We implemented a clinical algorithmic approach with an emphasis on symptoms and risk to stratify patients into 3 groups:   Acutely Ill COVID Rule Out/PUI Stable COVID Rule Out/PUI COVID OB

Cassidy, DO, Deborah

Doherty, MD, Jeanne

Hummerston, DO, Kyle

Liu, DO, Roger

Shah, MD, Malav

English

Jefferson Digital Commons

SARS-COV-2 TESTING GUIDELINES FOR PATIENTS ADMITTED TO MRH FOR INPATIENT REHABILITATION  Deborah Cassidy DO, Roger Liu DO, Malav Shah MD, Kyle Hummerston DO, Jeanne Doherty MDTJUH and MRH Department of Rehabilitation MedicineWhat’s the Problem?COVID-19 infection presented a unique challenge to Magee Rehabilitation Hospital in March 2020. • As a stand-alone, acute rehabilitation hospital, our access is limited in terms of monitoring, stat diagnostics, and treatment interventions necessitated by the COVID-19 pandemic.• Additionally, our patient population is largely high risk for COVID-19 infection given multiple acute and chronic comorbidities and the communal nature of inpatient rehabilitation.• Consequently, it became imperative to develop and implement COVID-19 Assessment Guidelines to algorithmically identify patients in need of closer monitoring, SARS-COV-2 testing, and potential transfer for COVID-19 infection treatment.How Might We: Improve identification of patients who need SARS-COV-2 testing to assess for COVID-19 infection?Cause analysisRoot causes of this problem included:• Evolving physician familiarity with clinicalpresentation of COVID-19 infection• Differences in physician and staff clinicalsuspicion for COVID-19 infection• Lack of access to standard acute caremonitoring instruments such as telemetry anddiagnostics such as stat labs and chest imaging• Lack of resources to acutely treat COVID-19infection and associated complications• Initial delay in release of, then subsequentongoing evolution of, general consensusstatements from CDC and IDSA regardingtesting and treatment in communal settingsWe implemented a clinical algorithmic approach with an emphasis on symptoms and risk to stratify patients into 3 groups: Acutely Ill COVID Rule Out/PUI, Stable COVID Rule Out/PUI, and COVID OBS.

SARS-COV-2 Testing Guidelines for Patients Admitted to MRH for Inpatient Rehabilitation

https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1084&context=patientsafetyconference

SARS-COV-2 Testing Guidelines for Patients Admitted to MRH for Inpatient Rehabilitation

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