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Patient Healthcare Exposure Related to Semi-Private Room Placement

Patient Healthcare Exposure Related to Semi-Private Room Placement

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August 19, 2020

Definition of a Patient Exposure:

Patient shared a semi-private room with a COVID positive patient for greater than 15 minutes.

Low Risk Exposure

The positive patient is asymptomatic, was tested for pre-operative or placement purposes and did not receive AGPs while roomed with the other patient. This is considered low risk related to physical distancing, physical barriers and no AGP.

Recommended Actions
  1. Place positive patient on COVID precautions and transfer to private room.
  2. Asymptomatic roommate will not be considered a PUI and may remain in semi-private room.
  3. Provider notifies patient that they have been exposed to a person who tested positive for COVID-19.
  4. Explain to patient this is very low risk for transmission related to:
    • No AGP
    • 6 Feet Apart
    • Physical barriers
  5. Provider offers testing (rapid) for baseline and at 4-6 days post exposure.
  6. Provider assesses exposed patient for symptoms
  7. Team continues assess symptoms for 14 days after index patient’s positive test.
  8. If symptoms develop, place on COVID-19 precautions, retest and place in private room.
  9. If patient is discharged before the 14-day incubation period, they should be advised to:
    • Monitor for symptoms
    • Self-isolate if symptoms develop
    • Seek care if symptoms cannot be managed at home
    • Continue to mask in public
    • Maintain physical distancing
    • Timeframe and testing sequence may vary on a case by case basis
High Risk Exposure

The positive patient had symptoms consistent with COVID-19 or received an AGP at any time while exposed to the uninfected patient.

Recommended Actions:
  1. Provider notifies patient that they have been exposed to a person who tested positive for COVID-19.
  2. Place the positive patient and the exposed person on COVID Precautions and transfer to private rooms
  3. Provider assesses exposed patient for symptoms
  4. Obtain baseline test immediately post exposure
  5. Maintain COVID Precautions for 14 days post index patient’s positive test.
  6. Team continues assess symptoms for 14 days after index patient’s positive test.
    • On a case by case basis, provider may consider testing at 4-6 days post exposure
    • If negative, consult with IP/ID for recommendations for discontinuing precautions.
  7. If patient is discharged before the 14-day incubation period, they should be advised to:
    • Monitor for symptoms
    • Self-isolate for 14 days post index patient’s positive test
    • If symptoms develop, seek care if they cannot be managed at home.
Patient Education

Patient education is found in MedConnect- Inpatient discharge instructions for pending and positive COVID.

Letter or Talking Points for Clinicians

Dear ________________ ,

During your recent stay at Medstar ENTITY, you were potentially exposed to a patient who has subsequently tested positive for COVID-19.  Our aim is to keep all patients and associates as safe as possible.  For that reason, we always encourage social distancing and ask patient as well as associates to wear face masks. 

Those behaviors do not eliminate all risk of exposure, and so we want to encourage you to self-monitor for symptoms of COVID-19 for 14 days after your latest exposure.  This would be until Insert Date.  Symptoms of concern include:

  • Fever
  • New or worsening cough or shortness of breath
  • Sudden loss of taste or smell
  • Nausea or diarrhea
  • Muscle aches
  • Fatigue
  • Headache
  • Chills
  • Sore throat

If you develop any symptoms, please contact me at (Insert Contact Information) so that we can arrange testing.  Also, please call with any concerns you may have.

Sincerely,

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