How To Link A Case
Close Contact to Parent Case
On the general tab of the close contact under "Parent Case"
May an employee use a Home Test?
No. We are only accepting FDA approved home tests for students.
WHAT IS THE DIFFERENCE BETWEEN ISOLATION & QUARANTINE?
• Isolation separates sick people with a contagious disease from people who are not sick.
• Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.
HOW DO WE DETERMINE A CC?
Anyone exposed within a case’s infectious period (48h prior to test)is considered in contact so when we’re creating CC, we ask if anybody came in contact 48 hours prior to test date. Verify dates of exposure on IEM because IEM is not always validated.
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 COLOR DO YOU HIGHLIGHT INDEX INITIAL INTERVIEWS ON POD CHAT?
Pink
Index Positive to Close Contact
In the related cases tab. Add new case.
What type of testing is required for daily pass to work?
Weekly baseline testing with a PCR.
WHEN DO WE START QUARANTINE?
1. For household cc, last day of index's iso.
2. If non-household cc, last day of exposure to index case.
WHEN DO WE RECOMMEND CC TO TEST?
▪Test should be 5-7d from last exposure
▪Put "not tested" under exposure section if they don't have a test taken 5d from exposure
▪5d & AFTER exposure is all that really matters for CC testing related fields
▪If symptomatic, immediately
What is the required criteria for Shortened Isolation?
•Asymptomatic or improving symptoms
•Fever free/no fever reducing meds in last 24 hours
•Must have an approved negative antigen test result (test taken on or after Day 5)
•Free to return to school Day 6 with an improved mask
Index Positive to Contact Positive
1. In the general tab of the contact positive case enter the case number of the parent case in the data field for "Parent Case"
2. Case category "Contact Positive"
What are the 5 criteria required for a lab test to be approved?
Name, DOB, Date, Test Type, Result.
WHEN DO WE START ISOLATION?
Individual who is COVID positive; If asymptomatic, you begin isolation on test date. If symptomatic before test date, you can go back up to 10d of symptom onset. If symptomatic after test date, you will use symptom onset. If on campus during symptom onset, use test date.
Requirements for Shortened Quarantine
Asymptomatic during the entire quarantine period
Negative test on or after Day 5 (external tests must be uploaded into Daily Pass and approved)
POST ISOLATION, AN INDEX CASE EXPERIENCES SYMPTOMS WITHIN THEIR 90D NO RETEST PERIOD, DO WE ASK THEM TO TEST?
Yes, if they experience symptoms, they need to test, isolate, and see a doctor. Any kind of symptom that is presented can be considered a new positive because of the new strains. If anyone is feeling symptoms, it could mean a new infection.
Suspected turned Index Positive
1. Create a case note on the suspected case that the case turned positive and reference the case number for the positive case.
2. Create a case note on the positive case that the case was a suspected case turned positive and reference the case number for the suspected case.
What is the criteria for employees attempting shortened isolation/quarantine with an LAUSD slip (LAUSD Antigen)
The LAUSD slip must include: Name, DOB or EID, Test Date, Test Collector Information, and Site Personnel Signature.
WHEN WOULD WE EXTEND ISOLATION?
We extend isolation on a day-to-day basis for worsening or severe symptoms such as chest pain, shortness of breath, chills, fever, or change in level of consciousness, and they need to be seen by a medical provider. All other symptoms may be cleared if improved.
If index and CC are moved to different homes, how do we calculate quarantine of the close contact?
Use last day of exposure
WHAT IS CONSIDERED A CLUSTER? OUTBREAK?
Cluster -3 or more cases at a single location (ex: school) (not epi-linked). Outbreak -3 or more cases in a stable group (ex: classroom) (epi-linked).
Close Contact turned Contact Positive
1. On the general tab of the close contact case, reference the case number of the positive parent case in the data field for "Parent Case"
2. Create a case note on the close contact case that the close contact turned positive and reference the case number for the positive case.
3. Create a case note on the new positive case that the case was a close contact and reference the case number for the close contact case.
4. Flip the case category on the new positive case to "Contact Positive."
What is the process for contesting a False Positive and how long does the process take?
1. Upload a negative PCR taken within 48 hours of the first positive test.
2. Once uploaded, call in to submit a request for the review process through the Epi.
3. The medical director will review all false positives on Friday (this process could take up to a week)
WHAT INFORMATION SHOULD YOU COLLECT IF THERE IS AN LAUSD MEMBER WITHOUT A PERSON PROFILE/ACCT?
Gather DOB, email, phone #, correct spelling of name, & school. Do not create the account. Please tag Administrative Site Assistant (ASA) to create these.
HH CC: How to Determine Quarantine Start if Index Shortens Isolation
1. Index case must have a negative antigen result approved and on file, on or after day 5 of isolation
2. Quarantine begins the day the positive individual is cleared to return to school or work
3. CC should test on day 5 of their official quarantine period, to return to school or work on day 6 with a negative result
WHAT IS EPI-LINKED?
An established commonality between positive cases whether it be a non-household, classroom, social setting, etc. that can link them together. Ex: 5 people went to a salad bar. All 5 ate the tomato and got poisoning.