Q: Should we “cohort” residents based on COVID-19 status, even if that means transporting them to another facility?

A: CMS provided an update with further guidance on “transferring or discharging residents between facilities for the purpose of cohorting residents based on COVID-19 status.”

CDC issued Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination and updated Interim Infection Prevention and Control guidelines that addresses isolating patients, as well as Responding to Coronavirus in Nursing Homes, with additional advice.

Q: What PPE should people transporting a COVID-19 patient wear? What about the patient?

A: The CDC recommends the patient should wear a facemask; the level of PPE needed for transport personnel depends on how close the contact will be. See this page for explanations from the CDC.

Q: What should we do about transporting a resident to a local hospital for tests unrelated to COVID-19, like x-rays?

A: The CDC recommends “Standard Precautions should be followed when caring for any patient, regardless of suspected or confirmed COVID-19.” They further define this: “Standard Precautions are based on the principles that all blood, body fluids, secretions, excretions except sweat, nonintact skin, and mucous membranes may contain transmissible infectious agents. The application of Standard Precautions is determined by the nature of the HCP-patient interaction and the extent of anticipated blood, body fluids, and pathogen exposure.”

See also: COVID-19 in residents and testing,  GlovesMasks, and After work precautions

This page updated 3/18/21

Information is changing rapidly as the COVID-19 outbreak evolves. Please take the links on these pages, especially the NH DHHS, which coordinates the COVID-19 response in our state, and other public health resources such as your local public health department, the CDC and WHO to find the latest guidance and recommendations.

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