Coronavirus — Precaution Recommendations — Clinical Pathway

PPE Recommendations and Isolation

Practice consistent hand hygiene, and do not touch your mask/face
Current practices are based on expert consensus, evidence, and learnings over the past 16 weeks
Use of correct PPE and HH have decreased concerning work-related exposures

Resuscitation and other AGP Procedures AGP	Expanded precautions are required N95 or PAPR + eye protection + gown + gloves PAPRs are preferred for prolonged care of patients with AGP
Pts with Exposure, Known COVID +, No AGP	Modified Expanded required Surgical Mask + Eye protection + gloves + gown Document Modified Expanded Precautions in EPIC
Pts with Suspected COVID i.e. Symptomatic (fever, resp symptoms, GI, etc)	Modified Expanded required Surgical Mask + Eye protection + gloves + gown Document Modified Expanded Precautions in EPIC
Pts unlikely to have COVID (asymptotic, no exposure, screening test only)	Standard Precautions Surgical Mask + gloves + Eye protection in ED only (floors Mask + gloves is standard precautions) NO Sign, NO Isolation documented in EPIC
COVID NEGATIVE with continued respiratory/fever Symptoms	ED Modified Droplet + Contact Precautions Surgical Mask + gloves Document Droplet + Contact precautions in EPIC

Additional Measures Implemented to Decrease Transmission

All patients and families wear masks
Exam room doors are closed, patients/families should wear masks when staff is in the room
For infants during transport, tented blankets are placed over the child’s head
Patients with AGP are placed in negative pressure rooms as available
Educating our ED team members to stay at home if ill, talk with leadership/CTC if testing is indicated
Isolation signs on the patient doors

©2020 by Children's Hospital of Philadelphia, all rights reserved.
Use of this site is subject to the Terms of Use.

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.