Revised Testing Criteria
March 23, 2020 (revised)
 
Testing will be made more broadly available with a few recommendations to streamline the process and minimize unnecessary staff exposures.
Testing is still limited to patients being admitted. No testing in the outpatient setting is recommended.

Testing is to be ordered in the Emergency Department, through coordination by the ED physician or the physician taking over care of the patient on the floor.
  • Contact/Respiratory precautions will be initiated before the patient is moved to the floor.
  • Patients with pending results will be placed on either 3 Pavilion or PICU (2 North) based on acuity.
  • Infection Control does not require notification.
 
Week of March 16
Testing is now widely available through most commercial laboratories. However, at this time, Cook Children’s Health Care System does not plan to bring routine COVID-19 testing in-house, and testing will only be performed on patients who are admitted for inpatient care. While testing is available, the current restriction is the availability of the test specimen collection device. This is a nation-wide issue and there is no anticipated time when this will be resolved. This is the same testing collection device that is used for routine respiratory viral testing, such as Influenza and RSV.
  
The following guidelines have been developed by CCHCS leaders to guide the most judicious use of the test. 
 
Emergency Department Testing Criteria
  • Testing is limited to patients who will be admitted for inpatient care. ACTION: Notify Infection Control via the hospital operator when testing is ordered.
  • Patients that are being treated and sent home should not be tested under any circumstances. In situations where there is a known exposure and consistent symptomatology, advise the patient/family/individual that there is a likelihood of being positive for COVID-19 and they should practice social distancing until well. Please note: there is no treatment available and the test result does not change the course of therapy.  
 
Testing Criteria for CCHCS’s UCCs, PCCs, Neighborhood Clinics 
 
CCHCS Infection Prevention does not recommend testing in this setting.  
  • If the patient needs to be transferred to another facility for escalation of care, then the receiving facility should be advised if there is a suspicion of COVID-19.
  • In situations where there is a known exposure and consistent symptomatology, the patient/family should be advised that there is a likelihood of being positive for COVID-19 and they should practice social distancing until well. There is no treatment available and the test result does not change the course of therapy.

 
If you need immediate assistance, please contact the hospital operator and ask them to page Infection Prevention. For other information, visit our resource page on CookNet, or email us at COVID19Questions@cookchildrens.org. Thank you!