Coronavirus (COVID-19) announced arrival

The following instructions are for patients who have NOT contacted the clinic prior to arrival but who may need COVID-19 assessment and screening: 

  1. If a patient arrives at the front desk with ANY respiratory symptoms, have the patient immediately place on a mask and perform hand hygiene with hand sanitizer  
  2. Complete Travel Screen located in OneChart:  
    • If Travel Screen positive for risk of COVID19 immediately instruct identified clinic staff to put on (don) the appropriate PPE (see below).   
      • Utilize the correct PPE (i.e., disposable gown, gloves, N-95 respirator and face shield/eye protection) 
      • Front officer personnel request patient to leave on mask and isolate 6-feet from others, if possible 
      • Prepare the room anticipated for patient care by removing all items that are not-wipable from the room (i.e., magazines, cloth chairs, curtains, non-essential supplies in cupboard) 
    • If Travel Screen negative and no private room is immediately available, please have the patient leave on mask and isolate 6-feet from others, if possible 
  3. If Travel Screen is positive, once in PPE and a private room is available, staff should immediately escort the patient to a private room and close the door to start the assessment:  
    • Use a negative pressure room if available 
    • Use contact and airborne isoaltion signage (Available on resource page) 
  4. Initiate assessment:  
    • If not already completed, complete the Travel Screen located in OneChart. 
    • Verify symptoms, exposure and travel history using the COVID-19 specific Persons Under Investigation (PUI) screening questions as below:  
    • In the 14-days before symptom onset, did the patient: 
      • Travel to/from China, South Korea, Iran, Italy, Japan, Hong Kong, Singapore, Taiwan and Thailand OR travel to areas with known widespread community transmission of COVID19 
      • Identify the exact date of travel to stated areas and exact date of travel from stated areas. 
      • Visit or work in a health care facility in China, South Korea, Iran, Italy, Japan, Hong Kong, Singapore, Taiwan and Thailand OR visit or work in a healthcare facility in an area with known widespread community transmission of COVID19. 
      • Have close contact with an ill person from China, South Korea, Iran, Italy, Japan, Hong Kong, Singapore, Taiwan and Thailand OR have close contact with an ill person from an area with known widespread community transmission of COVID19. 
    • Other key questions to ask the patient:  
      • Are you part of a group of individuals who have a respiratory illness of unknown cause? 
      • Have you had close contact with a person who is under investigation for 2019- COVID-19 while that person was ill? 
      • Have you had close contact with a person with laboratory-confirmed 2019- COVID-19-infection? 
  5. After obtaining history, the provider, nurse or other staff should page Infection Control (ICE) at 402-888-4646 and be ready to provide the following information: 
    • Patient demographics (name, DOB, MRN) 
    • Answers to above questionnaire 
    • Vital Signs (if obtained) 
    • Exact dates of illness (onset) and country/area of travel concern 
    • Name of provider caring for patient and best call back number  
  6. Await further instructions from Infection Control (ICE) team