PENN MEDICINE COVID-19 Infection Control and Patient ...
PENN MEDICINE COVID-19 Infection Control and Patient Management Guidance
Version 8; Last Modified: 8/13/2020
STATUS
LOCATION
PROCESS
ISOLATION PRECAUTIONS
PERSONAL PROTECTIVE EQUIPMENT (PPE)
ROOM PLACEMENT
Screening Determining if patient has potential for COVID-19 infection
ED/ Ambulatory If BPA does not alert, routine care and monitoring If BPA fires, consider this "patient under investigation"
If BPA does not fire: STANDARD PRECAUTIONS + universal mask + universal eye protection
If BPA fires: DROPLET + CONTACT w/ eye protection
Patient: Face covering
HCW: surgical mask per universal mask policy
Routine patient placement
Prompt movement of patient out of waiting room and into exam room with closed door
Under Investigation Evaluating if patient requires COVID-19 testing and test type based on clinical presentation
Ambulatory ED
Determine if patient meets testing criteria Decision to treat or postpone visit If symptoms warrant, refer to outpatient testing site
o Enter "COVID-19 Rule Out" Flag in Penn Chart Essential personnel and equipment only
Provider: evaluate patient o S/sx of COVID-19 or high-risk group order rapid test* o Post appropriate isolation sign o Enter "COVID-19 Rule Out" flag in Penn Chart
DROPLET + CONTACT w/ eye protection
DROPLET + CONTACT w/eye protection CONTACT + AIRBORNE if performing aerosol-generating procedures (AGPs)*
Patient: Face covering for duration of visit as tolerated. HCW: Surgical mask, eye protection, gloves, reusable or disposable gowns
Exam room w/ door closed
Routine Care: Surgical mask, eye protection, gloves, reusable gowns For AGPs: PAPR or N95 respirator, eye protection + gloves, reusable or disposable gowns
Private room (Consider Airborne Isolation/Negative Pressure Room, if available)
Provider: evaluate patient o No clinical suspicion for COVID-19 order routine test* o Do not place "COVID-19 Rule Out" flag in Penn Chart o Patient may go to a non-COVID unit
DROPLET + CONTACT w/ eye protection
HCW: Surgical mask, eye protection, gloves, reusable or disposable gowns
Private room
Inpatient ICU / floor
Follow entity specific testing guidelines for type of COVID- DROPLET + CONTACT w/eye
Routine Care: Surgical mask, eye
19 test to order
protection
protection, gloves, reusable gowns
CONTACT + AIRBORNE if clinical For AGPs when there is clinical
suspicion of COVID-19 and
suspicion: PAPR or N95 respirator, eye
performing AGPs*
protection + gloves, reusable or
disposable gowns
Private room (Consider Airborne Isolation/Negative Pressure Room, if available)
COVID-19 Positive** Test results positive
Inpatient ICU / Floor
Enter "COVID-19 Confirmed" flag in Penn Chart Alert EVS of COVID-19 room Obtain PAPR, N95 (if needed for patient receiving AGP)
Default: DROPLET + CONTACT w/ eye protection
Upgrade: CONTACT + AIRBORNE Based on anticipated need for AGPs
HCW: For routine care Surgical mask, eye protection, gloves, reusable or disposable gowns
HCW: For care with risk of aerosolization N95 with eye protection or PAPR, + gloves, reusable or disposable gowns
Private room (Airborne Isolation/Negative Pressure Room, if available)
*Performing nasopharyngeal swab for collection of SARS-CoV-2 testing is not considered an AGP and does not require N95/Airborne Isolation/Negative Pressure
** Exclusion: positive results after discontinuation of isolation at 10 or 20 days from symptom onset/ initial positive test
FOLLOW YOUR ENTITY-SPECIFIC GUIDANCE FOR THE APPROPRIATE PPE SUPPLIES, PPE DONNING AND DOFFING SEQUENCE, AND ISOLATION SIGNAGE
UPHS Novel Coronavirus Information
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