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. See the Covid-19 illness timeline. 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.
Clinical review cycle •
Patients in COVID-19 Care 1 are reviewed by a suitable clinical practitioner on alternate days (including weekends) or as clinically appropriate, unless escalated to COVID-19 Care 2. 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.
Self-monitoring •
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Advise the patient to: • record symptoms and observations 3 times a day. • watch for worsening symptoms. • only seek medical care outside the home on the advice of their medical care team. what to do if their condition deteriorates.
What to do if their condition deteriorates Advise the patient to call 111 if acute care is consistent with their wishes and they experience any of the following: •
Severe trouble breathing or severe chest pain 22
