Page 55 - COVID-19 Inpatient Training Resources
P. 55

Page 6 of 10

               Nov. 4, 2020
               Version 1
               Prepared by: Dr. Larissa Matukas (Head, Division of Microbiology)

               A flow diagram is included below for clarification regarding which order sets are applicable for
               given clinical scenarios.

                                      Considering testing for respiratory
                                                   viruses



                                                                                   Patient
                                                                                asymptomatic


                                                                          ED                  Inpatient




                                                                          ‘Influenza A,B and COVID-19” order set



                                                                               Tick ‘COVID-19’ only
                                                                  (do not test for influenza in asymptomatic patients)


                                                                                Explain reasoning for swab
                               Patient                                           (i.e. exposure, exit swab)
                            symptomatic

                ED                        Inpatient
                                                                                      Discuss need for
                                                                                   precautions with IPAC

                                               ICU

                                                                                           OTHER

                                                                                           service
                                   ‘Suspected COVID-19 infection OS’ in
                                      ICU general admission order set
       ‘Influenza A,B and
                                                  OR
      COVID-19” order set
                                  ‘Influenza A,B and COVID-19” order set      ‘Influenza A,B and COVID-19’ order
                                                                                             set
        Tick ‘COVID-19’ AND                                                                  OR

           ‘Influenza A, B’                                                    COVID-19 Convenience order set

         Consider ‘influenza

       A,B,RSV’ AND COVID-19         Tick ‘COVID-19’ AND ‘Influenza A,B’

        in paediatric patients        If adding multiplex panel, obtain          Tick ‘COVID-19’ AND ‘Influenza A,B’
                                                                                  Consider ‘influenza A,B,RSV’ AND
                                        separate sample & fill paper
                                                requisition                       COVID-19  in paediatric patients
   50   51   52   53   54   55   56   57   58   59   60