Page 59 - COVID-19 Inpatient Training Resources

Page 10 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

‘ED COVID-19 detection – ‘COVID-19/influenza
nasopharyngeal or deep nasal Virus Detection –
swab’ order set
INPATIENT’ order set

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

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

ED Inpatient
Discuss need for
precautions with IPAC

ICU

‘Suspected/confirmed NICU
COVID-19 infection – OTHER
ICU admission orders’ service
OR
‘ED COVID-19 detection – ‘Influenza Search ‘Lists’ then
nasopharyngeal or deep (suspected/confirmed)
nasal swab’ order set select ‘Neonatal
infection – admitted to Intensive Care ‘Suspected/confirmed
ICU’ COVID-19 infection –
OR Unit’ click on ward admission orders’
‘COVID-19/influenza OR
Tick ‘COVID-19’ AND Virus Detection – ‘COVID-19/influenza
‘Influenza’ INPATIENT’ order sets Choose swab type ‘NP Virus Detection –
Consider ‘influenza + or deep nasal’, ‘throat’ INPATIENT’ order set
RSV’ AND COVID in or ‘miscellaneous’. If
neonates Tick ‘COVID-19’ AND require RSV testing
‘Influenza’ choose ‘rule out RSV’ Tick ‘COVID-19’ AND
If adding multiplex options ‘Influenza’
panel, obtain separate
sample & fill paper
requisition