Page 1 - Protocol for the care of the Covid + Patient at Home updated 04.03.20 Final (002) AMv2_

Protocol for Seeing Covid-19 Positive Patients:

Home Care and Hospice

April 3, 2020

Home care/Hospice for recovering COVID-19 positive patients
Resource:

https://www.cdc.gov/coronavirus/2019-ncov/about/index.html

Assumptions:

1. We may not have serial testing to confirm viral clearance for the foreseeable future.
2. We may not have complete hospital records at the time home care or hospice begins.

Protocol: A Protocol: B

Accept COVID-19 (+) patients discharged from the hospital Accept/provide care to patients with COVID-19 diagnosis
or nursing home to home care or hospice. or COVID-19 symptoms:
Admission criteria: • Evaluated/diagnosed/treated as COVID-19 in the
At least 7 days since onset of symptoms AND Emergency Room, Hospital or Clinic and released
At least 48-72 hours since fever is resolved without the use home (Treat and Release)
of fever-reducing medications and improvement AND • Patients report symptoms on Pre-visit Screening
Overall improvement in illness (e.g. improving cough, (positive Pre-visit screen)
shortness of breath) • Diagnosed with COVID-19 while on service

Clinicians must follow Contact and Droplet Precautions. Initial home care and hospice visits, clinicians use Contact,
• Surgical mask Droplet, and N95:
• Gown • N95 Respirator
• Cover N95 Respirator with Surgical mask OR Face
• Gloves
shield to prevent droplet contamination of the
• Eye protection (face shield or goggles)
N95 (discard Surgical mask OR Face shield after
the visit)
• Gown
• Gloves
• Eye protection (face shield or goggles)

Remember to follow donning and doffing of PPE (*) Remember to follow donning and doffing of PPE (*)
checklist and protocol. checklist and protocol.

Once the patient is recovering (PPE):
At least 7 days since onset of symptoms AND
At least 72 hours since the fever is resolved without the
use of fever-reducing medications and improvement.