Coronavirus

Corona Virus Protocol

 

CDC has warned that more cases of Corona Virus will be reported in the community. At present there are no vaccines and there is no treatment.  We have to isolate patients of suspected Corona Virus quickly and this is our protocol.

 

Instruction for Staff

  1. All the patients on schedule, must be called ahead of the time and asked if they have
    1. Respiratory Symptoms, with cough and or shortness of breath ; If yes, we must ask if they have been to affected geographic areas or have had contact with someone who has been to affected geographic area -- in that event patient must be told to go to ER at medical center of aurora while wearing a mask and call medical center of aurora prior to going there to alert the response team to receive them
    2. If they have respiratory symptoms but have no epidemiological risk identified by CDPE, then they must be offered virtual visit from home.
  2. If someone still comes to the clinic with respiratory symptoms, please room them immediately to Exam room 5; Ask the patient to wear protective mask. Providers too must wear procedure mask; We have been requesting N95 respirators for more than a week but they are not available at Pandemic Supply Network. When they are available, employees will be given respirator masks. 
  3. Their history must be taken using the phone call to the patient. 
  4. If provider suspects COVID 19, then there is no lab test available at Labcorp. Instead call ambulance and let patient go to Medical Center of Aurora.
  5. After the patient has left, do not use the room for one whole day. The room must be disinfected before using the room again. 
  6. Keep the blinds to that exam room open all the times. Sunlight is disinfectant.
  7. Do not use exam room 5 for regular patient visits. Keep it ready for COVID emergency.
  8. Please refer to this page for updates and additions.

Instruction for Patients

  1. If you have respiratory symptoms such as cough, shortness of breath and have been to one of the areas where there is Corona Virus emergency in last 14 days, or
  2. If you have respiratory symptoms such as cough, shortness of breath and have been in contact with someone who has been to one of the areas where there is Corona Virus emergency in last 14 days, or
  3. If you have respiratory symptoms such as cough, shortness of breath and have other health complications such as COPD etc.

Please get yourself phone screened before booking appointment. 

You must call 720.400.8935 and speak to one member of our provider team and they will instruct you appropriate treatment.

 

  1. If you want to see a provider, for any other reason, check if you can do an eVisit instead. We are supporting eVisits from March 05th, 2020. 
  2. If you need physical exam, please finish all the paper work online and make your waiting room wait a very short one. 
  3. Wash hands at the end of office visit for at least twenty seconds, using the faucet and soap provided at the exam room.
  4. Do not touch your eyes, ears, nose, our mouth. Wear masks to prevent you from touching your nose and mouth by accident. 
  5. Do not shake hands with any team member of your provider team. A Namaste or a Hello is preferred. 

Instruction for General Public

 

Dr. James Robb, one of the first pathologist to work on Corona Virus in 1970's has shared this on email and you may have already seen this on your favorite social feed. If not, please read the content here. 

 

Date: February 26, 2020

Subject: What I am doing for the upcoming COVID-19 (coronavirus) pandemic.

Dear Colleagues, as some of you may recall, when I was a professor of pathology at the University of California San Diego, I was one of the first molecular virologists in the world to work on coronaviruses (the 1970s). I was the first to demonstrate the number of genes the virus contained. Since then, I have kept up with the coronavirus field and its multiple clinical transfers into the human population (e.g., SARS, MERS), from different animal sources.

The current projections for its expansion in the US are only probable, due to continued insufficient worldwide data, but it is most likely to be widespread in the US by mid to late March and April.
Here is what I have done and the precautions that I take and will take. These are the same precautions I currently use during our influenza seasons, except for the mask and gloves.:

1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc.
2) Use ONLY your knuckle to touch light switches. elevator buttons, etc.. Lift the gasoline dispenser with a paper towel or use a disposable glove.
3) Open doors with your closed fist or hip – do not grasp the handle with your hand, unless there is no other way to open the door. Especially important on bathroom and post office/commercial doors.
4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts.
5) Wash your hands with soap for 10-20 seconds and/or use a greater than 60% alcohol-based hand sanitizer whenever you return home from ANY activity that involves locations where other people have been.
6) Keep a bottle of sanitizer available at each of your home’s entrances. AND in your car for use after getting gas or touching other contaminated objects when you can’t immediately wash your hands.
7) If possible, cough or sneeze into a disposable tissue and discard. Use your elbow only if you have to. The clothing on your elbow will contain infectious virus that can be passed on for up to a week or more!

I, as many others do, hope that this pandemic will be reasonably contained, BUT I personally do not think it will be. Humans have never seen this snake-associated virus before and have no internal defense against it. Tremendous worldwide efforts are being made to understand the molecular and clinical virology of this virus. Unbelievable molecular knowledge about the genomics, structure, and virulence of this virus has already been achieved. BUT, there will be NO drugs or vaccines available this year to protect us or limit the infection within us. Only symptomatic support is available.

I hope these personal thoughts will be helpful during this potentially catastrophic pandemic. You are welcome to share this email. Good luck to all of us! Jim
James Robb, MD FCAP

 


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