CORONAVIRUS CASE

MANAGEMENT

INSTRUCTIONS
YEIMMY TATIANA MENDEZ C

TARGET
Define the guidelines to be followed in

all the locations of the Bucaramanga

Heart Institute

S.A. for the diagnosis and treatment

of coronavirus cases (nCoV-2019)

SCOPE
All patients cared for in the institution

who are suspected and/or diagnosed

with coronavirus (nCoV-2019)

CARE

ACTIVITIES
Precautions measures must be

strengthened for all care modalities

Standard in the management of all

patients, established in the "Manual of

Basic Measures

for Infection Control in health service

providers”

DETECTION
In general, the cases under study

must be kept in contact isolation and

for

drops. Strict hand hygiene will be

followed before and after contact

with the patient

and the removal of personal

protective equipment. The health

personnel accompanying the

patient to the isolation area will wear

CLASSIFICATION

a high-efficiency N95 mask and

gloves.

OF SYMPTOMS
Respiratory distress

Presence of pneumonia

Presence of sepsis by q SOFA or SOFA

Score as appropriate

Presence of gastrointestinal symptoms

Witnessed neurological signs and

symptoms

IMPORTANT
Family members or companions of the patient should

not enter the isolation area,They will be informed of

the procedure to follow. In the cases of minors or

patients who require accompaniment, the patient

will have the right to said accompaniment and must

Take the necessary preventive measures through the

use of safety equipment personal protection.

 CORONAVIRUS CASE

MANAGEMENT

INSTRUCTIONS
ASYMPTOMATIC
CASE
Close contact** of confirmed COVID-19 case

who has not manifested symptoms in the first

7 days after last unprotected exposure:

The cases of this strategy must be registered

in the format "Follow-up of contacts of cases

positive COVID-19”. This format is Appendix 2

to the notification of cases 346 and 348.

CLOSE

CONTACT

CONFIRMED CASE

FOR COVID 19
Person who meets the definition of a

probable case and has a positive result for

the new coronavirus

2019 (COVID 19) by real-time RT-PCR.

CLINICAL

MANAGEMENT
In the current degree of risk

defined for the country and

considering this initial phase

of preparation for the

introduction of the new

SARS-CoV-2, proceed as

ASYMPTOMATIC
follows:

PERSON
In this scenario, the person can be channeled through

an external consultation, workplace or contact

centers, so the general guidelines for him are the

following:

A. Maintain social distancing for 14 days

B. Monitoring by the EAPB who must report and have

active communication with the respective territorial

health entity.

C. In case of being detected by the ARL, it must be

notified to the territorial directorate according to

circular 017 of 2020, issued by the Ministry of Labor.

If you present any symptoms during the following 14

days, start the immediate use of a surgical mask and

contact the telephone line defined by the EAPB

responsible for patient care for further guidance.

 CORONAVIRUS CASE

MANAGEMENT

INSTRUCTIONS
SYMPTOMATIC

PERSON
Comprehensively assess the patient by

applying standard precautionary measures,

using personal protection elements that

include a high-efficiency mask for treating

personnel.

Apply isolation measures to the

patient. Both contact isolation and

droplet isolation immediately, either

in the suit during the first contact in

the emergency room or in the process

established by the provider for

scheduled consultations.

Immediately notify the case in the fully

completed epidemiological file according

to the guidelines of the National Institute of

Health

Carry out the reference and counter-

reference process before the EAPB or the

Territorial Entity, as the case may be, to

define the health service provider to whom

the referral must be made to continue with

the management. Ensure that isolation

(droplets and contact) continues during the

transfer of the patient and send the

The provider who receives the

corresponding supports (copy of the

referred patient must reassess him

epidemiological file).

and request the samples in

accordance with the INS Reference

Laboratory Guide and the other

diagnostic tests that the treating

physician considers necessary to rule

out another etiology and to define

the treatment.

Depending on the direction and

ease of location of the EPS, two

samples will be taken, one to

carry out the etiological diagnosis

considered by the treating

physician and the other to be sent

immediately to the Departmental

or District Public Health

Laboratory.
 CORONAVIRUS CASE

MANAGEMENT

INSTRUCTIONS
SYMPTOMATIC

PERSON
Apply the treatment according to the case.

It is important to highlight that so far there is

no specific treatment for any coronavirus, so

the treatment of COVID-19 is symptomatic.

Provide recommendations for the use

of preventive measures for contacts.

Continue the institutional approach to the

case, in hospital and with the respective

isolation measures according to severity,

clinical condition and until the detection of

SARS-CoV-2 is ruled out.

If the case is confirmed as positive for

COVID-19, hospitalization should be

extended for a minimum of 7 days

depending on the patient's conditions.

Discharge according to medical criteria

with general recommendations on

droplet isolation, contact prevention,

ventilation and cleaning of areas and

surfaces, frequent hand washing and the

identification of the following warning

signs to go immediately to the health

service:

Breathing faster than normal.

Difficult-to-control fever for more

than two days.

Generate epidemiological monitoring from

If your chest sounds or hurts when

the Territorial Health Entity

you breathe.

Drowsiness or difficulty waking up.

Seizures or convulsions.

Decay.

Rapid deterioration of the general

condition.

BIBLIOGRAPHIC

REFERENCES
https://es.scribd.com/document/520664119/In-44-015-Instructivo-de-Manejo-

de-Casos-Por-Coronavirus-Cov-2019-v1?

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