Long-Term Care Facility Residents/Patients
Obtain vitals (temperature, heart rate, respirations) AND pulse oximetry every eight 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 the 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%. If these symptoms are present, providers should strongly consider transfer to a higher level of care. Monitoring every four 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 four hours (Q4hours). Blood pressure every eight hours.
- Locate in a 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, especially when close contact with others is anticipated.
1Signs/symptoms consistent with respiratory viral infection
*Interim guidance developed by the Illinois Department of Public Health and DuPage County Health Department based on the Illinois long-term care COVID-19 experience and in consultation with the University of Washington.
Last Updated: 7/2/2020