Appendix A — Personal Protective Equipment Guidelines
Appendix B — Infectious Disease Medical Directors by Entity
Call your entity Infectious Disease Physician/Medical Director:
- If patient is PUI or COVID+Positive or
- Prior to de-escalation of isolation or
- For COVID-19 related treatment guidance
Escalate to Dr. Nikhil Bhayani:
- If there is a discrepancy between treatment orders/recommendations and Texas Health guidelines or
- A second opinion is needed or
- There is no response from entity ID within a timely manner or
- Prior to transfer into the system or between entities
Infectious Disease Entity Physicians/Medical Directors
Appendix C — Specimen Collection Tipsheet
COVID-19 Nasal Specimen Collection Tipsheet
The CDC recommends collection of an upper respiratory specimen for initial diagnostic testing for COVID-19. The nasopharyngeal specimen is the preferred choice for collection.
Nasopharyngeal (NP) Swab
- Insert a swab into nostril parallel to the palate. Swab should reach depth equal to distance from nostrils to outer opening of the ear. Leave swab in place for several seconds to absorb secretions. Slowly remove swab while rotating it.
- Use only synthetic fiber swabs with plastic shafts. Place swabs immediately into sterile tubes containing 2-3 mL of viral transport media.
- When collection of a nasopharyngeal swab is not possible, the following are acceptable alternatives:
- An oropharyngeal (OP) swab
- A nasal mid-turbinate (NMT) swab
- An anterior nares (nasal swab; NS) specimen
- If both NP and OP swabs are collected, they should be combined in a single tube to maximize test sensitivity and limit testing resources.
Appendix D — Summary Information on Elective Procedures/Services and COVID Testing
Appendix E — Milk Handling for COVID-19 Positive or Suspected Mothers in the Hospital Setting