It is essential to have systems in place for the early identification of cases of Covid-19. This includes:
Throat and nose swab virology are the commonest form of diagnosis. Where there is a high clinical index of suspicion for COVID- 19 (e.g. during facility outbreak), non-detectable viral load through nose / throat swab does not exclude possibility of COVID -19 infection. It is not necessary to wait for laboratory test results before beginning initial investigations or implementing control measures.
Links can be found on the HSE webpage Physical-health-supports-for-mental-health-services Record the normal baseline health and NEWS score of the patient.
Decision algorithm in regards to escalation reflecting anticipatory guidance
(In-patient services-Adult Acute Approved Centres including admission, continuing care and special care or secure wards)
Nebuliser usage should be discouraged in favour of Metered Dose Inhaler (MDI) and spacer where possible. Use of a nebuliser should be in a well-ventilated room and Health Care Worker should vacate if at all possible. If Health Care Workers remain they should follow PPE protocols.
Complete patient observations on the NEWS observation chart. Please see form here: Patient observation chart and score using the NEWS scoring key below.
A score of less than 3 with other triggers may also require transfer.
Health Library Ireland, Health Service Executive. Dr. Steevens' Hospital, Dublin 8. Tel: 01-6352555/8. Email: email@example.com