Long-Term Care Facility Residents/Patients
Obtain Vitals (temperature, heart rate, respirations) AND pulse oximetry every 8 hours (Q8 hours). Blood Pressure can be taken once a day.
Symptom screening to be performed every shift (Q8H) and should include questions about and/or observations of the following:
- Shortness of Breath (SOB)
- Sore Throat
- Chills or shaking w/chills
- Muscle pains
- New loss of taste or smell
Contact Clinical Supervisor for any of the following: new-onset fever, SOB, cough, sore throat or for any decrease in pulse oximetry from resident baseline level or any pulse oximetry reading < 92%. Providers should strongly consider transfer to a higher level of care. Monitoring every 4 hours is appropriate for patients with evidence of clinical deterioration.
If patients have been screened and their testing is NEGATIVE for COVID-19:
- Avoid placing with COVID-19 or symptomatic1 patients
- Consider discharge to home of post-acute/rehabilitation patients who can be home quarantined
If patients have been screened and their testing is POSITIVE for COVID-19 OR if patients have signs/symptoms of a respiratory viral infection:
- Vitals (temperature, heart rate, respirations ) AND pulse oximetry every 4 hours (Q4hours). Blood pressure every 8 hours.
- Private Room or Cohort with another symptomatic/positive patient
- Maintain standard, contact and droplet precautions (including eye protection)
- Consider that staff caring for positive or symptomatic patients do NOT care for negative or asymptomatic patients.
- Positive or symptomatic patients should be given a surgical mask and encouraged to wear it at all times. These patients should be wearing a surgical mask when close contact with others is anticipated.
1Signs/symptoms consistent with respiratory viral infection
*Interim guidance developed by Illinois Department of Public Health and DuPage County Health Department based on an Illinois long-term care COVID-19 experience and in consultation with University of Washington.