- 1) Pre-designate a provider as the COVID provider. This provider should perform all evaluations and procedures to limit exposure to other medical personnel, if possible. Remember, maintaining combat casualty care capability is still the priority. Balance the provider skillset and experience with potential impact on medical support for combat operations. The designated provider may not be the most experienced provider, but can consult with teammates as needed for management, procedures, and nursing care.
- 2) All patients presenting to sick call with any complaint should be screened for typical COVID-19 symptoms (fever, cough, dyspnea, gastrointestinal complaints) and risk of exposure.
- 3) If PUI presents to a provider other than the designated COVID attending provider, the patient should be provided a cloth face covering (or surgical mask) and escorted to pre-designated COVID treatment area.
- 4) If possible, all evaluations and treatment of PUI should be done outside the combat casualty care facility to mitigate potential for contamination of the facility.
- 5) Medical personnel performing the evaluation should wear the best available PPE (see Appendix B) balancing the supply of PPE with the threat of patient interaction.
- 6) Examination should include full vital signs including pulse oximetry, work of breathing assessment, pulmonary auscultation, skin temperature, and capillary refill.