COVID-19 Symptom or Exposure Algorithm · 2020-08-07 · Exposure Y High Risk N References 1. AMA Guiding Principles to Protect Learners Responding to COVID-19 2. AMA Practical Guide

Appropriate PPE for workplace environment?

Low Risk Exposure

14-day Self Monitoring

Elevated Risk Exposure

14-day Self-Quarantine

Develop COVID-19 Symptoms?

Low Risk Exposure

14-day Self Monitoring

Contact Supervisor and Personal Primary Care Provider and Employee Health (where

applicable) to facilitate testing

Y

14-Day Self-QuarantineA. Complete 14-day self-quarantine as per COM Exposure Re-entry Algorithm8 B. Contact Supervisor and Employee Health (where applicable) for Case Closure

COVID-19 Test + 10-day Self-Isolation

MUST IMEDIATELYComplete COM

COVID-19 Concern Form4

& TAMU COVID-19 Form7

Contact Supervisor and Personal Primary Care Provider and

Employee Health (where applicable)

Please note: COM Team member = student, faculty, staff, or affiliates

Workplace Exposure Community Exposure

Office of Academic AffairsRevised 8-7.20 by COVID-19WG

Version 7.0

COVID-19 Symptom or Exposure Algorithm

Y

N

Initiate Self-Isolation Immediately

Conditions of exposure assessed by Supervisor / Campus Action Lead

and if needed by COVID-19 Exposure Panel (CEP)

Conditions of exposure assessed by Supervisor / Campus Action Lead

and if needed by COVID-19 Exposure Panel (CEP)

Must CONFIRM completed TAMU COVID-19

Reporting Form7

Monitoring for Symptoms

Low or High Risk

A. Complete 14-day self-quarantine as per COM Exposure Re-entry Algorithm8 B. Contact Supervisor and Employee Health (where applicable) for Case Closure

Monitoring for Symptoms

Monitoring for Symptoms

Supervisory Designees

1. Supervisor for Students - Clerkship – Clerkship Director AND Campus Dean - Pre-Clerkship – Assistant Dean Academic Affairs – Pre-Clerkship AND

Campus Dean - Graduate Students – Primary Investigator AND Department Head AND

Associate Dean for Graduate Studies AND Campus Dean2. Supervisor for Staff - Executive Director for Administration AND Campus Dean3. Supervisor for Faculty - COM Employed Faculty - Department Head AND Campus Dean - Affiliate Faculty – Employee Health AND Campus Dean

N

COM Team Member Exposure

Y

High Risk

N

References

1. AMA Guiding Principles to Protect Learners Responding to COVID-19

2. AMA Practical Guide to Restoring Clinical Rotations for Medical Students

3. CDC Guidelines for Return to Work for Healthcare Personnel with Suspected or Confirmed COVID-19

4. COM COVID-19 Concern Reporting Form

5. CDC Guideline – Quarantine versus Isolation

Quarantine 5

Quarantine is used to keep someone who might have been exposed to COVID-19 away from others. Quarantine helps prevent spread of disease that can occur before a person knows they are sick or if they are infected with the virus without feeling symptoms. People in quarantine should stay home, separate themselves from others, monitor their health, and follow directions from their state or local health department.

Isolation 5, 6

Isolation is used to separate people infected with the virus (those who are sick with COVID-19 and those with no symptoms) from people who are not infected. People who are in isolation should stay home until it’s safe for them to be around others. In the home, anyone sick or infected should separate themselves from others by staying in a specific “sick room” or area and using a separate bathroom (if available).

Self Monitoring - Watch for symptoms

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

Fever or chills Cough Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting Diarrhea

This list does not include all possible symptoms. CDC will continue to update this list as we learn more about COVID-19.

Use the CDC’s COVID-19 Self-Checker

Low Risk

6. Dallas County – COVID-19 Home Care Guidelines

MUST IMEDIATELYComplete COM

COVID-19 Concern Form4

& TAMU COVID-19 Form7

Contact Supervisor and Personal Primary Care Provider and

Employee Health (where applicable)

COM Team Member Develops Symptoms Concerning for COVID-19

Without Known Exposure

7. TAMU COVID-19 Form

A. Complete at least 10-day self-isolation as per COM COVID POSITIVE Re-entry Algorithm9 B. Contact Supervisor and Employee Health (where applicable) for Case Closure

Contact Supervisor and Personal Primary Care Provider and Employee Health (where

applicable) to facilitate testing

Initiate Self-Isolation Immediately

MUST CONFIRMcompleted TAMU COVID-19

Reporting Form7

YCOVID-19 Test + 10-day Self-Isolation

A. Obtain formal medical evaluation & written clearance from personal PCP B. Contact Supervisor and Employee Health (where applicable) for Case Closure

N

A. Complete at least 10-day self-isolation as per COM COVID POSITIVE Re-entry Algorithm9 B. Contact Supervisor and Employee Health (where applicable) for Case Closure

8. COM Exposure Re-entry Algorithm

9. COM COVID POSITIVE Re-entry Algorithm

14-Day Self-MonitoringUpon COMPLETION of 14-days self-monitoring, contact Supervisor and Employee Health(where applicable)

for Case Closure

No For SELF-MONITORING

Clinical Environment- Maroon Line Algorithm

Non-Clinical Environment- Mask, Handwashing and Social Distancing

Considerations:- Were face masks worn?- Physical Distancing (6 ft)?- Outdoors/Indoors?- Duration of exposure

exceeding 15 minutes?