Ongoing Assessment Establish what day this is in the course of the patient's COVID-19 illness and continue the clinical review cycle until at least day 10. The counting of the days starts from the day of diagnosis which is day 0. Day 0 is the first day of symptoms, or day when positive covid test was done, whichever comes first. For vaccinated cases, the isolation time is 10 days, provided the previous 72 hours were symptom free. Unvaccinated cases, the isolation time is 14 days provided the previous 72 hours were symptom free. The handover from public health will include day 0 date for each case.
Clinical review cycle •
At COVID-19 Care 1, patients self-monitor symptoms daily and receive alternate day (or as clinically indicated) remote clinical assessment from an appropriate practitioner. This can be a nurse, NP or GP (if this is provided by a nurse, then NP or GP support must be available if required).
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At COVID-19 Care 2: •
higher risk patients are reviewed by a suitable clinician daily (including weekends), with additional checks as clinically indicated. Patients should have access to a pulse oximeter if they have personal risk factors for COVID-19 Care 2.
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lower-risk patients self-monitor symptoms daily and may receive lower frequency of clinical assessment, but the household is contacted frequently.
Review symptoms and perform remote examination Monitor trends over time and take account of the full clinical picture. The symptom complexity and changes in features over time may be more significant than isolated responses. •
Assess breathing and general symptoms. See Daily Checklist. •
Include video observations, if available.
Version One. 25 November 2021.
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