03/13/2020
Bootheel Urgent Care in Hayti, MO is a
COVID-19 TESTING SITE
If you have any questions please call:
573-479-3076 (urgent care) or
573-479-3075 ( Hayti Medical & Diagnostic)
COVID 19 POLICY AND PROCEDURE FOR ALL MCPHERSON MEDICAL AND DIAGNOSTIC FACILITIES
SURVEILLANCE CRITERIA
The Following pts should be screened for COVID-19
1-Fever or signs/symptoms of lower respiratory illness (e.g. cough or shortness of breath) AND any person, including health care workers, who has had close contact with a laboratory confirmed COVID-19 patient within 14 days of symptom onset
2-Fever and signs/symptoms of a lower respiratory illness (e.g., cough or shortness of breath) AND a history of travel from affected geographic areas within 14 days of symptom onset
3-Fever with severe acute lower respiratory illness (e.g., pneumonia, ARDS) requiring hospitalization and without alternative explanatory diagnosis (e.g., influenza) AND no source of exposure has been identified
4-Any pt that has fever and signs of lower respiratory tract symptoms that has a negative Flu swab and wants to be tested and the provider thinks testing is reasonable can be tested.
Patients should be evaluated and discussed with local and state public health on a case-by-case basis if their clinical presentation or exposure history is equivocal (e.g., uncertain travel or exposure).
SPECIAL CIRCUMSTANCES
1. Fever (>100.4°F) may not be present in some patients, such as those who are very young, elderly, immunosuppressed, or taking certain medications. Clinical judgement should be used to guide testing of patients in such situations.
2. For healthcare personnel, testing may be considered if there has been exposure to a person with suspected COVID-19 without laboratory confirmation
CLOSE CONTACT
a) being within approximately 6 feet (2 meters) of a COVID-19 case for a prolonged period of time; close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case – or –
b) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on).
If such contact occurs while not wearing recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection), criteria for TESTING are met.
IMPORTANT NOTES
It is important to remember that these are screening criteria, useful in identifying persons who require additional evaluation. These are not diagnostic criteria for COVID-19. Patients meeting this surveillance criteria might have any number of other conditions, including influenza, or other respiratory viral or bacterial infections.
INDIVIDUALS WHO DO NOT MEET SURVEILLANCE
CRITERIA
Health care providers evaluating individuals who have respiratory symptoms and have traveled to areas affected by COVID-19 but do not meet other criteria (e.g., hospitalization) in the surveillance criteria described above should:
Consider performing respiratory viral/pathogen panel and/or influenza testing to check for common respiratory pathogens.
Determine if the patient requires an inpatient admission for management of clinical illness.
If admission is not warranted but patient is symptomatic with a respiratory infection provide guidance on respiratory hygiene. This would include staying home while symptomatic except to get medical care, washing hands frequently, covering coughs and sneezes with a tissue or sleeve, and avoiding close contact within the home by staying in a separate room. Symptomatic patients should also stay home from work or school while ill.
Advise the patient to seek additional medical care if their condition worsens.
INFECTION CONTROL
Such patients should be asked to wear a surgical mask as soon as they are identified and be evaluated in a private room with the door closed, ideally an airborne infection isolation room if available. Healthcare personnel entering the room should use standard precautions, contact precautions, airborne precautions, and use eye protection (e.g., goggles or a face shield).
