COVID 19 viral testing for pre-procedure or pre-admission

As per Dr Demetria’s recommendation:

All symptomatic patients regardless of vaccination status should undergo COVID-19 RT PCR

All patients who are not up to date with all recommended COVID 19 vaccine doses should
undergo COVID-19 RT PCR

All asymptomatic, fully vaccinated patients may not have any COVID 19 viral testing if the
community transmission rate is low to moderate

Patients who will undergo aerosol generating procedures should have COVID 19 RT PCR

Vaccination Status (+) Symptoms

No or Incomplete
Symptoms COVID 19 RT PCR
Vaccine

Asymptomatic
and Fully
Vaccinated

YES
Patient is likely to undergo an
aerosol generating procedure
Low to Moderate Community transmission is defined as

NO
COVID 19 symptoms
Fever or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body
aches, Headache, New loss of taste or smell, Sore throat, Congestion or runny nose, Nausea
or vomiting, Diarrhea
Aerosol Generating Procedures:
 Open suctioning of airway secretions
 Sputum induction
 Cardiopulmonary resuscitation
No viral testing needed  Endotracheal intubation and extubation
 Noninvasive ventilation (NIV) (e.g., BiPAP, CPAP)
 Bronchoscopy
 Manual ventilation
 Autopsy procedures or medical/surgical procedures using oscillating bone saws
 All surgical procedures that may pose higher risk for transmission if the patient has
COVID-19 infection (e.g., that generate potentially infectious aerosols or involve
anatomic regions where viral loads may be higher, such as the nose and throat,
oropharynx, respiratory tract)