- Maintain communication with personnel in isolation. The attending COVID provider will determine the need for more frequent assessments.
- Once a patient meets MedCon2 criteria or higher, continuous monitoring is recommended as their risk of rapid decompensation rises significantly. (MedCon2: Progressive symptoms that are concerning based upon provider clinical judgment. See Appendix A.)
- The Prolonged Field Care flowsheet provides a framework for recording frequent assessments and interventions. (See JTS Documentation in Prolonged Field Care CPG.)
- Consider using video chat (e.g., WhatsApp) to obtain vital signs and perform visual assessment of patient to minimize exposure in MedCon1. (MedCon1: Mild flu-like symptoms, SpO2>94% on room air, hemodynamically normal. See Appendix A.) Patients can take their own pulse oximetry reading and temperature at pre-determined intervals or cohort patients in isolation billeting can do it for each other.
- If concerning symptoms develop, the COVID attending provider performs an in-person exam using the best available PPE.