Symptomatic of COVID
Oxygen supplementation up to 6 l/minute
Toxic/septic appearance
High or Rising CRP/D-Dimer
Requiring >6 l/minute of oxygen supplementation
Private room with door closed. Limited staff, at foot of bed
Compressions and O2 only after patient’s head is draped
Use non-rebreather mask at 15L
Bring 1st round of meds into the room
PEDS or DELAYED INTUBATION (at code leader’s discretion):
Follow COVID intubation algorithm
See Emergency Response policy for details and Code Anesthesia.
All Patients upon admission to hospital must be tested per current protocol
If Positive-admit to COVID Floor if symptoms of COVID-19 or positive COVID test within previous 10 days
If initial testing is negative and symptoms consistent with COVID admit as PUI and follow up with COVID COORDIATING TEAM rounds
If negative no symptoms and exposure (ie from PUM facility or community exposure) admit to PUI unit and follow PUM protocol
Treatment for hypoxic symptomatic COVID Positive patients upon admission:
Corticosteroids
LMWH (if not already anti-coagulated)
Remdesivir (if within 10 days of symptom onset)
Convalescent Plasma (requires blood product consent)
For details see treatment guidance above
Time and symptom based removal of isolation (all 3):
10 days elapsed since onset of symptoms
Improvement in symptoms (shortness of breath)
No fever x 72 hours
May extend up to 20 days for immunocompromised or critically ill. Isolation should not be greater than 20 days
*repeat testing is discouraged as a means removal of isolation
**In certain circumstances, ID/IC may remove isolation earlier than above based on CDC guidance
Staff wears mask and eye protection
Patient wears mask and clean cover linen
Disinfect surfaces handled during transport
Transporter does not wear gown/gloves during transport
For patient contact during transport: