Guidelines on What to Do If You Think You Have COVID-19

Guidelines on What to Do If You Think You Have COVID-19

Guidelines on What to Do If You Think You Have COVID-19 Symptoms or Exposure

Keeping our caregivers informed about the novel coronavirus disease (COVID-19) is essential. Below are guidelines to help you know what to do if you think you have COVID-19 symptoms or have been exposed to someone with COVID-19 but do not have symptoms.

Remember, there is a difference between having symptoms of COVID-19, and being exposed. Review the process for each.

The process if you have SYMPTOMS:

COVID-19 can be a serious illness. Please take the following steps:

  1. If you have a fever, cough, shortness of breath or are otherwise concerned you have COVID-19, do not return to work. You need to be screened by a clinician.
  2. To be screened, call the Cleveland Clinic COVID-19 Hotline at 216.445.8246 (Option 1). These clinicians will determine if COVID-19 testing is needed.

The process if you believe you were EXPOSED (but do not have symptoms):

  • If you traveled outside the U.S. and may have been exposed:

    Your health and safety is our top priority. If you have returned home from a Level 3 Travel Health Notice Country, you may have been exposed to COVID-19. Please call the Cleveland Clinic COVID-19 Hotline at 216.445.8246 for instructions on next steps.

  • If you recently traveled within the U.S.:

    If you traveled within the United States, you should monitor yourself for signs of fever, chills, and/or cough. If you develop any symptoms, please let your manager know immediately and contact the Cleveland Clinic COVID-19 Hotline at 216.445.8246 for further instruction.

  • If someone in your household has been diagnosed with COVID-19:

    If someone in your household has been diagnosed with COVID-19, you must call the Cleveland Clinic COVID-19 Hotline at 216.445.8246 for further instruction before reporting to work.

  • If you were exposed to a patient with COVID-19 at work:

    First, we need to clarify the definition of exposure. Exposure occurs when you have had close (6 feet or less) contact with a person with COVID-19, and you were not wearing appropriate personal protective equipment (PPE). If you cared for a patient with COVID-19, and you were wearing appropriate PPE, you did not have an exposure.

    If you were exposed at work, speak with your manager immediately. Your manager will communicate with Occupational Health and Infection Prevention. Occupational Health will then contact you.

Important to know: Caregivers who use indicated personal protective equipment (PPE) while working with a COVID-19 patient are not exposed. Continue to follow the latest guidelines posted to our intranet about the appropriate use of PPE.

Returning to work after exposure, but without symptoms

The Centers for Disease Control and Prevention released guidelines on healthcare worker exposure to the novel coronavirus disease (COVID-19). Caregivers who were exposed to COVID-19 without wearing personal protective equipment (PPE) may continue to work if they do not have symptoms. They will be required to wear a mask as a precaution and our Occupational Health team will check in with them twice each day to monitor for any symptoms. Occupational Health coordinates return-to-work dates for anyone who has symptoms and is not cleared to return to work. For more information, view caregiver exposure FAQs.

Following these guidelines will help us be prepared to serve our patients during this uncertain time. Thank you for your compliance and understanding.

Restricted Visitation at Cleveland Clinic Ohio Facilities

Restricted Visitation at Cleveland Clinic Ohio Facilities

Restricted Visitation at Cleveland Clinic Ohio Facilities – Effective Today, March 20

Updated March 20 -- 10:17 a.m.

The safety of our caregivers, patients and community is our highest priority. Effective today, March 20, we are restricting all visitors at all Ohio locations.

Exceptions will be made for the following patients:

  • Pediatric patients (1 visitor)
  • Labor & Delivery patients (1 visitor)
  • End-of-life circumstances (patient’s care team will discuss with their family)

All other visitors will be asked to leave the hospital. Additionally, when caregivers arrive to work at all patient care locations, they will now undergo a thermal temperature scan.

As we continue to navigate the best ways to contain the spread of COVID-19, we understand these changes may be difficult and appreciate your patience and understanding.

More information will be coming regarding when this will take effect at Florida locations.

Test Ordering Update for Ambulatory Care Providers

Test Ordering Update for Ambulatory Care Providers

Test Ordering Update for Ambulatory Care Providers – March 18, 2020

Please note that ambulatory care providers are no longer be able to order COVID-19 test ordering through Cleveland Clinic.

In an effort to assure good stewardship of our testing resources and to ensure we are consistently screening patients prior to any testing, we are streamlining the process.

If you are an ambulatory care provider who has a patient who meets the high-risk criteria for testing outlined below:

  • Please route your encounter to the COVID-19 Hotline pool (P COVID-19 HOTLINE POOL) in Epic (Find instructions).
  • Please provide the patient with the following information:
  1. Their encounter will be sent to the Hotline team which is staffed today, March 18 from 4 p.m. to 11 p.m.; and beginning tomorrow, March 19 it will be staffed 7 a.m. to 11 p.m. every day (7 days a week.)
  2. That team will contact them with direction about whether they need to be tested or not based on this new set of testing criteria.

COVID-19 testing will focus on high-risk patients. These are symptomatic patients who also have one of the following criteria:

  • Age > 60 years old
  • Age < 36 months
  • On immunosuppressive therapy
  • Cancer
  • End-stage renal disease on dialysis
  • Diabetes
  • Hypertension
  • Coronary artery disease
  • Heart failure reduced ejection fraction
  • Lung disease
  • Contact with known COVID-19 patient
  • HIV/AIDS 
  • Solid organ transplants

And

Symptoms consistent with influenza-like illness (any two of the following):

  • Cough
  • Difficulty breathing
  • Fever (>100.4)

Taussig Cancer Institute providers will have a specific workflow.

Thank you for your help as this continues to evolve.