COVID-19 Algorithm: For The Philippine General Hospital
COVID-19 Algorithm: For The Philippine General Hospital
COVID-19 Algorithm: For The Philippine General Hospital
Regina P. Berba, MD
Hospital Infection Control Unit (HICU)
12 March 2020
*see: https://www.who.int/emergencies/diseases/novel-
Guard to call ERO
EXPOSURE
coronavirus-2019/situation-reports
PGH Entrance
HISTORY OF TRAVEL ER Officer
to a country reporting local to mobilize
transmission w/in past 14 days*
Dyspneic
GUARD Fever
-or- Yes or Yes
checks CLOSE CONTACT Ambulance
CODE TEAM
temp with a probable OR Borne
confirmed case of COVID-19 PULMO Duty Fellow
defined as
(Team Leader)
No Fever Direct care without PPE
No
Staying in same close environment ANES Duty Resident
Travelling together in close proximity
DEM Nurse on Duty
Utility Worker on Duty
Continue entry No Triage Resident
into Hospital But is there....
SEVERE ACUTE
RESPIRATORY Guard to inform ERO
INFECTION (SARI)?
REQUIRING hospitalization, AND no other Yes ER Officer to inform
ER consult for etiology to fully explain the clinical
presentation, regardless of exposure history COVID-Triage
flu-like illness
No
COVID-Triage (IM/FM)
to evaluate patient
No need for
COVID-Triage Next Page
ENTRY to CARE
COVID-Triage (IM/FM)
to evaluate patient
IDS FELLOW
PATIENTS UNDER INVESTIGATION
Does the patient fulfill Yes Inform Infectious Diseases Fellow
CONTACT
the criteria for PUI on duty and advise for admission ER Officer for documentation
based on the checklist? DPPS for admission to rm 554
Utility worker to transport
No PUI to designated room
Is there an Yes Utility worker to clean tent
PATIENTS UNDER MONITORING available BED after every PUI
in PGH?
Report to RESU and send home
with advice for self-quarantine
ONCE ADMITTED
No Contact RESU
Complete the case
Coordinate investigation form (CIF)
with RESU Collect NPS + OPS and LRT
Within 14 days, for transfer specimen if possible
did patient develop symptoms of Yes Manage accordingly
fever, cough, DoB, etc.?
No
No further ADMIT
intervention
COVID-19 PUI Checklist
ANY OF THE FOLLOWING
Regina P. Berba, MD
Hospital Infection Control Unit (HICU)
12 March 2020