COVID-19 clinical practice guidelines for nursing homes

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Management

  • facilities experiencing an increased number of respiratory illnesses (regardless of suspected etiology) among patients/residents or healthcare personnel should immediately contact their local or state health department.
  • facilities should restrict visitation of all visitors and nonessential healthcare personnel, except for certain compassionate care situations (eg, end of life), & are expected to notify potential visitors to defer visitation until further notice.
  • visitors who are permitted must wear a face mask in the building and restrict their visit to the resident's room or another designated location
  • Cancel communal dining and all group activities (both internal and external).
  • Identify staff members who work at multiple facilities, & actively screen & restrict them appropriately.
  • Nursing homes with residents suspected of having COVID-19 infection should contact their local health department.
  • frequent testing & immunity-based staffing interventions may reduce transmission of SARS-CoV-2 in nursing homes[2]

Additional terms

References

  1. Centers for Medicare & Medicaid Services (CMS) Infection Control and Prevention of COVID-19 in Nursing Homes Clinical Practice Guidelines (2020). Medscape - Mar 30, 2020. https://reference.medscape.com/viewarticle/927587
  2. 2.0 2.1 Holmdahl I, Kahn R, Hay JA et al Estimation of Transmission of COVID-19 in Simulated Nursing Homes With Frequent Testing and Immunity-Based Staffing. JAMA Netw Open. 2021;4(5):e2110071. May 14 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33988707 PMCID: PMC8122229 Free PMC article https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2779870