Page 1 - Protocol for seeing Covid 19 Patients for Home Care and Hospice
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Protocol for Seeing Covid-19 Positive Patients:



                       Home Care and Hospice



                Home care/hospice for recovering COVID-19 patients Resource:

                https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-hospitalized-patients.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:

                SURGICAL FACE MASK FOR THIS COHORT OF PATIENTS
                       1.  Accept COVID (+) patients discharged from the hospital or nursing home to home care or home hospice care using CDC
                           guidelines for discontinuing  Transmission Based Precautions:

                              a.  At least 48 preferably 72 hours have passed since recovery defined as resolution of fever without the use of fever-
                                  reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
                              b.  At least 7 days have passed since symptoms first appeared.

                              c.  For these patients, clinicians must follow  Droplet and Contact Precautions and should wear a surgical mask,
                                  gown, gloves, face shield or goggles.
                              d.  Follow donning and doffing of PPE (*) checklist and protocol.
                              e.  An N95 respirator (*) is to be used for any aerosol generating procedure indefinitely.
                                  The N95 respirator is covered with a surgical face mask during such procedures. The N95 can NOT be re-used after
                                  aerosol treatments or high-risk procedures.


                N95 FOR THIS COHORT OF PATIENTS
                       2.  For the symptomatic but stable COVID-19 patients who are evaluated in the Emergency Room and or clinic, who have a
                           confirmed Covid-19 positive test, and are then treated and discharged to home: (Treat and Release):

                              a.  Initial home care and hospice visits, clinicians will need to use High Level PPE with an N95 respirator plus a surgical
                                  mask over the N95 respirator to prevent droplet contamination of the N95 respirator.
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