Index Case
How do you determine the start date of isolation for this case type? (asymptomatic & symptomatic)
Test date aka "created on" date or if external, specimen collection date OR symptom onset (if AFTER test date)
What is a close contact? Be specific.
Individual who has been within 6 feet of the index case for 15 cumulative minutes or more in a 24-hour period during the case’s infectious period.
What is a suspected case?
Symptomatic individuals that are likely COVID positive, but no test result.
T/F: You treat daily pass like an index case.
False - CC
What are the 4 case types?
Index, close contact, suspected, and daily pass
What is an index case?
Individual who is COVID positive
T/F: If asymptomatic, not fully vaccinated, test negative on day 5, exit interview day 7 & free day 8
False - If asymptomatic, not fully vaccinated, test negative on day 6, exit interview day 7 & free day 8
What makes a suspected case different from an index case? (not looking for a definition)
- Instruct to test immediately
- Related cases are only created upon confirmation of positive test (unless Principal instructs)
What is a daily pass case?
Those who have been exposed to an index case that is not LAUSD affiliated and are asymptomatic.
What do we instruct an index case to do?
Isolation 10d. Instruct them no retesting 90d. Isolation/quarantine guidelines provided.
When do we start quarantine?
Last day of exposure to index
When do we instruct a suspected case to test?
Immediately
T/F: A daily pass case is a case that is NONLAUSD affiliated.
False - they are LAUSD affiliated, but their exposure was outside of LAUSD
Where should external test results be submitted?
LAUSD's Daily Pass portal
What color do you highlight index initial interviews on the pod chat?
Pink
What is it on dynamics that makes this case type unique from the others? (Hint: You don't see it on the other case types)
Exposure case section (contact investigation status, close contact quarantine status, close contact testing status, known contact to another lab confirmed case, & last date of exposure to index case)
What do we need to ensure we do on our documentation when a suspected case turns positive?
Cross reference the cases in your notes and refer to HR/RN. Work the positive case.
What do we instruct a daily pass case to do?
Quarantine 10d. Instruct them to test in 6d. Quarantine guidelines provided.
What is the approval criteria for vaccinations? (Hint: Looking for 7 things)
Full name
DOB
Both vaccinations should be the same type
Lot # for both vaccinations
Dates of both doses
Vaccine sites/clinics or healthcare provider
Days between vaccination should be 17d+ for Pfizer & 24d+ for Moderna
I am an index case. I was asymptomatic at the time of my initial interview, but I began to have symptoms on the 3rd day of isolation. What do I do?
Restart isolation
T/F: If asymptomatic, fully vaccinated, not tested, must quarantine.
False - If asymptomatic, fully vaccinated, testing recommended, do not need to quarantine
What do you do if a suspected case comes back negative?
If a suspected case tests negative for COVID-19 or receives a nonCOVID-19 diagnosis from a medical provider, the individual must remain home until symptoms have improved and is fever-free for 24 hours without the use of fever-reducing medication. When you conduct the exit interview, assess the symptoms, document everything, and discuss with the nurse/epi on call BEFORE resolving the case because it depends on situation/symptoms.
What makes a daily pass different from a close contact?
Exposure was outside of LAUSD & asymptomatic
Explain "date from," "date to," and comment section under case facilities.
Date from (-14d from "date to")
Date to (test date or s/s or actual last day on site)
Comment section (specific areas visited)