https://intranet.dh.duke.edu/ent/pd...iage/COVID-19-Call-Center-Algorithm-Final.pdf
Good morning. We received this yesterday to help our triage teams work with patients when they call in.
NO SYMPTOMS, BUT POTENTIALLY EXPOSED
Follow Self-Monitoring Guidelines
Monitor self for fever by taking yourtemperature twice a day.Remain alert for cough or difficultybreathing.If you feel feverish or develop a measuredfever of 100.4, cough, or difficulty breathingduring the self-monitoring period, theyshould: self isolate; limit contact with others;and, seek advice via telephone from ahealthcare provider or their local healthdepartment to determine if medicalevaluation is needed.
MILD SYMPTOMSRunny Nose or mild cough, but no fever,no SOB/difficulty breathing.
Follow Isolation Guidelines
Isolate yourself at home.Do NOT allow any visitors.Do NOT go to work or school.Do NOT go to church child care centers,shopping, or other public places.Do NOT shake hands.AVOID close contact with othersCover your mouth and nose by wearing amask or using a disposable tissue.Wash your hands and face frequentlywith soap and water.If symptoms worsen, call your healthcareprovider for guidance.Discontinue isolation when symptomsimprove for >24 hours.
MODERATE SYMPTOMSFever measured over
100.4, runny nose, significantcough, sore throat, muscle aches/headaches +Positive co-morbidity (pulmonary or cardiovasculardisease, immunosuppression) + Over age 70 +Identified travel and/or close contact with confirmedCOVID-19 casesSchedule Patient to PCP late in the day
If patient's PCP is unavailable or it is after hours,direct patient to proceed to Urgent Care.Page Infection Prevention to alert them of theappointment and clinic where the patient willpresent.Infection Prevention will notify Nurse Manager ordesignee of possible COVID-19 case.Fill out dot phrases for coronavirus screeningwithin Epic and route to the appropriate provider.
Remember this is specific to Duke Medical Center, your local medical teams will have different protocols in place but will probably pretty similar.
Also last night Duke University extended spring break until 3/22 and when classes resume they will be on line. Students have been instructed not to come back to campus.
Everyone please stay healthy! Have a good day.
Charlotte