Coronavirus — After-Hours Employee COVID Testing — Clinical Pathway

After-Hours Employee COVID Testing

Criteria

Employees who:

Meets current employee testing criteria,
Are scheduled to work the next day in person at a CHOP clinical site,
Are healthy enough to report to work based on sick policies, pending a negative COVID test
and
Are unable to get to a drive-through site for testing due to sites being closed for the day or lack of test appointment availability
1. CTC should exhaust all other options to schedule an appointment at drive-thru site.
  This includes following process for approved override scheduling.

Process

Employee calls CTC and completes intake process, per usual procedure.
During scheduling, CTC determines if employee meets criteria for after-hours employee testing.
1. CTC can take calls to register/schedule employees between 6:30 a.m.-11:30 p.m.
If no, continue normal CTC processes for test scheduling.
If yes, continue this process.
CTC schedules employee in available appointment in Site 3 and provides instructions to employee about where/when to report for testing.
1. ED contact number: x14665
2. Appointment should be made at least 1 hour in advance
3. CTC arrives employee upon scheduling
4. CTC should note car color/model or walk up in appointment notes
5. Location: Employee should access the ED Arcade via East Service Drive. Can park in spot or directly walk up if not driving.
  1. Have employee call 215-590-2374 to notify Security that they are arriving and the color/type of vehicle
  2. Security sends everbridge alert to notify ED staff (x14665 and x14982) of expected employee arrival
6. Schedule:
  1. 5 blocks of 30 mins, 2 employees per block (1 every 15 mins)
  2. 7-7:30 p.m., 8-8:30 p.m., 9-9:30 p.m., 10-10:30 p.m., 11-11:30 p.m.
  3. 7 days a week
ED staff member monitors schedule for appointments and is prepared to test employees during scheduled testing times.
Employee presents to ED for testing.
ED staff member prints two labels, completes requisition form (with label, date/time, collector, source), collects specimen, and labels specimen and requisition form with priority stickers.
ED staff member walks specimen to lab for processing per current standard practice for priority ED tests.
IDDL processes specimen.
1. Specimens must be received by 12:30 a.m. for last overnight run; tests result around 4:30 a.m.
2. Specimens must be received by 6am for first morning run; results around 11am
3. Note: Specimen issues (e.g. leaky specimen, invalid, canceled) will be reported to CTC not ED because of ambulatory appointment
  1. CTC would contact employee directly, but likely not until the morning when they open back up at 7 a.m.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.