to make sure you know when to get care and how to get care safely.You will get a copy of this information in writing/email, so you don’t need to write it down. As you listen, please tell me if I can slow down, repeat the information, or say it a different way.As you know, COVID-19 illness is caused by a new virus. There is no cure for it, and there are no medications specifically approved to treat COVID-19. The virus travels by coughing and sneezing, and by people touching surfaces with the virus on them then touching their eyes or face. Most people with mild coronavirus illness will recover on their own without complication. Things you can do to take care of yourself while you are sick include drinking plenty of fluids, eating healthy food, resting when you feel tired, taking medication if you have pain or fever, and if you feel up to it, going outside by yourself to get exercise. How long to Isolate/Stay Home and When Case Can Stop Isolating/Leave Home: IF SYMPTOMATIC: To prevent the spread of COVID, we and the other health departments in Oregon ask everyone with a positive COVID test to stay home and isolate themselves during the time you can spread the virus to others. You will need to stay home at least 10 days AND until they are fever free (without the use of fever-reducing medications) and other symptoms (cough, shortness of breath) are gone or significantly improving for 24 hours. Based on the information you’ve shared, you should stay home until at least [Provide minimum isolation end date based on onset] or longer if you continue to have symptoms. [Optional: reinforce with an example extending isolation beyond 10 days if symptoms disappear & reappear in 24 hours]. IF NO SYMPTOMS: To prevent the spread of COVID, we and the other health departments in Oregon ask people with a positive COVID test to stay home and isolate themselves for 10 days after the date of your positive test. Based on the information you shared with me, this means that you should stay home and isolate yourself in your home until [test date + 10 days]. Between now and [isolation end date] please check yourself closely for symptoms. If you start having symptoms (like fever, cough or …), please call your medical provider if you need medical attention. Continue to isolate yourself at home until those 10 days have passed, and any symptoms have been gone for 24 hours. What does staying home mean? Isolation means you should stay home UNLESS you need medical attention. Do not leave your house except to exercise or get fresh air away from other people. Do not have any visitors in your home during this time. Do not go to work, school, church, or other public spaces. DO have other people run errands and complete your shopping for you. Avoid taking public transport, carpooling or taxis. If you need medical care, please contact your doctor. If your need is urgent, call 911. We’ll talk more about how to seek medical care in a little bit. Now we’ll talk about how to keep your family (OR: people in your household) healthy. Clean your hands frequently. Wash your hands frequently with soap and water for at least 20 seconds, which is preferred, or use hand sanitizer that contains 60-90% alcohol. Cover all surfaces of your hands and rub until dry. Avoid touching your face with unwashed hands.Wear a face mask or cloth covering. Use a paper or cloth mask, or other face covering especially when you need to be in a shared space of the home such as kitchen or bathroom. If you cannot use a mask or face covering (for example, due to trouble breathing), you should remain in a separate room away from people who have not tested positive for COVID in your house.Cover your coughs and sneezes. Cover your mouth and nose with a tissue every time you feel a cough or sneeze coming. Throw used tissues in a lined trash can and immediately wash your hands. If you are coughing or sneezing a lot, change to a clean mask or face covering.Avoiding sharing items. Do not share dishes, utensils, towels, or bedding with other people or pets in your home. If using shared items, they should be thoroughly washed with soap & water.You can keep people in your home healthy by opening windows to increase air flow in shared spaces like the kitchen or bathroom.Use your own bathroom, if possible. If you need to share a bathroom, please have someone in your household who is healthy/has not tested positive for COVID clean bathroom and toilet surfaces daily, if possible, with a household cleaner containing a disinfectant such as bleach. Every day, clean other "high contact" surfaces such as countertops, tables, door handles, furniture knobs, bathroom fixtures, toilets, and shared devices such as phones, computers, and tablets. Pay special attention to any surfaces that may have blood, feces, or bodily fluids. Use a household cleaning spray and clean according to the directions on the label. Pay attention to further limiting contact with people who are at high risk for serious illness. If you have people in your home who are age 60 and older, pregnant, or who have underlying medical conditions such as heart, lung, or diabetes, consider staying elsewhere temporarily.Do you have pets such as cats or dogs in your home? IF LIVING WITH CATS/DOGS: Avoid contact with pets and other animals while you are sick. When possible, have a healthy member of your household care for your animals. If you must care for your pet, wash your hands before and after, and wear a face mask.If case, partner or household member is pregnant:We do not know a lot about how COVID affects pregnant people, but we do know [you OR name of pregnant person: _____] may be at higher risk of getting more serious illness. Some newborns have tested positive shortly after birth. It is not known whether these newborns got the virus before, during, or after birth. It is important to keep all prenatal visits. Let [your/____’s] provider know you have tested positive for COVID. [You/____] might have more telephone or video visits, or more spaced-out in-person visits. [You/____] might not be able to bring another person along for in-person visits, and [you/____] will probably be asked to wear a mask. Follow all other precautions for people who are sick with COVID.If Case or Partner is Pregnant and within a few weeks of Due Date: Labor and Delivery Education Make sure to review your birth plan with your provider. If you plan to go to a hospital or birth center:There may be changes to the number of visitors allowed and how long you will stay in the hospitalYou might be required to wear a maskThere might be changes to [your/____’s] birth plan, for example avoiding use of a birthing tubThe time during and after birth is important for baby and parent bonding. Talk with your provider about a plan for baby to be with you in a way that reduces risk of COVID. You will need to wear a face covering when near baby, wash hands and stay 6 feet away from baby as much as possible.If Case, Partner, or HH member is near Due Date, or is Currently Breastfeeding/Chest FeedingThe benefits of breastfeeding [chest feeding, if trans man] outweigh the potential risk of spreading infection. Human milk helps build baby’s immune system. Wash hands thoroughly before touching the baby, milk pump or bottle. Avoid coughing/sneezing when feeding and wear a face mask while caring for baby. (If case is breastfeeding/chest feeding: You can also consider asking someone who is well and lives in the same household to help with feeding the baby. They also need to wash hands and wear a facemask when caring for baby.) Newborns should NEVER wear a face covering.Make sure [you/____] keep all postpartum appointments. Make sure [your/____’s] provider knows you’ve tested positive for COVID. If case works in healthcare, LTC or Jail/Prison:Because you work in ___________, your employer may have different policies about returning to work. Please call your workplace and talk with your manager about what needs to happen before you return to work. Some employers may ask that you get re-tested. Their recommendations apply only to going to work. The health department recommends you continue to self-isolate when you are not at work.If you need to seek medical care: Call before visiting doctorIf you need medical care, consider whether a telehealth visit by phone or computer can meet your needs. If you must go in person, call your medical provider ahead of time and tell them you have COVID-19 so the provider can take steps to prevent other people from becoming sick. Most people with COVID-19 will have mild disease, but some people will get sicker and may need to seek urgent medical care. If you have difficulty taking breaths, chest pain, new confusion, or bluish lips or face, please have someone call 911 or go to the nearest emergency room. Let EMS dispatch and hospital staff know that you have tested positive for COVID-19. COVID-19 can be very stressful for you, your family, and your community. It is normal for both adults and children to experience fear and anxiety about this disease. If you would benefit from having someone to talk with or need behavioral health support, telehealth care is available using telephone or video platforms. You can get the care you need while staying home. Contact your care provider or your health plan to learn more. If you need a referral, the county can help you find services.ClosingI realize this is a lot of information. As I mentioned earlier, you will receive a letter with the information we just talked about, the contact number for your county health department if you have questions later, as well as a number to call if you need additional resources or support in order to stay home safely. There is also information available online on our county website and on the state public health department website. Google search: Oregon Health Authority COVID.Again, public health investigations are private and confidential. If your employer or friends/family/community have questions about you having to stay home, you can share the letter you receive, or there is information available online from the county and state public health.That is all the questions and information I have. Do you have any questions for me? Thank you very much for your time today and for helping prevent the spread of COVID-19. I hope you (and your family) remain healthy/feel better soon.Document accessibility: For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Health Information Center at 1-971-673-2411, 711 TTY or COVID19.LanguageAccess@dhsoha.state.or.us ................
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