RP1
the first part you check after assigning yourself a repeat positive case
Lab Results
when you can't find the repeat positive file...
mark as expired
mark the top notes after 3-3-2
designate unreachable status in the Repeat Positive Excel
The Repeat Positive is contacted and has a previous positive test that is OUTSIDE of the “90 day umbrella period”.
Repeat Positive (Outside of Timeline)
your title in your notes under repeat positive cases
RP/VCI
The Repeat Positive is contacted and has a current, second test, that is within the “90 day umbrella period” and “Symptomatic”.
Repeat Positive
if symptom onset date is more than 3 days before test date...
...isolation date is specimen collection date
The Repeat Positive is contacted and has a second test that is within the “90 day umbrella period” AND was “Asymptomatic”
Continuous Positive
This doesn't matter if there is a second test done outside of the 90 day umbrella period...
whether case is symptomatic or not
if symptom onset date less than or equal to 3 days before test, the isolation date...
starts on the symptom onset date.
If we notice a trend of the same people constantly testing positive and reporting symptoms....
elevate to Team Supervisor
If the case's new positive test has a specimen collection date that was within their original isolation period, mark as...
mark as a continuous positive (verified)
where in Commcare the retrieved file generates from dealing with a reinfection
All Cases
Jeopardy BONUS(Check the answer)
Claim your 50 point bonus and select another question
When you receive a breakthrough case...
send a high priority email and @Lorena in the chat
True or False- During pre-work RP/CI's should verify multiple test results and search household members, etc., as per normal prework.
False- Since we are ONLY working with files from the Repeat Positive bin, you will not be searching household members, etc., as per normal prework.
Jeopardy BONUS(Check the answer)
Claim your 50 point bonus and select another question
While working on an RP file that is unreachable. After 3-3-2 is complete, which places would the CI update?
1) The RP/VCI will mark in the top notes/daily follow up notes that the Repeat Positive file was unreachable after a cycle of 3-3-2.
2) The RP/VCI will then record this in the Excel document with the appropriate “Unsuccessful/Unreachable” Call Status and update the date. The unreachable file at this time will remain in the “Repeat Positive” bin until it expires.
When should the RP/VCI leave the reinfection question left blank?
Which Scenario A,B or C applies here. Initial test date- 01/01/21, case has been symptomatic till second test date of 04/19/21.
Scenario C (Repeat Positive: Outside of Timeline): The Repeat Positive is contacted and has a previous positive test that is OUTSIDE of the “90 day umbrella period”. Symptomatic/Asymptomatic status does not apply in this situation
Case has a test date of 01/19/21 and completed isolation on 01/29/21. Case has been asymptomatic from end of isolation till second test date of 04/20/21. Will this patient be a repeat positive or continuous positive? Which Scenario is this-A,B or C. Bonus points(200) for good explanation.
Repeat Positive- Scenario C (Outside of 90 days)
List any 4/8 call statuses used in the RP Excel file
A)Not yet called – This means you have assigned yourself the file and are in the pre-work stage.
B) In Progress – This means that you are in the middle of 3-3-2.
C) Verified – This means you have reached the case and verified whether they are a reinfection or not.
D) Unsuccessful/Unreachable - The case was unreachable after 3-3-2.
E) Unsuccessful/Refusal - The case refused the interview/repeat positive questions.
F) Unsuccessful/Medical Barriers – Reinfection status could not be verified due to hospitalization, residency in a nursing home or rehab, etc.
G) Unsuccessful/Deceased - the case is deceased.
H) File Expired
What is included in the RP daily count form?
All interviews completed, unreachables and follow ups from the Repeat Positive Project should be counted as normal.
Repeat Positive Workflow- List any 3 steps to take while working on a repeat positive file
1. Assign yourself the first open file in your team's Excel sheet by adding your name to it.
2) Search the file in the Repeat Positive Bin (using the green search button at the bottom).
3) Evaluate the file's lab results (using the "View/Record Lab Results" form)
4) Call the case using 3-3-2 protocol through the "Case Reactivation" form. Document in top notes.
5) Evaluate case to determine reinfection status. If not a reinfection, end your call and skip to step 9.
6) For reinfections: complete a full CI interview.
7) For reinfections: find the new case file in All Cases and permanently assign to yourself. Fill in all case interview information. DO NOT TRY TO DE-DUPLICATE THE ORIGINAL FILE.
8) For reinfections: Follow up and manage isolation as normal per CI Protocols. This includes all escalations, follow ups, end of isolation calls, etc.
9) Update Excel document with most recent info on your case.
How would an RP/VCI select between the 3 scenarios A, B and C?
Scenario A (Continuous Positive): The Repeat Positive is contacted and has a second test that is within the “90 day umbrella period” AND was “Asymptomatic” from the last date of their infectious period to the present date when you are making the call. This will NOT become a new case.
Scenario B (Repeat Positive): The Repeat Positive is contacted and has a current, second test, that is within the “90 day umbrella period” and “Symptomatic”.
Scenario C (Repeat Positive: Outside of Timeline): The Repeat Positive is contacted and has a previous positive test that is OUTSIDE of the “90 day umbrella period”. Symptomatic/Asymptomatic status does not apply in this situation.