Update on Outbreak of COVID-19, 15 March, 2020
March 15, 2020
- Updated PPE recommendations for the care of patients with known or suspected COVID-19: Based on local and regional situational analysis of PPE supplies, facemasks are an acceptable alternative when the supply chain of respirators cannot meet the demand. During this time, available respirators should be prioritized for procedures that are likely to generate respiratory aerosols, which would pose the highest exposure risk to HCP.
- Testing guidance: Collect and test a single upper respiratory nasopharyngeal swab (NP). Collection of oropharyngeal swabs (OP) is a lower priority and if collected should be combined in the same tube as the NP. Collection of sputum should only be done for those patients with productive coughs. Induction of sputum is not recommended. Specimens should be collected as soon as possible once a PUI is identified, regardless of the time of symptom onset.
- We recommend HCP establish designated sites for respiratory illness evaluation and testing. Consider an outdoor, covered drive-through clinic.
- CDC's guidance on strategies for optimizing limited PPE supplies
- Contingency-capacity strategies
- Crisis strategies
- COVID-19 is a notifiable condition for laboratories.
- Healthcare providers should report by phone (206-296-4774) all COVID-19 cases in the following persons, including what role the infected person has if they live or work in a high risk setting:
- All healthcare personnel (medical, nursing, AND any other facility employee, EMS)
- Persons who live or work in long term care facilities, senior living centers, permanent supportive housing, or similar congregate settings (shelters, correctional facilities) who house persons at high risk of severe outcomes.
- Employed in public safety occupation (e.g., law enforcement, fire fighter)
- Deaths associated with COVID-19
- Patient Communication: Please share this general COVID infection prevention information with patients and counsel patients who have COVID-19 or have been exposed to COVID-19 or who have COVID-19-like illness using the following guidance on steps to take to prevent spread:
- Healthcare systems should review:
Duty to Plan: Health Care, Crisis Standards of Care, and Novel Coronavirus SARS-CoV-2
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