UConn Health has begun the process of resuming routine appointments and elective procedures, and we are committed to creating the safest possible environment for our patients, employees, and visitors.

Screening for COVID-19 and Isolation of Suspect Cases

Updated March 13, 2020

Ambulatory Clinic

Screening patient calling for appointment:

  1. Patient calling for non-scheduled appointment to Telcom Operators (Call Center);
    1. Triage questions asked;
      1. Have you traveled out of the country within the last 14 days (specifically to China, Iran, Italy, Japan, South Korea, or have been in contract with any person known/suspected to have coronavirus?
        1. If NO – book appointment as usual
        2. If YES, DO NOT BOOK the appointment
          1. Open an encounter
          2. Ask location of travel and document
          3. Ask the patient if they have shortness of breath
            1. If YES – to shortness of breath call the Nurse iPhone
            2. If NO, ask if they have a fever or cough
          4. If the patient has traveled to the specific locations and has NO symptoms OR has a fever and cough, the Telcom Operator tells the patient that they should stay at home and wait for a call from the doctor’s office.
          5. The Telcom Operator routes an Epic message to the Nurse Pools using the “!” (except for MSI and ENT, where they route the message to the MA Pool)
            1. Message to pool includes patient details, travel information, symptoms (fever, cough) and phone number of patient
          6. Clinic RN calls the patient and triages the call. Determines if patient should stay at home or if there is a need to come in (can consult with providers and Infectious Disease as needed).

      Screening patient arrives for a regular scheduled visit:

      1. Staff and Providers in the ambulatory setting should follow the following steps when encountering a patient with symptoms of possible COVID-19 infection (travel, fever and/or acute respiratory symptoms such as cough, shortness of breath).​
        1. We still ask the travel question and document in Epic - Have you traveled out of the country within the last 14 days (specifically to China, Iran, Italy, Japan, South Korea or have been in contract with any person known/suspected to have coronavirus?
          1. If YES document the location and provide the patient with a mask and ensure the patient wears it in our facility. If they refuse, arc it up.
        2. Ask the patient do you have a fever, cough and or shortness of breath?
          1. If yes – notify the MA/RN to room the patient and Segregate the patient from other patients by placing him/her in a private room. If a private room is not available, segregate the patient from other patients in the waiting room.
        3. The clinic nurse or physician/PA/APRN, should then call Infection Control for guidance (can be reached through the page operator).
        4. Inform the clinic manager or director.
        5. Perform hand hygiene and then don the appropriate personal protective equipment (PPE). PPE guidance will be provided by Infection Control on a case-by-case basis.
        6. Minimize direct patient contact as much as possible – try to maintain a distance of at least six feet away from the patient, if feasible.
        7. Exercise caution when doffing and disposing PPE, as this is a time when contamination risk is highest.
        8. Perform hand hygiene following doffing and disposing of PPE.
        9. After the provider and patient exit the room, ensure the room in which the patient was evaluated is cleaned using routine cleaning and disinfecting processes.